To be eligible for the
CONTACT INFO:
Hospital Home Team
Please do not hesitate
to contact the teams if
you have any questions
or are interested in
accessing the HHT
you must:

Live within one of 3
community areas defined
by postal code

Agree to be referred to the
Hospital Home Team

At least one of the following
criteria must be met:

6 or more ED visits in last
12 months

30 or more hospital bed
days in last 12 months

3 or more hospital
North East Sector HHT
Ph: 204-938-5536
Areas Covered:
R2K, R2L, R2G, R2E, R2C, R3W
South Winnipeg HHT
Ph: 204-938-5841
Areas Covered:
R3L, R3M, R3N, R3P, R3T, R3V, R3Y
Winnipeg West HHT
“Right Care, Right
Place”
Ph: 204-837-0298
Supporting Transitions,
Areas Covered:
Independence,
admissions in the last 12
months

Be at high risk for
hospitalization or
placement into long-term
care as determined by
HHT Assessments
Hospital
Home Team
(HHT)
R3H, R3J, R3K, R3N, R3P, R3R, R3S,
R2Y, R2R (some)
Comfort and
Quality of Life.
What is the Hospital Home Team?
The Hospital Home Team is a
short term, patient centred
service that is designed to work
with different service partners
that are available in your community such as Home Care, Primary
Care and other health and social
services to provide the support
you need.
Some examples of service include:

Enhancing client functional
ability, overall health and
The Hospital Home Team can
support you through transitions
from hospital to home or from one
service to another.
satisfaction.

Intensive Case Management and
Bridging services for short-term.

Primary Care support in collaboration with your current Doctor or
Nurse Practitioner. This may include in home visits and followup with our team.
The Hospital Home Team
focuses on your greatest needs
by involving you in setting the
goals of your care.

Doctor or Nurse Practitioner if
you don't currently have one and
would like one.

Your Hospital Home Team will
work with you to address your
needs. They will also connect you
with the right supports and
resources to help keep you safe,
independent and healthy in the
community.
Connection to a Primary Care
Mobility and Rehabilitation
services.
Services and supports offered
may help to keep you at home to
prevent or decrease emergency
department visits.

Counseling and support for
you and your caregivers.

Connection and transition to
longer term community supports
and services.

Medication management and
supports.