A program managed by THP that allows patients who no longer require hospital care to return home sooner with the support of community care providers (CANES Community Care and Spectrum Health Care)

• 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 delivery, coordination with the patient's family physician, setting up safe and appropriate in-home care * not every patient is an eligible candidate for THP@home
• Patients are on THP@home for 4 weeks, up to 16 weeks and transitioned to other community supports for ongoing services, if required

Daily 24 hours

Care Navigators assess patients while they are still in hospital