TIP is a community-based model of care that addresses complex needs by linking primary care, acute care, and community services. The TIP Facilitator works with the patient their family caregiver, and primary care provider to conduct an in-depth comprehensive assessment, which includes determinants of health and patient/family goals.
TIP creates value by:
Expediting access to specialty team consults
Spanning settings and sectors
Utilizing virtual tools
Improving the health care experience of patients, families, and providers
Reducing inappropriate use of Health Care services
Identifying and addressing gaps in the Health Care system
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A free, six-month health coaching and remote monitoring program for your patients with chronic obstructive pulmonary disease (COPD) and congestive heart failure.
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GeriMedRisk is an interdisciplinary telemedicine consultation and education service for doctors, nurse practitioners and pharmacists in Ontario. Using telephone and eConsult, clinicians receive a coordinated response to questions regarding optimizing medications, mental health and comorbidities in older adult patients from a team of geriatric specialists and pharmacists. GeriMedRisk is a not-for-profit service for clinicians.
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The Toronto Seniors Helpline is a single point of access for seniors and caregivers to receive information and access to the community, home, and crisis services.
TIP is a community-based model of care that addresses complex needs by linking primary care, acute care, and community services. The TIP nurse works with the patient their family caregiver, and primary care provider to conduct an in-depth comprehensive assessment, which includes determinants of health and patient/family goals.
TIP creates value by:
Expediting access to specialty team consults
Spanning settings and sectors
Utilizing virtual tools
Improving the health care experience of patients, families, and providers
Reducing inappropriate use of Health Care services
Identifying and addressing gaps in the Health Care system
Website
Specialized Geriatric Services (SGS) are a range of health care services, which use a comprehensive geriatric assessment to diagnose, treat and rehabilitate older adults living with frailty (or those at risk of becoming frail) with complex and multiple medical, functional, and psychosocial issues.
SGS is provided on a consultative basis by interprofessional teams of health professionals in a variety of settings, including home, hospital, outpatient, and long-term care. The goal of SGS is to reduce the burden of disability by detecting and treating reversible conditions and recommending optimal management of chronic conditions.
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The Centralized Access (Intake and Referral) Process to Senior Specialty Hospital Beds is a single entry point for providing access to geriatric mental health beds at Baycrest, CAMH and Toronto Rehab Institute within the Toronto Central Local Integration Health Network (TC-LHIN).
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Patients suitable for referral to the clinic are those who are not in need of immediate hospitalization or emergency department assessment, but are unable to wait weeks for an outpatient psychiatric assessment.
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Rapid Access Clinics for Low Back Pain stems from the Inter-professional Spine Assessment and Education Clinics (ISAEC) model.
ISAEC is an innovative, upstream, shared-care model of care in which patients receive rapid low back pain assessment (less than four weeks on average), education and evidence-based self-management plans. It is designed to decrease the prevalence of unmanageable chronic low back pain, reduce unnecessary diagnostic imaging as well as unnecessary specialist referral.
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