Musculoskeletal (MSK) Rehabilitation

Developing an Outpatient Rehabilitation Model of Care for Patients Post-Hip Fracture (June 2014)
The GTA Rehab Network interviewed key informants, conducted a literature review and met with a consultation group to recommend a standardized, optimal model of care in outpatient rehabilitation for patients post-hip fracture. The report summarizes the process undertaken in this initiative and the proposed model of care.

Outpatient Rehabilitation Model of Care Following Primary, Elective Total Joint Replacement (Summary Report) (June 2014)
The GTA Rehab Network developed this standardized model of care to ensure patients experience a smooth transition from acute care to outpatient rehabilitation. The summary report includes a variety of tools and forms, including care pathways; processes in the pre-op, acute care admission and outpatient rehab phases; pre-operative triage considerations for referrals; and a referral form for the post-op phase.

Case study (Healthcare Quarterly, April 2017)
From 2015-17, the Network worked with acute care and rehab hospitals across five LHINs to implement an early referral process for hip fracture patients. The new model was designed to standardize and enhance access to rehabilitation post-surgery for patients following a hip fracture to facilitate their recovery. This case study describes the initiative, preliminary results and lessons learned.

Ontario Health Teams

Rehabilitative Care: An Essential Component of Connected Care (September 2019)
This brief guide for Ontario Health Team (OHT) applicants was developed by the Network and Rehabilitative Care Alliance. It provides an overview of how rehabilitative care services across the care continuum help patients regain health and quality of life. The guide also demonstrates how providing rehabilitative services can help OHTs deliver on the quadruple aim. It is included on the RISE platform for OHTs.

Outpatient Rehabilitation

Outpatient Rehabilitation Performance Measures for Total Joint Replacement, Stroke and Hip Fracture (2017-18 FY) (November 2018)
Working with data gathered by rehabilitation hospitals in the Toronto Central LHIN, the GTA Rehab Network summarized system-level findings related to access to outpatient rehabilitation for patients with total joint replacement, hip fracture and stroke. Data includes admission wait times; referral and admission volumes; and rates and reasons for decline and cancellation of referrals. The report compares three years of data and builds on an earlier report, Outpatient Rehabilitation Access and Transition Indicators 2015-16 FY: Summary Report.

Piloting a Minimum Dataset for Outpatient Rehabilitation: Lessons Learned (February 2015)
The GTA Rehab Network, in partnership with the Toronto Central LHIN, identified and piloted a common minimum dataset of performance measures for TJR and stroke outpatient rehabilitation programs from November 2013 to March 2014. The pilot focused on two quadrants of the Network’s performance framework (access and transition, and financial performance).

Developing a Performance Framework for Outpatient Rehabilitation (February 2013)
The GTA Rehab Network proposed this measurement framework to encourage discussion among key stakeholders about standardized performance measures for outpatient rehabilitation. The framework proposes measuring effectiveness and efficiency within four quadrants: patient experience, clinical outcomes, access and transition, and financial performance.