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Sooner, Safer, Smarter: Transforming Surgical Care in Saskatchewan

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

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Sooner, Safer, Smarter: Transforming Surgical Care in Saskatchewan

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

  8. For further information…. www.health.gov.sk.ca/saskatchewan-surgical-initiative Mark Wyatt, Executive Director Saskatchewan Surgical Initiative Branch (306) 787-3153 mark.wyatt@gov.sk.ca

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