Mid-East Toronto Sub-Region - Health Link
Ontario is improving care for people with complex conditions through Health Link. This innovative approach brings together health and other social service providers to better and more quickly coordinate care for high-needs patients.
What does Health Link do for patients?
- A shared understanding of patients goals, conditions and medications
- Smoother transitions between contexts such as hospital to community
- Greater patient involvement in shaping care
- Ongoing relationships between providers
- An evolving care plan as needs change
- More accessible services
- A reduction in avoidable hospital utilization
Patients living with complex health issues have multiple providers across numerous sectors, and benefit from highly integrated and coordinated care. Poorly coordinated care has been identified as a significant cause of adverse health outcomes and rising health care costs. Coordinated care reduces gaps in the care of patient/clients with multiple chronic conditions.
What is unique about coordinated care planning/Health Link?
- Places the patient’s goals at the centre of care planning
- Determines a provider responsible for taking the lead in coordinating care
- Supports providers to work with each other and with the patient to develop an individualized Coordinated Care Plan (CCP)
- Facilitates access and attachment to primary care
- Enable ongoing communication and collaboration within the circle of care
Mid-East Toronto Health Link (METHL) Care Planning Leadership Working Group
The Mid-East Toronto Health Link (METHL) Care Planning Leadership Working Group brings together leadership from various organizations to identify and share best practices in implementing coordinated care planning and management as leaders within their organizations and sectors. The group supports standardization of practice across organizations, stronger networks and identification and problem-solving on systemic barriers to achieving impact for clients and patients through coordinated care planning.
Mid-East Toronto Health Link (METHL) Community of Practice
The Mid-East Toronto Health Link (METHL) Community of Practice Group consists of front-line staff involved, or soon to be involved, in their organizations’ implementation of coordinated care planning. The Community of Practice Group provides an opportunity for front-line staff to an in-depth understanding of the Health Link approach to care, and develop new skills related to all aspects of coordinated care planning and management. Participants learn about relevant supports and services available for clients with complex needs from a range of agencies and strengthen their own peer networks. The group also allows front-line staff to share their successes and challenges with respect to implementing coordinated care planning and management, receiving recognition and support from their peers for their work.
For more information
Contact Lara McLachlan, Health Link Project Manager, Mid-East Toronto Sub-Region
416-867-7460 ext. 48373