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Evidence to Improve Care


This quality standard addresses care for adults 18 years of age or older diagnosed with or suspected as having osteoarthritis of the knee, hip, or hand (i.e., thumb or fingers). It includes all settings and care providers.

Thank you for your comments and feedback. The consultation period has now ended.

The two guides below are in draft form. Please check back here in a few months for the finalized guides and for a variety of other resources related to this standard.

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Quality Standards

Know what quality care looks like, based on evidence and expert consensus


The clinical guide cover

Patient Reference Guide

If you have osteoarthritis of the hip, knee, or hand: know what to ask for in your care


Patient reference guide cover

The work on this quality standard started in December 2016.

Public feedback phase: November 2017

Health Quality Ontario thanks the following individuals for their generous, voluntary contributions of time and expertise to help create this quality standard:

Rhona McGlasson (Co-Chair)
Physiotherapist, Executive Director,
Bone and Joint Canada

Julia Alleyne (Co-Chair)
Primary Care and Sports Medicine Specialist,
University of Toronto, Toronto Rehabilitation Institute, University Health Network

Aileen Mary Davis
Senior Scientist and Division Head,
Division of Health Care and Outcomes, Krembil Research Institute, University Health Network, University of Toronto

Lorna Bain
Occupational Therapist Coordinator,
Interprofessional Clinical Models of Care, Rheumatology, The Arthritis Program (TAP), Interprofessional Collaboration and Education, Southlake Regional Health Centre

Tatiana Jevremovic
CFPC—Sport and Exercise Medicine, CFPC—Emergency Medicine, Fowler Kennedy Sport Medicine Clinic, Department of Family Medicine, Schulich School of Medicine, Western University

Joan Conrad
Lived Experience Advisor

Jennifer Nash
Assistant Professor, McMaster University

Shirlee Anne O'Connor
Nurse Practitioner, Primary Care, Nurse Practitioners’ Association of Ontario

Edward Moore Vasarhelyi
Orthopaedic Surgeon, Adult Hip and Knee Reconstruction, Assistant Professor, Division of Orthopaedic Surgery, Western University

Zahra Bardai
Family Physician

Vandana Ahluwalia
Consultant Rheumatologist,
Division of Rheumatology, Brampton Civic Hospital, William Osler Health System

Chandra Farrer
Advanced Practice Physiotherapist,
Rheumatology, Women’s College Hospital

Ken Sabourin
Sport Medicine Physician, Ottawa Sport Medicine Centre,
Surgical Assistant, Division of Orthopaedics, Ottawa Hospital 

Tiziana Silveri
Administration Vice President,
Clinical and Chief Nurse Executive,
North Bay Regional Health Centre

Jennifer Harris
Prevention and Rehabilitation Outreach Programs, Heart Wise Exercise, University of Ottawa Heart Institute

Peter Juni
Clinical Epidemiologist, Generalist Internal Medicine, Clinical Osteoarthritis Research Director,
Applied Health Research Centre, St. Michael’s Hospital

Renée-Ann Wilson
Advanced Practice Physiotherapist,
Orthopaedics, Musculoskeletal, Osteoarthritis,
North East Joint Assessment Centre

Anna Larson
Lived Experience Advisor

Janet Wells
Lived Experience Advisor

Suzanne Denis
Advanced Practice Physiotherapist,
Orthopaedics, Arthroplasty Program, Holland Centre, Sunnybrook Health Sciences Centre

Jocelyne Murdoch
Rheumatology Occupational Therapist, Advanced Clinician Practitioner
Arthritis Rehabilitation and Education Program, The Arthritis Society

Gillian A Hawker
Sir John and Lady Eaton Professor and Chair of Medicine, Scientist, Rheumatologist,
Women’s College Hospital, University of Toronto

For more information, contact

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