
Ресурсы
If you’re supporting patients with COPD and/or CHF, especially those recently diagnosed or post-hospital discharge, the NYTHP Chronic Disease Management (CDM) Hub is here to help.
By referring to the CDM Hub, your patients gain access to:
Clinical support provided by a team that includes a Registered Nurse, Nurse Practitioner, and Social Worker.
Services may include:
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Medication optimization, diagnostic test ordering, and ongoing monitoring.
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Education and coaching on disease management, behaviour change, and treatment plans.
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Care coordination through personalized care plans, regular follow-ups, and referrals to community resources (e.g., exercise and recreational programs) and other health-related services (e.g., smoking cessation and cardiac rehabilitation).
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Social support and system navigation, including access to income or housing services, and drug coverage advocacy.
Ресурсы для поставщиков медицинских услуг
Мы — бесплатная мобильная клиника в Норт-Йорке, которая обеспечивает легкий доступ к медицинской помощи людям, страдающим или подверженным риску возникновения определенных хронических заболеваний.
Для получения дополнительной информации свяжитесь с нами по адресу cdmhub@nygh.on.ca или позвоните на горячую линию для пожилых людей Северного Йорка по телефону (416) 447-5200.

Clinic details:
East North York
Flemingdon Health Centre (Fairview Site)
5 Fairview Mall Drive, Suite 359
North York, M2J 2Z1
Tuesdays and Fridays from 9:00 a.m. to 4:00 p.m.
The clinic is by appointment-only.
Contact the team at (437) 562-3847 or email cdmhub@nygh.on.ca if you have any questions.
How to refer
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Fax a completed referral form to us at 1-833-665-5140
OR
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Have your patient fill out a self-referral form at www.northyorkcdmhub.ca