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.
Providers should use WSIB online services to submit reports electronically. Providers need to complete and submit:
- Initial assessment report (PDF)
- Mid-point report (PDF)
- Care outcomes summary (PDF)
(when additional treatment is approved)
To deliver the new mTBI POC, regulated health care professionals must complete the following steps:
- Review all program materials and clinical resources available on the WSIB website.
- Get an electronic billing number through Telus Health, if you do not already have one.
- Complete the online mTBI POC registration form.
As part of the registration requirements, you must watch the training webinar.
mTBI program of care provider directory
Once you are registered to deliver the program, you will be listed on the new mTBI program of care provider directory. Search the directory to find a health professional who can deliver the Mild Traumatic Brain Injury Program of Care.
- mTBI POC Quick Reference
- mTBI POC fee schedule
- mTBI POC billing tips
- Rivermead Post-Concussion Symptoms Questionnaire (PDF)
- Patient-Specific Functional Scale (PDF)
- The primary reference to guide evidence-based care in the mTBI POC is the Ontario Neurotrauma Foundation (ONF) Guideline for Concussion/MTBI.
- The Centre for Effective Practice (CEP) has a quick reference which helps to operationalize the ONF Guidelines and other evidence-based clinical resources.
- Graded Exercise Therapy and The Buffalo Concussion Treadmill Test Instructional Module (PDF)
Read our FAQs for more information.
For general questions about the program, call the WSIB Health Professional Access Line at 1-800-569-7919 or 416-344-4526.
If an injured person is not suitable for the mTBI POC, is not progressing as expected or you have clinical questions about specific claims, call the WSIB Clinical Expert Line at 1-866-716-1299 or 416-344-5739.