Integrating Home Care with Hospital Systems

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Contact:                                   Steph Davidson
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Integrating Home Care with Hospital Systems

Health PEI becomes first province to integrate home care with hospital systems using AlayaCare

TORONTO, Sept. 24, 2025. Health PEI, Prince Edward Island’s single health authority, has successfully transformed its home care delivery system through a comprehensive digital modernization initiative powered by AlayaCare’s integrated platform. The implementation has delivered remarkable results, including an 18% increase in scheduling productivity, 216% growth in assessments, and a 50% reduction in administrative paperwork for nursing staff.

Digital transformation

This strategic transformation was driven by Health PEI’s commitment under the Pan-Canadian Health Accord to modernize home care services across the province. Previously, the organization faced significant operational challenges with outdated assessment tools, manual scheduling processes, and limited system integration that disrupted care coordination and diverted clinical staff from direct patient care.

By implementing AlayaCare in 2022, the organization replaced its legacy Seniors Assessment Screening Tool (SAST) with interRAI HC, adopted digital scheduling, and enabled mobile access for real-time charting. The solution also integrated directly with provincial systems, including Oracle Health (Cerner) and the Provincial Client Registry, enabling seamless client transitions and province-wide care coordination.

Integrating Home Care with Hospital Systems AlayaCare HealthPEI

“At first, we were just looking for software to help with interRAI-HC assessments. But with AlayaCare, we got so much more. It’s been a big leap forward in modernizing home care in our province. We’ve integrated with the provincial clinical information system and client registry, streamlined our operations, and scaled up client assessments. That’s helped us smooth client transition from hospital to home and strengthen care planning. Most importantly, it’s given us clear visibility into our metrics so we can scale more intentionally and efficiently into new programs.”

Mary Jane Callaghan

Former Project Lead, Health PEI

Outcomes

Since go-live, Health PEI has achieved significant outcomes:

  • Better care delivery: Annual assessments grew by 216% by replacing SAST with AlayaCare’s interRAI HC assessment tool and 100% of clients now have multidisciplinary care plans. Every individual receives integrated, person-centered care with a focus on care coordination across health and social services.
  • Greater system capacity: 15% increase in caseloads ensures more clients can access the support they need without long delays.
  • Enhanced workforce efficiency and staff experience: Scheduling productivity rose 18% and paperwork was cut in half, giving care teams more time with clients and improving work-life balance.
  • Improved data visibility: Health PEI became the first province to achieve 
Health PEI Growth Integrating home health with hospital systems

province-wide hospital integration for its home care system, enabling real-time updates, proactive system planning and real-time submissions to the Canadian Institute for Health Information (CIHI).

“With AlayaCare, everything I need is on my laptop or phone. I can document during the visit and submit forms on the spot. Having that flexibility is a game changer.”

-Deina Perry, Home Care Physiotherapist at Health PEI. 

The transformation also reduced scheduling delays and optimized staffing through direct integration with Oracle Health (Cerner). Admission, discharge, and transfer updates now automatically adjust home care schedules, ensuring continuity of care and reducing unnecessary travel. 

“The real-time schedule is incredibly helpful. Our whole team can quickly see if a client is in hospital or at a facility respite, thanks to the integration with Cerner. It saves us from making endless phone calls just to track clients down.”

-Joanne McLaughlin, RN interRAI Assessor at Health PEI. 

By adopting AlayaCare, Health PEI has set a benchmark for provincial-scale modernization of home care in Canada. The initiative has strengthened care coordination, supported evidence-based planning, and expanded access for older adults across Prince Edward Island. 

“Health PEI’s vision went far beyond simply replacing an assessment tool. Together, we’ve built an integrated, province-wide home care platform that connects directly with hospital systems, streamlines operations, and scales assessments at a level never before possible. This transformation is strengthening care transitions, improving planning, and giving leaders the data visibility they need to expand programs with confidence and efficiency. It’s a powerful example of how digital innovation can reshape home and community care.”

Adrian Schauer

CEO, AlayaCare

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About Health PEI

Health PEI is the single health authority for Prince Edward Island, responsible for delivering publicly funded healthcare services across the province. Its mandate includes hospitals, primary care, long-term care, home and community care, mental health and addictions, and public health. By integrating services across the continuum of care, Health PEI is committed to providing safe, equitable, and high-quality healthcare that meets the needs of Islanders today and into the future. 

About AlayaCare

AlayaCare is an end-to-end platform designed to serve public, private, and non-profit home and community care organizations that manages the entire client lifecycle, including needs assessments, care plans, scheduling, visit and route optimization, and visit verification. Founded in 2014 and now with over 600 employees, AlayaCare combines traditional in-home and virtual care solutions that enable care providers to lower the cost of care and achieve better outcomes for their clients. For more information, visit: AlayaCare.com 

© 2025 This press release originally appeared on the AlayaCare website and is reprinted with permission. For more information or for permission, please see press contact above.

Large Health System to Outsource Home Health and Hospice to Compassus

Bon Secours Mercy Health to Outsource Home Health and Hospice to Compassus

Bon Secours Mercy Health (BSMH), the fifth-largest Catholic health system in the U.S., and Compassus, a leading national provider of home-based health care services, announced on May 2 that they have signed an agreement to form a 50/50 joint venture partnership for BSMH home care and hospice. Under the agreement, Bon Secours will outsource to Compassus, who will manage operations for 10 home health agencies and 11 hospice operations spanning five states.

Under the agreement, BSMH will maintain ownership of its existing hospice house real estate assets in specific locations while Compassus will manage the operations. BSMH will work closely with Compassus to support the home health and hospice associates transferring to employment with Compassus. Under the joint venture, the team will continue to provide spiritually grounded care and will operate in accordance with Ethical and Religious Directives.

The agreement is subject to state and federal regulatory review and final diligence; however, the agreement formalizes the intent of both parties to move forward with the transition and integration.

About Compassus

Compassus provides home-based services including home health, infusion therapy, palliative and hospice care. The company’s more than 6,000 team members serve more than 100,000 patients annually across more than 250 locations in 29 states. This is not the company’s first joint venture. In 2020, Compassus became managing partner of Ascension at Home, a joint venture between Ascension and Compassus.

About Bon Secours Mercy Health

Bon Secours Mercy Health (BSMH) is one of the 20 largest health systems in the United States and the fifth-largest Catholic health system in the country. The ministry’s qualityBon Secours Compassus , compassionate care is provided by more than 60,000 associates serving communities in Florida, Kentucky, Maryland, New York, Ohio, South Carolina and Virginia, as well as throughout Ireland.

Bon Secours Mercy Health provides care for patients more than 11 million times annually through its network of more than 1,200 care sites, which includes 48 hospitals. In 2022, BSMH provided more than $600 million dollars in community investments across five states, ensuring that cost is not a barrier to health care for patients in need.

In addition to charity care, BSMH invests in programs that address chronic illness, affordable housing, access to healthy food, education and wellness programs, transportation, workforce development and other social determinants of health. The Mission of Bon Secours Mercy Health is to extend the compassionate ministry of Jesus by improving the health and well-being of its communities and bring good help to those in need, especially people who are poor, dying and underserved. https://bsmhealth.org/

©2024 by The Rowan Report, Peoria, AZ. All rights reserved. This article originally appeared in Healthcare at Home: The Rowan Report. One copy may be printed for personal use: further reproduction by permission only. editor@therowanreport.com