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Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
Ambulatory Endoscopy in Ontario- Current Practice Patterns
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Ambulatory Endoscopy in Ontario- Current Practice Patterns

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  • 1. Doug Hemphill MD, FRCP(C)
    Barrie Endoscopy
    The Royal Victoria Hospital, Barrie, ON
    Ambulatory Endoscopy in Ontario- Current Practice Patterns
  • 2. Ambulatory Clinics in Ontario
    Little known about out of hospital endoscopy activity in Ontario
    No requirement to declare site of endoscopic activity with CPSO, OMA, or specialty organizations
    No accreditation process or organization
    Ministry could be aware (Tray fee E749 or group billing numbers)
    Estimate of proportion of Ontario colonoscopies done in out of hospital settings is 20% (Linda Rabeneck- personal communication)
  • 3. Ambulatory Endoscopy in Ontario- Finding the Clinics
    Diverse group- Surgeons/Gastros/Other, endoscopists who have and those that don’t have hospital privileges.
    Sources of information
    Industry
    Registration
    Word of mouth
    We don’t have a complete list
  • 4. Endoscopy Clinics in Ontario
    Albany Clinic
    Barrie Endoscopy
    Bluewater Surgical Centre
    Bray
    Brunswick Clinic
    Byrne
    Digestive Health
    Desai
    Downsview Endoscopy
    Durham Endoscopy Centre
    Elkashab
    Endoscopy Clinic of Greater Toronto
    Farmed Endoscopy
    Gastroenterology Group
    GTA Endoscopy
    Holly Street Endoscopy
    Intestinal Health
    Kensington Endoscopy
    Maple Endoscopy
    Missisauga Colonoscopy
    North Scarborough Endoscopy
    North Toronto GI Clinic
    North York Endoscopy
    Markham Endoscopy
    Oakville Endoscopy Centre
    Oshawa Clinic Endoscopy
    Ottawa Endoscopy
    Patel
    Polyclinic
    PES-Rudd Clinics
    SCOPE Clinic
    Surrey Clinic
    Toronto Clinic
    The Toronto GI Clinic
    Upper Canada Lower Bowel
    Vaughan Endoscopy
    West GTA Endoscopy
  • 5. Endoscopy Clinics in Ontario
    Albany Clinic
    Barrie Endoscopy
    Bluewater Surgical Centre
    Bray
    Brunswick Clinic
    Byrne
    Digestive Health
    Desai
    Downsview Endoscopy
    Durham Endoscopy Centre
    Elkashab
    Endoscopy Clinic of Greater Toronto
    Farmed Endoscopy
    Gastroenterology Group
    GTA Endoscopy
    Holly Street Endoscopy
    Intestinal Health
    Kensington Endoscopy
    Maple Endoscopy
    Missisauga Colonoscopy
    North Scarborough Endoscopy
    North Toronto GI Clinic
    North York Endoscopy
    Markham Endoscopy
    Oakville Endoscopy Centre
    Oshawa Clinic Endoscopy
    Ottawa Endoscopy
    Patel
    Polyclinic
    PES-Rudd Clinics
    SCOPE Clinic
    Surrey Clinic
    Toronto Clinic
    The Toronto GI Clinic
    Upper Canada Lower Bowel
    Vaughan Endoscopy
    West GTA Endoscopy
  • 6. 1. How many years has your clinic been in operation? (22 responses)
    Average 6.86 yrs
    Range 3 months to 40 years
    11 Clinics 3 yrs or less
  • 7. 2. How many doctors perform endoscopies at your clinic on a regular basis? (22 responses)
    General Surgeons 2.9/clinic 58 Total
    Gastroenterologists 3.43/clinic 72 Total
    Other 1
    Number of Clinics GI only 5
    Number of Clinics General Surgery Only 1
  • 8. 3. What proportion (%) of doctors working regularly at your clinic have active hospital privileges?
    100% hospital privileges 10 clinics
    0% hospital privileges 6 clinics
    20%-90% hospital privileges 6 clinics
  • 9. 4. How many procedures are done in your clinic per year? (21 clinics responded)
  • 10. 5. Can patients be referred for gastroscopy only (not associated with a colonoscopy)?
  • 11. 6. How many procedure rooms at your clinic are used for endoscopy most days?
    15 of 19 clinics have unused procedure rooms for future expansion
  • 12. 7. How are your patients referred?
  • 13. 8. Do patients have their procedure performed on the same day as the consultation?
  • 14. 9. Indications for referral for endoscopy at your clinic.
  • 15. 10. What types of co morbidity exclude patients from having procedures at your clinic?
  • 16. 11. What therapeutic procedures do you perform at your clinic?
  • 17. 12. Which colonoscopy prep do you most commonly use?
  • 18. 13. What sedation agents are used at your clinic?
  • 19. 14. What patient monitoring is performed?
  • 20. 15. Nurses- what proportion are RNs vs. RPNs?
  • 21. 16. Scope Reprocessing.
  • 22. 17. What indicators of quality care do you regularly monitor and record?
  • 23. 18. Are you an accredited with any organization?
  • 24. 19. Is your clinic involved in marketing or advertising?
  • 25. 20. Does your clinic charge patients a non-OHIP fee?
  • 26. END

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