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— Carlos, your fellow human.
Welcome, colleagues —
This page contains a working draft of the Durham OHT Expression of Interest proposal, including operational and budget considerations developed for the L1T postal code initiative. This page is shared securely with the planning team for review and feedback.
Please enter the password provided to access the full content. For questions or collaboration, feel free to contact Dr. Carlos Yu directly.
Ajax Harwood Clinic & Regional Physician Wellness Supports
Submitted by Dr. Carlos Yu – April 2025
Goal: Roster 400–600 new patients in the L1T area within 12 months.
Rationale: Based on Ontario’s recent investment of $110 million to support primary care access for 328,000 individuals (approx. $335 per patient), this proposal aligns with expected funding envelopes. For 6,000 patients, this equates to a feasible budget target of ~$2 million.
This model prioritizes patients with the highest need — including those with mental health conditions, complex chronic disease, and high system utilization. These patients drive disproportionate costs in emergency, specialty, and inpatient care. By supporting them effectively at the primary care level:
Even if not all 6,000 patients can be attached immediately, this investment creates the infrastructure to welcome them when they are ready—and delivers measurable return to the system for those who do engage.
| Category | Description | Estimated Annual Cost |
|---|---|---|
| RN Care Navigator (0.6 FTE) | Intake triage, orientation, EMR setup, health needs screening | $65,000 |
| MOA/Admin Support (0.5 FTE) | Scheduling, follow-ups, referral support | $35,000 |
| Empowered Care Platform Dev & Expansion | DIPA compliance, secure hosting, multi-clinic onboarding, training & toolkits | $75,000 |
| Infrastructure Expansion | Clinic readiness for additional physician(s) | $10,000 |
| Subtotal – Clinic Support | $185,000/year | |
Note: Empowered Care is designed as a scalable asset across L1T clinics. It supports digital onboarding, documentation, patient self-orientation, and group medical visit facilitation. It will require ongoing platform support and tech refinement throughout the year to scale effectively.
| Category | Description | Estimated Annual Cost |
|---|---|---|
| Diabetes Educator (1.0 FTE, shared) | Shared across clinics; insulin starts, group education | $90,000 |
| Group Mental Health Facilitator (0.5 FTE) | Supports onboarding of patients with trauma/anxiety | $45,000 |
| Contingency – NP/RN | Overflow or high-complexity support | $60,000 |
| Subtotal – Clinical Pathway Support | $195,000/year | |
| Category | Description | Estimated Annual Cost |
|---|---|---|
| Physician Participation Stipend | 12 monthly circles × 20 physicians × $250 | $60,000 |
| Presence Therapy CME | Accredited program – 2 cohorts/year | $20,000 |
| Admin Support | Scheduling, outreach, logistics | $18,000 |
| Subtotal – Wellness Supports | $98,000/year | |
This model supports physician resilience and reduces burnout. Each participant is equally compensated, and sessions focus on presence, connection, and shared system improvement.
| Phase | Description | Budget |
|---|---|---|
| Start-up (Months 1–3) | Team onboarding, Empowered Care setup, clinic prep | $125,000 |
| Operational (Year 1) | Full rollout of patient attachment & care models | $400,000–450,000 |
| Post-Year 1 | Continued support for pathways and wellness programming | ~$175,000/year |