2.1 Ministry of Health and Long-Term Care Information Services

INFOline

INFOline provides information and referral services on the programs, services and activities of the ministries of Health and Long-Term Care, Community, Social Services, Children and Youth Services and the Ontario Seniors' Secretariat by responding to telephone and in-person inquiries. A TTY number is available for the hearing/speech impaired. Multilingual staff are capable of handling inquiries in as many as 19 languages. You can request publications from the ministries by calling the INFOline or by visiting or writing the Client Services Unit:

INFOline
Toll-free: 1-888-910-1999
Phone: 416-314-7511
TTY Toll-free: 1-800-387-5559
Fax: 416-325-7136

Client Services Unit
900 Bay St.
M1-57, Macdonald Block
Toronto ON M7A 1R3

For general information about the Ministry of Health and Long-Term Care programs and services, visit the ministry Website at www.health.gov.on.ca and www.healthyontario.com

Telehealth Ontario

Telehealth Ontario is a free, confidential telephone service providing health advice or information from a Registered Nurse. The service is available 24 hours a day, 7 days a week through a Toll-free number (1-866-797-0000). Telehealth Ontario is available to everyone throughout the Province of Ontario and callers do not need a health card number to obtain services.

Services Available

Telehealth Ontario nurses assist callers by assessing symptoms and providing advice on the best steps to follow. In instances where more urgent care appears necessary, the nurse can connect the caller to local "911" emergency services or may direct the caller to visit the nearest hospital emergency room. Nurses are also able to direct callers to services available in the community, when appropriate.

Nurses are able to provide callers with information on general health topics such as the ongoing management of a previously diagnosed chronic illness, as well as nutrition and healthy lifestyles. Where questions are about medications or drug interactions, nurses can consult a pharmacist who will speak directly to callers through the Telehealth Ontario line.

Telehealth Ontario nurses can provide services in English and French, and have access to translation services in over 100 other languages. Teletypewriter (TTY) service for the deaf, deafened and hard of hearing is available directly through Telehealth Ontario:

Toll-free: 1-866-797-0000
TTY Toll-free: 1-866-797-0007

Local Health Integration Networks

Local Health Integration Networks (LHINs) are not-for-profit corporations that would, if the legislation is passed, be responsible for planning, integrating and funding local health services in 14 different geographic areas of the province. LHINs will work in partnership with a range of health services providers in hospitals, long-term care facilities, community health centres, community support services and mental health agencies, to deliver health care that is patient focused, results driven, integrated and sustainable.

LHINs are based on a principle that community-based care is best planned, coordinated and funded in an integrated manner within the local community because local people are best able to determine their health service needs and priorities.

LHINs would determine the health service priorities required in their local community. Starting with community engagement, LHINs would work with local health providers and community members on planning. They would then move to coordinating services in their area and eventually they would provide funding and resources to local health providers, if the legislation is passed.

For the Local Health Integration Networks nearest you, see the Directory, Appendix 3. or visit their Website at www.lhins.on.ca.

2.2 Community Health Services

Community Health Centres

Community Health Centres (CHC) are non-profit organizations that provide primary health and health promotion programs for individuals, families and communities.

CHCs provide education and advice to help families access the resources they need from other community agencies. They link families with support and self-help groups that offer peer education, support in coping, or are working to address conditions that affect health.

For more information, or to locate the Community Health Centre nearest you, contact the Seniors' INFOline:
Toll-free: 1-888-910-1999
TTY Toll-free: 1-800-387-5559
Website: www.health.gov.on.ca and www.healthyontario.com

Public Health Programs

Public Health Units

A Public Health Unit is responsible for the local delivery of Public Health programs and services within a defined geographic area. It is governed by a board of health, primarily comprised of community representatives.

There are 36 public health units in Ontario. Health units administer health protection and health promotion, and disease prevention programs to inform the public about healthy lifestyles, communicable disease control, immunization, food premises inspection, healthy growth and development including parenting education, health education for all age groups and selected screening services.

For more information, or to find the Public Health Unit closest to you contact

Seniors' INFOline:
Toll-free: 1-888-910-1999
TTY Toll-free: 1-800-387-5559
Or visit the Ministry of Health and Long-Term Care Website at www.health.gov.on.ca and www.healthyontario.com

Early Detection of Cancer

This program of the Ontario Public Health system promotes screening for the early detection of breast and cervical cancer. The program includes community-wide education to increase awareness of the benefits of breast screening for women 50-74 years of age, through the Ontario Breast Screening Program (OBSP) and group education sessions for women and their family members on the benefits of breast screening through the OBSP.

Injury Prevention

The purpose of this program is to prevent injuries and substance abuse. Specific services for seniors include education on how to promote health and independence as well as how to prevent fall-related injuries in order to avoid loss of independence and unnecessary institutionalization. For more information on Falls Prevention. For more information on Addiction Programs.

Vaccine Preventable Diseases

Adults who are 65 years and over are known to be at higher-risk for complications related to influenza and pneumonia. Protection against the influenza virus requires an annual immunization that is given in the fall just prior to the "flu season". This vaccine is available free of charge to all Ontario residents. Influenza does strike in warmer climates, too, so individuals who travel south for the winter are encouraged to get immunized against influenza before leaving home.

The pneumonia vaccine provides protection against a common cause of pneumonia and other systemic infections. You only need to get this vaccine once to be protected and it can be given at any time of year, including at the same time as the influenza vaccine. This vaccine is provided free of charge to adults 65 years of age and over, and those under 65 with specific high risk medical conditions such as chronic heart, kidney or lung disease and diseases that suppress the immune system. Speak with your doctor if this is right for you.

2.3 Physicians

How to Find a Doctor

Doctor Search is a free service offered by the College of Physicians and Surgeons of Ontario.

The purpose of Doctor Search is twofold: to provide the public access to the names of physicians accepting new patients, and to provide the information that can be released to the public about the selected physician.

Doctor Search
Toll-free: 1-800-268-7096, ext. 626
Phone: 416-967-2626
Website: www.cpso.on.ca/Doctor_Search/dr_srch_hm.htm

Services Offered by Your Physician

Most people's first contact with the health system is through their family physician. A visit to your doctor's office will result in one or a combination of these outcomes:

• short-term treatment, for example, prescription for medication or advice on health-enhancing lifestyle improvements
• referral to a specialist at a clinic or a hospital
• referral to a community long-term care service via a Community Care Access Centre (CCAC) or to other services.

