SlideShare a Scribd company logo
1 of 25
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
• 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 Means of
Collection
Means of Data Collection
• Central East LHIN (DHB equivalent) Toronto
•
•
•
•

Population 1.4M
7 Hospitals, 11 Sites
400 Surgeons
Ontario Provincial Wait Time Registry
(WTIS)

Case Study
• Data
• Allocation and Accountability
• Cant Manage what you Cant Measure
• Require Common Tool to Measure.

LHIN (DHB) Pain Points
J
• Wait Times Reporting and
Management
• Resource Allocation and
Management
• Booking Process
• Patient Preparation
Hospital Pain Points
• 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 Identified 8 Core Solution Requirements
• Standardized Pre-Op Preparation
• System Integration
• Scalable to LHIN and Beyond
• Proven & off the shelf (COTS)

LHIN Identified 8 Core Solution Requirements
J
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
• 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 between users
• ~

Achievements
• OR utilization
• OR Cancellations
• Wait time data improved
• Wait Times lead the province.
• Reduced Staffing

Achievements
It matters how you collect data

Conclusion
•
•
•
•
•
•
•

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
John Sinclair jsinclair@novarihealth.com

John Marshall jmarshall@novarihealth.com

Questions?

More Related Content

What's hot

Medisolv for Quality Reporting
Medisolv for Quality ReportingMedisolv for Quality Reporting
Medisolv for Quality ReportingErin Heilman
 
Scanning, Abstracting, & Adding Medical Records to an EHR
Scanning, Abstracting, & Adding Medical Records to an EHRScanning, Abstracting, & Adding Medical Records to an EHR
Scanning, Abstracting, & Adding Medical Records to an EHRRecord Nations
 
Dev net it pathology system
Dev net it pathology systemDev net it pathology system
Dev net it pathology systemdevnetit
 
Claus Duedal's presentation from the Healthcare DENMARK session at HIMSS 2015
Claus Duedal's presentation from the Healthcare DENMARK session at HIMSS 2015Claus Duedal's presentation from the Healthcare DENMARK session at HIMSS 2015
Claus Duedal's presentation from the Healthcare DENMARK session at HIMSS 2015Healthcare DENMARK
 
Blood donation ppt
Blood donation pptBlood donation ppt
Blood donation pptR prasad
 
Cardiology Centralised web registry presentation by JVS Group
Cardiology Centralised web registry presentation by JVS GroupCardiology Centralised web registry presentation by JVS Group
Cardiology Centralised web registry presentation by JVS Groupsaketsinghi
 
Eliminate the Chaos: Myth #4 to Avoid in Your EHR Migration
 Eliminate the Chaos: Myth #4 to Avoid in Your EHR Migration Eliminate the Chaos: Myth #4 to Avoid in Your EHR Migration
Eliminate the Chaos: Myth #4 to Avoid in Your EHR MigrationBoston Software Systems
 
Galen healthcare solutions Healthcare Information Technology 2017 Year in Rev...
Galen healthcare solutions Healthcare Information Technology 2017 Year in Rev...Galen healthcare solutions Healthcare Information Technology 2017 Year in Rev...
Galen healthcare solutions Healthcare Information Technology 2017 Year in Rev...Justin Campbell
 
Partners In Health Rwanda (IMB) @ OpenMRS Maputo2015
Partners In Health Rwanda (IMB) @ OpenMRS Maputo2015Partners In Health Rwanda (IMB) @ OpenMRS Maputo2015
Partners In Health Rwanda (IMB) @ OpenMRS Maputo2015lnball
 
His ehr assessment framework v1
His ehr assessment framework v1His ehr assessment framework v1
His ehr assessment framework v1Pankaj Gupta
 
Health Plan 2Mailer 3
Health Plan 2Mailer 3Health Plan 2Mailer 3
Health Plan 2Mailer 3Bret Morey
 
Freyr Pharmacolvigilance Brochure
Freyr Pharmacolvigilance BrochureFreyr Pharmacolvigilance Brochure
Freyr Pharmacolvigilance BrochureFaiz Shariff
 
Bahmni, Scaling in multiple countries
Bahmni, Scaling in multiple countriesBahmni, Scaling in multiple countries
Bahmni, Scaling in multiple countriesVivek Singh
 
Agaram data integrity problem and solution
Agaram  data integrity problem and solutionAgaram  data integrity problem and solution
Agaram data integrity problem and solutionAgaram Technologies
 
