Bringing Care Home: Report of the Expert Group on Home and Community Care

Research Report Round-up

In brief

There is currently no coordinated system for publicly-funded home and community care in Ontario. This has led to many challenges for clients, families, and providers.

To address this growing issue, the province’s Minister of Health and Long-Term Care appointed the Expert Group on Home and Community Care to give input on strategies to improve the system. In this Research Report Round-up, we summarize the expert group's recommendations.

Title and link to report: Bringing Care Home: Report of the Expert Group on Home and Community Care

Authors: Expert Group on Home and Community Care: Dr. Gail Donner, Joe McReynolds, Dr. Kevin Smith, Cathy Fooks, Dr. Samir Sinha, Donna Thomson 

Year: 2015

Location:Toronto

Type of study: Community consultation, literature review, jurisdictional scan, recommendations 

Population addressed: Home care clients, families, caregivers, home care providers 

Key words: Families, caregivers, home care, Ontario 

Contact person/source: Minister of Health and Long-Term Care Minister's Office 647-537-6182/416-327-7527

Language: English

What this report is about

In their report, "Bringing Care Home: Report of the Expert Group on Home and Community Care", the expert group proposes a focus on the following areas: 

  • Client and family-centered care – The report provides guiding principles for family-centered home and community care in Ontario and what clients and families can expect from publicly-funded home and community care services.
  • More support for family caregivers - Family caregivers urgently need relief, information about available public and private services and how to access them, as well as education and training.
  • Core basket of publicly-funded services – Family caregivers need access to and funding of a consistent ‘basket of services’ that recognizes non-clinical supports such as homemaking, meal preparation, supportive housing, transportation and respite.
  • Improved communication and alignment between primary care providers, hospitals, and other members of the home and community circle of care.
  • Improved approaches to service delivery for older adults, individuals with short-term medical or surgical needs, and individuals with complex needs that require resources from multiple sectors.
  • More accountability for performance – There needs to be system-level quality quality indicators for home and community care, and these indicators should be aligned across the health system.

This report is organized into three sections: 

  1. History and overview of publicly-funded home and community care in Ontario based on a review of recent articles and reports, as well as a jurisdictional review of home care services.
  2. Key themes that emerged from surveys and in-person consultations with clients, families, and service providers on areas of strength and opportunities for improvement.
  3. Sixteen recommendations to address the identified areas of focus, as well as key considerations for their implementation.

How can this report be used

Decision makers and system planners can use this report to support the implementation of changes to publicly funded home and community care in Ontario.