The RCA is continuing its efforts to standardize rehabilitative care for patients with hip fracture or total joint replacement.
The frameworks complement the QBP clinical handbooks, which provide high-level recommendations for post-surgical rehabilitative care. The RCA frameworks expand on that work, providing detailed best practices for rehabilitative care across the care continuum. The framework for hip fracture also complements Health Quality Ontario's new quality standard for hip fractures.
The RCA has developed quick reference guides to the frameworks. These concise summaries for each setting (inpatient, outpatient, in-home and long-term care) are a practical aid for health professionals.
Self-assessment to support quality improvement efforts
The RCA has also developed simple self-assessment tools to help health service providers assess how well their current care aligns with best practices. The tools provide immediate, useful feedback to help improve care. The RCA will further analyze the results to identify quality improvement priorities for each LHIN and to determine what system level changes are required to support improvement across the province.
The RCA frameworks are also playing a role in the province's move to bundled care. The RCA's TJR framework was one of the resources used by the Ministry of Health and Long-Term Care when developing pricing for the bundled care pilot for total joint replacements. Bundled care for hip fractures has been identified as a future priority.
For more information, please contact the RCA secretariat.