Oakville Health Link
“The care coordinator was succinct and organized, allowing me to be more efficient during the visit…what would have been a minimum of a 40 minute visit with this patient was thoroughly addressed in 10 minutes. The patient had the time she needed to be heard, had clear goals and we had a collective next step plan in place by the end, which is great.”
– Dr. Mira Backo-Shannon
Oakville Health Link is designed to provide better coordinated care through a team of health care professionals built around the patient. By developing coordinated care plans with a team across their continuum of care, patients will have more intensive care coordination, a more integrated experience and be guided through the system.
A typical patient has multiple complex medical conditions, may have mental health and/or complex social needs, may visit the ER frequently, and/or have long hospital stays and may repeatedly be contacting their physician’s office.
Anyone can refer to Oakville Health Link. If you think you know someone who fits the Health Link model, print and fill out the referral form and fax to 905-855-8989 or call 905-855-9090.
When the referral form is received, an assigned care coordinator will work with the primary care provider, the patient, and other care providers to develop an individualized plan.
We work with many partner organizations to make this Patients First Action Plan for Health Care initiative work for everyone. Our partners include:
Canadian Mental Health Association
Canadian Red Cross
Centre for Complex Diabetes Care – Halton site
Halton Health Services – Oakville Trafalgar Memorial Hospital
Halton Poverty Roundtable
Halton Region Paramedic Services
Halton Region Police Services
Halton Region Services for Seniors
Hope Place Centres
Independent Living Halton
Kerr Street Mission – Restore Program
March of Dimes Canada
Mississauga Halton Local Health Integration Network
Nucleus Independent Living
OakMed Family Health Team
Oakpark Neighbourhood Centre
Oakville Senior Citizens Residence
Palliative Care Rounds
Sheridan College Centre for elder Research