Table 2

Comparing pre-WCIS and post-WCIS referral data for all patients referred for THR and TKR in the WRHA (accessibility and appropriateness)

Quality dimensionCharacteristicPre-WCIS
(June 2011 to June 2012)
Post-WCIS
(Sept 2013 to Sept 2014)
AccessibilityTotal number of patient referrals processed (n)3027*3427
AccessibilityReferrals to specific surgeon
(n, %)
610 (79.8)†2041 (59.6)
AccessibilityReferrals to next-available surgeon (n, %)154 (20.2)†1386 (40.4)
AppropriatenessProportion of referrals proceeding to consult (%)>95†>95
AppropriatenessProportion of referrals proceeding to surgery (%)57†55
AppropriatenessIncomplete referrals (not forwarded to surgeon offices)N/A32 (0.9%)
AppropriatenessInappropriate referrals (not forwarded to surgeon offices)N/A273 (8%)
  • *Pre-WCIS referral volume is based on data from the WRHA Surgery Programme.

  • †Pre-WCIS referral data is based on data from four WRHA surgeons who handle 43.2% of the WRHA surgical volume (Concordia Joint Replacement Group).

  • THR, total hip replacement; TKR, total knee replacement; WCIS, Winnipeg Central Intake Service; WRHA, Winnipeg Regional Health Authority.