What is the Diagnosis Based Prioritization system?
Surgeons will assign patients to priority levels in accordance with their diagnosis and clinical condition. This system is based on similar approaches used in the Vancouver Coastal Health Authority, Ontario, and the Canadian Paediatric Surgical Wait Times Project.
This system will store patient prioritization information in the Surgical Patient Registry (SPR). SPR data will provide surgeons with up-to-date reports on waitlisted patients – including where they stand in relation to their wait time target.
What are the benefits of this system?
This system was developed in consultation with 14 Surgical Reference Groups and over 120 surgeons representing all surgical sub specialties and health authorities in B.C.
The final product of this extensive surgeon consultation process is a comprehensive listing of adult and paediatric diagnosis/condition descriptions for each surgical specialty, which correspond to one of 5 priority levels for adults and 7 priority levels for paediatrics. Each priority level has a related recommended wait time benchmark.
The most significant benefit of this new system is the achievement of an objective and standardized methodology for designating patient diagnosis/condition descriptions to a priority level and improve access for B.C.’s patients. The new system increases the ability to identify areas with excessive wait times and provides for a better understanding of operational efficiencies.
This system is intended as a useful tool to assist surgeons with managing their surgical waitlist. The decision as to when a patient undergoes surgery remains between the surgeon, and the patient. Through accurate wait list management, the key objective of the new system is to better identify areas in which improvements are necessary.
How does this affect OR Bookings?
Clinical description codes are required on the OR booking form for all adult and paediatric patients (paediatrics defined by the MoH as age 17 years less a day).
Other changes that will be effective at the same time include a revised cancer question. The new options now include Cancer Proven, Cancer Suspected, Cancer Not Proven or Suspected.
Date of Decision for Surgery is also a mandatory field. Changes will be reflected on the OR Booking Form.