Bundled Care

Ontario uses a bundled care model that integrates care and funding for a variety of patient populations, including hip/knee replacements and shoulder arthroplasty. The RCA has supported the introduction of this model across the province in several ways:

• • Supporting rehab data reporting in outpatient/community clinics
    The RCA helped hospitals to use NACRS Clinic Lite to capture outpatient and community rehab data. This work builds on the RCA’s success in establishing a minimum data set for outpatient rehabilitative care and the pilot of several tools (NACRS Clinic Lite, WatLX™ Patient Experience Measure, Community Rehab Assessment outcome measure) to collect this data.
  • Developing best practice recommendations for rehabilitative care
    The RCA developed a Rehabilitative Care Best Practices Framework for Patients with Hip & Knee Replacement and subsequently updated it (with Ontario Health Quality) to include recommendations following simultaneous bilateral knee and hip replacement. The most recent update includes recommendations following same day discharge (SDD).  The RCA and OHQ also developed a guideline on best practices for rehabilitative care following shoulder arthroplasty. Both documents address variations in practice across Ontario. Additional tools can be found on our TJR Rehab Guidelines page.
  • Compiling a directory of community clinics and hospital-based outpatient rehab programs that accept external referrals for patients who underwent a hip, knee or shoulder arthroplasty through the bundled care program. The purpose of the directory is to help support the navigation to community clinics and outpatient rehab programs for patients, care partners, and bundler-holder organizations. The directory is available through the Bundled Care community of practice on Quorum.