Humber River Health - Heart@Home

Application

Care Navigators assess patients while they are still in hospital

Eligibility / Target Population

Patients must live within service boundaries and assessed by Care Navigator to determine eligibility

Languages

English

Language Notes

Interpretation services available including American Sign Language (ASL)

Area Served

North York and area

Accessibility

Wheelchair Accessible

Description of Services:

A program managed by Humber Hospital that allows patients who no longer require hospital care to return home sooner with the support of community care providers

offers direct care services based on the assessed requirements for each patient, which might include a personal support worker (PSW), clinical nursing care, and rehabilitation supports such as physiotherapy and occupational therapy
Care Navigators oversee each patient's transition plan and recovery after discharge from the hospital * community support services may include transportation, meal on wheels, coordination with the patient's family physician, setting up safe and appropriate in-home care * not every patient is an eligible candidate for HRH@home
patients are on HRH@home up to 16 weeks and transitioned to other community supports for ongoing services, if required