The Implementation of a Waiting List Management and
eScheduling System to Improve the Process of Care and
Provide Valid an...
• The Health Care System is not Sustainable
An Excuse?
• The Health Care System Must Be Sustained
A Challenge!
• All Resources are used on the Front Line
On What?
Source: OECD (2011), Health at a Glance 2011 – OECD Indicators, OECD Publishing, Paris (Schoen et al., 2010).
OECD: What Works
• OECD does not address how data is
collected
• Options for Collection
• Administrative vs. Clinical

• Quality depends on...
• Central East LHIN (DHB equivalent) Toronto
•
•
•
•

Population 1.4M
7 Hospitals, 11 Sites
400 Surgeons
Ontario Provincia...
• Data
• Allocation and Accountability
• Cant Manage what you Cant Measure
• Require Common Tool to Measure.

LHIN (DHB) P...
• Wait Times Reporting and
Management
• Resource Allocation and
Management
• Booking Process
• Patient Preparation
Hospita...
• Wait Times Reporting
• No Wait List Management System
• Booking Process
Doctor Office Pain Points
• Wait List Management
• Automated Wait Times Reporting
• Electronic Scheduling
• Business Intelligence Capabilities
LHIN ...
• Standardized Pre-Op Preparation
• System Integration
• Scalable to LHIN and Beyond
• Proven & off the shelf (COTS)

LHIN...
J
OR / Hospital Scheduling Systems

Pre-Operative Clinics

EMPI / ADT Central Registration

EMR

NO EMR

National Joint Repl...
• NSA Splash Screen Here
R
R
R
126,000 Annual cases through
system
• ~23,000 Active wait list cases at
any time
• ~155,000 Secure electronic
messages bet...
• OR utilization
• OR Cancellations
• Wait time data improved
• Wait Times lead the province.
• Reduced Staffing

Achievem...
It matters how you collect data

Conclusion
•
•
•
•
•
•
•

Browsers: IE 7-9, Firefox, Safari
Secure Access: VPN, SSL, Citrix, etc.
Database: MS SQL Server
Server Plat...
John Sinclair jsinclair@novarihealth.com

John Marshall jmarshall@novarihealth.com

Questions?
The Implementation of a Waiting List Management and eScheduling System to Improve the Process of Care and Provide Valid an...
The Implementation of a Waiting List Management and eScheduling System to Improve the Process of Care and Provide Valid an...
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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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Novari Health

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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

  1. 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. 2. • The Health Care System is not Sustainable An Excuse? • The Health Care System Must Be Sustained A Challenge!
  3. 3. • All Resources are used on the Front Line On What?
  4. 4. Source: OECD (2011), Health at a Glance 2011 – OECD Indicators, OECD Publishing, Paris (Schoen et al., 2010).
  5. 5. OECD: What Works
  6. 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. 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. 8. • Data • Allocation and Accountability • Cant Manage what you Cant Measure • Require Common Tool to Measure. LHIN (DHB) Pain Points J
  9. 9. • Wait Times Reporting and Management • Resource Allocation and Management • Booking Process • Patient Preparation Hospital Pain Points
  10. 10. • Wait Times Reporting • No Wait List Management System • Booking Process Doctor Office Pain Points
  11. 11. • Wait List Management • Automated Wait Times Reporting • Electronic Scheduling • Business Intelligence Capabilities LHIN Identified 8 Core Solution Requirements
  12. 12. • Standardized Pre-Op Preparation • System Integration • Scalable to LHIN and Beyond • Proven & off the shelf (COTS) LHIN Identified 8 Core Solution Requirements
  13. 13. J
  14. 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. 15. • NSA Splash Screen Here
  16. 16. R
  17. 17. R
  18. 18. R
  19. 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. 20. • OR utilization • OR Cancellations • Wait time data improved • Wait Times lead the province. • Reduced Staffing Achievements
  21. 21. It matters how you collect data Conclusion
  22. 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. 23. John Sinclair jsinclair@novarihealth.com John Marshall jmarshall@novarihealth.com Questions?

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