Home First

What is Home First?

The Home First philosophy helps older adults return home with the necessary post-hospital supports to safely recover when their acute care hospital treatment is complete. It offers compassionate, dignified, quality care and helps to prevent return visits to the hospital.

The program is offered in partnership with Home and Community Care Support Services and hospitals. It provides patients with enhanced care services in the comfort of their own home and promotes better long-term health outcomes.


Home First is not meant to replace a hospital stay or an admission to a long-term care home. However, it provides care support to patients at home that may help prevent revisits to the hospital, and delay admission to a long-term care home. More than half of the Home First clients become well enough to remain in their home, with a reduced level of home care support. This program also eases pressures on hospitals and long wait times in our hospital emergency rooms and reduces the risk of infections that can be picked up while in a hospital.

In addition, Home First provides adults who may be facing a decision to move to a long-term care home with the time they need to make an informed and thoughtful choice from the dignity and comfort of their home, in a healthier frame of mind.

How does it work?

Home and Community Care Support Services Care Coordinators and hospital staff work closely with alternate level of care patients (those patients whose acute care treatment is completed) and their family/caregiver to create a plan of care to support each patient’s unique needs. The costs of these services are covered by the Ontario health card and may include home nursing visits, personal support workers, medication management and more.

Care Coordinators may also identify additional community services and supports that will help seniors maintain their independence and quality of life. There may be a charge for these non-Home and Community Care Support Services.

For more information on Home First, contact Home and Community Care Support Services Central:

(905) 895-1240 or (416) 222-2241
Toll-free: 1-888-470-2222
TTY: (416) 222-0876