The GTA Rehab Network, together with the three Toronto-area stroke networks, is leading a broad-based initiative to realign and improve stroke rehabilitation across the Toronto Central and GTA LHINs.
The initiative focuses on improving utilization of services, aligning care with best practices and enhancing outcomes. It reports to the Clinical Efficiency/Clinical Utilization Task Force of the Toronto Central LHIN and now includes representatives from the Central West and Central LHINs.
In phase one of the initiative, conducted in 2010/11, acute care and rehabilitation task groups conducted an extensive review of data and evidence and recommended that stroke resources be reallocated across the system.
All acute and rehabilitation hospitals were provided with organization-specific gap analyses and recommendations over the summer. They support the initiative and are working with the Networks to achieve the following goals:
Implementation is moving forward in several areas. The Networks are working with emergency departments and Emergency Medical Services (EMS), with specific focus on:
The Networks are also meeting with stroke physiatrists, service coordinators and clinicians from acute care and rehabilitation hospitals to determine what supports are required to move forward with earlier rehab referrals and transfers. They are also exploring what educational support organizations will require to make these changes.