Wait Time Strategy Expands



    
    McGuinty Government Sets Most Aggressive General Surgery Targets In
    Canada
    

    TORONTO, Oct. 17 /CNW/ -

    NEWS

    Ontario is setting the most aggressive wait time targets for general
surgeries in Canada as part of an expansion of its successful Wait Time
Strategy.
    General surgery targets are being set for procedures such as gall bladder
removal, hernia repairs, anorectal and some intestinal surgeries. Targets are
also being set for orthopaedic and ophthalmic surgeries.
    Targets for each surgery are set in four categories, ranging from urgent
to elective surgery. Where urgent surgery is required, targets are less than
24 hours for general and ophthalmic surgeries and one week for orthopaedic
surgery. For all three surgery groups, cases of mild or occasional symptoms
and elective surgeries, targets range from 12 to 26 weeks.
    Current wait times are below the provincial target in all three areas.
Ontario is also investing $11.64 million in funding for 8,240 additional
general surgery procedures to help ensure that these times remain on target.
    Wait times are available by hospital at www.ontariowaittimes.com.

    QUOTES

    "Our Wait Time Strategy is working - more Ontarians are getting the care
they need sooner," said David Caplan, Minister of Health and Long-Term Care.
"That's why we're expanding our strategy so that wait times continue to
decline."
    "Ontario's health care providers have risen to the wait time challenge
over the past three years and I am confident we will see the same good results
with general surgery," said Dr. Alan Hudson, Provincial Lead - Wait Time
Strategy.

    QUICK FACTS

    
    -   Wait time is defined as the time between when the surgery is ordered
        and when it is performed.
    -   Ontario's Wait Time Strategy has invested $1.1B to deliver 1.69M
        procedures since 2005.
    -   As per September 2008 data, wait times in the five key areas have
        been reduced:
        -  Cataract surgery by 62.1 per cent,
        -  Hip and Knee replacements by 48.7 per cent and 53.4 per cent
           respectively,
        -  Cancer surgery by 9.9 per cent
        -  Angiography by 53.6 per cent,
        -  Angioplasty by 50 per cent,
        -  MRI and CT scans by 16.7 and 49.4 per cent respectively.

    LEARN MORE

    Find out more about wait times in your area
(http://www.health.gov.on.ca/transformation/wait_times/wait_mn.html) and
developments in the Wait Time Strategy
(http://www.health.gov.on.ca/transformation/wait_times/providers/wt_news.html)
.
    For public inquiries call ServiceOntario, INFOline at 1-866-532-3161
    (Toll-free in Ontario only)

    -------------------------------------------------------------------------
                                                      ontario.ca/health-news
                                                      Disponible en français


    BACKGROUNDER
    -------------------------------------------------------------------------

                       GENERAL SURGERY WAIT TIME DATA
    

    Ontario has expanded its Wait Time Strategy to include reporting of
general surgery wait time information. Surgical wait times track the time
between when the surgeon and patient agree to proceed with surgery and when it
is performed. Wait times depend on the type of procedure and the patient's
situation. Ontario has developed wait times targets to give an idea of how
long one might have to wait for a procedure.
    The most currently available information is available at
www.ontariowaittimes.com.

    
    -------------------------------------------------------------------------
                          Procedure Group                            90th
                                                                  Percentile
                                                                    (days)
    -------------------------------------------------------------------------
    General Surgery       Anorectal Surgeries                         130
                         ----------------------------------------------------
                          Digestive System - Colorectal               132
                         ----------------------------------------------------
                          Digestive System - Gallbladder
                           (Cholecystectomy)                          105
                         ----------------------------------------------------
                          Digestive System - Small Intestines
                           (Intestinal Surgeries)                     128
                         ----------------------------------------------------
                          Hernia - Abdominal Wall                     128
                         ----------------------------------------------------
                          Hernia - Groin                              127
    -------------------------------------------------------------------------

