Best Practice Guidelines and Tools

Supporting standardized rehabilitative care best practices

The RCA's best practice frameworks/guidelines for rehabilitative care for patients following hip fracture, hip and knee replacement (including simultaneous bilateral) and shoulder arthroplasty provide a basis for informing and improving quality care to support better patient outcomes, increased efficiencies and bundled care. RCA tools and resources support implementation of the best practices at the system and organization level. 

In 2018, more than 100 organizations across the province participated in the RCA's hip fracture and total joint replacement self-assessment process to assess how well their current care aligns with best practices. The RCA is supporting regions and Ontario Health Teams to develop and implement quality improvement plans based on the self-assessment findings. The RCA continues to support implementation of the best practice frameworks/guidelines with resources and knowledge exchange events.

A more detailed list of activities for all RCA initiatives is found here. Terms of reference and the membership for the advisory and task groups can be found on our governance page.


Frameworks/Guidelines
Total Joint Replacement Framework (March 2017 / Rev November 2019 to include simultaneous bilateral) Includes the framework, referral decision tree, and process indicators to support performance monitoring of bundled care-related outcomes.
Guidance for post Shoulder Arthroplasty (November 2019) Includes the guidance document and process indicators to support performance monitoring of bundled care-related outcomes.
Hip Fracture Framework (March 2017 / Rev September 2018) Includes the framework, referral decision tree, and process indicators for support performance monitoring and QBP-related outcomes. 
Quick Reference Guides

Total Joint Replacement (January 2018)

Based on the full framework. Provides a concise summary of best practices to guide clinical practice in each setting.

Hip Fracture (January 2018)

Based on the full framework. Provides a concise summary of best practices to guide clinical practice in each setting. 
Self-Assessment Tools

Total Joint Replacement Self-Assessment (January 2018)

Simple tools to help health service providers assess how well their current care aligns with best practices. Also provides immediate feedback to help improve care.

Hip Fracture Self-Assessment (January 2018)

Simple tools to help health service providers assess how well their current care aligns with best practices. Also provides immediate feedback to help improve care.
Implementation Toolkit
Toolkit for Implementing Best Practice Frameworks (May 2019) Slide deck with overview of QBP Best Practice Frameworks, Quick Reference Guides and self-assessment process. 
FAQ - Hip Fracture/TJR QBP Best Practice Frameworks (January 2018) Answers to frequently asked questions about the frameworks and self-assessment process.
QBP Clinical Handbooks
Quality-Based Procedures: Clinical Handbook for Primary Hip and Knee Replacement (November 2013) Published by Health Quality Ontario and MOHLTC
Quality-Based Procedures: Clinical Handbook for Hip Fracture (May 2013) Published by Health Quality Ontario and MOHLTC