Surgical Wait Times and Improve Operating Theatre Efficiency: The - - PowerPoint PPT Presentation

▶
surgical wait times and improve
SMART_READER_LITE
LIVE PREVIEW

Surgical Wait Times and Improve Operating Theatre Efficiency: The - - PowerPoint PPT Presentation

Sep 08, 2022 139 likes •493 views

Ga Gavi vin n Mer eredith edith Ge Gene neral ral Man anager ager - Aus ustr tralasia alasia Novari Health gmeredith@novarihealth.com Mobile: 0413 315 228 The 2 Things You Must Do T o Reduce Surgical Wait Times and Improve

slide-1
SLIDE 1

Ga Gavi vin n Mer eredith edith Ge Gene neral ral Man anager ager - Aus ustr tralasia alasia Novari Health gmeredith@novarihealth.com Mobile: 0413 315 228

The 2 Things You Must Do T

  • Reduce

Surgical Wait Times and Improve Operating Theatre Efficiency: The Ontario Experience

  • HIC. 12 August 2019
slide-2
SLIDE 2

Ga Gavi vin n Mer eredith edith Ge Gene neral ral Man anager ager - Aus ustr tralasia alasia Novari Health gmeredith@novarihealth.com Mobile: 0413 315 228

Conquering Geography and Wait Times with Speed and Efficiency: The Ontario Experience

  • HIC. 12 August 2019
slide-3
SLIDE 3
  • Founded in 2003, 75+ Clients / Hospitals
  • Canada, Australia & the United States
  • We focus exclusively on Ac

Access cess to to Car Care e software solutions – nothing else

*Wait List Management *eBooking *Central Intake *Virtual Care (eVisits) *eReferral *eConsults

  • Novari is a and partner

A Word About Novari Health

slide-4
SLIDE 4
  • Founded in 2003, 75+ Clients / Hospitals
  • Canada, Australia & the United States
  • We focus exclusively on Ac

Access cess to to Car Care e software solutions – nothing else

*Wait List Management *eBooking *Central Intake *Virtual Care (eVisits) *eReferral *eConsults

  • Novari is a and partner

A Word About Novari Health

slide-5
SLIDE 5

www.novarihealth.com.au

slide-6
SLIDE 6

Where are we?

slide-7
SLIDE 7
  • Largest of Ontario’s 14 health networks
  • It is about double the size of Victoria.
  • 5 sub regions – integrated district networks
  • Smallest population of all the networks

231,000

  • 21.5% are Indigenous
  • Travel distances for patients are long

(300km) and potentially dangerous (-30oC)

North West Local Health Integration Network. (LIN)

slide-8
SLIDE 8

What was the Problem?

Orthopaedic Wait times were some of the longest in the country!

  • Chaotic referral patterns (multiple Primary Care referrals to multiple sites)
  • Queuing not based on referral date or formalized triage system
  • Inequitable access to care across the region
  • Lack of standardised referral process/referral form
  • Inappropriate imaging and investigations
  • Efficiency disparity across Operating Theatres at the different sites
slide-9
SLIDE 9

Magic Happened

slide-10
SLIDE 10

What are the Solutions?

Develop a new Model of Care

  • ‘Hub and Spoke model’
  • Central point of access for

processing of patients

  • Triage patients for appointments

and assessments

  • Surgical teams to see the patients

at the satellite facilities

  • Better manage the existing
  • perating theatre resources
slide-11
SLIDE 11

What are the Solutions?

Develop a new Model of Care

  • ‘Hub and Spoke model’
  • Central point of access for

processing of patients

  • Triage patients for appointments

and assessments

  • Surgical teams to see the patients

at the satellite facilities

  • Better manage the existing
  • perating theatre resources

Partner with Novari Health to support the MOC

  • Novari eRequest
  • Novari ATC/eRFA
slide-12
SLIDE 12
slide-13
SLIDE 13
slide-14
SLIDE 14
slide-15
SLIDE 15
slide-16
SLIDE 16

How this was achieved and supported?

Practice Change Novari support

slide-17
SLIDE 17

How this was achieved and supported?

Practice Change

  • GP uses specific referral form

Novari support

  • Digitised fax form
slide-18
SLIDE 18

Cu Current ent St Stat ate: e: Point to Point Faxed Referrals

slide-19
SLIDE 19
slide-20
SLIDE 20

How this was achieved and supported?