    -------------------------------------------------------------------------
    General Surgery (All Procedures)                                  127
    -------------------------------------------------------------------------

    For public inquiries call ServiceOntario, INFOline at 1-866-532-3161
    (Toll-free in Ontario only)
    -------------------------------------------------------------------------
                                                      ontario.ca/health-news
                                                      Disponible en français


    BACKGROUNDER
    -------------------------------------------------------------------------

                   GENERAL SURGERY WAIT TIMES ALLOCATIONS

    Through the province's Local Health Integration Networks (LHINs), Ontario
is investing $11.64 million this year for an additional 8,240 general surgery
procedures such as gallbladder removal, hernia repairs and intestinal
surgeries.

    -------------------------------------------------------------------------
              LHIN                          NUMBER OF
                                            SURGERIES        2008/09 FUNDING
    -------------------------------------------------------------------------
    Erie St. Clair                             732                  $923,100
    -------------------------------------------------------------------------
    South West                                 429                  $529,800
    -------------------------------------------------------------------------
    Waterloo Wellington                        794                  $956,400
    -------------------------------------------------------------------------
    Hamilton Niagara Haldimand Brant           435                  $720,400
    -------------------------------------------------------------------------
    Central West                               262                  $360,500
    -------------------------------------------------------------------------
    Mississauga Halton                         586                  $724,400
    -------------------------------------------------------------------------
    Toronto Central                            330                  $913,200
    -------------------------------------------------------------------------
    Central                                  1,102                $1,448,700
    -------------------------------------------------------------------------
    Central East                             1,213                $1,549,300
    -------------------------------------------------------------------------
    South East                                 294                  $776,100
    -------------------------------------------------------------------------
    Champlain                                1,477                $1,823,600
    -------------------------------------------------------------------------
    North Simcoe Muskoka                       151                  $234,400
    -------------------------------------------------------------------------
    North-East                                 163                  $345,700
    -------------------------------------------------------------------------
    North-West                                 272                  $330,600
    -------------------------------------------------------------------------
    TOTAL                                    8,240               $11,636,200
    -------------------------------------------------------------------------

    For public inquiries call ServiceOntario, INFOline at 1-866-532-3161
    (Toll-free in Ontario only)
    -------------------------------------------------------------------------
                                                      ontario.ca/health-news
                                                      Disponible en français


    BACKGROUNDER
    -------------------------------------------------------------------------

                              WAIT TIME TARGETS
    

    Ontario is establishing the most aggressive wait time access targets for
general, orthopaedic and ophthalmic surgeries in the country.
    Wait time access targets are the optimal length of time within which a
patient should receive treatment. The targets are based on an assessment of
the patient's condition and urgency for care. These wait time targets were
developed with the help of clinical experts. The Wait Time Information System
incorporates these targets and priority classifications.

    GENERAL SURGERY TARGETS

    General surgery is described as surgical procedures performed to treat
benign conditions of the digestive, endocrine and lymphatic system. These also
include benign breast surgery and the removal of lumps, bumps and cysts.

    
    -------------------------------------------------------------------------
    Priority   General Surgery Priority Descriptions           Access Target
      Level
    -------------------------------------------------------------------------
        1      - Immediate - emergency surgery required      Within 24 hours
    -------------------------------------------------------------------------
               - Constant, frequent or severe pain/symptoms
                 (biological, psychological);
               - Significantly impacts ability to perform
                 usual activities;
        2      - High probability of disease progression      Within 4 weeks
                 with morbidity that might affect function
                 or life expectancy;
               - Recurring unscheduled visits i.e. ED/primary
                 care physician/surgeon
    -------------------------------------------------------------------------
               - Mild or occasional pain/symptoms (biological,
                 psychological);
               - Minimally or moderately impacts ability to
                 perform usual activities;
        3      - Low probability of disease progression with  Within 12 weeks
                 morbidity that might affect function or
                 life expectancy;
               - Minimal unscheduled visits i.e. ED/primary
                 care physician/surgeon
    -------------------------------------------------------------------------
               - Elective indication for surgery;
        4      - Minimal risk of morbidity incurred by       Within 26 weeks
                 waiting
    -------------------------------------------------------------------------

    ORTHOPAEDIC SURGERY TARGETS

    Orthopaedic surgery is a surgical procedure performed to treat benign
conditions of the musculoskeletal system, including bones, joints, muscles,
tendons and ligaments.

