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Home Care In Ontario - Facts & Figures (Updated July 2009)

  • Print version available here

    There are 14 Community Care Access Centres in Ontario established by the Ministry of Health and Long-Term Care to provide access to government-funded home and community services and long-term care homes.i
  • CCACs employed approximately 5,072 full time employees in 2007/08ii
  • 572,950 clients received home care services funded by the CCACs in 2007/08 (note a client who is transferred or re-admitted may be counted more than once)iii
  • 653,368 case management visits by CCAC staff for assessments, reassessment and coordination of care were conducted in 2007/08iv
  • There were 355,837 CCAC admissions in 2007/08
    • 14.8% were for long-term care placement
    • 85.2% were for the in-home programv
  • In-home service admissions in 2007/08 were:
    • 46.8% acute care
    • 28.2% rehab
    • 17.5% maintenance
    • 4.8% long-term support
    • 2.8% end-of-lifevi
  • In 2007/08 admissions by age groupings were:
    • Elderly 53.5%
    • Adults 36.3%
    • Children 10.25%vii
  • 26,485,042 visits/hours of care were delivered in 2007/08viii
    • 64% of care delivered was personal support / homemaking
    • Nursing represented approximately 29%
    • 7% of visits/hours were provided by therapy providers
      • Occupational Therapy - 2.8%
      • Physiotherapy - 2.2%
      • Speech - 1.7%
      • Social work - 0.3%
      • Dietician Services - 0.2%
  • The average wait time for shift nursing service initiation in 2007/08 was 5.7 daysix
  • 380 clients received peritoneal dialysis at home through the CCAC in 2007/08x
  • CCAC expenditures in 2007/08 were $1.629 billion; $1.471 billion was spent on client services.xi
  • The total annual expenditure on equipment and supplies in 2006/07 was approximately $27 million and $73 million respectivelyxii
  • 88% of Ontarians surveyed indicate a preference for home care for themselvesxiii
  • The majority of clients are satisfied with their home care servicesxiv
  • Investing in home-based care can save money, improve care and improve quality of life for people who would otherwise be hospitalized or institutionalizedxv
  • There is no evidence to support the superiority of either the for-profit or not-for-profit agencies in delivering service to clientsxvi
  • There is no conclusive evidence to show that corporate structure determines cost effectivenessxvii
  • Differences in nurses' work enjoyment, satisfaction with time for care and job security varies by agency but is not related to corporate structurexviii
  • 87% of home care workers surveyed indicated that their job change subsequent to a contract change was 'positive' or 'somewhat positive' for themxix
  • The minimum wage for Personal Support Workers for CCAC funded home care has been set at $12.50 per hourxx
  • A well resourced home care system is imperative to address the aging population in Ontario which will mean more people with chronic conditions and fewer health care providersxxi
  • Innovation is the result of competitionxxii
  1. Ministry of Health & Long-Term Care, http://www.health.gov.on.ca/english/public/contact/ccac/ccac_mn.html
  2. CCAC MIS Comparative Reports 2007-2008YE, Table 2C
  3. OACCAC, CCAC Report of Measurements, retrieved from http://www.ccac-ont.ca/Content.aspx?EnterpriseID=15&LanguageID=1&MenuID=138
  4. CCAC MIS Comparative Reports 2007-2008YE, Table 6B1 and 6B2
  5. CCAC MIS Comparative Reports 2007-2008YE, Table 6C1%
  6. CCAC MIS Comparative Reports 2007-2008YE, Table 6C1%
  7. CCAC MIS Comparative Reports 2007-2008YE, Table 6C1
  8. OACCAC, CCAC Report of Measurements, retrieved from http://www.ccac-ont.ca/Content.aspx?EnterpriseID=15&LanguageID=1&MenuID=138
  9. CCAC MIS Comparative Reports 2007-2008YE, Table 11A
  10. CCAC MIS Comparative Reports 2007-2008YE, Table 26A
  11. CCAC MIS Comparative Reports 2007-2008YE, Table 1A
  12. CHCA, Portraits of Home Care 2008, p 91
  13. Pollara, SSCA Procurement Review Quantitative Survey Results, March 2005, p28
  14. Caplan, Realizing the Potential of Home Care, 2005, p22
  15. Chappell and Hollander, Synthesis Report: Final Report of the National Evaluation of the Cost-Effectiveness of Home Care, March 2002
  16. Caplan, Realizing the Potential of Home Care, 2005, p42
  17. Ibid
  18. Doran, et al., Management and Delivery of Community Nursing Services in Ontario: Impact on the Quality of Care and the Quality of Worklife of Community-Based Nurses, Canadian Health Services Research Foundation, 2004
  19. Pollara, Procurement Review Quantitative Survey Results, March 2005, p55
  20. MOHLTC, Choosing Quality, Rewarding Excellence, Ontario's Response to the Caplan Report on Home Care, 2006, p12
  21. OHCA, Creating an Age-Friendly Ontario, 2007, http://www.homecareontario.ca/public/about/publications-position-papers.cfm
  22. OHCA, Competition sparks Innovation, 2008, http://www.homecareontario.ca/public/about/publications-position-papers.cfm