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SCOPE Newsletter

(416) 603-6418

Fax: 416-603-5303
The SCOPE Community is Growing Again

SCOPE is expanding to offer access to hospital-linked services to physicians in the St. Joseph’s Health Centre region. This will, over time, open up access to new resources and specialists in another geographic region to all SCOPE physicians. SCOPE continues to be a valued program for our community physicians, as well as UHN, WCH, Sinai Health System, and CCAC leadership. 

If you have any questions or concerns about the expansion, please visit our website or email us.
Welcome Poonam Sehmbi, Telemedicine IMPACT Plus (TIP) Nurse

We would like to welcome Poonam Sehmbi to the SCOPE team as our dedicated Telemedicine IMPACT Plus (TIP) Nurse.

Poonam has been working with UHN since she graduated from the York University School of Nursing in 2012. Prior to TIP, Poonam was a member of the UHN Nursing Resource Team (NRT), working in a wide variety of medical and surgical units including Gynecology, General Surgery, ENT, Thoracic Surgery and Cardiology. In her time with NRT, she also worked extensively within the Family Health Team at TWH. Poonam has always gravitated towards the primary care model and looks forward to working closely with family physicians and their patients!

TIP clinics are one-time inter-professional case consultations for primary care physicians and their complex patients to coordinate care planning and derive new solutions for addressing the patients’ chronic conditions. To refer your complex patients to TIP, please contact the SCOPE Nurse Navigator or email us.

TAPMI Provides Seamless Care for Ontario's Chronic Pain Patients

To help those suffering from pain better manage their condition and to streamline access to services, WCH, CAMH, SHS, SMH and the UHN have partnered to create the Toronto Academic Pain Medicine Institute (TAPMI). TAPMI offers central intake and triage as well as a wide variety of interdisciplinary provider options that are fully funded by OHIP. The hub of services for the network is an ambulatory multi-disciplinary centre located at WCH. Healthcare providers at the hub assess and triage pain patients to one of the partner sites, or to the multidisciplinary team at the hub, depending on the care required. Each site offers distinct specialization in aspects of pain management care that together make TAPMI a comprehensive chronic pain service. 

The specialized areas of care at each partner site include:

CAMH - The Inter-professional Pain and Addiction Recovery Clinic (IPARC) manages:
  • a wide-range of chronic pain conditions in individuals with substance use disorders, aberrant drug related behaviors and/or mental health issues
  • Program focus - promoting function and empowering self-management
Wasser Pain Management Centre at MSH - Specializes in treating the following conditions:
  • widespread musculoskeletal and neuropathic pain
  • craniofacial pain
  • chronic headache
  • pelvic genital/abdominal pain programs for men and women
SMH - Includes:
  • existing interventional pain program
  • a minimally invasive neuromodulation program for the treatment of chronic intractable pain when patients have failed to achieve relief with other interventions; benefits of neuromodulation include improved functional capability, health related quality of life and reduced demand for health-care resources
UHN - The Chronic Integrated Pain Program (CIPP) provides:
  • support to patients with chronic musculoskeletal disorders and neuropathic pain
  • seniors with cognitive impairment or affective disorders
  • treatment options for post-surgery and hospital discharge.
WCH – WCH is developing a centralized, coordinated interventional cancer pain management program for patients with refractory malignant pain. The TAPMI Hub multi-disciplinary team of health care providers include physicians, nurses, psychologists, physiotherapists, social workers and pharmacists.

To refer your patients:
Visit the TAPMI website (, download the referral form, and fax it to TAPMI along with all relevant medical information,
Contact the SCOPE Nurse Navigator.

TAPMI will help triage patients to the appropriate site and while waiting patients will have access to the inter-disciplinary team at WCH to start addressing pain management.  
Event Recap: Expanding Access to Pain Management & General Surgery

February 8, 2017: 34 SCOPE physicians attended a CME event hosted at Women’s College Hospital, obtained Mainpro-C credits and highly rated the value of the event.

What they heard: Dr. Tania Di Renna and the TAPMI team provided an overview of the new service, the referral process and a presentation on the management and effects of prescription opioids.

Dr. David Urbach, WCH Surgeon-in-Chief, highlighted new initiatives and services that will soon be introduced at WCH’s Department of Surgery, including:
  • General surgery (hernia and gall bladder surgery)
  • Plastics (outpatient breast reconstruction)
  • Orthopedic (sports medicine) programs
Following the presentations, the discussion addressed health care gaps and barriers to services that are difficult to access in the community. Feedback will be reviewed and future SCOPE events will focus on some of these services.

At the event physicians found the following reminder list a useful way to expand their knowledge and use of SCOPE services. Please email us if you require any further information.

Top 10 Ways to Use SCOPE

10. Did you know lists resources, referral forms, and archives of all educational events? 

9. Did you know that e-consult is a billable service that can help you get advice from a range of specialists and only takes 10 minutes to sign on? 

8. Did you know that for any complex patient you can have the CCAC prepare a Coordinated Care Plan for you and the patient? They can also let you know if a plan has already been completed by a CCAC Coordinator and send a copy to you?

7. Did you know that you can send patients for nuclear medicine tests, ultrasounds and x-rays without an appointment? All that’s needed is a requisition to JDMI where you include you are a SCOPE MD! 

6. Did you know that any patient who keeps you up at night can have access to an inter-professional team and case consultation you can bill for and a nurse to help manage the recommended plan for up to 6 months? Refer to our TIP Nurses today! 

5. Did you know that if your patient is lost to follow up by calling the Nurse Navigator you can ensure they are lost no further? The Nurse Navigator is able to liaise with UHN clinics and specialists to assist in follow up concerns. 

4. Did you know the Internist is able to provide urgent assessments and work-up problems like atypical chest pain and syncope to avoid visits to the ED for your patients? 

3. Did you know that the RN Health Coaches can help support your marginalized patients through gaps in care such as being on a wait-list for community programs or juggling complex social issues? 

2. Did you know that you can speak to a Radiologist about which test is most appropriate for your patient, get a second opinion or expedite urgent imaging? 

1. Did you know that you can call the Internist for phone consultations on appropriate laboratory testing, as well as for general advice such as medication assistance or interpreting abnormal test results? 
Who Cares About Caregivers?

A new initiative named ENRICHES (Engagement to Reduce Isolation of Caregivers at Home and Enhancing Seniors), aimed at reducing social isolation among family caregivers who are 55+ in the Toronto area, is joining forces with SCOPE. The ENRICHES initiative offers a variety of programs around social engagement including: computer and social media literacy workshops, English speaking circles, couples group, ‘Living Life to the Fullest’ course, yoga, financial navigation, system navigation and helps connect caregivers 55+ who are experiencing social isolation to additional services as needed. In addition the initiative offers a set of free training workshops to professionals.

For more information visit: 

If you know a caregiver who is 55+, lives in Toronto (416 area), and might be experiencing social isolation, contact the SCOPE Nurse Navigator or CCAC Coordinator and ask them to connect you with ENRICHES. 

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SCOPE · Toronto Western Hospital, UHN · 399 Bathurst St., 13-MP-319 · Toronto, ON M5T 2S8 · Canada

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