Queue

Question 1

What can the framing be with this issue

Answer 1

You could send patients to other centers where demand is not so great but ethical issues with this

Question 2

What are HRR issues

Answer 2

adress shortages
improve pay
extend length of time imaging machines were running

Question 3

What are key ideas in queue theory

Answer 3

Customers
Input source
Queue discipline (different types of queus)
Service mechanism
Ethics

Question 4

How do we look a policy theory for this issue

Answer 4

Usually look at line from a nuts and bolts perspective not usually a crical lense
Very utilitarian

Question 5

What are the three components of queu theory

Answer 5

Rate at which patients arrive
The number of health care professionals in the systme
Rate at which patients are treated

Question 6

When are rates lower

Answer 6

During the summer less people are sick

Question 7

What is the value of p

Answer 7

P must be less than one as p approaches 1 the entrance rate = the exit rate

Question 8

What is OCEAN

Answer 8

A self-referral online system if you needed a new knee or hip you had to havea physician put you into a system

Question 9

What are the 5 mechansims to reduce wait list

Answer 9

1. Decrease patient arrival rate
2. Increase the treatment rate
3. Increase the number of health care providers in the system
4. Limit the number of patients in the queue
5. Modify the queue discipline

Question 10

What is under the ECFAA

Answer 10

Policy regulation is under the provincial level it is the excellent care for all act and applies to any hospital in ontarial

Question 11

What must hospitals due under the ECFAA

Answer 11

Establish quality committees
Put annual quality imrpovement plans in place and make these available to the public
Link executive compensation to the achievement of targets set out in the quality improvement plan
Put patient/ care provider satisfaction surveys in place
conduct staff surveys
develop a declaration of values following public consultation if such a document is not currently in place
establish a patient relations process to adress and improve the patient experience

Question 12

How do we manage the queue discipine

Answer 12

Priority

Question 13

What is wait 2

Answer 13

When someone says yes to your surgey and then to the day of your surgery it is easier to measure

Question 14

What is alternative level

Answer 14

They cant make you any better why are they sitting in a patient bed with a new knee but not moving them out because there is not enough space to put these people

Question 15

What is ALC

Answer 15

measure the number of days they are sitting in the bed that they do not need

Question 16

What is ECTAS

Answer 16

you are scored on this when you go in 1 if you are deathly ill

Question 17

Why is understanding of wait times in important for consumers

Answer 17

Control - estimating when the service you need will happen means you don’t have to put your life on hold
Awareness - seeing how the wait time at your hospital compares to other
Peace of mind understanding why you may need to wait can help put you at ease because your wait time will be apporporiate for your condition

Question 18

What is wait time

Answer 18

Wait time is the amount of time you have to wait for surgery/exam
Wait is measured from the time your surgery/ exam is booked until the time it is received
If several surgeries or exams are required each one may have its own time

Question 19

What are the goals and strategic objectives

Answer 19

Person centred
Safe
Equitable
efficient
Effective
Timely

Question 20

What is Wait 1

Answer 20

Data referral for new consultation is received to the date the patient had their first surgical consulatiaon minus any DARCS
Harder to measure not as relialble

Question 21

What are DARCS

Answer 21

Dates affecting readiness to consult patient related delay reasons not heart attack weight you forgot to show up collected retrsopectively so harder to measure

Question 22

What is wait 2

Answer 22

Number of days from decision to treat to OR Date minus and DARTS

Question 23

What are DARTS

Answer 23

Adds surgery sometimes you need to have a tumor removed before you can have a surgery things like that

Question 24

What are the prorties

Answer 24

4 you wait the longest

Question 25

What are the required date entries for wait 1 and 2

Answer 25

Referral date
Consult date
decesion to treat date
surgery date

Question 26

What are some examples of DART

Answer 26

Developmentally Appropriate Wait
Inabillity to Contact the Patient
Change in Medical status
Missed surgery
Patient choose to defer
Other surgical procedue

Question 27

How should Wait 1 priority level be assigned

Answer 27

Priority levels description and priortization guidance were created by an expert panel of clinicians to help guide the professional decision making of clinicians in ontario clinicans exercise their own judgment

Question 28

What metrics do we use

Answer 28

We look at the 90th percentile what the 9th patient would wait gives a more accurate representation

Question 29

What is throughput

Answer 29

Ratio fo closed cases to new cases added the waitlists
Priority 1 is excluded
If people are leaving faster than they are adding it will be shorter
Opposite of qeue theory

Question 30

What does 1 mean in throughput

Answer 30

More cases were removed from the wait list than were added during that period

Question 31

What is ratio less than one

Answer 31

Indicated that the waitlist grew during the periods