New guideline for moderate to severe TBI making headway in Ontario and Quebec







The Clinical Practice Guideline for the Rehabilitation of Adults with Moderate to Severe TBI released in October 2016 is being shared by allied health care professional organizations and more broadly at meetings, conferences, through newsletters and online communications. Coming next? Follow-up with Ontario stakeholders, webinars for health care professionals looking for practical information and an implementation plan to support sites to put selected recommendations into practice.

ONF and the Institut national d’excellence en santé et en services sociaux (INESSS) developed the guideline following three years of consultation and evaluation. The guideline offers 266 recommendations for rehabilitative care of adults with moderate to severe TBI.

“The Project Team is very encouraged by the initial interest in the guideline. The website is being accessed regularly and feedback is positive,” says Judy Gargaro, Clinical and Systems Implementation Associate at ONF. More than two thirds of users return to the website regularly. “Each user will access and need different information. In addition we are continuing gather more insight on tools and indicators to support implementation of the recommendations, though all this will take some time.”

The Team is also exploring options for publication in one or more peer-reviewed journals. In addition upcoming conferences and presentation opportunities are being identified.

While the development and launch was a joint activity and information-sharing will be ongoing, the Ontario and Quebec teams will now concentrate on the implementation needs that are appropriate to their province.

In Ontario 18 organizations completed a survey last summer meant to inform the implementation process. Input was received from twelve rehabilitation sites (8 from specialized rehabilitation and four from general rehab) and from six acute sites. Summary reports that summarize and provide provincial context have been sent to all participating sites. All will be contacted in the coming weeks to review and potentially support implementation efforts.

ONF is also interested in feedback from allied and other health care professionals implementing the recommendations. These learnings will be assessed and used to improve practical implementation strategies for the recommendations.