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 supported the introduction of this model across the province in several ways:

• • Supporting rehab data reporting in outpatient/community clinicsThe 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 careThe 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 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.