Healthcare Areas

In a survey conducted from October 2018 to March 2019, Health Quality Alberta asked clients receiving home and community care:

In the last year, my family doctor seemed to know about important details of my home and community care services….

Clients could choose “Yes, most of the time / Yes, some of the time / No / I don’t have a family doctor”

Clients can experience many benefits when home care and primary care are effectively co-ordinated, including more effective chronic disease management, reduced emergency department visits, and reduced hospital admissions. This can enable seniors to live well in the community as long as possible.

This data reflects the experiences of seniors aged 65+ receiving long term supportive and maintenance care and are among the largest groups of home and community care clients.

There are a number of factors providers and leaders can consider to better understand and improve client experiences with their family doctor being informed about their home and community care services. Some questions they could ask before taking action include:

• Why is it important for home and community care and primary care to work together and share information, improving both management and informational continuity? How does home and community care currently work and share information with primary care? How might this relationship impact the quality of client/patient care and services?
• How can the roles of home and community care and primary care be better defined and coordinated to support seamless transition and hand-offs for the client/patient between these two care providers? What is Primary Health Care Integration Network’s role in supporting transitions of care between these two areas of the healthcare system? What about home care’s role?
• What is the client’s role in talking to their family doctor about their care plan?
• What role does the clients’ family doctor have in contributing to the care planning process as it relates to home and community care services? What responsibility exists for a family doctor to know what is included in the care plan?
• How might care planning and case management be improved with input from primary care?
• How does important information exchanged between home and community care and primary care flow back to the client? Whose responsibility is it (home and community care or primary care) to engage the client in the conversation or close the loop on communication?

For information about Health Quality Alberta’s Alberta Seniors Home Care Client Survey, please visit Health Quality Alberta’s website.