Theme 3. Expanding your reach
The Sunnybrook Academic Family Health Team first published our innovative interprofessional model of practice for aging and complex treatments (IMPACT) in 2013. The bulk of chronic disease care is provided in primary care but the amount of time needed to address complex patient needs prohibits us from meeting their needs during regular clinic visits. IMPACT is a team based model which involves a pre-visit assessment, a 1-2 hour visit with the patient, family, our interprofessional team and a geriatrician. We have had tremendous success with improving the care for complex seniors. The program has evolved over the years and another model has been created to help non-FHT physicians access this type of care. Telemedicine Impact Plus (TIP) has spread across the Toronto Central LHIN with a number of teams now providing this care. As a Wave 5 FHT with limited resources, we have had to be creative about the use of our team members to be able to provide both IMPACT and TIP clinics regularly. We now piggyback one of each type of visits using the same team to make scheduling easier, minimize travel and maximize use of our sessional funding. There are now 12 teams doing TIP and the model is being used for all age groups.
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