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Healthcare Quarterly

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https://www.readbyqxmd.com/read/28130956/longitudinal-evaluation-of-a-parent-and-school-team-mediated-workshop-intervention-for-reducing-challenging-behaviours-in-children-with-autism-spectrum-disorder
#1
Brea Chouinard, Shawn Reynolds
Children with autism spectrum disorder often develop persistent challenging behaviours. A previous study in this journal (Reynolds et al. 2011) reported effective implementation of strategies immediately following involvement in a comprehensive positive behaviour support workshop for parents/school personnel. The current study assessed long-term efficacy more than six months after workshop completion. Parent and school behaviour scores suggested maintained improvement in child behaviour. Parent responses to a verbal questionnaire revealed important perceptions of what made workshop participation beneficial...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130955/implementation-of-behavioural-supports-ontario-bso-an-evaluation-of-three-models-of-care
#2
Michelle Grouchy, Nancy Cooper, Tommy Wong
Behavioural Supports Ontario (BSO) was launched to enhance the healthcare services for Ontario's seniors, their caregivers and families living and coping with responsive behaviours associated with dementia and other neurological conditions. The implementation of the program varied across and within the local health integration networks (LHINs). By 2015, there were three BSO models operating within the long-term care (LTC) home sector: in-home BSO teams, a mobile team that serves multiple LTC homes within a sub-area of a LHIN and a LHIN-wide mobile team that provides services to all homes...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130954/lessons-learned-from-an-advanced-access-trial-within-a-canadian-armed-forces-primary-care-clinic
#3
P Tony Singh
Accessibility is a key element of an effective primary care system. Literature has outlined that primary care practices have successfully employed an advanced access scheduler to improve accessibility to booked appointments and consequently enhance patient experience and outcomes. In 2015, a Canadian Armed Forces (CAF) primary care facility in Ottawa trialed an advanced access scheduler. Based on the unique characteristics of a CAF medical clinic and the patient population, this trial produced six critical lessons, which include maintenance of a stable base of clinicians, correcting rostering mismatches, eliminating appointment backlogs, acquiring required information systems, improved understanding of patient demand and communicating changes effectively...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130953/primary-care-collaborative-memory-clinics-building-capacity-for-optimized-dementia-care
#4
Linda Lee, Loretta M Hillier, Frank Molnar, Michael J Borrie
Increasingly, primary care collaborative memory clinics (PCCMCs) are being established to build capacity for person-centred dementia care. This paper reflects on the significance of PCCMCs within the system of care for older adults, supported with data from ongoing evaluation studies. Results highlight timelier access to assessment with a high proportion of patients being managed in primary care within a person-centred approach to care. Enhancing primary care capacity for dementia care with interprofessional and collaborative care will strengthen the system's ability to respond to increasing demands for service and mitigate the growth of wait times to access geriatric specialist assessment...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130952/emergency-department-use-influence-of-connection-to-a-family-physician-on-ed-use-and-attempts-to-avoid-presentation
#5
Lynette D Krebs, Scott W Kirkland, Cristina Villa-Roel, Alan Davidson, Britt Voaklander, Taylor Nikel, Rajiv Chetram, Stephanie Couperthwaite, Garnet Cummings, Brian H Rowe
Some low-acuity emergency department (ED) presentations are potentially avoidable with improved primary care access. The majority of ED patients (74.4%) in this study had a family physician, but the frequency of visits varied substantially. The variable frequency of patients' visits to these providers calls into question the validity of linkage assumptions. Several sociodemographic factors were associated with having a family physician, including female sex, being married/common law, race (Caucasian), being employed over the previous 12 months and having received a flu shot in the past year...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130951/key-advantages-of-a-targeted-incident-reporting-system-for-severe-and-critical-clostridium-difficile-infection-incidents
#6
Hibak Mahamed, Camille Lemieux, Susy Hota
There is little guidance on how to design and implement an incident reporting system (IRS) targeted at one of the most common types of adverse events in hospitals: hospital-associated infections. In this article, we describe an IRS for severe and critical Clostridium difficile infection incidents and highlight its key advantages.
