Waittimes presentation e

Information about Waittimes presentation e

Published on May 2, 2008

Author: Lassie

Source: authorstream.com

Content

Slide1:  Waiting for Health Care in Canada: What We Know and What We Don’t Know Slide2:  Waiting for Health Care in Canada Slide3:  Variety of Data Sources Used for Waiting for Health Care in Canada • Provincial/territorial wait times data • Primarily for surgery, subject to availability, as of December 2005 • New analysis of CIHI data • Rates, MRI/CT, unplanned surgery, joint replacement trajectory, rehabilitation, etc. • Health Services Access Survey (self-reported) • For early waits and other access issues, etc. • Commonwealth Fund (self-reported) • International comparisons Slide4:  Provincial Progress, December 2005 to March 2006 Source: Provincial websites, March 2006. • December 2005 ¤ March 2006 Slide5:  No Average Patient, No Average Wait Sources: National Ambulatory Care Reporting System, Statistics Canada, Canadian Joint Replacement Registry and Hospital Morbidity Database, CIHI. Slide6:  The Spectrum of Care Slide7:  A Patient’s Journey A patient’s journey can be made up of a series of waits: • For routine care • To see a specialist • For tests • For results • For surgery • For post-acute care Slide8:  Source: Canadian Joint Replacement Registry, April to December 2005, CIHI. Waiting for a Joint Replacement Referral to Specialist Specialist Appointment Decision to Operate Surgery 30% 10% 60% Slide9:  Waiting for a Joint Replacement One Person’s Story A patient sees her GP about hip trouble and is referred to a specialist (clock starts). On average: • 30% of the wait is to see a specialist • 10% of the wait is for tests and decision to operate • 60% of the wait is for surgery Source: Canadian Joint Replacement Registry, April to December 2005, CIHI. 30% 10% 60% Referral to Specialist Specialist Appointment Decision to Operate Surgery Slide10:  Who Needs Care? • 1 in 8 adults required a visit to a medical specialist • 1 in 11 required non-emergency diagnostic tests (MRI, CT, angiography) • 1 in 15 required non-emergency surgery Source: Health Services Access Survey, first 6 months of 2005, Statistics Canada. Slide11:  % Who Said Their Waits Were Unacceptable Source: Health Services Access Survey, first 6 months of 2005, Statistics Canada. Percent Slide12:  How Long Do You Wait? Sources: Provincial Data, Canadian Joint Replacement Registry and Discharge Abstract Database, CIHI. Slide13:  Routine Care Slide14:  Waiting for Routine Care Source: Health Services Access Survey, 2003, first 6 months of 2005, Statistics Canada. • More than half of Canadian adults (56%) sought routine or ongoing care in 2005 • Of these, one in six said they had trouble getting routine care • 1.2 million Canadian adults said they were unable to find a family doctor in 2003 Slide15:  Access to Doctor When Sick or Need Medical Attention Source: Primary Care and Health System Performance: Adults’ Experiences in Five Countries, Commonwealth Fund, 2004. Same Day Appointment Wait of 6 Days or More Slide16:  Emergency Department Waits Slide17:  Waits to See a Physician in EDs Source: National Ambulatory Care Reporting System 2003–2004, CIHI. Slide18:  Five Countries—ED Use and Waits in 2004 Source: Primary Care and Health System Performance: Adults’ Experiences in Five Countries, Commonwealth Fund, 2004. Slide19:  Specialist Waits Slide20:  International Comparisons of Patients Who Waited More Than Four Weeks to See a Specialist Note: Patients are adults with health problems. Source: 2005 International Health Policy Survey, Commonwealth Fund. Slide21:  Wait Times for Specialist Visits for a New Illness/Condition, 2005 Source: Health Services Access Survey, first 6 months of 2005, Statistics Canada. Slide22:  MRI / CT Waits Slide23:  Diagnostic Imaging Non-Emergency MRI, CT, Angiography Source: Health Services Access Survey, 2001, 2003 and first 6 months of 2005, Statistics Canada. 400,000 more patients seen Slide24:  Waits for Non-Emergency MRI, CT and Angiography What Patients Said Source: Health Services Access Survey, 2001, 2003 and first 6 months of 2005, Statistics Canada. Slide25:  Waiting for MRI/CT Results From 2005 Snapshots Median waits longer for MRI than CT Most clinical/diagnostic scans are outpatients • 2 in 3 CT scans • 9 in 10 MRIs Median waits vary by type of patient • Typical emergency department and hospital inpatients wait <1 day for CT • Median wait for outpatient CT is several weeks Source: Snapshots 2005, CIHI. Slide26:  Growing Numbers of MRI and CT Machines Source: Medical Imaging in Canada, 2005. Slide27:  Waiting for Surgery Slide28:  Growth in Surgical Volumes 1997–1998 to 2003–2004 Sources: Discharge Abstract Database, Hospital Morbidity Database and National Physician Database, CIHI. Slide29:  