Page 51 - UHN's Year In Review 2013-14: Courage is Daring to Lead
P. 51
Medical and Community Care
Highlights
Improving transition of care
Dr. David Frost, Director Internal Medicine
CTU, and University of Toronto medical
student Karim Taha, surveyed family
physicians on how to maximize the usefulness
of patient discharge summaries. A discharge
checklist and quality improvement tool
were developed for residents and medical
students to create more efficient and effective
discharge summaries, improving the transition
of care to the community.
Link C
Developed at the Francis Family Liver Clinic,
Link C aims to improve access to care and
treatment for hepatitis C through education,
training and mentoring for physicians,
especially in northern Ontario. It also provides
a new model of care to increase local access
to specialists and the most current/effective
treatment.
Dr. Bill Etzkorn, a family physician in downtown Toronto, joined Andrea Miller, Clinical Nurse Specialist with the Diabetes Transition Program, helps
S.C.O.P.E. to reduce repeat trips to the emergency room for his transplant patients manage their diabetes before leaving the hospital. (Photo: UHN) Diabetes Transition Program
patients. (Photo: UHN) UHN’s Endocrinology program is piloting a
Diabetes Transition Program for transplant
patients to bridge their care between being
(Continued from Game changers Acute Ambulatory Care Unit one number and talk directly to discharged from hospital and their first
previous page) Dr. Etzkorn said there are at Women’s College Hospital an internist, or book my patient diabetes appointment in the community. Since
two major “game changers” instead of the emergency to see a dietician quickly, which
“But we know that with the as a result of the S.C.O.P.E. department. there is a high incidence of diabetes within the
right support, that an initiative program. means my patients don’t feel transplant population, the program partners
like S.C.O.P.E, can provide “S.C.O.P.E advertised a number the need to go to the emergency these patients with an Advance Practice Nurse
many of these issues can be The first is access to electronic of services that I didn’t have department because they know (APN) to initiate treatment and learn self-
managed in the community,” health records from the access to, especially as a solo they will get assistance they management tools.
she continued. hospital. The second is the family doctor,” said Dr. Etzkorn. need.”
option to send patients to the “I now have the ability to call *Community Care Access Coordinator
50 51
Highlights
Improving transition of care
Dr. David Frost, Director Internal Medicine
CTU, and University of Toronto medical
student Karim Taha, surveyed family
physicians on how to maximize the usefulness
of patient discharge summaries. A discharge
checklist and quality improvement tool
were developed for residents and medical
students to create more efficient and effective
discharge summaries, improving the transition
of care to the community.
Link C
Developed at the Francis Family Liver Clinic,
Link C aims to improve access to care and
treatment for hepatitis C through education,
training and mentoring for physicians,
especially in northern Ontario. It also provides
a new model of care to increase local access
to specialists and the most current/effective
treatment.
Dr. Bill Etzkorn, a family physician in downtown Toronto, joined Andrea Miller, Clinical Nurse Specialist with the Diabetes Transition Program, helps
S.C.O.P.E. to reduce repeat trips to the emergency room for his transplant patients manage their diabetes before leaving the hospital. (Photo: UHN) Diabetes Transition Program
patients. (Photo: UHN) UHN’s Endocrinology program is piloting a
Diabetes Transition Program for transplant
patients to bridge their care between being
(Continued from Game changers Acute Ambulatory Care Unit one number and talk directly to discharged from hospital and their first
previous page) Dr. Etzkorn said there are at Women’s College Hospital an internist, or book my patient diabetes appointment in the community. Since
two major “game changers” instead of the emergency to see a dietician quickly, which
“But we know that with the as a result of the S.C.O.P.E. department. there is a high incidence of diabetes within the
right support, that an initiative program. means my patients don’t feel transplant population, the program partners
like S.C.O.P.E, can provide “S.C.O.P.E advertised a number the need to go to the emergency these patients with an Advance Practice Nurse
many of these issues can be The first is access to electronic of services that I didn’t have department because they know (APN) to initiate treatment and learn self-
managed in the community,” health records from the access to, especially as a solo they will get assistance they management tools.
she continued. hospital. The second is the family doctor,” said Dr. Etzkorn. need.”
option to send patients to the “I now have the ability to call *Community Care Access Coordinator
50 51
