TY - JOUR
AU - R. Abdelhalim
AU - L. MacEachern
AU - M. O'Neill
AU - A. Aulakh
AU - K. Peters
A1 - 
AB - Ontario's aging population requires integrated, community-based models to help older adults age in place. The Community Wellness Hub (CWH) model meets this need by embedding proactive, interdisciplinary care within housing sites with high concentrations of older adults. Using a co-located "one-team" approach, CWH integrates health, social and housing services for individuals with complex needs. Implementation is described across seven stages: partner collaboration, governance, site selection, service tailoring, team integration, continuous evaluation and scaling. Impacts include improved member wellness and provider experience while reducing hospitalizations for ambulatory care-sensitive conditions and lowering per capita healthcare costs. This paper provides a blueprint for implementing this scalable, equity-focused model in other jurisdictions.
AD - Reham Abdelhalim, is the Manager, Population Health and Evaluation at Burlington Ontario Health Team, Burlington, ON, driving system transformation through data insights, research and strategic partnerships.; Lauren MacEachern, is an associate at Davis Pier Consulting, Toronto, ON. She is a health services researcher and consultant working at the intersection of health and social care, with a focus on implementation science and care for older adults.; Meghan O'Neill, is a data analyst at Burlington Ontario Health Team, Burlington, ON. Meghan supports system planning and performance measurement across integrated care initiatives.; Adeeta Aulakh, is the Program Manager, Integrated Care and Health Equity at the Burlington Ontario Health Team, driving system transformation through meaningful partnership, innovative models and digital health initiatives.; Kathy Peters, is the executive director of the Burlington Ontario Health Team, Burlington, ON, leading strategic initiatives to advance integrated care and health equity.
AN - 42010385
BT - Healthc Q
C5 - Healthcare Disparities
CP - 4
DA - Jan
DO - 10.12927/hcq.2026.27807
DP - NLM
IS - 4
JF - Healthc Q
LA - eng
N2 - Ontario's aging population requires integrated, community-based models to help older adults age in place. The Community Wellness Hub (CWH) model meets this need by embedding proactive, interdisciplinary care within housing sites with high concentrations of older adults. Using a co-located "one-team" approach, CWH integrates health, social and housing services for individuals with complex needs. Implementation is described across seven stages: partner collaboration, governance, site selection, service tailoring, team integration, continuous evaluation and scaling. Impacts include improved member wellness and provider experience while reducing hospitalizations for ambulatory care-sensitive conditions and lowering per capita healthcare costs. This paper provides a blueprint for implementing this scalable, equity-focused model in other jurisdictions.
PY - 2026
SN - 1710-2774
SP - 54
EP - 60+
ST - Local Innovation, National Potential: The Community Wellness Hub™, a Ready-to-Implement Model for Integrated Care
T1 - Local Innovation, National Potential: The Community Wellness Hub™, a Ready-to-Implement Model for Integrated Care
T2 - Healthc Q
TI - Local Innovation, National Potential: The Community Wellness Hub™, a Ready-to-Implement Model for Integrated Care
U1 - Healthcare Disparities
U3 - 10.12927/hcq.2026.27807
VL - 28
VO - 1710-2774
Y1 - 2026
ER -