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Supporting Better Care Through Collaboration

MyCareSteps partners with communities and healthcare organizations to strengthen access, coordination, and continuity of care.

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Supporting Better Care Through Collaboration

Care Navigation for Healthier Communities

MyCareSteps is a nurse-led care coordination program designed to help people better navigate healthcare, community services, and ongoing health needs through personalized, relationship-based support.

We partner with healthcare organizations, hospitals, municipalities, and community partners to create more connected care experiences and improve access to support beyond traditional clinical settings.

Care Navigation for Healthier Communities

Start the Conversation

Reach out to learn how MyCareSteps can help strengthen care navigation and support across your community.

Start the Conversation

What Is Care Coordination?

Serefin Health care coordination connects individuals with a dedicated nurse care coordinator who helps them better understand and navigate healthcare and community services.

This is not emergency care. It’s relationship-based support designed to help individuals and caregivers feel more confident, informed, and connected throughout their care journey.

Nurse care coordinators help residents:

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Understand their care plan

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Connect with health and community services

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Receive support between appointments

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Prepare for referrals and upcoming visits

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Access educational resources and wellness support

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Get answers to health-related questions as they arise

People Care Coordination

Who MyCareSteps Supports

The program is designed to support patients and caregivers who:

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Have ongoing or complex health concerns

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Need help navigating healthcare services

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Do not have a regular family doctor

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Require additional support beyond primary care

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Seek guidance and coordination support

MyCareSteps Supports

Our Partners

Grey Bruce Pilot Program

MyCareSteps is currently being delivered as a pilot program across Grey and Bruce counties in partnership with Brightshores Health System (referrals & evaluation) and Grey-Bruce OHT (stakeholder engagement & referrals). Serefin Health is the care coordination service provider. The Brightshores Research Institute, with support from Health Excellence Canada, is evaluating the program to understand its impact on patient experience, care coordination, and provider workflows, and to inform future models.

Learn More
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Why Partner With MyCareSteps

Extend Support Beyond Clinical Care

Extend Support Beyond Clinical Care

Provide your community with consistent, relationship-based navigation support between appointments and transitions in care.
Improve Access to Local Services

Improve Access to Local Services

Connect individuals to the right health and community resources within their region.
Reduce System Friction

Streamline System Navigation

Help individuals better understand care plans, referrals, and available services, reducing confusion and missed opportunities for care.
Strengthen Community Health Outcomes

Strengthen Community Health Outcomes

Support earlier intervention, improved patient confidence, and more connected care experiences.

Interested in Partnering With MyCareSteps?

We’re actively exploring opportunities to bring MyCareSteps to additional communities and healthcare organizations.

If your organization is interested in improving care navigation and coordinated support for residents, we’d love to connect.

Let’s Get In Touch
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