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Traumatic Brain Injury (TBI) Report Card

The Ontario Neurotrauma Foundation has released an administrative data report titled Ontario and Sub Regional Traumatic Brain Injury (TBI) Care Report Cards and Provincial and Regional Trends. This report provides key insights into the current landscape of publicly funded TBI care in Ontario and has the following objectives:

  1. Introduce the first provincial and regional TBI Report Cards based on 2017/18 fiscal year,
  2. Summarize 5-year provincial and regional trends in TBI care, and
  3. Identify areas in need of improvement and actionable policy recommendations to address gaps in care.

Ontario TBI Report Card, 2017/18

The TBI Report Card presents eleven evidence-based key performance indicators that characterize the provincial and regional TBI landscape across the prevention, acute management, rehabilitation, and reintegration continuums of care. The most recently available data (2017/18) for each performance indicator is presented for Ontario and its now dissolved fourteen Local Health Integration Networks (LHINs).

Overall, data shows that incidence of admission for TBI and mortality associated with TBI are increasing in Ontario. Additional important findings include that once admitted to acute care, 25-30% of days are spent at an alternate level of care, meaning individuals are occupying beds which are above their care needs and represents an inappropriate use of resources. Rural and northern regions show significant delays to care access and patient follow-up following discharge, with some experiencing homecare wait times as high as 29 days; this is three times higher than the provincial average of nine days.

A panel of provincial health system and clinical experts collaborated in the development of this report as well as the creation of fourteen practical recommendations to address the major inefficiencies identified in the report card. The findings from this report align directly with the Ontario Ministry of Health’s current mandates to improve access to care and enhance system efficiency through effective organization.

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