ANNUAL REPORT 2020/21

RESPONDING. SUPPORTING.

REHABILITATIVE CARE IN THE PANDEMIC

| ANNUAL REPORT 2020/21 1GTA REHAB ENSURING SAFE SURGE CAPACITY REHABILITATIVE To support planning for COVID-19 surges in acute care, the Network developed a safety risk tool CARE IN THE PANDEMIC to categorize where rehab/CCC populations can be redirected safely across hospitals if needed. The tool also details special needs (e.g., dialysis, respiratory care, IV therapy) that can be managed COVID-19 has created unprecedented by each organization. challenges for health care. The

GTA Rehab Network is helping FACILITATING PANDEMIC PLANNING its members respond. Throughout the pandemic, the Network has brought together leaders from rehab/CCC In a year of uncertainty, the Network hospitals to share information on COVID-19 moved quickly to support members as planning strategies and explore ways to coordinate care across the system. they adapted to new infection prevention and control measures, rapidly changing demands on the health care system and evolving evidence on the rehabilitative GATHERING THE EVIDENCE needs of people with COVID-19. ON COVID-19 AND REHAB The Network created an extensive online resource of COVID-19 rehabilitation resources that is updated Responding to needs as they emerged, the as the body of evidence grows. An online community Network took action in the following areas: of practice was also established to allow rehabilitative care professionals to share emerging knowledge and information.

| ANNUAL REPORT 2020/21 2GTA REHAB ANALYZING DATA ON FACILITATING COVID-19 COVID-19 REHAB UTILIZATION TRANSITION PLANNING Early in the pandemic, little was known about the During the pandemic, bed capacity and admission rehabilitation needs and resource utilization of policies for patients with COVID-19 have changed patients with COVID-19. To address the gap, the frequently. To support patient flow, the Network Network analyzed the monthly COVID-19 inpatient regularly provided acute care hospitals with an discharges of 15 rehab/CCC members to look up-to-date listing of admission requirements and at patient length of stay, outcomes, discharge visitors policies in place at rehab/CCC hospitals. destination and services required at discharge The Network also developed a comprehensive (e.g., home and community care, mental health list of inpatient and outpatient rehabilitative supports, etc.). The data analysis, which is now done services available from rehab/CCC hospitals quarterly, has provided members with insights for patients who have had COVID-19. to guide ongoing planning during the pandemic.

TRACKING IMPACT SUPPORTING ACCESS OF COVID-19 ON REHAB TO VIRTUAL REHAB Through its ongoing quarterly analysis of To support members shifting to virtual care during outpatient rehabilitation data, the Network is the pandemic, the Network hosted a webinar tracking the impact of COVID-19 on outpatient on a new telerehabilitation toolkit developed volumes and the growth in virtual or hybrid by Rehab/UHN. Close to 200 health models of rehabilitative care. Similarly, the professionals attended. Network has continued its quarterly analysis of inpatient hip fracture data and is monitoring the pandemic’s impact on rehabilitative care volumes.

| ANNUAL REPORT 2020/21 3GTA REHAB OTHER HIGHLIGHTS

ADVOCATING SUPPORTING OHTs WITH FOR SPECIALIZED POPULATION-SPECIFIC REHABILITATIVE CARE REHAB GUIDES

As Ontario Health Teams (OHTs) take on responsibility for Population-specific rehab guides from the Network will assist care delivery, the Network is advocating for specialized Ontario Health Teams in planning and providing rehabilitative rehabilitative care for certain rehabilitation populations to care for frail seniors and patients with congestive heart failure ensure good patient outcomes and efficient care. Together or chronic obstructive pulmonary disease. The brief guides with physical medicine and rehabilitation specialists, the provide evidence-based information on how rehabilitation Network submitted a position paper to the Ontario Hospital can help to achieve positive patient outcomes for individuals Association as it prepared recommendations for the Minister in primary care, hospital or at home. The guides, which of Health on funding specialized services. The Network are included on the RISE Platform for OHTs, also provide is now working with interprofessional groups of clinicians recommendations to assist OHTs in planning rehabilitative to develop best practice guidance for OHTs. This guidance care and considerations for the COVID-19 context. will help them identify patients who require specialized rehabilitation and refer them appropriately.

| ANNUAL REPORT 2020/21 4GTA REHAB EXPLORING TRANSITIONAL ENSURING ADEQUATE CARE MODELS BUNDLED CARE PRICING

A Network report examined how rehabilitative care is The Network continued its advocacy for bundled care pricing integrated within short-term transitional care models, which that reflects best practice rehabilitative care. This past year, were created to provide care for ALC patients while they the Ministry of Health adopted the Network’s proposed await discharge to the appropriate next level of care. The pricing for hospital-based outpatient rehabilitation for report described how rehabilitative care is integrated within shoulder arthroplasty and bilateral hip and knee replacements. these emerging models and clarified their role in supporting The Network’s pricing was developed with members and patient transitions. was based on best practice and organizations’ models of care.

EXPANDING REACH OF KNOWLEDGE EXCHANGE

The Network transformed Best Practices Day this year and went virtual, significantly expanding its reach and attendance as a result. Over 260 clinicians, researchers and health care providers joined colleagues from across Canada to share best practices and learn about recent innovations in rehabilitative care.

GTA REHAB | ANNUAL REPORT 2020/21 5 RESPONSIVE MEMBER DRIVEN RESPONSIVE and MEMBER DRIVEN

GTA REHAB NETWORK MEMBER ORGANIZATIONS

Chair: Anne-Marie Malek Vice-Chair: Dr. Mark Bayley

Rehabilitation/Complex Acute Teaching Hospitals Community Hospitals GTA Rehab Network Staff Continuing Care Hospitals / Halton Healthcare Charissa Levy, Executive Director*† Baycrest Health Sciences Mount Sinai Hospital Karen Allison, Office Manager† Holland Bloorview Kids Sunnybrook Health Sciences Centre Lakeridge Health Sue Balogh, Project Manager† Rehabilitation Hospital / Mackenzie Health Sanja Milicic Iafrate, Project Manager Runnymede Healthcare Centre St. Michael’s Hospital Markham Stouffville Hospital Sharon Ocampo-Chan, Project Manager Sinai Health System/Bridgepoint University Health Network Active Healthcare General Hospital * Staff shared with Toronto ABI Network Sunnybrook Health Sciences Centre/ Home and Community Care Scarborough Health Network Home and Community Care † Staff shared with the Rehabilitative Care Alliance St. John’s Rehab Hospital Southlake Regional Health Centre Support Services Central The Salvation Army Toronto Home and Community Care Grace Health Centre Unity Health Toronto/ Support Services Central East Financial Statements are available upon request. Unity Health Toronto/ St. Joseph’s Health Centre Home and Community Care Providence Healthcare William Osler Health System Support Services Central West University Health Network/ Home and Community Care Toronto Rehab Ex-Officio Members Support Services Mississauga Halton Regional Geriatric Program of Toronto West Park Healthcare Centre Home and Community Care Toronto Acquired Brain Injury Network Support Services Toronto Central

gtarehabnetwork.ca 700 Bay Street, Suite 601 | Toronto, Ontario M5G 1Z6 T 416-597-3057 E [email protected]

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