Last updated on July 29, 2026
For the full program SOP — roles, expectations, and communication standards — access here. https://docs.google.com/document/d/1AwifOfWRj1aJL7U7UbWrmRdqkHUNx779/edit?usp=sharing&ouid=107245419156718258986&rtpof=true&sd=true
📽️Video Walkthroughs
Before diving in, watch these short videos on how Careteam supports the IPCP:
📽️Getting started with Careteam
📽️Starting an Action Plan - Integrated Palliative Care Team Assistant
📽️Action Plan Dashboard Orientation
Intake Receiver: Reviewing, Accepting Action Plan invitations and building the team (DLH, HM, Spectrum, Palliative Physicians, OHaH)
👥 Who is this for?
Integrated Palliative Team Assistants & Care Coordinators (MOHT)
Nurses and staff from Spectrum
Hospice teams (Dorothy Ley Hospice & Hospice Mississauga)
Palliative physicians and clinical partners (Trillium Health Partners, Dorothy Ley Hospice)
Ontario Health atHome Palliative Nurse Practitioners
If you’re supporting patients through integrated palliative care, this is your guide.
🎯 Purpose of using Careteam to support the IPCP
Careteam makes it easy to securely share updates, resources, and team info—so everyone stays aligned on the plan and what the patient needs.
✔️ Enable integrated, person-centred care
✔️ Reduce back-and-forth communication
✔️ Create one shared care story and improve outcomes
✔️ Support families with clear next steps and shared visibility
🚀 Quick start guide
If you're a Team Assistant, starting a plan:
Open a new Action Plan and enter accurate patient demographics.
Add the appropriate Integrated Palliative Care Coordinator.
Invite the appropriate partner organizations to the plan.
(See the Starting an Action Plan video above for a full walkthrough.)
If you're joining a plan:
1️⃣ Accept the Invite — You'll receive an email when invited to a shared Action Plan. Click to accept and join.
2️⃣ Review the Action Plan Dashboard — Get up to speed quickly by checking key updates, completed and upcoming tasks, and who's on the team. (See the Dashboard Orientation video above.)
3️⃣ Add Your Support — Make meaningful contributions by sharing updates with the team, patient, and family; updating the Service Plan and Equipment Checklist; flagging questions using Status Updates, PPS, and ESAS; and adding Tasks and Resources.
🔑 For Intake Receivers
If your organization receives Action Plan invitations, the Intake Receiver reviews and accepts or declines them on behalf of your team. (See the Intake Receiver video above.)
💬 Introducing Careteam – scripts to use
💬 Introducing Careteam – script to use
It helps to know what comes next in your care. We use a secure digital platform called Careteam. It keeps your care plan in one place. Today, we will send you an email. Please open the email and accept the invite. Your Action Plan will show you the next steps for Mississauga Health Integrated Palliative Care Program. We will update it when things change. You may get a message when there is an update. Please check Careteam often. It is the best place to see your care plan. You can also invite people who help you, like family or care providers. Do you have any questions you would like to ask about using Careteam?
🙋♀️ What’s in it for me?
📞 Fewer phone calls and less back-and-forth — less chasing or providing updates by phone, fax, or email.
🧩 Less confusion, more clarity — I can instantly see the latest plan, PPS, equipment status, and who’s on the team.
⏱ Saves me time — I don’t have to repeat the same updates to multiple people.
👥 Shared accountability — everyone sees the same information, so I’m not the only one carrying the burden.
❤️ Better support for patients and families — resources and activities are in one place, so nothing falls through the cracks.
📚 Helpful links
🛠️ Activating your Careteam account
📲 Saving Careteam on Your Desktop or Home Screen
👉 View Guide
📌 Pro tips for success
Add support people (family, caregivers) to the plan to strengthen collaboration
Use Status Updates and Checklist features to stay aligned on progress
Add personalized resources to keep families informed and empowered
Visit the Action Plan often—it's a living document that evolves with the patient’s needs
💡 Need help?
Questions or technical issues? Reach out to:
📧 support@getcareteam.com