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Downtown East Toronto Telemedicine IMPACT Plus (TIP) Resources

For more information contact
Dorothy Wedel at or
416-867-7460 ext. 48372.

Interprofessional Complex Care Clinic – enabled by telemedicine

What is TIP?

Telemedicine IMPACT Plus (TIP) offers one-time interprofessional consultations to patients with complex health needs and their family physician to coordinate care planning and derive new solutions for addressing the patient’s chronic conditions.

The physician, patient, and caregivers also benefit from the support of a dedicated TIP nurse who coordinates the TIP consult and provides support to implement the recommendations resulting from the TIP consult.

Across the Toronto Central LHIN, each TIP consulting team has a core membership (as required) of a:

  • Psychiatrist
  • Internist
  • Pharmacist
  • Social Worker
  • Home and Community Care Coordinator
  • Dietitian

Some of our teams offer specialty consults in:

  • Geriatrics
  • Geriatric Psychiatry
  • Diabetes
  • Endocrinology
  • Developmental Disability

TIP is an OHIP-billable service.

Which patients to refer?

  • Medically complex patients with multiple chronic conditions and medications
  • Frequently hospitalized patients in need of access to psychiatric, mental health or social supports
  • Patients who could benefit from coordinated care planning
  • Patients who have some difficulty attending in-person appointments

Why refer to TIP?

  • Access psychiatric and internist consultation within weeks or sooner
  • Develop a coordinated care plan
  • Navigate health and community resources with a dedicated TIP nurse
  • Gain the necessary supports to help manage the complex patients who “keep you up at night”

To refer a patient, please complete the referral form (pdf file).

Please fax completed referrals to 1 (888) 401-6675

Telemedicine Impact Plus (TIP) Clinic Consult Teams

  • University Health Network - General Internal Medicine & Psychiatry
  • Taddle Creek Family Health Team - General Internal Medicine or  Endocrinology & Psychiatry
  • Women’s College Hospital - General Medicine & Psychiatry
  • Mount Sinai Hospital - Geriatric Medicine and Geriatric Psychiatry
  • South East Toronto Family Health Team - General Medicine, Psychiatry or Pain
  • Providence Healthcare - Geriatric Rehab & Frailty, or Pain
  • St. Michael’s Hospital - General Internal Medicine, Psychiatry with Dietician
  • Bridgepoint Active Healthcare - Geriatric Psychiatry
  • Sunnybrook Academic Family Health Team - Geriatric Multidisciplinary Team
  • Sunnybrook Emergency Department - Internal Medicine/Acute Medical
  • Surrey Place (Adults and Children) - Specialists in Development Disabilities

Satisfaction survey from previous participants

Provider TIP Feedback n=227

Strongly agree /agree

Patient/Caregiver TIP Feedback n=74

Strongly agree /agree

TIP case conference was effective model to develop a care plan for this complex patient


I am confident that my/the patient’s chronic care will be better managed as a result of the TIP case conference


I would use telemedicine technology again to facilitate a case conference


I would use telemedicine technology again to facilitate a medical consultation


I am hopeful that this patient’s care will improve in the next six months as a result of the TIP case conference


I am hopeful that my/the patient’s condition will improve as a result of the TIP case conference


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