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Sooner, Safer, Smarter: Transforming Surgical Care in Saskatchewan CEO Forum Montreal February 6, 2013.

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Presentation on theme: "Sooner, Safer, Smarter: Transforming Surgical Care in Saskatchewan CEO Forum Montreal February 6, 2013."— Presentation transcript:

1 Sooner, Safer, Smarter: Transforming Surgical Care in Saskatchewan CEO Forum Montreal February 6, 2013

2 About the Saskatchewan Surgical Initiative Four-year timeframe: April 1, 2010 to March 31, 2014 Prompted by recommendations in 2009 Patient First Review Slow progress in reducing surgical waits 3-month surgery target modelled after NHS’ 18- week promise Recognition that simply adding more hasn’t worked Focus on quality and safety inside and outside hospital

3 Wait time reduction strategy: Brawn + brains More surgeries needed to eliminate backlog, meet population growth and aging, and meet targets. Third-party surgical clinics introduced in SK Simply doing more wasn’t the answer: Patients aren’t lined up where we want them:  Two-thirds of patients waiting over 12-mo on the lists of 10 surgeons; 25% on the list of one surgeon  Few long waiting patients outside Regina, Saskatoon, PA – yet rural patients bypass local hospital for routine procedures.  Allocating OR time to long-waiting patients creates “feast or famine” for surgeons

4 Patient ownership vs. patient choice Pooled referrals Offering patients a different surgeon Changing rural referral patterns Specialist directory Clinical pathways Shared decision making

5 Patient ownership vs. patient choice Pooled referrals  15 specialty groups now pooling referrals, 6 more in progress  In 4 months, Regina Ob-gyns reduced consult wait times by half

6 Where efficiency meets patient first Lean Appropriateness Preventing surgery Surgical safety – checklist, infections, med rec

7 -26% -49% -59% -82% -92% April 2010 April 2010

8 For further information…. initiative Mark Wyatt, Executive Director Saskatchewan Surgical Initiative Branch (306)


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