    -------------------------------------------------------------------------
    Priority   Orthopaedic Surgery Priority Descriptions       Access Target
      Level
    -------------------------------------------------------------------------
               - Surgery is urgently required i.e.
        1        fractures, tendon/ligament injury,            Within 1 Week
                 significant joint derangement
    -------------------------------------------------------------------------
               - Severe pain that actively affects role and
        2        independence;                                Within 6 Weeks
               - High probability of disease progression and
                 morbidity affecting function
    -------------------------------------------------------------------------
               - Moderate pain;
               - Disability is a threat to role and          Within 12 Weeks
        3        independence;
               - Disease progression is moderate
    -------------------------------------------------------------------------
               - Minimal pain; disability does not threaten
        4        role and independence;                      Within 26 Weeks
               - Disease progression is minimal
    -------------------------------------------------------------------------

    OPHTHALMIC SURGERY TARGETS

    Ophthalmic surgery includes surgical procedure performed to treat benign
conditions of the eye and surrounding bones and soft tissue. Specific access
targets were created for cataract, corneal transplant, glaucoma and vitrectomy
surgeries. All other ophthalmic surgeries use the below general ophthalmic
surgery access targets.

    -------------------------------------------------------------------------
    Priority   General Ophthalmic Surgery                      Access Target
      Level    Priority Descriptions
    -------------------------------------------------------------------------
        1      - Immediate surgery required to preserve sight
                 or prevent secondary damage                 Within 24 hours
    -------------------------------------------------------------------------
               - Significantly impacts ability to perform
                 usual activities;
               - High probability of disease progression that
        2        might affect ocular function or result in    Within 6 Weeks
                 compromised surgical outcome;
               - Constant, frequent or severe pain/symptoms
                 (biological, psychological)
    -------------------------------------------------------------------------
               - Moderately impacts ability to perform usual
                 activities;
               - Moderate probability of disease progression
        3        that might affect ocular function or result
                 in compromised surgical outcome;            Within 12 Weeks
               - Moderate or occasional pain/symptoms
                 (biological, psychological)
    -------------------------------------------------------------------------
               - Elective indication for surgery;
               - Minimally impacts ability to perform
        4        usual activities;                           Within 26 Weeks
               - Minimal risk of morbidity incurred by
                 waiting
    -------------------------------------------------------------------------

    OTHER OPHTHALMIC SURGERY TARGETS

    -------------------------------------------------------------------------
    Priority    Cataract    Corneal Transplant   Glaucoma       Vitrectomy
     Level
    -------------------------------------------------------------------------
     1     Within 24 hours  Within 24 hours  Within 24 hours  Within 24 hours
    -------------------------------------------------------------------------
     2     Within 6 weeks   Within 4 weeks   Within 2 weeks   Within 1 week
    -------------------------------------------------------------------------
     3     Within 12 weeks  Within 12 weeks  Within 6 weeks   Within 6 weeks
    -------------------------------------------------------------------------
     4     Within 26 weeks  Within 26 weeks  Within 16 weeks  Within 12 weeks
    -------------------------------------------------------------------------

    For public inquiries call ServiceOntario, INFOline at 1-866-532-3161
    (Toll-free in Ontario only)
    -------------------------------------------------------------------------
                                                      ontario.ca/health-news
                                                      Disponible en français
    




For further information:

For further information: Media Contacts: Steve Erwin, Minister's Office,
(416) 326-3986; Andrew Morrison, Ministry of Health and Long-Term Care, (416)
314-6197

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