Care Maps & Tools
The Care Maps have been developed by the partnering organizations and reflect best practice for patients through the continuum of care. The Care Maps are designed to link together to provide a streamlined approach of care for all patients through the transition points until they are discharged home.
Primary Hip and Knee:
Total Joint Replacement - Acute Care Map
Total Joint Replacement - In-patient Rehab Care Map
Hip Fracture:
Hip Fracture Clinical Pathway - Acute Care
Hip Fracture Clinical Pathway Rapid Assessment & Treatment - Inpatient Rehabilitation
Hip Fracture Triage Decision Making Tool
CCAC Care Guidelines
Principles for Repatriation between Acute Care & Inpatient Rehabilitation
The Principles for Repatriation between Acute Care Hospitals/Units and Inpatient Rehabilitation Hospitals/Units clarify expectations in using the new integrated model of care for patient who have experienced a hip fracture. The principles identifiedl facilitate the best use of acute care and inpatient rehabilitation beds within the GTA and ensure the transfer process is streamlined to maximize the inpatient rehabilitation services available to patients.
Repatriation Principles for Acute Care & Inpatient Rehabilitation
Patient Education Brochures
Brochures provide patients with information about the Hip Fracture Integrated Model of Care and are available in black and white and colour. Each hospital is responsible for printing their own copies of the brochure to provide to patients. If a hospital requires the original word version please contact the TJN Project Manager, Janet McMullan.
TJN Patient Family Brochure
Sunnybrook Patient Family Information Brochure
Credit Valley Patient Family Information Brochure
TJN Dementia, Delirium and Depression Brochure
Staff Resources
Power Point Presentations for staff that can be part of ongoing education.
Download: TJN PowerPoint Presentation
Download: Behavioral Symptoms PowerPoint
Download: TJN Introduction to MMSE (Mini Mental Status Exam)
Download: Mini Mental Status Exam Form
Download: TJN Introduction to CAM (Confusion Assessment Method)
Download: CAM Practice Handout
Other Resources
Hip Fracture Model of Care
Osteoporosis Letter for Family Physicians
TJN Steps to Smooth Hospital Discharges Flow Chart
TJN Steps to Smooth Hospital Discharges
TJN Admission Letter |