College of Physicians and Surgeons of Ontario

The College of Physicians and Surgeons of Ontario (CPSO) is the self-regulating body for the province's medical profession. One important responsibility of the College is to investigate complaints from members of the public about doctors who are members of the College.

If you would like to talk to someone about the care or conduct of a physician or about the complaint process, please contact the CPSO Investigations and Resolutions department:

The College of Physicians and Surgeons of Ontario
c/o The Registrar, Investigations and Resolutions Department
80 College St.
Toronto ON M5G 2E2

Toll-free: 1-800-268-7096 ext. 615
Phone: 416-967-2615
E-mail: investigations&resolutions@cpso.on.ca
Website: www.cpso.on.ca/Info_Public/compform.htm

2.4 Ontario Health Insurance Plan

The Ontario Health Insurance Plan (OHIP) covers a wide range of health services. It pays all costs for services that are medically necessary.

Ontario Health Card

You must have a valid Ontario health insurance card to use health care services that are funded by the Ministry of Health and Long-Term Care. You must show your card to receive benefits. If you've forgotten your card, you will be required to complete a Health Number Release Form at the hospital or doctor's office, which allows the ministry to provide your health number to them.

You are eligible for an OHIP card if you:

1. are a Canadian citizen, landed immigrant, convention refugee or certain other immigration classification, and
2. make your permanent and principal home in Ontario, and
3. are present in Ontario for at least 153 days in any 12-month period.

Tourists, transients or visitors to Ontario are not eligible for OHIP coverage.

To apply for a card, you must:

• go in person to your nearest OHIP office (to find your local office, consult the Blue Pages of your telephone book under the keyword "Health, then "Health Card"); and
• fill in the Registration for Ontario Health Coverage Form; and
• provide three types of documents to show:
  1. Canadian citizenship or immigration status
  2. that you live in Ontario, and
  3. you are the person you say you are.

If you live in a remote area, the ministry can make special arrangements.

You have to wait three months for OHIP coverage if you are a:

• newcomer to Ontario, or
• former resident returning here to live after being away for more than 212 days.

If your Health Card is lost, stolen or damaged you should immediately call the Ministry of Health and Long-Term Care at 1-800-268-1154 (Toll-free in Ontario only). In Toronto, call 416-314-5518, TTY Toll-free 1-800-387-5559.

Your Ontario Health Card is for health care only. Do not show your card or give your health number to anyone except a health care provider when you receive health care, or to the Ministry of Health and Long-Term Care.

Your personal health care information is protected under the Freedom of Information and Protection of Privacy Act . The ministry also has security measures to protect all the personal information that it holds.

For more information, contact your nearest Ministry of Health and Long-Term Care OHIP office. For the telephone number and location of the office nearest you, contact:

Seniors' INFOline Toll-free:
1-888-910-1999 TTY Toll-free: 1-800-387-5559
Or visit the Ministry of Health and Long-Term Care Website at www.health.gov.on.ca and www.healthyontario.com

OHIP Insured Services

Physicians

OHIP insures all medically necessary doctor's visits and treatments, and tests that are provided by or ordered by your doctor. Your doctor cannot charge you any amount for an insured service.

OHIP does not insure services that are not medically necessary, for example, cosmetic surgery. Physicians may charge you for an uninsured service. If your doctor asks you to pay for a service, make sure that you get an itemized bill. If you have private insurance, it may cover the uninsured service. If you are not sure about a fee that your doctor charges you, contact the Ministry of Health and Long-Term Care or the Seniors' INFOline.

Podiatrists and Osteopaths

The ministry pays part of the costs for insured services that are provided by podiatrists and osteopaths. You must pay for the extra costs and costs that exceed the OHIP yearly allowable maximum. Ask your health care provider about the costs before you receive the services. If you have private insurance, it may cover the extra cost.

Physiotherapy

OHIP pays for insured physiotherapy services that you receive in a hospital. It also covers some physiotherapy services provided in a licensed physiotherapy clinic and through a Community Care Access Centre. Physiotherapy services that are provided in private clinics are not insured.

Dental Services in Hospital

OHIP pays for some dental surgery when it is necessary to provide the service in hospital. You pay the cost of dental services in a dentist's office.

Eye Care

OHIP insures one eye exam by a medical doctor or optometrist every year for people 65 years of age and over. Routine eye exams for people 20 to 64 years old provided by optometrists and physicians will no longer be covered as of November 1, 2004. There is new OHIP coverage to ensure patients aged 20 to 64 years with medical conditions affecting the eye can continue to receive regular eye exams. Other medically necessary care provided by a medical doctor is insured, for example, cataract surgery. Examples of uninsured services include eyeglasses, contact lenses and surgery to correct refractive errors such as near-sightedness. The Assistive Devices Program covers part of the cost of some visual aids if you are eligible.

Hearing Tests

OHIP insures diagnostic tests that are ordered and performed by a doctor. Some tests performed in a hospital may also be insured. Services provided by audiologists, such as fitting and evaluation of hearing aids, are not insured. The Assistive Devices Program may cover part of the cost of a hearing aid if you are eligible.

Northern Health Travel Grant

The Northern Health Travel Grant helps to pay travel costs for people in Northern Ontario who must travel long distances to see a medical specialist to receive the care they need.

This applies to people in the territorial districts of Algoma, Cochrane, Kenora, Manitoulin, Muskoka, Nipissing, Parry Sound, Rainy River, Sudbury, Thunder Bay and Timiskaming who must travel at least 100 km for insured specialized health care that is not available in their area.

The Northern Health Travel Grant would not apply if round trip travel is provided by land ambulance or air ambulance.

You can get an application from your health care provider or local Ministry of Health and Long-Term Care office, or by calling 1-800-461-4006. The doctor's fee to complete this form is covered as part of the OHIP-insured service: you do not have to pay the doctor to fill out this form.

Disabled Parking Permit Program

The doctor's fee to complete this form is an OHIP-insured service. You do not have to pay the doctor to fill out this form. For more information on the Disabled Person Parking Permit.

Driver Licence Renewal Program for Seniors

Medical exams and reports that you need to obtain or maintain a Driver's licence are not insured: your doctor can charge you for the exam and to fill out the form.

OHIP Coverage Outside Ontario

For information on what health services are insured by OHIP when you are travelling out of province, please see Insured Services Outside of Ontario.

For more information about OHIP registration and insured benefits contact your nearest Ministry of Health and Long-Term Care OHIP office. For the telephone number and location of the office nearest you, call:

Seniors' INFOline
Toll-free: 1-888-910-1999
TTY Toll-free: 1-800-387-5559
Or visit the Ministry of Health and Long-Term Care Website at www.health.gov.on.ca

2.5 Drug Benefits

Use of Medications

It is important that you tell your doctor(s) and pharmacist about all the drugs that you take, including non-prescription medications. You should also inform them about any allergies you may have to medicines, and describe the reactions you had with these medicines. It is best if you take all prescriptions to one pharmacy, so that the pharmacist(s) have a complete profile of all your medications and can monitor for drug interactions or side effects.

Medications Needed While in Hospital

Drugs are provided by the hospital, based on the drugs stocked in the hospital where you are receiving treatment.

Medications Needed in the Community

Drug coverage is provided to seniors through the Ontario Drug Benefit (ODB) Program.

Ontario Drug Benefit Program

Eligibility

People 65 years of age and older are eligible for the Ontario Drug Benefit (ODB) program if they have a valid Ontario Health Card. You do not need to apply for coverage. As long as the Ministry of Health and Long-Term Care has the correct mailing address, you will receive a letter of notification of ODB eligibility by mail approximately 2 months before you turn 65. If your address changes, please call the nearest office of the Ministry of Health and Long-Term Care. The number can be found in the Blue Pages of your telephone book under the keyword "Health", then "Health and Long-Term Care".

In order to start receiving benefits, notify your pharmacist that you are now eligible for the program and he/she will confirm your eligibility on the Government's Health Network System.

Co-payments and Deductibles

The Ontario Drug Benefit (ODB) program runs from August 1 to July 31 each year. ODB eligible people may be asked to pay some portion of their prescription drug product costs.

You will fall into the higher income co-payment category if:

• you are a single senior with an income of more than $16,018 a year, or
• you are part of a senior couple and your combined income is more than $24,175 a year.

If you are in the higher co-payment category, you will pay a $100 deductible for prescriptions filled after August 1 of every year. The government's computerized Health Network System at your pharmacy will track what you have paid towards the $100 deductible. This total is printed on your prescription receipt. After you have paid the $100 deductible per senior, you will then pay up to $6.11 towards the ODB dispensing fee for each prescription for a covered drug product in the benefit year.

You will fall into the lower income co-payment category if:

• you are a single senior with an income of less than $16,018 a year, or
• you are part of a senior couple and your combined income is less than $24,175 a year.

If you are in the lower income co-payment category, you may be asked to pay up to $2 for each prescription filled.

All newly eligible seniors are automatically enrolled in the higher co-payment category. If you think you may be eligible for the lower $2 co-payment, you can complete an application form and send it to the ministry. Application forms for the lower $2 co-payment are available at Ontario pharmacies or by calling
1-800-268-1154.

Products Covered

Through the Ontario Drug Benefit (ODB) Program, the Ministry of Health and Long-Term Care covers most of the cost of over 3,300 prescription drug products listed in the ODB Formulary, in addition to a number of limited-use drug products, nutrition and diabetic testing products. The ODB Formulary identifies drug products designated as benefits under the program, as well as those brands of drugs that are considered to be interchangeable, and serves as a prescribing and reimbursement guide for doctors and pharmacists.

The drug must be prescribed by an authorized Ontario prescriber (e.g., family doctor) and purchased in an Ontario pharmacy that is online with the Ministry of Health and Long-Term Care's computerized Health Network System, or from an Ontario doctor who dispenses prescription drug products.

The ODB program does not reimburse prescription drugs purchased outside Ontario. You will need to buy private insurance to cover the cost of prescription drugs bought outside Ontario.

The ODB does not cover the following products and services: syringes and other diabetic supplies such as lancets and glucometers, eyeglasses, dentures, hearing aids, or compression stockings.

Generic Drugs

Generic drugs are drug products that contain the same medicinal or therapeutic ingredient(s) as the original brand name drug. Generic and brand name products may look or taste different but both contain the same amount of the same active ingredient(s). Generic products usually cost less than their brand name counterparts. When both generic and brand name products are available, the Ontario Drug Benefit (ODB) program pays the pharmacist for the lowest cost interchangeable generic drug product listed in the Drug Benefit Formulary. If you wish to use the brand name product, you must pay the difference in cost between the brand name and the generic product.

Limited Use Drug Products and Individual Clinical Review

Limited Use products are drugs that are listed in the Ontario Drug Benefit (ODB) Formulary with specific clinical criteria or conditions for use. The ODB program reimburses for a Limited Use product only when a Limited Use Prescription Form is prescribed for an ODB-eligible recipient according to criteria or conditions outlined for each product.

In exceptional circumstances, where a drug product is not covered in the ODB Formulary, a request for special coverage can be made. This process is known as Individual Clinical Review, Section 8 . On your behalf, your doctor requests coverage for a specific period of time, for a particular drug product not normally covered under the ODB program. Medical experts will review your doctor's request and will advise him/her whether coverage has been approved.

For more information about Limited Use drug products or the Section 8 process, please contact the Drug Programs Branch of the Ministry of Health and Long-Term Care at 416-327-8109.

Diabetic Testing Agents

Through the Ontario Drug Benefit (ODB) program, the Ministry of Health and Long-Term Care covers some diabetic testing agents. Diabetic testing agents are products people with diabetes use to test sugar levels in blood and ketone levels in urine. Note that syringes and other diabetic supplies such as lancets and glucometers are not covered under the ODB program.

The ODB program will cover the costs of your diabetic testing agents if you:

• have diabetes, and
• have a prescription for a listed diabetic testing agent from an Ontario doctor.

Speak to your doctor about obtaining a prescription for diabetic testing agents. Your pharmacist can tell you which diabetic testing agents are covered.

Maximum Days' Supply

Under the Ontario Drug Benefit program, you may receive up to a maximum 100 days' supply of medications. For prescriptions for medications that are a new therapy, your doctor may choose to provide a smaller days' supply, until your response to the new medication is known. For information on maximum days' supply when travelling out of province, see Ontario Drug Benefit Program and Outside of Ontario.

