Diabetes and Other Chronic Conditions

In our region, chronic conditions are among the most common and costly health problems facing residents and their families. To improve your access to chronic condition services across all care levels and needs, the Champlain LHIN and our partners have numerous activities and efforts underway. Some of our recent efforts include:

  • Creating a centralized intake process for people in Ottawa who want support to manage their diabetes
  • Developing a common referral for lung health programs, which increases knowledge of available services to support people living with COPD and related conditions
  • Exchanging knowledge between providers of mental health and diabetes services, to improve care for people who live with both conditions
  • Piloting a community stroke-rehabilitation program in Cornwall to meet the need for post-stroke care closer to home, and
  • Developing exercise classes for seniors with chronic conditions to improve their access to safe, physical activity, and link the classes to existing chronic condition services.

To support diabetes care and prevention in the region, the LHIN also has diabetes and vascular health medical leads.

Chronic Condition Support

Chronic condition services and programs are available from health care providers in a variety of settings, such as hospitals and community health centres. To meet your goals and health care needs, providers who offer these services will work with your care team and primary care provider (find a family doctor or nurse practitioner).

Community-Based Programs and Services

Some key chronic condition services and programs available to Champlain residents include:

Cancer and Renal

Cardiac Rehabilitation

Diabetes Education Programs

  • Open to self-referral
  • Providers include certified diabetes educators (registered nurse, registered dietitian)
  • Services include diabetes education, insulin starts, glycemic management, health coaching.

Living Healthy Champlain

  • Open to self-referral
  • Services include skills to support healthy living, including health eating, exercise and managing medications.

Lung Health Services

  • Requires a referral from a doctor
  • Providers include certified respiratory therapists
  • Services include lung health education, supervised exercise, self-management skills, COPD action plans.

Stroke Prevention Clinics

  • For people who have had a stroke, services are provided to help prevent another stroke
  • Provided by an inter-professional stroke rehabilitation team.

Regional Networks & Involvement Opportunities

A number of chronic condition networks in Champlain play an important role by supporting regional planning of services and providers, and promoting best practices and evidence-based quality care.

Many of these networks have clients and caregivers who actively support their efforts. If you are interested in getting involved, please contact one of the LHIN representatives listed below.

More Information

Ch LHIN Chronic Disease Education & Rehab Programs

Learn more about chronic condition education and rehabilitation programs in Champlain by watching this video.

If you would like to know more about the LHIN’s role in regional chronic condition support programming, please contact our staff:

  • Diabetes, cardiac, stroke and lung health programming: Senior Integration Specialist, Leah Bartlett (leah.bartlett@lhins.on.ca or 613-747-3232 [toll-free 1.866.902.5446 ext 3232])
  • Renal and cancer support programming: Integration Specialist, Renee Lebovitz-Pelletier (renee.lebovitz@lhins.on.ca, or 613.747.3253 [toll free 1.866.902.5446, ext 3253]).
navigation

Chronic Condition Networks and Services

For the public and providers, here is information about additional regional services, programs and resources related to chronic condition care:

Chronic Condition Support Referral Forms

To improve access to and awareness of services, the Champlain LHIN has been promoting the use of central-intake and common referral forms. Referral forms are generally submitted by primary care providers or specialists on your behalf (find a family doctor or nurse practitioner).

If you would like to access one of these services, download the form (pdf) and bring a copy to discuss and / or complete with your family doctor or nurse practitioner at your next medical appointment.

Central-intake and common referral forms

Other Chronic Condition Resources

More resources available to support people living with chronic conditions and their families: