A Nurse Practitioner led home visiting program to provide episodic care to support NYFHT patients (residing in the North York region) who may be experiencing:
- Mobility issues due to frailty
- Recent discharge from hospital
- Social determinants i.e. accessible transportation
The NP visits the patient’s home to assess, order appropriate testing, prescribe medication and navigate patients to applicable FHT and community resources as needed. The NP collaborates with the patient’s Family Physician to maintain continuity of care.