Toronto ABI Network

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Transitions from Hospital to Community

The Network works to ensure smooth transitions from acute and community hospitals to inpatient rehab hospitals and to community-based services.

To further enhance these efforts, the Network’s 2017-2020 Strategic Plan identifies optimizing transitions from hospital to community as a strategic priority.

The Network will be working to enhance timely transitions from hospital to community and to ensure that people are connected to appropriate community supports and services following an acquired brain injury. 

Key activies include:

  • Conduct a current state analysis of ABI resources and services provided by Network members and identify gaps and challenges
  • Investigate best practice models to support transitions
  • Identify shared principles for successful transitions
  • Develop and implement a plan to address identified barriers
  • Develop an evaluation framework and measure our success