The Hope Initiative will create a Living Lab where the H.O.P.E. Model® (Home, Opportunity, People, Empowerment) and emerging technologies will be piloted with clients, their families, neighbourhoods, and teams of self-directed nurses.
Provide a sandbox and methodology to experiment in two key policy areas that are of high priority for the Ontario health system – new home & community care models and digital enablement
Validate and build systemic capacity for adoption of the H.O.P.E. Model®
At scale, explore how emerging technologies can be integrated into compassionate care within the home setting
The H.O.P.E. Model® stands for Home Opportunity People Empowerment. The model was created by SE Health based on more than a century of community nursing expertise, with inspiration from the Dutch Buurtzorg model of neighbourhood care.
The H.O.P.E. Model® aims to address many of the gaps identified in the current transactional fee for service model of home care. Through combining both the health and social aspects of clients' lives; H.O.P.E aims to reduce utilization of high cost acute services while delivering a community-based care model whereby nurses provide a more integrated and holistic approach to care. Clients are supported to meet their goals by self-managing teams of nurses that take care of a person's full set of needs, including the majority of care services (nursing, PSW, therapies etc.), care coordination, and connections to both formal and informal care. The empowered teams of nurses work to their full scope to manage complex patients in the community with a lean infrastructure and management backbone.
The interventions are grounded in the following concepts:
Care planning based on client and caregiver life priorities with careprovider continuity.
Life care, not just health care. Addressing social determinants of health while empowering clients and caregivers in their selfmanagement capabilities.
Self-managed, autonomous teams with clear accountability. Empowered to solve problems; the team decides how they organize their work, and make shared decisions.
Leveraging community and neighbourhood supports. Integrating community services and social networks into care delivery.