How Long Are Patients Waiting For Acute Care Services?

As not all of the data used in this report are current, it is important to note that changes made by staff in recent months have already resulted in positive outcomes and reduced wait times. Those results will show in the next reporting quarter.

Coronary Artery Bypass Graft (CABG) Wait times

Wait times for surgical procedures are an indicator of the public’s access to the health care system and a reflection of our efficient use of resources. Wait times are indicated for elective procedures.

Wait times are commonly used as indicators of the efficiency of the system. A variety of factors can impact the wait times such as the demographics of the population, treatment patterns of physicians, the number of emergency surgeries, which have higher priorities in use of resources, nurse shortages, or job action (Statistics Canada).

As urgency ratings for Coronary Artery Bypass Graft (CABG) procedures are not consistently applied across the two centres included in this table (Foothills Medical Centre and University of Alberta Hospital), results should be interpreted with caution. Agreement on the category definitions is expected to be reached by the Alberta Cardiac Tertiary Committee.

Coronary Artery Bypass Graft (CABG) surgery is a surgical procedure performed to relieve angina and reduce the risk of death from coronary artery disease. Arteries or veins from elsewhere in the patient's body are grafted to the coronary arteries to bypass atherosclerotic narrowings and improve the blood supply to the coronary circulation supplying the myocardium (heart muscle). In some cases, alternative intervention to improve blood flow to the heart muscle may be used instead of bypass surgery.

AHS targets for “Urgent, Semi-Urgent and Non-Urgent” should not be considered as identical to the Provincial Territorial Benchmarks which are 2 weeks for Urgency 1, 6 weeks for Urgency 2, and 26 weeks for Urgency 3.

The following table presents wait times for Coronary Artery Bypass Graft in the following categories: percentage meeting target, median wait time, and 90th percentile wait time.

Coronary Artery Bypass Graft (CABG) Wait times

AHS CABG* Wait Time Performance (April 1 to June 30, 2009) 

Urgent Target = 1 week, Semi-Urgent Target = 2 weeks, Non-Urgent Target = 6 weeks

Site

Urgency Rating

# Patients

% that met Target

Number of weeks by which 50% of patients had their surgery

Number of weeks by which 90% of patients had their surgery

Foothills Medical Centre

Urgent

50

100%

0.4

1.0

University of Alberta Hospital

Urgent

74

39%

1.1

2.0

Foothills Medical Centre

Semi-Urgent

27

100%

1.9

2.0

University of Alberta Hospital

Semi-Urgent

4

0%

3.3

7.0

Foothills Medical Centre

Non-Urgent

61

34%

8.0

15.7

University of Alberta Hospital

Non-Urgent

61

13%

9.0

20.1

Total

 

277

49%

N/A

N/A

* CABG only procedures

AHS Strategic Direction Targets for CABG median wait times Urgent <= 1 week, semi-urgent <=2 weeks, Non-urgent 6-10 weeks

Primary Elective Total Hip and Knee Replacement Wait Times

Wait times for surgical procedures are an indicator of the public’s access to the health care system and a reflection of our efficient use of resources. Wait times are indicated for elective procedures.

Wait times are commonly used as indicators of the efficiency of the system. A variety of factors can impact the wait times such as the demographics of the population, treatment patterns of physicians, the number of emergency surgeries, which have higher priorities in use of resources, nurse shortages, or job action (Statistics Canada).

Knee replacement surgery has the potential to result in considerable improvement in functional status, pain relief, as well as other gains in health-related quality of life (CIHI).

The following table presents the wait times for hip and knee replacements in the following categories: percentage meeting benchmark, median wait time and 90th percentile wait time.

Primary Elective Hip Replacements (April 1 to June 30, 2009)

Benchmark = 26 weeks 

Site

# Done

% That Met Benchmark

Number of weeks by which 50% of patients had their surgery

Number of weeks by which 90% of patients had their surgery

Foothills Medical Centre

26

88%

14.7

36.4

Health Resource Centre

138

93%

8.2

22.3

Misericordia Community Hospital

59

68%

19.6

41.6

Peter Lougheed Centre

46

87%

14.1

34.2

Royal Alexandra Hospital

162

69%

17.4

43.5

Red Deer Regional Hospital

59

95%

13.7

23.9

Rockyview General Hospital

63

90%

14.4

26.3

University of Alberta Hospital

44

93%

8.6

23.1

Total

597

83%

13.1

33.2

AHS Strategic Direction Target: 90% of patients within 26-30 weeks

Primary Elective Knee Replacements (April 1 to June 30, 2009)

Benchmark = 26 weeks

Site

# Done

% That Met Benchmark

Number of weeks by which 50% of patients had their surgery

Number of weeks by which 90% of patients had their surgery

Foothills Medical Centre

27

81%

15.9

39.2

Health Resource Centre

113

96%

9.9

22.1

Misericordia Community Hospital

114

41%

30.2

86.7

Peter Lougheed Centre

111

77%

15.7

37.9

Royal Alexandra Hospital

245

58%

24.3

54.7

Red Deer Regional Hospital

62

89%

15.9

27.0

Rockyview General Hospital

146

80%

15.7

32.1

University of Alberta Hospital

46

89%

12.7

26.3

Total

864

72%

18.0

48.0

AHS Strategic Direction Target: 90% of patients within 26-45 weeks

Timeliness of Care in Tertiary Oncology Facilities

Wait times are an important measure of how quickly people are getting access to cancer care.  They indicate Alberta Health Services ability to meet the needs of cancer patients.

Wait times are commonly used as indicators of the efficiency of the system. A variety of factors can impact the wait times such as the demographics of the population, treatment patterns of physicians, the number of emergency surgeries, which have higher priorities in use of resources, timing of first treatment, tumour site, and decisions to postpone treatment for medical or personal reasons.

The following table represents timeliness of care in tertiary oncology facilities. Timeliness of care to First Consult is presented in the categories: percentage meeting target, median wait time and 90th percentile wait time. (April 1 to June 30, 2009)

TIME PERIOD 1: REFERRAL TO FIRST CONSULT - The number of weeks between the date that a referral was received from a physician outside a cancer facility (eg, family physician or surgeon) to the date that the first consult with an oncologist occurred.

Target = 4 weeks

Facility

Type of First Consult

Number of patients who had their first consult

% That Met Target

Number of weeks by which 50% of patients had their first consult

Number of weeks by which 90% of patients had their first consult

Cross Cancer Institute

Medical Oncologist [1]

613

70%

3.0

6.1

Cross Cancer Institute

Radiation Oncologist

614

70%

2.7

9.9

Tom Baker Cancer Centre [2]

Medical Oncologist

905

82%

2.0

6.1

Tom Baker Cancer Centre

Radiation Oncologist

466

75%

2.9

6.9

Total

Medical Oncologist

1,518

77%

2.2

6.1

Total

Radiation Oncologist

1,080

72%

2.7

9.1

  1. Medical Oncologist – includes Medical Oncologists and Surgical/Gyne oncologists
  2. TBCC includes the Holy Cross Site


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Performance Report

This report presents a range of indicators which have been collected to demonstrate the overall performance of the provincial health system, as managed by AHS.

Demographics

How Busy Are We?

How Are We Doing?

How Satisfied Are Albertans?

How Do We Compare?

Frequently Asked Questions