Southlake’s Medicine program focuses on the prevention, diagnosis and treatment of adult diseases and illnesses. More than 76,000 complex care, critical care and patients needing immediate attention are treated every year at Southlake. Even when you no longer need hospital medical treatments, tests and procedures, our Medicine team will assist you with your transfer to home care through our Southlake@home program.
Depending on the care needed for you as prescribed by your physician, Southlake’s medicine clinics offer a large array of support, including: The Arthritis Program, Clinical Telemedicine Program, Diabetes Education Centre, Geriatric Outreach Team, Health Coach Team, Medicine Clinics, Nurse-Led Outreach Team (to long-term care facilities), Outpatient Respiratory Services, Community Resources, and Telehomecare (Ontario Telehealth Network).
It’s important to note if you are admitted to Southlake you may be transferred to one of our Restorative Care Units, where you will receive specialized, restorative care from a dedicated team of health professionals who will know you and your care needs. Your care team on this unit will focus on your specific needs and goals, while working to foster your independence and optimize your remaining strengths and abilities. For more information about these units, click here to view the brochure.
Inspiring patients to manage their own health at home
Once you are discharged from the hospital, there are many programs offered at Southlake and in the community to help keep you healthy at home.
Clinical Telemedicine Program
The Telemedicine session is like a regular appointment, except the physician or healthcare provider is in one location and the patient is in a separate location and connected by video. The patient can only be seen and heard by those directly involved in the appointment at both locations. The nurse, at the request of the physician, can perform any assessments that are needed during the videoconference.
The following telemedicine services are offered at Southlake:
Patients can have their skin condition reviewed by a dermatologist over the Telemedicine network without having to travel to a specialist.
Contact us at 905-895-4521, ext. 6027 or ext. 6667 for more information.
Patient Education Classes
The following telemedicine classes are offered at Southlake:
We are continuously working with our partners to champion new networks of care. As part of this work, Southlake’s virtual Otn.telehomecare program provides patients with the tools to be able to manage their own health and stay well at home. Otn.telehomecare is designed to improve care for patients with chronic health conditions.
The Otn.telehomecare program is open to any patient with a diagnosis of chronic health, who is willing and capable of partnering in their own healthcare to learn self-management tools for their disease.
The Geriatric Outreach Team at Southlake is a team of healthcare professionals including geriatricians, physiotherapists, occupational therapists, social workers, registered nurses and clinical leaders who specialize in the care of seniors living in the community.
Assessments made within your home care provided by healthcare professionals who specialize in geriatric medicine and senior-friendly care.
Referrals and Eligibility Information
Referrals for the Geriatric Outreach Team are accepted from family physicians, healthcare providers, community agencies, friends and family members, self-referral, Southlake, or another hospital.
In order to be eligible, patients must:
Possess a valid Ontario Health Card or have the ability to pay privately.
Be 60 years of age or older.
Live within the area serviced by the Southlake Geriatric Team.
Be experiencing multiple health problems that would benefit from an in-home assessment such as:
multiple medication issues
difficulty managing day-to-day living
ongoing medical problems (incontinence, pain, depression/anxiety)
The Nurse-Led Outreach Team at Southlake provides timely care to residents of long-term care homes that otherwise might have been sent to hospital. Clinical nurse specialists and nurse practitioners collaborate with residents, families, and long-term care teams to reduce avoidable transfers to the emergency department. They can provide telephone consultation, scheduled visits, assessments and more.
The following long-term care homes are supported by this program:
For more information on the program, call 905-895-4521, ext. 6317, or fax 905-853-2222
Medicine Outreach Programs
Health Coach Teams
Health Coach Teams at Southlake consist of Registered Nurses and health coaches who offer support to help manage your chronic illnesses. Health coaches meet with clients at Southlake’s Tannery Mall location (465 Davis Drive, Newmarket, Ontario) or in the comfort of the client’s own home.
You may make a referral to see a health coach. Alternatively, a family member or your care team can make a referral for you.
Southlake’s RN health coaches do not replace a diabetes nurse educator, registered dietitian, social worker or other healthcare professional. This program is in partnership with York University and the University Health Network. For more information call 905-895-4521, ext. 5615 or ext. 5616.
Outpatient Respiratory Services and Community Resources
Southlake offers its patients an independent exercise assessment through its Pulmonary Function Lab. If you are a patient with an acute respiratory condition, you can be seen at Southlake’s Urgent Medicine Clinic.
As part of Southlake’s commitment to coordinating better care, several resources are available both in the community and online to patients with respiratory conditions.
A physician’s referral may be required for some services and resources. For more information or to register, please call 905-895-4521, ext. 6734.
Community and Online Resources
Southlake’s Action 4 Life
The “Action 4 Life” group session is a four-week program focused on cardiovascular, muscular and flexibility exercises.
Chronic Disease Exercise Program
Offered by the Town of Newmarket, this program offers a general exercise class addressing cardiovascular fitness, strength and flexibility. A physician’s referral is required. Please call the Newmarket Seniors Meeting Place at 905-953-5325.
Southlake’s Geriatric Assessment Clinic (GAT) investigates and manages the cognitive and behavioural irregularities for patients 65 years of age or older. GAT professionals include nurse specialists, occupational therapists, and clinical pharmacists that work together in order to help support and educate our patients, caregivers and families.
