TECHNOLOGY IN MEDICINE
|
|
- Sharon Eaton
- 5 years ago
- Views:
Transcription
1 TECHNOLOGY IN MEDICINE The Development of a Replacement Pathology Service in a Community Hospital in Quebec Using Telepathology & Supportive Service Corridors ABSTRACT Santa Cabrini Hospital is composed of 369 acute care beds, with a separate pavilion providing services for 100 long term care patients. The hospital is situated in the northeastern part of Montreal, and provides services to an area that encompasses approximately 750,000 people. Santa Cabrini Hospital is also a trauma centre and a primary (local) cancer centre. The hospital has functioned with two pathologists. The two pathologists resigned abruptly for personal reasons leaving no one to replace them. The manner, in which they were replaced, reflects on both the organisation of the Quebec health and social services system and the collaborative effect of the many players, and resources in the network. It involved close administrative collaboration of all partners in the health sector, in laboratory and pathologic medicine under the direction of the Agency involved, and manpower and resource allocation, to meet all the demands. It also required participation of multiple hospital centres. Telepathology was incorporated into the replacement model, again supported by the pertinent partners in the process. The exercise led to short and intermediate term solutions and allowed the hospital to rebuild its pathology department, again through collaborative recruitment. KEYWORDS: pathology service, community hospital, telepathology, Quebec ABOUT THE AUTHORS I.W. Kuzmarov MD FRCS(c), 1 S Trifiro MD FRCPC, 2 Bich N. Nguyen MD FRCPC, 3 1 Director of Professional and Hospital Services, Santa Cabrini Hospital, Department of Surgery (Urology) McGill University, 2 Department of Pathology, Santa Cabrini Hospital, 3 Department of Laboratory Medicine, University of Montreal Hospital Centre.
2 Santa Cabrini Hospital is composed of 369 acute care beds, with a separate pavilion providing services for 100 long term care patients. The hospital is situated in the northeastern part of Montreal, Canada and provides services to an area that encompasses approximately 750,000 people. Santa Cabrini Hospital is also a trauma centre and a primary (local) cancer centre. The operating room is very active with over 7,250 surgical procedures per year. There are approx. 43,500 patient visits to the emergency department each year, of which 42% of the patients are 75 years and older. In 2011, there were 8,406 admissions to the hospital. The hospital staff includes 112 doctors, of which there are 4 oncologists who manage a busy oncology clinic Figure 1: The Organisation of Quebec Healthcare Central REGIONAL Local level of over 12,500 patient visits per year. The pathology service has one fulltime and one part-time member. Annually, the service receives over 12,000 histological specimens and approx. 28,000 cytological specimens. Over 900 new cancer cases are diagnosed each year. Colon cancer, breast, lung and prostate cancers are the most frequent solid tumours that present to the hospital. The hospital has functioned with two pathologists for many years. The two were highly efficient and produced a large volume of pathologic units that could have easily necessitated three full-time pathologists. The two pathologists resigned abruptly for personal reasons leaving no one to replace them. The manner, in which they were replaced, reflects on both the organisation of the Quebec health and social services system and the collaborative effect of the many players in the social healthcare network. This will be described below under several headings: 1. the organisation of health and social services in Quebec 2. the specific corridors of service with the partners in the network 3. the introduction of telemedicine, specifically telepathology The Organisation of Health Services in Quebec Healthcare is universal in Canada, administered by the provinces but under the federal umbrella 23 Journal of Current Clinical Care Volume 3, Issue 2, 2013
3 via the Canada Health Act, which describes the conditions to be met by the provinces in order to receive the transfer payments that help The Quebec model divides the province into sectors with each sector having full complement of both acute care and chronic care facilities, including out-patient clinics. support it. It must be accountable and portable from one province to another. The health and social services in Quebec are under a single administration. There are three management levels, central, regional and local, whose governance is results-oriented (Figure 1). The central level is the ministry under the elected minister of Health and Social Services. It establishes policy and evaluates the results obtained according to the goals set. At the regional level, the health and social service agencies (of which there are 18 across the province) are responsible for establishing the services necessary in their territory. This includes the development of policy direction, regional priorities, and most importantly, facilitating the deployment and management of the local network of services, and providing the budget necessary to achieve the objectives. The local level unites all the partners in the region to ensure comprehensive multidisciplinary care. Furthermore, there is a horizontal Integrated University Health Network system in the province of Québec (Réseau Universitaire Intégré de Santé RUIS) which divides the Quebec