Access, Quality and Information Information Princess Margaret - - PowerPoint PPT Presentation

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Access, Quality and Information Information Princess Margaret - - PowerPoint PPT Presentation

Mar 01, 2023 204 likes •378 views

Access, Quality and Information Information Princess Margaret Hospital Conference October 17 2008 October 17, 2008 Alan R. Hudson, OC, FRCSC Wa ait Days 100 150 150 200 250 300 350 50 0 Aug-Sep 05 Cataract Surgery 90 th Percentile

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SLIDE 1

Access, Quality and Information Information

Princess Margaret Hospital Conference October 17 2008 October 17, 2008

Alan R. Hudson, OC, FRCSC

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SLIDE 2

Cataract Surgery 90th Percentile Wait Time Trend

300 350

trendline

150 200 250

ait Days

trendline

Priority 4 Target - 182 days

50 100 150

Wa

Aug-Sep 05 Oct-Nov 05 Dec-Jan 06 Feb-Mar 06 Apr-May 06 Jun-Jul 06 Aug-Sep 06 Oct-Nov 06 Dec-Jan 07 Feb-Mar 07 Apr-May 07 Jun-Jul 07 Aug 07 Sep 07 Oct 07 Nov 07 Dec 07 Jan 08 Feb 08 Mar 08 April 08 May 08 Jun 08 Jul 08

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SLIDE 3

Progress to Date

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SLIDE 4

All Surgery Adult & Paediatric Scope

June 2007 March 2008 2008/09

Cardiac Cancer Hip and Knee Replacem ents Ophthalm ic Surgery Orthopaedic Surgery General Surgery Neurosurgery Vascular Surgery Ot l i S Thoracic Surgery Cataract MRI and CT Scans Paediatric Surgery Pilot Paediatric Surgery Pilot Otolaryngic Surgery Ob/ Gyn Surgery Urologic Surgery Plastics/ Reconstruction

W TI S Adult Group 1

Oral Surgery Paediatric Surgery Paediatric Surgery

W TI S Adult Group 1 Expansion

  • 74 WT funded hospitals (surgery
  • nly)
  • Cumulative surgeons: 2,600

W TI S Phase 1 -3

  • 81 WT funded hospitals
  • Surgeons: 1,700

W TI S Adult Group 2 Expansion

  • ~ 74 WT funded hospitals

(surgery only)

  • Total cumulative cases 2007/ 08:

1,610,000

Paediatric ( Pilot)

  • Total cases 2006/ 07: 1,301,069
  • Total MRI and CT scans

(2006/ 07): 1.2 million

  • Cumulative surgeons: ~ 3,350
  • Total cumulative cases 2008/ 09:

~ 2,225,000

  • London Health Sciences Centre and
  • St. Joseph’s Health Care (London)
  • All paediatric surgical procedures
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SLIDE 5

The ER Strategy calls for System-wide Improvements

Reducing ER Wait Times and Improving Public Satisfaction can only be achieved by Reducing ER Wait Times and Improving Public Satisfaction can only be achieved by making improvements across the entire system Therefore accountability for improvement must rest with Hospital Boards

Increasing Supply of Services Improving Processes within the ER Reducing Demand for Services

Therefore, accountability for improvement must rest with Hospital Boards and CEOs, LHIN Boards and CEOs and community partners such as CCACs

  • OR

H H

  • ER
  • ED

ER

  • Home

Home Rehabilitation Rehabilitation

  • Alternate Levels
  • f Care

Home

Community and home-based services

Rehabilitation

Rehabilitation

  • Alternate Levels
  • f Care

H

  • Rehabilitation

Rehabilitation

  • Long Term

Care Long Term Care Rehabilitation

Rehabilitation

  • Long Term

Care

Long Term Care Complex and Continuing Care

  • Care

Care

  • Aging at Home
  • Family Health Care for All
  • Chronic Disease Prevention and

Management (Diabetes)

  • Mental Health and Addiction
  • Aging at Home (ALC)
  • High Growth Hospital Funding
  • Emergency Room Strategy
  • HHR - Emergency Department

Coverage

The infrastructure and resources to reduce demand and increase supply cannot be put in place overnight, therefore, efforts must start early and will take time to show results

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SLIDE 6

Cancer Surgery - Progress to Date

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SLIDE 7

Cancer Surgery Wait time by Priority – September 08 data

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SLIDE 8

LHIN Wait Time Performance – Sept 08

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SLIDE 9

LHIN Variation Graph

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SLIDE 10

TC LHIN Hospital Performance

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SLIDE 11

Radiation Wait Times

Ready to Treat to Treatment Percent Treated in Target y g (1,7,14 Days)

All RCCs / ALL SITES- Radiation Wait Times R d t T t t T t t P t T t d ithi T t (1 7 14 D ) Ready to Treat to Treatment - Percent Treated within Target (1,7,14 Days) Province vs PMH Trend July 2007 to July 2008

100% 60% 70% 80% 90% nt 10% 20% 30% 40% 50% Perce 0% Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul July 2007 to July 2008 Province PMH

Prepared by: Cancer Informatics Data Source: ALR/Databook Date: September 19/08

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SLIDE 12

Radiation Wait Times

Referral To Consult Percent Seen in Target (14 Days)

All RCCs / ALL SITES Radiation Wait Times All RCCs / ALL SITES- Radiation Wait Times Referral to Consult - Percent Seen within Target (14 Days) Province vs PMH Trend July 2007 to July 2008

60% 70% 80% 90% 100% 20% 30% 40% 50% 60% Percent 0% 10% Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul July 2007 to July 2008

Prepared by: Cancer Informatics Data Source: ALR/Databook Date: September 19/08

Province PMH

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SLIDE 13

Systemic Wait Times

Referral To Consult Percent Seen in Target Referral To Consult Percent Seen in Target (14 Days)

All RCCs / ALL SITES - Systemic Wait Times y Referral to Consult - Percent Seen Within Target (14 Days) Province vs PMH Trend July 2007 to July 2008

100% 60% 70% 80% 90% 100%

nt

20% 30% 40% 50%

Percen

0% 10% Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul

July 2007 to July 2008 Prepared by: Cancer Informatics Data Source: ALR/Databook 13

PMH Province

Date: September 19/08

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SLIDE 14

Systemic Wait Times )

Referral To Treatment – Median (weeks)

All RCCs / ALL SITES - Systemic Wait Times M di W it Ti (W k ) R f l t T t t Median Wait Time (Weeks) - Referral to Treatment Province vs PMH Trend July 2007 to July 2008

12.0 6 0 8.0 10.0

ks

2.0 4.0 6.0

Wee

0.0 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul

July 2007 to July 2008

PMH Province Prepared by: Cancer Informatics Data Source: ALR/Databook Date: September 19/08

  • ce
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SLIDE 15

CCO CCO UHN H Bi thd PMH! Happy Birthday PMH!

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SLIDE 16

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