Supporting frail seniors through a family physician and Home Health integrated care model in Fraser Health.

Background: A major effort is underway to integrate primary and community care in Canada's western province of British Columbia and in Fraser Health, its largest health authority. Integrated care is a critical component of Fraser Health's planning, to meet the challenges of caring for a growing, elderly population that is presenting more complex and chronic medical conditions.

Description Of Integrated Practice: An integrated care model partners family physicians with community-based home health case managers to support frail elderly patients who live at home.