Abstract

Up to one-third of resident transfers to the emergency department (ED) from long-term care (LTC) homes are considered avoidable. New models of care are needed to improve care for LTC residents in their homes. The North York Congregate Access and Support Team (NYCAST) model, a partnership between the local Ontario Health Team's hospital and LTC homes, is a promising and scalable model with three aims: direct clinical support provision via a digital platform, education and capacity building and cross-sectoral collaboration. We describe the NYCAST program through a visual program model and logic model, emphasizing its key design elements and intended outcomes. Preliminary data indicate streamlined access to specialized supports, increased LTC care capacity and reduced avoidable ED transfers. The NYCAST model can be a valuable template for jurisdictions seeking to enhance integration between LTC and acute care sectors.