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Development, testing and implementation of an emergency services methodology in Alberta.

H Eliasoph1, C Ashdown

  • 1Ontario Ministry of Health.

Healthcare Management Forum
|January 3, 1996
PubMed
Summary

Alberta implemented a mandatory emergency services reporting system to measure hospital workload. This data aims to ensure fair, workload-based funding for emergency departments across the province.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Healthcare Administration

Background:

  • Alberta mandated reporting for hospital-based emergency services, establishing a precedent in Canada.
  • The system utilizes a workload measurement approach, categorizing emergency visits into five levels based on ICD-9-CM diagnoses.
  • Additional variables like admissions, transfers, and patient support activities are integrated to capture comprehensive workload data.

Purpose of the Study:

  • To establish a workload measurement system for hospital-based emergency services in Alberta.
  • To provide a basis for fair and equitable, workload-driven funding of emergency services across all hospitals.
  • To inform utilization management and staffing level predictions.

Main Methods:

  • Development and refinement of a workload measurement system for emergency services.

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  • Mandatory province-wide data collection on emergency visits and associated workload variables.
  • Analysis of one year of data encompassing approximately 1.5 million emergency visits.

    • Main Results:

    • Consistent patterns and trends in emergency department workload were identified.
    • Workload variations were observed based on hospital size and type.
    • The data supports the prediction and comparison of workload and staffing levels.

    Conclusions:

    • The developed system provides a robust foundation for workload measurement in emergency services.
    • The data collection and analysis support the implementation of a fair, equitable, and systemic funding model.
    • This initiative is a step towards integrating emergency care funding into a broader ambulatory care funding system.