There has been growing interest in home-based palliative care as an approach to care management that is patient-centred and focused on quality of life. However, the availability of high-quality end-of-life care varies widely across Canada. A recent report released by the Canadian Partnership against Cancer identified an “overuse of or over-reliance on acute-care hospital services near the end of life” due to inadequate availability of, or access to, home-based palliative care.

Building Operational Excellence: Home-Based Palliative Care, focuses on meeting patient and caregiver expectations through continuous improvement of the operational processes and the culture of home care service provider organizations.  Our work focuses on the following priority areas:

  • ADVANCE CARE PLANNING – Translating advance care plans and health care wishes into the planning and delivery of services in the home.
  • ASSESSMENT & CARE DELIVERY – Early and ongoing identification of the needs and strengths of patients and caregivers and ways to incorporate assessment results into shared care plans.
  • COMMUNICATION – Strategies and methods to ensure effective and efficient communication, shared decision-making and care coordination.
  • MEDICATION & SUPPLIES – Timely access to, efficient management of and safe disposal of equipment, supplies and medications in the home.


New Advance Care Planning Toolkit 
June 15, 2021
A new resource guide features practical and field-tested resources and tools for home and community care providers.  Developed by the CHCA in partnership with CHPCA on behalf of the ACP in Canada project, in consultation with subject matter experts from across Canada. Learn more

National Framework for Palliative Care  
The Framework reflects a collective vision for palliative care aiming to ensure Canadians have the best possible quality of life, right up to the end of life.  Learn More 

Quick Facts

75% of Canadian would prefer to die in their home. But only 25% die in the home. The Way Forward, Harris/Decima survey, 2013. Canadian Hospice Palliative Care Association, 2012

99% of palliative home care clients had family or friends helping to care for them, making it possible for them to stay at home. 1 in 3 caregivers reported distress. Canadian Institute for Health Information, 2018

3.7 million Canadians aged 15 and older reported providing end-of-life or palliative care to a family member or friend at some point in their lives. Statistics Canada, 2012

It costs approximately $4,700 per client to provide palliative care in the home compared to $19,000 in hospital. The Ontario Association of Community Care access Centres, 2010


This national initiative aims to integrate high-quality palliative care earlier into the ongoing care of Canadians with serious life-limiting illness. A framework, statistics, reports and tools can be accessed through the website.

This report aims to provide a better understanding of how Canadians access palliative care in the community and other care settings including access to care, quality of care, clinician preparation and patient/family involvement. Download the Report

This national campaign includes tools and information to encourage advance care planning as a process and help Canadians think about and share their wishes for future health and personal care. Visit the website 

The BC Centre for Palliative Care is a not-for-profit organization funded by the Ministry of Health to accelerate best practices, promote innovation and enhance capacity within the system and in the community in relation to palliative care, advance care planning and compassionate communities. Visit the Website

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