Advance Hospital Management System PPT by Krishna
Advance Hospital Management System PPT by KrishnaAdvance Hospital Management System PPT by Krishna
Advance Hospital Management System PPT by KrishnaKrishna Shidnekoppa
 

What's hot (20)

Medisolv for Quality Reporting
Medisolv for Quality ReportingMedisolv for Quality Reporting
Medisolv for Quality Reporting
 
Scanning, Abstracting, & Adding Medical Records to an EHR
Scanning, Abstracting, & Adding Medical Records to an EHRScanning, Abstracting, & Adding Medical Records to an EHR
Scanning, Abstracting, & Adding Medical Records to an EHR
 
Dev net it pathology system
Dev net it pathology systemDev net it pathology system
Dev net it pathology system
 
Claus Duedal's presentation from the Healthcare DENMARK session at HIMSS 2015
Claus Duedal's presentation from the Healthcare DENMARK session at HIMSS 2015Claus Duedal's presentation from the Healthcare DENMARK session at HIMSS 2015
Claus Duedal's presentation from the Healthcare DENMARK session at HIMSS 2015
 
Blood donation ppt
Blood donation pptBlood donation ppt
Blood donation ppt
 
Cardiology Centralised web registry presentation by JVS Group
Cardiology Centralised web registry presentation by JVS GroupCardiology Centralised web registry presentation by JVS Group
Cardiology Centralised web registry presentation by JVS Group
 
Arogyadarpan General
Arogyadarpan GeneralArogyadarpan General
Arogyadarpan General
 
Eliminate the Chaos: Myth #4 to Avoid in Your EHR Migration
 Eliminate the Chaos: Myth #4 to Avoid in Your EHR Migration Eliminate the Chaos: Myth #4 to Avoid in Your EHR Migration
Eliminate the Chaos: Myth #4 to Avoid in Your EHR Migration
 
Galen healthcare solutions Healthcare Information Technology 2017 Year in Rev...
Galen healthcare solutions Healthcare Information Technology 2017 Year in Rev...Galen healthcare solutions Healthcare Information Technology 2017 Year in Rev...
Galen healthcare solutions Healthcare Information Technology 2017 Year in Rev...
 
Partners In Health Rwanda (IMB) @ OpenMRS Maputo2015
Partners In Health Rwanda (IMB) @ OpenMRS Maputo2015Partners In Health Rwanda (IMB) @ OpenMRS Maputo2015
Partners In Health Rwanda (IMB) @ OpenMRS Maputo2015
 
His ehr assessment framework v1
His ehr assessment framework v1His ehr assessment framework v1
His ehr assessment framework v1
 
Health Plan 2Mailer 3
Health Plan 2Mailer 3Health Plan 2Mailer 3
Health Plan 2Mailer 3
 
Freyr Pharmacolvigilance Brochure
Freyr Pharmacolvigilance BrochureFreyr Pharmacolvigilance Brochure
Freyr Pharmacolvigilance Brochure
 
Bahmni, Scaling in multiple countries
Bahmni, Scaling in multiple countriesBahmni, Scaling in multiple countries
Bahmni, Scaling in multiple countries
 
Agaram data integrity problem and solution
Agaram  data integrity problem and solutionAgaram  data integrity problem and solution
Agaram data integrity problem and solution
 
Meaningful use audits
Meaningful use auditsMeaningful use audits
Meaningful use audits
 
ANYSOLABS
ANYSOLABS ANYSOLABS
ANYSOLABS
 
john daniels
john danielsjohn daniels
john daniels
 
Advance Hospital Management System PPT by Krishna
Advance Hospital Management System PPT by KrishnaAdvance Hospital Management System PPT by Krishna
Advance Hospital Management System PPT by Krishna
 
xenos_caa
xenos_caaxenos_caa
xenos_caa
 

Similar to The Implementation of a Waiting List Management and eScheduling System to Improve the Process of Care and Provide Valid and Reliable Wait Time Data

Healthcare information technology
Healthcare information technologyHealthcare information technology
Healthcare information technologyDr.Vijay Talla
 
Registry Participation 101: A Step-by-Step Guide to What You Really Need to K...
Registry Participation 101: A Step-by-Step Guide to What You Really Need to K...Registry Participation 101: A Step-by-Step Guide to What You Really Need to K...
Registry Participation 101: A Step-by-Step Guide to What You Really Need to K...Wellbe
 
