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Name
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Wait Times for Hip Replacement (Percentage Meeting Benchmark)
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Short/Other Names
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Not applicable

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Description
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Percentage of patients within a province who received planned total hip replacements within 26 weeks (182 days) from the date they were ready to be treated
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Interpretation
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The greater the percentage meeting the benchmark, the greater the proportion of patients in that province who received treatment within the benchmark (182 days).
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HSP Framework Dimension
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Health System Outputs: Access to comprehensive, high-quality health services

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Areas of Need
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Getting Better

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Geographic Coverage
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All provinces

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Reporting Level/Disaggregation
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National, Province/Territory, Region

Indicator Results
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Latest Result Update Date
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2014-03

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http://waittimes.cihi.ca/All/hip

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Identifying Information
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Table Row (tr)
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Name
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Wait Times for Hip Replacement (Percentage Meeting Benchmark)
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Short/Other Names
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Not applicable

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Indicator Description and Calculation
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Description
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Percentage of patients within a province who received planned total hip replacements within 26 weeks (182 days) from the date they were ready to be treated
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Calculation: Description
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This indicator is calculated based on provincial and national wait time data for the first two quarters of the fiscal year (April–September).

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

Note
*Estimated by provincially submitted volumes and percentage meeting benchmark.

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Calculation: Geographic Assignment
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Place of service

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Calculation: Type of Measurement
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Percentage or proportion

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Calculation: Adjustment Applied
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None

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Calculation: Method of Adjustment
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Not applicable

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Denominator
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Description:

All cases of

Number of adults who received a planned total hip replacement
Inclusions:
1. Inpatients in all provincial facilities

2. Age 18 and older

2.

3. 1.VA.53.LA-PN-^ Implantation of internal device, hip joint, open approach (direct lateral, posterolateral, posterior, transgluteal), dual component prosthetic device (femoral with acetabular)

4. 1.VA.53.LL-PN-^ Implantation of internal device, hip joint, open anterior (muscle sparing) approach (anterolateral, direct anterior), dual component prosthetic device (femoral with acetabular)
5. All total hip replacements (primary and revision); bilateral joint replacements count as a single wait

3

6. All priority levels
Exclusions:
1. Emergency cases

2.

Elective

Cement spacers and elective partial hip replacements

and hip resurfacing techniques

3. Abandoned procedures

4. Days when patient was unavailable

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Numerator
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Description:

Cases

Number of adults who received a planned total hip replacement

who received surgery

within 182 days (26 weeks

(182 days

) from the date they were ready to be treated
Inclusions:
1. Inpatients in all provincial facilities

2. Age 18 and older

2

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

3.

4. 1.VA.53.LA-PN-^ Implantation of internal device, hip joint, open approach (direct lateral, posterolateral, posterior, transgluteal), dual component prosthetic device (femoral with acetabular)

5. 1.VA.53.LL-PN-^ Implantation of internal device, hip joint, open anterior (muscle sparing) approach (anterolateral, direct anterior), dual component prosthetic device (femoral with acetabular)

6. All priority levels
Exclusions:
1. Emergency cases

2.

Elective

Cement spacers and elective partial hip replacements

and hip resurfacing techniques

3. Abandoned procedures

4. Days when patient was unavailable

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Background, Interpretation and Benchmarks
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Rationale
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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.

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

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

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Areas of Need
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Getting Better

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Targets/Benchmarks
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Within 26 weeks (182 days)

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References
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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.

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Availability of Data Sources and Results
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Data Sources
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Provincial Wait Times Registry, Data may come from various sources, depending on the province.

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Available Data Years
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Type of Year:
Fiscal
First Available Year:
2008
Last Available Year:

2013

2018

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Geographic Coverage
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All provinces

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Reporting Level/Disaggregation
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National, Province/Territory, Region

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Result Updates
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Update Frequency
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Every year

Indicator Results
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Latest Result Update Date
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2014-03

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Web Tool:
Wait Times
URL: http://waittimes.cihi.ca/All/hip

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Updates
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There may be some provincial exceptions to the standard methodology each year. For more information, visit the Wait Times website and view provincial exceptions (http://waittimes.cihi.ca/All/hip).

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Quality Statement
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Caveats and Limitations
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Some provinces may have some exceptions and their methodology may be slightly different than the standard methodology. For more information, visit the Wait Times website and view provincial exceptions (http://waittimes.cihi.ca/All/hip).

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Trending Issues
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Since 2008, an increasing number of provinces have adapted to the standard methodology to increase the comparability of results. When comparing data for a particular province over time, attention should be given to the exceptions. For more information, visit the Wait Times website and view provincial exceptions (http://waittimes.cihi.ca/All/hip).

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Comments
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Not applicable

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