New Mild Traumatic Brain Injury Program of Care

The Mild Traumatic Brain Injury Program of Care (mTBI POC) is a community-based health care program designed for early care of injured people with non-complex mTBI/concussion to help them recover and return to or stay at work. We have updated the program interventions based on current evidence-informed guidelines. 

All registered health care providers have been able to deliver the new program as of October 5, 2020. A transition period was in effect until October 30 to give providers time to review required materials and register. 

As of November 2, 2020, all people starting community-based treatment for mild traumatic brain injuries must be treated in the new mTBI POC. Those who started treatment in the previous mTBI POC prior to November 2 should remain in that program until completion.

Key components of the program

• People with mild traumatic brain injuries can enter the program up to three months after the date of their injury.
• It is an eight-week program consisting of two four-week blocks.
• Recommended evidence-based interventions include education, gradual integration of activity, progressive exercise therapy, manual therapy and vestibular rehabilitation.
• Required outcome measures include the Patient Specific Functional Scale and the Rivermead Post-Concussion Symptoms Questionnaire.
• There are three reporting requirements: initial assessment, mid-point report and care and outcome summary.
• A supplementary treatment block is available for injured people who are approved for additional treatment in the community.

Who the program is designed for

The mTBI program of care is for people who: 

• have an allowed WSIB claim 
• have been diagnosed with an mTBI by a physician or nurse practitioner 
• have negative findings on all neuroimaging studies, if completed
• are 18 years of age or older 
• are within three months of their date of injury

Who can deliver the program? 

Regulated health professionals who have the scope of practice, knowledge and skill can deliver the mTBI POC. This includes the ability to deliver all interventions, either as a sole provider or as part of an interdisciplinary team, with the exception of vestibular rehabilitation. Where clinically required, vestibular rehabilitation can be delivered within the mTBI POC by those regulated health professionals who are able within their scope of practice.  

Reporting 

Providers should use WSIB online services to submit reports electronically. Providers need to complete and submit: 

• Revised program of care for mild traumatic brain injuries Initial assessment report
• Revised program of care for mild traumatic brain injuries Mid-point report
• Revised program of care for mild traumatic brain injuries Care outcomes summary
• Supplementary report

  (when additional treatment is approved)

Registration requirements

To deliver the new mTBI POC, regulated health care professionals must complete the following steps:

1. Review all program materials and clinical resources available on the WSIB website.
2. Get an electronic billing number through Telus Health, if you do not already have one.
3. Complete the online mTBI POC registration form. 

As part of the registration requirements, you must watch the training webinar.