For more information on the Ontario Drug Benefit Program:
Toll-free: 1-800-268-1154
Phone: 416-327-8109
TTY Toll-free: 1-800-387-5559
Website: www.health.gov.on.ca

Special Drugs Program

Through the Special Drugs Program, the Ministry of Health and Long-Term Care covers the full cost of certain drugs used in the treatment of specific conditions. The program covers:

• many drugs for the treatment of cystic fibrosis and thalassaemia
• AZT, ddI, ddC and pentamadine for people who are HIV positive
• Erythropoietin (EPO) for people with end stage renal disease
• Cyclosporine for people who have had a solid organ or bone marrow transplant
• human growth hormone for children with growth failure
• Clozapine for treatment of schizophrenia
• Alglucerase for people with Gaucher's Disease.

Eligibility

The Special Drugs Program will cover your costs for the above drugs if you:

• are an Ontario resident with a valid Ontario Health Card, and
• are a patient with one of the diseases or conditions covered, and
• meet the established clinical criteria, and/or
• are approved by a designated centre/physician for a specific drug product.

Accessing the Program

Speak with your doctor about whether you may be covered by the program and the locations near you where the treatments are available.

Costs

The Special Drugs Program does not have any deductibles or co-payments. If you meet conditions for coverage, you do not pay for any portion of your treatments.

For more information on the Special Drugs Program:
Toll-free: 1-800-268-1154
Phone: 416-314-5518
TTY Toll-free: 1-800-387-5559
Website: www.health.gov.on.ca/english/public/pub/drugs/specdrug.html

MedsCheck

MedsCheck is a one-on-one 30 minute appointment with your pharmacist to review your medications and help you better understand their medication therapy and ensure that medications are taken as prescribed.

All Ontarians who are taking three or more prescription medications for a chronic condition are eligible for a consultation with your pharmacist once a year. You need to bring all the medications you are taking, including non-prescription drugs and your OHIP (health card).

For information about the MedsCheck program, contact:
MedsCheck INFOline
Toll-free: 1-866-255-6701
TTY Toll-free: 1-800-387-5559
Website: www.medscheck.ca

2.6 Dental Care

Dental Services in Hospital

OHIP pays for some dental surgery that must, by medical necessity, be provided in hospital. The patient pays for dental services provided in a dentist's office.

Dental Services in Long-Term Care Facilities

Long-term care facilities give you a dental assessment, as part of their admission medical and nursing assessments. They also provide ongoing oral care by qualified dental professionals on a fee-for-service basis. That includes an annual check-up, plus preventative services such as scaling and cleaning, and an assessment to ensure that dentures are properly fitted.

If you need dental treatment or other services that are not provided by your facility, it will help you get a referral to a dentist or other professional of your choice. The facility can also arrange for emergency dental services for you, as needed, but does not cover their cost. You or your representative must authorize and pay for those services.

Subsidized Dental Care

Some municipalities in Ontario provide discretionary financial assistance for seniors' dental care. Those in need should discuss with their treating dentist to determine if such assistance is available in their area and where to go to learn more about eligibility requirements and the application process.

University and College Dental clinics

Several universities and colleges have dental clinics open to the public. Services vary according to the clinic. Fees are generally less than what private practitioners charge. Please contact clinics individually to determine services, fees and availability of appointments.

Local Community Information Centres may be able to identify options for dental care services in your area.

2.7 Assistive Devices and Home Oxygen Programs

The Assistive Devices Program (ADP) and the Home Oxygen Program (HOP) are administered by the Ministry of Health and Long-Term Care.

These programs offer financial assistance to Ontario residents with long-term physical disabilities to obtain basic, competitively priced, personalized assistive devices appropriate for the individual's needs and essential for independent living. Devices covered by the program are intended to give people increased independence and control over their lives so they may avoid costly institutional settings and remain in a community living arrangement.

Equipment Funded Under the Programs

ADP covers over 8,000 separate pieces of equipment or supplies in a number of categories including: mobility aids; supplies for insulin-dependent diabetics; hearing aids; respiratory equipment; visual and communication aids.

HOP pays for oxygen and oxygen delivery equipment, such as concentrators, cylinders, liquid systems and related supplies, such as masks and tubing.

Eligibility

Assistive Devices Program

Any Ontario resident who has a valid Ontario Health Card issued in their name and has a physical disability of six months or longer, may be eligible. There are specific eligibility criteria that apply to each device category.

Home Oxygen Program

Any Ontario resident who has a valid Ontario Health Card issued in their name and has a chronic illness or dysfunction that requires long-term oxygen therapy, may be eligible.

Financial Assistance

ADP pays up to 75 percent of the cost of equipment, such as wheelchairs, orthopaedic braces and breathing aids. For others, such as hearing aids, the ADP contributes a fixed amount. With regard to supply items such as ostomy and needles and syringes for seniors, the ADP pays an annual grant directly to the person.

HOP pays 100 percent of the cost of oxygen and related equipment for seniors and those on social assistance, home care or residing in a long-term care facility.

Assistive Devices Program
Ministry of Health and Long-Term Care
5700 Yonge St., 7th Floor
Toronto ON M2M 4K5

Toll-free: 1-800-268-6021
Phone: 416-327-8804
Website: www.health.gov.on.ca

2.8 Ambulance Services

Calling an Ambulance

For emergency ambulance services only, call 911 or look in the "Emergency Numbers" section at the front of your telephone book for the emergency number to call in your area.

All Ontario residents who travel within Ontario by ambulance for medically necessary services and who have a valid Ontario Health Card are required to pay a portion (co-payment) of the ambulance services.

Payment for Ambulance Trips

If you have a valid Ontario Health Card and your use of an ambulance is deemed medically essential by an attending physician you will not be billed for ambulance trips between Ontario medical facilities (e.g., between two hospitals), but will be billed a co-payment of $45 for ambulance trips between your home and a hospital.

You are exempted from the co-payment if you are receiving provincial social assistance, are a registered Home Care client or are living in an Ontario health care facility.

If your trip is deemed not medically essential by an attending physician or you do not have a valid Ontario Health Card, you will be billed $240 for a land ambulance trip or the full cost of an air ambulance trip.

For more information, contact the Seniors' INFOline:
Toll-free: 1-888-910-1999
TTY Toll-free: 1-800-387-5559
Or visit the Ministry of Health and Long-Term Care Website at www.health.gov.on.ca

2.9 Hospital Programs

Ontario hospitals provide several priority programs that may be of particular interest to seniors.

