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Health Quality Ontario has developed a number of Clinical Handbooks to support Ontario’s Ministry of Health and Long-Term Care’s Quality-Based Procedures strategy. The Quality-Based Procedures strategy combines the introduction of new hospital funding models with clinical best practice recommendations for specific patient populations (for example, patients receiving hip replacements).
Each Clinical Handbook contains a description of the patient population with a set of recommendations on how to provide the best care possible for patients. Health Quality Ontario works with Advisory Committees that includes experts, patients and caregivers to develop the recommendations in the Clinical Handbook.
Find Health Quality Ontario’s Clinical Handbooks and associated resources below.
Rapid Reviews
Cognitive-Behavioural Therapy for Anxiety and Depression in Patients With Chronic Obstructive Pulmonary Disease (PDF)
Airway Clearance Techniques for Patients With Stable Chronic Obstructive Pulmonary Disease (PDF)
Exercise Programs After Pulmonary Rehabilitation for Patients With Chronic Obstructive Pulmonary Disease (PDF)
Prophylactic Antibiotics for Individuals With Chronic Obstructive Pulmonary Disease (PDF)
Pulmonary Rehabilitation in the Home Versus Other Settings for Individuals With Chronic Obstructive Pulmonary Disease (PDF)
Pulmonary Rehabilitation Setting for Adults With Chronic Obstructive Pulmonary Disease (PDF)
Respiratory Therapy Services in Home Care for Individuals With Chronic Obstructive Pulmonary Disease (PDF)
In-Hospital Physiotherapy for Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) (PDF)
Action Plans for Individuals with Chronic Obstructive Pulmonary Disease (PDF)
Budget Impact Analysis
Pulmonary Rehabilitation for Postacute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD): A Cost-Effectiveness and Budget Impact Analysis (PDF)
Resources
To access Health Quality Ontario’s Quality Compass for tools and resources to support best practices for treating patients with Chronic Obstructive Pulmonary Disease, click here.
To access the Ontario Hospital Association’s On-Demand Broadcast on Quality-Based Procedures – Key Practice Changes and Clinical Implementation Considerations: Chronic Obstructive Pulmonary Disease, click here.
One page summary pathway
Two page summary pathway
Bell, C. HQO's Episode of Care for Chronic Obstructive Pulmonary Disease. Ontario Hospital Association Webcast, October 23, 2013
Criteria for Switching From Intravenous to Oral Antibiotics in Patients Hospitalized With Community-Acquired Pneumonia (PDF)
Role of Screening for Respiratory Syncytial Virus or Influenza and Empirical Antiviral Treatment for Patients With Community-Acquired Pneumonia (PDF)
Shorter Versus Longer Duration of Antibiotic Therapy in Patients With Community-Acquired Pneumonia (PDF)
Usefulness of Urinary Antigen Testing for Legionella in the Treatment of Community-Acquired Pneumonia (PDF)
Severity Assessment Tools for Patients With Community-Acquired Pneumonia (PDF)
Optimal Timing for Antibiotic Administration in Patients With Community-Acquired Pneumonia (PDF)
Monotherapy Versus Combination Therapy for Adults Hospitalized for Community-Acquired Pneumonia (PDF)
Antibiotic Coverage in Atypical Pathogens for Adults Hospitalized With Community-Acquired Pneumonia (PDF)
Communication of Discharge Instructions (PDF)
Criteria for Referral to Heart Failure Clinics
Criteria for Referral to Home Care (PDF)
Vasodilators for Inhospital Heart Failure Management (PDF)
Sodium Restriction in Heart Failure (PDF)
Aerobic Exercise Training in Patients With Heart Failure (PDF)
Home-Based Exercise Programs in Heart Failure (PDF)
Medication Reconciliation at Discharge (PDF)
Physical Activity Counselling (PDF)
Ultrafiltration in Heart Failure (PDF)
Coronary Revascularization in Ischemic Heart Failure Patients (PDF)
Early Mobilization and Ambulation in Hospitalized Heart Failure Patients (PDF)
Chest X-rays for Diagnosing Pulmonary Infection as a Precipitant of Acute Heart Failure (PDF)
B-Type Natriuretic Peptide Testing (PDF)
In-Hospital Performance Indicators for In-Hospital Heart Failure Management (PDF)
Implantable Cardioverter Defibrillators or Cardiac Resynchronization Therapy for In-Hospital Heart Failure (PDF)
Intra-Aortic Balloon Pumps for Heart Failure Management (PDF)
Electrocardiograms for Diagnosing Ischemia as a Precipitant to Acute Heart Failure (PDF)
Inotropic and Vasoactive Agents for In-Hospital Heart Failure Management (PDF)
In-Hospital Electrocardiographic (ECG) Telemetry Monitoring for Acute Heart Failure (PDF)
Invasive Monitoring with Pulmonary Artery Catheters in Heart Failure (PDF)
To access the Ontario Hospital Association’s On-Demand Broadcast on Quality-Based Procedures – Key Practice Changes and Clinical Implementation Considerations: Congestive Heart Failure, click here.
