Module 7: Optimizing Health Systems in LTC
182 7.6.1 Home and Community Care Partnership
National Institute on Ageing defines Home Care and Community-Support Services as:
- Care provided in home-based settings rather than in a hospital or a LTC home, with a goal to support individuals to remain independent in the community
- Two types: home care services and home support services.
- Coordinate with LTC services for individuals whom require 24 hours nursing services, personal care and therapeutic care: convalescent care, respite care, long term care admission
- In most cases is controlled by the provincial and territorial governments
- Not publicly insured through the Canada Health Act
- In some provinces, HCC will support supplemental skilled nursing services into LTC[1]
A Federal Safe Long-Term Care Act is under development by the Minister of Health and the Minister of Seniors to[2]:
- Focus on results and accountability to people in Canada residing in LTC
- Create shared responsibility of all levels of governments with respect to the well-being of older adults and persons with disabilities
Provincial & territorial health care governs:
- Most LTC legislation: management, organization and delivery
- Home and community care services
- Have most of the responsibility for delivering health and other social services (except certain groups)
Federal/ Health Canada is responsible for home care services to:
- First Nations on-reserve and Inuit in designated communities
- Members of the armed forces and the Royal Canadian Mounted Police (RCMP)
- Federal inmates
- Eligible veterans
- Supports research and policy analysis on home and community care across Canada