Home Base Transition Care
HOME-BASED TRANSITION CARE TEAM
The program for those with congestive heart failure and COPD is delivered through home visits, telephone calls, and other virtual care based on patient needs. Patients are given a phone number that they can call during business hours if they need non-urgent assistance or advice. We work with primary and interprofessional healthcare providers, community partners, and patients/ caregivers to strive for disease stability, decrease hospital visits and support optimal quality of life.
Heart and Stroke Canada – Heart Failure Information
Advanced Care Planning