Coordinated Care Planning - Tools and Resources

Process Map and Tools

Step 1: Identification / Referral

  • Health Link Patient / Client Eligibility Checklist & Referral Information

Step 2: Assess Patient Goals, Needs and Care Team Members

  Step 3:  Care Conference

Local Program and Service Directories

North Simcoe Muskoka Healthline: http://www.nsmhealthline.ca/advancedSearch.aspx

Seniors Services Guide in Muskoka: http://elderabuseprevention.ca/downloads/resources/guide.pdf

211 District of Muskoka: http://www.communityconnection.ca/district-of-muskoka.news.61.html

Coming Soon: Step by Step Guides!

  • How to identify a patient who could benefit from a Coordinated Care Plan

  • How to organize a meeting of the care team and create a Coordinated Care Plan