ScopeHub - UHN
Contact SCOPE Nurse Navigators for information and access to interprofessional teams – based on the location of the patient: East, Mid-East, Mid-West, North, and West sub-regions in Toronto.
Website
Older adults residing in the community who are 65 years of age and older and: • Have experienced a recent functional decline and have the potential to regain function. • Would benefit from increased supports at home or in the community to remain independent. • Find it difficult to go outside and would benefit from specialized short term geriatric care in the home. • Reside in Service Area: South of St. Clair Ave., West of the Don River, and East of Keele St./Parkside Dr.
Servicing individuals experiencing homelessness and/or our under-housed. Partnership with Sherbourne Health Centre and Street Health. Mobile primary care and case management services. Health promotion and harm reduction framework.
Website
Interprofessional Care Team in North Toronto – led by Baycrest.
Telephone: 416 847 4165
Fax: 416 410 7072
Address: 1333 Nielson Road Scarborough, ON M1B 4Y9
The Scarborough Inter-Professional Primary Care (IPPC) Team is a program that provides patients with access to a coordinated team of health care professionals. The goal of our team is to strengthen the integration of primary care services to improve the patient experience, and to meet the needs of vulnerable patients with complex healthcare requirements. To receive IPPC services, patients must be referred by their primary care provider. The patient must reside in Scarborough or the primary care provider must practice in Scarborough.
No primary care provider? Patients can receive primary care from our nurse practitioners by calling 416-847-4165.
The IPPC Team includes nurse practitioners, registered nurses, social workers, mental health caseworkers, harm reduction workers, registered dieticians, foot care nurses, chiropodists, physiotherapy, and occupational therapy.
The referral form can be found on the website https://www.schcontario.ca/schc-interprofessional-primary-care-team.html
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:
Website
Connections: Weston-Pelham Park Primary Care Interprofessional Team – Serving Weston Pelham Park and Keelesdale-Eglinton. Our goal is to connect primary care providers in the Weston Pelham Park area with a range of services including specialists and community-based health care services.
Website
WestReach offers mental health and substance use counseling as well as chronic disease monitoring, weight management, and nutrition education to residents of the Rockcliffe-Smythe and Mount Dennis neighborhoods. Our goal is to minimize the barriers that physicians face when referring clients for mental health and chronic disease services who would otherwise not be able to access these services.