Trillium Health Partners

Last modified by Ann Watkins on 2016/03/31 23:21

Objective/Mandate/Goals

Provide coordination of care for health maintenance and management of acute health issues for our patients

Services/activities that help to meet the objectives

  • Weekly clinic in hospital with multidisciplinary team to manage health maintenance
  • Nurse practitioner that manages acute issues, 
  • Coordinator to manage child's many appointments 

Typical patient ( ie. diagnoses, age, technology)

  • Cerebral palsy
  • Epilepsy
  • g-tube feeds
  • Need for oxygen and suctioning at home and school

Inclusion criteria.

  • Medical Complexity
  • Technology dependent 
  • Chronic condition
  • Fragility Age 
  • Less than 16 years old
  • Lives in region 

Exclusion criteria.



Team constituent or organizational structure

  • Pediatrician
  • Nurse practitioner 
  • OT
  • Dietician
  • Social worker


Program funding

Part hospital Part grant from hospital for sick children 


Program evaluation

In progress


Clinical research


Tags:
Created by Lisa Stromquist on 2015/09/03 16:58