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Bloorview Kids Rehab

Admissions: Referral Process

Referral Process

Referrals for inpatient rehab and Complex Continuing Care are reviewed Monday to Friday, during business hours. The standard response time is 72 hours.

Referral information can be obtained by contacting:

  • Admissions Facilitator: (416) 753-6022
  • Intake/Discharge Coordinator: (416) 753-6030

Inpatient Referral Form (PDF: 67 KB)

Completed referral forms can be faxed to (416) 424-3728

The following documentation is required to assist our team in determining admission eligibility:

  • Medical referral from a physician (Note: referrals for respite care are accepted from family members, physicians, discharge planners, community agencies and schools)
  • Completed Bloorview Kids Rehab referral form
  • Comprehensive medical summary including premorbid functional/ psychosocial assessment and medical directives, as appropriate
  • Up-to-date immunization status
  • Relevant screening for infectious processes, as indicated
  • Relevant clinical information including therapy reports, medical reports/test results, radiology reports, OR reports
  • Anticipated treatment/therapy requirements

Note: Once a referral for inpatient care has been approved, it is strongly recommended that clients and families attend an orientation session prior to admission. This includes a tour of the facility during which an overview of the program/service is provided.

Determining if a client is a candidate for inpatient rehabilitation care (Brain Injury Rehab or Specialized Orthopedic and Developmental Rehab):

  • The client demonstrates the potential to return to premorbid baseline functioning or to increase in functional level with participation in rehab
  • Based on clinical expertise and evidence, the client will benefit from the rehab program/service
  • Goals for rehab have been established and are specific, measurable, achievable, realistic and timely (SMART)
  • The client or substitute decision-maker has consented to treatment in the program and demonstrates willingness and motivation to participate, as appropriate

Determining Medical Stability:

  • A clear diagnosis and co-morbidities have been established
  • At the time of discharge from acute care, acute medical issues have been addressed; disease processes and/or impairments are not precluding participation in rehab program
  • Clients vital signs are stable
  • No undetermined medical issues
  • Medication needs have been determined

Determining Rehab Readiness:

  • Client meets the criteria of a rehab candidate
  • Client meets the criteria of medical stability
  • All medical investigations have been completed, or a follow-up plan is in place at the time of referral and necessary follow-up appointments made by time of discharge
  • Client’s special needs have been determined
  • Client is able to meet the minimal tolerance level of rehab
  • There are no behavioural or active psychiatric issues limiting client’s ability to participate in rehab
  • Treatment for other co-morbid illnesses does not interfere with client’s ability to participate in rehab (e.g. active cancer treatment resulting in fatigue, etc.)

Determining if a client is a candidate for inpatient complex continuing care:

  • Client is able to maintain present baseline functioning or increase in functional level, as appropriate (i.e. may not apply to clients with degenerative conditions) with participation in maintenance therapies.
  • Goals for habilitation have been established and are specific, measurable, achievable, realistic and timely (SMART)
  • The client or substitute decision-maker has consented to treatment in the program and demonstrates willingness and motivation to participate, as appropriate

Determining Medical Stability:

  • A clear diagnosis/and or differential diagnosis and co-morbidities have been established
  • At the time of discharge from acute care, acute medical issues have been addressed; disease processes and/or impairments are not precluding participation in rehab program
  • Letter of understanding (i.e. Do Not Resuscitate Order) has been discussed, as appropriate
  • Medication needs have been determined

Contact

Cindy Ruelens, Intake/Discharge Coordinator
Tel: 416-753-6030
E-mail: cruelens at bloorview dot ca

Back to Admissions

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