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Home First Program In Markham Stouffville Hospital

1966 words - 8 pages

According to Statistics Canada Report 2013, “life expectancy in Canada is one of the highest in the world” and it is expected to grow, making the aging population a key driver to our health-systems reform. By 2036, seniors in Canada will comprise of twenty five per cent of the population (CIHI, 2011). Seniors, those aged 65 years and older are the fastest growing population in Canada. Currently there are approximately 4.8 million Canadians aged 65 or greater. It is projected that this number will increase to 9 to 10 million by 2036 (Priest, 2011). As the population get aged the demand for health care and related services are expected to increase. Currently, the hospitals in Ontario are frequent faced with overcrowding emergency departments, full of admitted patients and beds for those patients to be transferred to. It has been reported that 20% of the acute care beds in the hospital setting are occupied by patients that do not require acute hospital care. These patients are termed Alternate Level of Care (ALC). ALC is “When a patient is occupying a bed in a hospital and does not require the intensity of resources/services provided in this care setting (Acute, Complex, Continuing Care, Mental Health or Rehabilitation), the patient must be designated Alternate level of Care at that time by the physician or her/his delegate.” (Ontario Home Care Association, 2009, p.1).
Markham Stouffville Hospital (MSH) is an acute care Hospital in Markham Ontario. Every year almost 40,000 patients discharge referral transactions are conducted across 52 health care facilities in the Central Local Health Integration Network (CLHIN). I am currently working as a Hospital Case Manager (HCM) in Central Community Care Access Central (CCAC) at the Markham Stouffville Hospital (MSH). I am the lead Hospital Case Manager (HCM) for the Home First program therefore the focus of my project was to be on this aging at home strategy; The Home First Program. The Home First is Government funded program. It assists in increasing bed flow in the hospitals, if completed in a timely manner. Because of high numbers of ALC patients residing in acute care hospital settings, the Province of Ontario Government and the Ministry of Health and Long Term Care have provided some aging at home strategies to assist with decreasing pressures felt within the hospital system. One such strategy is the Home First program. It assists in increase the bed flow at the Hospitals, by providing care for the ALC patients in more appropriate settings.
The challenge I have identified for the purpose of this project report was the fact that Home First referrals are not always done within the specific timeframes, outlined in the admission criteria which resulting delayed discharge from the hospital. So this project report is focused on the implementation of timely Home First referrals which helps in timely and safe discharge. This process consists of two parts. First analyzing of the current process used to...

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