SCOPE (Seamless Care Optimizing the Patient Experience) is a shared virtual interprofessional care team for primary care providers (PCPs) in Toronto who are unaffiliated with teams. SCOPE is a platform for primary care providers to come together and foster a community of practice.
The program’s primary goal is to support primary care providers by improving access to high-quality care for their patients. SCOPE creates a virtual care team for family practices and provides a single point of access to a comprehensive range of interdisciplinary supports.
SCOPE is a platform which allows services to be added based on community and hospital needs (e.g. mental health, Registered Nurse (RN) health coaches, headache program, pharmacy and palliative care). It can also help identify and improve gaps in care. The program aims to help reduce avoidable Emergency Department visits and hospital re-admissions for patients in need.
Primary care providers in Toronto are provided direct and centralized access to a range of resources and providers:
- Navigation Hub – access to a resource nurse navigator and homecare coordinator for assistance with linking to hospital and community resources
- Internal Medicine – for phone-based consultations and rapid access to an assessment
- Medical Imaging – for advice on appropriateness of imaging, interpretation of results and to expedite urgent imaging
- Home and Community Care – access to a dedicated home and community care coordinator who provides curated care for your patients