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 is 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.

Recent activities include:

  • Producing a regular report on current wait times for ABI community services to support transition planning and help clinicians, patients, families and caregivers plan and make decisions about ABI services.
  • Developing a best practices guideline for planning hospital to community transition for individuals with acquired brain injury. The guideline provides interprofessional teams with a clear set of best practices that take into account the unique needs of individuals with a brain injury and their caregivers.