Comp10 unit6c lecture_slides
Comp10 unit6c lecture_slidesComp10 unit6c lecture_slides
Comp10 unit6c lecture_slidesCMDLMS
 
PP_04_Hospital Information System.ppt
PP_04_Hospital Information System.pptPP_04_Hospital Information System.ppt
PP_04_Hospital Information System.pptArshadAli840
 
Building Data Driven Workflows in HIM: More than just an EHR
Building Data Driven Workflows in HIM:  More than just an EHRBuilding Data Driven Workflows in HIM:  More than just an EHR
Building Data Driven Workflows in HIM: More than just an EHRJenniferTen22
 
ANZICS S&Q 2014 - RRT: Peter Hicks on Do we need a RRT registry?
ANZICS S&Q 2014 - RRT: Peter Hicks on Do we need a RRT registry?ANZICS S&Q 2014 - RRT: Peter Hicks on Do we need a RRT registry?
ANZICS S&Q 2014 - RRT: Peter Hicks on Do we need a RRT registry?ANZICS
 
Top Children Hospital: Improving a Mission-Critical Cross-Functional Measure
Top Children Hospital: Improving a Mission-Critical Cross-Functional MeasureTop Children Hospital: Improving a Mission-Critical Cross-Functional Measure
Top Children Hospital: Improving a Mission-Critical Cross-Functional MeasureMedical Optima
 
12 missildine-choc-improving throughput
12 missildine-choc-improving throughput12 missildine-choc-improving throughput
12 missildine-choc-improving throughputMedical_Optima
 
Clinicaldatamanagementindiaasahub 130313225150-phpapp01
Clinicaldatamanagementindiaasahub 130313225150-phpapp01Clinicaldatamanagementindiaasahub 130313225150-phpapp01
Clinicaldatamanagementindiaasahub 130313225150-phpapp01Upendra Agarwal
 
Clinical Healthcare Data Analytics
Clinical Healthcare Data AnalyticsClinical Healthcare Data Analytics
Clinical Healthcare Data Analyticsdansouk
 
Medicity (Hospital management system)
Medicity (Hospital management system)Medicity (Hospital management system)
Medicity (Hospital management system)YOGESH SHARMA
 
Insights Webinar - Patient Tracking Solutions
Insights Webinar -  Patient Tracking SolutionsInsights Webinar -  Patient Tracking Solutions
Insights Webinar - Patient Tracking SolutionsBen Quirk
 
Clinical Information Systems, Hospital Information Systems & Electronic Healt...
Clinical Information Systems, Hospital Information Systems & Electronic Healt...Clinical Information Systems, Hospital Information Systems & Electronic Healt...
Clinical Information Systems, Hospital Information Systems & Electronic Healt...Nawanan Theera-Ampornpunt
 
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care CHC Connecticut
 
Health IT in Clinical Settings (July 2, 2015)
Health IT in Clinical Settings (July 2, 2015)Health IT in Clinical Settings (July 2, 2015)
Health IT in Clinical Settings (July 2, 2015)Nawanan Theera-Ampornpunt
 
Cabral_Medicare Compliance Readiness_ACMA 2012
Cabral_Medicare Compliance Readiness_ACMA 2012Cabral_Medicare Compliance Readiness_ACMA 2012
Cabral_Medicare Compliance Readiness_ACMA 2012Lana Cabral
 

Similar to The Implementation of a Waiting List Management and eScheduling System to Improve the Process of Care and Provide Valid and Reliable Wait Time Data (20)

Healthcare information technology
Healthcare information technologyHealthcare information technology
Healthcare information technology
 
Registry Participation 101: A Step-by-Step Guide to What You Really Need to K...
Registry Participation 101: A Step-by-Step Guide to What You Really Need to K...Registry Participation 101: A Step-by-Step Guide to What You Really Need to K...
Registry Participation 101: A Step-by-Step Guide to What You Really Need to K...
 
Comp10 unit6c lecture_slides
Comp10 unit6c lecture_slidesComp10 unit6c lecture_slides
Comp10 unit6c lecture_slides
 
PP_04_Hospital Information System.ppt
PP_04_Hospital Information System.pptPP_04_Hospital Information System.ppt
PP_04_Hospital Information System.ppt
 
Building Data Driven Workflows in HIM: More than just an EHR
Building Data Driven Workflows in HIM:  More than just an EHRBuilding Data Driven Workflows in HIM:  More than just an EHR
Building Data Driven Workflows in HIM: More than just an EHR
 
ANZICS S&Q 2014 - RRT: Peter Hicks on Do we need a RRT registry?
ANZICS S&Q 2014 - RRT: Peter Hicks on Do we need a RRT registry?ANZICS S&Q 2014 - RRT: Peter Hicks on Do we need a RRT registry?
ANZICS S&Q 2014 - RRT: Peter Hicks on Do we need a RRT registry?
 