Waiting for Non-Emergency Surgery Adults With Health Problems Who Had Surgery in Last 2 Years, 2005 Source: 2005 International Health Policy Survey, Commonwealth Fund. Slide30:  Waits for Non-Emergency Surgery What Patients Said Source: Health Services Access Survey, 2001, 2003 and first 6 months of 2005, Statistics Canada. Slide31:  Factors Influencing Waits • What type of care you need • Whose list you are on • How urgently you need care • Special factors related to individual patients or conditions Slide32:  Hip Replacement Knee Replacement 4.5 months 7 months Wait for Joint Replacement Surgery Median Wait From Decision-to-Treat to Surgery Source: Canadian Joint Replacement Registry April to December 2005, CIHI. Slide33:  Waits for Hip Fracture Repair Source: Hospital Morbidity Database, 2003–2004, CIHI . Slide34:  Post-Acute Waits Slide35:  Rehabilitation Waits Waits for Inpatient Rehab Source: National Rehabilitation Reporting System, 2002–2003, CIHI. 0 Slide36:  Waiting to Leave Hospital Programs With Highest % of Patients Waiting At least 3% of inpatients wait for an alternative level of care before leaving the hospital Note: Excludes Quebec and the territories. Source: Discharge Abstract Database, 2004–2005, CIHI. Slide37:  Waiting for Other Types of Care Major Clinical Categories Note: Excludes Quebec and the territories. Source: Discharge Abstract Database, 2004–2005, CIHI. Slide38:  Waiting to Leave Hospital Where Alternative Level of Care (ALC) Patients Go Note: Excludes Quebec and the territories. Source: Discharge Abstract Database, 2004–2005, CIHI. Other Inpatient Facility 9% Home 32% Transferred to Inpatient Rehabilitation Facility 10% Died 9% Transferred to Continuing Care Facility 40% Slide39:  Source: Canadian Joint Replacement Registry and National Rehabilitation Reporting System, CIHI Waits for Joint Replacement Surgery & Rehabilitation Planned versus Unplanned Slide40:  Benchmarks Slide41:  What Are Ministers’ Benchmarks? Source: Federal , Provincial and Territorial Benchmarks, 2005. Slide42:  Performance vs. Ministers’ Benchmarks • Most often have data on typical patients • Provincial reporting systems predate recent agreement on benchmarks • Many—in some cases most— patients receive care within the new benchmarks • Not all do, and some patients face significantly longer waits—exactly how many is not clear Slide43:  International Comparisons Slide44:  Commonwealth Fund (CMWF) Survey Approach • 5 to 6 country survey, including United States, Australia, Canada, New Zealand, United Kingdom and Germany • Telephone interview by Harris Interactive • Random representative samples of adults 18 and older (2004); adults with health problems (2005) • Sample size varies from 700 to 3,000 adults per country Slide45:  Canada/U.S. Comparison of Unmet Needs 2002– 2003 Same % of Canadians (11%) and Americans (13%) report unmet health care needs • Of those reporting unmet needs, the primary barrier sited was: • “Waiting for care” for 32% of Canadians • “Cost” for 53% of Americans Source: Joint Canada-US Health Survey, Statistics Canada/NCHS. Slide46:  Health Services Access Survey (HSAS) Slide47:  HSAS Survey Approach • HSAS is a sub-sample of the Canadian Community Health Survey • Cross-sectional data • Collected by personal and telephone interviews • HSAS covers approximately 98% of the population of Canadians aged 15 and older living in private dwellings in 10 provinces Slide48:  Volumes and Rates for Priority Areas Slide49:  More and More Cataract Surgeries Source: National Physician Database, CIHI. Slide50:  Regional Variations in Rates of Cataract Surgeries 2003–2004 Sources: National Physician Database and Discharge Abstract Database, CIHI. 1064 898 1169 873 1007 964 1154 1038 677 992 Canadian Average 661 Slide51:  Steady Increase in Joint Replacements Source: Hospital Morbidity Database, CIHI. Rate per 100,000 Population Slide52:  Regional Variations in Joint Replacements 2004–2005 Knees Hips 75 95 78 101 81 121 67 93 75 107 64 100 76 104 87 106 47* 50 67 57 45 99 139 69 279 60* *Quebec rate for 2003–2004. Source: Hospital Mortality Database, CIHI. Slide53:  Cardiac Surgery Trends Source: Hospital Mortality Database, CIHI. Slide54:  Regional Variations in Coronary Artery Bypass Surgery and Angioplasty (PCI) 2004–2005 CABG PCI 179 73 149 72 176 111 126 87 164 91 199 80 167 94 153 78 200* 132 134 211 100 63 95 108 30 98* *Quebec rate for 2003–2004. Source: Hospital Mortality Database, CIHI. Slide55:  Where We Stand • We know more than before; still more to learn • Marked increase in provincial reporting; comparability is limited • No average patient, no average wait • Many waits across a patient’s journey • Volumes increased in priority areas • Waits for non-emergency surgery and major diagnostic tests are about the same since 2001

