Regulation - LGIC

Proposed Amendments to Regulation 386/99 under the Home Care and Community Services Act, 1994 relating to the Provision of Community Services

Regulation Number(s):
386/99
Bill or Act:
Home Care and Community Services Act, 1994
Summary of Decision:
Effective October 1, 2015, Regulation 386/99 under the Home Care and Community Services Act, 1994 was amended to increase the maximum amount of nursing services that Community Care Access Centres (CCACs) may provide to their clients. The amendments also give CCACs the discretion to provide more than the maximum number of visits or hours to clients in the last stages of life, clients awaiting placement into a long-term care home, or any other clients for no more than 30 days in a 12-month period where a CCAC determines that extraordinary circumstances exist that justify the provision of additional nursing services.
Further Information:
Proposal Number:
15-HLTC014
Posting Date:
June 2, 2015
Summary of Proposal:
Over the next three years, Ontario is making it easier for patients and their caregivers to access better care at home and in the community. Strengthening home and community care is a fundamental part of the government's Patients First: Action Plan for Health Care, the blueprint that builds on the government's commitment to ensure the health care system is patient-centered. To assist in the delivery of this plan, the government is proposing to amend Regulation 386/99 under the HCCSA to increase the maximum amount of nursing services that Community Care Access Centres (CCACs) may provide to their clients. The increased nursing services maximum would be available for clients with complex needs and clients in extraordinary circumstances.

The Ministry of Health and Long-Term Care is seeking public feedback on these proposed amendments to Regulation 386/99 (Regulation) under the HCCSA.

Under the current Regulation, a CCAC cannot provide more than the lesser of the following amounts of nursing services:

1. 120 visits to or from a registered nurse (RN), registered practical nurse (RPN) or a registered nurse in the extended class (RNEC) in a 30 day period.

2. The following number of hours in a 30 day period:

i. 184 hours of service (for services provided by RNs and/or RNECs);

ii. 227 hours of service (for services provided by RPNs); or

iii. 206 hours of service (for services provided by RNs and RPNs, RPNs and RNECs, or RNs, RPNs and RNECS)

Under the proposed new nursing services maximum, CCACs would be able to provide clients with complex needs the lesser of the following amounts of nursing services:

1. 150 visits to or from a RN, RPN or RNEC in a 30 day period.

2. The following number of hours in a 30 day period:

i. 230 hours of service (for services provided by RNs and/or RNECs);

ii. 284 hours of service (for services provided by RPNs); or

iii. 258 hours of service (for services provided by RNs and RPNs, RPNs and RNECs, or RNs, RPNs and RNECs)

In addition, CCACs would have the discretion in extraordinary circumstances to provide more than the maximum number of visits and hours to the following clients:
i) clients in the last stages of life;
ii) clients currently on a waiting list for admission to a long-term care home; or
iii) clients who require extra nursing services for a short period of time.
Contact Address:
Ministry of Health and Long-Term Care
Health System Accountability and Performance Division
Implementation Branch
1075 Bay Street, 10th floor
Toronto, ON
M5S 2B1
Effective Date:
October 1, 2015
Decision:
Approved