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Chapter 7 - Summary of Findings [564 KB]

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  • 1. 7.1 Percentage change in the annual number of procedures in Ontario, 1994/95 vs. 2004/05
  • 2. 7.2 Percentage change in the annual number of procedures in Ontario, 2003/04 vs. 2004/05
  • 3. 7.3 Percentage change in the rate of procedures per 100,000 population in Ontario, 2003/04 vs. 2004/05
  • 4. 7.4 Variation in procedures across Local Health Integration Networks in Ontario, 2004/05
  • 5. 7.5a Percentage difference in rate of procedures between lowest and highest neighbourhood income quintiles in Ontario, 2004/05
  • 6. 7.5b Percentage difference in median wait times for selected procedures between lowest and highest neighbourhood income quintiles in Ontario, 2004/05
  • 7. 7.6 Percentage difference in the age- and sex-adjusted rate of procedures between lowest and highest neighbourhood income quintiles in Ontario, 2003/04 vs. 2004/05
  • 8. 7.7a Comparison of median wait times (days) for cancer and cardiac procedures in Ontario, 2003/04 vs. 2004/05
  • 9. 7.7b Comparison of median wait times (weeks) for cataract and joint replacement procedures in Ontario, 2003/04 vs. 2004/05
  • 10. 7.8a Percentage of patients waiting longer than the Recommended Maximum Wait Time* for selected cancer surgeries, 2003/04 vs. 2005/05 *It is recognized that Ontario has adopted a priority classification with four priority levels and associated wait time targets. However, the Recommended Maximum Wait Time of 6 weeks is being used to allow for comparison with the methods used in last year’s Atlas, which for cancer, define the wait time from the first surgical consultation to surgery. This translates into an additional two weeks being added to the Ontario wait time target of 4 weeks for priority level 3 patients. Therefore, this initial 2-week period is the time between initial consultation and decision to treat, while the 4 week period represents the time from decision to treat to surgery, for a total of 6 weeks.
  • 11. 7.8b Percentage of urgent patients waiting longer than the Recommended Maximum Wait Time for coronary angiography and longer than the Ontario wait time target for bypass surgery, 2003/04 vs. 2005/05
  • 12. 7.8c Percentage of urgent patients waiting longer than the Recommended Maximum Wait Time* for cataract surgery and longer than the Ontario wait time target for joint replacement surgery, 2003/04 vs. 2004/05 *It is recognized that Ontario has adopted a priority classification with four priority levels and associated wait time targets. However, the Recommended Maximum Wait Time of 16 weeks is being used to allow for comparison with the methods used in last year’s Atlas and because existing administrative data do not distinguish patient priority levels.
  • 13. 7.9 Median wait times for selected procedures by age and gender in Ontario, 2004/05 Procedures 3 3 3 1 3 1 Angioplasty – Overall (days) 33 32 28 37 32 37 Total knee replacement surgery (weeks) 25 22 16 26 19 29 Total hip replacement surgery (weeks) 14 15 16 13 15 12 Cataract surgery (weeks) 24 22 21 35 22 35 Coronary bypass surgery – Elective (days) 7 6 8 28 7 6 Coronary bypass surgery – Semi-urgent (days) 3 3 3 1 3 1 Coronary bypass surgery – Urgent (days) 1 1 1 1 1 0 Angioplasty – Referred from in-hospital (days) 16 18 17 18 16 13 Angioplasty – Referred from home (days) 21 20 19 20 19 15 Coronary angiography – Elective (days) 11 11 9 6 9 4 Coronary angiography – Semi-urgent (days) 1 2 2 1 2 1 Coronary angiography – Urgent (days) n/a 43 44 43 n/a n/a Hysterectomy (days) 93 n/a n/a n/a n/a 93 Radical prostatectomy (days) n/a 29 29 30 n/a n/a Mastectomy (days) 29 28 30 27 33 29 Large bowel resection (days) Overall Men Overall Women Oldest Youngest Oldest Youngest Median Waits Median Waits Among Women Median Waits Among Men
