Strategic Indicators Report: Results - Ontario Hospital Association

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Indicator 3: Wait Times in Emergency RoomOverviewIndicator: 90th percentile time spent in ER for complex conditions – Admitted PatientsRationale: Due to the lack of available inpatient beds, patients are housed in the ER while waiting for a bed tobecome available. Significant progress on this issue is required to make significant improvement on overallER wait times and improved patient flow.Baseline: 31.4 hours as of March 20103-Year Target: 20.0 hours as of March 2013Indicator Definition and Calculation90th percentile time spent in ER for complex conditions requiring more time for diagnosis, treatment or hospitalbed admission – Admitted PatientsThe amount of time a patient spends in the Emergency Room is referred to as “Total Time Spent in the ER” andis measured from the time patients register or initially see a triage nurse, until the time they leave the ER.The time patients leave the ER may be when they are sent home after being treated or when they areadmitted to a hospital bed, if medically necessary.Time Spent in ER is measured by subtracting the triage time or registration time from "time patient left ER" andis the maximum amount of time in which 9 out of 10 patients have completed their ER visit. The data isbased on ER visits completed for the most current time period at the 126 hospital sites across Ontario, thatare submitting ER data to the National Ambulatory Care Reporting System (NACRS).OHA Calculation of Baseline and ResultsNone requiredData SourceMinistry of Health and Long-Term Care Website, Ontario Wait Times, Health Care Professionals, ProvincialSummary of Time Spent in ERData AvailabilityMonthlyStrategic Indicators: June 2011 -- Page 8 of 24
Baseline31.4 hours as of March 2010TargetsYear 1 (March 2011) – 27.6 hoursYear 2 (March 2012) – 23.8 hoursYear 3 (March 2013) – 20.0 hoursTargets based on decrease of 3.8 hours each year and one-third reduction by Year 3Supporting Strategies and ActivitiesCommittees• QUARTERLY: Member of the MOHLTC ER-ALC Expert Panel• CEO is a member of the MOHLTC Emergency Room Task ForceEducational EventsProjects• ONGOING: Educational Services support for MOHLTC ER Performance Improvement Programworkshops• AUG 12-10: Physician Time to Assessment & Improving Admit Flow - Webcast• OCT 13-10: Reducing ED Wait Times: Building on Momentum and Operationlizing Best Practices -Conference.• NOV 2010: ER-ALC Session at HealthAchieveCOMPLETED: Living Lab Survey – MOHLTC Inventory of Leading Practices/Readmissions• OHA explored the development of business case opportunities pertaining to the North York GeneralHospital Emergency Department Diversion Project• ONGOING: OHA staff participating in the MOHLTC’s Emergency Services Definition & StandardsWork GroupDevelopment of Evidence-Based Information• Monthly: OHA ALC/ER Survey and Results shared with stakeholders and LHINs• Monthly: CEO is a member of the Data Certification CouncilStrategic Indicators: June 2011 -- Page 9 of 24
Page 4 and 5: Data AvailabilityQuarterlyBaseline2
Page 6 and 7: Data SourceCIHI, Hospital Standard
Page 10 and 11: Status and Communications• Monthl
Page 12 and 13: Baseline4,689 patients as of March
Page 14 and 15: Indicator 5: Health Information Tec
Page 16 and 17: Work with Small, Rural and Northern
Page 18 and 19: Data SourceExpenditures DataMinistr
Page 20 and 21: Optimising Health Human ResourcesIn
Page 22 and 23: Leading Governance ExcellenceIndica
Page 24: ResultsResults also to be reported

Strategic Indicators Report: Results - Ontario Hospital Association

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