Presented by John Sinclair and John Marshall Novari Health

1. The Implementation of a Waiting List Management and
eScheduling System to Improve the Process of Care and
Provide Valid and Reliable Wait Time Data
Karol Eskedjian, John Marshall MB, ChB, FRCS(C) &
John Sinclair CPHIMS-CA

2. • The Health Care System is not Sustainable
An Excuse?
• The Health Care System Must Be Sustained
A Challenge!

3. • All Resources are used on the Front Line
On What?

5. Source: OECD (2011), Health at a Glance 2011 – OECD Indicators, OECD Publishing, Paris (Schoen et al., 2010).

6. OECD: What Works

7. • OECD does not address how data is
collected
• Options for Collection
• Administrative vs. Clinical
• Quality depends on Means of
Collection
Means of Data Collection

8. • Central East LHIN (DHB equivalent) Toronto
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Population 1.4M
7 Hospitals, 11 Sites
400 Surgeons
Ontario Provincial Wait Time Registry
(WTIS)
Case Study

9. • Data
• Allocation and Accountability
• Cant Manage what you Cant Measure
• Require Common Tool to Measure.
LHIN (DHB) Pain Points
J

10. • Wait Times Reporting and
Management
• Resource Allocation and
Management
• Booking Process
• Patient Preparation
Hospital Pain Points

11. • Wait Times Reporting
• No Wait List Management System
• Booking Process
Doctor Office Pain Points

12. • Wait List Management
• Automated Wait Times Reporting
• Electronic Scheduling
• Business Intelligence Capabilities
LHIN Identified 8 Core Solution Requirements

13. • Standardized Pre-Op Preparation
• System Integration
• Scalable to LHIN and Beyond
• Proven & off the shelf (COTS)
LHIN Identified 8 Core Solution Requirements

14. J

15. OR / Hospital Scheduling Systems
Pre-Operative Clinics
EMPI / ADT Central Registration
EMR
NO EMR
National Joint Replacement Registries
Wait Time Registries
Health Information Exchanges
Integration powered by Orion Health Rhapsody Integration Engine

16. • NSA Splash Screen Here

17. R

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21. 126,000 Annual cases through
system
• ~23,000 Active wait list cases at
any time
• ~155,000 Secure electronic
messages between users
• ~
Achievements

22. • OR utilization
• OR Cancellations
• Wait time data improved
• Wait Times lead the province.
• Reduced Staffing
Achievements

23. It matters how you collect data
Conclusion

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Browsers: IE 7-9, Firefox, Safari
Secure Access: VPN, SSL, Citrix, etc.
Database: MS SQL Server
Server Platform: Windows 2008-R2
Virtualization Supported: Yes
Software as a Service (SaaS): Yes
Integration Engine: Orion Rhapsody
Technical Specs

25. John Sinclair jsinclair@novarihealth.com
John Marshall jmarshall@novarihealth.com
Questions?