SCOPE (Seamless Care Optimizing the Patient Experience) is a shared virtual interprofessional care team for primary care providers (PCPs) in Toronto who are unaffiliated with teams. SCOPE is a platform for primary care providers to come together and foster a community of practice.
SCOPE is a platform that allows services to be added based on community and hospital needs (e.g. mental health supports, registered nurse health coaches, headache programs, pharmacy and palliative care). It can also help identify and improve gaps in care. The program aims to help reduce avoidable Emergency Department visits and hospital re-admissions for patients in need.
Primary care providers registered with SCOPE are provided direct and centralized access to a range of resources and providers:
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- Navigation Hub – access to a resource nurse navigator and homecare coordinator for assistance with linking to hospital and community resources
- Internal Medicine – for phone-based consultations and rapid access to an assessment
- Medical Imaging – for advice on appropriateness of imaging, interpretation of results and to expedite urgent imaging
- Home and Community Care – access to a dedicated home and community care coordinator who provides curated care for your patients
SCOPE is a platform that allows services to be added based on community and hospital needs (e.g. mental health supports, registered nurse health coaches, headache programs, pharmacy and palliative care). It can also help identify and improve gaps in care. The program aims to help reduce avoidable Emergency Department visits and hospital re-admissions for patients in need.
What Primary Care Providers are saying about SCOPE
“I have been working with a SCOPE nurse navigator for a year now, and her help with navigating urgent referrals, or sometimes determining which type of specialist to refer a patient to, has been extremely impactful and an invaluable asset for my practice.”
Dr. Jane Chow Primary Care Physician – North Toronto
Our Reach
SCOPE Members
of solo primary care providers* in Toronto have access to SCOPE.
*Primary care providers who have no affiliation to team-based care (not to hospitals or hospital services)