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

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 Wait Time Trend Oct-Nov 05 Dec-Jan 06 Feb-Mar 06 Apr-May 06 Jun-Jul 06 Aug-Sep 06 trendline trendline 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 Priority 4 Target - 182 days Feb 08 Mar 08 April 08 May 08 Jun 08 Jul 08

Progress to Date

All Surgery Adult & Paediatric Scope June 2007 March 2008 2008/09 Cardiac Neurosurgery Ophthalm ic Surgery Cancer Orthopaedic Surgery Vascular Surgery Thoracic Surgery Hip and Knee Replacem ents General Surgery Otolaryngic Surgery Ot l i S Cataract Paediatric Surgery Pilot Paediatric Surgery Pilot Ob/ Gyn Surgery MRI and CT Scans Urologic Surgery Plastics/ Reconstruction W TI S Adult Group 1 W TI S Adult Group 1 Oral Surgery Expansion Paediatric Surgery Paediatric Surgery • 74 WT funded hospitals (surgery only) • Cumulative surgeons: 2,600 W TI S Adult Group 2 • Total cumulative cases 2007/ 08: W TI S Phase 1 -3 1,610,000 Expansion • 81 WT funded hospitals Paediatric ( Pilot) • ~ 74 WT funded hospitals • Surgeons: 1,700 (surgery only) • Total cases 2006/ 07: 1,301,069 • London Health Sciences Centre and • Cumulative surgeons: ~ 3,350 St. Joseph’s Health Care (London) • Total MRI and CT scans • Total cumulative cases 2008/ 09: (2006/ 07): 1.2 million • All paediatric surgical procedures ~ 2,225,000

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 Therefore, accountability for improvement must rest with Hospital Boards and CEOs, LHIN Boards and CEOs and community partners such as CCACs Reducing Demand for Services Increasing Supply of Services Improving Processes within the ER OR Alternate Levels Alternate Levels of Care of Care � � � � � � Community ER ED ER and home-based Home Home Home � � � � � � � � � services � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � H � � � � � � � � � � � � � � � H H Rehabilitation Rehabilitation Rehabilitation Rehabilitation Rehabilitation Rehabilitation Rehabilitation Rehabilitation � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Complex and � � � � � � � � � � � � � � � Continuing � � � � � � � Care � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Long Term Long Term Long Term Long Term Care Care Care Care Care Care • Aging at Home • Emergency Room Strategy • Aging at Home (ALC) • Family Health Care for All • HHR - Emergency Department • High Growth Hospital Funding • Chronic Disease Prevention and Coverage Management (Diabetes) • Mental Health and Addiction 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

Cancer Surgery - Progress to Date

Cancer Surgery Wait time by Priority – September 08 data

LHIN Wait Time Performance – Sept 08

LHIN Variation Graph

TC LHIN Hospital Performance

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 Ready to Treat to Treatment - Percent Treated within Target (1,7,14 Days) R d t T t t T t t P t T t d ithi T t (1 7 14 D ) Province vs PMH Trend July 2007 to July 2008 100% 90% 80% 70% 60% nt Perce 50% 40% 30% 20% 10% 0% Prepared by: Cancer Informatics Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Data Source: ALR/Databook July 2007 to July 2008 Date: September 19/08 Province PMH

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 100% 90% 80% 70% 60% 60% Percent 50% 40% 30% 20% 10% 0% Prepared by: Cancer Informatics Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Data Source: ALR/Databook Date: September 19/08 July 2007 to July 2008 Province PMH

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% 100% 90% 80% 70% 60% nt Percen 50% 40% 30% 20% 10% 0% Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Prepared by: Cancer Informatics July 2007 to July 2008 Data Source: ALR/Databook Date: September 19/08 PMH Province 13

Systemic Wait Times Referral To Treatment – Median (weeks ) ) All RCCs / ALL SITES - Systemic Wait Times Median Wait Time (Weeks) - Referral to Treatment M di W it Ti (W k ) R f l t T t t Province vs PMH Trend July 2007 to July 2008 12.0 10.0 8.0 ks Wee 6.0 6 0 4.0 2.0 0.0 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Prepared by: Cancer Informatics July 2007 to July 2008 Data Source: ALR/Databook Date: September 19/08 PMH Province o ce

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

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