Windsor Hospital's 'Hospital to Home' Program Transforms Senior Care with Compassionate At-Home Services
Windsor Hospital Moves Care to Patients' Homes with H2H Program

Windsor Hospital Program Brings Compassionate Care Directly to Patients' Homes

For Chuck and Doris Davis, a Windsor couple married for 62 years, the transition from hospital to home care became overwhelming after Doris experienced a series of devastating falls last year. At 82 years old, Chuck found himself struggling to provide the level of care his wife needed, feeling the immense weight of responsibility and emotional strain.

"It just made me feel like we weren't abandoned," Chuck Davis expressed emotionally during a recent interview at Windsor Regional Hospital. "Anything she needed, she got. They helped her and they understood what her problems were, and they paid a lot of attention."

A Lifeline for Families in Transition

The Davis family's salvation came through Windsor Regional Hospital's innovative Hospital to Home (H2H) program, which sends teams of healthcare professionals directly to patients' residences. This provincial initiative represents a significant shift in how healthcare systems approach post-hospitalization care, particularly for senior patients.

Chuck Davis described the profound impact of the program's personal touch: "They were so nice. They came in, they took their shoes off. They were very attentive, and actually friends. They were so welcome." This attention to detail and respect for patients' home environments has become a hallmark of the program's approach.

Partnership and Provincial Support

The H2H program operates as a partnership between Windsor Regional Hospital and SE Health, a not-for-profit home and community healthcare provider. While the program officially launched in October, hospital officials made the formal announcement in February 2026, highlighting its growing success and provincial significance.

MPP Andrew Dowie (PC — Windsor-Tecumseh) revealed that the province has committed $2 million specifically for the program at Windsor Regional Hospital. This funding comes from a broader $1.1-billion provincial investment pledged over three years for home and community care across Ontario.

"We need to make sure that patients continue to receive the quality care they need after they leave the hospital," Dowie emphasized. "There's certainly no surplus of beds. We need to ensure that everyone is taken care of, and that means having more care at home."

Comprehensive Care Services

The H2H program offers eligible patients up to 16 weeks of "wrap around" services, providing continuity of care that bridges the gap between hospital discharge and independent home living. Patients are typically referred by their in-patient unit or the emergency department.

The comprehensive services include:

  • Continuing nursing care at home
  • Personal support worker assistance
  • Physiotherapy and rehabilitation services
  • Occupational therapy for daily living skills
  • Speech language pathology support
  • Social work services
  • Dietitian consultations and nutritional planning

Addressing Systemic Healthcare Challenges

Hospital president and CEO Karen Riddell highlighted the dual benefits of the program, noting that it addresses both patient care needs and systemic hospital capacity issues. "There's a twin concern of ensuring the hospital has enough beds — especially during high volume periods like the current respiratory virus season — and making sure discharged patients are still cared for," Riddell explained.

The program aims to achieve several critical healthcare objectives:

  1. Reduce avoidable hospital readmissions
  2. Decrease emergency department visits for recently discharged patients
  3. Expand access to at-home care for patients no longer requiring acute hospital care
  4. Improve patient outcomes through continuous, coordinated care
  5. Enhance patient and family satisfaction with healthcare transitions

A Growing Movement in Ontario Healthcare

While the Windsor program has demonstrated significant success with families like the Davises, it represents part of a broader movement within Ontario's healthcare system. Similar H2H programs are launching at other hospitals across the province, reflecting a strategic shift toward more patient-centered, community-based care models.

For patients and families navigating the challenging transition from hospital to home, programs like H2H offer more than just medical services—they provide dignity, support, and the reassurance that healthcare doesn't end at the hospital door. As healthcare systems continue to evolve, such innovative approaches promise to reshape how communities care for their most vulnerable members during critical recovery periods.