Navigating

the
Ontario Health
Care System
Understand your
rights & obligations
to optimize recovery
Hello!
This booklet has been developed to provide support information for
anyone who has been involved in an accident. It is also helpful to those
who have had a sudden illness in their family and are trying to navigate
their way through the often complex Ontario Health Care System.
Accidents are an emotionally and financially stressful time for all involved.
Determining your rights and obligations after an accident is a confusing
and overwhelming process. You need to know what steps to take and
which decisions to make in order to protect your rights. This guide was
designed to help you and your family collect, organize and maintain
important information required to ensure that your rights are protected to
get the benefits and/or compensation you deserve while you focus on
recovery. It will help you determine your legal rights and any challenges
you may face on your road to recovery.
Through collaboration and knowledge sharing, we can achieve optimal
results in patient recovery. Pace Law Firm is committed to supporting
health care professionals and families by providing the education they
need in order to transition from hospital back into the community.
Knowledge is power! We hope you will share the information with others
to support and help families navigate the Ontario health care system
effectively and efficiently.
This document is not intended as an all inclusive guide. Any feedback or
suggestions are most welcomed. By sharing resources and working
together; we will improve health outcomes for those in need.
Yours truly;
Suzanne Amodeo, Cert.CM, RRP, CCLCP
Manager of Client Care
samodeo@pacelawfirm.com
Direct line: 647.826.0630
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Health care in Canada
All Canadian citizens and permanent residents are eligible for health
insurance in Canada.
Canadas health insurance system is set up to respond to peoples need
for health care rather than their ability to pay for it. Often referred to as
medicare, the system is designed to make sure that all residents of
Canada have reasonable access to health care from doctors and hospitals.
Instead of having a single national plan, Canadas health care program is
made up of provincial and territorial health insurance plans, all of which
share certain common features and standards. Canadas public health
care system is funded through taxes and administered by the provinces
and territories.
Public health insurance
All Canadians and permanent residents may apply for health insurance.
When you have health insurance, you do not have to pay directly for most
health-care services. They are paid for through your taxes. When you use
health-care services, you simply show your health insurance card to the
hospital or medical clinic.
Health insurance coverage is different in each province and territory. The
medical care your province or territory offers might not be covered in
other provinces and territories. Whenever you travel, check your coverage
eligibility; you may require private health insurance.
http://www.cic.gc.ca/english/newcomers/after-health.asp
Ontario Health Care System
How you were injured will determine which health care benefits you may
be entitled to within the Ontario Health Care System and may include one
or more of the following sources:
Ontario Provincial Health Plan
Automobile Insurance Accident Benefits
Ontario Legal System and Health Care Benefits
Extended Health Insurance
Workers Compensation Benefit Overview - WSIB/WCB
Self Funded
Community Organizations
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Ontario Provincial Health Plan Fact Sheet
Your Ontario Health Insurance Plan Provides:
Prescription
Drugs
Coverage under the Ontario Drug Benefit Plan Program for
seniors and Social Assistance recipients only. Covers drugs
listed on the Ontario drug formulary. Seniors must pay the
first $100 in prescription costs. Once this has been
satisfied, seniors must pay the first $6.11 for each
prescription.
Catastrophic coverage under the Trillium Drug Program
after a deductible (paid in quarterly installments) has been
satisfied. The deductible is based on family net income.
Once this has been satisfied, households must pay up to
$2.00 for each prescription.
Ambulance Coverage for in-province land and air ambulance when
medically necessary.
Patient is responsible for a $45 co-payment. Some
exceptions apply.
Dental benefits No coverage for routine or major services (i.e. cleanings,
fillings, extractions, endodontics, periodontics, crowns,
bridges, dentures, etc.).
No coverage for treatment of accidental injury to teeth.
Coverage for services provided by a dental surgeon, for
specific procedures performed in hospital only.
Vision care No coverage for glasses or contact lenses.
Coverage for one eye exam every 12 months for residents
age 20 and under and for residents aged 65 and over.
Coverage for one major eye exam every 12 months for
persons age 20 to 64 who have medical conditions
requiring regular eye examinations.
Coverage for routine eye examinations once every two
years for residents receiving assistance under the Ontario
Disability Support Program, Ontario Works or the Family
Benefits Program.
Hospital Coverage for standard ward rooms only.
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These highlights from the Ontario Health Insurance Plan are for general
reference only and may be subject to changes, corrections and updates.
