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 several 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. Working with Health Quality Ontario (HQO), the RCA has updated its Best Practices Framework for Patients with Hip & Knee Replacement to include recommendations for rehabilitative care following simultaneous bilateral knee and hip replacement. The RCA and HQO have also developed a guideline on best practices for rehabilitative care following shoulder arthroplasty. Both documents address current variations in practice across Ontario. Additional tools can be found on our Best Practice Guidelines and Tools page.
  
  The RCA will be supporting quality improvement initiatives as health care providers work to align care with these best practices. 
  
  
• Supporting knowledge-sharing
  
  The RCA is also supporting bundle holders and outpatient rehab providers as they implement bundled care by providing a forum for creating and sharing knowledge and experience on bundled care. This includes facilitating timely communication between the Ministry, HQO, CorHealth and rehab providers.

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.