PAEDIATRIC ORTHOPAEDIC CLINIC AT THE CHILDREN'S HOSPITAL OF WESTERN ONTARIO

PAEDIATRIC ORTHOPAEDIC CLINIC AT THE CHILDREN'S HOSPITAL OF WESTERN ONTARIO
Dr. Kellie Leitch glanced at the data on wait times collected from the patients in one of her clinics. As
Chief of Paediatric1
 Orthopaedic surgery at the Children’s Hospital of Western Ontario (CHWO), she was
very concerned by the long times that the young patients (and their parents) were experiencing in the daily
clinic. Long wait times tended to aggravate the already pent-up distress and concern that they were feeling,
and parents were understandably irritated at missing significant time at work. Currently, on an average,
patients were spending roughly two hours in the clinic.
Patient health was not Dr. Leitch’s only concern. Clinical staff had increasingly complained about being
over-extended, yet budgetary pressures to reduce the cost of service continued to mount. She was not
convinced that all staff was being effectively utilized, and there was an unresolved request from the
Radiology department for more advanced equipment. Dr. Leitch also served on several government task
forces. From these, she knew that federal and provincial policy-makers were increasingly concerned with
the economic impact that health-care wait times had on national economic productivity.
In a moment of weakness, Dr. Leitch recently had volunteered her clinic to hospital management as a “test
case” to demonstrate that patient care could be done in a more timely fashion, without increasing costs. An
objective of reducing wait times by 20 per cent was established to show meaningful improvement that
would be clearly evident to patients, staff and management. A monthly executive meeting was fast
approaching, and expectations were starting to run high that Dr. Leitch would present preliminary
recommendations that would offer significant reductions.
PAEDIATRIC ORTHOPAEDIC CLINIC 

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