CAN/HSO S3402:2022 Integrated People-Centred Spinal Cord Injury Rehabilitation Program Standard – Public Review

The public review of HSO’s Integrated People-Centred Spinal Cord Injury Rehabilitation Program standard will take place from February 28, 2022 to April 28, 2022.

Everyone is welcome to take this opportunity to review and comment on the draft standard before it is published. HSO will use the feedback to improve the standard with guidance from the Technical Committee overseeing the development of the standard. Once published, the standard will be reviewed in five years. There will continue to be future opportunities to improve it as part of an evergreen review process.

Important note: HSO S3402:2018 (E) Spinal Cord Injury Rehabilitation Services is part of Qmentum Accreditation, however the standard currently under development (CAN/HSO S3402:2022 (E) Integrated People-Centred Spinal Cord Injury Rehabilitation Program) will NOT be part of Qmentum Accreditation. HSO is working with Accreditation Canada to develop a plan for organizations that have HSO S3402:2018 (E) Spinal Cord Injury Rehabilitation Services as part of their program.

About the standard

This standard was developed in partnership with Praxis Spinal Cord Institute (PRAXIS). PRAXIS is a Canadian-based not-for-profit organization that leads global collaboration in spinal cord injury research, innovation, and care and is headquartered in Vancouver, British Columbia, Canada. PRAXIS accelerates the translation of discoveries and best practices into improved treatments for people with spinal cord injuries.

This standard is a revision of HSO S3402:2018 (E) Spinal Cord Injury Rehabilitation Services. The standard was revised to ensure it remains relevant to health and social service organizations. This standard aims to improve the quality and integration of spinal cord injury rehabilitation programs across the care continuum. It does not prescribe the use of a particular approach or treatment, but rather focuses on how a comprehensive, continuous, and integrated SCI rehabilitation program can meet the needs of persons with SCI and designated support persons who are served by a health system or care setting.

The standard is designed to:
• Improve the quality of life for persons with lived SCI experience
• Establish the best practices for organizations and teams that provide care to persons with SCI
• Foster integration across the continuum of care to improve outcomes and experiences for persons with SCI

The standard is divided into the following sections:
1. Involvement of persons with lived SCI experience
2. Integrated systems of care
3. Acute SCI care
4. Ongoing rehabilitation care and services
5. Specific age group considerations
6. Community reintegration
7. Research, monitoring, and quality improvement

Target audience

This standard has been developed to be used across the SCI rehabilitation care continuum, from acute care to community reintegration. The standard applies to all persons with SCI regardless of age (i.e., pediatric, adult, aging) or cause of injury (i.e., traumatic and non-traumatic).

Development process

This standard is being developed as a National Standard of Canada following the Standards Council of Canada’s rigorous development process.

CAN/HSO S3402:2022 (E) Integrated People-Centred Spinal Cord Injury Rehabilitation Program has been developed using the best available evidence by the HSO Spinal Cord Injury Technical Committee. Technical Committee members include people with lived experience with spinal cord injuries, clinicians and health service administrators, government and health services stakeholders, and researchers.

Tell us what you think

We are asking everyone who has an interest in this standard, such as people who have experience using health services, health and social service providers, leaders in health and social service organizations, and others who have expertise in this subject matter, for their views on the proposed standard.

You can provide feedback in general or on specific criteria.

The public review is open for 60 days. We greatly appreciate your feedback on the new standard. The public review is open until 11:59 PM EST on April 28th, 2022. * Please note that at the time of public review launch, the French version was not available, it will be available on the website shortly.

The simplest way to respond is to follow the link at the bottom of this page, read a summary of the changes, and provide your feedback in the questionnaire that follows.

Draft StandardQuestionnaire


What happens next?

The Technical Committee will review and consider each comment received and will incorporate feedback as applicable. We expect to release the final version of the standard later this year.

For more information, questions, or concerns regarding this standard, please contact us at