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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
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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

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Presented by John Sinclair and John Marshall ...

Presented by John Sinclair and John Marshall
Novari Health

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  • 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!
  • 3. • All Resources are used on the Front Line On What?
  • 4. Source: OECD (2011), Health at a Glance 2011 – OECD Indicators, OECD Publishing, Paris (Schoen et al., 2010).
  • 5. OECD: What Works
  • 6. • OECD does not address how data is collected • Options for Collection • Administrative vs. Clinical • Quality depends on Means of Collection Means of Data Collection
  • 7. • Central East LHIN (DHB equivalent) Toronto • • • • Population 1.4M 7 Hospitals, 11 Sites 400 Surgeons Ontario Provincial Wait Time Registry (WTIS) Case Study
  • 8. • Data • Allocation and Accountability • Cant Manage what you Cant Measure • Require Common Tool to Measure. LHIN (DHB) Pain Points J
  • 9. • Wait Times Reporting and Management • Resource Allocation and Management • Booking Process • Patient Preparation Hospital Pain Points
  • 10. • Wait Times Reporting • No Wait List Management System • Booking Process Doctor Office Pain Points
  • 11. • Wait List Management • Automated Wait Times Reporting • Electronic Scheduling • Business Intelligence Capabilities LHIN Identified 8 Core Solution Requirements
  • 12. • Standardized Pre-Op Preparation • System Integration • Scalable to LHIN and Beyond • Proven & off the shelf (COTS) LHIN Identified 8 Core Solution Requirements
  • 13. J
  • 14. 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
  • 15. • NSA Splash Screen Here
  • 16. R
  • 17. R
  • 18. R
  • 19. 126,000 Annual cases through system • ~23,000 Active wait list cases at any time • ~155,000 Secure electronic messages between users • ~ Achievements
  • 20. • OR utilization • OR Cancellations • Wait time data improved • Wait Times lead the province. • Reduced Staffing Achievements
  • 21. It matters how you collect data Conclusion
  • 22. • • • • • • • Browsers: IE 7-9, Firefox, Safari Secure Access: VPN, SSL, Citrix, etc. Database: MS SQL Server Server Platform: Windows 2008-R2 Virtualization Supported: Yes Software as a Service (SaaS): Yes Integration Engine: Orion Rhapsody Technical Specs
  • 23. John Sinclair jsinclair@novarihealth.com John Marshall jmarshall@novarihealth.com Questions?