The Road to Improving Access to Surgical Specialist Consultations: Ontario's Experience with Wait 1 Wait Time Data.

Healthc Q

Was born and educated in Alberta but moved to Ontario for his postgraduate training in orthopedic surgery at the University of Toronto. He has occupied a number of positions at St. Michael's Hospital, including surgeon-in-chief and medical director of the Trauma Program, and completed 10 years as professor and chairman, Division of Orthopaedic Surgery at University of Toronto. In 2006, Dr. Waddell became the provincial lead for orthopaedic surgery for Access to Care and is responsible for the Orthopaedic Surgery Wait Times portfolio.

Published: October 2018

In 2009, the Ontario Ministry of Health and Long-Term Care engaged Cancer Care Ontario to expand the Wait Time Information System to capture surgical consultation data (Wait 1). Over the years, an increasing number of patient and provider reports have shown that Wait 1 wait times account for a significant portion of the total wait time for surgery. With data published online by the ministry in late summer 2017, patients were given access to consultation wait time information for over 200 types of procedures at 92 surgical facilities in Ontario. This article explains how a highly focused data strategy, strong stakeholder and clinical expert support and a comprehensive communications strategy were critical to driving change for a large-scale provincial initiative, which is helping to drive better access for patients and improve transparency and accountability.

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http://dx.doi.org/10.12927/hcq.2018.25701DOI Listing

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