We've Got You Covered

Assisting patients and their families move through the healthcare system as smoothly and as quickly as possible in order to gain access to the most appropriate and timely care avoiding long wait times and repeated tests or treatments.

Diagnosis Review

Your diagnosis should be supported by sufficient evidence obtained from a complete and rigorous diagnostic work-up. A second opinion is recommended to confirm the diagnosis. Additional diagnostic tests may be suggested.

Personal Health Portfolio

A personal health portfolio (PHP) is a powerful tool that lets you make the most of your health information. If you’re like most people, you visit multiple doctors, undergo different tests, and visit several pharmacies. Keeping track of it all is a challenge.

With a personal health portfolio, you can gather and manage all that information in one easily accessible location. A PHP is secure and can be made available instantly. It helps providers get the information they need to treat you in an emergency, help you avoid duplicate procedures or tests, and reduce the risk of medical errors.

We create a PHP for you. The information it contains is up to you. Examples of what can be included are:

  • An address book containing contact information for all of your past doctors and pro
  • Your medical history including all procedures and hospital visits
  • All past and current diagnostic results
  • A list of all medications you currently take or have taken in the past
  • Current health status
  • In case of emergency (ICE) information and instructions
  • Your Health Goals and objectives

Comprehensive Care Plan

Also known as a care management plan, collaborative care plan, or patient-centred plan, a comprehensive care plan is the road map that allows you to anticipate and prepare for changes or next steps in your care rather than being surprised and feeling unprepared.

It helps you make good decisions ahead of time by clearly defining your goals and objectives as well as your preferences and parameters.

The comprehensive care plan is developed collaboratively between you, significant others, and your treating clinicians.

Coordination of Integrated Care

Coordinated care is also known as integrated care and refers to bringing together fragmented services, providers, and information in a way that facilitates communication and collaboration around you.

Make certain your doctors are speaking to each other about you care

Schedule appointments with doctors/specialist or ancillary providers

Help with referral process to access other ancillary services like home health care, equipment, medical supplies, or outpatient rehab.

Assisted living and nursing home recommendations.

Coordination with social workers, nursing home or assisted living administrators

Prepare patient/client for an inpatient hospitalization admission for medical or surgical needs

Liaison with family members

Discharge planning and coordination of home care

In-Person Support

Help you make the most out of each visit with your doctor. We’ll prepare questions and or accompany you to interpret what your doctor tells you and to speak on your behalf when necessary and appropriate.

In-person support can also include:



Therapeutic Education

In contemporary health care, patient education is a patient’s right and a health care provider’s responsibility.

Knowledge about one’s disease or condition is in and of itself therapeutic and leads to overall better health outcomes. For example, evidence shows that patients who better understand their pain, and what pain truly is, experience less pain, have less fear, move better, exercise more and can regain hope.

Low health literacy compromises patient safety, quality health care, and desired health outcomes. Specifically, low health literacy is associated with decreased knowledge of one’s medical condition, poor medication recall, non-adherence to treatment plans, poor self-care behaviors, compromised physical and mental health, greater risk of hospitalization, and increased mortality.

Medication Management

Medications are a big part of most any treatment plan. When interviewed, most people think they do not need any help with remembering to take medications. In studies, however, it turns out that about half of those taking medications fail to take them as prescribed and frequently forget doses altogether. In the senior population, non-adherence is even higher ranging from 50-75%.

Non-adherence is just one potential issue to be aware of when taking medication

Others Include:

We address each of these beginning with helping you to learn about your medications – what each pill does, its name, and what it looks like. We add prescriptions tracking and usage history to your personal health record and teach you how to keep it updated.

  • Correct dosing

  • Prescriptions filled correctly

  • Prescribed medicines with dangerous interactions

  • Knowing how to take your medications

  • Storage and expiration dates

Advanced Care Plan

Why is an Advanced Care Plan a good idea?

Advanced Careplans are your way of planning ahead. Creating a Careplan, when you are well enough to comprehend what your future could possibly hold, is the ideal time. Only you know what you want, and only you can ensure your wishes are known by the people in, and out of your circle.

In a medical emergency, or any other circumstance that leaves you unable to communicate, your Advanced Careplan (Advanced Care Directive) will assert your right to choose what you want, or don’t want when it applies to your medical treatment and care. It helps those responsible for your care create a plan of care that is suitable to your ideas. It also assists your family and close friends in knowing and understanding your wishes, therefore enabling them to support you as you receive the care that you’ve chosen.

Having an Advanced Careplan is not a legal obligation. However, if you do not have one, and a medical situation arises in which your wishes are not known, you may be subjected to treatments and life-prolonging measures that you would not want. In the same way, you may have a specific condition that you do not want treated in it’s fullness. If a medical professional is not aware of your wishes, these treatments will be initiated out of due diligence.

There are a number of medical procedures, called interventions, which can prolong life and delay death. These could include mechanical ventilation, tube feeding, intravenous fluids or other treatments. It is important to think about your wishes for these types of medical procedures. You may approve of some, and not others. It is important to specify when, and in what circumstances your approval of such interventions lie.

You may also have other wishes related to your care at the end of life – such as specific spiritual rituals you may want to have performed, or having music playing.

One of our healthcare professionals would be happy to assist you with creating an Advanced Care Plan to ensure it is customized to your wishes. Contact us today for a free consultation.