A new process map and referral forms developed by the GTA Rehab Network will ensure patients experience a smooth transition from acute care to outpatient rehabilitation following elective total joint replacement.
The map clarifies and standardizes the processes involved in arranging post-acute rehabilitation for this patient population and includes:
- Separate process maps for outpatient rehab post elective knee and hip replacement;
- Processes in the pre-operative, acute care admission and outpatient rehab phases, and responsibilities for acute care and rehab to support the smooth transition of patients to outpatient rehab;
- Triage considerations for referral to outpatient/inpatient rehab;
- Criteria for referral to CCAC;
- A new referral form for the pre-op and post-op phase and a standardized fax cover sheet that lists the GTA hospitals that accept external referrals to outpatient rehabilitation for this population;
- Key messages for patients to help prepare them for the surgery and discharge to home; and
- GTA LHIN funded transportation options.
The standardized process map was developed in collaboration with stakeholders from acute care, rehabilitation/CCC hospitals and GTA CCACs and supports the provincial target of 90 percent discharge home, as developed by the Orthopaedic Expert Panel.
"The new TJR process map and standardized referral forms mean both referring professionals and receiving professionals are all working from the same page. They provide an opportunity for programs to collaborate more closely and gather important data for future decision-making and benchmarking."
Therese Liston, Specialized Clinics Manager, Providence Healthcare
The new map complements the Network's earlier initiative to develop standardized Triage/Admission Guidelines for this same population. The forms available below will be re-evaluated within three months to ensure they are meeting the needs and objectives of this initiative.
For more information, please go to Total Joint Replacements (TJR).