Healthcare Quarterly, 28(4) January 2026: 61-68.doi:10.12927/hcq.2026.27806
Integrated Care Across Canada
Community First: A Scalable Approach to Integrated Care in Naturally Occurring Retirement Communities
Melissa Chang and Jen Recknagel
Abstract
The naturally occurring retirement communities (NORC) Innovation Centre (NIC) at University Health Network (UHN) is reshaping aging in place through the UHN NORC model – a scalable, values-driven approach that integrates health and social care in NORCs. Currently implemented in 30 sites supporting more than 4,500 older adults, the model builds capacity for adaptive leadership and relational care practices to ensure that older adults can age well at home. Guided by local leaders, inter-professional teams and community partners, the model brings together social support, health promotion and timely access to care. Early results show increased sense of belonging, reduced emergency visits, improved experience and outcomes and stronger system integration. The UHN NORC model offers a solution to enable community-based care for older adults and a viable path to relieve growing system pressure.
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