Downtown East Toronto Primary Care Provider Resources and e-blasts

The Mid-East Toronto Sub-Region was a local health planning area which supported the development of integrated local systems focused on better health outcomes for local residents. It brought together primary care providers, hospitals, community service organizations, community mental health and addiction agencies and patients/clients to develop a careful understanding of local needs that informed the development and implementation of initiatives that allowed providers to deliver more integrated care for their clients/patients. In other words, it is fostered coordination and integration to improve care outcomes for the population and patient and provider experience. Please see below for links to information and material related to our programs.

Looking to grow your practice? Health Care Connect can assist by referring potential new patients to you at a frequency that you control. To register call 416-217-3820 ext. 3742.

Posters

Youth-friendly primary care poster (pdf file)
How can a family doctor help you? poster (pdf file)

E-blast

“Did you know….” is your weekly installment e-update from your Primary Care Team at Downtown East Toronto region.

Sign up now for your weekly installment of local community resources selected to support Downtown East Toronto primary care providers in patient care.

You may wish to save the emails to your “Did you know…..” inbox. Each installment will feature a different program or tool that is available to you.

Each of the programs and services has been specifically chosen for its role in primary care in this sub-region.

For more information or to receive further information on any program or service, please reach to Dorothy Wedel, Project Manager for the Downtown East Toronto region at Dorothy.Wedel@unityhealth.to, or 416-867-7460 ext. 48372.

Thank you – looking forward to hearing from you!

Read previous e-blasts

C-HEAL aims to build knowledge across sectors among workers serving individuals experiencing homelessness. Specifically, C-HEAL seeks to build a shared understanding on key issues among frontline workers/supervisors in case management programs, shelters, drop-ins, respites and hospital in Downtown East/Mid-East Toronto.

C-HEAL lectures were held during Fall 2019 – please keep in mind that the information is dynamic and may change over time.

Capacity Assessments and Consents

Mental Health Crisis Service Navigation

Shelter Intake, Drop-in and 24 hour Respites

Hospital Discharge Processes

Mental Health Act

Interprofessional Complex Care Clinic – enabled by telemedicine

What is TIP?

Telemedicine IMPACT Plus (TIP) offers one-time interprofessional consultations to patients with complex health needs and their family physician to coordinate care planning and derive new solutions for addressing the patient’s chronic conditions.

The physician, patient, and caregivers also benefit from the support of a dedicated TIP nurse who coordinates the TIP consult and provides support to implement the recommendations resulting from the TIP consult.

Across the Toronto Central LHIN, each TIP consulting team has a core membership (as required) of a:

Psychiatrist
Internist
Pharmacist
Social Worker
Home and Community Care Coordinator
Dietitian

Some of our teams offer specialty consults in:

Geriatrics
Geriatric Psychiatry
Diabetes
Endocrinology
Developmental Disability

TIP is an OHIP-billable service.

Which patients to refer?

Medically complex patients with multiple chronic conditions and medications
Frequently hospitalized patients in need of access to psychiatric, mental health or social supports
Patients who could benefit from coordinated care planning
Patients who have some difficulty attending in-person appointments

Why refer to TIP?

Access psychiatric and internist consultation within weeks or sooner
Develop a coordinated care plan
Navigate health and community resources with a dedicated TIP nurse
Gain the necessary supports to help manage the complex patients who “keep you up at night”

To refer a patient, please complete the referral form (pdf file).

Please fax completed referrals to 1 (888) 401-6675

Telemedicine Impact Plus (TIP) Clinic Consult Teams

University Health Network – General Internal Medicine & Psychiatry
Taddle Creek Family Health Team – General Internal Medicine or Endocrinology & Psychiatry
Women’s College Hospital – General Medicine & Psychiatry
Mount Sinai Hospital – Geriatric Medicine and Geriatric Psychiatry
South East Toronto Family Health Team – General Medicine, Psychiatry or Pain
Providence Healthcare – Geriatric Rehab & Frailty, or Pain
St. Michael’s Hospital – General Internal Medicine, Psychiatry with Dietician
Bridgepoint Active Healthcare – Geriatric Psychiatry
Sunnybrook Academic Family Health Team – Geriatric Multidisciplinary Team
Sunnybrook Emergency Department – Internal Medicine/Acute Medical
Surrey Place (Adults and Children) – Specialists in Development Disabilities

Satisfaction survey from previous participants

Provider TIP Feedback n=227	Strongly agree /agree	Patient/Caregiver TIP Feedback n=74	Strongly agree /agree
TIP case conference was effective model to develop a care plan for this complex patient	97%	I am confident that my/the patient’s chronic care will be better managed as a result of the TIP case conference	97%
I would use telemedicine technology again to facilitate a case conference	96%	I would use telemedicine technology again to facilitate a medical consultation	100%
I am hopeful that this patient’s care will improve in the next six months as a result of the TIP case conference	93%	I am hopeful that my/the patient’s condition will improve as a result of the TIP case conference	96%

Key links

Enabling better care by making technologies work for you

Technologies exist that allow for the secure transmission of data to support a seamless patient care journey; however, not all primary care providers have access to these services.

Primary care providers are being offered a select bundle of services through a partnered initiative. By signing up physicians will

Experience one streamlined process to gain access to four services
Receive hands on support for onboarding to these services
Access services that will better facilitate integrated patient care
Utilize encrypted email that allow for secure transmission of data

What’s included in the bundle?

ONE® ID

Allows health care providers to access secure digital health services, including:

eConsult

Providers will be able to electronically send a clinical question to a specialist

Informed clinical decision making and primary care provider education
Potentially avoid unnecessary in-person specialist visits
Promotes integrated and coordinated care
Faster access to specialist advice

ConnectingOntario

Enables viewing of a patient’s care journey across the province

Access to DI reports, Home and community care data, medication information, lab reports and more
Enable faster, more informed decisions
Decrease the need for patients to repeat their health information
Reduce the need for duplicate testing and procedures

ONE® Mail

Supports secure email communications between registered ONE® Mail users

Secure exchange of personal health information
Enhances collaboration among team members
Access to secure directory which identifies all ONE® Mail users
Active sync allows secure access to emails using mobile device

Want more information? Contact Dorothy Wedel, Project Manager, at Dorothy.Wedel@unityhealth.to or 416-867-7460 ext. 48372.

For more information on ONE® ID, ONE® Mail, ConnectingOntario, visit: eHealthOntario.on.ca

For more information on eConsult, visit: OntarioMD.ca

Last updated February 16, 2023