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The Effect of Pay for Performance in the Emergency Department on Patient Waiting Times and Quality of Care in Ontario, Canada: A Difference-in-Differences.

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Presentation on theme: "The Effect of Pay for Performance in the Emergency Department on Patient Waiting Times and Quality of Care in Ontario, Canada: A Difference-in-Differences."— Presentation transcript:

1 The Effect of Pay for Performance in the Emergency Department on Patient Waiting Times and Quality of Care in Ontario, Canada: A Difference-in-Differences Analysis  Marian J. Vermeulen, MHSc, Therese A. Stukel, PhD, Andrew S. Boozary, MD, MPP, Astrid Guttmann, MDCM, MSc, Michael J. Schull, MD, MSc  Annals of Emergency Medicine  Volume 67, Issue 4, Pages e7 (April 2016) DOI: /j.annemergmed Copyright © 2015 American College of Emergency Physicians Terms and Conditions

2 Figure 1 Ontario Ministry of Health and Long-Term Care ED wait time strategy. Annals of Emergency Medicine  , e7DOI: ( /j.annemergmed ) Copyright © 2015 American College of Emergency Physicians Terms and Conditions

3 Figure 2 Change in ED length of stay before and after the Ontario Pay-for-Results program among program sites compared with control sites (difference-in-differences models). Adjusted for age/sex group, Canadian Triage and Acuity Scale group, participation in the government-funded Emergency Department Process Improvement Program (lean), participation in other lean-type interventions, participation in an Alternative Funding Arrangement plan, emergency department volume, teaching hospital, calendar month, individual emergency department. Annals of Emergency Medicine  , e7DOI: ( /j.annemergmed ) Copyright © 2015 American College of Emergency Physicians Terms and Conditions

4 Figure 3 Change in ED length-of-stay targets and quality-of-care outcomes before and after the Ontario Pay-for-Results program among program sites compared with control sites (difference-in-differences models). Adjusted for age/sex group, Canadian Triage and Acuity Scale group, participation in the government-funded Emergency Department Process Improvement Program (lean), participation in other lean-type interventions, participation in an Alternative Funding Arrangement plan, emergency department volume, teaching hospital, calendar month, individual emergency department. Annals of Emergency Medicine  , e7DOI: ( /j.annemergmed ) Copyright © 2015 American College of Emergency Physicians Terms and Conditions

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