Home and Community Care

The NE LHIN committed to the following over the next three years: Change the way home and community care is delivered by working at a local level to put service models in place to meets people’s needs in an efficient and compassionate manner. The NE LHIN has a three pronged role when it comes to home and community care.

In its first role, the NE LHIN is a system planner and funder, holding accountability agreements with 70 community support service providers who support Northerners living in the community through health and disability counselling, home care support, help with activities of daily living, meal services, assisted living, day programs, hospice and palliative care, caregiver and respite support, outreach education and training, transportation, and other services.

In its second role, the NE LHIN provides care coordination for clients. Care Coordinators are regulated health professionals with expertise in nursing, social work, occupational therapy, physiotherapy or speech therapy.They work directly with patients in hospitals, doctor's offices, communities, schools and in patients' homes, using their professional health knowledge and assessment skills to understand their clients individual needs, making recommendations based on their needs and goals. As part of its care coordination, the LHIN also manages eligibility and admissions to long-term care homes, short stay respite, assisted living, and adult day programs.

In its third role, the NE LHIN is the largest direct service provider of home and community care in Northeastern Ontario. The NE LHIN holds contracts with about 40 service provider organizations who help to deliver home and community care to Northerners. These organizations in turn hire personal support workers (PSWs) and nurses to provide care in people’s homes.

Our three year (2019-2022) home and community care deliverables include:

  1. Lead solutions with system partners to increase the availability of compassionate and trained Personal Support Workers and care providers.
  2. Join forces with the education sector to increase the availability of culturally sensitive health professionals and workers.
  3. Lead improvements to access and coordination of care through the implementation of One Client One Plan.
  4. Improve Coordination of care for complex patients through Health Links.
  5. Implement Family-Managed Home Care to provide clients and caregivers an alternative method for home care service delivery.
  6. Optimize home and community care coordinators within primary care providers to improve care transitions.
  7. Collaborate with Indigenous partners on care options so services are in place to meet the needs of Indigenous people who want to live independently for as long as possible and recover in their own community.
  8. Implement supportive housing, assisted living, long-term care options and targeted seniors’ programs to enable people to live independently in a safe and caring environment of their choice for as long as possible.