As of May 1st 2018,
a new provincial mandate requires all of Ontario to develop a centralized
intake process for patients referred for knee and hip joint replacement
surgery. There is an additional Ministry mandate for all patients
referred for knee and hip joint replacement surgery to have an initial
assessment by an advanced practice practitioner to determine appropriateness
for surgery. At Southlake Regional Health Centre, the pre-surgical assessment
will be done in The Arthritis Program. It will be called Total Joint
Solutions-Rapid Assessment Clinic (TJS-RAC).
Hip and Knee
As of May 1, 2018 all people in Ontario who are considering
hip and knee replacement surgery will need to have a referral sent to a Central
Intake Centre. This referral is sent by their Primary Care Provider. Once your
referral is received at this Central Intake Centre, it will be directed to the
hospital you choose to have your surgery at.
You may choose a specific surgeon, or you may choose to see the first
Before you see a surgeon, a pre-surgical assessment will
need to be completed by an Advanced Practice Provider to determine if you are a
If you are a surgical candidate, you will receive valuable
information, attain tips and tools, and get resources to best prepare you for
surgery. At Southlake Regional Health Centre, this new initiative, consisting
of an assessment and education process is called Total Joint Solutions (TJS) - Rapid Assessment Clinic (RAC).
TJS-RAC is aimed to create shorter wait times and provide
patients with resources to support their care journey.
What you can expect
as part of TJS- RAC:
Once your primary care provider has sent in your
Central Intake Referral Form, you should be contacted by a TJS-RAC staff member
to book an assessment appointment within two to four weeks of the referral
At the TJS - RAC, an assessment will be
completed by an Advanced Practice Provider. The comprehensive assessment
includes physical, social, and lifestyle history along with a review of your
x-rays. You will be asked to bring in a copy of your x-rays.
Patients identified as appropriate surgical
candidates will have an appointment scheduled with an Orthopaedic Surgeon to
finalize next steps at his/her office. All patients can choose a specific surgeon or
the first available surgeon.
If you are a surgical candidate, you will be
enrolled into a comprehensive group education class called ‘Prehab’. Prehab will
help you understand what you can expect during surgery, helpful tips and
strategies to ease your recovery, and exercises to help you best prepare before
and after surgery.
If you aren’t ready surgery, or if surgery is
not right for you at this time, you will receive recommendations and education
to help you manage your condition.
Our diverse team will take care of you every step of the way -
from your assessment through to surgery. The TJS-RAC Advanced Practice Providers
have extensive knowledge and experience in musculoskeletal assessment, and are
focused on making sure you get the treatment that's best for you.
Southlake Regional Health Centre - Orthopedic
surgeons providing hip and knee replacements:
- Dr. Thomas Bertoia
- Dr. Patrick Gamble
- Dr. Moo-Hyung Lee
- Dr. Christopher Lindsay
- Dr. Cleo Rogakou
- Dr, David Walmsley
Total Joint Solutions - Rapid Assessment Clinic Team:
- Wendy Daechsel - Program Support
- Sheryl Krawiec - Program Support
- Julia Thomas - Advanced Practice Practitioner
- Sue Charette - Advanced Practice Practitioner
- Lois Derrick - Advanced Practice Practitioner
- Lisa Caldana - Advanced Practice Practitioner
How to Reach Total Joint Solutions - Rapid
The Arthritis Program (TAP)
Southlake Regional Health Centre - The Tannery Mall
465 Davis Drive, Suite 403
905-895-4521 ext. 2468
to the Total Joint Solutions – Rapid Assessment Clinic must be made by your
primary care provider. The Referral form is located
Intake Fax Number: (855)