Implementing standardized levels of rehabilitative care

The RCA's Definitions Frameworks establish standardized levels of care for rehabilitative care programs. The frameworks (for bedded and community-based care) define eligibility criteria, patient characteristics and the focus and clinical components of each level of rehabilitative care. 

This clarity supports a common understanding of rehabilitative care among patients, families and referring professionals and creates a foundation to support system and local capacity planning. 

The RCA is working with LHINs and health care providers to implement the frameworks across Ontario. A more detailed list of all activities for all RCA initiatives is found here

Definitions Frameworks
Definitions Framework for Bedded Levels of Rehabilitative Care (Updated July 2017) Framework defines four bedded levels of rehabilitative care (rehabilitation, activation/restoration, short term and long-term complex medical management).
Framework was updated in July 2017 to provide more clarity about the Estimated Length of Stay for the Rehabilitation level of care.
Definitions for each level describe:
• patient characteristics (target population, functional characteristics, estimated average LOS and discharge indicators);
• medical/allied health resources (medical, nursing and therapy care; intensity of therapy); and
• reporting tools.
Definitions Framework for Community Based Levels of Rehabilitative Care (March 2015) Framework defines two levels of rehabilitative care provided in the community (rehabilitative care focused on progression and rehabilitative care focused on maintenance). Definitions for each level describe care goal, target population, medical/allied health resources and focus of therapy services. 
Supplemental Information
Standardized Naming Convention for Rehabilitative Care Programs (April 2018) Rationale and steps for applying naming convention
FAQs - Implementing the RCA Definitions Bedded Framework (June 2016) Answers to common implementation questions
Bulletin and Q&A - RCA Definitions Bedded Framework (December 2014) Background and answers to common questions
Cross-Walk Between Current and Future Levels of Bedded Rehabilitative Care (December 2014) Levels of rehabilitative care mapped to levels defined in framework
Definitions Task Group Backgrounder (October 2013) Overview of interviews with national and Ontario providers and results of literature review
Standardized Referral Resources
Referral Options for Bedded Levels of Rehabilitative Care (July 2017) Tool to categorize bedded programs associated with each level of rehabilitative care. Tool includes key features of each level and the eligibility criteria for bedded rehabilitative care. The July 2017 update reflects revised wording to provide more clarity around the Estimated Length of Stay in the Rehabilitation level of care. 

Referral Options Resource for Community-Based Levels of Rehabilitative Care (July 2017)

Referral Options Resource for Community-Based Levels of Rehabiitative Care - Primary Care (July 2017)

Resource to be used by LHINs to provide information on community-based rehabilitative care provided by regulated health professionals within their regions. This standardized resource will assist referrers when looking for options for their patients/clients. 

Modified and shorter version for primary care. 

Guideline for Formatting Program/Service Information in Community and Bedded Referral Options Resources Guideline for standardizing information in the Community and Bedded Referral Options Resources.
Referral Decision Tree for Rehabilitative Care (December 2014) Decision tree for community and bedded levels
Eligibility Criteria for Bedded Levels of Rehabilitative Care (Spring 2014) Eligibility criteria for bedded levels
Patient/Caregiver Information Letters for Bedded Levels of Rehabilitative Care (June 2017)
Short Term Complex Medical Management
Brief, standardized information letters describing the levels of care.
Provincial Referral Standards (PRS) Referral Form and Reference Guide (updated May 2018) Updated to be consistent with framework. Used for referrals from acute care to inpatient rehab and CCC.