Other government programs may also be available. For more information
on the latest coverage details, please contact the
Ontario Health Insurance Plan: Phone: 416-314-5518
Toll free in Ontario: 1-800-268-1154
TTY: 1-800-387-5559
Website: http://www.gov.on.ca/ont/navigation/NavigationController.
Updated: January 2010
Para medicals No coverage for chiropractor, psychologist, massage
therapy or naturopath services.
Coverage for podiatrist services up to an annual maximum
of $135. An additional $30 per plan year is available for
x-rays.
Coverage for speech therapy services when performed in
hospital only.
Coverage for physiotherapy for seniors aged 65 and over,
individuals age 19 and under and individuals of any age
needing physiotherapy after being hospitalized.
Hearing Aids Coverage under the Assistive Devices Program. Individual
must apply for assistance.
Nursing Benefits
and Home Care
Some coverage based on need
Medical Supplies Some coverage under the Assistive Devices Program such
as the cost of insulin pumps and related ongoing supplies
for Type 1 diabetics who are 18 years of age and under.
Individual must apply for assistance.
Coverage through the Assistive Devices Program (ADP)
for the full cost of insulin pumps for adults who qualify
and are age 19 and over. In addition, a annual grant of
$2400 (paid out in units of $600, quarterly) is provided to
approved individuals for related supplies.
Accidental Death
& Dismemberment
No coverage
Out of Country Coverage for emergencies only. In-patient services are
covered up to $400 per day for higher-level hospital care
and up to $200 for any other kind of medical care.
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Community Care Access Centres connect people with the care they
need at home and in their communities
CCACs help people find their way through Ontarios health care system,
understand their options and connect them to quality community based
health care and resources. Your CCAC Case Manager works on your
behalf to make sure you have access to the care and service you need.
Working With Your CCAC
When you contact your local CCAC, you will be introduced to a Case
Manager (also referred to as a Care Coordinator) who will:
Talk with you about your needs, and answer questions about what
CCACs can provide and whats available in your community
Conduct a health care assessment
Develop a customized care plant that meets your specific needs
Check in regularly with you and adjust your plan if your needs
change
If you require long term care, you must qualify to be eligible for
government benefits.
Notes
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www.health.gov.on.ca/en/public/contact/ccac/
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Cost of Long Term Care
If you dont have enough annual income to pay for the basic room, the
government can help you through a subsidy that will bring the cost down
to a level you can afford.
Type of Accommodation Daily Rate Monthly Rate
Long-Stay Basic $53.23 $1,619.08
Long-Stay Semi-Private $61.23 $1,862,41
Long-Stay Private $71.23 $2,166.58
Short-Stay $34.63 $1,053.33
Eligibility
To qualify to move into a Long-Term Care Home, you must:
Be 18 years of age or older
Have a valid Ontario Health Card
Have health care needs that cannot be met with any combination
of caregiving, Care in Your Home or Care in Your Community
Have health care needs that can be met in a Long-Term Care
Home
To appeal a decision that states you are not eligible, ask your CCAC Case
Manager for the appropriate contact names and phone numbers.
Notes
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Community Care Access Centres (CCACs)
www.health.gov.on.ca/en/public/contact/ccac/
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Assistive Devices Program
(Includes the home oxygen program)
The objective of the Assistive Devices Program (ADP) is to provide
consumer centered support and funding to Ontario residents who have
long-term physical disabilities and to provide access to personalized
assistive devices appropriate for the individuals basic needs.
Devices covered by the program are intended to enable people with
physical disabilities to increase their independence through access to
assistive devices responsive to their individual needs.
Assistive Devices Program
The Ontario Ministry of Health and Long-Term Care runs the
Assistive Devices Program (ADP) to help people who have long-
term physical disabilities get needed equipment and supplies.
In some cases ADP pays 75 per cent of the cost of items like
orthopedic braces, wheelchairs, and breathing aids.
In other cases, such as artificial limbs and breast prostheses, ADP
contributes a fixed amount up to a maximum contribution.
For some kinds of supplies, such as ostomy and needles and
syringes for insulin-dependent seniors, ADP pays an annual grant
directly to the person.
http://www.health.gov.on.ca/en/public/programs/adp/
Notes
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What is a personal injury?
The following is a list of some of the most common examples of personal
injuries that may require legal assistance:
Motor vehicle accident injuries;
Paraplegic or quadriplegic injuries;
Amputation resulting from an accident;
Brain injuries;
Spinal cord injuries;
Claims for Short or Long Term Disability benefits whatever the
cause of the disability;
Slip and fall accidents on municipal or private property resulting in
a personal injury;
Injuries resulting from an assault; and
Injuries resulting from defective products.