map into 4 territories connected to 4 Faculties of Medicine: Laval University, University of Sherbrooke, McGill University and University of Montreal. Santa Cabrini Hospital is within the territory of the latter. The Quebec model divides the province into sectors with each sector having full complement of both acute care and chronic care facilities, including out-patient clinics. This healthcare system, under the control of the Agence de la Santé et des Services Sociaux de Montréal or the regional Agency, reports directly to the Ministry of Social Services and Health. This allows for regional support of institutions in times of need, and rapid communication when needed. The absence of pathologists led to an immediate communication to all the pertinent partners for aid. In addition, a request was made to the Agency and the Ministry to provide help (if necessary). Communication between the levels can be horizontal or perpendicular, depending on the objectives and needs. It is obvious that collaboration within the Network can be easy and efficient. 24 Journal of Current Clinical Care Volume 3, Issue 2, 2013
4 The Establishment of Service Corridors in Pathology The regional organisations involved in medical manpower are the Agency responsible for the territory, the University and the Federation of Medical Specialists, via the Pathology Association. All three are involved in manpower allocation (Figure 2). In a health care system with an oversupply of physicians, one could easily replace physicians by other available physicians. In an environment, where the number of physicians is tightly controlled, it is not a feasible solution. The more logical solution is to establish service corridors, where one hospital or more provides support to the hospital in need. This can be by providing Figure 2: Potential Service Corridors. University Agency Potential help in establishing service corridors Federation & the Pathology Association manpower support on a regular basis or a temporary basis. In our hospital the large surgical volume (both inpatient and out patient) and the importance for appropriate response times for pathological support, made this demand, for full medical manpower replacement impossible to obtain. Several different service corridors were established after consultation with our partners in the region: University of Montreal Hospital Centre (Centre Hospitalier de l Université de Montréal CHUM) and Sainte- Justine Hospital, both belonging to the RUIS of University of Montreal. They provided either pathologists on site for frozen sections and dissection of organ specimens arriving from operative cases or accepted histological slides for tissue diagnosis at their respective hospital. Gynaecological cytology slides as well as non gynaecological slides were sent to various pathologists participating in the temporary service corridors. A few pathologists from non university hospitals also accepted to read both histological and cytology slides ( Fleury,Granby,Gatineau).In addition, a private Québec pathology Laboratory was employed for approximately 13 weeks at the onset of the crisis. Digital Pathology/Telepathology Intraoperative consultations with or without frozen section, are indicated when a tissue diagnosis is 25 Journal of Current Clinical Care Volume 3, Issue 2, 2013
5 Figure 3: Telepathology System Figure 4: Telepathology System Figure 5: Telepathology System required to allow the surgeon to make an intraoperative decision regarding further surgery during that operative event. This service is particularly critical for oncology cases to access margins status and plan for future treatment resources. Traditionally, tissue samples are sent to the pathology laboratory, then snap frozen and mounted on glass slides for immediate microscopic examination by a pathologist on site. In the situation described, the coverage of intraoperative consultations was temporarily done by several pathologists from the CHUM over a six month period, while a system of telepathology or digital pathology and a videoconferencing system were rapidly put in place. Digital pathology once functional provides direct visualization of the specimen and verbal communication between sites are possible with a videoconferencing system. This system is composed of a digital camera, a digital sound system and a digital board. The latter allows the off-site pathologist to delineate the area of interest with a digital pen thus guiding sampling of the on-site specimen under direct supervision. The tissue samples mounted on glass slides are then transformed into digital images with a slide scanner. These images can be shared electronically by care providers. In the situation described, off site pathologists from the 26 Journal of Current Clinical Care Volume 3, Issue 2, 2013
