EP03.02 - Evaluation of the Provincial Referral Standards for Ontario
e-Health ePoster Library. Daya S. Jun 7, 2016; 131583; EP03.02
Shez Daya
Shez Daya
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Abstract
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Purpose/Objectives: To discuss the evaluation of the Provincial Referral Standards (PRS) within Ontario for 4 care pathways: Acute to CCAC; Acute to LTC and Acute to Rehabilitation/CCC. In addition, to demonstrate how the use of automation led to more successful outcomes. Methodology/Approach: A review of provincial initiative has been completed, highlighting the variability in implementation methods utilized across the LHINs. The evaluation helped identify the benefits seen through the implementation. Finding/Results: Findings/Results: Currently 78% implemented across all pathways, the province is at a heightened state of readiness for the automation of these referrals. Recent evaluation results have demonstrated benefits of the automation to include the following: • Referral process is more time efficient as information can be pulled from other systems (Many systems have developed the ability to pre-populate fields in the referrals. One LHIN found that through their RM&R system, referral completion time decreased by 6 days (from 17 to 11 days). • The status of the referral is always known (Avg 91% find seeing referral status changes is helpful, as it keeps them and patients/families informed, and helps ensure that patient flow is timely) • Mandatory fields decrease missing patient information (A common cause of dissatisfaction amongst users in a non-automated environment is receiving referrals incomplete. One LHIN found that Requests for Additional Information (RFIs) decreased by 8% with the PRS implementation, another found they decreased by 40%) • Multiple team members can contribute to the referral at once (Avg 88% find this helpful, as it reduces duplication, allows the entire team to contribute to the referral, and completion time is quicker) • All information is trackable for reporting purposes (Many report using this information for decision making and planning such as: staffing, discharge planning, patient care planning, assessing appropriateness of referrals, and planning resources) • Elimination of lost paper referrals (More than half of respondents reported lost referrals occur with paper causing delays in patient assessment and acceptance) • Quicker response times from receiver to sender (Automated data demonstrated quicker response times for organizations utilizing automated systems. One LHIN found that through their RM&R solution, despite increased referral volumes for the CCAC pathway, the time to send acceptance notification decreased by 64% (from 7 to 2.5 hours)) More importantly, satisfaction for the PRS increased from 69% to 80% for those utilizing an automated method. Conclusion/Implication/Recommendations: The development and subsequent implementation of the PRS has helped prepare the Local Health Integrated Network (LHINs) and Health Service Providers (HSPs) to automate these referral pathways. For those LHINs and HSPs who have implemented within an automated environment, they have increased satisfaction rates (from 60% to 80%). Automation has helped ensure that referrals are received complete, requiring receivers to make less requests for additional information. More importantly, the implementation of the PRS within an automated environment ensures the proper use and adoption of the standards, contributing to their sustainability. 140 Character Summary: Understanding how standard data sets for referrals was implemented in Ontario using various technologies and the associated benefits.
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