North York General Hospital

Application

Completed by North York General Hospital interdisciplinary team staff, Integrated Transitions Coordinator and community service provider

Eligibility / Target Population

Older adults in an inpatient setting who no longer require hospital care and would benefit from two or more professional services with a focus on restorative care * resides in the North York

Fees

Most services covered by OHIP

Languages

English

Language Notes

Other languages may be available

Area Served

Toronto (North York)

Description of Services

A program managed by North York General Hospital that allows patients who no longer require hospital care to return home sooner with the support of community care providers (SE Health, LOFT, CBI)

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 NYGH @home
patients are on NYGH @home up to 16 weeks and transitioned to other community supports for ongoing services, if required