KNOWLEDGE CENTRE
High Impact Practices, as defined by the CHCA are evidence-informed, innovative practices within the community and home-based care sector that enhance the quality and effectiveness of service and result in improved quality of life for clients and their families. By identifying and sharing High Impact Practices, the CHCA facilitates knowledge transfer leading to the spread and scale of innovations that result in better care, better outcomes and better value.
Although Canadians prefer to die in a home-like setting surrounded by friends, family and loved-ones, our health care system overuses and relies on acute-care hospital services near the end of life due to inadequate availability of or access to community and home-based palliative care. These High Impact Practices are leading operational practices community and home-based palliative care that are addressing many service gaps and improving the quality and efficiency of care for individuals with palliative needs.
An innovative approach to inter-professional communication, shared decision-making and rapid clinical problem-solving for symptom burden in high-risk individuals who require palliative care services. Download HIP
An augmented service model in rural Alberta that is supporting clients nearing end of life to stay at home when desired, while ensuring they receive the required additional care. Download HIP
This High Impact Practice showcases how the INSPIRED Program was enhanced to provide social supports and advance care planning for individuals with advanced COPD benefit from an integrated palliative approach to care. Download HIP
An innovative model that combines an app for early identification of symptoms with videoconferencing to help support palliative care patients in the community. Download HIP
The adoption of innovative technology solutions in community and home-based care offers a promising pathway to high quality health and social care, while bending the cost curve for ever-growing health care expenditures. These High Impact Practices showcase models of care and technology applications that support independence and improving health outcomes in the community and home setting.
A profile of the Ontario Telemedicine Network ‘s Telehomecare initiative that has positively impacted patients living with chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF) and associated comorbidities, while making the health system more efficient. Download HIP
This High Impact Practice describes how a national home care provider implemented a mobile technology solution and customized application to enhance its efficiency and effectiveness, relieve frontline staff of their administrative burden, and improve client service. Download HIP
Integrated models of care seamlessly connect patients, (both personally and electronically in real time), to their primary care provider, to their community and home-based care provider, their pharmacy, hospitals and other social services as needed. These High Impact Practices feature innovative models that make these connections happen.
An integration strategy which has influenced the design and delivery of population-based programming for older adults, children with complex care needs and patients with palliative care needs. Download HIP
Improving the linkages between hospitals, the Community Care Access Centres, primary care and home care service providers in North Eastern and North Western Ontario that benefit patients, service providers, clinical (hospital) staff and care coordination staff, as well as other system partners. Download HIP
A new philosophy in community and home-based care to address significant patient flow issues within hospitals. This approach in Ontario is optimizing investments in care while creating better outcomes for seniors living with a frailty and reducing ALC days (Alternate Levels of Care). Download HIP
A new philosophy in community and home-based care to address significant patient flow issues within hospitals. This approach in Ontario is optimizing investments in care while creating better outcomes for seniors living with a frailty and reducing ALC days (Alternate Levels of Care) Download HIP
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