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Total Joint Replacements

The GTA Rehab Network continues to lead efforts to enhance system-wide performance for rehabilitative care of hip and knee replacement patients. 

The Network developed a standardized Outpatient Rehabilitation Model of Care Following Primary, Elective Total Joint Replacement in 2013 to ensure patients experience a smooth transition from acute care to outpatient rehabilitation. The model was based on evidence and/or consensus among clinical experts and supported the provincial target of discharging 90 percent of patients to home (with outpatient rehabilitation) as set out in the provincial Quality-Based Procedures: Clinical Handbook for Primary Hip and Knee Replacement at that time. 

In Spring 2017, the Network reviewed the newly released Rehabilitative Care Alliance's (RCA) Rehabilitative Care Best Practice Framework for Patients with Primary Hip and Knee Replacement and updated its TJR Outpatient Model of Rehabilitative Care as applicable. The RCA's framework reflects the latest research evidence and was developed with input from clinicians and stakeholders across the province, including the GTA Rehab Network. 

The Network also developed a variety of forms and tools to be used with the model. These tools can be found in Tools for Professionals - Total Joint Replacement. The model, forms and tools were updated in Spring 2017.

The Network continues to engage with acute care and rehab providers to identify and address ongoing challenges in the referral process.