6 Models of integrated universal healthcare systems with centralized pyramidal or longitudinal structures can meet many challenges. CHUM can provide care to both Santa Cabrini Hospital patients and CHUM patients with great efficiency. Obviously, digital pathology is an asset in settings other than intraoperative consultation: to request an opinion from an expert, to share interesting cases, for tumour boards linking different hospital sites. This system of Telepathology was instituted in our hospital in the setting described above. The government quickly approved the project and provided the budget and the equipment needed to rapidly institute the system (Figure 3). This completed the replacement of the departed pathologists and reinstituted coverage of hospital needs in all sectors. The corridors of service were temporary in nature, but allowed the hospital the time to recruit new pathologists for the service. This healthcare system can deal with issues that range from emergency management, to resource distribution, to the establishment of critical care pathways in all sectors. This organisation allowed our community hospital to provide quality care to patients and laboratory results with important response times while under the duress of an abrupt loss of pathology manpower. References 1. Kuzmarov I, The Aging Male, 2009,12 (2-3) MSSS, Ministry and Network- Health and Social Services The Quebec Health and Social Services Network Integrating Public Health and Local Healthcare Governance in Quebec Organisation and Perspective,Health Policy 2009 February 4(3) Santa Cruz Daniel J. editor, Seminars in Pathology, Telepathology, vol 26 No4 November Conclusion Models of integrated universal healthcare systems with centralized pyramidal or longitudinal structures can meet many challenges. 27 Journal of Current Clinical Care Volume 3, Issue 2, 2013
Grants & Donations PATIENT ORGANIZATIONS MERCK CANADA
Z Grants & Donations 2016 - PATIENT ORGANIZATIONS MERCK CANADA Name of Beneficiary Institution Organization Type Program/Project Description Support Type Type ACCÉSSS Patient Organization Patient Care/Patient
More informationVariations in rates of appendicitis with peritonitis or peritoneal abscess in the context of reorganizing healthcare in Montreal-Centre
Variations in rates of appendicitis with peritonitis or peritoneal abscess in the context of reorganizing healthcare in Montreal-Centre September 2003 Pierre Tousignant, MD, MSc Raynald Pineault, MD, PhD
More informationGOALS AND OBJECTIVES GENITOURINARY PATHOLOGY
LEVEL: PGY2, PGY3, PGY5 GOALS AND OBJECTIVES GENITOURINARY PATHOLOGY Junior residents are expected to complete 1 block in genitourinary pathology during PGY-2 and 2 additional blocks in PGY-3 - PGY-5,
More informationRoles, Responsibilities and Patient Care Activities of Residents PATHOLOGY RESIDENCY PROGRAM ANATOMIC PATHOLOGY
Roles, Responsibilities and Patient Care Activities of Residents PATHOLOGY RESIDENCY PROGRAM ANATOMIC PATHOLOGY University of Washington Medical Center Harborview Medical Center Puget Sound VA Hospital
More informationRUIS McGill Mothers, Children and Youth Subcommittee TERMS OF REFERENCE
RUIS McGill Mothers, Children and Youth Subcommittee TERMS OF REFERENCE Background The McGill RUIS Executive Committee is composed of the McGill affiliated teaching hospitals: Douglas Mental Health University
More informationGOALS AND OBJECTIVES FOR SURGICAL PATHOLOGY ROTATION
GOALS AND OBJECTIVES FOR SURGICAL PATHOLOGY ROTATION Surgical pathology represents one of the core branches of anatomic pathology. The main goal of the program is for the resident to achieve diagnostic
More informationImplementing infrastructure for primary care patient oriented research: Challenges and opportunities.
Implementing infrastructure for primary care patient oriented research: Challenges and opportunities. Beaulieu MD, Légaré, F, Vanasse, A, et al. Family Medicine Forum, Vancouver, November 2016 PARTENAIRES
More informationFrozen Section Library: Appendix, Colon, and Anus
Frozen Section Library: Appendix, Colon, and Anus For further volumes: http://www.springer.com/series/7869 Frozen Section Library: Appendix, Colon, and Anus Nicole C. Panarelli, MD Weill Medical College
More informationPresenter Biographies
Master Class Implementing Integrated Care By: Dr. Walter Wodchis, Associate Professor, Institute of Health Policy, Management and Evaluation at the University of Toronto Dr. Ross Baker, Professor, Institute
More informationNOTICE OF DESIGNATION to the Board of Directors of the
NOTICE OF to the Board of Directors of the Designation College: Regional Department of General Medicine (RDGM) In keeping with the provisions of An Act to Modify the Organization and Governance of the
More information[Downloaded free from on Wednesday, September 28, 2016, IP: ]
J Pathol Inform Editor-in-Chief: Anil V. Parwani, Liron Pantanowitz, Pittsburgh, PA, USA Pittsburgh, PA, USA OPEN ACCESS HTML format For entire Editorial Board visit : www.jpathinformatics.org/editorialboard.asp
More informationTESTING TIMES TO COME? AN EVALUATION OF PATHOLOGY CAPACITY IN ENGLAND NOVEMBER 2016
TESTING TIMES TO COME? AN EVALUATION OF PATHOLOGY CAPACITY IN ENGLAND NOVEMBER 2016 EXECUTIVE SUMMARY Whilst cancer survival is at its highest ever level, our health services are under considerable pressure.
More informationPATHOLOGIST ASSISTANT
Date: August 2009 Job Title : Pathologist Assistant Department : Surgical Pathology Unit Location : North Shore Hospital Reporting To : Anatomic Pathologists Direct Reports : Clinical Director Functional
More information5. Quality Control in Histopathology
90 5. Quality Control in Histopathology Compilation and editing of this volume: Dr. Isha Prematilleke (Consultant Histopathologist) List of contributors Consultant Histopathologists Dr. Sujeewa Rathnayake
More informationBAYHEALTH MEDICAL STAFF RULES & REGULATIONS
BAYHEALTH MEDICAL STAFF RULES & REGULATIONS Rules and Regulations initial approval by the Board of Directors: Amendments approved by the Board of Directors: Revised 1/21/13 Revised 4/17/13 Revised 9/16/13
More informationJob Description. Clinical Nurse Specialist in Breast care. An overview of Breast Cancer Services at the UPMC Beacon Hospital.