Please note this is not a complete list. If you feel you have been
wrongfully injured and are entitled to financial compensation, please
contact a firm specializing in personal injury law. They will provide the
information you require and help secure the compensation to which you
are entitled.
Are all personal injuries subject to the same rules and processes?
No. If you are injured in a motor vehicle accident, there are very specific
rules that apply and specific processes that must be followed. An early
determination of the jurisdictions and forum issues is critical in order for
you to take the necessary steps within the prescribed time limits. In every
case, the injured party is responsible for submitting an application for the
benefits and compensation to which they are entitled.
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Automobile Insurance Benefits
In order to determine if you are eligible to claim accident benefits, you
must inform your insurance company within seven days of the occurrence
of a motor vehicle collision, or as soon as possible, that you wish to apply
for benefits.
Failure to meet deadlines or to provide the proper notice can be
detrimental to your right to pursue the claim. In the case of limitation
periods, failure to comply can prevent you from ever receiving
compensation for your injuries.
Accident Benefit Entitlements
www.ibc.ca/en/Car_Insurance/documents/brochure/Accident_Benefits_Cvrg_ON.pdf
Attendant Care Benefits
(for personal care).
q If you are unable to carry out certain
personal care activities (such as bathing,
toileting, dressing or feeding yourself) as a
result of severe injuries sustained in a
motor vehicle collision and if you are
eligible, this benefit will pay reasonable
and necessary expenses for an aide,
attendant or long-term care facility.
Caregiver Benefit
q If you cannot continue as a primary
caregiver and if you are eligible, this
benefit will reimburse you for expenses
you incur.
Death And Funeral Payments Benefit
q There are lump-sum benefit payments
available for survivors of an individual
killed in a motor vehicle collision and
payments available to help pay funeral
expenses.
Medical & Rehabilitation Benefits
(Above OHIP).
q You are entitled to this for up to ten years
after a non-catastrophic injury, or for the
rest of your life in the case of a
catastrophic injury. Catastrophic injuries
are specifically defined under the law.
Lost Educational Expenses.
q You are entitled to this if you are a
student.
Travel Expenses.
q Family members, or those living with the
accident victim, are entitled to
compensation for their visiting costs
during treatment and recovery.
Other Expenses Benefit
q If you are eligible, this benefit may pay for
expenses such as lost educational
expenses, the cost of certain people
visiting you during treatment and
recovery, and reasonable costs related to
housekeeping or home maintenance
required due to injuries sustained in a
motor vehicle collision. You may also be
covered for repairing or replacing certain
items of your clothing that were lost or
damaged in the collision.
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What Are Your Statutory Benefits
for Automobile Insurance?
In Ontario, the legislated system limits your rights to sue and recover
damages for injuries sustained as a result of a motor vehicle accident,
even if you were not the at fault driver. At the same time, this system
makes available a set of mandatory benefits (Accident Benefits) that
insurers must pay to injured parties, including at fault operators,
passengers in vehicles, and injured pedestrians.
The process of recovering damages and benefits through insurers is
anything but simple. The formal application, required documentation and
supporting materials can overwhelm even seasoned legal professionals
who are not familiar with this area. It is important that you consult an
experienced personal injury expert to determine and help protect your
rights after an injury.
Government agencies and insurance companies have ways to define and
limit access to benefits for catastrophic injury such as blindness, loss of
the use of a limb, brain injury and other massive injuries. A person has to
demonstrate and prove medically and to the court's satisfaction that they
have suffered a severe physical and psychological impairment. As well,
simply being designated catastrophically impaired in and of itself entitles
you to nothing. It simply gives you the opportunity in accident benefits
context to access a potentially greater source of care benefits, but you
have to establish entitlement.
Legal counsel can help you understand the definition of catastrophic and
non-catastrophic injuries and how this will determine your automobile
benefits entitlement.
Questions
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What are the benefits?
Ontarios standard auto insurance policy
provides you with benefits if you are
injured in a motor vehicle collision
regardless of who is at fault. These
benefits are defined by regulation the
Statutory Accident Benefits Schedule
(SABS) under Ontarios Insurance Act.
You have the choice of purchasing
additional accident benefits to
customize your policy to your needs.
