Advanced Practice Provider in Musculoskeletal Central Intake Model of Care
On October 27, 2017 the former Minister of Health and Long-Term, Dr. Eric Hoskins announced the provincial expansion of a centralized intake, assessment and management model for musculoskeletal (MSK) conditions starting with hip and knee osteoarthritis, and low back. Building on the successful Central Intake Assessment Centre (CIAC) model for hip and knee arthritis, and the Inter-Professional Spine Assessment and Education Clinic (ISAEC), this investment is aimed at providing LHINs with assessment and planning resources to reduce wait times for diagnostic imaging and surgical consultations for MSK conditions.
On December 1, 2017, as part of establishing a centralized model, all LHINs in Ontario received funding for implementing Rapid Access Clinics (RACs) to enable better access to treatment for those experiencing hip, knee and low back pain. This model utilizes physiotherapists and other health care providers to expedite assessment, triage, and access to needed care. Following this, on December 18, 2017, the Ontario Government committed $37 million over the next three years for the expansion of RACs across the province. This will begin with care for hip and knee osteoarthritis and low back pain symptoms.
As of March 31, 2018 seven LHINs across Ontario have implemented a mandatory RAC referral for hip/knee. By the end of 2018/19 fiscal year, all LHINs will have a mandatory centralized pathway for hip/knee osteoarthritis and low back pain through an implemented RAC.
Implementation of this province wide initiative is being supported by Health Quality of Ontario’s program Adopting Research to Improve Care (ARTIC) which has created a series of webinars to assist organizations with implementing the model and to inform applicants of these new interprofessional opportunities. Archived webinars can be accessed here.
Advanced Practice Provider for MSK Rapid Access Clinic (RAC) for Hip and Knee
View the Advanced Practice Provider for hip and knee Role Profile and the Position Description.
As outlined in the position description, an APP in MSK Central Intake, Assessment and Management is typically a physiotherapist registered with the College of Physiotherapists of Ontario. The APP is a leader with advanced knowledge, skills and attitudes enabling them to effectively solve problems and address the needs of the patient with an MSK condition.
MSK Rapid Access Clinic for ISAEC
View the Advanced Practice Provider job descriptions – part time and full time for MSK Rapid Access Clinic for low back pain (ISAEC).
View the Practice Leader job description for MSK Rapid Access Clinic for low back pain (ISAEC).
As outlined in the job descriptions, ISAEC is an innovative model of care providing patients with low back pain assessment, education and evidence-based self-management plans. The ISAEC model of care is being implemented across the LHINs as part of the MSK RAC implementation.
Advanced Practice Provider FAQ
The OPA received very positive responses from our members regarding the emerging Advanced Practice Provider Role within the centralized intake, assessment and management model for hip, knee, and low back musculoskeletal (MSK) conditions. The following FAQ answers member questions regarding the APP role, qualifications, and the hiring process.
Read the FAQ
If you are a physiotherapist interested in learning more about these opportunities, or if you are an organization looking to hire a physiotherapist for the APP position, please contact Gonxhe Kastrati, Policy Analyst at the Ontario Physiotherapy Association at 416-322-6866 ext.225.