Care Continuum


Trauma Care Continuum (TCC)


Clinical practice guideline for the specialized rehabilitation of patients with moderate to severe TBI

The Institut national d’excellence en santé et en services sociaux (INESSS) is partnering with the Ontario Neurotrauma Foundation (ONF) to produce and implement a clinical practice guideline for the early, specialized rehabilitation of adults with moderate or severe traumatic brain injury (TBI). The guideline will contain recommendations for clinicians, clinical coordinators and managers working in the rehabilitation network, as well as for the neurotrauma centres’ early rehabilitation teams.

Further details

Level I, II and III trauma care and services centres: evaluation visits

As part of its mandate to improve the quality of care for trauma victims in Quebec, INESSS’s Trauma Services Continuum Team is presently holding meetings with the local committees at the facilities in the trauma care and services network to take stock of the 4th cycle of trauma care and services. Descriptive statistics and performance indicators from each facility will be presented as well.

Further details

Mild traumatic brain injury

In December 2011, the Trauma Care Continuum Team updated its decision algorithms for managing the risk of severe neurological complications of mild traumatic brain injury (MTBI) in adults and children.

In 2014, the Trauma Care Continuum Team presented information tools on the gradual resumption of intellectual activities and physical activity or sports after a patient has been diagnosed with MTBI.

Further details

Centres of expertise for spinal cord injury victims: Comparative analysis of 2009-2012 statistics

Further to the Neurotrauma Advisory Group’s last evaluation visits of the centres of expertise for spinal cord injury (SPI) victims in eastern and western Quebec, which were carried out in 2012 and 2013, the Trauma Care Continuum Team is presently performing a comparative analysis of the data produced by the two centres of expertise using, whenever possible, national data from the Rick Hansen SCI Registry (RHSCIR) as a reference measurement. This analysis is aimed at supporting the activities for the ongoing improvement of the quality and performance of Québec’s two centres of expertise. The results of this analysis will be available on our website by the fall of 2014.

Revision of the framework and matrix for evaluating moderate or severe TBI (MSTBI) consortiums

In anticipation of the next MSTBI consortium evaluation cycle, the Trauma Care Continuum Team is presently revising the overall framework and the compliance and quality assessment criteria used for MSTBI consortiums. The revision is aimed at ensuring a continuous improvement process that is better supported and better spread out over time, with emphasis on incorporating evidence and performance indicators into processes and clinical and organizational practices.

Trauma care and services centres: Revision of the evaluation matrix

The Trauma Care Continuum Team is presently updating the matrix requirements intended for designated acute-care facilities in Québec’s trauma care and services network. This update will be available in 2014-2015.

Pre-collision Collision Post-collision