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).
- Clinical Handbook on Quality Based Procedures
- 2017 Stroke QBP Memo Update
- Appendices of evidences/literature reviews
- Community Stroke QBP Clinical Handbook Presentation, OSN, June 2015
- TIA QBP Clinical Handbook Presentation, OSN, June 2015
- Acute and Rehab Stroke QBP Clinical Handbook Presentation delivered by the OSN, April 2013
Interprofessional Stroke Core Competency Framework
The 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.
Examples for use include:
- Orientation of new staff
- Team education
- Self-learning plans
- Performance appraisal goals
- Professional Reflective Practice
Competency Framework documents are available at:
Canadian Stroke Community-based Exercise Recommendations
The Canadian Stroke Community-based Exercise Recommendations have been recently updated and include current evidence for exercise providers to plan and implement their programs. The Canadian Stroke Community-based Exercise Recommendations Update 2020: A Resource for Community-based Exercise Providers, is an evidence-based resource designed to help safely incorporate exercise programs in the community for individuals who have experienced a stroke.
The Canadian Stroke Community-Based Exercise Recommendations are available at:
Links to Other Recommendations and Guidelines
- American Heart Association/American Stroke Association Statements and Guidelines
- Canadian Cardiovascular Harmonized National Guideline Endeavour (C-CHANGE): 2018 Update
- Canadian Cardiovascular Society/Canadian Guidelines for the Diagnosis and Treatment of Dyslipidemia, Atrial Fibrillation and Prevention of Cardiovascular Disease in the Adult Recommendations
- Canadian Continence Foundation-Clinical Practice Guidelines for Adults
- Canadian Diabetes Association (CDA) Clincial Practice Guidelines
- Canadian Hypertension Education Program (CHEP)
- Consensus Panel on the stroke Rehabilitation System "Time is Function"
- European Stroke Organization-Guidelines for Stroke Management
- National Stroke Foundation-Australia Clinical Guidelines for Stroke Management
- Registered Nurses Association of Ontario Nursing Best Practice Guidelines
- Royal College of Physicians of London National Clinical Guidelines for Stroke
- Scottish Intercollegiat Guidelines Network