title: Improving healthcare--one slice at a time.
abstract: The Ontario Wait Time Strategy is a focused initiative to reduce wait times in five key areas. The plan includes key components of successful change management including targets, funding and driving a culture of accountability. Successfully "redesigning" this slice of the healthcare system will, it is anticipated, act as a catalyst for sustainable change throughout the system. In the mind of this observer "from the trenches," the Wait Time Strategy must quickly be followed by a framework that addresses demand pressures from other parts of the system, but more importantly must be clearly aligned with the overall goals of the system--to improve health outcomes and support healthy lives--across the entire continuum of health services, including prevention, primary, community, long-term and acute care. Accountability for appropriateness and evidence-based care must be as significant as accountability for efficiency and volumes.
authors.affiliation: Vancouver Coastal Health Authority, Canada.
authors.forename: Ida
authors.initials: I
authors.lastname: Goodreau
mesh_terms: D002170:Canada; D006282:Health Personnel / Q000458:organization & administration; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration*; D015279:Organizational Culture; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D014850:Waiting Lists