Top Children Hospital: Improving a Mission-Critical Cross-Functional Measure
Top Children Hospital: Improving a Mission-Critical Cross-Functional MeasureTop Children Hospital: Improving a Mission-Critical Cross-Functional Measure
Top Children Hospital: Improving a Mission-Critical Cross-Functional Measure
 
12 missildine-choc-improving throughput
12 missildine-choc-improving throughput12 missildine-choc-improving throughput
12 missildine-choc-improving throughput
 
Clinicaldatamanagementindiaasahub 130313225150-phpapp01
Clinicaldatamanagementindiaasahub 130313225150-phpapp01Clinicaldatamanagementindiaasahub 130313225150-phpapp01
Clinicaldatamanagementindiaasahub 130313225150-phpapp01
 
Clinical Healthcare Data Analytics
Clinical Healthcare Data AnalyticsClinical Healthcare Data Analytics
Clinical Healthcare Data Analytics
 
Medicity (Hospital management system)
Medicity (Hospital management system)Medicity (Hospital management system)
Medicity (Hospital management system)
 
Insights Webinar - Patient Tracking Solutions
Insights Webinar -  Patient Tracking SolutionsInsights Webinar -  Patient Tracking Solutions
Insights Webinar - Patient Tracking Solutions
 
Clinical Information Systems, Hospital Information Systems & Electronic Healt...
Clinical Information Systems, Hospital Information Systems & Electronic Healt...Clinical Information Systems, Hospital Information Systems & Electronic Healt...
Clinical Information Systems, Hospital Information Systems & Electronic Healt...
 
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care
 
HM312 Week 1 part 1 of 2
HM312 Week 1 part 1 of 2HM312 Week 1 part 1 of 2
HM312 Week 1 part 1 of 2
 
Health IT in Clinical Settings (July 2, 2015)
Health IT in Clinical Settings (July 2, 2015)Health IT in Clinical Settings (July 2, 2015)
Health IT in Clinical Settings (July 2, 2015)
 
Cabral_Medicare Compliance Readiness_ACMA 2012
Cabral_Medicare Compliance Readiness_ACMA 2012Cabral_Medicare Compliance Readiness_ACMA 2012
Cabral_Medicare Compliance Readiness_ACMA 2012
 
Health IT in Hospital Settings
Health IT in Hospital SettingsHealth IT in Hospital Settings
Health IT in Hospital Settings
 
Health IT in Clinical Settings
Health IT in Clinical SettingsHealth IT in Clinical Settings
Health IT in Clinical Settings
 
Health IT in Hospital Settings
Health IT in Hospital SettingsHealth IT in Hospital Settings
Health IT in Hospital Settings
 

More from Health Informatics New Zealand

The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...Health Informatics New Zealand
 
Shaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voiceShaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voiceHealth Informatics New Zealand
 
Laptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health serviceLaptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health serviceHealth Informatics New Zealand
 
Safe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thingSafe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thingHealth Informatics New Zealand
 
Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...Health Informatics New Zealand
 
Using the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsisUsing the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsisHealth Informatics New Zealand
 
Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?Health Informatics New Zealand
 
Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...Health Informatics New Zealand
 
Overview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information SystemOverview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information SystemHealth Informatics New Zealand
 
Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...Health Informatics New Zealand
 
Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...Health Informatics New Zealand
 
"Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of..."Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of...Health Informatics New Zealand
 
The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?Health Informatics New Zealand
 

More from Health Informatics New Zealand (20)

The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...The Austin Health Diabetes Discovery Initiative: Using technology to support ...
The Austin Health Diabetes Discovery Initiative: Using technology to support ...
 
Shaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voiceShaping Informatics for Allied Health - Refining our voice
Shaping Informatics for Allied Health - Refining our voice
 
Surveillance of social media: Big data analytics
Surveillance of social media: Big data analyticsSurveillance of social media: Big data analytics
Surveillance of social media: Big data analytics
 
The Power of Surface Modelling
The Power of Surface ModellingThe Power of Surface Modelling
The Power of Surface Modelling
 
Laptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health serviceLaptop computers enhancing clinical care in community allied health service
Laptop computers enhancing clinical care in community allied health service
 
Making surgical practice improvement easy
Making surgical practice improvement easyMaking surgical practice improvement easy
Making surgical practice improvement easy
 
Safe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thingSafe IT Practices: making it easy to do the right thing
Safe IT Practices: making it easy to do the right thing
 
Beyond EMR - so you've got an EMR - what next?
Beyond EMR - so you've got an EMR - what next?Beyond EMR - so you've got an EMR - what next?
Beyond EMR - so you've got an EMR - what next?
 
Empowered Health
Empowered HealthEmpowered Health
Empowered Health
 
Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...Reducing hospitalisations and arrests of mental health patients through the u...
Reducing hospitalisations and arrests of mental health patients through the u...
 
Using the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsisUsing the EMR in early recognition and management of sepsis
Using the EMR in early recognition and management of sepsis
 
Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?Allied Health and informatics: Identifying our voice - can you hear us?
Allied Health and informatics: Identifying our voice - can you hear us?
 
Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...Change in the data collection landscape: opportunity, possibilities and poten...
Change in the data collection landscape: opportunity, possibilities and poten...
 
Overview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information SystemOverview of the New Zealand Maternity Clinical Information System
Overview of the New Zealand Maternity Clinical Information System
 
Nhitb wednesday 9am plenary (sadhana first)
Nhitb wednesday 9am plenary (sadhana first)Nhitb wednesday 9am plenary (sadhana first)
Nhitb wednesday 9am plenary (sadhana first)
 
Oncology treatment patterns in the South Island
Oncology treatment patterns in the South IslandOncology treatment patterns in the South Island
Oncology treatment patterns in the South Island
 
Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...Electronic prescribing system medication errors: Identification, classificati...
Electronic prescribing system medication errors: Identification, classificati...
 
Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...Global trends in technology for retailers and how they are impacting the phar...
Global trends in technology for retailers and how they are impacting the phar...
 
"Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of..."Not flying under the radar": Developing an App for Patient-led Management of...
"Not flying under the radar": Developing an App for Patient-led Management of...
 
The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?The quantified self: Does personalised monitoring change everything?
The quantified self: Does personalised monitoring change everything?
 

Recently uploaded

Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatorenarwatsonia7
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...indiancallgirl4rent
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls ServiceCall Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Servicenarwatsonia7
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls ServiceMiss joya
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls ServiceMiss joya
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...Miss joya
 

Recently uploaded (20)

Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls ServiceCall Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
 

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. 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.
  • 5. Source: OECD (2011), Health at a Glance 2011 – OECD Indicators, OECD Publishing, Paris (Schoen et al., 2010).
  • 7. • OECD does not address how data is collected • Options for Collection • Administrative vs. Clinical • Quality depends on Means of Collection Means of Data Collection
  • 8. • Central East LHIN (DHB equivalent) Toronto • • • • Population 1.4M 7 Hospitals, 11 Sites 400 Surgeons Ontario Provincial Wait Time Registry (WTIS) Case Study
  • 9. • Data • Allocation and Accountability • Cant Manage what you Cant Measure • Require Common Tool to Measure. LHIN (DHB) Pain Points J
  • 10. • Wait Times Reporting and Management • Resource Allocation and Management • Booking Process • Patient Preparation Hospital Pain Points
  • 11. • Wait Times Reporting • No Wait List Management System • Booking Process Doctor Office Pain Points
  • 12. • Wait List Management • Automated Wait Times Reporting • Electronic Scheduling • Business Intelligence Capabilities LHIN Identified 8 Core Solution Requirements
  • 13. • Standardized Pre-Op Preparation • System Integration • Scalable to LHIN and Beyond • Proven & off the shelf (COTS) LHIN Identified 8 Core Solution Requirements
  • 14. J
  • 15. 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
  • 16. • NSA Splash Screen Here
  • 17. R
  • 18.
  • 19. R
  • 20. R
  • 21. 126,000 Annual cases through system • ~23,000 Active wait list cases at any time • ~155,000 Secure electronic messages between users • ~ Achievements
  • 22. • OR utilization • OR Cancellations • Wait time data improved • Wait Times lead the province. • Reduced Staffing Achievements
  • 23. It matters how you collect data Conclusion
  • 24. • • • • • • • 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
  • 25. John Sinclair jsinclair@novarihealth.com John Marshall jmarshall@novarihealth.com Questions?