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Bruyère is helping older adults transition home, safer and faster following a hospital stay, with Carefor as the care service provider in newly expanded Bruyère@Home program


OTTAWA – Monday, May 6, 2024 – Bruyère specializes in aging, helping many older adults successfully transition home from our rehabilitation and complex care hospitals.

Going home from a hospital stay can be complicated and delayed by not having access to the right mix of in-community care services while recovering from or navigating complex illness. The results can be longer hospital stays, a less safe return home, more people waiting in acute care for rehabilitation and complex care beds, or re-hospitalization.

With this challenging reality, Bruyère is realizing an opportunity with Carefor Health & Community Services to help older adults transition home safer and faster through the Bruyère@Home program. As Eastern Ontario’s largest, non-profit and charitable in-home care provider, Carefor is a natural partner in this program that will see older adults get access to eight- or 16-week care support bundles following discharge from a hospital stay at Bruyère.

“We believe we can help get people home earlier and ensure the conditions for them to stay there safely. These right time and right place care bundles will end the cycle of return trips to the emergency department and reduce the risks of re-hospitalizations,” says Paula Doering, Vice President of Clinical Programs at Bruyère.  

Bruyère patients, once discharged, are adjusting to a new normal which sometimes means managing a new level of functional ability and learning to navigate their new homelife. With Bruyère@Home each patient accepted into the program receives services tailored to their needs, with the type and level of service adjusting as they regain function and confidence within their home.   

Patients who have a need for two or more services offered within the @Home program, as well as continued rehabilitation needs after discharge from Bruyère, will be eligible for the eight- or 16-week care support bundles. As healthcare transitions to an Ontario Health Team model where hospitals and community healthcare agencies work directly together around patient care, Bruyère@Home offers a unique model of coordinated care between hospital, homecare and community services.  

To meet the wide variety of needs of our patients transitioning home, these bundles will include nursing, personal care, homemaking, occupational therapy, physiotherapy, rehabilitation assistance, social work, nutrition, speech language pathology, and safety equipment rental. Bruyère and Carefor are working to expand these bundles to include additional activities of daily living services, meal support and transportation services.

“With our shared vision of a system that wraps supports around patients and their loved ones, and facilitates safe and more permanent transitions home, we’re thrilled to support our community and Bruyère in this impactful work.  We look forward to supporting the increase in scope of services and increasing access to Bruyère@Home for people going home outside the city of Ottawa boundary,” says Marcelle Thibeault, Carefor Vice-President, Client Care.

These services will initially be provided to eligible participants in the city of Ottawa and expand throughout the region to include Renfrew County, Prescott and Russell, Stormont, Dundas and Glengarry, and North Lanark and North Grenville.

Media contact

Jesse Cressman-Dickinson
Director of Communication and Community Engagement, Bruyère
613 795 8188

Trevor Eggleton
Director of Marketing, Communications and Fundraising
833-922-2734 x 2021