Ontario is improving care for seniors and others with complex conditions through Health Links.

Five per cent of patients account for two-thirds of health care costs. These are most often patients with multiple, complex conditions. This innovative approach brings together health care providers in a community to better and more quickly coordinate care for high-needs patients. When the hospital, the family doctor, the long-term care home, community organizations and others work as a team, the patient receives better, more coordinated care.

Each Health Link measures results and develops plans to ...

  • Improve access to family care for seniors and patients with complex conditions
  • Reduce avoidable emergency room visits
  • Reduce unnecessary re-admission to hospitals shortly after discharge
  • Reduce time for referral from primary care doctor to specialist appointment
  • Improve the patient’s experience during their journey through the health care system

With Health Links, providers design a care plan for each patient and work together with patients and their families to ensure they receive the care they need. For the patient it means they will :

  • Have an individualized, coordinated plan
  • Have care providers who ensure the plan is being followed
  • Have support to ensure they are taking the right medications
  • Have a care provider they can call who knows them, is familiar with their situation and can help.

Health Links are part of Ontario's Action Plan for Health Care, by delivering faster access and a stronger link to family health care, and providing the right care, at the right time, in the right place.

Health Links and the Central West LHIN

In 2013/14, the Central West LHIN played a key role in the collaborative design and implementation of Health Links, being one of the first of Ontario’s 14 LHINs to fully implement Health Links across the entire geographic area. Five local Health Links were created, each having adopted a common business plan and a standard model of care to ensure a consistent experience for patients and providers.  Health Links in the Central West LHIN include Bramalea and Area, Brampton and Area, Dufferin Area, North Etobicoke - Malton - West Woodbridge Area, and Bolton - Caledon Area.

Collaborative efforts resulted in the adoption of a common definition of “high-use” patients across the Central West LHIN, which has formed the basis for ongoing identification of candidates for the Health Links program. Health Links increases the effectiveness of primary care providers for high users and encourages greater collaboration between among service providers.

The Central West LHIN's five local Health Links...

Resources ...

Ministry of Health and Long-Term Care Website, Transforming Ontario's Health Care System

December 6, 2012 | Health Links Announcement, Ministry of Health and Long-Term Care (MOHLTC)

Central West LHIN

* Return