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Chronic conditions support program

The Chronic Conditions Support Program (CCSP) provides collaborative chronic care and self-management support to Yukoners living with a chronic condition.

 Chronic Conditions Support Program services currently focus on the following chronic conditions:

  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetes
  • High Blood Pressure

A range of services are available for chronic care clients and providers through the Chronic Conditions Support Program:

Client Services

Pulmonary Rehabilitation

Pulmonary Rehabilitation teaches the skills to effectively manage Chronic Obstructive Pulmonary Disease (COPD) or related chronic lung conditions through facilitated spirometry testing, patient assessment, respiratory education, supervised exercise, and the development of a medication action plan: 

Supervised Exercise Programming

The program provides supervised group and individualized exercise programming for clients living with chronic conditions.  To qualify for exercise programming, clients must be diagnosed with one or more of the chronic conditions that the program provides services for: Chronic Obstructive Pulmonary Disease (COPD), diabetes, and/or high blood pressure. 

Nursing Services

A Nurse Specialist in Chronic Disease Management works in collaboration with participating Yukon physician clinics to provide screening, self-management support, information for patients on their chronic condition and treatment options, and clinical guideline care:
 

Community Spirometry Services: COPD screening

A spirometry test measures lung function and is used as a screening and diagnostic tool for COPD and chronic respiratory services.  The program provides community-based spirometry services in communities outside of Whitehorse.

Chronic Disease Self-Management Program (online)

A partnered program with the University of Victoria’s Centre on Aging, this free, online, six-week Self Management Program is designed to develop the tools, skills and confidence for adults living with any tong term health condition.  The program is accessible to those with all levels of computer experience.  Family and friends are welcome to participate.  Please see the flyer for registration information.
 

Diabetes Wellness Series

The Diabetes Education Centre and the Chronic Conditions Support Program have partnered to create a four-part workshop to provide information from a variety of diabetes specialists.
A team composed of a dietitian, nurse, pharmacists and an exercise specialist will work to answer your questions about diabetes and the medications you are taking, and help you figure out your best self-management strategies.
The workshop is offered in the evenings in the Fall and Spring annually, and a doctor’s referral is not required to participate.  For more information on the Diabetes Wellness Series please call (867) 667-8733. 
 

Know Your Numbers: Blood Pressure Screening & Awareness Campaign

The ‘Know Your Numbers’ campaign is a Yukon-wide screening and awareness campaign.  The campaign runs in February each year to coincide with heart health month.  The campaign is designed to increase awareness of the importance of blood pressure and how it relates to cardiovascular health, encourage self-management, provide screening services to identify people that are at risk of developing high blood pressure, increase understanding of how lifestyle factors affect blood pressure, and connect Yukoners to chronic care services as needed.  

Chronic care provider collaboration

Chronic Disease Management (CDM) Toolkit
The CDM Toolkit is an electronic patient registry that supports Yukon chronic care providers with providing clinical guideline-directed care to patients with chronic conditions.  The Toolkit is used and administered by the Chronic Conditions Support Program to assist doctors, nurses and other health professionals to monitor patient test results, provide patient recall, and deliver chronic care based on best clinical practice guidelines.  The CDM Toolkit is used by all the primary care health centres throughout Yukon and program partnered physician clinics in Yukon.

Case Management Support
The Chronic Conditions Support Program works in collaboration with other providers and programs linked to providing services to clients with chronic conditions.  Based on assessment, the program offers case management, recall support, and referral services for clients with chronic conditions. 

Clinical Practice Updates
The program provides clinical practice updates on a regular basis to other health professionals working with chronic conditions clients.  Clinical practice updates include new treatment techniques and medications, specialist discussions on disease progression and new research findings.  Clinical practice updates currently focus on the program’s focused conditions: COPD, diabetes, and high blood pressure. 

In-Service Clinical Skill and Professional Development Training
The Chronic Conditions Support Program provides a variety of professional development opportunities throughout the year for chronic condition providers including nurses, doctors, pharmacists, therapists, support workers and other healthcare professionals.  Opportunities range from one hour in-services led by clinical staff and focused on skill development, to three day intensive certification courses.  Please contact the program for upcoming availability. 

Contact info

Chronic conditions support program

Contact Person: Program Manager: Emily Wale

Phone: 867-667-8733

Toll Free (Yukon, Nunavut and NWT); 1-800-661-0408 ext. 8733

Fax: 867-667-8338

Email: emily.wale@gov.yk.ca

Mailing Address:

Chronic conditions support program (2HRD)
Health & Social Services, Government of Yukon
Box 2703
Whitehorse, Yukon  Y1A 2C6

Location: 2 Hospital Road | Whitehorse, Yukon [map]

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