| Program: | Integrated Comprehensive Care (ICC) - CHF/COPD | 
                        
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                            | Address: | 
                                    
                                        | 1245 Lakeshore Rd Burlington, ON
 L7S 0A2
 
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                            | Intersection: | Lakeshore Rd and North Shore Blvd E | 
                        
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                            | Service Description: | Coordination of care for patients from Joseph Brant Hospital to home * program includes standardized care pathways, self-management education, home, and daily coordinator support * program lasts for 60 days (which includes telephone and home visits) 
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                            | Application: | Referral initiated by hospital unit | 
                    
                    
                    
	
                        
                            | Eligibility / Target Population: | People who are admitted to Joseph Brant Hospital with CHF or COPD |