Job Description Title: Clinical Nurse Specialist in Breast care Area of Assignment: Breast care Services Reports to: Oncology Unit Manager An overview of Breast Cancer Services at the UPMC Beacon Hospital.
More informationService Mapping Report
Service Mapping Report Background and purpose One of the roles of the Southern Melbourne Integrated Cancer Service (SMICS) is to map cancer services provided to adults by Bayside Health, Cabrini Health,
More informationWe are looking for the following medical positions:
We are looking for the following medical positions: United Kingdom Ipswich Location: Ipswich is a town in the east of the United Kingdom at the mouth of the Orwell River. The city has about 135,000 inhabitants.
More informationWait Time Information in Priority Areas: Definitions
Wait Time Information in Priority Areas: Definitions 1 Background In 2004, Canada's first ministers agreed to work towards reducing wait times for five priority areas: cancer treatment, cardiac care, diagnostic
More informationSTATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008)
1. Trust Profile STATEMENT OF PURPOSE August 2015 Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1.1 Worcestershire Acute Hospitals NHS Trust was formed on 1
More informationUniversity of Michigan Health System Department of Pathology Room 1 Resident Rotation
University of Michigan Health System Department of Pathology Room 1 Resident Rotation DIRECTORS: varies ROTATION DESCRIPTION: Residents complete 6-8 bi-weekly rotations in Room 1 during their Anatomic
More informationService Mapping Report
Service Mapping Report Background and purpose One of the roles of the Southern Melbourne Integrated Cancer Service (SMICS) is to map cancer services provided to adults by Alfred Health, Cabrini Health,
More informationNOTICE OF DESIGNATION to the Board of Directors of the
NOTICE OF to the Board of Directors of the Designation College: Council of Nurses (CN). (Nurses, including persons performing nursing assistant's activities for the institution.) In keeping with the provisions
More informationThe Reform of Health and Social Services in Quebec
The Reform of Health and Social Services in Quebec David Levine President/CEO Montreal Regional Health Authority 2005 A Revolution in Healthcare Delivery A privileged moment in time An opportunity to solve
More informationSt Monica s Specialist Breast Care Centre. Ethna Hickey- CNM2 Emma Holland- Specialist Breast Care Nurse Claire O Donnell-CNM1
St Monica s Specialist Breast Care Centre Ethna Hickey- CNM2 Emma Holland- Specialist Breast Care Nurse Claire O Donnell-CNM1 Aims and objectives To provide an overview of the services of the Specialist
More informationResident Supervision and Progressive Responsibility
University of Pittsburgh Department of Pathology Residency Program Policies and Procedures: Initial RC approval: 04.07.08 Latest Revision: 06.06.11 Resident Supervision and Progressive Responsibility Purpose:
More informationPathologist Assistant
Date: June 2015 Job Title : Pathologist Assistant Department : Surgical Pathology Unit Location : North Shore Hospital Reporting To : Anatomical Pathologists Direct Reports To : Clinical Director Functional
More informationUrology Clinical Forum. 11 th March 2015
Urology Clinical Forum 11 th March 2015 Welcome and Introductions Justin Vale, Chair of the LCA Urology Pathway Group Progress of the Urology Pathway Group Justin Vale, Chair of the LCA Urology Pathway
More informationThe Specialist in Surgical, Core and Pathology Specimen Radiography
The Specialist in Surgical, Core and Pathology Specimen Radiography faxitron.com Our History Our Mission The Benchmark After more than 40 years, Faxitron continues to be the brand name in dedicated digital
More informationoffered by the INSTITUT NATIONAL DE SANTÉ PUBLIQUE DU QUÉBEC
Services and activities offered by the INSTITUT NATIONAL DE SANTÉ PUBLIQUE DU QUÉBEC The Institut national de santé publique du Québec (INSPQ) was created in 1998 following the adoption of its act of incorporation
More informationHow BC s Health System Matrix Project Met the Challenges of Health Data
