What is the UPSTREAM service?

Horizon’s UPSTREAM program screens patients and clients for chronic obstructive pulmonary disease (COPD) and provides diagnosis, education and support. The program is now available at several health centres across Horizon.

UPSTREAM is the INSPIRED Program, but without home visits. This program is currently offered at several Horizon’s community health centres for patients who are able (or would prefer) to leave their homes for appointments.

How is this service provided?

You will meet with a certified respiratory educator who will have you perform a breathing test to assess your COPD, or to confirm a diagnosis.

The educator will work with you / your family to:

  • determine how they can help you meet your goals to improve your breathing,
  • provide education about COPD
  • optimize your medications, in partnership with your physician or nurse practitioner
  • develop an action plan for use when your breathing worsens

If you consent, your action plan can be shared with TeleCare 8-1-1 for after hours support.

How can I access it?

If you are concerned about your breathing, please talk with your family physician or primary health care provider. You may then be referred to us for this service.

How do I prepare for it?

As you prepare for your appointment, you may wish to make a list of what you want to discuss. Many patients find it helpful to write a list of their concerns since writing them all down ensures that they don’t forget anything.

Horizon locations offering this service:

Facility Name Address Phone
Queens North Community Health Centre 1100 Pleasant Dr., Minto, New Brunswick, E4B 2V6 506-327-7800

Facility Name Address Phone
Miramichi Regional Hospital 500 Water St., Miramichi, New Brunswick, E1V 3G5 506-623-3000
Miramichi Health Centre 679 King George Hwy., Miramichi, New Brunswick, E1V 1N9 506-627-7511

Facility Name Address Phone
The Moncton Hospital 135 MacBeath Ave., Moncton, New Brunswick, E1C 6Z8 506-857-5111
Petitcodiac Health Centre 32 Railway Ave., PO Box 2501, Petitcodiac, New Brunswick 506-756-3400

Facility Name Address Phone
St. Joseph’s Community Health Centre 116 Coburg St., Saint John, New Brunswick, E2L 3K1 506-632-5537

Facility Name Address Phone
Upper River Valley Hospital (Waterville) 11300 Route 130, Waterville, New Brunswick, E7P 0A4 506-375-5900