Work has continued on the development of an Ontario Framework for Lower-Limb Preservation. This Framework is an evidence-based, best-practice reference document that highlights the key care activities, minimum care requirements, and key considerations for a regional model of care. The goal is to optimize the delivery of sustainable best-practice lower-limb preservation care and maximize positive patient outcomes while minimizing health care costs.
An accompanying Change Package has also been developed that provides actionable change ideas, tools and resources from which lower-limb preservation providers, organizations and champions can adopt and/or adapt to improve lower-limb preservation care delivery, services, and outcomes regionally.
Lower-limb preservation measurement and reporting work is also moving forward with the development of cohort definitions, indicators and the early stages of a measurement and reporting plan.
The next phase of work will focus on engagement of demonstration programs. This phase provides an opportunity to test implementation of components of the Framework across diverse regions in Ontario and to observe what change ideas and approaches work well and achieve desired outcomes, and what opportunities exist to better align current policy to support best practice. Lessons learned from the Demonstration Phase will shape the approach to spread development of formal Lower-Limb Preservation Programs beyond demonstration programs with the overall goal to reduce non-traumatic major lower-limb amputations in Ontario.