Presentation on theme: "Sooner, Safer, Smarter: Transforming Surgical Care in Saskatchewan CEO Forum Montreal February 6, 2013."— Presentation transcript:
Sooner, Safer, Smarter: Transforming Surgical Care in Saskatchewan CEO Forum Montreal February 6, 2013
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
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
Patient ownership vs. patient choice Pooled referrals Offering patients a different surgeon Changing rural referral patterns Specialist directory Clinical pathways Shared decision making
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
Where efficiency meets patient first Lean Appropriateness Preventing surgery Surgical safety – checklist, infections, med rec
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