These additional benefits are potentially
available to you, your spouse and any
dependants if you or they are injured in
a motor vehicle collision. When making
a claim, ascertain whether you are
covered under a standard benefits
policy or a policy with additional
benefits.
You may be eligible for the following
types of benefits. For detailed
descriptions and to determine if you are
eligible for any of these benefits, you
should contact your insurance broker,
agent or adjuster.
For a complete list of benefits, go to
http://www.fsco.gov.on.ca/en/auto/
Documents/MoreChoice.pdf
You should know that you can elect, as
part of your own automobile insurance
policy, to purchase optional increased
coverage amounts for income
replacement and most other benefits at
additional cost.
TYPE OF BENEFIT CATASTROPHIC IMPAIRMENT NON-CATASTROPHIC IMPAIRMENT
Medical and Rehabilitation
Benefits*
Maximum of $1,000,000 Maximum of $50,000 or 10 years after
accident or until insured is age 25
Case Management Services Available (part of $1,000,000
medical/rehab. limit)
Not available
Attendant Care Benefits* Maximum of $6,000 per month and
$1,000,000
Maximum of $3,000 per month, $36,000
and up to 2 years after accident
Transportation Costs* Available Only for the portion of any distance over
50 kms.
Housekeeping and Home
Maintenance Expenses*
Lifetime maximum of $100 per week Not available
Death Benefits* $25,000 to spouse, plus $10,000 per dependant including supported former spouse
Funeral Benefits* Up to a $6,000 maximum
Income Replacement
Benefit Reports
Insurer shall pay up to $2,500 for an Income Replacement Benefit Report. Applies to
both employed and self employed situations. Includes review of insurer prepared or
commissioned reports. No prior insurer approval required. Expense must be
reasonable.
Income Replacement
Benefits*
After first week paid at 70% of gross income to maximum of $400 per week.
Non-Earner Benefits Payable after 26 weeks at $185 per week if completely unable to carry on a normal life.
Caregiver Benefits* Payable, without waiting period, if
substantially unable to continue
caregiving activities, at maximum of
$250 per week for first person, plus $50
for each additional person in need of
care.
Not available
*Optional enhanced benefits available.
The attached summary of Ontario Regulation 34/10 is not intended to be a substitute for either the legislation or legal advice.
Minor Injury Guidelines (MIG)
$3,500 maximum - can be increased to $50,000 if there is compelling evidence that pre-existing medical condition
will prevent the insured person from achieving maximum recovery with access to only $3,500.
COMPENSATION AVAILABLE TO CATASTROPHIC CLIENTS
VERSUS NON-CATASTROPHIC CLIENTS as of September 1st, 2010
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Ontario Legal System
In Ontario, there is a legislated system in place that seriously limits your
rights to sue and recover damages for injuries sustained as a result of a
motor vehicle accident. At the same time, this system makes available a
schedule, or list, of mandatory benefits.
In the most basic terms, the system consists of the two following parts:
1. A set of conditions and criteria that must be met before you are
entitled to receive compensation for specific physical and
psychological injuries. This is known legally as a tort claim.
2. A prescribed set of mandatory benefits (Accident Benefits) that
insurers must pay to injured parties, including at fault drivers,
passengers in vehicles and injured pedestrians.
The process of recovering damages and benefits through insurers is
anything but simple. The formal application, required documentation and
supporting materials can overwhelm even accomplished legal
professionals who are not familiar with this area of law.
It is essential that you consult an experienced personal injury lawyer as
early as possible to protect your rights after an accident. Based on the
unique facts of your case, your lawyer can help you pursue the best legal
path to full financial recovery.
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Protect Your Legal Rights
There are several steps you can take to protect your legal rights. The first
and best is to contact an experienced personal injury lawyer to help you.
A good personal injury law firm will help you through the process and be
paid by your insurance company, not you.
You can use the paper and pen provided in this kit to begin collecting
information.
After an auto accident you should:
q Inform the police of the accident and record the attending
officers name and Badge number
q Record the names of any witnesses and all those directly or
indirectly involved in the accident
q Contact your family doctor
q Contact your insurance company within 7 DAYS
q Report your injury to your employer or school
q Record the names of all attending health care professionals
q Keep all receipts for related expenses including those incurred by
family members helping the injured person
q Keep a record of the victims health problems
q Check for health and injury coverage provided through your
employer, credit card or other sources. (You can often claim from
multiple insurers at once.)
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Record Important Dates and Events keep these dates handy for follow
up and future updates.