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130950/the-development-of-a-quality-management-framework-for-evaluating-medical-device-reprocessing-practice-in-healthcare-facilities
#7
Bailey Lorv, Robin Horodyski, Cynthia Welton, John Vail, Luca Simonetto, Danilo Jokanovic, Richa Sharma, Angela Rea Mahoney, Shay Savoy-Bird, Shalu Bains
There is increasing awareness of the importance of medical device reprocessing (MDR) for the provision of safe patient care. Although industry service standards are available to guide MDR practices, there remains a lack of published key performance indicators (KPIs) and targets that are necessary to evaluate MDR quality for feedback and improvement. This article outlines the development of an initial framework that builds on established guidelines and includes service standards, KPIs and targets for evaluating MDR operations...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130949/how-appropriate-is-all-this-data-sharing-building-consensus-around-what-we-need-to-know-about-shared-electronic-health-records-in-extended-circles-of-care
#8
Josephine McMurray, Kelly A Grindrod, Catherine Burns
BACKGROUND: The bulk of healthcare spending is on individuals who have complex needs related to age, income, chronic disease and mental illness. Care involves many different professions, and interoperable electronic health records (EHRs) are increasingly essential. OBJECTIVES: The objective of this paper is to describe the use of a nominal group technique (NGT) to develop a stakeholder-centred research agenda for clinical interoperability in extended circles of care that include social supports...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130948/comparing-the-health-of-canadian-hospitals-paying-attention-to-the-mix-of-planned-and-unplanned-admissions
#9
Les Vertesi
Canadian hospitals are being placed under increasing scrutiny for both performance and safety in some cases with a threat of financial consequences for failure. However, there are no accepted standards for comparing the relative context in which hospitals must operate; the unstated assumption being that all are starting from the same place and have equal opportunities for success. A "healthy hospital" should be able to meet the needs of its community with a mix of both planned (scheduled) and unplanned (emergency) services...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130947/principles-for-health-system-capacity-planning-insights-for-healthcare-leaders
#10
James Shaw, Ivy Wong, Bailey Griffin, Michael Robertson, R Sacha Bhatia
Jurisdictions across Canada and around the world face the challenge of planning high-performing and sustainable health systems in response to growing healthcare demands. In this paper, we report on the process of developing principles for health system capacity planning by the Ministry of Health and Long-Term Care in Ontario. Integrating the results of a literature review on health system planning and a symposium with representatives from local health integration networks, we describe the following six principles in detail: (1) develop an aspirational vision, (2) establish clear leadership, (3) commit to stakeholder engagement, (4) engage patients and the public, (5) build analytics infrastructure and (6) revise policy when necessary...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130946/open-innovation-prizes-and-challenges-learnings-from-the-imaginenation-series
#11
Jennifer Zelmer, Fraser Ratchford, Justin Noble
No abstract text is available yet for this article.
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130945/a-snapshot-of-advance-directives-in-long-term-care-how-often-is-do-not-done
#12
Sheril Perry, Christina Lawand
Advance directives allow individuals and their families or legal guardians to communicate preferences for interventions and treatments in the event that these individuals are no longer able to make decisions for themselves. This study examines how often do-not-hospitalize (DNH) and do-not-resuscitate (DNR) directives were recorded for residents in 982 reporting Canadian long-term care facilities between 2009-2010 and 2011-2012 and, to the extent possible, whether these directives were followed in acute care settings...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130944/pediatric-insulin-pump-therapy-reflecting-on-the-first-10-years-of-a-universal-funding-program-in-ontario
#13
Rayzel Shulman, Fiona A Miller, Thérèse A Stukel, Denis Daneman, Astrid Guttmann
We evaluated the universal funding program for pediatric insulin pumps in Ontario by examining the dynamics underlying patterns of pump use and adverse events using population-based health administrative data available at the Institute for Clinical Evaluative Sciences (ICES), supplemented by other data. We found that (1) pump use has increased steadily since 2006 with variation across centres and disparity in use by socioeconomic status; (2) pump discontinuation is uncommon; (3) physicians value pump therapy in numerous ways that provide important insights into patterns of uptake; and (4) the safety profile of pump therapy is, in general, very good; however, individuals of lower socioeconomic status are at an increased risk of acute diabetes complications, most frequently diabetic ketoacidosis...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28130943/editorial
#14
(no author information available yet)
No abstract text is available yet for this article.
