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.