Date Event
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Benefits for injured or ill workers: overview
In order to be eligible for WSIB benefits you must:
Be a worker with an employer covered by the WSIB.
Have an injury or illness as a result of your work.
Promptly file a claim with the WSIB.
Provide all relevant information requested by the WSIB to help us
determine your benefits.
Consent to the release of functional abilities information to your
employer.
Types of WSIB benefits
The benefits and services you receive will depend on the nature, length
and severity of your injury or disease.
Loss of Earnings (LOE)
If you miss time from work because of a work-related injury or
illness, you are eligible for LOE Benefits. Benefits paid are based
on an annual wage ceiling based on 175% of the average industrial
wage.
Loss of Retirement Income (LRI)
If you are under 64 years of age and have received LOE Benefits
for 12 continuous months, the WSIB sets aside an LRI amount
equal to 5% over and above your regular payments that will be
paid to you when you turn 65.
Non-Economic Loss (NEL)
If you suffer from a permanent impairment because of a work-
related injury or illness, the WSIB will pay for NEL Benefits. This
amount will compensate you for a physical, functional or
psychological loss caused by the impairment.
Health Care Benefits
The WSIB pays a number of health care benefits related to work
related injury and illness including prescription drugs, medical
devices and orthotics, and transportation costs associated with
work-related injury or illnesses.
Survivor Benefits
We make survivor benefits available to spouses and dependents
of workers who have died as a result of their workplace injury or
illness.
http:/ www.wsib.on.ca/en/community
General Inquiry at 416-344-1000 or 1-800-387-5540
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Extended Health Benefits
Many Ontario adult populations have work place Insurance but most are
unaware of the coverage under these benefits. If you have coverage at
work, give your benefits provider a call to see what services you are
eligible to receive. You may be covered for some personal care, nursing,
counseling and social worker to name a few.
Call your benefits provider and have at hand all the information below.
Name of person needing claim
Name of your work place
Policy & ID number
Diagnoses
Level of care needed
Notes
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Self Funded
These services and other health care and professional care services can
be purchased privately if you are not eligible under insurance or
government home care plans.
Notes: ______________________________________________________
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Service Goal Basic Services
Home
Support
To make living at home
easier by helping with
routine household activities
Light housekeeping
Meal planning and preparation
Laundry
Shopping
Personal
Care
To enable people with
chronic health or physical
problems to continue to live
in their home
Washing and bathing
Help with dressing and eating
Medication assistance
Basic hand and foot care
Community
Support
Worker
Support reintegration back
into community and home
setting
Support with recreational activities
Cueing and coaching
Assistance with range of motion
exercises
Environmental adaptation
Registered
Practical
Nurse
To help people recover at
home following a hospital
stay
Medication administration
Basic wound care
Chronic disease management
Supportive recreational activities
Cueing and coaching
Registered
Nurse
To assist people with
specialized nursing needs
who are recovering at home
after a hospital stay
Advanced wound care
Intravenous therapy
Ventilator care
Pain and symptom management
Peritoneal dialysis
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Community Organizations in Your Area
List your resources
Examples
q Meals On Wheels
q City Support Programs
q Cultural Associations
q Church Organizations
q Community Support Associations
q Adult Supportive Day Programs
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Glossary
The Team
A number of individuals, each with a unique area of expertise and each
representing an area of practice important to your recovery will become involved
in your case throughout the process. These professionals, from the doctor to
members of your legal team, work together to help you and your family through
this process and achieve the very best possible outcome and quality of life after
an accident. Be sure you collect names and contact numbers so you can follow up
later if need be. Be aware that you do have a choice of providers.
This is a brief description of the various professionals who may be involved with
you as you progress through the continuum of care.
Doctors
The doctor and medical team are responsible
for your care while in the hospital. They will
make decisions regarding medical
treatments and recommendations for your
ongoing recovery. Depending upon the
severity of your injuries, you may be visited
by several doctors and other specialists in
various fields of medicine. Resident doctors
or interns who work under the supervision of
your doctor or specialist, may also visit you.
Registered Nurses
Besides your doctor, the registered nurse is
the healthcare provider and team member
with whom you will have the most contact.
He or she is responsible for providing daily
care, as well as any other treatments or
medications prescribed by the doctor.
Case Managers/Client Care Advocate
A case manager is the day-to-day contact
involved in your recovery. He or she will
coordinate all of your clinical and
rehabilitation needs.
