Multidisciplinary clinic streamlines process for hip and knee replacement surgeries.
Notes from the Prince Albert Parkland Regional Health Authority board of directors' meeting on April 27, 2016 in Prince Albert.

Published on Thursday, May 5, 2016
Author: Doug Dahl

The Prince Albert Parkland Regional Health Authority heard how a Therapies Department Multi-disciplinary Clinic’s (MDC) work streamlines the process for patients who require a hip or knee total joint replacement surgery. The MDC is part of a provincial pathway to reduce the wait times for patients who may require a hip or knee total joint replacement surgery.

Lisa Harradence, Regional Director of Therapies, told the RHA board members at their regular board meeting on Wednesday, April 27, 2016 that the Multi-disciplinary Clinics helps prepare patients for surgery, as well as ensures that patients are suitable for surgery before they are added to a wait list. The MDC team includes a Physical Therapist, and Registered Nurse and an Orthopedic Surgeon.

“About half of the patients who go through the assessment part of the clinic are actually sent back to the provider who referred them for a variety of reasons,” Harradence said. “One of these reasons may be to consider more conservative treatment options that may not have been tried yet, such as knee bracing and physical therapy. Another reason the patient may not be currently suitable for a joint replacement surgery is they have an unstable medical condition like diabetes or uncontrolled high blood pressure.”

Harradence added that as a patient learns more about the process through the MDC team they may decide not to proceed to surgery at this time in their life due to the commitment that is required of them after surgery.

In 2015-2016, 230 patients attended the assessment portion of the Multi-disciplinary Clinic, and 121 were recommended for surgery.

“The pathway helps ensure patients have the most appropriate treatment plan for their individual circumstances,” Harradence said.

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Prince Albert Parkland Health Region has an operating deficit of $270,682 for the 11 months ended February 29, 2016. The deficit was increased to $1,283,294 after required transfers to capital for long-term care reserves, mortgage payments, parking equipment purchases and energy performance loan payments.

Based on results as at February 29, 2016 PAPHR is forecasting an operating deficit of $784,000 for the fiscal year. After inter-fund transfers the forecast shows a deficit of $1,849,476 for 2015-2016. The deficit has increased due to continued overcapacity experienced in October through February as compared to the previous fiscal year. The projected deficit has also changed from previous forecasts after a change in how the Region calculates vacation accrual, with that change valued at $847,191.

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The next Prince Albert Parkland Regional Health Authority board of directors meeting will be held on Wednesday, May 24, 2016 in the main floor boardroom at 1521 6th Avenue West, Prince Albert. The meeting begins at 1 p.m.

For more information or to arrange interviews contact:
Doug Dahl, Communication Officer
306-765-6409

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