About your team

How did you identify and decide the members of your team?

The G&A OHT partnership has evolved from many years of local collaboration.  With the advancement of OHTs, the Sub-Region Leadership Table very naturally evolved. After three levels of partnership were collaboratively developed, existing partners self-selected their level of partnership. We have representation from all partners that are required to care for our Year 1 populations …

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How have the members of your team worked together previously?

We have a successful history along the integration continuum and we will continue to include broad health and non-health sector (including municipalities, police, housing, fire etc.) partners to ensure the OHT addresses the comprehensive needs of ALL of our residents. A key example of how we have previously worked in a formal capacity to advance …

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How well does your team’s membership align to patient/provider referral networks?

Consistent with what we reported in Section 1.1, the degree of alignment between our current partnership and the provider networks revealed through analysis of patient flow and care patterns (i.e. the ICES methodology), is moderate.   In both our Expression of Interest and in this Full Submission, we are including partners who were previously included within …

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What is your team’s integrated care delivery capacity in Year 1?

Palliative The Year 1 population includes approximately 550 patients: 250 are patients currently on H&CC palliative caseload approximately 200 are patients with a diagnosis of a life limiting illness and are on a general H&CC caseload up to 100 other patients are currently on the G&A HL caseload and have been diagnosed with a life …

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