Clinical Leader/Managers
The clinical leader/manager oversees the
coordination of your healthcare team and
supervises the specifics of your medical
treatments and procedures while in the
hospital.
Physiotherapists/Chiropractors
A physiotherapist will test your physical
abilities after an accident and provide post-
accident treatment and rehabilitation. He or
she will prescribe therapy to help restore
strength, flexibility and other basic physical
abilities that may have been affected by the
injury you sustained.
Psychologists/Family Counselors
A psychologist or family counselor will treat
any non-physical issue and will help you
manage any emotional and psychological
effects that may arise as a result of your
accident.
Social Workers
A social worker provides counseling and
support and will help you and your family
with the emotional and practical issues most
commonly faced after an accident.
Vocational Rehabilitation Professionals
Vocational rehabilitation is a set of
professional services offered to individuals
with mental, physical or psychological
disabilities.
Their goal is to ensure that you receive
effective education, treatment and therapies
to help you with impaired work capacity and
improve your quality of life.
Occupational Therapists
An occupational therapist will help you
return to your day-to-day life and resume
your daily activities at home and at work,
including any rehabilitation that may be
required.
Insurance Adjusters
The insurance adjuster represents the
insurance company and will communicate
with you and your personal injury law team.
The adjustor may want to ask you questions
regarding the accident and review the
benefits to which you may be entitled. We
encourage you not to sign any documents or
answer any questions without first consulting
a lawyer with expertise in personal injury.
Personal Injury Law Team
Your personal team of law experts addresses
the individual legal needs associated with
your specific case. This may include a lawyer,
accident benefits specialist, medical advisors
and a legal and administrative support team.
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IMPORTANT LINKS
Government of Ontario
www.ontario.ca
Ministry of Community and Social Services
www.mcss.gov.on.ca
Ministry of Municipal Affairs and Housing
www.mah.gov.on.ca
Ministry of Transportation
www.mto.gov.on.ca
Ontario Disability Support Program
www.cfcs.gov.on.ca/mcss/english/main
Workplace Safety and Insurance Board
www.wsib.on.ca
Workplace Safety and Insurance Tribunal
www.wsiat.on.ca
Canadas National Occupational Health and Safety
www.canoshweb.org
Ontario Ministry of Health and Long Term Care
www.health.gov.on.ca
OHIP
www.tormed.com/En/Info/ohip.html
ADP
www.health.gov.on.ca/en/public/programs/adp/
Community Care Access Centres (CCACs)
www.health.gov.on.ca/en/public/contact/ccac/
Do your research
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National Case Management Network
229 Yonge Street, 3rd Floor, Toronto, Ontario, M5B 1N9 Canada
www.ncmn.ca Phone: 416.864.5643
Case Management Expert: Case Management Providers demonstrate expertise in complex health
and social needs planning. As leaders in coordination and facilitation, Case Management Providers
integrate all Case Management roles to promote and optimize the health and well-being of targeted
client populations.
Communicator: Case Management Providers use e ective communication to develop and enrich the
clients health and social networks, to build partnerships and to address barriers at the client and system
level using a variety of di erent communication strategies/methods/techniques.
Collaborator: Case Management Providers facilitate the achievement of optimal client and system
outcomes by working with the broad health and social networks. Case Management Providers skilfully
engage individuals and groups to reach consensus by providing direct or indirect assistance, guidance or
supervision along the continuum of care.
Navigator: Case Management Providers help clients navigate health and social systems by working
with their networks to identify and address disparities and barriers.
Manager: Case Management Providers are integral participants in making decisions about time,
resources and priorities that a ect the Case Management plan and contribute to the e ectiveness of
clients healthcare plan, social networks and the organizational systems.
Advocate: Case Management Providers use their expertise and in uence to speak on behalf of their
clients, community or population to advance their health and well-being.
Professional: Case Management Providers demonstrate professional behaviour in the best interests of
clients and society by adhering to the Canadian Standards of Practice for Case Management and
through ethical and evidence-informed practice.
THE
CANMEDS
CAS E MANAGEMENT
ROLE S F R AME WORK
Professional
Advocate
Case Management
Expert
Collaborator
Manager Navigator
Communicator
Toronto

Scarborough

Kitchener
Collingwood

Owen Sound
www.pacelawfirm.com
Suzanne Amodeo, Cert.CM, RRP, CCLCP
samodeo@pacelawfirm.com
Toll Free Direct
1.877.236.3060 647.826.0630
We Are Here
To Help You.
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