The Health Links approach to care is to bring together a team of providers and health organizations across sectors to partner with the patients/clients, families and their caregivers to design an individualized Patient/Client Coordinated Care Plan.
The South Simcoe and Northern York Region (SSNYR) Health Link is focused on coordinating care for patients with multiple needs encompassing the two Sub-regions: South Simcoe and Northern York in the Central LHIN. The following guidelines can be utilized when considering who might benefit most from a Coordinated Care Plan:
-Target population: people living with 4 or more complex or chronic conditions,
- Identified sub-groups:
- those with Mental Health and Addiction challenges
- Palliative population
- people who are frail
- Economic characteristics (e.g. low income, unemployment)
- Social determinants (e.g. challenges with housing, social isolation, language)
- High users of hospital based services (i.e. Emergency Departments or primary care visits)
- Clinical judgment
Our Health Link includes two hospitals, Southlake Regional Health Centre (SRHC) located in Newmarket and Stevenson Memorial Hospital (SMH) located in Alliston. Our Health Link encompasses two sub-regions: South Simcoe and Northern York regions in Central LHIN.
The SSNYR HealthLink works closely with Southlake Regional Health Centre, the Home and Community Care and other Community partners such as the Alzheimer's Society of York Region, CHATS, CMHA, LOFT, York Paramedic Services, York Support Services Network, Addictions Services for York Region, York Region and Primary Care to integrate care for the Health Link patients/clients.
To learn more about the South Simcoe Northern York Region Health Link and how it can help you, contact Ana MacPherson at 905-895-4521, ext. 5326 or email: email@example.com.
Feel free to download our SSNYR HealthLink 2017 Calendar which has information from our Health Links partners.
On November 15, 2017, the South Simcoe Northern York Region Health Link (SSNYR HL) was the recipient of the 2017 Quality Improvement Award. This award is designed to recognize a team that achieved a significant measurable improvement that aligns with Southlake's Strategic Plan. The Project Aim was to improve the patient/caregiver care coordination experience by June 2018. This Team submitted this quality improvement project as a call for proposal to participate in the Cohort 11 of the UOT/Health Quality Ontario/ICES: Improving & Delivering Excellence Across Sectors Advance Learning Program. The SSNYR HL Team D.O.P.E. (Dove, Owl, Peacock, Eagle) was accepted and graduated from this program, presenting at the Quality Improvement Patient & Safety- HQO Conference in October 2017. Our results demonstrated success in our Patient Experience Survey (PES), this survey was developed through our Patient /Caregiver Advisory Council.