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Name
Joint Replacement Wait Times
Short/Other Names

Wait Times for Joint Replacement (Percentage Meeting Benchmark)

Description
Percentage of patients within a province who received planned total joint replacements within 26 weeks (182 days) from the date they were ready to be treated
Interpretation
The greater the percentage meeting the benchmark, the greater the proportion of patients in that province who received treatment within the benchmark (182 days).
HSP Framework Dimension

Health System Outputs: Access to comprehensive, high-quality health services

Areas of Need

Getting Better

Geographic Coverage

All provinces

Reporting Level/Disaggregation

National, Province/Territory, Region

Indicator Results

http://yourhealthsystem.cihi.ca/inbrief/?lang=en#!/indicators/004/joint-replacement-wait-times

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<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>
Name
Joint Replacement Wait Times
Short/Other Names

Wait Times for Joint Replacement (Percentage Meeting Benchmark)


<div role="button" class="expandableTitle" aria-controls="descAndCalRegion">Indicator Description and Calculation</div>
Description
Percentage of patients within a province who received planned total joint replacements within 26 weeks (182 days) from the date they were ready to be treated
Calculation: Description

This indicator is calculated based on provincial and national wait times data for the first two quarters of the fiscal year (April–September).

The percentage within the benchmark is calculated by dividing the number of cases who received care within the benchmark by all cases, multiplied by 100.

Unit of Analysis: Client or patient

Calculation of all-Canada estimates:

All-Canada Percentage Meeting Benchmark

The national percentage meeting benchmark estimate was calculated as follows:

National percentage meeting benchmark = Total patients meeting benchmark for each province ÷ Total procedures performed × 100

Calculation: Geographic Assignment

Place of service

Calculation: Type of Measurement

Percentage or proportion

Calculation: Adjustment Applied

None

Calculation: Method of Adjustment

Not applicable

Denominator

Description:
All cases of planned total joint replacement

Inclusions:
1. Age 18 and older

2. All total knee replacements (primary and revision); bilateral joint replacements count as a single wait

3. All total hip replacements (primary and revision); bilateral joint replacements count as a single wait

4. All priority levels
Exclusions:
1. Emergency cases

2. Knee resurfacing techniques

3. Elective partial hip replacements and hip resurfacing techniques

4. Days when patient was unavailable

Numerator

Description:
Cases of planned total joint replacement who received surgery within 26 weeks (182 days) from the date they were ready to be treated

Inclusions:
1. Age 18 and older

2. All total knee replacements (primary and revision); bilateral joint replacements count as a single wait

3. All total hip replacements (primary and revision); bilateral joint replacements count as a single wait

4. All priority levels
Exclusions:
1. Emergency cases

2. Knee resurfacing techniques

3. Elective partial hip replacements and hip resurfacing techniques

4. Days when patient was unavailable


<div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>
Rationale

In 2004, Canada's first ministers agreed to work toward reducing wait times for five priority areas: cancer treatment, cardiac care, diagnostic imaging, joint replacement and sight restoration. CIHI was mandated to collect wait time information and monitor provincial progress in meeting benchmarks.

Many factors affect wait times, for example, availability of resources, efficiency of a particular facility, seasonal effects, volumes, patient choice, patient condition, follow-up care and/or treatment complexity.

This indicator can be used to help understand access to care and to know how provinces are performing in providing access to services.

Interpretation

The greater the percentage meeting the benchmark, the greater the proportion of patients in that province who received treatment within the benchmark (182 days).

HSP Framework Dimension

Health System Outputs: Access to comprehensive, high-quality health services

Areas of Need

Getting Better

Targets/Benchmarks

Within 26 weeks (182 days)

References

Health Canada. A 10-Year Plan to Strengthen Health Care. Health Canada. http://www.hc-sc.gc.ca/hcs-sss/delivery-prestation/fptcollab/2004-fmm-rpm/index-eng.php. Updated September 16, 2004. Accessed June 7, 2013.


<div role="button" class="expandableTitle" aria-controls="availabilityRegion">Availability of Data Sources and Results</div>
Data Sources

Provincial Wait Times Registry, Data may come from various sources, depending on province

Available Data Years

Type of Year:
Fiscal
First Available Year:
2008
Last Available Year:
2016

Geographic Coverage

All provinces

Reporting Level/Disaggregation

National, Province/Territory, Region


<div role="button" class="expandableTitle" aria-controls="resultRegion">Result Updates</div>
Update Frequency

Every year

Indicator Results

Web Tool:
Your Health System: In Brief
URL: http://yourhealthsystem.cihi.ca/inbrief/?lang=en#!/indicators/004/joint-replacement-wait-times

Updates

There might be some provincial exceptions to the standard methodology each year.


<div role="button" class="expandableTitle" aria-controls="qualityRegion">Quality Statement</div>
Caveats and Limitations

Some provinces may have some exceptions and their methodology may be slightly different than the standard methodology.

Trending Issues

Since 2008, an increasing number of provinces have adapted to the standard methodology to improve the comparability of results. When comparing a particular province throughout years, attention should be given to the exceptions.

Comments

Not applicable

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