Hospitalization at home (HAD)

Verified 01 June 2023 - Directorate for Legal and Administrative Information (Prime Minister)

In-home hospitalization (HAD) provides your home with important medical and paramedical care for a limited period of time, but renewable as your health status changes.

ADH is performed exclusively on medical prescription and with the agreement of your treating physician.

The OHIP is reimbursed by the Health Insurance.

We present you with the information you need to know.

ADH provides you with the following care at home:

  • Spot care, particularly for unstable diseases (for example, chemotherapy)
  • Rehabilitation care at home (especially in case of early return after delivery, heart disease, orthopedic treatment, neurological disease...)
  • Palliative care
  • Perinatal care (ie, up to 7e day of life after birth ) on certain territories.

Home hospitalization (HAT) is intended to shorten a hospital stay or to prevent it.

FYI  

you can also be supported by Ehpad: titleContent or in other social and medico-social institutions (specialized reception center, medical-educational institute, social children's home, therapeutic coordination apartment, etc.).

Conditions related to your situation

ADH may be considered if the following conditions are met:

  • Your situation is medically eligible for EOI
  • Your situation is not a matter of care that can be directly implemented by liberal professionals
  • The necessary care can be given at home 
  • You and/or your family agree
  • Your conditions of residence allow it. The term "domicile" is understood to mean the personal domicile, but also the collective accommodation establishments, for example.

Before any admission to HAD, an assessment of your situation is carried out by the care team of the establishment.

They go to your home to make sure that you are eligible, that care is feasible and that the material conditions required by the care project are determined.

The necessary materials and supplies are delivered to your home by:

  • The hotel
  • Or an outside contractor to whom he relies.

Equipment may require temporary refurbishment (e.g. installation of a medical bed).

Please note

ADL is about people who are sick with all ages : children, adolescents, adults.

The joint intervention of a home hospital and a home nursing service or a multipurpose home care and support service is possible under a partnership agreement.

Geographical condition

In order to qualify for an HAD, you must reside in a geographical area covered by an HAD structure.

FYI  

HAD facilities must meet all of a health facility's obligations with respect to safety and quality of care.

ADH may be requested:

  • By your treating doctor,
  • By the hospital doctor (for example, after a hospital visit or after hospitalization).

You and/or your family must agree to the implementation of the EOI.

When the initiative comes from a hospital doctor, the agreement of your treating doctor is always sought. In fact, it is the latter who plans the care project in coordination with the care team of the institution.

He/she is (or the doctor designated by you) your medical referral during the stay.

Please note

If this doctor is unavailable or in case of emergency, you can be managed without the doctor's consent. In this case, the HAS medical practitioner is the referent for your care.

Your admission to an establishment of HAD is pronounced by the head of this establishment after the opinion of the home hospitalization practitioner.

The home hospitalization physician provides contact with the hospital and medical professionals at your bedside, and organizes the coordination of care.

You can make any specific request regarding the structure of HAD.

The care plan is brought to your knowledge and that of your entourage.

As far as possible, the organization of care takes into consideration your personal wishes and constraints and those of your entourage.

Depending on the case, pharmaceutical products can be delivered by the pharmacy of the EOI establishment or by a pharmacy in town.

The establishment of HAD provides you and those around you with an emergency alert protocol. This protocol consists at least of a telephone hotline for nurses that can be reached 7 days a week and 24 hours a day.

Some HAD facilities offer the possibility of a nurse's stay at home at night. When this is not the case, the nurse attached to the telephone organizes, if necessary, the intervention of the help.

The establishment of HAD guarantees that it will take charge of your transfer, if necessary, to a health facility permanently hosting patients in the disciplines of medicine, surgery and obstetrics.

FYI  

In case of emergency or unavailability of the treating physician, the medical practitioner of ADH may intervene in place of the latter, including as regards prescription.

General case

HAD is supported at 80% by the Health Insurance like any hospitalization.

You can enjoy the waiver of advance payment of fees for the following costs:

  • Fees for treating and specialized physicians you consult as part of your ADI
  • Drug costs (drugs dispensed by your pharmacist or hospital pharmacy, for more specific drugs)
  • Laboratory laboratory procedures related to your HAD
  • Fees of liberal paramedical professionals (nurse, care assistant, physiotherapist, midwife, speech therapist...), if a convention is established
  • Transport by ambulance, if ordered by HAD
  • Day care
  • Medical equipment
  • Specific furniture (medical bed, rest chair...)
  • Single use equipment and accessories
Long-term illness (ALD)

Your HAD is 100% support by the Health Insurance in the case of long-term disorder.

You can enjoy the waiver of advance payment of fees for the following costs:

  • Fees for treating and specialized physicians you consult as part of your ADI
  • Drug costs (drugs dispensed by your pharmacist or hospital pharmacy, for more specific drugs)
  • Laboratory laboratory procedures related to your HAD
  • Fees of liberal paramedical professionals (nurse, care assistant, physiotherapist, midwife, speech therapist...), if a convention is established
  • Transport by ambulance, if ordered by HAD
  • Day care
  • Medical equipment
  • Specific furniture (medical bed, rest chair...)
  • Single use equipment and accessories

The stay in HAD is in principle of fixed duration. However, this period can be reviewed depending on the nature of the care and the evolution of your health.

In the majority of cases, at the end of the stay in HAD, you stay at home. If you still need care, but no more hospital care, the relay is organized by the HAD facility for care in another form (e.g. by a home nursing service provided by liberal professionals).

If your condition worsens and a hospital stay is necessary, the transfer is managed by the EHAD facility in cooperation with the facility concerned.

FYI  

It is the head of the establishment of HAD who pronounces your exit, after medical advice.

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