Making transitions to home easier across Ontario with Careteam
06/24/2026
When patients leave the hospital, the transition home can feel uncertain. At Bruyère Health, a digital tool is helping make that transition smoother while keeping everyone connected along the way.
Careteam is a Canadian-built digital platform that brings patients, families, and health care providers together in one place. Through the platform, health care teams can share personalized care plans, check in remotely, and respond quickly when support is needed. Families and caregivers can also stay informed, helping them feel more confident and engaged in care decisions.
Bruyère Health brought Careteam to the Bruyère@Home program in 2023, which provides older adults with eight or 16-weeks of bundled care services to support their transition home from hospital. The program helps patients return home safely, where they want to be, while ensuring they have the right services needed to continue living independently. Integrating Careteam into this model strengthened communication, coordination, and continuity of care during a critical transition point in a patient’s care journey.
Designed in collaboration with Bruyère@Home teams, Careteam reflects the needs of both patients and providers, making it practical, responsive, and easy to use.
As Natasha Poushinsky, Director of Strategy and Planning at Bruyère Health, explains: “Across the health care system, we hear the same frustration: care feels scattered, not coordinated. Families receive plans and instructions from multiple providers, then are left to piece everything together and relay messages between teams. Careteam is the first solution we’ve seen that truly closes that gap. By giving providers and families one shared plan, it replaces the burden of being the go-between with the relief of staying informed and engaged.”
Participating patients and families say the platform helps them stay connected to their health care teams, better understand their care plans, and feel more supported managing their health at home.
What began at Bruyère Health is now growing across the province. With the help of CAN Health, Bruyère Health’s innovation team led a commercialization project that helped expand the use of Careteam to two additional @Home programs at Humber River Health and SE Health, contributing to a broader effort to strengthen connected, home-based care across Ontario.
To date, Careteam has supported the creation of more 600 personalized care plans across the three organizations.
At its heart, this innovation is about something simple but powerful: helping people feel supported, informed, and confident as they recover at home, surrounded by the people who matter most.