December 3, 2018
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Health with Dignity is an initiative of Access Alliance designed to help people in the communities we serve better navigate the health system and enhance self-management.

Health with Dignity is delivered by a multi-disciplinary team: nurse manager, registered nurse, occupational therapist and medical secretary. Together the team provides:

  • Primary care services – Conducting health assessments, needs identification, care planning and primary care/chronic disease management
  • Health care coordination and navigation – Facilitating referrals and linkages to primary care providers and to community resources that address the broader determinants of health (e.g., employment, legal, housing, etc.)
  • Client education and support – Increasing client’s capacity (e.g., understanding, knowledge, skills and confidence) to set health care goals and better use available health and community resources
final logo_july 27_ Health with Dignity is an initiative funded by Green Shield Canada

Health with Dignity works with vulnerable people who experience the following challenges:

  • Uninsured and/or underinsured – without access to health care benefits such as dental, vision and prescription medications
  • Limited or no access to formal health system supports or services (e.g., a person who does not have a case manager or a coordinated care plan)
  • High dependency on others to navigate care needs
  • Significant history of fragmented health care
  • Chronic disease(s) or complex care issues and needs
  • Low level of health literacy

Health with Dignity is a program for people who wish to work collaboratively with a Health Coach in order to set goals that will improve their knowledge, skills and confidence and their experience with the health care system.

**Clients are currently referred to a HWD Health Coach by providers at Access Alliance and/or through the Solo Practitioner in Need (SPIN) Program

Do you know what Health Coaching is?

"The practice of guiding clients to actively engage in taking charge of their own health."

How does Health with Dignity work?

Health with Dignity is a designed to enhance and strengthen the capacity of our primary care partners across Toronto to support their vulnerable clients with complex health care needs.

Primary care providers can access HWD to secure resources for vulnerable clients who would benefit from system navigation and self-management support.

HWD Diagram

Access Alliance Primary Care Clients

  • Clients are referred to the Health with Dignity team
  • HWD team members provider primary care case management; systems navigation; self-management

NIWIC – Non-insured Walk-in Clinic

  • Non-insured/non-status patients with no Primary Care Provider
  • Care provided without an appointment
  • Clinic is Nurse Led
  • NIWIC provides referrals to other CHC’s for Chronic Conditions

SPiN – Social Practitioners in Need

    • Medically and socially complex patients connected to solo Primary Care Practitioners (PCPs)
    • Solo PCPs refer complex clients to a central intake system at Access Alliance
    • Connection to social, developmental and supportive services at 6 CHCs

RED – Emergency Department Refferals

  • UHN vulnerable Emergency Department (ED) patients without a PCP
  • Attachment to PCP from UHN Emergency Department
  • RED facilitates crisis control and continuity of care

Contact Us

For more information about the Health with Dignity program please contact

Julia Murphy, Acting Manager, Nursing and Primary Care Initiatives, jmurphy@accessalliance.ca

TESTIMONIALS

Patient-centred approach

They never try to impose anything on me. They always listen to my concerns with care… with time.. showed me what’s available”

“It was impossible to find out where to go…I didn’t have any money.. they checked.. came up with many solutions.. I didn’t expect…asked me which one to take…”

Social Support

“I was in pain, living on pain medicine.. They gave me contact information that I was needing. They followed up on very needed services like physiotherapy and dental. They referred to the right places. Physiotherapy was near my apartment area….I couldn’t make those connections by myself.. No way.”

Appropriate referrals

“I was in pain, living on pain medicine.. They gave me contact information that I was needing. They followed up on very needed services like physiotherapy and dental. They referred to the right places. Physiotherapy was near my apartment area….I couldn’t make those connections by myself.. No way.”

“At that time I was basically homeless, hopeless and I was pregnant. I came here and she referred me to shelter home, and food bank to buy food at low cost, clothing bank for baby clothing, pregnancy program.”

Navigation Knowledge

“I don’t need Access Alliance to make any appointments for me anymore. I can call and do that.. I improved English, so it’s easier for me to recognize…TTC, emergency…”

PRESS

Program for uninsured goes far beyond health care

As part of program at Access Alliance community health centre, vulnerable patients are assigned health coaches, who can them with problems involving such things as housing and immigration.

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