Provincial Healthcare Coordination Network

Rapid Access to Musculoskeletal Care

Connecting Ontario Patients with the Right Care, Faster.

Ontario MSK RAC is a province-wide network of Rapid Access Clinics providing timely, standardized assessment, diagnosis, and personalized management plans for patients living with joint and persistent low back pain.

Ontario MSK RAC Care Model Diagram showing primary care electronic referral to Arthur CareNexus central triage, leading to rapid Advanced Practice Provider assessment, conservative management, or direct surgical consult. 1 Primary Care Intake (Family Physicians / PCPs) Direct electronic submission • No fax delays 2 Arthur CareNexus: Central Digital Triage Automated protocol validation & regional clinic routing 3 Rapid Access Clinic (APP) Assessment Standardized clinical physical exam & patient education 80%+ Conservative Care Personalized self-management Targeted Surgical Consult Direct to Orthopedic Specialists
Ontario MOH & UHN Partnership ISAEC Evidence-Based Model PHIPA & Canadian Data Residency
80%+
Managed with Evidence-Based Conservative Plans
2-4 Wks
Target Benchmark Assessment Timeline
>30%
Reduction in Unnecessary Diagnostic Imaging (MRI/CT)
100%
PHIPA & Canadian Data Residency Compliant
Provincial Value Pillars

Empowering Ontario MSK RACs for High-Value Care

Arthur Health is proud to support the Ontario MSK RAC network with technology solutions designed to enhance care coordination, clinical governance, and operational efficiency across the province.

Improved Access

Provide timely access to care for low back pain and joint patients. Optimize clinic resource allocation and eliminate referral wait bottlenecks.

Rapid assessment closer to home
Automated central waitlist balancing

Care Coordination

Ensure seamless transitions across the entire continuum. Enable structured collaboration between referring physicians, APPs, and orthopedic surgeons.

Shared electronic clinical care plans
Direct consult notes to referring PCPs

Patient Outcomes

Support evidence-based practices, active rehabilitation, and patient self-management. Enable proactive interventions for sustained recovery.

Personalized home exercise guides
Longitudinal functional score tracking

System Cost Savings

Reduce unnecessary surgical referrals, cut unneeded spine and joint MRIs, and optimize public healthcare expenditures across Ontario Health Regions.

Diagnostic stewardship benchmarks
Targeted surgical candidacy conversion
Structured Clinical Workflow

Delivering High-Value Coordinated Musculoskeletal Care

Recognizing the limitations of fragmented healthcare navigation, Ontario developed the Inter-professional Spine Assessment and Education Clinics (ISAEC) model, evolving into the province-wide Low Back Pain Rapid Access Clinics (RAC). Here is how the standardized pathway functions:

1

PCP Electronic Referral

Family physicians refer patients with persistent, unmanageable symptoms via Arthur CareNexus, bypassing paper fax queues.

2

Intelligent Central Triage

Referrals are automatically matched against clinical inclusion criteria and directed to the closest regional RAC clinic hub.

3

APP Rapid Assessment

Patients receive a comprehensive physical evaluation and education session with a licensed Advanced Practice Clinician within 2-4 weeks.

4

Personalized Care Plan

Patients receive a tailored self-management plan. Surgical candidates are escalated directly to fellowship-trained orthopedic specialists.

Operational Transformation

Overcoming Complex Coordination Hurdles

Traditional musculoskeletal care delivery is plagued by system fragmentation. The Arthur CareNexus platform systematically resolves these five critical challenges:

1. Fragmented Care Journeys

Patients navigate confusing pathways across multiple unlinked providers, causing delays, diagnostic duplication, and immense patient anxiety.

Solution: Single centralized care continuum from PCP to recovery.

2. Operational Bottlenecks

Manual fax referrals, phone-tag scheduling, and disparate paper reporting create administrative burnout and limit network scalability.

Solution: End-to-end digital routing and automated appointment alerts.

3. Siloed Data Insights

Disconnected clinic records prevent provincial leadership from monitoring wait times, assessing clinical outcomes, and measuring quality standards.

Solution: Real-time regional KPI dashboards and outcome benchmarks.

4. Hub & Spoke Misalignment

Maintaining seamless coordination between major hospital surgical hubs and distributed community clinics is difficult without central infrastructure.

Solution: Secure inter-provider messaging and shared clinical charts.

5. Governance Complexity

Ensuring that every clinic complies with uniform assessment criteria and data privacy standards across Ontario requires rigorous oversight.

Solution: Standardized ISAEC intake protocols and PHIPA audit trails.

Platform Integration

Discover how Arthur CareNexus seamlessly connects with Ontario Health Teams (OHTs) and existing hospital EHR systems.

Explore Arthur CareNexus
Institutional Priorities

Addressing Your Key Concerns

We understand the clinical, technological, and operational priorities of Ontario healthcare leadership.

Implementation Complexity

Streamlined Implementation & Dedicated Support

Arthur Health provides a structured, phased rollout model with dedicated clinical onboarding, staff training, and workflow alignment. Our phased approach minimizes disruption and ensures rapid regional clinic adoption across hospital hubs and community practices.

Key Safeguard: Dedicated clinical project managers & turnkey APP training modules.
Data Security & Privacy

Rigorous Security & Ontario PHIPA Compliance

Arthur CareNexus is engineered on a secure cloud architecture with end-to-end encryption, strict role-based access control, and full compliance with Ontario's Personal Health Information Protection Act (PHIPA) and PIPEDA. All patient data residency remains strictly within Canadian borders.

Key Safeguard: Canadian data residency, TLS 1.3 encryption, and auditable access logs.
Return on Investment (ROI)

Demonstrable ROI & Value-Based Savings

Delivers measurable economic and operational return through reduced administrative overhead, surgical queue decompression, and reduced inappropriate MRI/CT imaging. We partner with Ontario Health Teams to model regional ROI projections and quantify value through longitudinal outcomes.

Key Safeguard: Measurable surgical decompression & diagnostic imaging stewardship.
Integration with Existing Systems

Seamless Interoperability & EMR Integration

Arthur CareNexus is built for effortless interoperability with existing hospital electronic health records and primary care EMRs. Utilizing HL7 FHIR standards and Ocean eReferral connectors, we eliminate data silos and ensure bi-directional consultation notes reach referring physicians instantly.

Key Safeguard: HL7 FHIR ready, Ocean eReferral integration, and direct EMR report delivery.
Provincial MSK Transformation

The Urgent Need for Coordinated MSK Care

Addressing the challenge of musculoskeletal joint and persistent low back pain across Ontario through standardized clinical pathways, rapid triage, and evidence-based conservative management.