Table 2 Case profiles
Case 1 Atlantic Canada | Case 2 Central Canada | Case 3 Western Canada | Case 4 Central Canada | Case 5 Central Canada | |
|---|---|---|---|---|---|
Status | Non-sustainable | Moderate | Moderate | Sustainable | Sustainable |
Location | Atlantic Canada | Central Canada | Western Canada | Central Canada | Central Canada |
Type of HCO | Tertiary-care teaching hospital Acute medical and surgical care | Community teaching hospital Acute medical and surgical care | Secondary-care hospital Acute medical and surgical care | Tertiary-care teaching hospital Focuses on TJR | Community teaching hospital Acute medical and surgical care and long term care |
Implementation date | 2008 | 2007 | 2009 | 2007 | 2007 |
Types of WTMS | Contract with the authority and the HCO to do 500 additional orthopedic surgeries Provincial database patient access registry Central referral office (provincial Orthopedic Assessment Clinic) Pathways Healthcare Scheduling (PHS) system First available surgeon | Pathway Regional Joint Assessment Center Advanced practice physiotherapist Triage in three categories First available surgeon | Regional Central Intake (based on Patient Access Registry Tool (PART) Pre-surgical clinic and team Triage in three groups | Regional Steering Committee implementing a comprehensive hip and knee replacement program (HKRP) Patient pathway (pre-op to rehabilitation) Intake and Assessment Centre model consisting on a Central Intake Advanced practice physiotherapist | Central Intake Patient pathway (pre-op to rehabilitation) Clustering of pre-operation examinations Physical rehabilitation technicians |