What Is It?

SCOPE is a virtual, interdisciplinary program connecting primary care providers (PCPs) in the community to real-time supports when they need it most. Through a single point of access, SCOPE quickly connects PCPs to local providers who can help with urgent consultations, diagnostic imaging, curated home and community care, mental health, and navigating other services available in acute care or in the community.

Call the SCOPE line for the following services:


Press 1:
Internal Medicine

When calling SCOPE to speak to an internist, the following could occur:

  • Internist advises sending your patient to emerge
  • Internist recommends booking patient at the Urgent Medical Clinic
  • Internist provides telephone advice (Note: Call back time is within 1hr)
  • Referral Form:


Press 2:
Mental Health

When calling SCOPE to speak to the mental health team, the following could occur:

  • You will be connected to a psychiatrist
  • The team will help you navigate resources for your patient
  • The team will conduct a warm transfer to Canadian Mental Health Association Peel Dufferin to follow up with the patient
  • Access an urgent psychiatry consult (within 7 days) if your patient meets the Urgent Mental Health Clinic criteria.
  • Referral Form:

 


Press 3:
Medical Imaging

When calling SCOPE to speak to the diagnostic imaging team, the following could occur:

  • Your patient is booked for an urgent test
  • You are transferred to the on-call radiologist for a consultation
  • Referral Forms: (all DI referral forms need to be followed up by a SCOPE call.)
  • Fax Numbers:
    • Corporate SCOPE fax line located at Brampton Civic Hospital: 905-494-6405


Press 4:
Nurse Navigator

When calling SCOPE to speak to the nurse navigator the following could occur:

 


Press 5:
Home and Community Care

When calling SCOPE to speak to a care coordinator following could occur:

  • The Care Coordinator will assist you with navigating home and community resources for your patient
  • The Care Coordinator will help you fulfill any urgent IV antibiotic/hydration/chemo disconnect needs
  • The Care Coordinator will help you facilitate urgent allied support for your patient (nursing, physiotherapy, occupational therapy, social work, and personal support care)
  • Referral Form:

Why Is It Needed?

In Ontario, there are roughly 7,800 PCPs that do not have access to a multidisciplinary team. Often PCPs face difficulty navigating and connecting their patients with complex chronic conditions to the resources they require. Time spent navigating the system means that PCPs unaffiliated with teams have less support to provide direct clinical care and patients wait longer for the resources they need.

 

Reminder: Expectations for Physicians

The SCOPE Physician Advisory Council (PAC) developed the following expectations for physicians, to ensure that the program continues to operate smoothly:

  1. All investigations or interventions that have been ordered by the SCOPE primary care provider (PCP) are the responsibility of the SCOPE PCP to review and follow up in a timely fashion directly with their patient.
  2. Although the SCOPE PCP will have expedited access to specialist consults either physician to physician or otherwise, any follow up that is necessary from these interactions will be the responsibility of the SCOPE PCP.
  3. All faxed referrals to any SCOPE pathway service must be followed by a phone call by the PCP to the appropriate SCOPE service.

The SCOPE model connects primary care providers (PCPs) to specialists and other care providers to provide urgent access to advice for their patients. Urgent is defined as a plan of care for the patient needs to be determined within 48 hours, with the exception of Home and Community Care Coordination, where urgent is defined as within 4 hours OR services required by 8pm the next business day. Using a central phone number, the SCOPE model connects providers to interprofessional advice/resources.


The first SCOPE program was launched in 2012 by Women’s College Hospital and University Health Network with funding from the Toronto Central LHIN, led by Dr. Pauline Pariser.

Join the Central West SCOPE program:

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All physicians must be members of the CW OHT to access SCOPE. You can join the CW OHT when you register for SCOPE.

SCOPE Team

Emily Cichonski
SCOPE Program Manager
Dr. Tanya Sehgal
SCOPE Primary Care Lead
Dr Seghal Portrait
Sandra Agyemang
Nurse Navigator