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Initiatives in Saskatchewan


Initiatives in Saskatchewan. Managing Surgical. Care Access. Jeff Brown ... Dan Florizone, CEO Five Hills (Moose Jaw) Key Initiatives: Surgical Patient Registry ... – PowerPoint PPT presentation

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Title: Initiatives in Saskatchewan

Managing Surgical Care Access
  • Initiatives in Saskatchewan

Jeff Brown Surgical Registry Office
Manager Saskatchewan Health
Presentation - Key Topics
  • Overview of the SSCN
  • Members and structure
  • Status of surgical care system initiatives
  • Surgical Patient Registry
  • Patient Assessment Process
  • Target Time Frames for Surgery
  • Progress made

Access to Care
  • Provinces and territories have all faced the
    issue of waiting times and we have all increased
    funding in this area.
  • We have also recognized that funding alone is not
    the solution.

Surgical Care Issues Recent History
  • In 2001, Health Minister John Nilson appointed a
    Provincial Wait List Strategy Team to look
    specifically at surgical waiting list issues.
  • Chaired by Dr. Peter Glynn, and included Dr. Mark
    Taylor and Dr. Alan Hudson.
  • The task was to review current initiatives in
    Saskatchewan, across the country and around the
  • Recommend a strategy to help Saskatchewan improve
    access to needed surgical procedures.

Surgical Access Issues - Saskatchewan
  • The team identified several issues
  • Lack of consistent, accurate data on surgical
    wait lists
  • No consistent patient prioritization processes
  • Large differences in waiting time between
    surgeons for elective patients
  • Only intermittent coordination and cooperation
    between Health Regions on surgical services
  • Referring physicians do not have sufficient
    information to inform patients of waiting time
  • Surgeons frustrated with inability to operate on
    elective patients in a timely manner and,
  • Public frustrated with lack of timely access to
    elective surgical procedures.

Wait List Management Strategy
  • Saskatchewan outlined its surgical care strategy
    within the Action Plan for Saskatchewan Health
    Care (2002). It lists several priority
    initiatives, including the establishment of
  • The Saskatchewan Surgical Care Network (SSCN)
  • A Surgical Patient Registry
  • A Clinical Prioritization Process Target Time
    Frames for Surgery
  • A Waiting List Web Site and
  • Surgical Care Coordinators and Regional Contacts

Pulling the Strategy Together
  • To oversee development and implementation of the
    initiatives, the Saskatchewan Surgical Care
    Network (SSCN) was established as an advisory
    body to Saskatchewan Health in March 2002.
  • Peter Glynn, was appointed as Chair of the
    Network, along with 15 members representing
    surgeons, Health Regions, regulatory bodies and
    Saskatchewan Health.
  • SSCNs vision is
  • Timely and appropriate surgical care for all
    Saskatchewan residents.

SSCN Membership
(No Transcript)
Key InitiativesSurgical Patient Registry
Surgeons - are responsible for assessing
patients, making the final determination as to
which patients will be the next to receive their
procedure and performing surgery. Regions - are
also responsible for patients and managing
surgical access. This includes effective
scheduling of patients, OR allocation, patient
flow and management of financial and human
  • Surgical Patient Registry
  • Tracking patients booked for surgery in ten
    health regions.
  • It produces accurate reports that include
  • Patients waiting
  • For how long
  • For what procedure
  • For which surgeon and
  • At what level of priority.

A Key Issue We know that while many patients
receive their surgery quickly, others wait too
A Key Issue We know that while many patients
receive their surgery quickly, others wait too
SSCN Initiatives Patient Assessment Process
New Patient Assessment Process (Fairness and
Patient Assessment Process includes 1) Patient
Assessment Tools 2) Urgency Profiles for Surgical
Procedures 3) Priority Classification Levels
Urgency Profiles for Surgical Procedures

Priority Classification
  • Priority Classification Table

Redefine Terms Emergent, Urgent and
Patient Assessment Process-- Example of
Cholecystecomy (Gall Bladder removal)
Assume General Surgery Tool Assessment Score
Patient is classified as Priority Level III.
Key Initiative Target Time Frames for Surgery
In March 2004, we announced the following
performance goals for the surgical care system.
Saskatchewan Surgical Strategy Summary
  • Saskatchewans work has been focusing on
    development of the priority surgical access
  • Current and future focus will be on
  • Implementing management initiatives to assist the
    regions in using registry data modeling software
    to help achieve targets.
  • Medical diagnostic services and, in particular,
    the need to address current access issues related
    to certain diagnostic tests.

Thank You