In Ontario, Community Care Access Centres (CCACs) oversee managed competition by home care agencies for service delivery contracts. Contracts are to be awarded to the agencies that provide the highest quality services at the lowest price. We examined the impact of two rounds of competitive...

Measuring Consistency of Personnel in Home care: Current Challenges and Findings Consistency of personnel is important to ensuring continuity of care for home care clients. It is particularly important to those clients who are at high risk for adverse effects when provider changes occur....