  • 14. 7.10 Summary of service rates per 100,000 population, by type of procedure and Local Health Integration Network, in Ontario, 2004/05 (Slide 1 of 2) 83 185 556 63 102 90 109 All Ontario 1.9 2.2 2.0 2.4 2.3 2.9 1.5 LHIN highest rate/ LHIN lowest rate 103 162 803 33 92 80 108 14. North West 82 276 754 67 92 132 134 13. North East 82 276 754 67 119 92 114 12. North Simcoe Muskoka 67 221 478 68 70 109 106 11. Champlain 67 277 733 47 65 79 110 10. South East 83 174 584 55 129 89 102 9. Central East 74 174 530 59 94 73 104 8. Central 58 160 495 58 78 70 90 7. Toronto Central 74 172 547 63 92 68 115 6. Mississauga Oakville 96 198 593 77 92 89 91 5. Central West 96 198 593 77 92 89 120 4. Hamilton Niagara Haldimand Brant 75 139 411 69 131 85 100 3. Waterloo Wellington 77 124 412 69 148 125 114 2. South West 82 138 504 57 110 115 113 1. Erie St. Clair Coronary Bypass Surgery Angioplasty Coronary Angiography Hysterectomy Radical Prostatectomy Mastectomy Large Bowel Resection Local Health Integration Network Cardiac Procedures Cancer Surgery
  • 15. 7.10 Summary of service rates per 100,000 population, by type of procedure and Local Health Integration Network, in Ontario, 2004/05 (Slide 2 of 2) Diagnostic Scans Total Joint Replacement Cataract Treatment MRI CT Total Knee Total Hip Surgery Local Health Integration Network 1.5 9,354 8,662 8,896 12,156 10,293 9,586 10,102 9,945 9,637 9,154 8,662 8,100 8,251 8,376 9,223 2,047 162 115 1,185 All Ontario 1.7 2.2 2.0 1.6 LHIN highest rate/ LHIN lowest rate 2,481 203 123 1,193 14. North West 2,300 186 120 1,368 13. North East 1,826 179 129 1,276 12. North Simcoe Muskoka 1,770 152 108 1,368 11. Champlain 1,708 209 153 1,261 10. South East 2,063 175 106 1,264 9. Central East 2,142 135 103 1,133 8. Central 2,546 96 92 901 7. Toronto Central 2,288 154 111 1,121 6. Mississauga Oakville 1,766 167 77 919 5. Central West 2,461 181 126 1,152 4. Hamilton Niagara Haldimand Brant 1,586 151 110 1,020 3. Waterloo Wellington 1,670 193 154 1,271 2. South West 1,530 180 124 1,417 1. Erie St. Clair
  • 16. 7.11 Summary of median wait times for services, by type of procedure and Local Health Integration Network, in Ontario, 2004/05 (Slide 1 of 3) Cancer Surgery Median Wait Time (Days ) Local Health Integration Network 29 93 41 37 14. North West 43 93 29 29 All Ontario 42 90 34 33 13. North East 46 76 29 32 12. North Simcoe Muskoka 35 114 27 23 11. Champlain 46 113 27 36 10. South East 48 89 27 29 9. Central East 48 95 37 26 8. Central 48 85 35 22 7. Toronto Central 36 95 30 30 6. Mississauga Oakville 62 99 39 31 5. Central West 42 88 29 28 4. Hamilton Niagara Haldimand Brant 47 90 38 36 3. Waterloo Wellington 49 98 23 31 2. South West 47 102 25 27 1. Erie St. Clair Hysterectomy Radical Prostatectomy Mastectomy Large Bowel Resection
  • 17. 7.11 Summary of median wait times for services, by type of procedure and Local Health Integration Network, in Ontario, 2004/05 (Slide 2 of 3) Cardiac Procedures Median Wait Time (Days) Coronary Bypass Surgery Angioplasty Coronary Angiography 1 2 1 2 2 2 2 1 1 2 1 2 1 2 3 Urgent 11 14 14 7 33 9 9 7 4 14 14 22 12 11 15 Semi-urgent 21 38 22 14 61 24 24 13 10 27 23 30 30 21 27 Elective Elective Semi-urgent Urgent Overall Local Health Integration Network 33 7 6 7 14. North West 24 7 3 3 All Ontario 22 4 2 3 13. North East 23 6 3 3 12. North Simcoe Muskoka 21 5 1 4 11. Champlain 15 6 4 2 10. South East 20 6 4 2 9. Central East 22 6 2 3 8. Central 20 6 2 2 7. Toronto Central 29 8 3 2 6. Mississauga Oakville 24 7 3 2 5. Central West 37 9 3 3 4. Hamilton Niagara Haldimand Brant 37 7 3 1 3. Waterloo Wellington 27 8 4 2 2. South West 23 8 4 7 1. Erie St. Clair
  • 18. 7.11 Summary of median wait times for services, by type of procedure and Local Health Integration Network, in Ontario, 2004/05 (Slide 3 of 3) Total Joint Replacement Median Wait Time (Weeks) Cataract Surgery Median Wait Time (Weeks) Local Health Integration Network Total Knee Total Hip 15 14 15 10 15 13 13 16 16 14 15 16 20 19 9 23 22 27 25 36 26 20 22 22 22 23 22 23 27 16 33 46 45 33 43 34 23 28 31 27 30 36 32 40 27 14. North West All Ontario 13. North East 12. North Simcoe Muskoka 11. Champlain 10. South East 9. Central East 8. Central 7. Toronto Central 6. Mississauga Oakville 5. Central West 4. Hamilton Niagara Haldimand Brant 3. Waterloo Wellington 2. South West 1. Erie St. Clair
