Total Joint Replacement (TJR)
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.
In addition, a new outpatient rehab process map for total joint replacement has been launched. The new process will ensure patients experience a smooth transition from acute care to outpatient rehabilitation following elective total joint replacement. Some of the information found on the process map are triage considerations for referral to outpatient/inpatient rehab, criteria for referral to CCAC and GTA LHIN funded transportation options to name a few.
To complement the new guidelines and process map, new referral forms have also been created.