Regional Programs
Regional Programs
Primary Care Outreach to Seniors (PCO)
Regional Integrated Care (RIC)
Ontario Telemedicine Network (OTN) Hub
Primary Care Outreach to Seniors (PCO)
Registered Nurses and Community Health Workers offer free in-home services for seniors, aged 65 and above. The goal is to help link isolated and vulnerable seniors living at home with the care and resources required to support their well-being and live safely.
Service is provided in the client’s hom, community locations and/or 1355 Bank St, Suite 600.
Catchment Area Map:
Eligibility:
- Lives alone or is isolated
- Little support network (friends/family)
- At risk of eviction/financial barriers
- Chronic illness/pain
- Recent visits to Emergency Department
- Readmission to hospital within 30 days of discharge
- Recent change in memory/cognition
- Falls in the last 3 months
- Recent changes in mood/behaviour
- New medical diagnosis within the last 3 months
- Weight loss +10 lbs in less than 2 months
- “No Shows” for medical appointments
- Concerns of general safety and /or abuse
Contact Information:
Phone: 1 844 726 5115 (toll-free)
Fax: 613-739-8196
Email: centralintake@seochc.on.ca
Refer Here: https://launch.caredove.com/service/referralform/27171
Hours: Monday-Friday 8:30-4:30
Regional Integrated Care (RIC)
RIC (formerly Health Links) creates seamless care coordination for clients with complex needs by ensuring each client has a Coordinated Care Plan (CCP) and ongoing care coordination. Care coordination promotes a shared understanding of what is most important to the client through the establishment of a Coordinated Care Plan, inclusive of clear roles and responsibilities for each member of the client’s care team.
The client eligibility criteria are: 4+ complex health conditions (at least one being a physical health condition), at least 1 social determinant of health issue, and frequent users of health services.
For more information: Regional Integrated Care – Champlain – champlainhealthline.ca
Catchment Areas Map:
Contact Information:
Phone: 1 844 726 5115 (toll-free)
Fax: 613-739-8196
Email: centralintake@seochc.on.ca
Refer Here: http://launch.caredove.com/service/referralform/27170
Hours: Monday-Friday 8:30-4:30
Ontario Telemedicine Network (OTN) Hub
OTN offers a private and secure tool to offer virtual care to clients and communication between clinicians across the province. At our site we offer, direct-to-patient video visits and hosted video visits which can include medical peripherals for physical assessments provided with nursing support. Telemedicine can be used for clinical events, direct client care, case consultations, administrative events, and educational events for clients and healthcare professionals. Anyone can request access to OTN services including healthcare professionals, organization, clients, and the general public. We are one of five OTN hub sites in the Champlain region, others include; the Ottawa Hospital, North Lanark CHC, Hawkesbury Hospital, and Pembroke Hospital.
For more information: https://otnhub.ca/
Contact Telemedicine Coordinator at telemedicine@seochc.on.ca or call 613-737-7195 ext. 2416
