Grant: Operating Grant: SPOR iCT Rewarding Success - Travel Awards - Manitoba

Proposed Intervention to the Challenge According to Guthrie et al (2013), "Funding agencies are beginning to experiment with new models of funding that incentivize frugal innovation and success in addressing complex and important health problems." Our proposal does just that - incentivizes innovation and efficiencies in CT outpatient service. The DI Program is proposing opening a Diagnostic Outpatient Centre at Misericordia Health Centre for CT and Ultrasound, beginning with an iCT CT pilot for proof of concept. An extended access and walk-in model for CT whereby volumes are not capped and supplies are fully funded for each exam is proposed. MHC is a central location with ideal parking capacity that is fully wheelchair accessible. We recommend diverting outpatient exams from acute care centres such as HSC, GGH and SBGH and targeting Access Centres and primary care physicians. Hypothesis: An innovative patient and funding model will make a substantial difference in supporting fiscal and clinical efficiencies, and providing equitable access to care for CT outpatients. Specific aims include 10% reduction of CT cost per exam; 10% increase in CT exam volume per pilot day; and cost avoidance by measured reduction of CTAS 4 and 5 levels requiring CT presenting to ED.