Raaj Tiagi1, Yuriy Chechulin1. 1. Health Analytics Branch, Ministry of Health and Long-Term Care Toronto, ON.
Abstract
OBJECTIVE: To assess the effect of rostering with a patient enrolment model (PEM) in Ontario on emergency department utilization for non-emergent care. DATA SOURCES/STUDY SETTING: Administrative data for fiscal years 2006/07 through 2010/11 from the Ontario Ministry of Health and Long-Term Care were used for the analysis. STUDY DESIGN: Patient-level analysis with a difference-in-difference modelling approach was used to study the relationship. A control group was established using propensity score matching. PRINCIPAL FINDING: Results suggest that rostering with a PEM is associated with a statistically significant reduction in emergency department (ED) (non-emergent) visits in Ontario. More specifically, enrolment with PEMs reduced ED visits by 3% during the study period, translating into cost savings of approximately $8 million for hospitals in Ontario. CONCLUSION: This study shows that PEMs have achieved some degree of success in enhancing health system efficiency in Ontario through the reduction in the use of EDs for non-emergent care.
OBJECTIVE: To assess the effect of rostering with a patient enrolment model (PEM) in Ontario on emergency department utilization for non-emergent care. DATA SOURCES/STUDY SETTING: Administrative data for fiscal years 2006/07 through 2010/11 from the Ontario Ministry of Health and Long-Term Care were used for the analysis. STUDY DESIGN:Patient-level analysis with a difference-in-difference modelling approach was used to study the relationship. A control group was established using propensity score matching. PRINCIPAL FINDING: Results suggest that rostering with a PEM is associated with a statistically significant reduction in emergency department (ED) (non-emergent) visits in Ontario. More specifically, enrolment with PEMs reduced ED visits by 3% during the study period, translating into cost savings of approximately $8 million for hospitals in Ontario. CONCLUSION: This study shows that PEMs have achieved some degree of success in enhancing health system efficiency in Ontario through the reduction in the use of EDs for non-emergent care.
Authors: Michelle Howard; James Goertzen; Janusz Kaczorowski; Brian Hutchison; Kelly Morris; Lehana Thabane; Mitch Levine; Alexandra Papaioannou Journal: Healthc Policy Date: 2008-08