Big Data: Privacy, Governance and Data Linkage in Health Information How BC s Health System Matrix Project Met the Challenges of Health Data Martha Burd, Health System Planning and Innovation Division
More informationCANCER REGISTRY REGULATION
Province of Alberta REGIONAL HEALTH AUTHORITIES ACT CANCER REGISTRY REGULATION Alberta Regulation 71/2009 With amendments up to and including Alberta Regulation 17/2018 Office Consolidation Published by
More informationDATA QUALITY AND DATA USES. Agenda. Chicago, Illinois. Northwestern Memorial Hospital
DATA QUALITY AND DATA USES May 8, 2008 By Sue Kessler Manager, Transcription and Registries Northwestern Memorial Hospital Agenda Northwestern Memorial Hospital Hospital Quality Plan and Objective Tumor
More informationOncology Vietnam Project Description
Oncology Vietnam Project Description GOAL: Assist in training physicians, surgeons, nurses, laboratory personnel and other health providers with the (also known as Hue College of Medicine and Pharmacy)
More informationData Quality Documentation, Hospital Morbidity Database
Data Quality Documentation, Hospital Morbidity Database Current-Year Information, 2011 2012 Standards and Data Submission Our Vision Better data. Better decisions. Healthier Canadians. Our Mandate To lead
More informationUpdated 6/9/2009 RESIDENT SUPERVISION: A. Anatomic Pathology:
Updated 6/9/2009 RESIDENT SUPERVISION: A. Anatomic Pathology: Surgical Pathology: All final diagnoses of microscopic materials in surgical pathology are established by the attending staff or reviewed by
More information18 CORE SCIENTIFIC FACILITIES 2978 NON CLINICAL 301 MANAGERS 887 VOLUNTEERS CHUM CRCHUM RESEARCH PIONNERS
INNOVE SPONSORSHIP OPPORTUNITIES November 13-15, Centre hospitalier de l Université de Montréal INNOVE DIAGNOSIS TREATMENT PREVENTION IN A WORLD OF INNOVATION ABOUT INNOVE- From November 13 to 15, the
More informationMis-reporting of Cervical Pathology by Locum Consultant Pathologist. Status: Information Discussion Assurance Approval
Report to: Trust Board Agenda item: 7 Date of Meeting: Report Title: Mis-reporting of Cervical Pathology by Locum Consultant Pathologist Status: Information Discussion Assurance Approval x Prepared by:
More informationAssessment of the Integrated System for Frail Elderly People (ISEP): Use and Costs of Social Services and Healthcare
Assessment of the Integrated System for Frail Elderly People (ISEP): Use and Costs of Social Services and Healthcare November, 2004 François Béland PhD Howard Bergman MD Luc Dallaire MSc John Fletcher
More informationSurgery Strategic Clinical Network: Leadership Team
Surgery Strategic Clinical Network: Leadership Team Dr. Jonathan White - Senior Medical Director Dr. Jonathan White is a Professor of Surgery in the Faculty of Medicine & Dentistry at the University of
More informationERN board of Member States
ERN board of Member States Statement adopted by the Board of Member States on the definition and minimum recommended criteria for Associated National Centres and Coordination Hubs designated by Member
More informationBurton Hospitals NHS Foundation Trust
Statement of purpose Health and Social Care Act 2008 Statement of Purpose Health and Social Care Act 2008 Version : 10 Date : July 2017 Date of Next Review : 12 months Service Provider Full name: Address:
More informationNeuropathology Training Program Goals
Name of Laboratory: Rotation Length: Neuropathology 3 months for Pathology Residents 2 weeks for Neurology residents with an option of 2 additional weeks 4 weeks for Neurosurgery Residents 4 weeks for
More informationThe Telemedicine Referral Case Process
The Telemedicine Referral Case Process Phyllis Webster, Program Coordinator, Sr. Arizona Telemedicine Program How does this whole thing work, anyway? Who decides to refer a case via telemedicine? What
More informationHealth. Business Plan to Accountability Statement
Health Business Plan 1997-1998 to 1999-2000 Accountability Statement This Business Plan for the three years commencing April 1, 1997 was prepared under my direction in accordance with the Government Accountability
More informationIt is a great pleasure and privilege for me to attend the 29 th annual meeting of The Japanese Association for The Surgery of Trauma, in Hokkaido.
