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Encouraging Optimal Use of Diagnostic Imaging for Low Back Pain

This workshop held in Edmonton, Alberta in October 2010, focused on optimizing the use of diagnostic imaging for low back pain. Key discussions included guidelines for acute LBP, strategies for evidence-based care standards, and collaboration on clinical practice guidelines. The event aimed to promote the Excellent Care for All Strategy and the use of diagnostic tools like lumbar X-rays, CT scans, and MRIs based on Ontario billing data.

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Encouraging Optimal Use of Diagnostic Imaging for Low Back Pain

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  1. Encouraging Optimal Use of Diagnostic Imaging for Low Back Pain Institute for Health Economics Workshop Edmonton, Alberta October 26 & 27, 2010 Tai Huynh, Director, Excellent Care for All Strategy Ministry of Health and Long-Term Care

  2. Lumbar X-Ray Source: OHIP billing data, MOHLTC

  3. Lumbar CT Source: OHIP billing data, MOHLTC

  4. Lumbar MRI Source: OHIP billing data, MOHLTC

  5. Select MOHLTC-Supported Activities • 2001: GAC endorsed guidelines for management of acute LBP • 2002: ICES investigative report examining use of guidelines in acute LBP • 2004: Ontario Wait Times Strategy • 2009: Online decision support tool for referring physicians • 2010: Excellent Care for All Act • 2010: Inter-provincial collaboration on CPGs, evidence-based care standards and best practices

  6. The Excellent Care for All Strategy 1. Organization • The Excellent Care for All Act, 2010 (Bill 46) • ECFFA became law on June 8th, 2010 • Establishes a number of requirements for health care organizations, starting first with hospitals 2. System • Foundational elements • Expanded mandate and capacity of the Ontario Health Quality Council to promote evidence-based health care • Shift to patient-based payment for hospital services • Near-term initiatives • Evidence-based changes to select OHIP insured services • Quality improvement initiatives targeting readmission reduction

  7. Expanded role of the Ontario Health Quality Council • Current functions • Monitor and publicly report on system performance • Support quality improvement • New functions • Promote evidence-based care: • Recommendations on standards of care based on clinical practice guidelines and protocols • Corresponding recommendations on funding for health care services and medical devices • Quality improvement plans: • Province-wide comparison of and reporting on quality indicators associated with QIPs submitted by health care organizations

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