Seamless Care Optimizing Patient Experience (SCOPE)
SCOPE is a platform for integrated care that promotes collaborative work between primary care physicians, hospital services, and community health partners.
Primary care providers registered with SCOPE are able to connect to an internist, outpatient services, diagnostic imaging, and other services through a single point of access.
Remote Care Management (RCM)
The goal of the Remote Care Management program is to ensure vulnerable populations receive appropriate clinical support and monitoring in the community, including escalation to medical practitioners or acute care, where necessary. Patients who live in Halton or have a primary care physician in Halton are eligible. The program will reduce unplanned visits to the ED and/or unplanned re-admissions and develop sustainable self-management techniques for the identified patient populations supported through education and resources. The program allows patients with COVID, COPD, CHF, ILD, and Pneumonia to manage their symptoms at home with technology and nursing support provided to them.
Providers
Patients/Clients
Expanding Home Care
The Expanding Home Care program, formerly known as the High Intensity Supports at Home Program (HISHP), is a highly successful regional program supporting patients on Long Term Care wait lists to safely live at home. The program has supported 199 (and counting) patients and their families in their transition from community to Long Term Care. As wait times for Long Term Care increase, this program is essential to support patients at home and decrease hospital admissions or reduce length of stay in hospital. Collaboration and communication are at the core of the success of this program, as Home and Community Care and Support Services, Halton Healthcare, Connected Care Halton, Primary Care Physicians, and CANES Community Care work together to deliver comprehensive care to support patients in their home while they await Long Term Care placement.