North York General Hospital is one of six centres across Ontario to have received funding from the Ontario Diabetes Strategy to host a Centre for Complex Diabetes Care (CCDC). The North York General CCDC is a regional program, servicing all of the Central Local Health Integration Network (LHIN).
Model of care
While most patients usually manage quite well with standard levels of care, the CCDC provides comprehensive care for patients with complex diabetes needs. Care is provided over a shorter term, is patient-centered, goal specific, and allows for frequent follow-up.
The CCDC assists with coordinating care among health care providers to maintain a patient's continuity of care and to avoid duplication of service.
Patients seen in the CCDC include adults 18 years of age and older who are experiencing one or more of the following:
Unmanaged diabetes complications
Comorbidities which impact glycemic control
Barriers in accessing health care: e.g., serious mental illness/poor mobility/frail elderly
Recurrent hospitalization/emergency room visits
Complexities requiring case management
Patients may be managed on either oral medications, insulin, or both.
To enhance access for patients to the CCDC across the Central LHIN, innovative health care delivery systems such as Ontario Telehealth Network will be used.
The team consists of the following experienced registered professionals:
The CCDC staff have extensive diabetes knowledge with over 90 years of combined experience within the field of diabetes care.
As patients meet their goals and their condition stabilizes, they are transitioned to an alternate level of care such as a Diabetes Education Centre. The CCDC team works directly with an individual's primary care provider to ensure continuity of care and a coordinated approach to diabetes management and treatment.
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