Your OHIP Card Could be Your Ticket to Better Health Support in Your Home, or in a Long-term Care Facility
Statistics Canada, in 2012, told us that 792,000 Canadians who, because of aging, being ill or living with a disability, need support to live at home, are not receiving it – or at not receiving enough of it. You, or someone you care about, may be one of these Canadians who need support, and if you live in Ontario, your journey to a safer, healthier situation could begin with your Ontario Health Insurance Plan (OHIP) card.
Your OHIP Card is Your Ticket to a CCAC Assessment
Your current OHIP card is all you need to apply for support from a Community Care Access Centres (CCACs) in Ontario. You do not need to be referred to a CCAC by
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Your local CCAC will set up an appointment to access your needs, the goal being to determine what kind of care, and how much of it, you require. A typical CCAC assessment reviews factors like a potential client’s mood, memory, health issues, decision-making ability, existing social support and individual needs.
And after the assessment?
Upon completing a care assessment, the assessor will work with you to develop a care plan. Each plan is tailored to provide you, or your loved one, with the support needed to continue living in your current situation, if this is the best option.
Your CCAC provides free nursing care and other services that you pay for, or pay a co-pay for, like help with housework, help with transportation to doctor’s appointments and so on.
Perhaps your needs cannot be met in your current home?
It is possible that your CCAC care coordinator suggests that moving into a long-term care home so that you can get the support you need to live well. If so, your care coordinator will take on the responsibility of applying for the help you need, including negotiating any existing waiting
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It is possible that a CCAC worker does not agree with you, or with your loved ones, in the assessment of the situation, but you can ask for help in resolving this disagreement.
The Long-Term Care Action Line
You have the right to contact an independents complaints facilitator to act as a neutral party in resolving any differences between you and your CCAC care coordinator. Follow this link for information on how to contact this facilitator: http://www.health.gov.on.ca/en/public/contact/ccac/ltc_actionline.aspx You can speak to an independent complaints
And if the facilitator agrees with the original assessment?
If your complaint remains unsolved after you speak with an independents complaints facilitator, you can appeal the CCAC’s decision by contacting the Health Services Appeal Board of Ontario at this link: http://www.hsarb.on.ca/scripts/english/contact.asp
Be your own advocate for better health
An OHIP card gives you access to a variety of health services in Ontario, though it is up to you, or someone who cares about you, to make sure that you are visible within the system, that you are connecting to the organizations that can help you to better your quality of
Mr Bryan, a senior nurse, had alerted the care home’s management and the CQC on several occasions, but his concerns failed to be followed up.
You can access the service users care plan this will help you to identify any specific needs that they may have, you can then give them the support that is needed to deliver the best possible care
The level of care a person needs or the type of care they require varies from person-to-person. All assessments should be done with a person-centred
As resident of Ontario, Heather and her family are entitled to health care services paid for by OHIP. It is a government-run health plan which is funded by tax dollars paid by residents and businesses. The Ministry of Health pays for a wide range of services such as annual eye examinations, all medically necessary services by a physician (possible fee for uninsured services), and some dental surgery. Telehealth (1-866-797-0000) “is a free, confidential phone service that you can call any tie, night or day.” (Ministry of Health, 2016) This service provides a direct link to a Registered Nurse who will help you to determine the severity of a condition you may have. While Heather is continuing her recovery, her doctor appointments may be far apart, so if she has any growing concerns regarding her well-being, she can use this service.
It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.
There was an incident that the senior wanted to be changed to a different day program and the senior enjoyed attending the center. The issue was caused by another senior they both attend the center, my CI suggested that the two seniors come on different days of the week. She also suggested to have them come on one same day of the week and distance them at the center to see how they get along. The caregiver insisted to separate them, but the person being taken to another center enjoyed attending the senior plus center and it was unfair for him not to make his own decision. So, my CI contacted the appropriate people to advocate for this senior, it took them one week to resolve the issue. The senior did not attend the program throughout this week, but will be back next week now the issue had been resolved.
Universality and accessibility go hand in hand. They are the principles that assure that each Canadian regardless of financial situation, will have equal opportunity to access the same level of care. The lack of a private market in
4.3 You can sit down as a group called together to discuss the needs making sure the individual being discussed is there with you and able to be actively involved. Let them tell you their views first and make sure someone is writing it down. If things are done in the correct manor the individual will be happier as they have been able to have input in the care that they receive thus decreasing any problems.
The care plan cycle is started off with the plan, the care worker then identifies the aims and goals. After a needs assessment is complete whilst they review it, they would also monitor the service user regarding if their aims and goals are met, the cycle is broken the care worker has to take a look at what went wrong and when it went wrong. Written and oral communication:
According to the CSA Welfare Fund it is covered, providing the helper comes from a licensed home care agency and you have a doctor’s prescription.
The Canada Healthcare act [R.S. 1985, c. C-6] passed in 1984. It ensures that all residents of Canada have an equal access to necessary physician services, no extra billing from physicians and hospital. The act is on five main principles, Public administration necessary services are to offer on a non-profit basis. Next, accessibility coverage with no extra charges and comprehensiveness coverage for all medically necessary services at all times. Portability coverage is to extend to all residents in all provinces and territories. The fifth principle is universality coverage for all eligible residents of all provinces and territories (SEDAP, 2007).
Alice needed an assessment of her needs and to have a care plan that is regularly reviewed by professionals. Assessment is the decision making process, based upon the collection of relevant information, using a format set of ethical criteria, that contributes to an overall estimation of a person and her circumstances (Barker, 2004). I was going to get most of the information from Alice. Barker (2009) suggests that wherever possible information should be obtained directly from the person, either in the form of some kind of self report or via observation. Good communication and a systematic approach to data collection are needed for a successful assessment.
Health care is one of the many reasons why there are so many immigrants to Canada each year. All Ontario residents are eligible for health coverage (OHIP). To be eligible for Ontario health coverage you must:
On 2/4/2016, you had a dental appointment, but DENCAP could not find you in their system. Therefore, you called Harbor Health and were advised that you have dental insurance as your premium was paid, however a spreadsheet that included your name wasn’t sent to DENCAP. Consequently, your appointment was canceled. Afterwards, you called DENCAP twice and DENCAP contacted Harbor Health but no one addressed your concerns or returned your call. You expressed, that you were unable to use your insurance and attend appointments due to errors made by Harbor Health and asked to be contacted to discuss these matters
Follow the guidelines as explained in care plans, which is important, so you will know what each individual needs and their risk assessment.