|
The
Centre for Complex Diabetes Care (CCDC) provides expert care
for patients experiencing complications related to diabetes.
While most patients usually manage quite well with standard
levels of care, the CCDC will provide shorter-term support
to patients with cumulative problems that require more intensive
measures. The Centre for Complex Diabetes Care will provide
individuals with a single point of access to specialized interprofessional
teams using a coordinated approach to diabetes management
and treatment.
Patients from across the region will access the CCDC through
a referral from their primary healthcare provider or specialist
and the CCDC team will work directly with an individual’s
primary care provider to ensure that comprehensive services
are provided. The program will support both in-patients and
out-patients. As blood sugar control is often disturbed during
periods of unrelated illnesses and hospitalization, the CCDC
will also offer expanded services for admitted patients.
The CCDC is located in two communities: Thunder Bay and Sioux
Lookout. Services in Thunder Bay will be provided at Thunder
Bay Regional Health Sciences Centre and St. Joseph’s
Care Group, while services will be provided to patients in
Sioux Lookout at the Sioux Lookout Meno Ya Win Health Centre.
Patient and Family Advisors will assist the health care professionals
to create a program that is responsive to the feedback that
our patients provide.
Levels of programs for the management of diabetes
- Level One (50% of diabetes population) means that
routine care is provided by a Family Care Provider
- Level Two (35% of diabetes population) patients
receive assisted care since abnormal glucose levels
may require some intervention but demonstrate no
continuing complications
- Level Three (15% of diabetes population) require
intensive case management of a patient.
|
The CCDC is different from other programs currently available
in that it will focus on the care of Level Three patients
only. Patients are discharged from the Program when there
has been a resolution to the condition and patients are able
to self-manage their conditions with support from a Level
1 or Level 2 Program.
While people with diabetes only make up a small percentage
of Ontario’s population, Northwestern Ontario has more
people suffering from the illness than the provincial average,
especially among the Aboriginal community. Complications of
the illness can also lead to other serious health issues.

The CCDC serves the largest land mass of the Province of
Ontario (47%) coupled with the smallest and most dispersed
population. In addition, the region has many small towns and
First Nations communities located throughout rural and remote
areas which makes planning, delivering and accessing health
services in these often difficult. This results in challenges
to health service delivery, including access to care, healthcare
human resources, the need for extensive travel, and higher
costs of care per capita.
Telemedicine plays a vital role in helping to overcome the
difficulties in delivering care to this large, sparsely populated
region. TBRHSC is the leading provider of Telemedicine in
Canada and strives to provide guidance and care “closer
to home.” Wherever possible, Telemedicine technologies
will be used to reduce the need for patients to leave their
home communities and access the services of the CCDC.
Teaching and learning opportunities will be provided for
students in various fields of healthcare. The Northern Ontario
School of Medicine is committed to a Patient Centred and Interprofessional
approach to student learning opportunities.
|