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What is Health Links?

Welcome to the Couchiching Community Health Link!                   

Our goal is to transform the health system to better the health and care experience of patients all over. We believe we can decrease hospital admissions and emergency department visits among the most complex 5% of all patients.

The quality of provider-person and provider-provider relationships is what determines the quality of the health care experience and its impact. These relationships can be improved by embracing successes and failures as essential elements of the learning process, through conversations that invite thoughtful risk and avoid simplistic explanation.

What are Health Links?

A Health Link is a model of care provincially funded by the government to improve care at a “system level” for those living with chronic disease. The Health Links initiative has been designed to assist those who are living with chronic disease access the health care system more efficiently. This will be accomplished by:

  • Working with each patient to develop their own plan of care
  • Bringing health care providers together to discuss your plan and assist you in reaching your health care goals

How does Health Links work?

By putting patients at the centre of their care, health care providers can work together as a team to respond to patients' health issues more efficiently. The goal is to connect patients quickly to home care services, community supports and other health care specialists.

Why is it important to have a coordinated care plan?

When your health gets worse there is often a need for more doctors and other health care providers to become involved in your care. This can be confusing for you, your family, or care giver. Having a coordinated care plan requires all health care providers to:

  • Know all of your health information
  • Understand what is most important to you
  • Participate in discussions with you and the rest of your health care team about how best to achieve your goals

Who will help me plan my care?

The Health Link Clinical System Navigator will work with your family doctor to identify your health problems and treatment to help you plan your care. The Clinical System Navigator will meet with you individually to start the coordinated care plan. A team conference may take place which would include any health care providers that could support you in reaching your health goal.

What is my role?

Patients play an important role in their care. Your team will want to know what is most important to you. Consider:

  • What is most important to you right now?
  • What is important to you in the near future?
  • In the long term, you may also want to consider an advance care plan, in case you are no longer able to make care decisions.

1. Understand how to take care of your health conditions and what you can do to improve your health.
2. Know and understand who is involved in your care: what each person does and how to contact them.
3. Tell your health care team about any changes in your health so that your care team can help prevent your health from worsening.
4. Share your care plan with your care team on a regular basis to make sure it is kept up-to-date. If you see another care provider, share your care plan so that any changes are appropriate for your care.


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