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Seamless Care Optimizing the Patient Experience (SCOPE) is a quality improvement collaborative offered in partnership by UHN, WCH, CCAC, and Toronto family physicians. The SCOPE service resembles a virtual family health team that facilitates greater access to hospital-based interdisciplinary resources and other specialist care. SCOPE aims to help reduce avoidable ED visits and hospital readmissions for complex patients in need.

In this Issue:
SCOPE Expansion
Events Recap
Transitional Pain Service
Patient Case Study: Imaging

(416) 603-6418

Fax: 416-603-5303

The SCOPE Community Just Got Bigger!

We are delighted to inform you that SCOPE research study is expanding. SCOPE continues to be a valued program for our community physicians as well as UHN, WCH, and CCAC leadership, and is happy to welcome 60 new physicians to the SCOPE family.

If you have enjoyed your experience working with SCOPE, please share this email with any primary care colleagues who are currently practicing in the Greater Downtown Toronto Area. Interested family physicians can review information about SCOPE and register on our website:

We look forward to continuing to work with you over the coming months to make the best possible version of SCOPE. If you have any questions or concerns about the expansion please email us at


Case Study Workshop on Managing Post-Surgical Pain and Substance Use Disorders
On April 28th, a SCOPE-exclusive, CME-accredited workshop was held on the primary care management of substance use disorders and post-surgical pain. The event was exceedingly well-received, with 92% of participants indicating that they will apply into practice the information learned. Dr. Hance Clark, Director of Clinical Pain Services and Medical Director of the Transitional Pain Service, introduced his new service offered through TGH to patients after major surgery to reduce chronic pain and pain disability. Drs. Mel Kahan and Sheryl Spithoff, addiction medicine specialists at WCH, followed with a case-study based discussion on prescribing opioids, marijuana, interventions for alcohol abstinence, as well as other solutions for managing different types of chronic pain. 

Princess Margaret Hospital Partners in Care - Surgical Oncology
On May 26th, 90 primary care physicians attended a CME event hosted by Princess Margaret Cancer Centre, UHN. The purpose of the session was to provide practical detection, surveillance, and management of oncology symptoms to improve patient outcomes. The surgical oncologist from Princess Margaret presented engaging topics related to bladder cancer, melanoma, oropharyngeal and colorectal cancers. This surgical event helps to further build oncology partnerships in the community and raise awareness across the cancer journey.  
New and Exclusive to SCOPE: Transitional Pain Service by Toronto General Hospital

Patient Case Study: SCOPE Option #4 - Medical Imaging

A young patient presented to his family physician's office with lower abdominal pain. The suspicion for appendicitis was low, but this was in the differential, and can be excluded with imaging. Instead of sending this patient to the ED, the family physician called SCOPE and pressed #4 to speak with an Imaging call centre agent who documented the call and connected the caller directly with the appropriate radiologist. Following a brief discussion of the patient's history and symptoms, the patient was triaged according to urgency. Same-day imaging was recommended to rule out appendicitis. The family physician submitted a completed requisition to Women's College Hospital. An ultrasound was done on the same-day and the report ready within a few hours. A visit to the ED was avoided.

For a same-day consultation with a radiologist, call SCOPE and choose option #4.

You can access the following services:
  1. Radiology Consult - feedback from a radiologist on JDMI imaging reports
  2. Appropriateness Consult - advice in selecting appropriate imaging through consultation with a radiologist
  3. Urgent Imaging - access to urgent imaging for patients with acute symptoms
  4. Urgent Reporting - creation of a radiologist's report when results are needed urgently
  5. General Informational Requests - answers to any and all questions about the medical imaging journey
Did you know?
Patients can access same-day imaging at Women's College Hospital.


Send your patient to Women’s College Hospital with a completed requisition  
Link: WCH Medical Imaging Requisition Form

Indicate “SCOPE SAME DAY” on the requisition

Medical Imaging is located on the 2nd floor at Women's College Hospital
76 Grenville Street, Toronto, ON M5S 1B2
Telephone: 416-323-7515
Fax: 416-323-6316

Walk-in Procedures:

Breast Imaging
Nuclear Medicine

Service Available:
Monday-Friday, 9:00am-4:00pm
What to Expect:

Patients may be required to wait 1-2 hours
Patients who require special preparation or prefer not to wait, will be
scheduled for a future appointment on-site


Subspecialized radiologists and technologist staff within each modality
Access to the state-of-the-art imaging technology
Quality initiatives such as Peer Review

Inter-professional Spine Assessment and Education Clinics (ISAEC)

The Inter-professional Spine Assessment and Education Clinics (ISAEC) will be opening enrollment to 100 Primary Care Providers in Toronto starting July 1st. ISAEC is an innovative MOHLTC funded low back pain model of care in which patients receive:
  • rapid low back pain assessment (less than two weeks)
  • education
  • evidence-based self-management plans
It is designed to prevent the prevalence of unmanageable chronic low back pain, reduce unnecessary diagnostic imaging as well as unnecessary specialist referral. To date, the program has been successful in decreasing MRI utilization by over 30% as well as documenting a significant reduction in the risk of chronicity for patients with low back pain while maintaining extremely high patient (99%) and primary care (97%) satisfaction rates. Accordingly, the MOHLTC has extended ISAEC's funding for another three years. As such, the program si seeking to expand the number of primary care providers it services in the Toronto region. As part of a joint collaboration with JDMI, ISAEC is offering SCOPE physicians initial access to the registration and onboarding.

If you are interested in being part of ISAEC, please obtain your referral privileges by completing a brief registration and onboarding module ( Referral privileges will be provided on a first come first serve basis.

For more information, please visit: