Integrated Care for Patients with Complex Health Conditions - Health Links Model of Care

Coordinating all the services and supports that a person with multiple health conditions requires. That’s the idea behind the Health Links approach.

The patient's primary care provider, home and community care organizations, specialists and other community partners – as well as the patient and caregivers – work with a care coordinator. Together, they develop one coordinated care plan that focuses on the patient’s goals and what is important to them.

The goal is to improve the quality of care and the health care experience for those who use the health system the most - and the Integrated Coordinated Care Management approach reduces unnecessary hospital admissions and emergency department visits.

  

Learn more about Coordinated Care Management (Health Links)

Watch Health Links - Carl's Story from Hamilton Health Sciences.