The Effectiveness of Cement in Primary Hip Replacements (PDF)
Antibiotic-Laden Bone Cement for Primary Knee Arthroplasty (PDF)
Simultaneous or Staged Bilateral Knee Arthroplasty (PDF)
Intensity of Rehabilitation During the Acute Hospitalization Period After Hip or Knee Arthroplasty (PDF)
Anesthesia Among Patients Undergoing Knee Arthroplasty (PDF)
Local Infiltration Analgesia in Hip and Knee Arthroplasty (PDF)
Total Hip Arthroplasty Versus Hemiarthroplasty for Displaced Femoral Neck Fractures (PDF)
Clinical Utility of Echocardiography for Patients with Hip Fracture (PDF)
Community Versus Inpatient Rehabilitation in Hip Fracture Pateints (PDF)
Intensity of Rehabiliation After Hip Fracture (PDF)
Intramedullary Nails in Comparison With Sliding Hip Screws for Intertrochanteric Hip Fractures (PDF)
Optimal Timing of Hip Fracture Surgery (PDF)
Nerve Blocks for Pain Management in Patients with Hip Fractures (PDF)
Optimal Timing to Begin an Active Rehabilitation Program After a Hip Fracture (PDF)
Intra-Articular Analgesia After Knee Arthroscopy (PDF)
Bracing After Knee Arthroscopy (PDF)
Peripheral Nerve Blocks for Post-Operative Pain Relief After Arthroscopic Knee Ligament Reconstruction (PDF)
Preoperative Shower or Bath With Antiseptics Before Knee Arthroscopy (PDF)
Physiotherapy After Knee Arthroscopy (PDF)
Pre-emptive Oral Non-Steroidal Anti-Inflammatory Drugs or Acetaminophen for Knee Arthroscopy
Care Coordination for Postacute Stroke, Chronic Obstructive Pulmonary Disease, and Heart Failure Clients: An Economic Rapid Review (PDF)
Home-Based Versus Centre-Based Rehabilitation for Community-Dwelling Postacute Stroke Patients: An Economic Rapid Review (PDF)
Cardiovascular and Aerobic Exercise in Postacute Stroke Patients (PDF)
Care Coordination on Postacute Stroke, Chronic Obstructive Pulmonary Disease, and Heart Failure Clients (PDF)
Home-Based Versus Centre-Based Rehabilitation for Community- Dwelling Postacute Stroke Patients (PDF)
Self-Management and Educational Interventions in the Postacute Stroke Population (PDF)
Effect of a 60-Minute Door-to-Needle Tissue Plasminogen Activator on Stroke Disability (PDF)
Optimal Onset-to-Admission Interval for Inpatient Stroke Rehabilitation (PDF)
Effectiveness of Increased Intensity of Rehabilitation in Post-Stroke Patients (PDF)
Optimized Timing of Thrombolytic Therapy for the Treatment of Stroke (PDF)
Transient Ischemic Attack: Where Can Patients Receive Optimal Care? (PDF)
Effectiveness and Safety of Thrombolytics for the Treatment of Ischemic Stroke (PDF)
Relationship of Patient Volume and Stroke Outcomes (PDF)
If you have any questions about a Clinical Handbook for Quality-Based Procedures, please contact us at Evidence@HQOntario.ca.
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