Halton Healthcare
Site: Oakville Trafalgar Memorial Hospital
Service: Outpatient Rehabilitation - Remote Care Management Program
Record #:
MHH0775
Last Full Update:
20 Oct 2025
Contact Information
| Office Phone | 289-218-6018 |
| Toll Free Phone | To avoid long distance charges to a Halton Healthcare hospital, just dial local hospital number and request to be transferred |
| Crisis Phone | Call 911 in emergencies |
| Fax | 905-815-5132 |
| rcm@haltonhealthcare.com | |
| Website | connectedcarehalton.ca/for-physicians/remote-care-management/ |
| Social Media |  Facebook,  Instagram,  LinkedIn,  YouTube |
Agency Information
| Legal Status | (50) Non Profit |
| Established | 2022 |
| Funding | Donations * Ontario Health (Central) |
Description and Service Details
| Description (Service) | The goal of the RCM is to ensure vulnerable populations receive appropriate clinical support and monitoring in the community, including escalation to medical practitioners or acute care, where necessary * helps to reduce unplanned visits to the Emergency Department and/or unplanned re-admissions and develop sustainable self-management techniques for the identified patient populations supported through education and resources * allows patients with acute viral respiratory illnesses, Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF), palliative (prognosis 2 to 12 months), to manage their symptoms at home with technology and nursing support provided to them |
| Hours | Mon-Fri 9am-5pm |
| Areas Served | Halton Region |
| Boundaries | Halton Region |
| Eligibility | Patients 18 years and older, live in Halton Region and not in long-term care facility with a valid OHIP number, and cognitively able to participate in the program or lives with someone who is able to assist |
| Application | Medical referral from a family physician or a specialist is required |
| Languages | English |
| Fees | Most services covered by OHIP |
Site Information
| Site Location | Oakville (Bronte Creek) |
| Located In Community | Oakville |
| Address & Map | 3001 Hospital Gate Oakville, ON L6M 0L8 |
| Intersection | Third Line and Dundas St W |
| Physical Access | Fully Accessible |
Categories and Classification
| Service Categories | Chronic Disease Self Management Programs ~ People with Chronic Illnesses |
Copyright
| Copyright Information | This listing is copyright © 2025 Ontario Health atHome |
Agency Overview
About This Agency
Health care organization providing publicly funded health care services * comprised of three community hospitals: Georgetown Hospital (GH), Milton District Hospital (MDH), and Oakville Trafalgar Memor ... [More]
12 Agency Locations
[Show Listings]
123 Agency Services
[Show Listings]
Outpatient care for people with complex hand injuries and post-operative cases * services provided by physiotherapists and occupational therapists with specialty training * focus is to return patient ... [More]
Outpatient care for people with complex hand injuries and post-operative cases * services provided by physiotherapists and occupational therapists with specialty training * its focus is to return pat ... [More]
Offers comprehensive assessment, treatment and education for adults and children living with asthma * educational services are available at all three sites of Halton Healthcare and daytime and evenin ... [More]
Offers comprehensive assessment, treatment and education for adults and children living with asthma * educational services are available at all three sites of Halton Healthcare and daytime and evenin ... [More]
Offers comprehensive assessment, treatment and education for adults and children living with asthma * educational services are available at all three sites of Halton Healthcare and daytime and evenin ... [More]
Offers a full range of diagnostic hearing testing services for inpatients and outpatients of all ages - infant, child, adult, and geriatric * operates the Halton Hearing Aid Clinic in the Audiology De ... [More]
Provides clinical care with on site diagnosis and management of complex metabolic bone diseases, calcium and parathyroid diseases * clinical research will focus on developing new therapies for osteop ... [More]
Offers dialysis in an outpatient setting for those patients who are stable and require less intensive care by the renal team * patients dialyzing in Burlington are cared for by Halton Healthcare mult ... [More]
Provides one-on-one introduction and education to home oxygen use, home orientation to the equipment and ongoing follow-up * registered respiratory therapists monitor and assess respiratory status whi ... [More]
Provides one-on-one introduction and education to home oxygen use, home orientation to the equipment and ongoing follow-up * registered respiratory therapists monitor and assess respiratory status whi ... [More]
Provides one-on-one introduction and education to home oxygen use, home orientation to the equipment and ongoing follow-up * registered respiratory therapists monitor and assess respiratory status wh ... [More]
Individualized exercise and education program for people who have had a cardiac event including angina, heart attack, heart surgery, congestive heart failure or angioplasty * goal is to improve patien ... [More]
Individualized exercise and education program for people who have had a cardiac event including angina, heart attack, heart surgery, congestive heart failure or angioplasty * goal is to improve patien ... [More]
The program improves access to timely diagnostic testing and a coordinated approach to patient care supported by a multidisciplinary team of radiologists, surgeons and other key healthcare providers ... [More]
Provides a transitional level of care when a patient no longer requires the hospital acute care services * services are provided by an interdisciplinary health team for people with medically complex, ... [More]
Provides a transitional level of care when a patient no longer requires the hospital acute care services * services are provided by an interdisciplinary health team for people with medically complex, ... [More]
Provides a transitional level of care when a patient no longer requires the hospital's acute care services * services are provided by an interdisciplinary health team for people with medically comple ... [More]
Assessment and treatment of adults experiencing muscle spasticity (muscle or muscles groups are constantly stiff and/or tight due to an increase in muscle activity and/or tone. Individuals with ... [More]
Offering a complete product range of sensors to help people living with medical or physical challenges, and are at risk of falling Helping You or a Loved One Stay Safe At Home * help at the touch of a ... [More]
A specialized outpatient clinic designed for the care of patients with implanted rhythm-management devices. The goal of the clinic is to: * provide ongoing follow-up of the device * provide patient a ... [More]
Outpatient and inpatient services for taking images of the body to diagnose medical conditions * Computed Tomography (CT scan) * Magnetic Resonance Imaging (MRI) * ultrasound * bone mineral den ... [More]
Outpatient and inpatient services for taking images of the body to diagnose medical conditions * computed tomography (CT scan) * magnetic resonance imaging (MRI) * ultrasound * bone mineral den ... [More]
Outpatient and inpatient services for taking images of the body to diagnose medical conditions * angiography/interventional * bone mineral densitometry * computed tomography (CT scanning) * general i ... [More]
Emergency room care * doctors, nurses, and other health professionals assess and treat life-threatening injuries or severe illness * all patients are initially triaged by a registered nurse and are s ... [More]
Emergency room care * doctors, nurses, and other health professionals assess and treat life-threatening injuries or severe illness * all patients are initially triaged by a registered nurse and are s ... [More]
Emergency room care * doctors, nurses, and other health professionals assess and treat life-threatening injuries or severe illness * all patients are initially triaged by a registered nurse and are se ... [More]
Offers a wide range of services including: * assessments for foot pain or discomfort and customized treatment plans * routine nail care * treatment of corns and calluses * plantar fasciitis * ingrown ... [More]
Full service clinic offers a wide range of services including: * assessments for foot pain or discomfort and customized treatment plans of foot disorders * routine nail care * treatment of &nbs ... [More]
53-bed (33 acute care and 20 complex continuing care) hospital with emergency department * Care Coordinators from Ontario Health atHome are available on site Programs and Services: * medical and surgi ... [More]
Volunteers assist in a variety of areas and roles Fundraising efforts include: Charitable Donations * GHVA accepts charitable donations, including in memoriam * donations cards available ... [More]
Outpatient inter-professional assessment for seniors that are at risk for injurious falls or have a past history of fall-related presentation at the Emergency Department * patients eligible for ... [More]
Provides comprehensive assessment and short-term rehabilitation to the elderly who present with multiple complex medical problems requiring an interdisciplinary approach * team consists of a geriatri ... [More]
Provides comprehensive assessment and short-term rehabilitation to the elderly who present with multiple complex medical problems requiring an interdisciplinary approach * team consists of a geriatri ... [More]
Provides comprehensive assessment and short-term rehabilitation to the elderly who present with multiple complex medical problems requiring an interdisciplinary approach * follow up for geriatric out ... [More]
Provides comprehensive geriatric assessment for patients seen in the Emergency Department but not requiring admission and inpatients ready for discharge, who require a timely comprehensive geriatric ... [More]
Provides comprehensive geriatric assessment for patients seen in the Emergency Department but not requiring admission and inpatients ready for discharge, who require a timely comprehensive geriatric ... [More]
Multidisciplinary outpatient rehabilitation program that provides physiotherapy, occupational therapy and speech language therapy services to frail seniors who wish to maintain community living and h ... [More]
Provides outpatient care, education and support to children and adults with type 1 and 2 diabetes, prediabetes and gestational diabetes * team consists of diabetes educators (nurse educators and ... [More]
Provides outpatient care, education and support to children and adults with type 1 and 2 diabetes, prediabetes and gestational diabetes * team consists of diabetes educators (nurse educators and ... [More]
Provides outpatient care, education and support to children and adults with type 1 and 2 diabetes, prediabetes and gestational diabetes * team consists of diabetes educators (nurse educators and ... [More]
Health care organization providing publicly funded health care services * comprised of three community hospitals: Georgetown Hospital (GH), Milton District Hospital (MDH), and Oakville Trafalgar Memor ...
Offers health information resources (online Clinical Library and in-person) to patients, their family members and caregivers * personalized information assistance from trained professional librarian a ... [More]
Outpatient program staffed by cardiologists and registered nurses with advanced training in caring for patients with heart failure * heart failure is a condition in which the heart is unable to pump e ... [More]
Provides education to patients as well as care to initiate and maintain dialysis access and renal services across the regional chronic kidney disease program * hemodialysis requires patients to follow ... [More]
HELP is designed to prevent delirium by keeping hospitalized seniors oriented to their surroundings, meeting their needs for nutrition, fluids, and sleep, and keeping them mobile within the limitation ... [More]
Providing care to outpatients as well as patients admitted to the hospital * also provides acute dialysis coverage in intensive care unit at both OTMH site and at Joseph Brant Hospital in Burlington
Allows patients to perform dialysis in their own home and offers options regarding type of dialysis * multi-disciplinary team provides visits, training and ongoing support outside regular clinic hours ... [More]
Short-term rehabilitative care for people who have had a stroke, or have musculoskeletal, neurological or general medical conditions that affect their functionality or mobility * patients are seen by ... [More]
Provides laboratory services to the Emergency Department, inpatients and outpatients registered in one of the hospital clinics Laboratory services include: * hematology: study of blood cells and plas ... [More]
Laboratory services for the Emergency Department, inpatients, and outpatients registered in one of the hospital clinics Services include: * hematology: study of blood cells and plasma in the diagnosi ... [More]
Provides laboratory services to the Emergency Department, inpatients and outpatients registered in one of the hospital clinics Laboratory services include: * hematology: study of blood cells and plas ... [More]
Obstetrics unit provides safe, skilled and individualized care for expectant mothers * has 3 labour and delivery rooms as well as postpartum beds for seven patients * healthcare team includes obstetri ... [More]
Obstetrics unit provides safe, skilled and individualized care for expectant mothers and pediatric patients and their families * healthcare team includes obstetricians, family physicians, anaesthetist ... [More]
Maternal Child Program at OTMH provides safe, skilled and individualized care for expectant mothers and pediatric patients and their families * healthcare team includes obstetricians, family physicia ... [More]
Provides multidisciplinary assessment to determine eligibility and short-term treatment for adults with mild to moderate eating disorder symptoms * adults must be medically stable to be elig ... [More]
Provides short-term outpatient treatment for children and youth under the age of 18 years who are experiencing moderate to severe symptoms of mental illness * offers specialized programming for transi ... [More]
This program provides multidisciplinary short-term treatment to children and adolescents under the age of 18 with moderate to severe symptoms * this includes individuals who have recently be ... [More]
Child and Adolescent Inpatient Unit (CAPIS) also provides short-term stabilization for children and youth, up to the age of 17 years, who require intensive support to facilitate their transition from ... [More]
Provides long-term case management to enable individuals with severe and persistent mental illnesses to attain self-sufficiency, stability and integration into the community * team of nurses and socia ... [More]
Outpatient, community-based program for individuals 14-35 years old experiencing early stages of psychosis * clinical partnership between Halton Healthcare, Joseph Brant Hospital, North Halton Mental ... [More]
Provides individuals with rapid access to time-limited addiction care from any Halton Healthcare Services including three Emergency Departments and all inpatient units * clinic works in close partners ... [More]
Provides medium-term, hospital-level medication management for adults diagnosed with serious and persistent psychiatric illnesses Services include: * prescription and administration of long-acting inj ... [More]
Provides short term support and case management to children, youth and their families as they navigate through the mental health system and transition to longer term services Services include: * commu ... [More]
Hospital-based clinic provides assessment, consultation, treatment and follow-up services to older persons with mental health issues, including behavioural and psychological complications associated w ... [More]
Provides short-term individual and group psychotherapy for adults with acute mental health issues using cognitive behavioural, solution-focused, interpersonal and psychodynamic therapies Services incl ... [More]
Provides a comprehensive range of outpatient services to children, youth, adults, and seniors * referrals are screened and processed by one-Link Outpatient services for adults : * Community Support T ... [More]
Offers consultation, assessment and diagnosis by a psychiatrist for adults 18 years and over as follows: * for patients requiring diagnosis clarification, a one-time consultation will be provided with ... [More]
Offers psychotherapy using a “stepped care” model, which places the patient at the right level of care based on their needs * services utilize evidence-based models including Cogniti ... [More]
Six-week intensive outpatient program provided for children and youth aged 12-18 requiring mental health treatment and education services in a local community high school to prevent hospita ... [More]
Six-week intensive group program for individuals requiring an alternative to inpatient admission or a follow-up from an inpatient admission * focus is on crisis management, symptom stabilization and s ... [More]
129-bed acute care hospital with emergency department *35-bed regional unit - transitional beds for ALC (alternate level of care) patients Programs and services available: * diagnostic imaging * mammo ... [More]
Volunteer Auxiliary providing services to the Milton District Hospital * a registered charity with numerous fundraising initiatives * funds raised are donated to the Milton District Hospital and used ... [More]
Central location that receives, triages, and directs referrals to Diabetes Education Programs (DEPs), foot care services, addictions and mental health services through one-Link , and Hip & Knee R ... [More]
Referrals being sent to central location, triaged and reviewed by clinician and directed to appropriate services based on the patient care needs * individuals can initiate a referral for diabetes edu ... [More]
Central intake for patients with moderate to severe hip, knee arthritis * provides patients with an assessment by an Advanced Practice Provider (APP) within 4 weeks of when the completed referr ... [More]
Central intake for patients with low back pain * provides patients with an assessment by an Advanced Practice Provider within 4 weeks of when the completed referral is received by the Central Intake ... [More]
A single point of access for referrals to publically funded addictions and mental health providers in Mississauga and Halton * ADAPT (Halton Alcohol Drug and Gambling Assessment Prevention and Treatm ... [More]
The Rapid Access Clinic (RAC) is a provincial program dedicated to help people with musculoskeletal conditions * Shoulder Pain RAC is a central intake point for patients with shoulder pain * provides ... [More]
Supports patients who have some level of kidney disease but do not presently require dialysis * focused on providing education kidney disease, lifestyle tips to help slow the progression of kidney dis ... [More]
Outpatient service staffed by two neurologists and a neurology nurse practitioner * offers comprehensive assessment, treatment and education for adults living with neurologic conditions Neurophysiolo ... [More]
Provides comprehensive assessment, rehabilitation/treatment and supportive counselling to clients with complex and/or serious and persistent mental health disorders, living in North Halton * interprof ... [More]
Provides comprehensive assessment, rehabilitation/treatment and supportive counselling to clients with complex and/or serious and persistent mental health disorders, living in North Halton * interprof ... [More]
Provides comprehensive assessment, rehabilitation/treatment and supportive counselling to clients with complex and/or serious and persistent mental health disorders, living in North Halton * interprof ... [More]
Full-service acute care community hospital that offers a comprehensive range of services including 24/7 emergency care , maternal newborn and pediatrics, medicine, surgery, intensive care, diagnostic ... [More]
Outpatient program helping people optimize their ability to carry out activities of daily living when affected by injury, illness, or disability * occupational therapists help patients retrain in dail ... [More]
The following programs and services are offered by Halton Healthcare on an outpatient basis * not all programs are offered at all three hospital sites * Acute Hand Program, 905-845-2571 ext 4613 (OTMH ... [More]
Time-limited service for individuals experiencing urgent mental health concerns who require crisis stabilization * team is staffed by psychiatrists and nurses
Time-limited service for individuals experiencing urgent mental health concerns who require crisis stabilization * team is staffed by psychiatrists and nurses
Offers a number of outpatient rehabilitation programs such as: * Acute Hand Program (MDH & OTMH) * Audiology and Hearing Aid Dispensing Services (MDH) * Cardiac Rehabilitation Program (MDH & ... [More]
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Outpatient Rehabilitation - Remote Care Management Program
The goal of the RCM is to ensure vulnerable populations receive appropriate clinical support and monitoring in the community, including escalation to medical practitioners or acute care, where necess ... [More]
Assessment and treatment for people with communication disorders, voice disorders, speech disorders, and dysphagia (difficulty swallowing)
Multidisciplinary outpatient program that provides physiotherapy, occupational and speech language therapy for clients who have suffered a recent cerebral-vascular accident, acquired brain injury or o ... [More]
Specialized outpatient clinic designed for the care of patients with implanted rhythm-management devices * patients who have had their pacemaker inserted elsewhere and move to Halton Region can be ref ... [More]
An impartial and confidential service designed to assist patients and families in the resolution of hospital related concerns, to receive information about hospital rules and policies and to share com ... [More]
A child may need an operation called a tonsillectomy to take out the tonsils or an adenoidectomy to remove the adenoids * these operations can be done separately or at the same time to reduce the infe ... [More]
8 bed pediatric unit providing compassionate care to children from 24 hours of age up to 18 years experiencing a wide range of disease and illness * healthcare on pediatric unit includes physicians, n ... [More]
Operated by 2 physiatrists and provides outpatient consultation for musculoskeletal and neurologic disorders suitable for rehabilitation * physiatrists treat patients using different procedures ( ... [More]
Follow-up clinic for children who were first seen the Emergency Department * provides pediatric consultations regarding a wide range of pediatric health concerns including behavior challenges, weight ... [More]
Clinic provides follow-up consultation services for children who have been seen in the Emergency Department at the hospital * provides pediatric consultations regarding a wide range of pediatric heal ... [More]
The clinic provides follow-up consultation services for children who have been seen in the Emergency Department at the hospital * pediatric consultations regarding a wide range of pediatric health co ... [More]
Program offers educational sessions for patients undergoing total hip, total knee or total shoulder replacement surgery * physiotherapist and occupational therapist with experience in total joint repl ... [More]
