Bundled Care

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Frequently Asked Questions

What is Bundled Care?
In April 2018 the Ministry of Health and Long-Term Care (MOHLTC) introduced Bundled Care to Ontario as part of the Patients First: Roadmap to Strengthen Home and Community Care and supports Ontario’s goal of developing a health system that puts patients first.

Bundled care is a service delivery and funding model that is designed to promote greater integration in health care delivery, drive high-quality, efficient care and improve patient outcomes and experience. In a bundled care approach, a group of health care providers receives a single payment to cover all the care needs of an individual patient’s full spectrum of care for a specific health issue.
Where can I have my physiotherapy?
Patients who have had a qualifying hip, knee and shoulder total joint replacement surgery may have their post-surgical physiotherapy wherever they desire.

CKHA offers outpatient physiotherapy services at both Chatham and Wallaceburg sites.

For government-funded therapy, patients must attend one of our outpatient physiotherapy clinic partners. Click this link for a list. Please confirm when booking your appointment that the clinic is a current bundled care partner.

Patients who chose to attend an outpatient physiotherapy clinic that has not entered into an agreement with CKHA will be required to pay for this service themselves.
How do I know if my surgery is a qualifying surgery?
Patients who have had a qualifying surgery will receive a physiotherapy referral form they can take to the clinic of their choice.

The list of partnered clinics is provided during your pre-surgical visit and found here. It is recommended that your first outpatient physiotherapy visit be scheduled in advance of your surgery.

Qualifying surgery criteria is determined by Health Quality Ontario and the MOHLTC.

Determining if a patient meets the criteria can be very complex but there are some basic criteria that must be met:

Cost for surgery paid by OHIP (not out of province, military, self-pay, etc)

Surgery cannot be a WSIB claim

Elective surgery – not emergency surgery. The surgery must be elective meaning pre-scheduled and the reason for admission to the hospital

A patient must be 18 years of age or older

Primary joint, not a revision – this means this is to be the first total joint surgery for this joint you have, not a repair for a previous total joint surgery

Diagnosis cannot be related to cancer or trauma

Bilateral joints (both joints at the same time) are excluded at this time
What is the PROMs survey and when do I have to do it?
CKHA is working with the MOHLTC to improve your health care services. Patients all across Ontario who are having a total hip or knee replacement are being asked, at four different times, to complete a short survey about how they are feeling before and after their surgery. The survey referred to as Patient-Reported Outcome Measures (PROMs), takes about 5 minutes to complete.

Your hip and knee PROMs survey tells your health care team about your:

pain

functional status (how well you are able to do your normal daily activities)

your overall quality of life

Orthopedic care

The same survey is completed each of the four times.

at the Rapid Access Clinic prior to seeing your surgeon

when you come in for your pre-admission visit prior to surgery

3-4 months after the surgery

1 year after your surgery

The first two surveys will be completed at CKHA and the subsequent two surveys will be completed either online (the survey link will be e-mailed to you if you provided an e-mail address at your pre-admission appointment), or over the phone with a volunteer. You may also receive a reminder mailout with a QR code to complete the survey. The survey can be completed here.
How do I become a bundle care physiotherapy partner?
CKHA has partnered with many outpatient physiotherapy clinics in Essex, Kent, and Lambton counties. This will ensure our total joint replacement surgery patients are able to access government-funded quality post-surgical physiotherapy closer to home.

New clinics can join the Bundled Care Program twice a year: April and October. If you are interested in joining as a partner clinic, please contact jbadder@ckha.on.ca.

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Bundled Care

Frequently Asked Questions

Chatham Site

Wallaceburg Site