Hip and Knee Joint Replacement

Fifty-five hospitals in Ontario provide approximately 20,200 hip and knee total joint replacements a year, to improve the mobility and independence of adults with severe degenerative joint conditions. Family physicians are responsible for referrals to orthopaedic surgeons for decisions about appropriate treatment.

Transplants

There are eight hospitals in Ontario that perform organ transplant surgery. New organ and tissue donation and transplantation legislation was introduced in late 2000 in the Trillium Gift of Life Network Act . The Trillium Gift of Life Network (TGLN) has been established to plan, promote, co-ordinate and support organ and tissue donation across the province.

Hospital Specialized Medical Geriatric Assessment

A number of hospitals across the province have inpatient, outpatient and outreach programs which provide medical assessment, treatment and slower-paced rehabilitation for seniors with complex medical conditions, or who are at risk of losing their independence due to frequent falls, unexplained confusion, loss of mobility, or other unexplained indicators. Contact your family doctor to access these hospital-based services.

Sexual Assault and Domestic Violence Care and Treatment Centres

There are 31 hospital-based Sexual Assault and Domestic Violence Care/Treatment Centres that provide 24-hour access to emergency medical care, forensic documentation, crisis management and emotional support to adult victims of sexual assault in Ontario. Domestic violence treatment services are also available at most sites.

The Ontario Network of Sexual Assault and Domestic Violence Care and Treatment Centres operates a Website with information on sexual assault and domestic violence, how to get help, including a list of Sexual Assault and Domestic Violence Care/Treatment Centres in Ontario. The Website address is www.satcontario.com. If you cannot access a computer contact your hospital and they can direct you to the program nearest you.

2.10 Mental Health Programs

The Ministry of Health and Long-Term Care funds a variety of programs for seniors who have mental illness.

Specialized Geriatric Mental Health Outreach Programs

Specialized Geriatric Mental Health Outreach Programs provide assessment, consultation, treatment and education to seniors with serious mental illness, as well as to their families and service providers, through an interdisciplinary/multidisciplinary approach. In most cases, seniors with mental illness or their families can be referred to these programs directly or they can be referred through their family doctor. To find out about a program in your area, contact your family doctor.

Inpatient and Outpatient Services at Hospitals

Most general hospitals across the province have inpatient psychiatry beds that provide acute, short-term treatment for people with mental illness. A number of Provincial Psychiatric Hospitals and Specialty Psychiatric Hospitals across the province have inpatient psychogeriatric beds that provide treatment for seniors with serious mental illness who have longer-term hospitalization needs.

Many general hospitals, provincial psychiatric hospitals and specialty psychiatric hospitals have outpatient psychiatry programs for seniors with mental illness including: day treatment programs and outpatient clinics. These services are available to seniors who have mental illness, including residents of long-term care facilities.

To access hospital-based psychiatric services for seniors, contact your family doctor. In the case of a psychiatric emergency, contact or go to the hospital emergency department nearest you.

In addition, some Community Care Access Centres (CCACs) offer mental health services for seniors. To locate the CCAC nearest you, call the Seniors' INFOline at 1-888-910-1999. See CCACs for more information.

Older Persons’ Mental Health and Addictions Network of Ontario

The Older Persons’ Mental Health and Addictions Network of Ontario (OPMHAN) is a collaborative of more than 60 provincial and regional organizations committed to improving the system of care for older adults living in the community who are at risk of, or coping with, mental illness and/or addictions and those who care for and about them.

Older Persons’ Mental Health and Addictions Network of Ontario
Randi Fine
Telephone: 416-593-4094
E-mail: opmhan@sympatico.ca
Website: www.opmhan.ca

 

2.11 Patient Advocate

Each hospital in the province employs an impartial Patient Advocate to manage all patients' concerns and/or questions (excluding their primary care) during their hospital stay. The Patient Advocate helps put patients in touch with the appropriate office within the hospital to investigate and resolve their concern.

For the name of your hospital's Patient Advocate, call its central telephone line, listed in the White Pages of your telephone book.

2.12 Ontario's Strategy for Alzheimer Disease and Related Dementias

Alzheimer Disease is the most common dementia affecting older adults. It is a deteriorating brain disease that eventually kills. In Ontario, more than 100,000 people live with the disease; 90 percent of those are over the age of 65. With Ontario's growing and aging population, it is expected that Alzheimer Disease and related dementias will increase significantly in coming years.

The Ontario Seniors' Secretariat has partnered with the Ministry of Health and Long-Term Care to implement Ontario's Strategy for Alzheimer Disease and Related Dementias . The Strategy consists of a 10-point action plan designed to help people with Alzheimer Disease and related dementias and their caregivers and families.

For information about Ontario's Strategy for Alzheimer Disease and Related Dementias , visit the Ontario Seniors' Secretariat Website at www.ontarioseniors.ca, or call the Seniors' INFOline at 1-888-910-1999.

2.13 Ontario Stroke Strategy

The government is taking a leadership role in addressing one of the most serious health issues facing Ontarians by transforming stroke care across the province.

The Stroke Strategy is:

• supporting programs that promote health and wellness and contribute to the prevention of stroke
• decreasing morbidity and mortality of individuals at high risk for stroke through the implementation of new knowledge and therapies
• anticipating the future needs of a growing and aging population, and
• providing responsive acute stroke care and stroke rehabilitation close to home.

For information on stroke education, contact the Heart and Stroke Foundation of Ontario at 416-489-7100.

2.14 Chronic Care

Chronic care is provided in hospitals for people who have long-term illnesses or disabilities that cannot be treated at home or in long-term care facilities. Chronic care provides patients with room, board and other basic necessities in addition to medical care.

Co-payment Rate

Chronic care co-payments have been established for patients in chronic care hospitals/units. They represent the patient's contribution toward accommodation (services) and meals, unless the patient qualifies for a reduction in payments.

Co-payment Rate Reduction

There are two types of payment reductions: full and partial.

A full rate reduction is available for patients who:

• are receiving family benefits or general welfare assistance
• have monthly incomes below a certain level, established annually
• have a third party (such as Workplace Safety and Insurance Board, an insurance company, Department of Veterans Affairs, or other Federal Government agency) pay either the total hospital cost or the co-payment.

A partial rate reduction is available depending on the monthly income of the patient and his or her dependants and the number of dependants.

