Canadian Government Executive - Volume 23 - Issue 02

26 / Canadian Government Executive // February 2017 Design The Bundled Care Program: From Hospital to Home W e have all heard the say- ings: “Home, sweet home”; “There’s no place like home”; “Home is where the heart is.” Home is a word that conjures up thoughts of peace, comfort, and joy: A sanctuary, or a place of relaxation where one is at ease and generally happy. Anyone who has experienced a hospi- talization will cheer at hearing the physi- cian’s declaration that you can go home. They are often the sweetest and most comforting words. Most medical practi- tioners agree that being at home also ac- celerates the recovery time. However, for this to happen there must be a smooth transition of care from the hospital to home. This has been a challenge for many years within the medical field. Marcello Sukhdeo The 6 Integrated Funding Models Teams Connecting Care to Home: Optimizing Care for COPD and CHF Patients in London Middlesex Project Partners: London Health Sciences Cen- tre, South West Community Care Access Centre, St. Joseph’s Health Care London, Thames Valley Family Health Team, South West Local Integra- tion Network Integrated Comprehensive Care 2.0: Hamilton Niagara Haldimand Brant (HNHB) LHIN-wide COPD and CHF Project Partners: St. Joseph’s Healthcare Hamil- ton, Brantford Community Health System, Centre de Santé Communautaire, Grand River Com- munity Health Centre, Haldimand War Memorial Hospital, Hamilton Health Sciences, HNHB Com- munity Care Access Centre, HNHB Local Health Integration Network, HNHB Primary Care lead, Joseph Brant Hospital, Niagara Falls Community Health Centre, Niagara Health System, Norfolk General Hospital, North Hamilton Community Health Centre, St. Joseph’s Home Care, West Haldimand General Hospital Hospital 2 Home: The Central West Integrated Care Model Project Partners: William Osler Health System, Central West Community Care Access Centre, Headwaters Health Care Centre, Central West Local Health Integrated Network, Ontario Tele- medicine Network Putting Patients at the Heart: A Seamless Journey for Cardiac Surgery Patients in Missis- sauga Halton Project Partners: Trillium Health Partners and Saint Elizabeth Health Care with support from the Mississauga Halton Local Health Integration Network One Client, One Team: Central and Toronto Central LHIN Integrated Stroke Care Project Partners: Sunnybrook Health Sciences Centre, Providence Healthcare, North York General, Toronto Central Community Care Access Centre, Central Community Care Access Centre Integrating Specialized and Primary Care: The North York Central Collaborative for COPD and CHF Patients Project Partners: North York Integrated Care Collaborative (North York General Hospital, Central Community Care Access Centre, Saint Elizabeth Health Care, Pro Resp Home Oxygen & Respiratory Care, Circle of Care, North York Fam- ily Health Team), West Park Healthcare Centre