LHINs have taken the first step towards implementing the new provincial standards for rehabilitative care programs.
Together with their health service providers, the 14 LHINs have completed a comprehensive mapping exercise to assess how well their existing programs align with the standards set out in the RCA definitions frameworks. The frameworks define and describe the focus and clinical components of rehabilitative care programs to ensure consistency across the LHINs. (See Definitions Framework for Bedded Levels of Rehabilitative Care and Definitions Framework for Community-Based Levels of Rehabilitative Care)
Mapping surveys were completed for 1,130 programs - 32 per cent of them bedded and 68 per cent of them community-based. (Information on services provided by CCACs will be analyzed using data from the OACCAC.)
The RCA's analysis of the data for the bedded and community-based programs is now complete. The surveys revealed a high degree of alignment with the levels of rehabilitative care as defined and described in the RCA frameworks.
Overview of bedded programs
Of the 356 bedded programs that submitted surveys:
- 40% were rehab programs, 47% were CCC programs and 13% were convalescent care programs
- 93% indicated full (66%) or partial alignment (27%).
Based on the survey responses, the most frequently cited strategies to increase alignment with the bedded definitions framework include adjustments to admission criteria, staffing resources, estimated average length of stay and level of care goal. In some cases, providers identified that the program fit better in another level of care.
Overview of community programs
Of the 774 community programs that submitted surveys:
- 49% were hospital-based programs, 46% were non-hospital-based community programs that are located outside of the home (i.e. programs in Community Health Centres, Community Physio Clinics, Falls Prevention programs, Community Rehab programs and Exercise programs); 5% included "Other" programs that were not consistently reported across all LHINs.
- 99% of all programs indicated full (85%) or partial alignment (14%).
Based on the survey responses, the most frequently cited strategies to increase alignment with the community definitions framework were adjustment of nursing/therapy resources and increasing awareness of community-based services among primary care physicians.
Each LHIN has now received LHIN-specific results to support their next tasks: reviewing the results with local health service providers and consulting with other LHINs in order to develop a plan to bring all programs into full alignment. Although alignment can occur without reclassifying beds, discussion is also taking place on the possible implications of implementing the definitions frameworks for reporting, funding and potentially, reclassification. The RCA is raising these issues at other provincial tables including the HSFR Hospital Advisory Committee.