There are forms which a hospital staff member will help patients complete to determine eligibility for co-payment rate reductions.

For more information, contact the Seniors' INFOline:
Toll-free: 1-888-910-1999
TTY Toll-free: 1-800-387-5559
Or visit the Ministry of Health and Long-Term Care Website at www.health.gov.on.ca and www.healthyontario.com

2.15 Palliative Care

Palliative care, or end-of-life care, is a range of services meant to comfort and alleviate the pain of a person who is dying.

Services can include any or all of the following:

• nursing and personal care in the home or other place of residence
• specialized services in a hospital, either in a palliative care unit or through a team of palliative professionals who will provide care wherever the patient is located in the hospital
• social and emotional support, often provided by volunteer hospice organizations
• spiritual and religious care
• bereavement support for the family.

Palliative care, including pain and symptom management, is provided within the health system, while family, friends and volunteers contribute in a significant way towards improving the quality of end-of-life for the individual who is dying.

If you or someone you know requires palliative care services, please contact your local Community Care Access Centre (CCAC) or speak to your doctor about the services available in your community.

To locate the CCAC nearest you, call the Seniors' INFOline:
Toll-free: 1-888-910-1999
TTY Toll-free: 1-800-387-5559
Or visit the Ministry of Health and Long-Term Care Website at www.health.gov.on.ca or www.healthyontario.com

For more information on palliative care, contact:

Ontario Palliative Care Association
194 Eagle St.
Newmarket ON L3Y 1J6

Toll-free: 1-888-379-6666
Phone: 905-954-0938
Fax: 905-954-0939
E-mail: opca@neptune.on.ca
Web: www.ontariopalliativecare.org

Hospice Association of Ontario
27 Carlton St., Ste. 201
Toronto ON M5B 1L2

Toll-free: 1-800-349-3111
Phone: 416-304-1477
Fax: 416-304-1479
E-mail: info@hospice.on.ca
Website: www.hospice.on.ca

2.16 Health-Related Organizations

ALS Society of Ontario

The ALS Society of Ontario exists to ensure that all people affected by ALS in Ontario have what they require to live with dignity and choice.  We facilitate access to the best possible support, care and treatment for those living with ALS through the equipment program, support groups and community information and referral.  The ALS Society of Ontario engages in advocacy, raising awareness and education.  It mobilizes an ardent volunteer base to support the work of the ALS Society and raises funds for ALS support services and ALS research.

ALS Society of Ontario
265 Yorkland Blvd., Ste. 300
North York ON  M2J 1S5
Toll-free: 1-800-267-4257
Phone: 416-497-2267
Fax: 416-497-1256
E-mail: info@alsont.ca
Website: www.alsont.ca

Alzheimer Society of Ontario

The Alzheimer Society of Ontario (ASO) is a province-wide, not-for-profit organization with a membership of 39 local chapters located throughout Ontario. Its mission is to improve the quality of life of persons with Alzheimer Disease and related dementias and their caregivers. Local chapters offer information and referral services, a resource library, access to the Alzheimer Wandering Registry, support groups, individual counselling, education and training about Alzheimer Disease and related dementias, risk-reducing and care strategies, and links to a variety of respite and other dementia responsive programs. For the telephone number of an Alzheimer Society chapter in your community, contact the ASO at 416-967-5900, or visit the National Alzheimer Society of Canada Website at www.alzheimerontario.org

Alzheimer Society of Ontario
1200 Bay St., Ste. 202
Toronto ON M5R 2A5

Phone: 416-967-5900
Fax: 416-967-3826
E-mail: staff@alzheimeront.org
Website: www.alzheimerontario.org

The Arthritis Society - Ontario Division

The Arthritis Society is Canada's only not-for-profit organization dedicated to raising funds for research into the causes and cures for arthritis. Since 1948 it has contributed over $100 million towards arthritis research projects across Canada. In Ontario, The Arthritis Society delivers a wide range of programs and services including care through dedicated arthritis physiotherapists, occupational therapists and social workers.

The Arthritis Society
393 University Ave., Ste. 1700
Toronto ON M5G 1E6

Toll-free: 1-800-321-1433
Phone: 416-979-7228
Fax: 416-979-8366
Website: www.arthritis.ca/ontario

Canadian Cancer Society, Ontario Division

The Canadian Cancer Society funds research on all types of cancer, offers credible information on cancer, treatment and risk reduction, and provides support for people living with cancer. The Society helps people cope with cancer by providing information, emotional support and transportation. Please call the Canadian Cancer Society or visit their Website to access services or to find the location of the office nearest you.

Canadian Cancer Society, Ontario Division
1639 Yonge St.
Toronto On M4T 2W6

Toll-free: 1-800-268-8874
Phone: 416-488-5400
Fax: 416-488-2872
Website: www.ontario.cancer.ca

Canadian Diabetes Association

With over 150 branches across the country, the Canadian Diabetes Association plays a leading role in supporting the over two million Canadians who are directly affected by diabetes, and their loved ones, through research, education, service and advocacy. To connect with your local office, contact:

Canadian Diabetes Association - Toronto Branch
15 Toronto St., Ste. 800
Toronto ON M5C 2E3

Toll-free: 1-800-226-8464
Phone: 416-363-3373
Fax: 416-363-3393
Website: www.diabetes.ca

The Canadian Hearing Society

The Canadian Hearing Society (CHS) provides services that enhance the independence of deaf, deafened and hard of hearing people, and encourage prevention of hearing loss. CHS provides a wide range of services in 27 offices in Ontario, including Audiology, Hearing Aid Program (dispensing and fitting), Technical Devices, Ontario Interpreter Services, Hearing Help Classes, Hearing Care, Counselling, General Social Services and Employment Services.

Canadian Hearing Society
271 Spadina Rd.
Toronto ON M5R 2V3

Toll-free: 1-877-347-3427
TTY Toll-free: 1-877-347-3429
E-mail: info@chs.ca
Website: www.chs.ca

Canadian Liver Foundation

The Canadian Liver Foundation (CLF) is dedicated to reducing the impact and incidence of liver disease. It supports research into the causes, diagnosis, prevention and treatment of over 100 forms of liver disease.