Related presentations


Other presentations created by Lassie

Presentation Accenture
12. 03. 2008
0 views

Presentation Accenture

Taxation
19. 10. 2007
0 views

Taxation

population
21. 10. 2007
0 views

population

19 sethusamudram ppt
30. 09. 2007
0 views

19 sethusamudram ppt

sample seminar
02. 05. 2008
0 views

sample seminar

Oral Radiology
02. 05. 2008
0 views

Oral Radiology

Rainfall
07. 04. 2008
0 views

Rainfall

Andrew
19. 02. 2008
0 views

Andrew

campaigns and elections
07. 01. 2008
0 views

campaigns and elections

Emergency Planning
03. 10. 2007
0 views

Emergency Planning

stjerna 060307
09. 10. 2007
0 views

stjerna 060307

ElectiveWkshpGoalSet
10. 10. 2007
0 views

ElectiveWkshpGoalSet

p5animals
12. 10. 2007
0 views

p5animals

RT
12. 10. 2007
0 views

RT

pinarsut
13. 10. 2007
0 views

pinarsut

Lecture19 Ch19 111405
15. 10. 2007
0 views

Lecture19 Ch19 111405

Poster APS summary
16. 10. 2007
0 views

Poster APS summary

david ingleby
17. 10. 2007
0 views

david ingleby

Ole Lund
23. 10. 2007
0 views

Ole Lund

acmmm02
24. 10. 2007
0 views

acmmm02

rebecca
11. 12. 2007
0 views

rebecca

HHH Scandale
17. 10. 2007
0 views

HHH Scandale

1 WMO
19. 10. 2007
0 views

1 WMO

Great Britain
02. 11. 2007
0 views

Great Britain

ENYA
02. 11. 2007
0 views

ENYA

5AlpaShah
06. 11. 2007
0 views

5AlpaShah

Rectoria Panama 2006
25. 10. 2007
0 views

Rectoria Panama 2006

L10a 4345 Sp02
07. 11. 2007
0 views

L10a 4345 Sp02

Shahriar
15. 11. 2007
0 views

Shahriar

lakshmi wireless
15. 11. 2007
0 views

lakshmi wireless

CONTEMPORARY DANCE LESSONS
23. 11. 2007
0 views

CONTEMPORARY DANCE LESSONS

price iso 15926 as owl
07. 11. 2007
0 views

price iso 15926 as owl

acute 060718 neuroemergencies
23. 10. 2007
0 views

acute 060718 neuroemergencies

The Olmec
21. 11. 2007
0 views

The Olmec

wetlands inventory
03. 01. 2008
0 views

wetlands inventory

plainChairdesign
04. 01. 2008
0 views

plainChairdesign

Polymorphic Robotics at ISI
07. 01. 2008
0 views

Polymorphic Robotics at ISI

t Campout with Foodborne Illness
07. 01. 2008
0 views

t Campout with Foodborne Illness

poly web cast
15. 10. 2007
0 views

poly web cast

MTAC 11 06v1 03georgewright
06. 11. 2007
0 views

MTAC 11 06v1 03georgewright

awmapres041905
31. 10. 2007
0 views

awmapres041905

Insecta
23. 10. 2007
0 views

Insecta

ficci wo pictures
29. 12. 2007
0 views

ficci wo pictures

Modelos de control Ley 24156
22. 10. 2007
0 views

Modelos de control Ley 24156

severe wx
07. 10. 2007
0 views

severe wx

