Get started on your care journey today with one of our focused support pathways. Whether you’re facing stress, diabetes, or breathing issues — we’re here to help you take the first step.
Many people come to this site looking for a family doctor—and that’s important. But you don’t need to wait to start feeling better.
Whether you’re managing stress, diabetes, or lung issues, you have the ability to become more present, more aware, and more in control of your health—starting now.
This pathway offers you a place to begin, to learn, and to move forward—with the support of others and a plan designed just for you.
Many people come to this site looking for a family doctor—and that’s important. But you don’t need to wait to start feeling better.
Whether you’re managing stress, diabetes, or lung issues, you have the ability to become more present, more aware, and more in control of your health—starting now.
This pathway offers you a place to begin, to learn, and to move forward—with the support of others and a plan designed just for you.
Once you complete one (or more) of the pathway forms, you’ll be invited to a free group intake session.
These sessions are:
•Small, confidential, and supportive
•Guided by trained professionals
•Open to patients and caregivers
If the patient can’t attend, a caregiver can come instead.
This is your next step—from intake to impact. All you have to do is start.
Feeling stressed, anxious, or overwhelmed?
This pathway helps you understand what’s going on inside and introduces you to a simple, presence-based approach to healing.
New to diabetes or feeling stuck?
This pathway will help you understand your numbers, learn about food and habits, and take control with clear guidance and support.
Managing COPD or heart failure? Caring for someone who is?
This pathway helps you or your caregiver learn to monitor breathing, spot warning signs early, and prevent flare-ups.
“At first, I joined just to learn about my diabetes. But it was the presence therapy that changed everything. It helped me slow down, actually listen to my body, and not panic when my sugars fluctuated. I’ve got more energy now, I’m walking again, and I feel like I’m finally living instead of just managing.”
– Maya R., Participant in Diabetes & Wellness Program
“At first, I joined just to learn about my diabetes. But it was the presence therapy that changed everything. It helped me slow down, actually listen to my body, and not panic when my sugars fluctuated. I’ve got more energy now, I’m walking again, and I feel like I’m finally living instead of just managing.”
– Maya R., Participant in Diabetes & Wellness Program
“Before this, I didn’t know what presence was. I just knew I was stressed all the time. The group gave me a pause—space to feel my breath, my body, and not be in fight-or-flight mode 24/7. I’m sleeping better. I’m thinking clearer. And for the first time in a long time, I feel like I’m enough.”
– Jordan S., Presence Therapy Participant
“What helped me most wasn’t just the breathing tips. It was knowing I wasn’t alone. Every week, I showed up to a group that got it. I learned how to spot warning signs before it gets bad, and I haven’t needed the hospital in three months. That’s a first.”
– George M., Living with COPD
If you’ve completed one or more intake forms, your next step is to join a group session.
These sessions are free, supportive, and designed to help you understand what’s next in your care journey.
If the patient can’t attend, a caregiver is welcome to attend in their place.
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 |