Hospice At Home Facts

What: A 24 hour model of hospice care that includes private professional care, alternative therapies, spiritual and emotional counseling and death doula support.


Who: A minimum of 138,000 people per year.


Why: 70% of people in Canada wish to die at home; the exact same number who are dying in the hospital.



The HHA Way


A hospital death is not a death we would wish upon anyone and…


There will never be enough money to build enough residential hospices to care for all the Canadians who do not want to die in a hospital.   “Canada needs a system that allows each patient to make the choice of where he or she will spend their last days”, says Dr. Sharon Baker who specializes in palliative care at the London Health Sciences Centre in London, Ont. Hospice at Home gives a choice that currently does not exist; a fully supported (complete with 24 hour) home hospice experience where (figuratively speaking) a mini hospice is moved into the home.


Potential familial caregivers will be in much shorter as the first boomers turn 80. The causes of this impending care gap lie in well-known trends including longer life spans, smaller families, more divorces among those 50 and older and more people who never had children. The percentage of frail older people who are childless is expected to rise from 14 to 18 percent during this period, and the ratio of frail, older people who have only one or two adult children is expected to increase from 38 to 49 percent.. This growing trend helps patients and aides form genuine bonds, so families have peace of mind that their loved ones are in good hands. It helps ensure that caregivers can join fully in patients’ lives, whether this involves running errands, going with them to the doctor, or assisting them with medical conditions. It also means that someone is there to provide seniors with company and conversation.



National Service Providers are partners that provide a menu of specific support that spans across the country and is made available within each community HHA is involved with.  A combination of services in kind, gifts in kind, volunteer hours and financial support build each portfolio.


Just as it takes a village to raise a child, the responsibility of caring for a Canadian who has been diagnosed with a terminal illness, and those who love them, takes a national portfolio of partners and allies.  Home Hospice Association works tirelessly to grow relationships that will support all of our Chapter Communities, Partnering Agencies and to ensure financial sustainability for HHA and those we serve.  Working in the spirit of collaboration with other organizations is one of the most important efforts Home Hospice Association can make.  It fast tracks the delivery of hospice care into multiple communities and is an effort many granting bodies find worthy of investment.  It is our goal to make contact with every possible partnering organization to begin the journey of delivering hospice care through their channels.

Costs and Funding


How someone died is often overshadowed by how they live which puts hospice associations in the challenging position of needing to raise both funds and awareness.  Each community must engage in inventive fundraising activities and attempt to develop key relationships with local media.  Home Hospice Association plays a role in both of these efforts by engaging in national fundraising activities, perfecting plans and ideas to evolve into tool kits to be used at a local level and build national media relationships.  In the spirit of collaboration and community investment, we fully responsible for the sustainability of HHA and accept partial responsibility for the sustainability of those organizations delivering an HHA program.  


Home Hospice Association assumes responsibility for its financial strength and supports those communities and partnering organizations that are working to provide quality hospice care.  This would not be possible if we did not have a commitment to building relationships with Sustainability Partners.


Hospice at Home Volunteers are trained and support in their work to support 


The concept of a Death Doula, while new to Canada, is not new to HHA. We designed Hospice at Home to be able to fully utilize this model of care.  Learn more about the training Death Doulas receive


Palliative Personal Support Workers (PPSW’s) are so important to HHA that we, along with Social Service Worker Students and Humber College, have created the first targeted ~ focused training is this area can be learned about here