Bundled Care

Supporting implementation of new models of care

Bundled care — a model for integrated care and funding — is expanding across Ontario following the provincial pilot for hip and knee replacements. The RCA is supporting this work in two ways:

    • Supporting ambulatory rehab data reporting

      The RCA helped providers in the hip and knee pilot to use NACRS Clinic Lite to capture ambulatory rehab data. The RCA is continuing to provide this and other support to bundle service providers and the Ministry of Health as bundled care expands to other patient populations. 

      This work builds on the RCA's success in establishing a minimum data set for outpatient rehabilitative care and RCA pilots of several tools (NACRS Clinic Lite, WatLX™ Patient Experience Measure, Community Rehab Assessment outcome measure) to collect this data. For more information on the RCA pilots, the WatLX™ Patient Experience Measure, and the Community Rehab Assessment, please contact info@rehabcarealliance.ca

    • Developing best practice recommendations for rehabilitative care

      Hospitals participating in bundled care will be looking at care pathways to determine where care can be provided more efficiently. The RCA is developing provincial recommendations on best practices for rehabilitative care following simultaneous bilateral knee and hip replacement to address current variations in practice. These will be added to the RCA's Total Joint Replacement Rehabilitative Care Best Practices Framework. The RCA is also developing a guideline on best practices for rehabilitative care following shoulder arthroplasty and reverse arthroplasty.

      The RCA will be supporting quality improvement initiatives as health care providers work to align care with these best practices. 

A more detailed list of activities for all RCA initiatives is found here.

NACRS Clinic Lite for Outpatient Rehab Data Collection
NACRS Clinic Lite Bundled Care Data Requirements 2019/20 
(September 2019)

Reference tool to ensure the quality and comparability of outpatient/ambulatory rehabilitation data reported to CIHI's National Ambulatory Care Reporting System (NACRS). Provides information on how to complete the summary record, including detailed data element descriptions and collection instructions.

NACRS Clinic Lite Technical FAQ 2019/20 (October 2019)

Informative FAQ document for Bundle Holder hospitals and providers of post-acute ambulatory rehabilitative care (also referred to as 'outpatient' or 'clinic-based' rehab) about the implementation of NACRS Clinic Lite in Bundled Care.

NACRS Clinic Lite Bundled Care Reporting Changes 2019/20 (October 2019)

Detailed communication informing hospitals and clinics that provide post-acute ambulatory rehabilitative care (also referred to as 'outpatient' or 'clinic-based' rehab) to Bundled Care patients of an update to clinical reporting in the National Ambulatory Care Reporting System (NACRS) Clinic Lite.

Rehabilitative Care Alliance Bundled Care NCL Data Tracker 2019/20 (October 2019)

This data tracker has been provided for outpatient rehab providers to capture the necessary data that will be submitted to NACRS Clinic Lite for their bundled care patients. It provides one central location where the data required for NARCS Clinic Lite reporting can be stored before and after submission to NACRS Clinic Lite.

NACRS Clinic Lite Webinars:

Educational sessions and additional information on how to use NACRS Clinic Lite for the collection of outpatient/ambulatory rehab utilization data.

HQO Quorum site for bundled funding

Health Quality Ontario's Bundled Care Community of Practice (login required). A resource that provides support to enable successful implementation of bundled care and funding.

Supporting Bundled Care with Best Practices
Total Joint Replacement Framework (March 2017 / Rev January 2018) Includes the framework, referral decision tree and process indicators to support performance monitoring of QBP-related outcomes. Additional resources are available here
Supplemental Information and Results of Minimum Data Set Pilots

Outpatient Ambulatory Provincial Proof of Concept - Phase I Report (November 2018)

Final report detailing the methodology and results from the 2016 provincial proof of concept of the outpatient/ambulatory minimum dataset (NACRS Clinic Lite, Community Rehab Assessment and WatLX™).

Summary of Provincial Data of the Proof of Concept (March 2017)

Provincial overview of the data collected during the outpatient/ambulatory provincial proof of concept.

Overview of Key Findings: Provincial Validation Survey (March 2015)

Results of the survey to understand data collected by MOHLTC-funded outpatient/ambulatory rehab programs and implications of minimum data set.