When patients return home from the hospital, they sometimes need a little bit of extra support. Osler is working with its partners at the Central West Community Care Access Centre (CCAC) and Headwaters Health Care Centre (Headwaters) – as well as the Ontario Telemedicine Network (OTN) and the Central West Local Health Integrated Network (LHIN) – to meet this need with Hospital to Home (H2H).
H2H is an innovative new model of care that is helping to improve clinical handoffs and information sharing when patients leave hospital and re-enter the community. This means that patients continue to receive short-term nursing care from the same team after they return home. H2H will initially support patients with cellulitis and urinary tract infections requiring short-term nursing interventions, later expanding to support those with more complex needs.
Last week, H2H launched at Brampton Civic Hospital. The program originally launched at Etobicoke General Hospital in December and then at Headwaters in January.
Once fully implemented, H2H will help prevent unnecessary hospital admissions, shorten the length of stay for admitted patients, provide greater continuity of care and ultimately, enhance the patient experience for those we serve.
As one of six integrated programs sponsored by the Ministry of Health and Long-Term Care’s new bundled funding model, H2H is an excellent example of how different organizations from across the continuum of care can work together to improve access to care that truly benefits patients. And it’s proving to be effective. Since November 2015, more than 135 patients have been enrolled in the program and dedicated H2H nurses have completed over 750 nursing visits in the community.
With each phase of the H2H rollout, the project team gathered feedback from staff and patients to help shape the program even further. Feedback to date has been very positive. Here’s what some H2H patients had to say:
- “I received outstanding care!”
- “My experience was fantastic. Each Nurse was extremely knowledgeable and they arrived in the timeframe as promised.”
- “I really appreciate this program. You took the time to talk with my wife and comfort her when I did not know what to say to make her feel better.”
- “You hired the best nurses for the job. They have all been wonderful!
This kind of patient experience is what we strive to achieve. That we are hearing such overwhelmingly positive feedback so early in the life of the program is a wonderful testament to the team’s commitment to providing patient-inspired care!