Guidelines & Recommendations

Canadian Best Practice Recommendations for Stroke Care

The Canadian Best Practice Recommendations for Stroke Care are intended to provide evidence-based guidelines and resources for the prevention and management of stroke. The goal of disseminating and implementing these recommendations is to reduce practice variations in the care of stroke patients across Canada, and to reduce the gap between knowledge and practice. Recommendations are updated every two years to ensure they continue to reflect contemporary stroke research evidence and leading expert opinion. For each recommendation you will find knowledge translation tools. Visit the Resource section where you'll find upcoming and archived professional education webinars.

Quality Based Procedures for Stroke Care

The Ministry of Health and Long Term Care has introduced Health System Funding Reform in Ontario. This reform ties a proportion of health system funding with the delivery of evidence based best practices called "Quality Based Procedures" (QBP). Acute Care and Rehabilitation QBPs for Stroke Care were introduced in 2013-14. The work to review the evidence was led by Health Quality Ontario with support from the Ontario Stroke Network. The 2016 QBP Handbook (released March 2017) now includes community rehabilitation, outpatient management of TIA and Endovascular Thrombectomy (EVT).

Provincial Interprofessional Stroke Core Competency Framework

The online Provincial Interprofessional Stroke Core Competency Framework aims to provide health care professionals working in stroke with a clear, comprehensive way to achieve the core competencies needed for evidence-based stroke care. The framework supports a baseline level of competency province-wide, and encourages stroke specific professional growth.

The framework consists of a set of core stroke competencies for six disciplines- Nursing, Occupational Therapy, Physical Therapy, Speech-Language Pathology, Social Work, and Recreation Therapy. The framework includes a self-rating scale which allows health care providers to identify priority learning areas. Each competency contains learning objectives, recommended learning resources/knowledge translation tools and suggested evaluation methods

The 16 competencies for each discipline include:

  • Principles of Stroke Care
  • Anatomy and Physiology of Stroke
  • Cardiovascular Respiratory Effects
  • Psychosocial Effects
  • Communication
  • Dysphagia
  • Independence in Mobility and Prevention of Complications
  • Routine Activities of Daily Living
  • Instrumental Activities of Daily Living
  • Cognitive, Perceptual and Behavioural Changes Post Stroke
  • Nutrition
  • Skin Care
  • Sexuality
  • Continence Management
  • Primary/Secondary Stroke Prevention
  • Transition Management

Examples for use include:

  • Orientation of new staff
  • Team education
  • Self-learning plans
  • Performance appraisal goals
  • Accreditation
  • Professional Reflective Practice

Visit the Core Competencies page of the OSN website at: http://ontariostrokenetwork.ca/core-competencies-for-stroke/

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