Access to Care

Access to Care is an approach to care focused on supporting people, specifically seniors and adults with complex needs, in their homes for as long as possible, with community supports. With an aging population, communities and health care partners are working together to support people:

  • In the Community
  • In the Hospital
  • Accessing Special Services

Access to Care is changing care for seniors and adults with complex needs in order to support them in their homes for as long as possible.  Change is focused on four areas:

  • Home is the primary discharge destination for anyone entering the hospital
  • Care in hospital is ‘senior friendly’
  • People access to community and specialized hospital services using the ‘coordinated access’ process 
  • Services are located where they are needed

Why did we embark on Access to Care?

  • Many people were waiting in hospital for long-term care and  experiencing cognitive and functional decline during this time
  • Many people had care needs that could have been better met elsewhere:
    • 37% of people in Complex Continuing Care beds
    • 30% of people accessing Assisted Living services
    • 20% of people in Long-Term Care
  • 1,000 more people could have benefitted from Adult Day Programs
  • Services varied by region and provider:
    • Program elements, eligibility criteria, funding and client fee models
  • Inequitable geographic distribution of services
  • Ability to provide more intensive care for clients in the community and coordinated access due to legislative and policy changes

An Access to Care Overview


How will Access to Care impact the Health Care System?

A2C 2

What are the measurable impacts of Access to Care?

  • People with even more complex needs than ever before are being successfully supported in their homes.
  • Continued investments in community support services make it easier for people to access the most appropriate mix of services to support their needs.
  • More than 800 people are using intensive service plans per month to prevent hospitalization and to maintain them in their home for as long as possible.
  • More people with complex needs are able to return home after a hospital stay and can remain in their homes with community supports.
  • 2/3’s of people who are discharged home from hospital with Home First supports do not apply for long-term care.
  • Fewer people are moving directly from hospital to long-term care.


Home First 

Providers, families and others working together to help seniors who are being discharged from hospital to home with the necessary services and supports

Assisted Living, Supportive Housing, Adult Day Program

Improving the quality and value of these services while ensuring the most appropriate and equitable access for clients

Adults Living with Chronic Mechanical Ventilation
Rehabilitative Care
Senior Friendly Hospitals
Discharge Planning
Access to Care
Home First 
Assisted Living, Supportive Housing, Adult Day Programs
Complex Continuing Care and Rehabilitation 
Ensuring accessibility and the appropriate and equitable distribution of specialized beds and services throughout the LHIN which are available consistently and easy to access