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Toronto Rehab helps more than 15,000 people each year to regain independence and maximize life. For some, this means returning to work, going home or back to school, or being able to pick up where they left off before their illness of injury. For others, it means living independently or working toward a long-term recovery and transition to the community.
No matter what out patients’ goals are, we help them reach their goals by providing specialized inpatient, outpatient and residential programs that focus on:
Complex Continuing Care
Long-Term Care
Rehabilitation
Complex Continuing Care (CCC)
Care and services to support people with complex and chronic health conditions to help them manage their diseases or health issues to improve their well-being, and to restore their independence within a therapeutic, rehabilitative and supportive environment.
Patient Volumes
|
Complex Continuing Care (CCC)
|
|
2007/08 Actuals
|
2008/09 Actuals
|
2009/10 HSAA
Annual
Target
|
2009/10 HSAA Minimum Threshold
|
2009/10
Actuals
|
Patient Admissions
|
294
|
352
|
N/A*
|
N/A*
|
198
|
Weighted*
Patient Days
|
78,284
|
79,171
|
78,905
|
72,593
|
76,00
|
* Under the terms of Toronto Rehab’s Hospital Service Accountability Agreement, CCC service volumes for a given period of time are calculated by multiplying the total number of days occupied by patients in CCC beds by a weighting factor that is based on care requirements. The weighting factor is calculated by multiplying the total number of inpatients in the program on any given day by each patient’s care requirements or what’s called a case mix index (CMI) score. Patients with higher CMI scores require more intensive levels of care (medical and nursing care as well as other health services) than patients with lower CMI scores. This, in turn, affects staffing levels and the number of patients staff are able to care for at any given time.
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Long-Term Care
Residential care for people who cannot live independently becuase of age, illness, frailty or disability.
Patient Volumes
|
Long-Term Care (LTC)
|
|
2006/07
Actuals
|
2007/08
Actuals
|
2008/09
Q2(YTD) Actuals
|
Resident Admissions
|
42
|
42
|
27
|
Resident Days
|
46,510
|
46,075
|
23,122
|
Wait List for Admission to LTC
|
116
|
123
|
136
|
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Rehabilitation
Care and services to help people regain function, mobility and independence with a goal of returning to their community.
Patient Volumes
|
Rehabilitation
|
|
2007/08 Actuals
|
2008/09 Actuals
|
2009/10 HSAA
Annual
Target
|
2009/10
HSAA Minimum Threshold
|
2009/10
Actuals
|
Patient Admissions
|
2,040
|
2,035
|
N/A*
|
N/A*
|
1,023
|
Inpatient Days
|
72,132
|
70,451
|
72,420
|
>68,075
|
70,948
|
Ambulatory Care Visits
|
82,568
|
86,854
|
80,000
|
>64,000
|
90,762
|
Therapeutic Visits
|
135,529
|
142,093
|
N/A**
|
N/A**
|
73,760
|
*HSAA – The Hospital Service Accountability Agreement is a performance contract between the Toronto Rehabilitation Institute (Toronto Rehab) and the Toronto Central Local Health Integration Network (TCLHIN) that specifies the type and volume of patient care services the hospital will provide in a given year and the amount of government funding it will receive to provide these services. The Agreement only covers CCC and rehabilitation services. Funding for Long-Term Care services is determined separately and is based on the care needs of long-term care residents.
Toronto Rehab’s HSAA is available online in the About Us section. A hard copy of the Agreement is also available in the medical libraries located at each of Toronto Rehab’s five sites and is available upon request in person Monday to Friday, between 9 a.m. and 4 p.m.
*N/A = Not applicable under the terms of Toronto Rehab’s HSAA. For example, under the terms of our agreement, rehabilitation service provision is calculated in inpatient rehabilitation days (minimally 68,075 for FY 2008/09) rather than in the number of individual patients admitted to the hospital during the fiscal year.
Ambulatory Care Visits as defined by the Ministry of Health and Long-Term Care, are visits patients make to the hospital, usually on an outpatient basis after discharge for periodic treatment involving a physician or a nurse. Many of our patients return to the hospital for outpatient treatment that requires the skills of other health care professionals such as physical therapists, occupational therapists and speech language pathologists. We record this type of care separately as **Therapeutic Visits.
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