It is a great pleasure and privilege for me to attend the 29 th annual meeting of The Japanese Association for The Surgery of Trauma, in Hokkaido. This is truly the most beautiful place to be in, especially
More informationInternational Congress on Telehealth and Telecare Healthcare reform in Quebec: Accountable care organizations and meaningful use
International Congress on Telehealth and Telecare Healthcare reform in Quebec: Accountable care organizations and meaningful use London David Levine C.E.O Montreal Health and Social Services Agency March
More informationSpecialist renal multidisciplanary
Specialist renal multidisciplanary team (SMDT) The specialist centre for kidney cancer at the Royal Free is an expert centre which leads and coordinates the care of people with kidney cancer. Patients
More informationDr. Hanan E. Badr, MD, MPH, DrPH Faculty of Medicine, Kuwait University
Dr. Hanan E. Badr, MD, MPH, DrPH Faculty of Medicine, Kuwait University hanan@hsc.edu.kw Outline Background Kuwait: Main Highlights Current Healthcare System in Kuwait Challenges to Healthcare System in
More informationGlangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~
Glangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~ October 2017 What we do General Surgery (including Colorectal) Glangwili Hospital, Carmarthen There are currently seven surgical
More informationWestminster Partnership Board for Health and Care. 21 February pm pm Room 5.3 at 15 Marylebone Road
Westminster Partnership Board for Health and Care 21 February 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome
More information2001 NAACCR DATA STANDARDS 6 th Edition, Version 9.1, March 2001 PATHOLOGY LABORATORY DATA DICTIONARY
2001 AACCR DATA STADARDS 6 th Edition, Version 9.1, March 2001 PATHOLOGY LABORATORY DATA DICTIOARY ADDR CITY Field #14 City or Town 70 20 HL-7 ame of city in which the patient resides at the time the specimen
More informationCAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology
CAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology Core Components of a Comprehensive Quality Assurance Program in Anatomic Pathology
More informationYour Radiotherapy Journey
St. Mary`s Hospital Your Radiotherapy Journey at the Jewish General Hospital A Guide to Preparing for Your Treatments A patient-friendly book for: This booklet is provided to help you understand and prepare
More informationAdministration ~ Education and Training (919)
The Accreditation Council for Graduate Medical Education requires the educational program to provide a curriculum that must contain the following educational components to its Trainees; overall educational
More informationOUTPATIENT LIVER INTRODUCTION:
OUTPATIENT LIVER INTRODUCTION: The purpose of the Liver rotation is to expose residents in internal medicine to acute and chronic liver diseases. Emphasis is on diagnosis of liver diseases by taking a
More informationMethodology Notes. Cost of a Standard Hospital Stay: Appendices to Indicator Library
Methodology Notes Cost of a Standard Hospital Stay: Appendices to Indicator Library February 2018 Production of this document is made possible by financial contributions from Health Canada and provincial
More informationHealth System Outcomes and Measurement Framework
Health System Outcomes and Measurement Framework December 2013 (Amended August 2014) Table of Contents Introduction... 2 Purpose of the Framework... 2 Overview of the Framework... 3 Logic Model Approach...
More informationExploring Socio-Technical Insights for Safe Nursing Handover
Context Sensitive Health Informatics: Redesigning Healthcare Work C. Nøhr et al. (Eds.) 2017 The authors and IOS Press. This article is published online with Open Access by IOS Press and distributed under
More informationRobot-Assisted Surgeries A Project for CADTH, a Decision for Jurisdictions
Robot-Assisted Surgeries A Project for CADTH, a Decision for Jurisdictions 2012 CADTH Symposium Panel Discussion Dr. Janice Mann Mr. Michel Boucher Dr. Nina Buscemi We NEED this! What is a Surgical Robot?
More informationMDT Peer Review Report Proforma
Network Trust NICaN Western Health and Social Care Trust Lung MDT Visit Date 13 September 2017 Structure and function of the service The Western Health and Social Care Trust (WHSCT) was established on
More informationQuality Management Partnership: Pathology Quality Management Program U of T Pathology Update
Quality Management Partnership: Pathology Quality Management Program U of T Pathology Update November 13, 2015 Dr. Kathy Chorneyko, Clinical Lead, Pathology, Quality Management Partnership OBJECTIVES Overview
More informationCONSULTANT PAEDIATRIC HISTOPATHOLOGIST. 21 hours Temple Street Children s University Hospital 18 hours Our Lady s Children s Hospital, Crumlin
CONSULTANT PAEDIATRIC HISTOPATHOLOGIST 21 hours Temple Street Children s University Hospital 18 hours Our Lady s Children s Hospital, Crumlin Job Specification Location of Post This is an appointment to
More informationThe Chilean Experience: Leading a Nation Towards a Shared Health Record HIMSS Latin America Workshop Rodrigo Castro CIIO Ministry of Health
The Chilean Experience: Leading a Nation Towards a Shared Health Record HIMSS Latin America Workshop Rodrigo Castro CIIO Ministry of Health Conflict of Interest Rodrigo Castro Apablaza, Eng., M.A., M.Sc.
