Admission & Eligibility
Anyone can refer a patient to Ontario Health atHome for home care (OH atHome) – the client, a family member, caregiver, friend, physician or another health care professional.
OH atHome eligibility criteria include:
- A valid Ontario health Insurance Plan (OHIP) card
- Health Needs: The individual must have health care needs that cannot be managed through outpatient or other community services. The client must be unable to access service in a setting outside the home because of their condition.
- Home Safety: The home environment must be safe for both the person receiving care and the care provider
- Assessment : Ontario Health atHome Care Coordinator will conduct an assessment to determine eligibility.
- Consent: The client consents to services and participates in care planning.
Discharge / Transition Criteria
Discharge planning begins at admission and is updated throughout the service delivery.
Discharge from home care therapy occurs when one or more of the following occurs:
- Goals Achieved: Client has met or exceeded therapy goals and services are no longer required
- Maximum Benefit Reached: Continued therapy is no longer expected to yield measurable improvement. A maintenance plan or referral is developed
- Change in Medical or Functional Status: Client’s condition changes (improvement, decline, or complication) that necessitates transfer to another level of care (such as outpatient clinic, long term care or hospital).
- Client/Caregiver Decision: Client or authorized representative chooses to end services voluntarily.
- Non-Participation: Documented evidence of consistent refusal, missed visits or inability to participate despite reasonable accommodations or interventions.
- Transition of Services: Client transitions to another provider or care setting