Comparing pre-WCIS and post-WCIS referral data for all patients referred for THR and TKR in the WRHA (accessibility and appropriateness)
Quality dimension | Characteristic | Pre-WCIS (June 2011 to June 2012) | Post-WCIS (Sept 2013 to Sept 2014) |
Accessibility | Total number of patient referrals processed (n) | 3027* | 3427 |
Accessibility | Referrals to specific surgeon (n, %) | 610 (79.8)† | 2041 (59.6) |
Accessibility | Referrals to next-available surgeon (n, %) | 154 (20.2)† | 1386 (40.4) |
Appropriateness | Proportion of referrals proceeding to consult (%) | >95† | >95 |
Appropriateness | Proportion of referrals proceeding to surgery (%) | 57† | 55 |
Appropriateness | Incomplete referrals (not forwarded to surgeon offices) | N/A | 32 (0.9%) |
Appropriateness | Inappropriate referrals (not forwarded to surgeon offices) | N/A | 273 (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.