More informationChanging for the Better 5 Year Strategic Plan
Quality Care - for you, with you 5 Year Strategic Plan Contents: Section 1: Vision and Priorities for Change 3 Section 2: About the Trust 5 Section 3: Promoting Health & Wellbeing and Primary Care 6 Section
More informationHealth Care Data Sets & Information Support Services at the UMHS
Health Care Data Sets & Information Support Services at the UMHS March 30, 2016 Andrew Rosenberg- CIO UMHS Mary Hill Director COMPASS Erin Kaleba Director Data Office/RDW AGENDA UMHS data landscape overview
More informationAnatomic Pathology: Are the vultures coming?" Janice M. Lage MD" Professor and Chair " University of Mississippi Medical Center"
Anatomic Pathology: Are the vultures coming?" Janice M. Lage MD" Professor and Chair " University of Mississippi Medical Center" Presentation Agenda" Examine the changing landscape. " Discuss Staying
More informationTransgender/Trans* Health
Transgender/Trans* Health Gender-Affirming Surgery Vanessa Barron Vision Create a Gender-Affirming Surgical program in British Columbia and increase access to publicly funded readiness assessments, upper
More informationMultidisciplinary Breast Pathology
Multidisciplinary Breast Pathology Advanced Learning Series MANUAL This Multidisciplinary Breast Pathology manual is current as of August 1, 2017. Information is subject to change. The MBP ADVANCED LEARNING
More informationCentral Zone Healthcare Plan. For Placement Only. Strategy Overview
Alberta Health Services Central Zone Healthcare Plan For Placement Only Strategy Overview A plan for us Alberta Health Services (AHS) recognizes every community in Alberta is unique. That s why health
More informationSMO - Histopathology
POSITION DESCRIPTION SMO - Histopathology Please delete whichever statement is untrue This position is not considered a children s worker under the Vulnerable Children Act 2014 Date Produced/Reviewed:
More informationSec Disconnect Go to End Forward Sec Next Report Go To
Effective 3/15/04 escription DICTATION SYSTEM FOR INPATIENT HISTORY & PHYSICALS, DISCHARGE SUMMARIES, DELIVERY (NORMAL) NOTES OPERATIVE REPORTS DIAL 3-4000 LISTEN FOR VERBAL PROMPTS. ENTER: First 5 digits
More informationElective: General Surgical - Green Service (Oncology)
OVERVIEW The Surgical Oncology or Green Surgery service is one of the general surgery services, based at the Health Sciences Centre, but with clinics and surgery at St. Boniface General Hospital and the
More informationAxillary Node Dissection
Axillary Node Dissection Breast Care Centre Information for patients Name of Consultant: Date of surgery: Key worker: Direct line: 0116 250 2513 Monday - Friday 9 am - 4.30 pm (except Bank Holidays) What
More informationInternational Patient Services at Beacon Hospital
International Patient Services at Beacon Hospital in partnership with Welcome to Beacon Hospital About Us Beacon Hospital is a full service hospital located in Dublin, Ireland, and operated by the University
More informationThese incidents, reported by the Pennsylvania Patient Safety Authority, are
Patient safety Taking steps to protect patients from specimen-handling errors An OR specimen was transported to the laboratory. The lab called to say there was no specimen in the container. The specimen
More informationLOMA LINDA UNIVERSITY MEDICAL CENTER ORTHOPAEDIC SURGERY SERVICE RULES AND REGULATIONS
Update 5-18-05 LOMA LINDA UNIVERSITY MEDICAL CENTER ORTHOPAEDIC SURGERY SERVICE RULES AND REGULATIONS I. NAME OF ENTITY The name of this organization shall be the Orthopaedic Surgery Service. II. PURPOSE
More informationUsing Physician Payment to Improve Health System Performance
Using Physician Payment to Improve Health System Performance Erin Strumpf, PhD McGill University Levers of change to act on health system performance workshop Québec Ministère de la Santé et des Services
More informationTOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT)
TOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT) Introduction The National Institute for Clinical Excellence has developed Guidance on Supportive and Palliative Care for patients with cancer. The standards
More informationExceptional people delivering exceptional care
Exceptional people delivering exceptional care hcacareers.co.uk Exceptional people delivering exceptional care Why work for HCA UK? It s not just state-of-the-art technology and a patient-first philosophy
More informationIntroduction. Singapore. Singapore and its Quality and Patient Safety Position 11/9/2012. National Healthcare Group, SIN
Introduction Singapore and its Quality and Patient Safety Position Singapore 1 Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking
More informationEffective Use of Existing Licensed Healthcare Infrastructure During a Crisis or Catastrophe
Effective Use of Existing Licensed Healthcare Infrastructure During a Crisis or Catastrophe Kathy McCanna, Program Manager-Office of Medical Facilities Connie Belden, Team Leader-Office of Medical Facilities
More information2014 Progress Report. SickKids-Caribbean Initiative: Enhancing Capacity for Care in Paediatric Cancer and Blood Disorders
2014 Progress Report SickKids-Caribbean Initiative: Enhancing Capacity for Care in Paediatric Cancer and Blood Disorders The SickKids-Caribbean Initiative provides a beacon of hope for improving care for
More informationWVUH Laboratories Anatomic Pathology Services
I. Autopsy Service An autopsy is an examination of a dead body. An autopsy may be conducted for any or several of the following reasons: Diagnosis To determine the underlying disease or injury ultimately
More informationColorectal PGY3 Tuesday, February 02, 2016
Stanford University General Surgery Residency Program Colon and Rectal Surgery Service Goals and Objectives for Residents: R-3 Rotation Director: Andrew Shelton, MD Description The Colon and Rectal Surgery
More informationAdministration ~ Education and Training (919)
The Accreditation Council for Graduate Medical Education requires the educational program to provide a curriculum that must contain the following educational components to its Trainees; overall educational
More informationOregon Clinical and Translational Research KL2 Program
Request for Applications www.octri.org/octrikl2 Oregon Clinical and Translational Research KL2 Program Letter of Intent deadline: April 3, 2017 The OCTRI Education Program is accepting letters of intent
More informationInitial Assessment, Survivorship Care Plans
Initial Assessment, Survivorship Care Plans The first step of the collaborative is to perform an assessment of your Cancer Center. The goal is to identify what resources and supports are in place that
More informationHospital Mental Health Database, User Documentation
Hospital Mental Health Database, 2015 2016 User Documentation Production of this document is made possible by financial contributions from Health Canada and provincial and territorial governments. The
More informationShould we pay family physicians to register unattached patients? The unintended consequences of financial incentives in Quebec s access registries.
