Implementation and challenges
The partnership between Own Health and MAOHT iterated over a six month period and is an ongoing effort. The key stakeholders involved in this collaboration include Huntsville Memorial Hospital, Bracebridge Hospital, Paramed (home care clinic), Closing the Gap (home care clinic), SCOPE+, and the MAOHT.
The work has been conducted in several phases, starting with the SCOPE program's initiation, later expanding to provide coverage for inpatients. Solutions were sought to address service gaps, including issues related to footwear, medical optimization, debridement of low-risk wounds, and major amputations, with the recruitment of local providers to build a distributed network of care.
Operational adjustments were crucial during this process, particularly concerning the logistics of day transfers for patients requiring surgical interventions and other tertiary specialist care. Additionally, innovative approaches were developed to facilitate the transportation of patients in the community, including the use of virtual ER beds that allowed patients to utilize ambulance services for transport to and from their care destinations. This has been especially important for patients who might otherwise face barriers to accessing necessary healthcare services due to financial and transport constraints