Trillium Health Partners is the regional stroke centre in Mississauga, Ontario and as a leader in stroke care it is imperative to provide our patients with the information they require for their recovery and quality of life.  Using Canadian Medical Association guidelines, Ministry of Transportation of Ontario standards and Canadian Stroke Best Practice recommendations, organizational post stroke driving standards were developed. 
 A patient information brochure “Driving After a Stroke” was created; a standardized process of reporting to the MTO was developed; ‘Canned Text’ standardized paragraphs about driving restrictions were created and provided to physicians for use in their discharge summaries; and education on the process of returning to driving after stroke was delivered to stakeholders. Chart audits were completed pre and post implementation to measure success and ensure use of new procedures.  
This quality improvement initiative provides clinicians with greater awareness of their obligations regarding reporting to the MTO and improves organizational adherence to Canadian Medical Association guidelines, Ministry of Transportation Ontario and Canadian Stroke Best Practice guidelines. It has lead other organizations to facilitate similar projects within their regions. Most importantly, this work has improved patient understanding of their own medical-legal restrictions for driving post stroke.

Driving Post Stroke in Mississauga, Ontario – An Organizational Effort to Standardize