Restricted accessResearch articleFirst published online 2008-10
Cardiac EASE (Ensuring Access and Speedy Evaluation) — Design of a Single Point of Entry and a Multidisciplinary Team to Reduce Waiting Times in the Canadian Health Care System
Out-patient cardiac consultation in academic group practices often lacks a coordinated intake process, making it difficult to perform prospective testing or to direct undifferentiated consultations to the cardiologist with the shortest waiting list. We created a programmatic approach, with a single point of entry to improve the efficiency of cardiology consultation, without departing from the Canada Health Act. The purpose of this paper is to describe the design of Cardiac EASE.
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References
1.
Taking control: Lower your risk of heart disease and stroke. Heart and Stroke Foundation of Canada, 2006.
2.
Capital region physician access survey: Survey of wait times to access physician services. Capital Region Medical Staff Association, 1999.
3.
TeoKKSpoorMPresseyTWilliamsonHCalderPGelfandET. Impact of managed waiting for coronary artery bypass graft surgery on patients' perceived quality of life. Circulation, 1998; 98(19 Suppl): II29–33.
4.
AnsellJEHughesR. Evolving models of warfarin management: Anticoagulation clinics, patient self-monitoring and patient self-management. American Heart Journal, 1996; 132(5): 1095–1100.
5.
GattisWAHasselbladVWhellanDJO'ConnorCM. Reduction in heart failure events by the addition of a clinical pharmacist to the heart failure management team. Archives of Internal Medicine, 1999; 159(16): 1939–1945.
6.
HammondRWSchwartzAHCampbellMJRemingtonTLChuckSBlairMM. Collaborative drug therapy management by pharmacists — 2003. Pharmacotherapy2003; 23(9): 1210–1225.
7.
RafteryJPYaoGLMurchiePCampbellNCRitchieLD. Cost effectiveness of nurse led secondary prevention clinics for coronary heart disease in primary care: Follow up of a randomised controlled trial. British Medical Journal, 2005; 330: 707–711.
8.
StrombergAMartenssonJFridlundBLevinLAKarlssonJEDahlstromU. Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure. European Heart Journal, 2003; 24(11): 1014–23.
9.
WoodendAK. Nurse led secondary prevention clinics improved health and decreased hospital admissions in patients with coronary heart disease. Evidence-Based Nursing, 1999; 2: 21–23.
10.
The Canada Health Act. Health Canada, 1984.
11.
RomanowRJ. Building on values: The future of health care in Canada. Commission on the Future of Health Care in Canada; 2002.