KNOWLEDGE CENTRE

HIGH IMPACT PRACTICES

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.

Palliative Care Series

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.

Whole Community Palliative Rounds

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

Rural Palliative Care In-Home Funding Program–Calgary Zone

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

The INSPIRED COPD Outreach Program™

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

Virtual Palliative Care Intervention

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

Innovation and Technology Series

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.

Telehomecare in Ontario

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

STAR TRAK

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 Series

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.

One Client, One Team™

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

Connecting Northern and Eastern Ontario Community Expansion

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

Home is Best™

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

Home First

High Impact Practices

Community Care Dietitian Project . Nutritional Care Improves Client Outcomes and Reduces Hospital Admissions (British Columbia)
Supporting Frail Seniors to Stay Safely at Home.Using a coordinated and integrated quality improvement approach to enhance care and maximize independence for frail seniors. (British Columbia)
Partnering for Patients. A partnership that brings care closer to home (Alberta)
An Evidence-Based Approach to Wound Care. Target, measure, report and improve = enhanced client outcomes and cost savings (Pan-Canadian)
Clinical Pharmacy Services in Home Care. Optimizing medication regimens, reducing adverse events and increasing satisfaction (New Brunswick)
Enhanced Palliative Care Program. A strategy to enable timely access to end-of-life care (Ontario)
TeleHomeCare CHF Program. Breaking down barriers to care regardless of where people live (British Columbia)
Bringing it all Home. Telehomecare in the Northern Lights Health Region (Alberta)
EMPcare@home. Technology achieves improved client self management of chronic disease and enables pre-emptive care. (New Brunswick)
A Journey to Enable Better Care. Creating an efficient and mobile care coordination team. (Ontario)
The Maximum Utility Program. A unique model for optimizing equipment management in the home and community care setting (Ontario)
The Family Care Home Model. Facilitating Community Living for People with Acquired Brain Injury (British Columbia)

This post is also available in: French

Established in 1990, the Canadian Home Care Association (CHCA) is a national non-profit membership association dedicated to advancing excellence in home and community care.

National Office: 905-567-7373 | General Inquiries: chca@cdnhomecare.ca
2000 Argentia Road, Plaza 3, Suite 302. Mississauga, ON, L5N 1W1

This post is also available in: French