Michael Garron Hospital's Integrated Care Department brings together interdisciplinary teams across the hospital and community care settings to create programs that work as one. The Integrated Care team ensures that patients receive the right care, in the right place, at the right time. Our goal is to build a healthier and more equitable East Toronto.
Whether transitioning from hospital to home, managing chronic conditions or accessing community-based supports, the Integrated Care Department and its partners emphasize personalized care planning and shared decision-making to promote recovery, independence and long-term well-being.
We work with patients to make it easier for them to navigate the healthcare system and transition between healthcare providers and places where they receive care, making sure they don’t feel lost or unsupported.
Our partners include a number of organizations within East Toronto Health Partners Ontario Health Team (ETHP OHT), including: East Toronto Family Practice Network, Flemingdon Health Centre, VHA Home HealthCare, Spectrum Health Care, Closing the Gap Healthcare, WoodGreen Community Services and TNO – The Neighbourhood Organization.
We also work with Health Access Hubs in Thorncliffe Park and Taylor Massey to address the unique needs of the East Toronto community.
Our Integrated Care programs include supports for home care services, primary care services and outreach into long-term care homes. See below for more information on our programs.
MGH2Home is an enhanced care program that helps patients transition home safely when they leave MGH. Patients in this program are assigned a dedicated team of healthcare professionals who work collaboratively. By focusing care planning around the determinants of health, MGH2Home transitions patients who would otherwise remain in the hospital, aiming to improve population health in East Toronto. Prior to discharge, the care team collaborates with patients and care partners to create a transitional care plan covering medical, rehabilitation and social care needs. This plan continues into the community, adapting to the changing needs of each patient.
Anne Marie Wellington, Patient Transitions Flow Coordinator
Phone: 416-469-6580 ext. 2394
Email: @email
East Toronto Health Partners Ontario Health Team’s (ETHP OHT) Integrated Neighbourhood Home Care Program is an initiative in Thorncliffe Park and Taylor-Massey that aims to improve home care services for adults. Together, we are making home care even better and more connected for patients and healthcare providers in these vibrant communities. This project aligns with ETHP OHT’s mission of building a healthier and more equitable East Toronto.
Read more about the Integrated Neighbourhood Home Care Program.
Self-referral: Community Referral Form
Email: @email
Program goals
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You should refer residents who could benefit from:
Resources for families
Program goals
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Referral process:
