Community Palliative Medicine

Map of Community Palliative Medicine Groups

For a map that shows the coverage areas of the community palliative medicine groups, please visit: bit.ly/ottawapalliativecaremap

Bytown Palliative Medicine

Bytown Palliative Medicine (BPM) is a group of physicians who provide palliative care for patients wishing to remain at home for end of life care, in Central Ottawa. ***At this time BPM is covering the catchment area for the Central Palliative Group (CPG)***

REFERRAL PROCESS

BPM accepts referrals from physicians. Please note the following:

Please use the following referral form: BPM REFERRAL FORM
Explain reason for the referral (symptoms, end of life care)
Attach necessary documents such as recent oncology notes, imaging and lab values (we do not have access to OACIS)
Have sufficient demographics for the patient
BPM requires a contact fax and phone number for the referring physician
The referring physician remains most responsible physician until the first visit by a BPM physician
They often have a wait list, providing more information makes triage more effective

Note: Physicians are advised to discuss urgent referrals and discharges directly with a BPM physician.

You can visit their website at: https://www.bytownpalliativemedicine.com/

Community Palliative Medicine Associates

The Community Palliative Medicine Associates (CPMA) is a partnership of family physicians dedicated to delivering quality in-home palliative care to patients with a life-limiting illness.

Their mission is to provide holistic patient-centered medical care and symptom management support in an effort to relieve suffering and enhance the quality of life for patients and their families.

Criteria for care:

Must have a life-limiting illness which is actively progressing and requires symptom management and /or end of life care
Prognosis has been discussed with patient/POA
PPS (Palliative Performance Scale) <= 50%
Must have a LHIN Palliative Care Coordinator and a chart in the home
Must have adequate support to be maintained at home, at least initially
Must have a signed MD referral with accessible return contact information

For further information, including referral requirements, please visit the CPMA website at http://www.cpmaottawa.ca

Rideau Palliative Group

We are a group of physicians based in North Grenville that provide palliative symptom management and end-of-life care to the communities along the highway 416 corridor between western Ottawa and highway 401. We strive to lay the foundation for a more peaceful and meaningful final phase of life.

Referral Criteria:

Patient has a life-limiting illness and is not planning to receive further curative treatment.
Patient’s Palliative Performance Scale score is as follows: 40% or below for most malignant disease; 30% or below for end-stage chronic disease.
Referring physician must seek consent from patient’s family doctor to pursue the referral.
Home care services through the LHIN must be in place.

Please visit www.rideaupalliativegroup.ca to view the area served, detailed contact information and referral form.

Soins Palliatifs Orleans

Soins Palliatifs Orléans (SPO) / Orleans Palliative Care Team provides bilingual community palliative care to patients in Orleans and Cumberland, ON including area codes K1C, K1W, K1E, K4A, K4B, K4C, K0A (depending on proximity to Orleans)

Their referral form is linked HERE: SPO updated referral form (English)

We support early integration of palliative care, in conjunction with disease modifying treatments for patients and their families through community palliative care support.

We accept referrals for patients with life-limiting illnesses who would benefit from being supported by 24 hour/day palliative care services in the community.

We do not have a specific Palliative Performance Scale (PPS) cut off, and will support patients receiving any form of palliative treatments including oral or intravenous palliative chemotherapy or radiotherapy, including patients who do not have a DNR order/directive

We also provide palliative care consultation services in the community and can take the role of most responsible provider if requested.

REFERRAL PROCESS

Patient with life-limiting illness who would benefit from being supported by community palliative care
No PPS criteria or need for discontinuation of palliative treatments (chemotherapy or radiotherapy)
Champlain LHIN palliative care referral
Signed MD referral form with contact information
No family physician or family physician unable to provide palliative care at home

PLEASE ENSURE THE FOLLOWING COMPLETED PRIOR TO FAXING REFERRAL

Most recent consult/clinic notes, discharge summary
Diagnostic imaging (x-ray, ultrasound, CT scan, MRI)
Most recent lab investigations

United Counties of Prescott Russell (UCPR) Palliative Outreach Group

The United Counties of Prescott Russell, UCPR Palliative Outreach Group is a service dedicated to advocating and providing dignifying palliative symptom management and end of life care for those in the communities of Hawkesbury, Vankleek Hill, L’Orignal, and the many smaller districts between in southeast Ontario nearing the Quebec border. The service is provided in both English and French.

IMPORTANT ITEMS:

Their referral form is linked here: UCPR Palliative Referral Form.

Ensure the patient has a life-limiting illness with a likely prognosis of under one year prior to considering referral
For those without a malignancy diagnosis such as end-stage chronic disease warranting palliative care services, their Palliative Performance Scale (PPS) score must be 30% or less
Attach all necessary documents such as recent medical consultation reports, key imaging and lab investigations
Referrals will not be accepted unless the referral form (as attached here) is filled out appropriately.
Referring medical professionals must seek consent from the patient’s family doctor to pursue the referral.
Unfortunately, service cannot be provided to individuals west of L’Orignal, ON, or south of Dalkeith, ON.

IMPORTANT NOTE: The referring medical professional remains most responsible for the patient’s care while pending consultation.

Contact:

FAX: 613-932-9896

OFFICE PHONE: 613-932-9895

Note: Referring medical professionals are advised to discuss urgent referrals directly with the UCPR Palliative Outreach Group for possible consultation prioritization.