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SCOPE Physician Lead: Dr. Pauline Pariser
Pauline Pariser was appointed Associate Medical Director and lead for Community Family Practice at UHN in March 2012.Pauline has been in family practice for over 30 years and is the founder and co-lead of the
Taddle Creek Family Health Team. Taddle Creek has been named the lead agency for the Mid-West Toronto Health Link.An associate professor in the Department of Family and Community Medicine, she is an award-winning teacher and in 2009 was named Family Physician of the Year for the Toronto region. In 2011, the Taddle Creek Family Health Team, under Pauline’s leadership, was recognized by the Ontario College of Family Physicians (OCFP) as Family Practice of the year.
Other local leadership activity have included Chair of the Health Professional Advisory Board for the Toronto Central LHIN from 2009-2011 and Chair of the Task Group to recommend a primary care model for home-bound seniors under the auspices of the Toronto CCAC.Internist On-Call: Dr. Tara O’BrienTara O’Brien is a general internist and assistant professor at the University of Toronto who works primarily in ambulatory GIM. Tara is currently the Medical Director of the Acute Ambulatory Care (AAC) Unit at Women’s College Hospital, a short-stay medical unit which focuses on diagnosis and management of acute medical problems as well as exacerbations of chronic medical illnesses in complex medical patients. In addition, Tara is also the medical director of the Virtual Ward which is a new model of care focusing on providing care to high risk patients immediately post discharge to prevent readmissions.Tara completed her MD at University of Alberta, her residency in Internal Medicine at the University of Toronto and a fellowship in Women’s Health and Obstetrical Medicine at Women’s College Hospital. As part of the SCOPE project, she hopes to provide support to primary care providers in managing their complex patients with multiple chronic medical conditions in order to help prevent hospitalization of these patients.
SCOPE Hub Acute Care Nurse: Maggie Rybak
In May 2002, Maggie graduated from McMaster University with a Bachelor of Science in Nursing. After graduation, she worked as a Registered Nurse in Waterbury, Connecticut, with medical oncology patients who presented with various oncologic emergencies. In 2004-2008, she returned to Mississauga and continued working with medical oncology patients at Trillium Health Centre.
From 2008-2010, Maggie worked for the Yukon government as a primary health nurse stationed in various rural communities. Her team provided daily clinics for medical treatment, facilitated community health programs and provided 24hr emergency services on a rotational basis.Most recently, Maggie worked in the Toronto Western Hospital Emergency Department.
SCOPE Hub CCAC Coordinator: Karey KosatschenkoKarey has been with the Toronto Central CCAC for over five years. She has experience as a Hospital Care Coordinator at St. Joseph's Health Centre where she was involved in collaborative care planning and linking clients to community supports. More recently, Karey was the CCAC Community Care Coordinator embedded within the Taddle Creek Family Health Team, providing intensive case management to homebound, frail elderly clients. Originally from London, Ontario, Karey graduated from the University of Western Ontario with degrees in Health Science and Occupational Therapy. She spent a few years employed as an Occupational Therapist in the auto insurance sector before deciding to join the CCAC.
When not providing quality case management, Karey enjoys getting out of the city to ride horses, and travelling to exotic destinations.
SCOPE RN Health Coach: Winnie WongSCOPE is excited to announce that Health Coaches are now available to work directly with your complex patients. Health coaches adopt an innovative model to chronic disease management through addressing the complex human communities that impact the day-to-day lives of these individuals in caring for themselves and their family. The approach is person-centered and customized to the patient context.
Winnie Wong was one of the first four RN Health Coaches in Canada and continues to play and active role in several community initiatives aimed at improving access for marginalized populations. Winnie is fluent in Mandarin, Cantonese and English and can be accessed by calling the SCOPE Hub.
SCOPE RN Health Coach: Shauna Biernacki
Shauna Biernacki comes from a background as an acute care nurse in the Nursing Resource Team at University Health Network. She has experience in a variety of medical-surgical areas and specialty areas including cath lab, cardiac short stay unit, cardiovascular preadmission, immunodeficiency, and diabetes education clinics. Shauna holds a Bachelor of Nursing from the University of New Brunswick and Humber College.
As an RN Health Coach with the SCOPE team, Shauna supports people to stretch their vision of what is possible when living with a chronic disease, in order for people to find routines that maximize their ability to live well.
SCOPE Telemedicine Impact Plus Coordinator: Agnes OriadeAgnes graduated from Ryerson University with a Bachelor of Science in Nursing in 2010. She started working as a community visiting nurse with Saint Elizabeth Health Care, a national health care provider and leader in responding to client, family and system needs. Agnes is a specialist in wound care and a generalist in palliative care, and has made significant contributions to research on wound and diabetes care. She has worked with different health professionals in managing the transition of patients from hospital to home or the community.
As a TIP facilitator working with the SCOPE team, Agnes hopes to improve the way the circle of care is able to manage chronic diseases, by involving expert teams to interact with primary care physicians, patients and other caregivers.
SCOPE Steering CommitteeFront row (L to R):
Dr. Gillian Hawker – Physician-in-Chief of Medicine, Women’s College Hospital, Alexandra Radkewycz - Senior Public Affairs Advisor, UHN, Kathy Sabo-Senior - Vice President, UHN, and Executive Lead, TWH, Dr. Pauline Pariser - SCOPE Physician Lead, Mary Kay McCarthy - Senior Clinical Director, Emergency Department and GIM, UHN
Back row (L to R):
Laura Pus - Project Manager, Women’s College Hospital, Kaitlin Pattrick - Manager, Strategic Projects and Planning, TWH, Marnie Weber - Executive Director of Strategic Developments, UHN, Dr. Charles Chan - Vice President, Medical Affairs, UHN, Lydia Lee - Vice President and Chief Information Officer, UHN, Dr. Jeff Bloom - Family Health Team, UHN, Dr. Howard Abrams - General Internal Medicine, UHNAbsent: Dipti Purbhoo - Senior Director Client Services, Toronto Central CCAC