Bundled Care

Ontario uses a bundled care model that integrates care and funding for a variety of patient populations, including hip/knee replacements and shoulder arthroplasty. The RCA supported the introduction of this model across the province in several ways:

Supporting rehab data reporting in outpatient/community clinics

The RCA helped hospitals to use NACRS Clinic Lite to capture outpatient and community rehab data. This work builds on the RCA's success in establishing a minimum data set for outpatient rehabilitative care and the pilot of several tools (NACRS Clinic Lite, WatLX™ Patient Experience Measure, Community Rehab Assessment outcome measure) to collect this data.
Developing best practice recommendations for rehabilitative care

The RCA developed a Rehabilitative Care Best Practices Framework for Patients with Hip & Knee Replacement and subsequently updated it (with Ontario Health Quality) to include recommendations following simultaneous bilateral knee and hip replacement. The RCA and OHQ also developed a guideline on best practices for rehabilitative care following shoulder arthroplasty. Both documents address variations in practice across Ontario. Additional tools can be found on our TJR Rehab Guidelines page.

NACRS Clinic Lite for Outpatient Rehab Data Collection
NACRS Clinic Lite Bundled Care Data Requirements 2022/23 (April 2022)	Reference tool to ensure the quality and comparability of outpatient/community clinic 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 Web Entry Tool — Visual Guide (April 2022)	This guide will help Ontario Bundled Care Project data submitters create client records in the NACRS Clinic Lite Web Entry Tool. Use this guide with the NACRS Clinic Lite Bundled Care Data Requirements Document which has more detailed information on creating records.
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.