CCGI Best Practice Collaborators
CCGI Best Practice Collaborators
CCGI Best Practice Collaborators
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
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understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
Are you interested in getting involved with CCGI?
We are always looking to get people involved in our projects. No experience necessary - we provide training!
Contact us today!
Are you interested in getting involved with CCGI?
We are always looking to get people involved in our projects. No experience necessary - we provide training!
Contact us today!
Concussion Care Pathway
Date of last update: May, 2024
Follow-up
Clinical Cornerstone: In every patient encounter, the essence of ongoing monitoring lies in its adaptive nature, continuously aligning and realigning the treatment plan with the patient’s evolving goals and feedback. This process is not just about tracking progress but ensuring that the care trajectory consistently meets the patient’s needs and objectives. It facilitates a patient-centric, goal-oriented approach throughout the care journey, including discharge and post-discharge phases, making the care pathway effective and personally meaningful.
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Assess: Engage the patient in a conversation to assess their health status and case progression at each encounter.
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Adjust the Treatment Plan: Regularly update the treatment plan based on patient feedback, outcome measures, and clinical judgment. Utilize techniques like Brief Action Planning to support self-management and promote regular movement and engagement in normal activities, including work.
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Additional Interventions or Referrals: Based on patient feedback and progress.
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Align with Patient Goals: Regularly revisit patient's initial goals that were set during the first visit. Discuss progress towards these goals and address any barriers encountered. Adjust goals as necessary to reflect patient’s current needs and preferences.
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Criteria for Discharge:
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Establish clear criteria for discharge, which may include achieving specific milestones, reaching a plateau in progress, or fulfilling the patient's initial goals.
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Discuss post-discharge plans, including self-management strategies, potential follow-ups, and strategies to prevent recurrence.
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Monitor: the case progression with periodic reassessments and repeat outcome measures.
Conduct patient assessment
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Red flags or Orange flags present
Red flags or Orange flags present
Refer to appropriate emergency or healthcare provider
No
Yes
Acute mTBI
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Structured patient education
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Self Care
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Return to work / school
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Return to driving
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Return to sport / activity
Persistent mTBI
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Monitoring and Reassessment
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Tailored clinical management of symptoms:
- Headache
- Neck Pain
- Sleep Disturbance
- Fatigue
- Emotional / Behavioural
- Cognitive Disorders
- Vestibular Disorders
Treatment and management details
Report of findings, Shared decision-making, Initial management, Persistent systems
Differential Diagnosis
Diagnosis
Follow-up
(Align with patient goals, Criteria for discharge)
Major symptom/sign change
Goals not achieved
Discharge
No
Yes
Re-evaluate
Adjust treatment and management plan or refer
References or links to primary sources
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Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. CDC Heads Up [Internet]. CDC February 2022. Available from: https://www.cdc.gov/headsup/index.html.
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David L. MacIntosh Sports Medicine Clinic, University of Toronto. Post-Concussion Return to Activity Guidelines. EMPWR Our Toolkit [Internet]. EMPWR Foundation 2019. Available from: https://empwr.ca/our-toolkit.
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Ontario Psychological Association. OPA Guidelines for Best Practices in the Assessment of Concussions and Related Symptoms [Internet]. OPA July 2016. Available from: https://www.psych.on.ca/getmedia/b7ada02e-76ca-4a5c-891a-bc610c81a213/OPAConcussionGuidelinesFINAL2018.pdf.
Contact information for further inquiries or feedback
carolina.cancelliere@ontariotechu.ca
Disclaimer:
These care pathways are intended to provide information to practitioners who provide care to people with musculoskeletal conditions. The care pathways on this website are 'living' documents, reflecting the state of clinical practice and research evidence to our best knowledge at the time of development. As knowledge and healthcare practices evolve, these pathways may be updated to ensure they remain current and evidence driven. These pathways are not intended to replace advice from a qualified healthcare provider.