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Adapting Our SCOPE: Lessons Learned from Spreading and Scaling Efforts to Integrate Care.

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Seamless Care Optimizing the Patient Experience (SCOPE) successfully expanded primary care support across Ontario. This initiative provides vital navigation and resource access for primary care providers (PCPs) and patients, demonstrating adaptability and success in diverse settings.

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Area of Science:

  • Healthcare delivery innovation
  • Primary care enhancement
  • Health system integration

Background:

  • The Seamless Care Optimizing the Patient Experience (SCOPE) program was established in 2012 to aid primary care in downtown Toronto.
  • It offered live navigation and rapid access to acute and community care resources for primary care providers (PCPs) and their patients.

Purpose of the Study:

  • To evaluate the ten-year impact and scalability of the SCOPE program.
  • To understand the factors contributing to its successful spread across various healthcare settings in Ontario.

Main Methods:

  • Longitudinal program analysis tracking PCP sign-ups and interaction volumes.
  • Case study approach examining SCOPE's adaptation in diverse Ontario Health Teams (OHTs).

Main Results:

  • Over 1,800 PCPs across Ontario have adopted SCOPE.
  • More than 48,000 interactions (e-mail, fax, phone, secure messaging) have been facilitated.
  • SCOPE demonstrated successful adaptation in under-resourced, small urban, and rural OHTs.

Conclusions:

  • SCOPE has proven effective in supporting primary care providers and enhancing patient access to care across Ontario.
  • Key success factors include strong PCP engagement, strategic change management, and program flexibility to meet local needs.
  • The program's adaptability highlights its potential for broader implementation in diverse healthcare environments.