As a first step, Hoskins should immediately create a powerful task force that can review the CCACs and look for a better way of co-ordinating home-care in Ontario. Ultimately, that could mean scrapping the CCAC system, which as Lysyk's report finds, is simply not working.
The task force should be composed of experts from all sectors of the health area, including representatives of hospitals, patient advocacy groups, nurses, therapists such as speech language pathologists, personal support workers, CCACs and the 14 Local Health Integration Networks (LHINs) that oversee and fund CCACs, hospitals and other community health services.
Also, Hoskins should give the task force a short deadline to report its recommendations, ideally within six months. That's a tight schedule, but it should be possible given that so much investigation has been done over the last five years into the flaws in the system.
One specific mandate that Hoskins should give the task force is to determine if all planning and monitoring roles for home care now performed by CCACs can be transferred to beefed-up LHINs.