Rehab in Acute Care

Rehab in Acute Care — TJR

Acute Care
TJR Framework


Addendum to the Rehabilitative Care Best Practice Framework in the Context of COVID-19

Includes the framework, referral decision tree, and process indicators for support performance monitoring and QBP-related outcomes.

Addendum includes additional evidence-based recommendations to the TJR Framework that align with current COVID-19 restrictions.

Quick Reference Guide – TJR Based on the full framework. Provides a concise summary of best practices to guide clinical practice in each setting.
Ontario Health Quality Quorum Bundled Care Community of Practice Community of Practice provides support for successful implementation of bundled care, including resources and webinars.
Patient & Family Education Materials
Bluewater Health Total Joint Replacement Education Videos

Pre-surgery intake and assessment class videos for patients receiving total hip replacement.
Bluewater Health Total Joint Replacement Patient & Family Education Booklets

Education booklets include surgical and pre-operative forms, hip anatomy, coach program, healthy lifestyle and preparation for before, during and after surgery.
Canada’s Food Guide Website outlines Canada’s Food Guide.
Canadian 24-Hour Movement Guidelines Movement guidelines provide guidance on the optimal amount of physical activity and sleep for Canadians of all ages.
Canadian Orthopaedic Foundation

Website for patients and caregivers to help them learn how to prepare for and recover from a hip or knee replacement, including videos and pre- and post- surgery booklets.
Cambridge Memorial Hospital — Guides to Total Joint Replacement

Education booklets review the reasons for a total hip or knee replacement and preparation for before, during and after surgery.
Halton Healthcare Prehab Program Web page with educational videos to support patients undergoing total hip and knee replacement and links to Patient-Reported Outcome Measures and publicly-funded physiotherapy clinics.
Healthcare Excellence Canada & Enhanced Recovery Canada

Patient and caregiver resources developed based on the Health Care Excellence Orthopaedic Surgery Pathway (for Inpatient and Outpatient Hip and Knee Replacement).
London Health Sciences Centre Joint Replacement Surgery Patient Resources Web page with patient guides to total hip and knee replacement, lifestyle changes before joint surgery and sex after joint replacement.
Michael Garron Hospital — Before, During & After Hip or Knee Replacement Surgery

Patient handbooks and video courses review knee/hip anatomy and surgery and provide exercises and a step-by-step planning checklist for before, during and after surgery.
Sunnybrook Holland Bone and Joint Program Patient Education Patient education materials including guides, pre and post surgery videos and exercise class tips.
Total Hip Replacement and Total Knee Replacement Patient Readiness Checklist Checklist to assist patients to prepare for and after surgery.
Ontario Health Quality Going Home From the Hospital Booklet reviews questions for patients and caregivers to ask the care team as they get ready to leave the hospital.
South West Healthline

Resources to prepare patients for what to expect before, during and after joint replacement surgery in the South West LHIN region of Ontario.
Assessment & Intervention
Strathroy Middlesex General Hospital

TJR Same Day Physiotherapy form that includes Assessment, Treatment, Discharge Goals and Considerations.
Transition Planning
Bluewater Health — Physiotherapy Appointment Reminder Discharge and follow up package, including physiotherapy appointment reminder, instructions for appointments, Lower Extremity Functional Scale (LEFS), pre-treatment checklist and consent and email communications agreement.
Bluewater Health — Physiotherapy Discharge Note Physiotherapy discharge note form.
Cambridge Memorial Hospital — Discharge Instructions for Hip/Knee Joint Replacement Surgery Handout reviewing discharge instructions and contact information.
GTA Rehab Network Outpatient Rehab Referral for Hip/Knee/Shoulder Joint Replacement/Revision Outpatient rehab referral form includes pre-operative and post-operative referral processes.
GTA Rehab Network TJR Outpatient Rehab Process Maps Process maps include responsibilities for acute care and inpatient rehabilitation to support the smooth transition of patients to outpatient rehabilitation.
Ontario Health Quality Transitions between Hospital and Home Quality Standard Quality standard based on evidence and expert consensus. Includes patient guide, getting started guide, case for improvement, data table and measurement guide.