more than 729,000 people across Ontario in 2015/2016 by:
- Providing care at home to
more than 590,000 patients1
more than 376,000 seniors in their homes2
more than 98,000 children received health services at school3
more than 30,000 people through their end-of-life experience with care at home4
- Connecting 45,000 people to a family physician or nurse practitioner through Health Care Connect, including 4,866 patients5 with high-care needs6
CCACs provide care in homes, schools and communities across Ontario, last year, this included7:
- 6.9 million nursing visits at home, in schools, in hospices and in clinics , as well as 2.1 million hours of shift nursing
- More than 29 million hours of personal support services
- More than 1.7 million visits from rehabilitation professionals (physiotherapists, occupational therapists and speech language pathologists)
- More than 55,000 social work visits and more than 48,000 visits from clinical nutritionists/dieticians
Helping meet the needs of Ontario's changing population better than ever before, CCACs:
- Have more than doubled the number of people they served since 2003/20048
- Are caring for more and more people with multiple chronic and complex health issues – an increase of 95.3 per cent more patients with higher needs than in 2010/2011.9 Providing specialized care and intensive care coordination ensures that patients receive integrated care from a wide range of health care providers and helps patients live in their homes longer
- Are supporting an average of 4,000 people discharged from hospital per week with CCAC care10
- Have reduced unplanned, less urgent emergency department visits within the first 30 days of discharge from hospital by 17 per cent since 2010/201111
- Have provided 10 million more hours of personal support than 2008/2009 – a 55 per cent increase12
- Have increased the number of people receiving end-of-life care at home by 46 per cent since 2008/200913
Providing value for every health-care dollar spent
- CCACs received $2.5 billion in provincial funding, representing just 5.1 per cent of the total provincial health budget14
- CCACs are committed to ensuring taxpayer dollars are spent effectively on patient care. They have reduced the proportion of funding spent on administration and overhead from 9.3 per cent in 2008/09 to 7.4 per cent today15. CCAC costs for purchased services, including those for patient care, are represented as the full amount paid by the CCAC for the services and are reflective of an all-in fixed price for such services
- In Ontario, home care currently costs approximately $45 per day16, a fraction of the cost of spending a day in hospital ($450 per day)17 or in long-term care ($135 per day)18
- Of the more than 29,000 patients and caregivers surveyed in 2015/2016, 91.8 per cent of patients reported a positive experience with the care they received from their CCAC19,20
- Demand for home care has been steadily increasing. Since 2008/2009, the number of patient referrals from hospital has increased 17 per cent21, and the number of new admissions to CCAC care has increased 19 per cent22
CCACs are continuously working to decrease wait times for patients
With a specific emphasis on reducing wait times for patients with the greatest needs, the Ministry of Health and Long-Term Care introduced a new five-day wait time target for all nursing visits and personal support visits.
- In 2015/2016, 94 per cent patients received their first nursing visit within five days and 85.5 per cent of complex patients received their first personal support service within five days23
CCACs are delivering direct nursing care to some of Ontario's most vulnerable patient populations
CCACs are delivering front-line care through three nursing initiatives developed by the Ministry of Health and Long-Term Care to address specific patient needs:
Rapid Response Nurses – reduce re-hospitalization and avoidable emergency department visits by improving the quality of transitions from acute care to home care for high-risk and medically complex children, seniors and frail adults.
Mental Health and Addictions Nurses (MHAN) – help educators learn how to recognize students with mental health and addiction issues and provide nursing support to them within the school setting. The program is improving students' experiences with the mental health system, decreasing hospital admission rates and increasing school attendance.
Hospice Palliative Care Nurse Practitioners – support people to die in their place of choice. The nurses work collaboratively with patients, families and other care providers in acute, hospice and primary care settings to reduce hospitalization and avoidable emergency department visits for patients receiving hospice palliative care, to enhance quality of care by combining therapies to comfort and support patients and their families, and to better manage pain and symptoms.
1 Ministry of Health and Long-Term Care Health Data Branch Web Portal, Individuals Served In-Home Health Care (Table 3).
2 OACCAC Home Care Database, count of active patients age > 65.
3 Ministry of Health and Long-Term Care Health Data Branch Web Portal, Individuals Served – Publicly Funded Schools and Private/Home Schools (Table 3).
4 Ministry of Health and Long-Term Care Health Data Branch Web Portal, (Table 25a) End of Life (EOL).
5 Note: the number of high-needs patients reflects the number connected to primary care physicians only, therefore this figure is a subset of the total of all high-care needs patients connected.
6 Ministry of Health and Long-Term Care, Monthly Health Care Connect Reports (April 1, 2013 and March 31, 2014)
7 OACCAC utilization report: CCAC Volume Reports (includes direct care nursing services).
8 Ministry of Health and Long-Term Care Health Data Branch Web Portal, Individuals Served In-Home Health Care (Table 3).
9 OACCAC utilization report: Average Monthly Active Complex and Chronic referral per cent change from FY2008/2009 to 2014/2015.
10 OACCAC Home Care Database, analysis undertaken August 2015.
11 Ministry of Health and Long-Term Care reporting to support Quality Improvement Plans
12 Ministry of Health and Long-Term Care Health Data Branch Web Portal, CCAC Comparative Reports (Table 19a)
13 Ministry of Health and Long-Term Care Health Data Branch Web Portal, (Table 25a) End of Life (EOL).
14 Ministry of Health and Long-Term Care Health Data Branch Web Portal, total revenue and expenses (Table 1) and Ministry of Finance Public Accounts of Ontario 2013/2014, Ministry Statement and Schedules Volume 1.
15 Client Services, Admin & Support, Overhead and Other Expenses, CCAC 2014/2015 Global Reports Total Revenue and Expenses, OHRS Report, Ministry of Health and Long-Term Care Health Data Branch Web Portal (Table 1A).
16 OACCAC Utilization Reports, Average Monthly Utilization for Long-Stay Patients, MAPLe High and MAPLe Very High, FY2014/2015;% spending on purchased services, medical equipment & supplies, Care Coordination, A&O FY2014/2015.
17 OHA, OFCMHAP, OACCAC, "Ideas and Opportunities for Bending the Health Care Cost Curve" (April 2010); confirmed with OHA on June 23, 2014.
18 Includes supplemental and Level of Care funding. Does not include the client copay contribution.
19 CCAC Client Experience Evaluation Survey Aggregate Provincial Report Annual Results – National Research Corporation, August 2015.
20 The Overall Experience Rating provides information about the experience of home care patients with their CCAC and the service providers who provided their care. The percentages above reflect the per cent of responses that were "Good", "Very Good", or "Excellent" on a five point scale (consisting of "Poor", "Fair", "Good", "Very Good" and "Excellent"). Positive responses, those above "Fair", are combined to report the positive total percentage.
21 Home Care database - new referrals from hospital (includes non admits and those not receiving service) from FY2008/2009 to FY2014/2015
22 Admissions by service recipient and age category, CCAC Comparative reports, Ministry of Health and Long-Term Care Health Data Branch Web Portal (Table 6C1).
23 OACCAC Quality Improvement Plan reporting site.