Health care systems are having to adapt to a growing, aging population. This book considers services provided in one home care program and discusses a research project that explores what is working well with current services and proposes changes to the way programs are coordinated in order to enhance service delivery. As the population in Canada ages there is a growing need to explore innovative approaches to delivering health care services in an efficient and cost effective way. The findings of this research project support the need for change and identify specific areas for improvement including: Interdisciplinary teams, Leadership and Colleague Support; Client Centred Care; Changes to Guidelines and the System; and Common Charts. This book will be useful to health care administrators and front line staff as they consider strategies to address the growing and changing needs of an aging population with chronic health issues.