Is achieving Ontario’s Emergency Department length of stay performance targets associated with improved patient outcomes following discharge? – February 2012

Posted on June 12, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Emergency Medicine | Tags: |

Is achieving Ontario’s Emergency Department length of stay performance targets associated with improved patient outcomes following discharge? – February 2012

Michael Schull, Astrid Guttmann, Marian Vermeulan, Therese Stukel, & Dorina Simeonov. (2012).  Institute for Clinical Evaluative Sciences.

Extract:

“Background:
Wait time targets are controversial since some claim that the push for improved efficiency could compromise patient safety. On the other hand, spending long hours waiting for care in an ED has itself been shown to have safety risks. We tested the question of whether ED patients, who arrived during a shift when a greater percentage of all ED patients seen on that shift met their respective MOHLTC ED LOS targets, had a lower risk of mortality or hospital admission in the 7 days following ED discharge. We looked only at outcomes among patients discharged from the ED, since subsequent outcomes among admitted patients could be due to in-patient, as opposed to ED, care.  …

Policy recommendations:
Achieving MOHLTC ED wait time targets was associated with a reduced risk of death or hospitalization after ED discharge among both high and low acuity patients. This study provides empirical support for ED LOS targets as a means to improve patient outcomes. ED wait times performance should continue to be monitored. Consideration should be given to providing incentives for EDs to achieve 95% compliance with ED wait time targets, since this was generally associated with the best outcomes.”

Advertisements
Read Full Post | Make a Comment ( Comments Off on Is achieving Ontario’s Emergency Department length of stay performance targets associated with improved patient outcomes following discharge? – February 2012 )

Comparison of Primary Care Models in Ontario by Demographics, Case Mix and Emergency Department Use, 2008/09 to 2009/10 – Institute for Clinical Evaluative Sciences – March 2012

Posted on April 4, 2012. Filed under: Emergency Medicine, Primary Hlth Care | Tags: |

Comparison of Primary Care Models in Ontario by Demographics, Case Mix and Emergency Department Use, 2008/09 to 2009/10 – Institute for Clinical Evaluative Sciences – March 2012

Glazier, R.H., Zagorski, B.M., & Rayner, J.

“ISSUE
Are there differences between Ontario’s primary care models in who they serve and how often their patients/clients go to the emergency department (ED)?
STUDY
This study examined patients/clients enrolled in: Community Health Centres (CHCs, a salaried model), Family Health Groups (FHGs, a blended fee-for-service model), Family Health Networks (FHNs, a blended capitation model), Family Health Organizations (FHOs, a blended capitation model), Family Health Teams (FHTs, an interprofessional team model composed of FHNs and FHOs), ‘Other’ smaller models combined, as well as those who did not belong to a model. Electronic record encounter data (for CHCs) and routinely collected health care administrative data were used to examine sociodemographic composition, patterns of morbidity and comorbidity (case mix) and ED use. ED visits rates were adjusted to account for differences in location and patient/client characteristics.”

Read Full Post | Make a Comment ( Comments Off on Comparison of Primary Care Models in Ontario by Demographics, Case Mix and Emergency Department Use, 2008/09 to 2009/10 – Institute for Clinical Evaluative Sciences – March 2012 )

Development of a Consensus on Evidence-Based Quality of Care Indicators for Canadian Emergency Departments – Institute for Clinical Evaluative Sciences – March 2010

Posted on March 30, 2010. Filed under: Clin Governance / Risk Mgmt / Quality, Emergency Medicine | Tags: , |

Schull MJ, Hatcher CM, Guttmann A, Leaver CA, Vermeulen M, Rowe BH, Anderson GM, Zwarenstein M.
Development of a Consensus on Evidence-Based Quality of Care Indicators for Canadian Emergency Departments.
ICES Investigative Report. Toronto: Institute for Clinical Evaluative Sciences; 2010.
ISBN: 978-0-9738553-8-8

“Executive Summary
Background
There is good evidence to support quality of care monitoring and reporting as a means of improving accountability and quality in health care delivery. The evaluation of emergency department (ED) care in Canada, however, is hampered by the absence of a common agreement on what constitutes appropriate measures of quality of ED care.
Study
We present the results of a national process to establish a parsimonious set of evidence-based indicators of quality of care in Canadian EDs. A comprehensive review of the scientific literature was first conducted to identify candidate indicators. A nationally representative steering committee (n=24) consisting of experts from hospital administration, emergency medicine, health information, government and provincial quality councils led the process. A panel of nationally representative clinical and administrative experts (n=21) from emergency medicine and health administration was established to systematically review candidate indicators and related evidence in a modified Delphi panel process.”

…continues

Read Full Post | Make a Comment ( None so far )

What does it take to make a healthy province? A benchmark study – November 2009

Posted on November 17, 2009. Filed under: Public Hlth & Hlth Promotion | Tags: |

Manuel DG, Creatore MI, Rosella LC, Henry DA. What does it take to make a healthy province? A benchmark study
of jurisdictions in Canada and around the world with the highest levels of health and the best health behaviours.
ICES Investigative Report. Toronto: Institute for Clinical Evaluative Sciences; 2009.

Read Full Post | Make a Comment ( None so far )

Liked it here?
Why not try sites on the blogroll...