Practice Change

  • GP uses specific referral form
  • Central intake for Hip, Knee, Spine &

Shoulder

Novari support

  • Digitised fax form
  • All referrals directed to a single point of

access

slide-21
SLIDE 21
slide-22
SLIDE 22

How this was achieved and supported?

Practice Change

  • GP uses specific referral form
  • Central intake for Hip, Knee, Spine &

Shoulder

  • Advanced Practice Physiotherapist reviews
  • Triage
  • Physical functional

Novari support

  • Digitised fax form
  • All referrals directed to a single point of

access

slide-23
SLIDE 23

How this was achieved and supported?

Practice Change

  • GP uses specific referral form
  • Central intake for Hip, Knee, Spine &

Shoulder

  • Advanced Practice Physiotherapist reviews
  • Triage
  • Physical functional
  • Pooled lists – patients can be viewed by all

sites

Novari support

  • Digitised fax form
  • All referrals directed to a single point of

access

  • Electronic Management of the referral
  • Electronic Management of the surgical

waiting list

slide-24
SLIDE 24
slide-25
SLIDE 25

How this was achieved and supported?

Practice Change

  • GP uses specific referral form
  • Central intake for Hip, Knee, Spine &

Shoulder

  • Advanced Practice Physiotherapist reviews
  • Triage
  • Physical functional
  • Pooled lists – patients can be viewed by all

sites

  • Booked for Surgery

Novari support

  • Digitised fax form
  • All referrals directed to a single point of

access

  • Electronic Management of the referral
  • Electronic Management of the surgical

waiting list

  • Theatre Scheduling
slide-26
SLIDE 26
slide-27
SLIDE 27

How this was achieved and supported?

Practice Change

  • GP uses specific referral form
  • Central intake for Hip, Knee, Spine &

Shoulder

  • Advanced Practice Physiotherapist reviews
  • Triage
  • Physical functional
  • Pooled lists – patients can be viewed by all

sites

  • Booked for Surgery

Novari support

  • Digitised fax form
  • All referrals directed to a single point of

access

  • Electronic Management of the referral
  • Electronic Management of the waiting list
  • Theatre Scheduling
  • Provided data for the districts
  • Provided reporting capability to Health

Authorities

slide-28
SLIDE 28

MSK Hip & Knee Centralized Intake, Assessment & Management Model

slide-29
SLIDE 29

MSK Hip & Knee Centralized Intake, Assessment & Management Model

slide-30
SLIDE 30

MSK Hip & Knee Centralized Intake, Assessment & Management Model

slide-31
SLIDE 31

MSK Hip & Knee Centralized Intake, Assessment & Management Model

slide-32
SLIDE 32

MSK Hip & Knee Centralized Intake, Assessment & Management Model

slide-33
SLIDE 33

Additional Benefits

  • Centralized Intake that is scalability to expand to

medical or surgical pathways

  • Multiple Orthopaedic Pathways: Hip/Knee, Spine,

Shoulder, Foot & Ankle

  • Real time referral status to communicate to Primary

Care/GPs

  • Surgeon Wait List dashboards
  • Transparent wait lists across all 4 surgical sites – in

real time

  • Standardized Care Paths/Best Practice
  • Automated Complex reporting to CCO-WTIS
  • Established ‘Short Notice’ lists
  • Discharge planning starts on day 1 of assessment
slide-34
SLIDE 34

Results

  • One program
  • multi-site with
  • rotating sub-specialty service to all sites with
  • APP model of care :
  • Achieve sufficient volumes;
  • Critical mass at each surgical site;
  • Wait time has gone from 9 months to

between 4 and 12 weeks

  • Wait time for surgery has gone from 12-24

months to less than 6 months

slide-35
SLIDE 35

Together We Can Improve Access to Care.

www.novarihealth.com.au Gavin Meredith Australasian General Manager Novari Health gmeredith@novarihealth.com Mobile:0413 315 228 David A. Puskas MD MSC FRCSC Section Chair Orthopedic Surgery Northern Ontario School of Medicine Caroline Fanti BHSc(PT) BHSc(HK) MHM Director Regional Orthopedic Program Thunder Bay Regional Health Sciences Center Email: fantic@tbh.net