Healthcare Quarterly

Healthcare Quarterly 21(2) July 2018 : 35-40.doi:10.12927/hcq.2018.25624
Innovation in Service Delivery

It’s About Time: Rapid Implementation of a Hub-and-Spoke Care Delivery Model for Tertiary-Integrated Complex Care Services in a Northern Ontario Community

Nathalie Major, Marie Rouleau, Chantal Krantz, Karen Morris, François Séguin, Megan Allard, Jia Lu Lilian Lin, Mary Ellen Salenieks, Roxana Sultan and W. Gary Smith


Children with medical complexity (CMC) in rural and northern communities have more difficulty accessing subspecialty health providers than those in urban centres. This article describes an alignment cascade in which leaders engaged peers and staff to rapidly roll out the implementation of a sustainably designed complex care model, integrated in the Champlain Complex Care Program and delivered in Timmins, Ontario. The Provincial Council for Maternal and Child Health's Complex Care for Kids Ontario (CCKO) strategy supports the implementation and expansion of a hub-and-spoke model of interprofessional complex care for CMC and their families. A nurse practitioner is the primary point of contact for the family and oversees coordination and integration of care; regional CCKO programs are committed to building capacity to provide safe, high-quality care for CMC in communities closer to their homes.



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