It is estimated that less than 20% of best practices are ever applied because it takes both dedicated funding and effort to be able to effectively plan and sustain implementation activities. The implementation program for ABI works to build best practices in pilot locations, clinics and rehabilitation environments in order to create provincial standards for ABI care. It also evaluates the implementation of our guidelines and standards of care through measurement of outcomes, performance and efficiency, as well as evaluating outcomes for people with ABI.
ONF provides catalyst funds to programs working on improving the degree of implementation of the adult concussion and moderate-to-severe TBI guidelines. There are periodic calls for applicants through the year and the final grant amount will depend on the number of successful applicants. There is a selection committee and process for reviewing the applications.
Concussion North Ltd - Barrie
Improving Access to Medical Care in Concussion Patients at High Risk for Developing Persistent Symptoms: Utilization of a Physician Assistant within a Physician-Supervised Interdisciplinary Concussion Center
The specific outcome of the project was to reduce the wait time for patients to access specialized concussion support by bringing a physician’s assistant into the clinic.
Project Lead - Shannon Bauman
About the Project
The purpose of the project is to create earlier access to concussion specialty services for patients at risk of developing prolonged symptoms. A physician’s assistant was introduced in clinic, under the supervision of Dr. Shannon Bauman, to increase the number of available appointments for new concussion assessments and allow for easier and timely access to medical follow-up appointments throughout concussion recovery.
Unity Health, St. Michael's Site - Toronto
The specific outcome was to develop and implement a digital tool that uses results of the Rivermead Post Concussion Symptoms Questionnaire (RPQ) to generate customized written education materials for patients.
Project Lead - Cindy Hunt
About the Project
The purpose of the project was to improve patient education and self-management of symptoms by ensuring completing of the RPQ during each visit to the clinic. The digital tool allows for patients to complete the RPQ in the waiting room prior to their appointment with a clinician, allowing for more time in the visit for discussion about symptoms and patient education.
University of Waterloo - Waterloo
(Department of Kinesiology in Partnership with the Centre for Community, Clinical and Applied Research Excellence [CCARE])
Advancing Concussion Care through Education, Scientific-Evidence and Community Support (ACCESS): The targeted outcome of this project was to bridge the gap between research and practice to create community awareness around best practices in identifying and treating sport-related concussions by creating educational videos.
Toronto Rehabilitation Institute UHN - Toronto
Asking the Question: Addressing Sexuality in Acquired Brain Injury: The targeted outcome of this project was to implement a process to help clinicians initiate discussions about sexuality with patients/caregivers.
ABI and Addictions/Mental Health Collaborative: The targeted outcome of this grant was to establish a successful and sustainable mechanism for addressing the needs of clients with moderate to severe TBI and a comorbidity of mental illness and/or addiction.
Telephone Follow-up: Supporting Community Transition Post ABI Rehab: The targeted outcome of the project was to refine and implement a sustainable telephone follow-up process in the ABI Inpatient Services at Toronto Rehab, UHN.
Acquired Brain Injury and Sexuality: The targeted outcome of the project was to educate ABI patients, caregivers, and families on sexuality post-ABI. The grant was used to develop educational content as well as the internal capacity to provide this education in group or one-on-one sessions.
Implementing contextualized assessment and intervention approaches for the inpatient rehabilitation of adults with cognitive-communication impairments post-TBI: The targeted outcome of the project was to implement contextualized assessment and intervention approaches for the inpatient rehabilitation of adults with cognitive-communication impairments post-TBI, while simultaneously avoiding over-reliance on standardized tests.
Improving Concussion Education at Sunnybrook Health Sciences Centre - Examining the Efficacy of a Self-Management Education Group for Adults with Concussion: The targeted outcome of this project was to implement self-management group education sessions for adults with prolonged symptoms beyond the post-acute stage of recovery.
Effective Assessment and Treatment of Fatigue Post-Concussion in the Acute Stages: The targeted outcome of this project was to standardize the management of fatigue by clinicians and provide standardized education related to persistent fatigue to patients.
Dale Brain Injury Services - London
Implementing ONF-INESSS Pain Management Clinical Practice Guidelines in a Community-Based Organization Providing Support to Adults with an Acquired Brain Injury: The targeted outcome of this project was to introduce a robust pain management program for clients at Dale Brain Injury Services.
Ottawa Hospital Research Institute - Ottawa
Using Patient-Centred Guidelines as Part of Summary Sheet Instructions for Outpatients at a Post-Concussion Clinic: The targeted outcome of this project was incorporate condensed sections of the Patient Guidelines, individualized based on specific symptoms, into an after-visit summary that patients receive.