Initiatives

Our Priority Populations

Frail Seniors

Older adults living with frailty need an integrated approach to healthcare so that their physical, mental, social and emotional needs are well met. This requires collaboration across many system partners and the Grey-Bruce OHT is well positioned to make a positive impact on the health of frail seniors in our communities.

Unattached Patients

With initiatives such as our Virtual Urgent Care Clinic, residents and visitors are able to avoid an emergency room visit and receive timely access to care.

Current Initiatives and Projects

Virtual Urgent Care Clinic

In its first year, the Virtual Urgent Care Clinic completed over 2,500 consultations and is on target to be able to serve approximately 400 patients per month and divert approximately 250 emergency department visits every month.

After receiving tremendous positive feedback from patients who have accessed this service, the Grey-Bruce OHT is working with local service providers and Ontario Health West system partners to develop a sustainable virtual-clinic model that works well for our communities.

Grey-Bruce OHT Hypercare Communication Project

Nine partner organizations are currently connected with the Grey-Bruce OHT Hypercare Communication project with 60 total users.

Partners involved in the project include: Bruce County, CarePartners, Grey Bruce Hospice, Grey County, Home & Community Care Support Services South West, Owen Sound Family Health Team, and Palliative Care Grey-Bruce.

Primary Palliative Care Remote Care Monitoring

This project is a new initiative between the Owen Sound Family Health Team and Grey-Bruce OHT partners. Patients receive an easy-to-use, encrypted tablet for remote care management that connects them with an integrated palliative care nurse navigator. The nurse supports patients, families and caregivers with symptom management advice, assists with decision-making, and offers care-planning guidance in a timely manner.

Over 50 patients have been enrolled in the Primary Palliative Care Remote Care Monitoring project since January 2023. Our goal is to extend this initiative to other Family Health Teams in Grey and Bruce counties so that more patients can benefit from this innovative approach to palliative care.

Supportive Outreach Service

The collaborative mobile SOS team, supported by nurse practitioners and physicians trained in addictions medicine, partner with healthcare and social service organizations to offer addictions care, comprehensive mental health care, COVID-19 response, crisis management, medical care, system and social services navigation.

SOS operates Monday to Thursday from 8:30 a.m. – 6:00 p.m. and can by contacted by telephone at 519-379-8743 or email at sos@cmhagb.org. Please note that messages are not reviewed 24/7.

To hear from SOS team members in the community, watch the SOS Helps video on YouTube.

Let’s Go Home

LEGHO provides hospitalized patients access to free community services for a short period of time to ensure a successful recovery period. The goals of the project are to reduce emergency department visits and decrease hospital re-admissions to the hospital.

A care planner assesses each client, links clients to the various services they may need and performs regular check-ins. In addition to care planning, all clients have access to transportation, Meals on Wheels and Home Help core services.