Tracking performance outcomes for outpatient rehabilitation services

The RCA's Outpatient/Ambulatory Rehabilitative Care Minimum Data Set (MDS) addresses a long-standing gap in data collection in outpatient rehabilitation.

Using a framework developed by the GTA Rehab Network, the RCA developed the minimum data set to support standardized data collection and the creation of comparable performance metrics. Standardized data also supports capacity planning at the organizational, local, regional and provincial levels.

In 2016/17, the RCA piloted the data set in a proof of concept with 26 hospital and community-based programs across the province. Data was reported using three tools:

• NACRS Clinic Lite (Access and Transition/Financial Performance)
• WatLX™ (Patient Experience)
• Community Rehab Assessment (Clinical Outcomes)

The RCA is currently working with stakeholders and partners on phase II of the pilot of the Community Rehab Assessment tool and a broader rollout of the outpatient/ambulatory minimum data set across the province. A more detailed list of activities for all RCA initiatives can be found here.  

Supporting the Primary, Unilateral, Hip and Knee Replacement Bundled Funding Pilot
Updated NACRS Clinic Lite Data Content Specifications (download) (August 2018)

A reference tool for data collectors and users to improve the quality and comparability of outpatient/ambulatory rehabilitation data collected and reported to CIHI's National Ambulatory Care Reporting System (NACRS). This document provides information on how to complete the summary record, including detailed data element descriptions and collection instructions.

NACRS Clinic Lite Webinars:

Educational sessions and additional information on how to use NACRS Clinic Lite for the collection of outpatient/ambulatory rehab utilization data.

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.

Phase II Pilot

Revised Community Rehab Assessment Tools for the Phase II Pilot (February 2018)

The functional outcome tools used in the Phase II pilot.

FAQ - Community Rehab Assessment Tool - Phase II Pilot (December 2017)

Information on the Phase II pilot of a tool used to measure patients' functional improvement.

Proof of Concept Tools and Results

Outpatient Ambulatory Provincial Proof of Concept - Phase I Report (November 2018)

Final report detailing the methodology and results from the 2016 provincial proof of concept of the outpatient/ambulatory minimum dataset (NACRS Clinic Clite, Community Rehab Assessment and WatLX™).

Summary of Provincial Data of the Proof of Concept (March 2017)

Provincial overview of the data collected during the outpatient/ambulatory provincial proof of concept.

WatLX™ Tool (March 2017)

Used in proof of concept to measure patient satisfaction with the quality of care received. Uses 10 questions with a five-point Likert scale. Patient demographic questions were included with no patient identifiers. 

NACRS Clinic Lite Data Elements (March 2017)

List of NACRS Clinic Lite data elements specific to outpatient/ambulatory rehab that were included in the provincial proof of concept. 

Community Rehab Assessment Tool (March 2017)

Used in proof of concept to measure patient's functional improvement in areas such as the ability to participate in activities of daily living, return to work, mobility and cognitive function. Includes self-report tool for patients and in-clinic assessment completed by clinicians. 
Supplemental Information

Overview of Key Findings: Provincial Validation Survey (March 2015)

Results of the survey to understand data collected by MOHLTC-funded outpatient/ambulatory rehab programs and implications of minimum data set.