Services that achieve apt results and provide value for money

By: Isobel Mackenzie BC Seniors Advocate

# I o T H e a l t h c a r e W www.iotevents.ca - info@iotevents.ca

IoT Big Data Healthcare SummitServices that achieve apt results and provide

value for money

U[www.seniorsadvocatebc.ca1-877-952-3181

Home care in BC

What is an apt result?

- suitable or right for a particular situation

What is value for money?

- perception that the goods or services received were worth the price paid for it

Does home care in BC produce an apt result?

• Seniors overwhelmingly want to live in their own homes for as long as possible and receive health services at home as much as possible.

• 82% of home care clients want to continue living at home

• What about loneliness and isolation? Just over half of home care clients live alone

• Is the care adequate? Are we providing adequate care - medication errors and failure to thrive?

• Choice – who decides what is suitable or right for the client?

What do the data tell us?Home support is appropriate for situations where a client requires personal assistance with activities of daily living (ADLs) or with management of medications.

Home support clients have a very diverse array of needs:

• 60% of clients need little to no physical assistance with ADLs• 20% of clients need significant to total help with ADLs• 27% of clients have no cognitive impairment• 19% of clients have moderate to significant cognitive impairment• 30% have dementia• 57% do not co-reside with their primary caregiver• 50% have a clinical profile that would likely qualify them for placement in long

term care

Cost of home care versus facility care

Value for Money

Facility care

Facility care costs $6,300 / month

Median resident co-payment $1,500 / month

Net cost to government $4,800 / month

Home care

4 hours per day of home support delivered via CSIL ($29.80/hr) $3,626 / month

4 hours per day of home support delivered via HA ($43/hr) $5,160 / month

Median client co-payment* $0 / month

* 70% of home care clients have no co-payment

• Client directed funding most effective

Value for Money

Live in care cost

Home support worker @ $17/hr for 40 hrs/week $2,950 / month

EI, CPP, vacation pay, etc. (12% on top of wages) $354 / month

Room and board deduction - $600 / month

Total $2,704 / month

Significantly cheaper for the client than facility care

• Less than 3% of clients are on CSIL

• CSIL does require competent person to manage money

• Vested interests in the status quo

Challenges

up to 1 1 up to 2 2 up to 3 3 up to 4 4+0%

10%

20%

30%

40%

50%

60%

70%

Levels of Home Support

Number of Hours of HS

% o

f Clie

nts

Conclusion

Home care can achieve an apt result

Home care can achieve value for money

….Under some circumstances

Contact

www.seniorsadvocatebc.ca

Toll-free: 1-877-952-3181In Victoria: 250-952-3181Open Monday to Friday, 8:30am - 4:30pmTranslation services available in more than 180 languages.

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