Should we pay family physicians to register unattached patients? The unintended consequences of financial incentives in Quebec s access registries. Julie Fiset Laniel 1 Roxane Borgès Da Silva 2,3 Archan
More informationBUILDING BRIDGES: SUCCESSFUL TRANSITIONS FROM HOSPITAL TO HOME FOR OLDER ADULTS
BUILDING BRIDGES: SUCCESSFUL TRANSITIONS FROM HOSPITAL TO HOME FOR OLDER ADULTS Senior s Month Education 2013 Sponsored by Regional Geriatric Program central (RGPc) Committee for the Enhancement of Elder
More informationPatient Name: David Thomas Diagnosis: Cancer, Tracheostomy
Patient Name: David Thomas Diagnosis: Cancer, Tracheostomy Overview of Scenario Simulated Patient Overview Target Audience (Part A): 2 nd year Speech Pathology students, 2 nd year Social Work students
More informationCT Scanner Replacement Nevill Hall Hospital Abergavenny. Business Justification
CT Scanner Replacement Nevill Hall Hospital Abergavenny Business Justification Version No: 3 Issue Date: 9 July 2012 VERSION HISTORY Version Date Brief Summary of Change Owner s Name Issued Draft 21/06/12
More informationDomain 1 Patient Engagement
Commission on Cancer Oncology Medical Home Accreditation Standards 08/06/14 Domain 1 Patient Engagement Process 1. Financial Counselors are in place to meet the patients needs. 2. Process for Patient Access
More informationJOINT PATHOLOGY CENTER CONCEPT OF OPERATIONS
JOINT PATHOLOGY CENTER CONCEPT OF OPERATIONS Updated: 27 August 2008 A. BACKGROUND FACTS The Base Realignment and dosure (BRAC) Act of 2005 provides for the disestablishment ofall elements of the Armed
More informationWait Times in Canada: The Wait Time Alliance (WTA) Perspective
Wait Times in Canada: The Wait Time Alliance (WTA) Perspective Presentation to Taming of the Queue 2012 Dr. Chris Simpson, WTA Chair March 29, 2012 Tumor Doubling Time (weeks) 1 4 8 12 26 52 104 260 520
More informationOPTIONAL MID-YEAR EVALUATION FORM FOR MICROGRAPHIC SURGERY AND DERMATOLOGIC ONCOLOGY FELLOWSHIP TRAINING
OPTIONAL MID-YEAR EVALUATION FORM FOR MICROGRAPHIC SURGERY AND DERMATOLOGIC ONCOLOGY FELLOWSHIP TRAINING 1. FELLOW'S NAME 2. TRAINING INSTITUTION 3. FELLOWSHIP PROGRAM DIRECTOR 4. REPORT IS FOR PERIOD
More informationBond University Medical Program. Oncology Rotation Clinician Guide
Bond University Medical Program Oncology Rotation Clinician Guide YEAR 5 2018 Introduction Students in the final year of the Bond University Medical Program have 6 rotations to train in a broad array of
More informationTrans Care BC. Program Update. April 2018
Trans Care BC Program Update 1 April 2018 Message from the director As we pass by Trans Care BC s second year as a program, we are grateful for the community voices that have informed planning and program
More informationClinical Pathologist Procedure Pathologist Pathologist Analytic/Diagnostic Quality Plan
Clinical Pathologist Procedure Pathologist 001.01 Pathologist Analytic/Diagnostic Quality Plan Final Approval: August 2010 Effective: August 2010 Next Review Date: August 2014 List all stakeholder(s) and
More information