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The Implementation of a Waiting List Management and eScheduling System to Improve the Process of Care and Provide Valid and Reliable Wait Time Data
1. The Implementation of a Waiting List Management and
eScheduling System to Improve the Process of Care and
Provide Valid and Reliable Wait Time Data
Karol Eskedjian, John Marshall MB, ChB, FRCS(C) &
John Sinclair CPHIMS-CA
2. • The Health Care System is not Sustainable
An Excuse?
• The Health Care System Must Be Sustained
A Challenge!
7. • OECD does not address how data is
collected
• Options for Collection
• Administrative vs. Clinical
• Quality depends on Means of
Collection
Means of Data Collection
8. • Central East LHIN (DHB equivalent) Toronto
•
•
•
•
Population 1.4M
7 Hospitals, 11 Sites
400 Surgeons
Ontario Provincial Wait Time Registry
(WTIS)
Case Study
9. • Data
• Allocation and Accountability
• Cant Manage what you Cant Measure
• Require Common Tool to Measure.
LHIN (DHB) Pain Points
J
10. • Wait Times Reporting and
Management
• Resource Allocation and
Management
• Booking Process
• Patient Preparation
Hospital Pain Points
11. • Wait Times Reporting
• No Wait List Management System
• Booking Process
Doctor Office Pain Points
12. • Wait List Management
• Automated Wait Times Reporting
• Electronic Scheduling
• Business Intelligence Capabilities
LHIN Identified 8 Core Solution Requirements
13. • Standardized Pre-Op Preparation
• System Integration
• Scalable to LHIN and Beyond
• Proven & off the shelf (COTS)
LHIN Identified 8 Core Solution Requirements
15. OR / Hospital Scheduling Systems
Pre-Operative Clinics
EMPI / ADT Central Registration
EMR
NO EMR
National Joint Replacement Registries
Wait Time Registries
Health Information Exchanges
Integration powered by Orion Health Rhapsody Integration Engine
21. 126,000 Annual cases through
system
• ~23,000 Active wait list cases at
any time
• ~155,000 Secure electronic
messages between users
• ~
Achievements
22. • OR utilization
• OR Cancellations
• Wait time data improved
• Wait Times lead the province.
• Reduced Staffing
Achievements