Transfer of Accountability (TOA)
The Network has developed an Inter-Organizational Transfer of Accountability (TOA) Guideline. The guideline provides six principles that support the interactive process of transferring information and coordinating follow-up care between organizations across the patient lifespan and care continuum.
The new guideline focuses on six principles:
- Ensure health service providers understand and have knowledge of legislation and policies that guide effective transitions
- Communicate patient and caregiver preferences and goals to the next level of care
- Establish one key contact at each transition point
- Standardize processes for transition by the organization
- Communicate effectively among health care providers to facilitate transition
- Acknowledge dual responsibility of senders and receivers in transitions
The guideline content reflects a review of literature, data collected by the Network's acute care and rehab hospitals and a Network survey of rehab care providers in home and community care. The data highlighted the following:
- Acute care to rehab: 80% of TOA issues experienced in transfers from acute to rehab hospitals are related to information transfer, such as missing or inaccurate medical administration records or discharge summary reports.
- Hospital to community: Missing or unclear information in referrals to community care is creating added work and requires follow-up calls to clarify issues such as: contraindications and weight-bearing restrictions; information about rehab the client received during their hospital stay; and rehabilitative goals for the client.
The TOA guideline was reviewed by two Network working groups (acute/rehab/CCC and home and community care) and by a patient advisory committee. The guideline is complementary to HQO's draft quality standard, Transitions from Hospital to Home, while providing a rehabilitative lens and a greater focus on information transfer.
For more information, contact project managers Sanja Milicic Iafrate (hospitals) or Sharon Ocampo-Chan (home and community care).