The government is coordinating cascading efforts to move patients from organizations where more care is provided to where less care is provided. For hospitals, government funding models and directives have long focused on removing less ill patients. In long term care homes, the government quietly raised the criteria for eligibility for the waiting list. They also stopped providing the 'case mix measure' which was the key measure of the increasing illness and acuity of long term care residents. Regardless it is now obvious acuity in the homes is rising rapidly. But these restrictions on eligibility to hospital and long term care homes have also dramatically increased demand for home care services provided by Community Care Access Centres (CCACs). CCACs are facing both more demand and much more ill patients. The CCACs claim the number of their high care need patients have increased 73% between 2009/10 and 2013/14. As a percentage of total patients, high car
Notes from Leftwords -- Doug Allan