Background:  In Ontario, care provided to stroke survivors in Complex Continuing Care (CCC) and Long Term Care (LTC) has been largely unexamined. The 2018 Ontario Stroke Evaluation Report begins to address this knowledge gap by describing stroke survivor characteristics, clinical health status, outcomes and health care system journey, the provision of rehabilitation therapy, relevant stroke best practices and patient experience.
Methods:  Using an encrypted health card number, we identified stroke survivors within 180 days of their acute stroke hospitalization who were admitted to CCC and LTC in Ontario between April 2010 and March 2015.  We report on stroke survivors with length of stay greater than 14 days, who had a full Resident Assessment based on the Resident Assessment Instrument – Minimum Data Set (RAI-MDS) 2.0 from the CIHI- Continuing Care Reporting System.
Results:  Report findings for CCC and LTC settings include:
- the proportion of stroke survivors >85 years, at risk for depression,	with severe cognitive impairment, requiring extensive assistance with ADLs, who experienced a fall,	 who experienced pain, with communication limitations, who received 3 core rehabilitation therapies, who accessed inpatient rehabilitation prior to admission		
- Mean minutes/day of PT, OT, SLP		
- Health Related Quality of life score		

Conclusion: Stroke survivors in CCC and LTC represent a high burden of care and rehabilitation therapies available are limited.  Ongoing efforts to increase access to inpatient rehabilitation for survivors of severe stroke are required. The findings of this report inform system planning and identify opportunities for quality initiatives and research within these settings.

STROKE CARE AND OUTCOMES IN COMPLEX CONTINUING CARE AND LONG-TERM CARE IN ONTARIO, CANADA, 2010-2015