Offers education and exercise sessions to respiratory clients who have decreased exercise tolerances and endurance due to a progression of their Chronic Obstructive Pulmonary Disease (COPD) to h ... [More]
Offers education and exercise sessions to clients with Chronic Obstructive Pulmonary Disease (COPD) to help them manage their condition and encourage them to lead an active lifestyle * nine weeks in l ... [More]
Offers education and exercise sessions to clients with Chronic Obstructive Pulmonary Disease (COPD) to help them manage their condition and encourage them to lead an active lifestyle * nine weeks in l ... [More]
Partnership between Halton Healthcare, Mississauga Halton Central Intake Program and Trillium Health Partners * through a coordinated intake process, clinics offer patients experiencing hip and knee p ... [More]
A community based nurse practitioner-led clinic that provides treatment and monitoring of patients with a variety of conditions * these include high blood pressure, high cholesterol, stable coronary h ... [More]
Sleep lab provides sleep studies to diagnose and treat the following conditions: * Obstructive Sleep Apnea (OSA): caused by an obstruction of the upper airway characterized by repetitive pauses ... [More]
Spiritual care services are available to people of all faiths and spiritual perspectives, including: * compassionate listening and companionship * assessment of spiritual needs * support during crisi ... [More]
Spiritual care services are available to people of all faiths and spiritual perspectives, including: * compassionate listening and companionship * assessment of spiritual needs * support during crisi ... [More]
Spiritual care services are available to people of all faiths and spiritual perspectives, including: * compassionate listening and companionship * assessment of spiritual needs * support during crisi ... [More]
In-patient surgical and day surgery services offered at GH include: * General surgery * Gynaecology * Orthopedic surgery * Plastic surgery * Urology * Ear Nose Throat (ENT) Pain program: management of ... [More]
In-patient surgical and day surgery services offered at MDH include: * General surgery * Gynaecology * Orthopedic surgery * Plastic surgery * Urology * Ear Nose Throat (ENT) Pain program: management o ... [More]
In-patient surgical and day surgery services offered at OTMH include: * General surgery * Gynaecology * Orthopedic surgery (including hip and knee replacements) * Plastic surgery * Urology * Vascular ... [More]
Breast pump rental depot and retail store of specialty products and accessories to enhance the nurturing experience for mom and baby * all net proceeds support hospital programs * free shipping * no ... [More]
Owned and operated by the hospital. All net proceeds support hospital programs * breast pump rental depot and retail store of specialty products and accessories to enhance the nurturing experience fo ... [More]
Outpatient clinic (open Mon-Fri) that provides ultraviolet B light (UVB) therapy for the treatment of psoriasis and other skin conditions (hand, foot or full body) * dermatologist directs the tre ... [More]
Halton Healthcare offers a complimentary patient email service for individuals who cannot come to the hospital for a visit * Send a greeting via email by providing the full name of the patient in the ... [More]
Halton Healthcare offers a complimentary patient email service for individuals who cannot come to the hospital for a visit * Send a greeting via email by providing the full name of the patient in the ... [More]
Halton Healthcare offers a complimentary patient email service for individuals who cannot come to the hospital for a visit * Send a greeting via email by providing the full name of the patient in the ... [More]
Volunteers assist the hospital staff in providing care to patients and help financially by fundraising. Volunteers help in a variety of areas and roles including: * nursing units * in-hospital patien ... [More]
Physiotherapy clinic * health professionals assess and treat conditions that affect the muscles, nerves, and bones that may be caused by work or sports or motor vehicle collision injuries, chronic con ... [More]
Physiotherapy clinic * health professionals assess and treat conditions that affect the muscles, nerves, and bones that may be caused by work or sports or motor vehicle collision injuries, chronic co ... [More]
Physiotherapy clinic * health professionals assess and treat conditions that affect the muscles, nerves, and bones that may be caused by work or sports or motor vehicle collision injuries, chronic con ... [More]
Locations for this Service
1 Location(s) for this Service
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