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Champlain Complex Care Program

Since 2009, the Champlain Complex Care Program has been collaboratively working with hospital and community partners to provide family centered care and care coordination to children and youth who are medically complex, fragile and technology dependent. Based on their specific needs, each child/youth will be assigned to a Family Coordinator and Most Responsible Physician (hospital or community based). This team will provide medical support to the child/youth and family by:

  • Identifying the team members required for the care of each child/youth (e.g. specialists, therapists, nursing/home support)
  • Coordinating your child/youth’s medical needs (e.g. emergency department visits, during an admission, discharge)
  • Helping you navigate the health care system and improve access to care (e.g. between and among specialists, between and among community based care)
  • Providing comprehensive medical care for your child/youth
  • Monitoring the progress of your child/youth's medical condition

Program Information

Families who participated in the Pilot Project indicate that the program has:

  • Improved coordination of care for their family
  • Reduced preventable hospital visits/reduced length of stay in hospital and visits to emergency department
  • Reduced the amount of time they spend trying to communicate with the right person

Video

Watch this video to hear what families had to say about the Complex Care Program one year after it was piloted.

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In the media

May 2014 in Ottawa Magazine - LOST IN TRANSITION: Transitioning from the pediatric to adult health care system

Partner Organizations

Health Care Connect

Health Care Connect helps people without a family health care provider find one. You may want to consider registering for the program if:

  • You are actively looking for a regular provider for ongoing family health care needs;
  • You have a valid OHIP card, and
  • You are not currently enrolled with a family health care provider according to Ministry of Health and Long-Term Care records (i.e. you have not signed a Ministry enrolment and consent form)

To register with the program call 1-800-445-1822. You will need a pen, some paper and your OHIP card when you call Health Care Connect You can also register for Health Care Connect online by entering your information at www.ontario.ca/healthcareconnect

  

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