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Small changes produce large gains in efficiency: a case study from Ross Memorial Hospital
David Lane1, Carol Findlay2, Lisa Hickey3
1David Lane, BA, BSc(M), MD, FRCS(C), is an ophthalmologist at the Ross Memorial Hospital, in Lindsay, Ontario, and a lecturer at the University of Toronto, in Toronto, Ontario. Dr. Lane maintains an interest in continuing education for primary care physicians and resident training, delivering a variety of lectures in cataract surgery, electronic medical records and efficiency. He has designed two instruments used in modern cataract surgery and developed "macro software" used in the OSCAR electronic medical record, now adopted in McMaster University's OSCAR Version 12. You can contact Dr. Lane at 705-320-8080 or by email at dlanelindsay7@gmail.com. www.drdavidlane.com.
Abstract:
Healthcare is now more challenged to provide excellent care, while also increasing efficiency with more limited resources. The recent introduction of Ontario's funding reform challenges hospitals to increase the efficiency of specific procedures by providing funding based on patient volumes. The cataract surgery program at Ross Memorial Hospital, in Lindsay, Ontario, is an example of how a program designed a few years ago with a focus on patient care and efficiency managed to become substantially more efficient by introducing a series of small changes.