Understanding the Long Term Care Admission Process
Kelsey Trail Health Region believes in providing care to people as close to their home as possible. For seniors, services in the community that allow individuals to remain in their home as long as possible are always the first alternative to providing long term care.
The long term care application process must be started by contacting your local Home Care office. Click HERE to contact your local Home Care offices.
When community services such as Home Care and adult day programs no longer meet an individual's care needs, placement in a long term care facility may have to be considered. You must submit an application in order to access long term care service in Kelsey Trail Health Region and health region's across the province. It is expected that long term care applicant's have used the maximum amount of Home Care and adult day program services prior to submitting an application.
Long term care applications and the long term care application process can be accessed by contacting your local Home Care office. In Kelsey Trail Health Region, Home Care offices are located in Carrot River, Cumberland House, Hudson Bay, Kelvington, Melfort, Nipawin, Porcupine Plain and Tisdale with sub-offices in Naicam and Rose Valley.
The long term care application process
Once you have contacted your local Home Care office regarding long term care admission, there will be a complete assessment of the applicants needs. Health information will be obtained from the applicant, health care providers and family/support persons. Medical information will also be obtained. If the applicant was previously a Home Care client, information such as the clients Method of Assigning Priority Levels (MAPLe) score and the clients Resource Utilization Groupings (RUGS) score will be taken into consideration. The MAPLe score is a decision support tool used to prioritize Home Care clients' needs based on criteria such as client falls, activities of daily living, cognitive performance and behaviour. High MAPLe scores are generally a powerful predictor of the need for admission to long term care. RUGS categorizes clients' in areas such as physical function, clinical complexity, cognition, behaviour and activities of daily living, which reflects the client's level of functioning, care needs and the intensity of resources required for them to remain in their home.
The applicant will be able to choose which facility they prefer to be placed in. It is important not to limit the choice for initial placement as this may increase the wait time for access to a long term care bed. Applicants will be expected to accept the first available bed they are offered. Although the first available bed may not be at their preferred facility, they can have their name placed on a regional transfer list which will ensure they will eventually be transferred back to their facility of preference, if appropriate.
Kelsey Trail Health Region operates the following long term care facilities:
All of the information collected through the personal assessment is presented to the regional Access Review Committee (ARC), a group that includes a Medical Social Worker and managers from Home Care, Acute Care, Long Term Care and one integrated facility. Consultation from Medical Social Workers, Dietitians, Mental Health & Addiction Services, Therapies, Physicians, Behaviour Management and the Quality of Care Coordinator will be invited as necessary. The Access Review Committee will determine each applicants appropriateness for placement.
Wait time for long term care
The length of time an applicant will wait for a long term care bed is based on their level of need rather than the length of time they have been waiting for placement. Each applicants level of need is determined and is compared to other applicants in order to determine which applicant will have access to a long term care bed first. Applicants with the highest needs will receive first priority for placement. Individuals that have not previously submitted an application for long term care placement but experience a sudden change in their health care needs are also assessed and prioritized based on the level of their need.
long term care fees
Long term care fees are set by the Ministry of Health. Please visit the Government of SK Special Care Homes website for more details. Fees are calculated on the basis of the applicant's total
income for the most recent tax year. The married or common-law applicant has the option of having their fees based on either their income alone or the couple's combined income divided equally. Respite or temporary clients pay the current minimum long term care fee for a maximum of 60 continuous days.
Individuals that are in acute care beds and experience a status change to become eligible for long term care will be required to pay the long term care fee while in the acute care bed. If their acute care stay extends beyond 60 days, clients will be charged an income-tested rate that will be backdated to the beginning of their acute care stay. Additional costs such as medications, dressings, transportation, telephone and television may also be applied.
For information on other services available through Kelsey Trail Health Region, contact Regional office at 306-873-6600 or click on the following brochures.