"Patient-centred care" has become the buzzword on all administrators' lips these days yet none of them have a clue what it means.  Simply-stated, it is a situation where the health care worker interviews/examines the person, decides what their needs are, and finds a way to provide them.  That is not what LHINs and CCACs do. When a surgeon or Family doc has determined that a person needs postop wound care,  these organisations start a bureaucratic process that determines whether the person *qualifies* for the service. If they decide that they don't, the person is abandoned by CCAC.

My surgeon ordered postop wound care after spinal surgery.  I received three separate phone calls over three days from different administrators before CCAC decided that a nurse would come for three sessions - not to change the dressings, but to teach my wife (a former teacher) how to do it.  Physicians should be able to communicate directly with home care nurses and physios, not through administrators.