Core principles of integration of healthcare and social services that support continuity of care for vulnerable seniors with canadian case study: home-at-last

The presentation will explore the common principle, concepts, core characteristics and components of integrated health and social services that support continuity of care. These concepts will be explored against the “Home-At-Last” (HAL) integrated initiative, a community-based program, situated in Ontario, Canada.

Author: Siu Mee Cheng , Christina Bisanz, Cristina Catallo


Publication Date: August 8, 2019


Description: HAL is a coordinated, micro-level integrated health and social services initiative that is led by CHATS-Community & Home Assistance to Seniors, a not-for-profit community and social support agency. CHATS’ HAL program works with regional health and other social care partners to improve seamless services delivery, thereby reducing hospital readmissions in order to improve continuity of care for seniors. It provides home and personal support services that includes providing transitional support for patients from the point of hospital discharge. 


Access: Free


Keywords: seniors care, integrated health and social care, community-based care, canada, continuity of care

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