Canada’s emergency departments (ED) are saturated, 16.1 million unscheduled visits, 1.2 million patients leaving before being seen, and 48‑hour waits for admitted patients. The pressure starts long before the ED and continues after discharge. CIHI links longer waits to constraints in primary care, home care, long‑term care, and to alternate levels of care (ALC) patients who cannot move on. In 2022-23, 17% of Canadian hospital days were ALC days.
Join leaders from primary care, frontline navigation, and Ontario Health Teams to discuss what integrated care requires at the point of contact, where coordination breaks down, and what happens when organizations share responsibility for patient care but not an employer, budget, or reporting line.
The system behind ED pressure
Why ED demand and wait times need to be understood alongside constraints across the broader care system.
The cost of coordination friction
How coordination affects primary care workload, clinician sustainability and patient access.
Working across organizational boundaries
What happens when organizations share responsibility for a patient's care but not an employer, budget or reporting line.
Why technology adoption doesn't always follow intent
How dissatisfaction differs from problems with prompting, timing or habit, and why the distinction matters.
What to measure first
Which outcomes are realistic to assess during the first year of a coordination initiative.
Dr. Rahima Alani is a family physician practicing at Planned Parenthood Toronto and the Canadian Centre for Refugee and Immigrant Health Care. She is a Clinician Teacher in the Department of Family and Community Medicine at the University of Toronto and the Primary Care Lead for SCOPE in East Toronto.
Sufyan Khatri is a registered nurse and the SCOPE Nurse Navigator at Michael Garron Hospital. SCOPE supports family physicians and nurse practitioners in the community with resource finding and creating connections in the community and at MGH. Sufyan has been with SCOPE since its inception in 2019.
Joseph is Hypercare’s founding COO and CMO, leading efforts to improve clinical communication and coordination through technology. He is a practicing emergency physician in downtown Toronto and is active in quality improvement and hospital administration. He also serves as an associate professor in the Department of Medicine at the University of Toronto, contributing to medical education and research.
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