How is SPR data used?
SPR data provides decision-making information for surgeons, health authorities and the Ministry of Health.
The SPR data is intended to inform and support surgeon decision-making by providing the surgeon with prioritization information to be used as part of the process for determining the urgency of the patient’s surgery. SPR data shows comparisons of surgical services across jurisdictions.
The data can be used by health authorities and the Ministry of Health for better planning, monitoring and evaluating the use of surgical resources at the regional and provincial level.
Reports are generated daily so staff can monitor the details, and correct any errors. This daily upload of data and ongoing error management process ensures that the information in the SPR is as current and accurate as possible. In addition, the SPR identifies situations where a patient has scheduled the same surgery with more than one surgeon.
How is surgical data reported from the SPR?
The SPR’s Data Mart portal enables standardized reporting for surgeons, health authority administrators and the Ministry of Health. Reporting tools and reports are continuously being improved based on client feedback and changing needs.
There are three options for data retrieval from the SPR Data Mart:
- Dashboards - dynamic, interactive display of data with ability to drill down into data set
- Report Builder– detailed, patient-level reporting with options for more sophistication in structure and display
- Access to Data Mart cube using MS Excel Pivot tables – rapid, aggregated (summary data) pivot table reports
The SPR also creates a snapshot of all data in the SPR for six years from and including the end of the most current month, and transfers this data to the Ministry of Health through secure linkage on a monthly basis. This data is then used to populate the Ministry of Health public wait time website
Is special equipment or software required to use the SPR?
No. The SPR is web-based and can be accessed from any secure surgeons office (using Citrix or VPN etc.), health authority or Ministry of Health computer once a user has been approved and granted access.
What training is required to use the registry?
Each health authority has a designated SPR administrator responsible for coordinating the delivery of training to operating room booking staff, surgeons and surgeons’ office staff. The SPR central office also provides training for reporting. Find more information about education and training in the Resources & education tab.
How many hospitals submit data to the SPR?
Currently all hospitals that perform surgery in BC submit data to the SPR.
What is the SPR doing in terms of standardizing SPR procedure codes?
In 2015, the SPR re-classified unique health authority surgical procedure codes using the nationally standardized system, the Canadian Classification of Interventions (CCI). Each of the 14,000 procedure codes in BC now has a CCI code match where the procedure codes are now comparable across health authorities.
The SPR procedure codes are provincial codes (allowing standardization of reporting):
- SPR is the source of truth for these codes
- Each health authority code is mapped to an SPR code (the initial mapping is suggested by the health authority and then verified by SPR CO)
- SPR responsible for periodic maintenance of the codes and mappings
These codes allow similar procedures from each health authority to be grouped together (for example, all appendectomies) and compared across the province.
SPR codes are reported to the Ministry of Health, which then rolls these procedures up into the Ministry of Health groupings.
What is the diagnosis-based prioritization system?
In 2010, the Ministry of Health led a collaborative process to develop a diagnosis-based prioritization methodology replacing assessment tool data collection for patient prioritization. Diagnosis-based prioritization links a patient’s diagnosis and individual clinical condition to a specific wait time target.
Initially based on a model developed by Vancouver Coastal Health, over 120 surgeons from across BC participated in creating the diagnosis-based prioritization tool. BC surgeons and their offices have access to the diagnosis/condition codes through their health authority. Surgeons select the code that corresponds with the appropriate diagnosis/patient condition, and write it on the OR booking form. The diagnosis information is uploaded to the SPR.
The end-product is a comprehensive listing of the diagnosis descriptions/patient conditions and their associated priority levels. Surgeons will continue to make the final decision regarding who receives surgery and when it will be performed.
SPR is the source of truth for these codes. A process for identifying new codes or updating codes is in place involving approval of the changes by clinical subject matter experts from all health authorities.