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Building on previous collaborative projects conducted by Dr. Cathy Craven and colleagues during the development of the Canadian E-Scan, the SCI-High Project team, in consultation with relevant stakeholders including Accreditation Canada and external advisory committee members, have prioritized 11 rehabilitation care domains using an established prioritization process called the Hanlon Methodology. Based on group consensus, the selected domains are:
- Cardiovascular Health
- Community Participation and Employment
- Emotional Well-being
- Reaching, Grasping & Manipulation
- Self-Management
- Sexual Health
- Skin Integrity
- Urinary Tract Infection
- Urohealth
- Walking
- Wheeled Mobility
The above rehabilitation care domains have been identified as containing gaps between knowledge generation and clinical application and are therefore important areas of focus for driving change in rehabilitation service delivery.
Root Cause Analysis:
For each of the above selected rehabilitation care domains, a comprehensive literature review of current publications and clinical practice guidelines has been conducted. Furthermore, the project team has developed detailed graphic illustrations which convey the relationship between the SCI rehabilitation care domain and factors that influence outcomes. These fishbone (Ishikawa Cause and Effect Analysis) diagrams are analytical, brain storming tools which provide a systematic way of identifying priority components that contribute to each rehabilitation care domain.
National Working Groups:
For each of the eleven SCI rehabilitation domains identified during the consensus process, a national working group has been developed. Content experts, appropriate to the selected domains have been invited to participate in a series of consensus meetings to facilitate the development of structure, process and outcome indicators for their assigned domain.
Overall progress of the SCI-High Project:
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