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DOUG HEMPHILL MD, FRCP(C) BARRIE ENDOSCOPY THE ROYAL VICTORIA HOSPITAL, BARRIE, ON Ambulatory Endoscopy in Ontario- Current Practice Patterns.

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Presentation on theme: "DOUG HEMPHILL MD, FRCP(C) BARRIE ENDOSCOPY THE ROYAL VICTORIA HOSPITAL, BARRIE, ON Ambulatory Endoscopy in Ontario- Current Practice Patterns."— Presentation transcript:

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 dont have hospital privileges. Sources of information Industry Registration Word of mouth We dont have a complete list

4 Endoscopy Clinics in Ontario 1. Albany Clinic 2. Barrie Endoscopy 3. Bluewater Surgical Centre 4. Bray 5. Brunswick Clinic 6. Byrne 7. Digestive Health 8. Desai 9. Downsview Endoscopy 10. Durham Endoscopy Centre 11. Elkashab 12. Endoscopy Clinic of Greater Toronto 13. Farmed Endoscopy 14. Gastroenterology Group 15. GTA Endoscopy 16. Holly Street Endoscopy 17. Intestinal Health 18. Kensington Endoscopy 19. Maple Endoscopy 20. Missisauga Colonoscopy 21. North Scarborough Endoscopy 22. North Toronto GI Clinic 23. North York Endoscopy 24. Markham Endoscopy 25. Oakville Endoscopy Centre 26. Oshawa Clinic Endoscopy 27. Ottawa Endoscopy 28. Patel 29. Polyclinic 30. PES-Rudd Clinics 31. SCOPE Clinic 32. Surrey Clinic 33. Toronto Clinic 34. The Toronto GI Clinic 35. Upper Canada Lower Bowel 36. Vaughan Endoscopy 37. West GTA Endoscopy

5 Endoscopy Clinics in Ontario 1. Albany Clinic 2. Barrie Endoscopy 3. Bluewater Surgical Centre 4. Bray 5. Brunswick Clinic 6. Byrne 7. Digestive Health 8. Desai 9. Downsview Endoscopy 10. Durham Endoscopy Centre 11. Elkashab 12. Endoscopy Clinic of Greater Toronto 13. Farmed Endoscopy 14. Gastroenterology Group 15. GTA Endoscopy 16. Holly Street Endoscopy 17. Intestinal Health 18. Kensington Endoscopy 19. Maple Endoscopy 20. Missisauga Colonoscopy 21. North Scarborough Endoscopy 22. North Toronto GI Clinic 23. North York Endoscopy 24. Markham Endoscopy 25. Oakville Endoscopy Centre 26. Oshawa Clinic Endoscopy 27. Ottawa Endoscopy 28. Patel 29. Polyclinic 30. PES-Rudd Clinics 31. SCOPE Clinic 32. Surrey Clinic 33. Toronto Clinic 34. The Toronto GI Clinic 35. Upper Canada Lower Bowel 36. Vaughan Endoscopy 37. 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 Surgeons2.9/clinic58 Total Gastroenterologists3.43/clinic72 Total Other1 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 privileges10 clinics 0% hospital privileges6 clinics 20%-90% hospital privileges 6 clinics

9 4. How many procedures are done in your clinic per year? (21 clinics responded) TotalAverage/ Clinic RangeMedian/ Clinic Colonoscopies65,5283, , Gastroscopies13, , Sigmoidoscopies7, ,05050

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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