‘Zombie’ Attendant Care Issue Raises it Ugly Head

Dear members,

Many of you will already be aware of the emergent Attendant Care benefit issue that has surfaced in recent weeks. I have been in close contact with attendant/PSW care provider members to collectively compare notes and strategize. A joint letter sent to FSRA yesterday in collaboration with OSOT is shown below. It should provide a decent summary of the issue.

I may have missed some AC providers in the somewhat flurried outreach. Please do let me know if I’ve missed you, and I’ll be sure to loop you in going forward. Thanks to Darcy Merkur for his legal insight and support and to all those members who’ve lent a hand to date.

Watch this space for updates and resources (template letters to insurers etc.).

ORA & OSOT letter to FSRA no name (pdf)

Changes to Home & Community Care

ORA_Read the full ORA Submission here.

Once again the gods in charge of annoying government behaviours are disrupting my summer relaxation plans.

Though our advocacy is usually with Finance and FSRA for the auto sector it made sense to weigh in here as quite a few members work outside the auto sector; others are interested in doing so as the system transforms. Also, we feel it important to remind health policy makers of the important role of rehab. This submission focusses on issues most in our wheelhouse.

As you’ll see, we specifically mention rehab support and ask that this be recognized.  To my knowledge not many, if any, other groups advocate on behalf of the non-RHP  aspects healthcare. As there are some real (positive) implications for psychologists I’m glad we were able to speak up on behalf of those who are ORA members. It also looks as if there are expanding opportunities for SLPs and OTs – so I spoke to that as well. We noted the exclusion of psychotherapy.

By far the biggest issue is the treatment/exclusion of for-profit providers, seemingly without rationale. It is this issue that really propelled us to make a submission. Not just because of the implications in home care but out of concern that it might signal a broader multi-sector policy shift. I know that at least one of the rehab-focused RHP associations’ submissions was silent on this point, and another was unaware of the consultation altogether. I’ve not yet had a chance to check in with the others.

If your company works with LHIN, Ontario Health Team, Community Support Services please do read this and let me know your thoughts. Timelines were a bit too tight for me to engage in the sort of member consultation I prefer – but hearing your thoughts now will better equip us to engage as further discussions take place.


Laurie Davis, Executive Director

It’s (still) all about FSRA & Fairness

Read full submission here: ORA Comments on Proposed UDAP Rule


The Ontario Rehab Alliance (ORA) welcomes this opportunity to comment on the proposed changes to Rule 2020-002, Unfair or Deceptive Practices Act.

We were pleased to be able to provide initial input to the proposed rule change last fall as part of FSRA’s Health Service Providers Stakeholder Advisory Committee and have reviewed the comments and FSRA’s response to these in the subsequent public consultation ‘the Original notice’.

We have restricted our comments and questions in this document to those aspects which we believe may require further consideration or explanation.


Once again, the ORA would like to acknowledge our thanks for this opportunity to contribute to the consultation process. We would be pleased to provide any further clarification or information.

Respectfully submitted by,

Laurie Davis, Executive Director

Ontario Rehab Alliance



<a href=’https://www.freepik.com/photos/background’>Background photo created by suksao – www.freepik.com</a>

LAT Satisfaction

This recent and affirming LAT decision finding $8 K in costs for the claimant related concludes with a statement that we hope insurers take to heart:

“ since [the claimant] demonstrated that she was trying to cooperate with the [insurer’s] request, [Security National] should have showed more leniency rather than automatically holding her in non-compliance.”

If only that stance were not so commonplace….


Auto insurer hit with $8K cost award for not replying to insured’s correspondence

May 3, 2021   by David Gambrill


Ontario’s Licence Appeal Tribunal (LAT) has ordered a cost award of $8,598.95 against Security Na


tional Insurance Company for failing to confirm receipt of an auto accident victim’s disability certificate and then not replying to her follow-up correspondence for more than a year.

“The [auto insurance] applicant is a vulnerable individual because she was injured in an accident,” LAT adjudicator Rebecca Hines wrote in A.J. v. Security National Insurance Co., released Apr. 30. “I am not commenting on whether she met the test for entitlement to NEBs [non-earner benefits] when the updated OCF-3 [disability certificate] was submitted, as no evidence is before me to confirm same.

“However, the OCF-3, which the [insurer] ignored, supported that she suffered a complete inability to carry on a normal life, which is a serious impairment. The [insurer] should have taken the OCF-3 more seriously and had a duty to respond promptly.”