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808027/evaluating-innovations-in-home-care-for-performance-accountability
#15
Barbara Collister, Abram Gutscher, Jana Ambrogiano
Concerns about rising costs and the sustainability of our healthcare system have led to a drive for innovative solutions and accountability for performance. Integrated Home Care, Calgary Zone, Alberta Health Services went beyond traditional accountability measures to use evaluation methodology to measure the progress of complex innovations to its organization structure and service delivery model. This paper focuses on the first two phases of a three-phase evaluation. The results of the first two phases generated learning about innovation adoption and sustainability, and performance accountability at the program-level of a large publicly funded healthcare organization...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808026/increasing-primary-care-access-close-to-home-for-residents-of-remote-communities-in-northern-alberta
#16
A Alison Ross, Tracey L Yap, Johan van Der Nest, Keith Martin, Alison H Edie
Residents of Canada's rural and remote communities know the challenges associated with accessing consistent healthcare. Alberta Health Services uses telehealth technology to minimize travel for rural and remote residents who require follow-up with specialists, however until recently, telehealth was only used in specialty care. This article describes a pilot project introduced in two remote northern Alberta communities to determine the feasibility and sustainability of using telehealth in the delivery of primary healthcare...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808025/canadian-cancer-programs-are-struggling-to-invest-in-development-of-future-leaders-results-of-a-pan-canadian-survey
#17
Nadir Khan, Lena Ghatage, Peter S Craighead
Cancer agencies within Canada operate with a variety of leadership models, assuming that future leaders are identified, developed and supported by institutions other than their own. A literature review, comprehensive survey and structured interviews were conducted to illuminate the perceptions of leadership in Canadian cancer centres. The major finding from the study is the significant gap between the competencies that leaders acknowledge as being important and the lack of development programs for future and current leaders...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808024/using-system-maps-to-gain-a-system-perspective-to-improve-outcomes
#18
Faten Mitchell
Throughout the world, people are living longer, and chronic and degenerative diseases are on the rise (Bloom et al. 2011; National Institute on Aging and WHO 2011; Yach et al. 2004). These factors place great demands on healthcare systems and threaten sustainability. Fundamental changes are needed to improve health outcomes and reduce costs. Changes that affect desired outcomes include aligning and understanding stakeholders' motivations and behaviours as well as gaps in key processes. Through that understanding, when desired outcomes are not achieved, we can answer why...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808023/searching-for-best-direction-in-healthcare-distilling-opportunities-priorities-and-responsibilities
#19
Terrence Montague, Amédé Gogovor, Lucas Marshall, Bonnie Cochrane, Sara Ahmed, Emily Torr, John Aylen, Joanna Nemis-White
Canada's health and its care are evolving. Evidence from serial Health Care in Canada surveys of the public and health professionals over the last two decades reveal a persistent sense of care quality, despite an aging population, decreasing levels of good and excellent health, increasing prevalence of chronic illnesses; and sub-optimal access to timely and patient-centred care. Stakeholders are, however, somewhat pessimistic and many sense complete rebuilding, or major changes, may be necessary. To improve access, the primary health concern of all Canadians - increasing medical and nursing school enrolment, and requiring professionals to work in teams - have attracted increasingly high support from both the public and professionals...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808022/healthcare-and-climate-change-do-no-harm
#20
Deanna Fourt, Claudette Poirier
The increased frequency of extreme weather events due to climate change can cause casualties and put healthcare delivery at risk. Ironically, healthcare is a significant source of the very greenhouse gas emissions that lead to climate change. The Vancouver Island Health Authority case study shows the value of targets, energy management and innovation in new construction. Efforts have yielded great results to date with $2 million a year saved in utilities, and are nearing the target of reducing emissions by 33% below 2007 levels by 2020...
2016: Healthcare Quarterly
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