Egypt presentation salem 2nd
21. 10. 2007
0 views

Egypt presentation salem 2nd

nursinghome
29. 11. 2007
0 views

nursinghome

IMechE 19th May
15. 10. 2007
0 views

IMechE 19th May

EGEE Summer School 2007
17. 10. 2007
0 views

EGEE Summer School 2007

Carolyn
31. 12. 2007
0 views

Carolyn

4 Systematic chemistry web cec
16. 02. 2008
0 views

4 Systematic chemistry web cec

hsearch
20. 11. 2007
0 views

hsearch

kimkidu
24. 02. 2008
0 views

kimkidu

IntroMiscConcl
27. 02. 2008
0 views

IntroMiscConcl

dutchhistoryfordummi es
27. 02. 2008
0 views

dutchhistoryfordummi es

hansen2
29. 10. 2007
0 views

hansen2

sciencenews
29. 09. 2007
0 views

sciencenews

Running a vegetarian campaign
04. 03. 2008
0 views

Running a vegetarian campaign

D3 NomuraResearch
25. 03. 2008
0 views

D3 NomuraResearch

presentationkpimchan ThaiAirways
30. 03. 2008
0 views

presentationkpimchan ThaiAirways

ch19 Kreitner 2004 6e OB
08. 04. 2008
0 views

ch19 Kreitner 2004 6e OB

indiapres110606
14. 04. 2008
0 views

indiapres110606

MMM CEO
18. 04. 2008
0 views

MMM CEO

ch26 hedgingrisk
16. 04. 2008
0 views

ch26 hedgingrisk

myCH14
07. 05. 2008
0 views

myCH14

CROSSGRID VO SEC KD
08. 05. 2008
0 views

CROSSGRID VO SEC KD

Prescribed Fire at UNF
02. 01. 2008
0 views

Prescribed Fire at UNF

md apr quality82604 mtan
30. 04. 2008
0 views

md apr quality82604 mtan

bowles
01. 05. 2008
0 views

bowles

PSRS partI
02. 05. 2008
0 views

PSRS partI

pres1
02. 05. 2008
0 views

pres1

ae8 eman over
26. 02. 2008
0 views

ae8 eman over

CH 9
04. 01. 2008
0 views

CH 9

Horton ALA Moving Mountains
29. 02. 2008
0 views

Horton ALA Moving Mountains

remsim
01. 11. 2007
0 views

remsim

CERLS
16. 10. 2007
0 views

CERLS

forum creativite5
23. 10. 2007
0 views

forum creativite5

Ceanothus
14. 12. 2007
0 views

Ceanothus

Pollard
24. 10. 2007
0 views

Pollard

Typology 7mfamelev
02. 11. 2007
0 views

Typology 7mfamelev

ST3
24. 10. 2007
0 views

ST3

UNITROL Service Nov2006 Aend A
19. 10. 2007
0 views

UNITROL Service Nov2006 Aend A

energetech
17. 04. 2008
0 views

energetech

Presentaton
23. 10. 2007
0 views

Presentaton

LTCOPhistoryandresp
03. 10. 2007
0 views

LTCOPhistoryandresp

schmerge experimental results
21. 11. 2007
0 views

schmerge experimental results

martemiyanov
27. 09. 2007
0 views

martemiyanov

Lecture9 JF
16. 10. 2007
0 views

Lecture9 JF

helen meeks
02. 10. 2007
0 views

helen meeks

11 Gatorpops
17. 12. 2007
0 views

11 Gatorpops

Mol gen 9910
16. 10. 2007
0 views

Mol gen 9910