Community Care Coverage for services Limited coverage Home care Coverage through Coverage through Access Centres based on needs and through health physiotherapy Home Care Service Hospital Extra-Mural provide home care income regions sparsely available (free for low Program is part of physiotherapy (strict based on (significant income provincial health eligibility criteria) income, regional rural/urban beneficiaries) coverage and available variation) variation) to those who are Care homebound or those whose treatment is Home better provided in a natural environment (e.g. in school for pediatric clients) Lack of community Reliance on private Lack of specialized Lack of HR challenges Lack of chronic care care options, insurance, restricted services, lack of physiotherapists, consistent across focus, lack of restricted out-patient out-patient criteria, home care options, low pay of province. Rural physiotherapists, criteria, lack of lack of poor long-term care physiotherapists, hospitals face geographic variations departments, physiotherapists options, geographic geographic recruitment in care. Long term care (Physiotherapy now variation in care variations in care, challenges; facilities provide a funded in PHC lack of community Outpatient clinics service “consultation” settings since reform care options have long wait lists by an extra-mural see above) and lack human physiotherapist. resources to Physiotherapists are Major Gaps achieve desired clustered in urban intensity of areas; it is more rehabilitation; focus difficult to on in-home safety provide/access service assessments and in rural and remote caregiver education areas. Physiotherapists in the home care are not included in sector; and, major primary health care gaps in access in teams, emergency long term care. departments or to prevention/wellness *"Community Care" defined as publicly-funded clinic and home-based care SETTING Manitoba Saskatchewan Alberta BC Nunavut/NWT Yukon Covered by public Covered by public Covered by public Covered by public Covered by public insurance insurance insurance insurance insurance Hospital Inpatient
Home Care Community Care Access Centres provide home care physiotherapy (strict eligibility criteria) Coverage for services based on needs and income Limited coverage through health regions based on income, regional variation) Home care physiotherapy sparsely available (significant rural/urban variation) Coverage through Home Care Service (free for low income beneficiaries) Coverage through Hospital Extra-Mural Program is part of provincial health coverage and available to those who are homebound or those whose treatment is better provided in a natural environment (e.g. in school for pediatric clients) Major Gaps Lack of community care options, restricted out-patient criteria, lack of departments, (Physiotherapy now funded in PHC settings since reform see above) Reliance on private insurance, restricted out-patient criteria, lack of physiotherapists Lack of specialized services, lack of home care options, poor long-term care options, geographic variation in care Lack of physiotherapists, low pay of physiotherapists, geographic variations in care, lack of community care options HR challenges consistent across province. Rural hospitals face recruitment challenges; Outpatient clinics have long wait lists and lack human resources to achieve desired intensity of rehabilitation; focus on in-home safety assessments and caregiver education in the home care sector; and, major gaps in access in long term care. Lack of chronic care focus, lack of physiotherapists, geographic variations in care. Long term care facilities provide a “consultation” service by an extra-mural physiotherapist. Physiotherapists are clustered in urban areas; it is more difficult to provide/access service in rural and remote areas. Physiotherapists are not included in primary health care teams, emergency departments or to prevention/wellness *"Community Care" defined as publicly-funded clinic and home-based care SETTING Manitoba Saskatchewan Alberta BC Nunavut/NWT Yukon Hospital Inpatient Covered by public insurance Covered by public insurance Covered by public insurance Covered by public insurance Covered by public insurance
cpa_briefing_note_to_afn_-_nihb_issues_2.docx