About SCOPE

SCOPE (Seamless Care Optimizing the Patient Experience) connects and supports primary care providers with:

  • A single, centralized, standardized point of access to support Health System Navigation (both community and hospital resource navigation).
  • Specialized care and resources based on the patient’s health concerns.
  • Real-time consultation, advice and support for complex and urgent patients.

SCOPE was co-designed and co-created by family physicians to reduce fragmentation and maximize efficient use of services.

How SCOPE Works

Primary Care Provider

Primary care providers registered with SCOPE can connect to internists, outpatient services, diagnostic imaging, home and community care, and other services through a single point of access.

SCOPE Nurse Navigator

Provide general advice and assistance navigating hospital and community resources for patients and facilitate communication between primary care and hospital physicians.

General Internal Medicine

Phone consultation and support in real-time with internist on-call, as well as referral for appropriate patients to rapid access outpatient services.

Dr. David Skogstad-Stubbs

General Internal Medicine

Home and Community Care Support Services

Facilitate access to Home and Community Care (H&CC) resources for patients with complex or chronic care needs and/or existing Home and Community Care clients.

Home and Community Care

Diagnostic Imaging

Answers to questions about tests and results, escalates urgent imaging requests, and referral directly to the radiologist on-call.

Dr. Gina
Di Primio

Diagnostic Imaging

Palliative Care

Provide phone consultation and support in real-time, as well as navigation assistance to hospital and community palliative care supports.

Dr. Deborah Marshall

Palliative Care

Long-Term Care

Escalations for appropriate urgent diagnostic imaging, eye care, blood transfusions, G-Tube reinsertions, fractures, wound care and palliative patients from Long-Term Care homes.

Long-Term Care

Paediatrics

Phone consultation and support in real-time with paediatrician on-call, as well as referral for appropriate patients to rapid access outpatient services.

Dr. Jonathan Sam

Paediatrics

Cardiology

Support in real-time with Cardiologist on-call and cardiology Nurse Practitioners as well as referral for appropriate patients to outpatient services and tests.

Cardiology

Remote Care Management

Remote Care Management (RCM) supports patients with congestive heart failure, chronic obstructive pulmonary disease, COVID, pneumonia, asthma and other respiratory concerns. Your patients will be set up within 24-48 hours of receiving the referral with a tablet, blood pressure cuff, weight scale and pulse oximeter. A team of clinicians will monitor daily vitals and communicate any concerns with your office via fax or phone.

Fracture Clinic

Rapid booking into Fracture Clinic when appropriate and orthopedic consultations.

Dr. Chris Lu

Fracture Clinic

SCOPE was launched at Halton Healthcare in November 2021. SCOPE is evaluated as part of a Quality Improvement initiative. SCOPE is supported by the Connected Care Halton Ontario Health Team and is being delivered by Halton Healthcare.

Contact SCOPE: 289-952-2457