Cardiac EASE (Ensuring Access and Speedy Evaluation) – the impact of a single-point-of-entry multidisciplinary outpatient cardiology consultation program on wait times in Canada

Bungard, Tammy J.; Smigorowsky, Marcie J.; Lalonde, Lucille D.; Hogan, Terry; Doliszny, Katharine M.; Gebreyesus, Ghirmay; Garg, Sipi; Archer, Stephen L.

doi:10.1016/s0828-282x(09)70530-6

Cited by 25 publications

(40 citation statements)

References 3 publications

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“…Single-entry models are based on queuing theory, and are well suited to services with variable wait times among consultants since patients waiting the longest can be booked into the next available appointment [10]. Although the evidence is mixed, some studies show that single-entry approaches can reduce waiting lists [10][11][12][13][14], increase the number of patients seen Page 5 [11,13,15], and improve access and efficiency of patient care with improved patient satisfaction in both surgical and outpatient settings [9][10][11]16]. Most centralized intake systems have focused on a homogenous patient population requiring a specific procedure [9][10][11]16].…”

Section: Pagementioning

confidence: 99%

Improving Appropriate Access to Care With Central Referral and Triage in Rheumatology

Hazlewood

Barr

Lopatina

et al. 2016

Arthritis Care & Research

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Section: Pagementioning

confidence: 99%

Improving Appropriate Access to Care With Central Referral and Triage in Rheumatology

Hazlewood

Barr

Lopatina

et al. 2016

Arthritis Care & Research

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“…Six studies (including both simulation studies)27 30 demonstrated that SEMs increased the proportion of individuals meeting clinically recommended benchmark waiting times 2527 28 30 32 33 There was lack of consistency here also—target benchmarks were related to either WT1 or WT2 and varied depending on the procedure or jurisdiction.…”

Section: Resultsmentioning

confidence: 99%

“…Six detailed the implementation and effectiveness of SEMs,24 25 28 31–33 two simulated the outcomes of a potential implementation,27 30 two described the development of such an implementation26 28 and two assessed the views of physicians and/or patients regarding the use of SEMs 529…”

Section: Resultsmentioning

confidence: 99%

What is the influence of single-entry models on access to elective surgical procedures? A systematic review

et al. 2017

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BackgroundSingle-entry models (SEMs) for the management of patients awaiting elective surgical services are designed to increase access and flow through the system of care. We assessed scope of use and influence of SEMs on access (waiting times/throughput) and patient-centredness (patient/provider acceptability).MethodsSystematic review of articles published in 6 relevant electronic databases included studies from database inception to July 2016. Included studies needed to (1) report on the nature of the SEM; (2) specify elective service and (3) address at least 1 of 3 research questions related to (1) scope of use of SEMs; (2) influence on timeliness and access; (3) patient-centredness and acceptability. Article quality was assessed using a modified Downs and Black checklist.Results11 studies from Canada, Australia and the UK were included with mostly weak observational design—2 simulations, 5 before–after, 2 descriptive and 2 cross-sectional studies. 9 studies showed a decrease in patient waiting times; 6 showed that more patients were meeting benchmark waiting times; and 5 demonstrated that waiting lists decreased using an SEM as compared with controls. Patient acceptability was examined in 6 studies, with high levels of satisfaction reported. Acceptability among general practitioners/surgeons was mixed, as reported in 1 study. Research varied widely in design, scope, reported outcomes and overall quality.ConclusionsThis is the first review to assess the influence of SEMs on access to elective surgery for adults. This review demonstrates a potential ability for SEMs to improve timeliness and patient-centredness of elective services; however, the small number of low-quality studies available does not support firm conclusions about the effectiveness of SEMs to improve access. Further evaluation with higher quality designs and rigour is required.

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“…Electronic consultations, defined as asynchronous communications between physicians, can improve access to specialty expertise. [6][7][8] Other mechanisms, including triage to reduce low-acuity consultations, 9,10 can help improve access to quality cardiology specialty care without a face-to-face visit and are an area of active practice innovation. [11][12][13][14][15][16][17][18][19][20] In the current study, we evaluated the efficiency and safety of a triage model for outpatient CV consultation referrals from the emergency department (ED) at a large, integrated multispecialty practice.…”

mentioning

confidence: 99%

Getting to the Heart of the Matter: A Triage Model to Improve Utilization of Cardiology Consultative Services

Agor

Sir

Pasupathy

et al. 2019

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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Objective: To assess the impact of a triage system of emergency department (ED) referrals for outpatient cardiology appointments. Patient and Methods: We implemented a triage system of ED referrals for outpatient cardiology appointments among patients with a cardiovascular chief complaint deemed safe to leave the ED but needing outpatient follow-up. There were 303 and 267 unique patients in the preetriage implementation and postetriage implementation cohorts, respectively. We collected retrospective billing data to assess ED return visits, hospitalizations, cardiology outpatient visits, and cardiovascular testing. The preetriage implementation cohort included patients with an ED visit date between

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Cardiac EASE (Ensuring Access and Speedy Evaluation) – the impact of a single-point-of-entry multidisciplinary outpatient cardiology consultation program on wait times in Canada

Abstract: Cardiac EASE reduced wait times, increased capacity and shortened time to achieve a diagnosis. The EASE model could shorten wait times for consultative services in Canada.

Cited by 25 publications

References 3 publications

Improving Appropriate Access to Care With Central Referral and Triage in Rheumatology

Improving Appropriate Access to Care With Central Referral and Triage in Rheumatology

What is the influence of single-entry models on access to elective surgical procedures? A systematic review

Getting to the Heart of the Matter: A Triage Model to Improve Utilization of Cardiology Consultative Services

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