The Geriatric Outreach Team at Southlake is a team of healthcare professionals who specialize in the care of seniors living in the community. Our healthcare team works together to promote independence and vitality for seniors through assessment, consultation, collaboration and support. The goal is optimize the health and wellness of frail seniors living in the community.
The Geriatric Outreach Team at Southlake includes the following interprofessional team members:
In-Home Assessments are provided by healthcare professionals who specialize in geriatric medicine and senior-friendly care. The assessments are available to frail and house-bound seniors who may not be well enough to come to a clinic.
Referrals are accepted from:
Family members, self referral or friend
Must possess a valid Ontario Health Card or have the ability to pay privately
Be 60 years of age or older
Live within the area serviced by the Southlake Geriatric Team
Be experiencing multiple health problems that would benefit from an In-Home Assessment such as:
multiple medication issues
difficulty managing day-to-day living
ongoing medical problems (incontinence, pain, depression/anxiety)
The Health Coach team at Southlake consists of Registered Nurse (RN) Health Coaches who offer support to help manage your chronic illness. They will partner with you to explore your personal experiences and values which influence your self-management and promote health and wellness.
Health Coaches meet with clients in a clinic at the Tannery Mall or in the comfort of the clients own home.
The RN Health Coaches:
Listen to a patients’ stories and experiences
Create a supportive and judgment-free environment
Help focus on the patients priorities and goals
Help patients to navigate the Health System and available resources
Understand the challenges of living with chronic illness and the impact of those challenges on a patient’s self management.
RN Health Coaches can help patients to explore the “first steps” to meeting these goals. They understand that people live their lives differently and experience different challenges while trying to balance life and management of their health challenges.
Referrals are easy to make and can be made by any member of a Healthcare Team, the patient themselves, or family members.
Referrals can be made for individuals who:
are living with a chronic illness (diabetes, heart disease, lung disease, arthritis)
are experiencing frustration with balancing daily living and managing illness
have been labeled “non-compliant”
are frequently admitted to the Emergency Department or Hospital
are willing to meet with or be contacted by RN Health Coach
have a family member with a chronic illness or provide care for patients with a chronic illness
RN Health Coaches do not replace a Diabetes Nurse Educator, Registered Dietitian, Social Worker or other Healthcare Professional. Rather, RN Health Coaches compliment your health care.
The Arthritis Program (TAP) at Southlake is regional program consisting of award-winning team of professionals committed to delivering the highest standards in your arthritis care. TAP provides the assessment, treatment and education of individuals of all ages who are diagnosed with or experiencing symptoms of arthritis. With over 130 different forms of arthritis, TAP is committed to not just your treatment but important areas of arthritis research.
Education and Therapeutic Education Programs
The following programs are offered through TAP:
Working with your healthcare team, you will learn how to successfully self-manage your illnesses and thereby reduce the impact of arthritis symptoms in your life. Your healthcare team may include:
Rheumatologists (doctors who specialize in treating arthritis)
TAP is involved with a number of community partnerships for individuals with arthritis and other chronic diseases. These partnerships are offered in collaboration with Newmarket Parks and Recreation at community and recreation centres in and around the Newmarket area. Registration for these programs is through the Parks and Recreation guide.
Chronic Disease Management Programs
Patients of The Arthritis Program can also take advantage of the wellness programs offered through our Chronic Disease Management Programs. These programs include stress management and support, healthy eating and weight loss, smoking cessation and exercise.
Therapeutic Education Programs
Inflammatory Arthritis Inflammatory arthritis is a complex disease that can affect many of your joints as well as other systems of the body. The Inflammatory Arthritis Program is designed to increase your understanding of this disease and to work with your health team towards bringing the disease into remission. Treatment includes education and comprehensive rehabilitation for you and your family.
Osteoarthritis If you are suffering from osteoarthritis, TAP offers comprehensive education classes and exercise programs. TAP’s classroom sessions discuss the disease, the importance of pain management, exercise, healthy eating, lifestyle management, and the safe use of medications and natural health products. Your family members are also welcome to attend.
Rehabilitation Hospital TAP works with local paediatricians, community agencies and schools to ensure that the child with arthritis can excel in their everyday activities.
Osteoporosis Education classes for individuals with osteoporosis and osteopenia are offered by TAP. These classes are designed to teach individuals how to maximize their function through exercise, diet, lifestyle changes and medication. Family members are welcome to attend.
Fibromyalgia TAP provides assessment and education to individuals with fibromyalgia through an education program. Programs include medication options, exercise theory and its techniques, lifestyle management, as well as problem-solving skills to attain empowerment, self-management and increased emotional well-being.
Each of the program sessions includes an exercise component where exercises are demonstrated and practiced to ensure that participants know the right way and methods to complete their exercise.
Southlake’s Urgent Internal Medicine Clinic provides the initial investigation and ongoing management of illnesses of an internal medical nature. This clinic is not intended for the treatment of severe situations such as:
Acute abdominal or chest pain
Outpatient follow up of specific internal medicine issues that arose while you were admitted to Southlake
Consultation and management of medication-related issues by a clinical pharmacist
The Urgent Internal Medicine Clinic operates five days per week. Please note that a physician’s referral is required.