CCAC Client Population
- In 2014/15, approximately 70% of CCAC long-stay patients were categorized as complex, compared to less than 40% only five years ago.5
- 96,000 children received health services at school.6
- In 2015/16, approximately 60% of referrals to publicly funded home care came from the hospital, 33% from the community, and 7% from schools.
- On March 31, 2016, there were 609 patients specifically designated to go home and yet waiting (ALC) to be discharged home with publicly funded home care service on March 31, 2016.
Government Expenditures on Home Care
- Between 2005/06 and 2015/16, overall CCAC funding (which includes funding for home care and other CCAC services, such as long-term-care home placement) has increased by 73% from $1.4 billion to $2.5 billion, but has remained a relatively constant 4% to 5% of overall provincial health spending.7
- Costs for CCAC services ranged between $2,892 and $3,775 per person; the average was about $3,400 per person.8
Do Ontarians receive palliative care at home?
- Although cancer patients represent only 30% of Canadian deaths annually, they make up 80% of end-of-life clients for the CCACs and occupy approximately 85% of hospice beds.9
- 10% of all ALC days in Ontario in the 2013/14 fiscal year were due to patients waiting in hospital for palliative care elsewhere.10
How likely is a return to hospital for home care clients who have recently been discharged?
- 11.6% of new home care patients discharged from the hospital experienced an unplanned return to hospital within 30 days after being discharged in 2014-15 - down from 12.9% in 2006-07.11
- 26% of individuals had an unscheduled emergency department visit within 30 days after being discharged from the hospital and referred for home care services in 2013-14.12
Some clinical issues of patients receiving publicly funded home care
- 27.7% of home care patients reported that they did not receive an influenza vaccine in the preceding two years in 2015-16 - up from 24.2% in 2010-11.13
- 59.9% of Ontario patients receiving publicly funded home care for at least 60 days developed a new problem with incontinence that did not improve, or had worsened bladder function since their previous assessment in 2015-16 - up from 52.3% in 2010-11.
Do home care patients receive a positive experience from home care services?
- 91.8% of home care patients were satisfied with their care from both care coordinators and service providers in 2015-16.14
- Investing in home-based care can save money, improve care and improve quality of life for people who would otherwise be hospitalized or institutionalized.
- 17% of all people who were admitted to a long-term care home were assessed as having low, mild or moderate needs in 2015-16.
What is the average cost of care in Ontario?
|Average Cost of Care
(for one week for 424 seniors)
|Long-term Care Bed
|Care at Home
|Average Per Diem Cost
|Long-Term Care Bed
|Care at Home
(2011) HOME First Shifts care of Seniors to HOME. LHINfo Minute, Northeastern Ontario Health Care Update
- Caring for terminally ill patients in an acute-care hospital is estimated to cost over 40% more than providing care in a hospital-based palliative-care unit, more than double the cost of providing care in a hospice bed, and over 10 times more than providing at-home care.15
- The cost of providing palliative care in the last month of a patient’s life averages about:
- $1,100 per day in an acute-care hospital bed
- $630 to $770 per day in a bed in a palliative-care unit
- $460 per day in a hospice bed
- under $100 per day where at-home care is provided.16
1. Auditor General of Ontario (2015). 2015 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.01, CCACs-Community Care Access Centres-Home Care. http://www.auditor.on.ca/en/reports_en/en15/3.01en15.pdf
4. Various sources including OACCAC, MOHLTC, Ontario Ministry of Finance
5. Auditor General of Ontario (2015). 2015 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.01, CCACs-Community Care Access Centres-Home Care. http://www.auditor.on.ca/en/reports_en/en15/3.01en15.pdf
6. OACCAC. CCAC Fast Facts 2015. Retrieved from http://oaccac.com/News/Pages/CCACs-by-the-numbers-infographic.aspx
7. Auditor General of Ontario (2015). 2015 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.01, CCACs-Community Care Access Centres-Home Care. http://www.auditor.on.ca/en/reports_en/en15/3.01en15.pdf
9. Auditor General of Ontario (2014). 2014 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.08, Palliative Care. http://www.auditor.on.ca/en/reports_en/en14/308en14.pdf
11.Health Quality Ontario. Home Care Reporting – Provincial Results Summary by Attribute and Indicator, 2013/14. http://www.hqontario.ca/Public-Reporting/Home-Care
14. Health Quality Ontario. Home Care Reporting – Provincial Results Summary by Attribute and Indicator, 2014/15.Retrieved from http://www.hqontario.ca/System-Performance/Home-Care-Performance/Patient-Experience
15. Auditor General of Ontario (2014). 2014 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.08, Palliative Care. http://www.auditor.on.ca/en/reports_en/en14/308en14.pdf