module 9 Flashcards
is waiting always a problem
no,
as long as
- patients are appropriately triaged
- patients are seen within time periods specified by clinical care guidelines
- meet public’s expectations
When can waiting be a problem
- excessively long waits cause harm for patients
- can also harm healthcare systems
variability in measuring waits
can be measured from what point?
are waiting lists inCanada centralized
no
data sources about wait times
- admin data
- patient surveys
- physician surveys
issues with the Fraser Institute survey
- small response rate
- representativenss
- weighted toward elective surgeries
- corporate funded, libertarian think tank that pushes for privatization
are long waits a result of inadequate resources
- sometimes, but not always
- supply, demand and waitlists over time
- creating backlogs
would a parallel private system reduce wait times
- would increase wait times in public system
- reallocates according to ability to pay
would user fees reduce wait times
no
- inequities
- inefficiencies
7 common problems that underlie long wait lists
- complexity in booking lack of looping or centralizing wait lists
- inefficient scheduling
- excess steps
- inefficient deployment of human resources
- doing the right thing at the wrong place
- traffic jams
- people who should not be on the wait list
fix complexity in booking processes
- pooling of waiting lists among physciisna doing the same proceudes
- keep prioritization of patients simple
improve scheduling efficiency through
- advanced access scheduling
- partial booking
remove excess steps by
- clustering needed services in individual appointments
improve deployment of Human Resources by
ensuring all professionals are working to the top of their scope
do things in the right place by
- move care into community settings and homes
remove traffic jams by
- smoothing out process bottlenecks, ensure high demand equipment isn’t idle
ensure that only right people are on the waiting list
- list audits to address errors
- segmentation