Read the full article at the link below:

Auto insurer hit with $8K cost award for not replying to insured’s correspondence

Insurance provider used secret video surveillance to wrongly accuse injured woman of fraud

Undercover surveillance used by insurers across the country despite poor conviction rates, experts say


Injured woman secretly videotaped by insurer, then wrongly accused of fraud. An Ontario woman was secretly followed and videotaped by the organization that should have been helping her recover from a workplace injury. Instead, Ontario’s Workplace Safety and Insurance Board tried to use the videos to discredit her. Experts say all kinds of insurers use covert surveillance to intimidate claimants or discredit claims.

Full Article:


Concussion Research Symposium





The Canadian Concussion Centre’s 8th Annual Concussion Research Symposium

Date Friday, February 26, 2021




For More Information:
Email [email protected]





Ø  Exercise as a treatment for concussion and persistent symptoms

Ø  Tele-therapy treatment of persisting concussion-related mental health disorders

Ø  Headache treatment

Ø  Vestibular physiotherapy treatment for concussion

Ø  Pediatric patients

Ø  Research into Canada’s first school-based concussion curriculum

Ø  Prevention of concussion

Ø  Update on pathological findings after repetitive concussions

Ø  Update on biomarkers for CTE

Ø  Recent research into the imaging of concussion and persisting symptoms

FSRA Priorities Submission

Submitted: October 26, 2020

The Ontario Rehab Alliance (ORA) is highly supportive of FSRA’s stated priorities for 2021-22. This submission will comment primarily on broad-strokes intentions and hoped-for outcomes.

At the Cross Sectoral level, we believe that all four priorities: Protect the Public Interest, Enable Innovation, Modernize Systems and Processes, and Transition to Principles Based Regulation may be harnessed to drive improvement to the auto insurance sector.

The ORA has made a number of previous submissions, along with other HSP associations, that reference our keen support for modernized systems and processes, and have offered multiple examples and specific suggestions of how and where we see the greatest need for these. As Principles-Based Regulation is a new form in Ontario’s regulatory environment we find it challenging to forecast how this transition might change our operations or the experience of our injured clients, so have focused our remarks elsewhere.

Read the rest in the attached PDF submission

ORA Commentary 2021-22 Priorities

Participants Needed: University of Toronto & OAK Concussion Lab study

The University of Toronto and the OAK Concussion Lab are recruiting adolescents (ages 13-18 years) with concussion to participate in a research study. This study explores remote concussion care and will help bring concussion care to youth who live in areas without concussion specialists, or have difficulty attending in-person sessions at a clinic.

More information can be found below and interested participants are encouraged to contact [email protected] / 416-946-3273.

The OAK Concussion Lab is a team of researchers dedicated to improving concussion outcomes, knowledge and advocacy in youth.

ABI & MVA: The lived experience survey findings


Attached here is an important and beautifully crafted advocacy document outlining the findings from the survey conducted jointly by ABISS and McMaster. My apologies for the delay in sharing this with you; it was released earlier this month.

ORA member Sheila MacDonald, (SLP, Sheila MacDonald & Associates), supervised the project along with Dr. Lynn Turkstra. The ORA was very pleased to get to know members of ABISS over the past few years through Sheila’s introduction, and to have them present at several ORA events.

Do read this – the results and recommendations for all stakeholders are summarized in the attached brief. Copies of the longer report are available on request.

Do share this on your websites and through social media posts.

McMaster-ABISS Study Findings.PDF

Image by Ryan McGuire, Pixabay

It’s Quintuplets! ORA Members Sweep Award Nominations

Do consider supporting your fellow ORA members when you cast your ballot (by Aug 31) for the annual OBIA & PIA Awards of Excellence. There’s lots to choose from!

All five of the companies nominated in the Rehab Company of the Year category are ORA members, so you can’t go wrong voting for Abilities Rehab, Brainworks, Essentially YouFunctionAbility or Wright Rehab.

Colleen Boyce, (Bayshore), Sheila MacDonaldKindrey Rowland (Orangeville, ORA members all, are nominated in the category of Healthcare Provider of the Year category.

Jennifer Jones (Abilities Rehab), Jodi Harendorf (Neuro-Rehab Services Inc.), Laura MacPhee (Rehab Results) and Maureen Palmer, are nominated in the Case Manager of Year category.


Happy voting!