Canadian Liver Foundation
2235 Sheppard Ave. E., Ste. 1500
Toronto ON M2J 5B5

Toll-free: 1-800-563-5483
Phone: 416-491-3353
Fax: 416-491-4952
E-mail: clf@liver.ca
Website: www.liver.ca

Canadian Mental Health Association, Ontario Division

The Canadian Mental Health Association (CMHA) exists to promote the mental health of all individuals across Ontario and to be the primary source of information about mental health and mental illness. This is done by distributing information to local CMHA branches, consumers/survivors and family members, policy makers, business leaders and the media.

Canadian Mental Health Association, Ontario Division
180 Dundas St. W., Ste. 2301
Toronto ON M5G 1Z8

Toll-free: 1-800-875-6213
Phone: 416-977-5580
Fax: 416-977-2264
E-mail: division@ontario.cmha.ca
Website: www.ontario.cmha.ca

The Canadian National Institute for the Blind

The Canadian National Institute for the Blind (CNIB) provides rehabilitation services, at no cost, to people who are blind, visually impaired and both deaf and blind to enhance their independence.

Canadian National Institute for the Blind
1929 Bayview Ave.
Toronto ON M4G 3E8

Phone: 416-486-2500
Fax: 416-480-7677
Website: www.cnib.ca

Cancer Care Ontario

Cancer Care Ontario is the province's leader in the integration and co-ordination of cancer control services, and the Ministry of Health and Long-Term Care's principle advisor on cancer issues. The organization's work includes cancer prevention, screening, treatment, supportive care, research, education, and the development of practice guidelines. Cancer Care Ontario operates the province's regional cancer centres as well as the New Drug Funding Program, the Ontario Breast Screening Program, the Ontario Cervical Screening Program, the Ontario Cancer Genetics Network and the Ontario Cancer Registry.

Cancer Care Ontario
620 University Ave.
Toronto ON M5G 2L7

Phone: 416-971-9800
Fax: 416-971-6888
E-mail: publicaffairs@cancercare.on.ca
Website: www.cancercare.on.ca

Heart and Stroke Foundation of Ontario

The Heart and Stroke Foundation of Ontario is a community-based volunteer organization whose mission is to reduce the risk of premature death and disability from heart disease and stroke by raising funds for research and health promotion.

Heart and Stroke Foundation of Ontario
1920 Yonge St., 4th Floor
Toronto ON M4S 3E2

Phone: 416-489-7111
Fax: 416-489-6885
Website: ww2.heartandstroke.ca

The Huntington Society of Canada

The Huntington Society of Canada is a national network of volunteers and professionals. The goal of the Society is to find new treatments and ultimately a cure for Huntington Disease, and to improve the quality of life for people with Huntington Disease and their families.

Huntington Society of Canada
151 Frederick St., Ste. 400
Kitchener ON N2H 2M2

Toll-free: 1-800-998-7398
Phone: 519-749-7063
Fax: 519-749-8965
E-mail: info@hsc-ca.org
Website: www.hsc-ca.org

The Kidney Foundation of Canada

The Kidney Foundation of Canada is a national volunteer organization dedicated to improving the health and quality of life of people living with kidney disease. Supported by the public, and responsive to its beneficiaries, the Foundation funds research-related clinical education, provides services for the special needs of individuals living with kidney disease, advocates for access to high quality health care, and actively promotes organ donation.

The Kidney Foundation of Canada
15 Gervais Dr., Ste. 700
Toronto ON M3C 1Y8

Toll-free: 1-800-387-4474
Phone: 416-445-0373
Fax: 416-445-7440
E-mail: mhamilton@kidneycob.on.ca
Website: www.kidneycob.on.ca

Multiple Sclerosis Society of Canada, Ontario Division

The Multiple Sclerosis (MS) Society is committed to providing services and programs that enable those affected by multiple sclerosis to enhance their quality of life. Major service areas include information, funding and support, Volunteers and staff focus on meeting the needs of persons with multiple sclerosis, and of their family members, caregivers and health professionals.

Multiple Sclerosis Society of Canada, Ontario Division
250 Bloor St. E., Ste. 1000
Toronto ON M4W 3P9

Toll-free: 1-800-268-7582
Phone: 416-922-6065
Fax: 416-922-7538
E-mail: info@mssociety.ca
Website: www.mssociety.ca

National Aboriginal Diabetes Association

The National Aboriginal Diabetes Association (NADA) addresses diabetes amongst Aboriginal Peoples by creating networks, and opportunities for individuals, families and communities within their beliefs, traditions, and values.

National Aboriginal Diabetes Association
174 Hargrave St.
Winnipeg MB R3C 3N2
Toll-free: 1-877-232-NADA (6232)
Phone: 204-927-1220
Fax: 204-927-1222
E-mail: diabetes@nada.ca
Website: www.nada.ca

Ontario AIDS Network

The hotline offers the public free, anonymous counselling services, information and community referrals. It is a source of confidential information for people who have questions on a wide range of topics around HIV/AIDS transmission and testing, sexually transmitted infections, and sexual practices.

Ontario AIDS Network
25 Adelaide St. E., Ste. 915
Toronto ON M5C 3A1

E-mail: info@ontarioaidsnetwork.on.ca
Website: www.ontarioaidsnetwork.on.ca

AIDS and Sexual Health Hotline
Toll-free English: 1-800-668-AIDS (2437)
Open: Monday to Friday 9a.m. - 11:30 p.m.
Saturday and Sunday 11a.m. - 4p.m.
Toll-free French: 1-800-267-SIDA (7432)
Open: Monday to Friday 10a.m. - 8p.m.

The Ontario Association of Speech-Language Pathologists and Audiologists

The Ontario Association of Speech-Language Pathologists and Audiologists (OSLA) is a voluntary professional association. OSLA can provide information on various communication disorders, as well as a referral line for clients, families and caregivers who are in search of privately funded speech-language pathology and audiology services.

The Ontario Association of Speech-Language Pathologists and Audiologist
410 Jarvis St.
Toronto ON M4Y 2G6

Phone: 416-920-3676
Referrals Toll-free: 1-877-740-6009
Referrals: 416-920-0361
E-mail: mail@osla.on.ca
Website: www.osla.on.ca

The Ontario Lung Association

The Lung Association is concerned with the prevention and control of asthma, chronic lung disease caused by smoking, and with air quality and its affect on lung health. Services include a toll-free helpline for counselling an education on asthma, chronic bronchitis and emphysema (COPD), as well as available free and low-cost resources on lung health and smoking cessation.

