Alberta Innovates- Health Solutions- KT Webinar

OA Team Grant: Project 1WCWL Investigators

Dr Tom NoseworthyMarch 9, 2011

KT in Project 1: Outline

• WCWL Investigators background• AI-HS/CIHR Team Grant Research • What are the Project 1 deliverables?• What value is anticipated ?• Who is the audience ?• How are they/will they be involved?

WCWL InvestigatorsTeam for Project 1

On Behalf Of:

Claudia Sanmartin; Barb Spady; Cy Frank; Michael Carter; Gillian Hawker; Deborah Marshall; Carolyn De Coster; Eric Bohm; Mike Dunbar; Sherry Weaver; Diane Lorenzetti; Marie-Pascale Pomey; Peter Faris; Tom Noseworthy

WCWL Mission

…improve the fairness of the system such

that access to appropriate and effective

health care is timely and prioritized on the

basis of need and potential to benefit.

Managing Waiting Times for Scheduled Services

Question addressed

• Should this patient be placed in the queue?

• What is the correct order for the queue?

• How long should this patient wait?

• Can we offer a certain waiting time?

• What can make the waiting time experience better?

WCWL research program* (Funded by AI-HS & CIHR)

• Appropriateness*

• Priority-setting

• Maximum acceptable waiting times

• Operations research and scheduling*

• Patient expectations*

Current Work of WCWL Investigators-focused on hip& knee replacement-

(AI-HS & CIHR Team Grants)

• Appropriateness (Sub-project 1: Sanmartin)• Patient expectations (Sub-project 2: Spady)• Operations research & scheduling (Sub-project 3:

Carter)• Successful & sustainable WTMS (Sub-project 4: Pomey)

Sub-project Deliverables for Project 1(AI-HS- & CIHR- funded)

• Appropriateness: .Multi-stakeholder shared decision aid for appropriateness of TJR

• Patient expectations: .Waiting time trade-offs for next available surgeon & SEM

.Improved management of the waiting time experience

• Ops & scheduling: .Scheduling system for WRHA

.OR tool kit for health authorities

.Systems dynamics model for OA • Successful & sustainable WTMS .Generalize success

.Tool for managers

Value Proposition of Deliverables

• Appropriateness: a decision aid of value to patients’ acceptability; surgeons managing expectations of outcomes; reducing variability; managing supply-induced demand

• Patient Expectations: better understand & manage the waiting time experience; improve satisfaction with surgical outcomes; inform deliberations around next available surgeon & single-entry models

Value proposition of Deliverables

• Operations Research & Scheduling: offer a definite date for surgery; forecast the future & better planning ; simulate impact of system changes & perturbations

• Waiting Time Management Strategies: generalize successful & sustainable innovations in access management

Sub-project 1: AppropriatenessAudience• Patients

• Orthopaedic Surgeons and MSK clinicians

• Bone & Joint ‘community’

• Policy-makers

Involvement• Focus groups in Halifax, Winnipeg &

Toronto• Key informants from Halifax, Winnipeg

& Alberta• Planned re-engagement during tool

formulation• AHS Clinical Network for MSK Health

• Taming of the Queue KT Workshop• ABJHI & Bone & Joint Canada• Canadian Arthritis Network• Taming of the Queue Workshop• AH&W presentation• HC pending

Sub-project 2: Patient Expectations

Audience• Patients

• Orthopaedic surgeons & MSK clinicians

Involvement• Focus groups in Halifax,

Winnipeg & Calgary• Pending patient survey• Pending conjoint analysis

• Key informant interviews on next available surgeon & single-entry models

• Participation in BJC• Through ABJHI, a collaborative

resource to AHS clinical network for MSK Health

Sub-project 3: Operations Research

Audience• Managers & planners

• Policy-makers

Involvement• Through ABJHI, AHS clinical

network for MSK health• Communications with WRHA

executive• Participation in & presentations

to Bone & Joint Canada• TQ KT Workshop• AHS Clinical Network MSK Health

• Presentations to HC & AHW

Sub-project 4: Success & Sustainability Waiting Time Management Strategies

Audience

• Managers & planners

• Policy-makers

Involvement• Case studies of s/s of

centres across Canada• Findings to participants• Participation in Models of

Care initiative• TQ KT Workshop• AHS Clinical Network for

MSK

• Health Canada & AHW• Provincial Health Ministries

Leveraged Grants Abstracts & Publications

• CIHR: Emerging Team Grant- Noseworthy (PI)• AI-HS: SD Model of OA in Alberta- Marshall (PI)• AI-HS: KT Grant for SD Model- Marshall (PI)………………………………………………………………………………………….• Abstracts presented* or accepted at ACR*, CRA*, COA

2010*, COA 2011, INFORMS, COMOC*, U of M*, MPA* (MB PT Assoc.), STTI Honor Society of Nursing*, CONA*

………………………………………………………………………………………….• Papers: Rheumatology PRS -Arthritis Care & Research-Feb 2011 Patient Choice Systems -Health Care Mgt Forum-

Accepted Feb 2011