Environmental Scan - Government of Nova Scotia

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Physician Resource PlanningAn Environmental ScanContinued…Orthopaedic surgery is interesting because only four distinct DHAs provide the service and each has asignificant number of surgeons. In this specialty, productivity is reasonably comparable but the wait list trendsare not. DHA 9 and DHA 6 lists continue to grow while DHA 8 is stable and DHA 3 is declining significantly.Surgeon productivity and OR hours are important for PRP forecast modeling. The preceding figure records aconservatively 10% higher OR theatre minutes (min) per case in DHA 9 in all specialties based upon interviewfindings. This difference is not due to case complexity but rather to higher throughput efficiency of secondarylevel ORs in comparison to tertiary ORs. This interview finding is consistent with the Consultant findings insimilar projects within Canada.Figure 113 Wait Time – General Surgery (Source: PARNS, DAD)The following graphs look atthe median days waiting andnumber waiting for electivesurgery as at July 11, 2011 aswell as the annual totalsurgeries performed per FTE.120 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
Physician Resource PlanningAn Environmental ScanMedian wait for general surgical procedures is highest in DHAs 9 and 8 and lowest in DHAs 1 to 5 and 7. Casesper FTE are significantlyFigure 114 Wait Time – Orthopaedic surgery (Source: PARNS, DAD)lower in DHAs 9, 7, andIWK. The DHA 9 wait list at802 is high but the higheston a per population basis isDHA 8.3,752 is high but comparable to the other DHAs on a per population basis.Median wait fororthopaedic procedures ishighest in DHAs 9 and 8,and lowest in DHA 3 andIWK. Cases per FTE arelower in DHAs 9, 8, andIWK. The DHA 9 wait list atFigure 115 Wait Time – Obstetrical & Gynaecology (Source: PARNS, DAD)Median wait forobstetric/gynaecologicprocedures substantiallyhigher in DHA 8. Cases perFTE are lower in DHAs 1and 7.Figure 116 Wait Time – Urology (Source: PARNS, DAD)Median wait for urologyprocedures is highest inDHAs 8 and 9. Cases perFTE are comparable withthe exception of IWK.121 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
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Physician Resource PlanningAn Envir
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3 KEY OBSERVATIONS3.1 IntroductionP
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KEY OBSERVATIONSPhysician Resource
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7 CONCEPTUAL MODELS7.1 Methodologie
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7.4 BenchmarkingPhysician Resource
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Figure 23 Population per Physician
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8 NATIONAL ENVIRONMENT8.1 Quality o
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Residency ProgramsPhysician Resourc
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Environmental Scan - Government of Nova Scotia

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