Helping Patients Move from Hospital to Home

When patients return home from the hospital, they sometimes need a little bit of extra support. Osler is working with its partners at the Central West Community Care Access Centre (CCAC) and Headwaters Health Care Centre (Headwaters) – as well as the Ontario Telemedicine Network (OTN) and the Central West Local Health Integrated Network (LHIN) – to meet this need with Hospital to Home (H2H).

H2H is a new, innovative model of care that is helping to improve transitions for patients as they leave hospital and re-enter the community. This means that nurses are acting as a single point of contact for patients who require short-term nursing care. It is improving their experience by enabling them to be cared for by the same nurse throughout their hospital stay, and then after they return home. H2H is initially supporting patients with cellulitis and urinary tract infections, though later, expanding to support those with more complex needs. 

H2H was launched at Etobicoke General Hospital in November, at Headwaters Health Care Centre in January, and then at Brampton Civic Hospital in mid-February.

This program is just one more great example of how organizations from across the region are working together to improve access to care that truly benefits patients. And it’s proving to be effective. Since November 2015, more than 120 patients have been enrolled in the program and dedicated H2H nurses have completed over 700 nursing visits in the community.

For more information about H2H, visit Osler’s website at

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