SCOPE offers a virtual interdisciplinary team for the community practice by building a partnership between primary care providers in greater Toronto regions and acute and community care sectors.

Our Current Challenge

There are ~7,800 primary care providers in Ontario with no affiliation to hospitals and no access to hospital-based services and specialists for their patients. There are 924 primary care providers in Toronto that do not have the access to an interdisciplinary team.

Interdisciplinary team-based primary care in managing complex conditions has been associated with improved patient outcomes and decreased Emergency Department visits and hospitalizations.

Our Solution

SCOPE offers a virtual interdisciplinary team for the community practice by building a partnership between primary care providers, unaffiliated with teams in Toronto, and acute and community care sectors.

SCOPE started as a grassroots co-design between the Community Care Access Centre (CCAC), University Health Network (UHN), Women’s College Hospital (WCH) and community primary care providers. It is being scaled across the Toronto region, and is the scaffold for Ontario Health Teams in and beyond Toronto.

SCOPE was designed in response to the following concerns identified by primary care providers:

  • Timely access to specialist care,
  • Single point of access to services,
  • Assistance with homebound patients, and
  • Access to hospital reports.

The objective of SCOPE is to strengthen relationships between hospitals, community and primary care in order to improve care delivery for complex patients that may not have access to an interdisciplinary team.