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Evidence to Improve Care


Care in All Settings

This quality standard addresses care for children age 5 years and older, adolescents, and adults with a concussion. Concussion is also referred to as a mild traumatic brain injury. This quality standard includes all settings in which concussion care is provided, including primary care, emergency departments, outpatient care, rehabilitation, and concussion clinics.

The scope of this quality standard includes all causes of concussion (sports and non-sports) and it applies to all health care providers. This quality standard addresses the assessment, diagnosis, and management of acute concussion and persistent or prolonged post-concussion symptoms.

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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 Standard

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


The clinical guide cover

Patient Conversation Guide

If you have a concussion: Know what to ask for in your care


Patient reference guide cover

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

Carol DeMatteo (co-chair)
Professor, School of Rehabilitation Science, McMaster University

Carmela Tartaglia (co-chair)
Neurologist, University Health Network

Meaghan Adams
Physiotherapist; Post-Doctoral Fellow, Toronto Rehabilitation Institute & York University

Shannon Bauman
Primary Care Sports Physician; Medical Director, Clinical Lead, Concussion North

Mark Bayley
Medical Director, Brain and Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network

Trudy Blugerman
Lived Experience Advisor

Greg Carfagnini
Physician, ACES Medical Group and Norwest Community Health Centre

Kevin D’Angelo
Sports Specialist Chiropractor; Secretary, Board of Directors, Royal College of Chiropractic Sports Sciences Canada

Andrew Everett
Family Physician, Home Street Family Practice

Kristian Goulet
Pediatrician; Medical Director, Children’s Hospital of Eastern Ontario Concussion Clinic

Michael Harnadek
Clinical Neuropsychologist, London Health Sciences Centre

Shannon Kenrick-Rochon
Nurse Practitioner, SKR Nursing Professional Corporation

Erin Kohlmetz
Registered Nurse, Brain Injury Rehabilitation Team, Holland Bloorview Kids Rehabilitation Hospital

Katherine Lambraki
Lived Experience Advisor

Veronica Pepper
Hamilton Niagara Haldimand Brant Acquired Brain Injury Service & System Navigator, Hamilton Niagara Haldimand Brant Acquired Brain Injury (ABI) Network

Alyssa Prangley
Lived Experience Advisor; Occupational Therapy Student, McMaster University

Michael Robinson
Athletic Therapist, Researcher, Fowler Kennedy Sports Medicine Clinic, Western University

Abraham Snaiderman
Neuropsychiatrist; Director, Neuropsychiatry, Toronto Rehabilitation Institute, University Health Network

Jennifer Thompson
Emergency Medicine Physician, Hamilton Health Sciences and McMaster University

Karen Vanderbrug
Occupational Therapist, Georgian Bay Family Health Team

Penny Welch-West
Speech-Language Pathologist, Parkwood Institute, St. Joseph’s Health Care

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