  • 19. 7.12 Summary of percentage of patients receiving procedures within the Ontario wait time targets, 2004/05 (Slide 1 of 3) * Cancer surgery: It is recognized that Ontario has adopted a priority classification with four priority levels and associated wait time targets. Cancer Care Ontario’s Recommended Maximum Wait Time (RMWT) from consult to "decision to treat" is two weeks. The RMWT from “decision to treat” to surgery for Priority III patients is four weeks. Similar to last year's ICES Atlas, cancer surgery wait times in this report are defined as the wait time from surgical consultation to surgery. Therefore, the RMWT used here includes the initial two-week period between consultation and “decision to treat” plus the four-week period from “decision to treat” to surgery, for a total of six weeks. Cancer Surgery % Completed within Recommended Maximum Wait Time of Six Weeks* Local Health Integration Network 86 5 53 53 14. North West 48 13 65 67 All Ontario 50 23 63 64 13. North East 48 23 61 64 12. North Simcoe Muskoka 64 2 70 74 11. Champlain 45 4 75 63 10. South East 41 10 67 69 9. Central East 41 15 55 74 8. Central 45 16 55 75 7. Toronto Central 56 13 60 66 6. Mississauga Oakville 27 11 51 61 5. Central West 49 17 65 66 4. Hamilton Niagara Haldimand Brant 45 11 54 63 3. Waterloo Wellington 43 10 75 63 2. South West 47 16 75 67 1. Erie St. Clair Hysterectomy Radical Prostatectomy Mastectomy Large Bowel Resection
  • 20. 7.12 Summary of percentage of patients receiving procedures within the Ontario wait time targets, 2004/05 (Slide 2 of 3) * Coronary angiography: As Ontario wait time targets have not been adopted for coronary angiography, the Cardiac Care Network of Ontario’s Urgency Rating System, which is well established in Ontario, has been used above. Recommended Maximum Wait Times are: Urgent = 0-7 days; Semi-Urgent = 8-28 days; Elective = ≥ 29 days. Cardiac Procedures Coronary Bypass Surgery % completed within Ontario wait time target of: Coronary Angiography* % completed within RMWT of: Elective (26 weeks) Semi-urgent (6 weeks) Urgent (2 weeks) Elective ( ≥29 days) Semi-urgent (8-28 days) Urgent (0-7 days) Local Health Integration Network 71 70 78 70 61 69 78 80 87 73 78 55 80 61 61 49 44 42 58 36 51 61 59 67 44 41 31 48 48 41 70 48 65 85 28 61 91 84 87 68 71 59 60 65 59 78 76 58 14. North West 86 83 72 All Ontario 90 81 69 13. North East 84 81 69 12. North Simcoe Muskoka 97 90 83 11. Champlain 99 92 73 10. South East 94 86 82 9. Central East 88 85 75 8. Central 91 83 80 7. Toronto Central 88 82 61 6. Mississauga Oakville 87 85 81 5. Central West 75 75 69 4. Hamilton Niagara Haldimand Brant 64 80 74 3. Waterloo Wellington 76 85 58 2. South West 79 81 67 1. Erie St. Clair
  • 21. 7.12. Summary of percentage of patients receiving procedures within the Ontario wait time targets, 2004/05 (Slide 3 of 3) * Cataract surgery: It is recognized that Ontario has adopted a priority classification with four priority levels and associated wait time targets. However, the Recommended Maximum Wait Time of 16 weeks is being used to allow for comparison with findings in last year’s ICES Atlas and because existing administrative data do not distinguish patient priority levels. Total Joint Replacement % Completed within Ontario wait time target of 26 weeks Cataract Surgery * % Completed with RMWT of 16 weeks Local Health Integration Network Total Knee Total Hip 54 54 53 73 54 57 57 50 50 56 52 51 40 43 74 54 57 48 52 37 51 62 57 55 58 56 56 54 49 70 41 28 29 41 27 38 55 45 44 49 40 36 44 33 49 14. North West All Ontario 13. North East 12. North Simcoe Muskoka 11. Champlain 10. South East 9. Central East 8. Central 7. Toronto Central 6. Mississauga Oakville 5. Central West 4. Hamilton Niagara Haldimand Brant 3. Waterloo Wellington 2. South West 1. Erie St. Clair

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