Network develops new triage/admission guidelines for total joint replacements

Date: December 5, 2011 Author: Mantis System Categories: Spotlight 1

New guidelines developed by the GTA Rehab Network will support the consistent implementation of the care pathway for primary, elective unilateral joint replacement patients.

The TJR Triage/Admission Guidelines provide a framework for the development of pre-admission processes that support the TJR care pathway, including a focus on more consistent communication with patients and families. The pathway supports the provincial target of 90 per cent discharged home, +/- 10 per cent developed by the Orthopaedic Expert Panel.) 

The guidelines advocate early pre-planning and communication with patients to help them prepare for their surgery and discharge home. While the guidelines reflect ideal approaches, they recognize that each organization will adapt the proposed pre-admission process in accordance with patient needs and available resources.

The new guidelines are one component of a broad initiative led by the GTA Rehab Network to enhance system-wide performance in the hip and knee arthroplasty.



The GTA Rehab Network would like to thank the members of the TJR Triage/Admission Task Group for their participation in development of the new guidelines:

  • Charissa Levy, GTA Rehab Network (Chair)
  • Chris Ashdown, St. Joseph’s Health Centre
  • Sue Balogh, GTA Rehab Network
  • Cathy Brandt, Humber River Regional Hospital
  • Natasha Briggs, University Health Network
  • Alicia Clark / Raymond Kao, St. Michael’s
  • Naomi Cornfield / Colleen Brigg, Central CCAC
  • Sharon Currie / Mary Agnes Beduz, Mt. Sinai Hospital
  • Ankur Desai, The Scarborough Hospital
  • Marie Eason-Klatt, St. Joseph’s Health Centre
  • Beatrice Edelstein, Markham Stouffville Hospital
  • Jane Harwood/Carol Ross, Toronto East General Hospital
  • Fiona MacKenzie, Southlake Regional Health Centre
  • Mandy McGlynn / Elaine Murphy/ Joanne Zee, Toronto Rehab/UHN
  • Carol Millar / Kathryn Wise, Toronto Central CCAC
  • Tova Milnes, North York General Hospital
  • Rosemarie Moher, St. John’s Rehab Hospital
  • Sharon Omotani-Newton, Markham Stouffville Hospital
  • Ellen Richards, William Osler Health System
  • Amy Wainwright /Debbie Kennedy, Sunnybrook Health Sciences Centre