The Ontario Lung Association
573 King St. E., Ste. 201
Toronto ON M5A 4L3

Toll-free: 1-800-972-2636
Phone: 416-864-9911
Fax: 416-864-9916
E-mail: olalung@on.lung.ca
Website: www.on.lung.ca

Ontario Lupus Association

The Ontario Lupus Association (OLA) supports and educates lupus patients, their families, friends and the general public by providing telephone information, networking and counseling; holding support group meetings for discussion, learning and sharing; producing and distributing information on lupus; and hosting workshops and educational forums. The OLA also increases awareness of the disease itself by participating in health fairs; speaking to community organizations; and generating media attention. The association also encourages research by funding annually, the Geoff Carr Fellowship which provides a Rheumatology Trainee with an opportunity to participate in clinical research in lupus in Ontario, and gain special expertise in the management of patients with lupus; and by providing education and support grants to Ontario Lupus Clinics to assist projects which produce vital information to advance the cause of lupus research.

The Ontario Lupus Association’s mission is to provide Support, Education, Public Awareness and Research to the lupus communities of Ontario, and in doing so, contribute towards finding the causes and a cure for Lupus.

Ontario Lupus Association
590 Alden Road, Suite 204
Markham, ON L3R 8N2
Toll-free: 877-240-1099
Ph: 905 415-1099 
Fax: 905 415-9874
Email: b.ruddy-anderson@bellnet.ca
Website: www.lupusontario.org

Ontario March of Dimes

The Ontario March of Dimes (OMOD) is one of the largest community-based rehabilitation organizations in Ontario, providing a wide range of services across the province to enhance the independence and community participation of people with physical disabilities. Programs and services include self-directed non-medical Attendant Care, Respite Services and Befriending®, Post Polio Services including Polio Survivors Registry, Health Care Professionals Registry, education and information conferences, Conductive Education®, and Accessibility Services including Assistive Devices and Vehicle Modification.

Ontario March of Dimes Provincial Office
10 Overlea Blvd.
Toronto ON M4H 1A4

Toll-free: 1-800-263-3463
Phone: 416-425-3463
Fax: 416-425-1920
Website: www.dimes.on.ca

Ontario Pharmacists' Association

The Ontario Pharmacists' Association (OPA) is the voluntary professional association for pharmacists and pharmacists-in-training across the province. It facilitates optimal health care through partnership, participation, innovation, and leadership in education and communication. The OPA has partnered with the Ontario government to present seminars to seniors across Ontario on safe medications use.

Ontario Pharmacists' Association
23 Lesmill Rd., Ste. 301
Don Mills ON M3B 3P6

Phone: 416-441-0788
E-mail: mail@ontpharmacists.on.ca
Website: www.opatoday.com

Ontario Women's Health Council

The Ontario Women's Health Council focuses on providing women with better access to the unique health care and information that they require. It was established in 1998 by the Ontario Minister of Health with the objective of improving women's health at all stages of life. The Council has produced several resources that are useful tools for consumers. These include an online searchable database on women's health topics available at www.womenshealthcouncil.on.ca, and a Resource Inventory Database on health and community services available at www.owhn.on.ca. The information contained in these databases is also available in nine hard-copy regional resources directories: In Our Hands: A Guide to Women's Health and Community Services . These were produced by the Ontario Women's Health Network (see below), and can be ordered through them at
1-877-860-4545.

Ontario Women's Health Council Secretariat
800 Bay St., 2nd Floor
Toronto ON M5S 1Z8

Phone: 416-327-8348
Fax: 416-327-3200
Website: www.womenshealthcouncil.on.ca

Ontario Women's Health Network

The Ontario Women's Health Network is a network of individuals and organizations that take action to promote women's health by linking women to relevant tools and resources, and by providing channels to voice women's health concerns.

Ontario Women's Health Network
180 Dundas St. W., Ste. 1900
Toronto ON M5G 1Z8

Phone: 416-408-4840
Fax: 416-408-2122
E-mail: OWHN@opc.on.ca
Website: www.owhn.on.ca

Osteoporosis Society of Canada

The Osteoporosis Society of Canada, a registered charity, is the only national organization serving people who have, or are at risk for, osteoporosis. Services to individuals with osteoporosis and the public include free publications, a bilingual toll-free information line, educational programs and referrals to self-help groups and community resources.

Osteoporosis Society of Canada
33 Laird Dr.
Toronto ON M4G 3S9

Toll-free English: 1-800-463-6842
Toll-free French: 1-800-977-1778
Phone: 416-696-2663
Fax: 416-696-2673
E-mail: osc@osteoporosis.ca
Website: www.osteoporosis.ca

Parkinson Society Canada, Ontario Division

The Ontario Division of Parkinson Society Canada is committed to easing the burden and finding a cure through support services, education, advocacy and research. Services include information about living with Parkinson's, access to publications and conferences, referrals to support groups and community services.

Parkinson Society Canada, Ontario Division
4211 Yonge St., Ste. 316
Toronto ON M2P 2A9

Toll-free: 1-800-565-3000
Phone: 416-227-9700
Fax: 416-227-9600
E-mail: General.info@parkinson.ca
Website: www.parkinson.ca

Regional Geriatric Programs of Ontario

Regional Geriatric Programs of Ontario (RGPs) offer a range of specialized geriatric services that access and treat functional, medical and psychosocial aspects of illness and disability in older adults who have multiple and complex needs. The RGP services five regional areas of Toronto, Kingston, Hamilton, Ottawa and London. For information about cognitive assessments, care planning, services for seniors or contact information for a regional office, visit the RGP Website at www.rgps.on.ca or contact a regional office nearest you:

Regional Geriatric Programs of Ontario
Toronto: 416-480-6026
Kingston: 613-544-7767
Ottawa: 613-761-4458
Hamilton: 905-521-2100, ext. 74003
London: 519-685-4069

Trillium Gift of Life Network

The Trillium Gift of Life Network (TGLN) is an agency of the Ministry of Health and Long-Term Care. It was created in February 2001 by the Ontario government's Trillium Gift of Life Network Act to plan, promote, co-ordinate and support organ and tissue donation across the province, and to improve the system so that more lives can be saved.

Trillium Gift of Life Network
155 University Ave., Ste. 1440
Toronto ON M5H 3B7

Toll-free: 1-800-263-2833
Phone: 416-363-4001
Fax: 416-363-4002
E-mail: info@giftoflife.on.ca
Website: www.giftoflife.on.ca