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Saskatchewan's Successful Strategy for Surgical Waitlist Reduction.

Geoffrey Johnston¹

¹Practised as an orthopedic surgeon in Saskatoon for more than 30 years and was part of the surgical representation in the development and implementation of the initial Glynn report and the Western Canada Waiting List Project and subsequent provincial initiatives. He witnessed firsthand Saskatchewan's "rags to riches" surgical wait list journey and appreciated the valuable lessons that Saskatchewan learned, from which other jurisdictions struggling with long surgical waitlists could benefit. He now practises in Victoria, British Columbia.

Healthcare Quarterly (Toronto, Ont.)

|February 12, 2019

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Saskatchewan drastically reduced surgical wait times by implementing a centralized system, priority tools, and strategic partnerships. These reforms transformed wait times from Canada

Area of Science:

Health Services Research
Healthcare Management
Public Health Policy

Background:

Saskatchewan historically faced some of Canada's longest surgical wait times.
Significant challenges existed in managing operating room allocation and patient flow.

Purpose of the Study:

To highlight key strategies implemented to reduce surgical wait times in Saskatchewan.
To analyze the impact of coordinated healthcare initiatives on surgical access.

Main Methods:

Implementation of a fair operating room allocation system.
Establishment of a centralized provincial surgery registry.
Integration of priority scoring tools and the Saskatchewan Surgical Care network.
Adoption of Lean principles, hospital service consolidation, and private third-party care.

Related Experiment Videos

Main Results:

Surgical wait times in Saskatchewan became among the shortest in Canada by 2015.
The coordinated approach facilitated efficient resource management and improved patient access.

Conclusions:

A multi-faceted strategy involving system redesign, technology, and partnerships can effectively reduce surgical wait times.
Provincial government policy and strategic investments were crucial for success.