Description: This presentation will describe the Connect 2 Care program in Calgary, which is a novel community-based partnership between Calgary Urban Project Society and Calgary Alpha House. This intervention targets vulnerable individuals with high acute care use with health care navigation and intensive case management to improve health outcomes and reduce systems use.
- To describe system barriers faced by individuals living in poverty to access health and social supports.
- To describe the Connect 2 Care program as a collaborative community and acute care partnership to target complex individuals with high acute care utilization
- To present early outcomes data of the evaluation taken from qualitative interviews and administrative data.
- A collaborative approach involving community partners is needed to improve health outcomes and reduce emergency department visits.
- Vulnerable persons need a patient-centred approach to care that addresses the social determinants of health.
- Connect 2 Care is a novel intervention in Calgary that bridges transitions of care between hospital and community for complex individuals.
Biography: Dr. Nguyen is an inner city Family Physician and Health Director at Calgary Urban Project Society (CUPS), which provides health, housing and early education services to Calgarians living in poverty. She has an interest in improving population health outcomes for medically and socially complex individuals through care collaborations.
Biography: Dr. Kerry McBrien is an Assistant Professor in the Departments of Family Medicine and Community Health Sciences at the University of Calgary. Her research focuses on the development and evaluation of models of care that can improve quality and efficiency of care for complex patients.