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Hip Fracture

The GTA Rehab Network is working to increase timely access to rehabilitation for hip fracture patients.

Current initiatives include:

  • Patients with complex hip fracture: Patients with hip fracture who have complex medical or psychosocial issues often experience long hospital stays in Alternate Level of Care (ALC). The Network is working with the Toronto Stroke Networks to improve the flow of these patients through acute and rehabilitative care.

  • Implementing provincial initiatives: The Network is working with members to implement the rehabilitative care best practices framework released by the Rehabilitative Care Alliance (RCA) and the quality standards for hip fracture published by Health Quality Ontario.

  • Early referral process: From 2014-2017, the Network worked with ten acute care and ten rehab hospital sites across five GTA LHINs to implement an early referral process for patients following a hip fracture. The process provides earlier referrals from acute care to inpatient rehab/low tolerance long duration (LTLD) rehab programs. The Network continues to work with participating sites to address challenges in the referral process.

  • Data sharing for benchmarking: The Network analyzes organization-specific data on hip fracture patients for acute care and rehabilitation hospitals in the Toronto Central LHIN. Hospitals are measuring their performance against the recommended benchmarks in the quality-based procedures clinical handbook and each other to improve their performance.