Implementing provincial standards for rehabilitative care programs

The RCA's definitions frameworks establish standardized levels of care for rehabilitative care programs. The bedded framework and community-based care framework:

  • define eligibility criteria, patient characteristics and the focus and clinical components of each level of rehabilitative care
  • lead to more consistent rehabilitative care for individuals across Ontario regardless of where they live or the organization providing their care
  • support more appropriate referrals and better transitions because referring providers have improved clarity about the services provided in each level of care
  • provide increased clarity about resource requirements to support planning at the local and regional level.

The RCA is working with health care providers to implement the frameworks across Ontario.

A more detailed list of 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) and describes the patient characteristics, medical/nursing/allied health resources and therapy intensity for each level. The Framework also includes eligibility criteria for the bedded levels, including a definition for restorative potential. 
Key Features of RCA Bedded Levels of Rehabilitative Care Key features of the 4 bedded levels of rehabilitative care.
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. 
Key Features of RCA Community Based Levels of Rehabilitative Care Key features of the 2 community based levels of rehabilitative care.
Supplemental Information
Guide for Determining Alignment of Community Based Rehabilitative Care Programs Guide that outlines considerations for determining alignment of community and outpatient rehab programs. Includes examples of alignment with Progression and Maintenance levels in the HNHB LHIN.
Standardized Naming Convention for Rehabilitative Care Programs (April 2018) Rationale and steps for applying naming convention.
Guide to RCA Definitions Bedded Framework (July 2019) Brief overview/guide.
Cross-Walk Between Current and Future Levels of Bedded Rehabilitative Care (December 2014) Levels of rehabilitative care mapped to levels defined in framework.
Standardized Referral Resources RCA provincial portal for rehabilitative care provides general information about rehab. Can be used by providers and the public to find rehabilitative care services across the province. 
Fillable Template for Creating Program/Service Information for (May 2019) Fillable template supports a standardized way of describing bedded and community-based rehabilitative care programs/services. Used to gather the necessary information for a listing. It replaces the Bedded and Community Referral Options tools. 
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.