Nursing Home Without Walls

AdvantAge Ontario is a trusted voice for non-profit senior care, representing over 520 charitable not-for-profit homes, and municipal members who are deeply connected to their communities. Its members serve seniors across urban, rural, and culturally diverse settings, and represent the majority of municipal and non-profit long-term care homes in the province.

Through their partnership with Healthcare Excellence Canada to implement the NHWW model, AdvantAge Ontario aims to expand care beyond traditional settings by strengthening community-based supports. This will allow older adults to age safely and with dignity, while reducing avoidable pressures on hospitals and long-term care homes.

They aim to demonstrate how not-for-profit providers can extend their expertise beyond the walls of long-term care and go into community. They are introducing ways to bridge the gaps in home and community care by linking older adults with existing services offered in the community. Ultimately, improving equity of access for vulnerable older adults. They believe together, we can create a healthier, more supportive environment for older adults in the province.

AdvantAge has announced their 3 pilot sites: Algoma Manor (Algoma), Fairview Mennonite Homes (Cambridge) and Perley Health (Ottawa).

The Pacific Northwest Division of Family Practice is a non-profit organization dedicated to improving local health services through innovation and strong partnerships. Funded by Doctors of BC and the BC Ministry of Health, they represent family physicians and nurse practitioners working across a large, geographically complex region in Northern Vancouver. They collaborate closely with 26 local First Nations, Northern Health, the Nisga’a Valley Health Authority, the First Nations Health Authority, and other community partners to co-design programs that address local healthcare needs, including Primary Care Networks supporting vulnerable populations such as frail seniors.

Through their partnership with Healthcare Excellence Canada to implement the NHWW model, they aim to strengthen community-based care and support seniors in aging safely at home. Their goal is to shift from institutional care to flexible, integrated services that can improve health outcomes, enhance quality of life, and build a more sustainable healthcare system. They believe that through collaboration and innovation, they can significantly improve the experiences and outcomes for seniors in their region.

The Department of Social Development is responsible for delivering social programs and services that support vulnerable populations, including seniors, families, and individuals requiring long-term care. 

In partnership with the Université de Moncton and Healthcare Excellence Canada, the department is leading the implementation and expansion of the NHWW model. What began as a small number of pilot sites has expanded significantly across the province, reaching dozens of communities and connecting more seniors to services such as wellness checks, social engagement, transportation, and caregiver supports. Building on this momentum, Social Development is focused on further scaling NHWW to underserved and rural areas, strengthening partnerships with community organizations, and enhancing service coordination.

This growth has helped reduce social isolation, improve access to care, and enable more older adults to remain safely in their homes. Their ongoing goal is to create a more integrated, province-wide model of care that supports aging in place and responds to the evolving needs of New Brunswick’s seniors.

The Saskatchewan Health Authority (SHA) is the province’s integrated health system, responsible for delivering coordinated care across Saskatchewan. Guided by its 2025–26 Strategic Roadmap, SHA is focused on providing seamless, person-centred care as close to home as possible, with a strong emphasis on supporting older adults to age in place.

Through their partnership with Healthcare Excellence Canada to implement the NHWW model, SHA plans to build on existing innovations within its Health Networks, which connect care teams and community partners to address local needs. Current efforts already support key challenges for seniors, including physical de-conditioning and barriers to accessing care. NHWW will enhance this work by strengthening links between community services and long-term care, leveraging existing infrastructure, and building strong partnerships.

By expanding this program within its networks, SHA aims to improve access to care, promote independence, and scale successful models across the province, creating a more integrated and sustainable system of care for older adults.