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.
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).
The Core Competency Provincial Integrated Work Plan Group has completed a preliminary version of a Provincial Interprofessional Stroke Core Competency Framework. This consists of 6 discipline-specific draft templates in PDF format for Nursing, Occupational Therapy, Physical Therapy, Speech-Language Pathology, Social Work, and Recreation Therapy. Each template consists of 16 competencies each with specific learning objectives, resources, and suggested evaluation methods for demonstrating achievement. Organizations may wish to utilize the content contained in the current framework, albeit preliminary, pre-piloted work. For example, the content could assist organizations in the training/orientation of staff in new or established stroke units and/or for those teams engaging in an accreditation process.