EXTRA project supports Council of the Federal Health Care Innovation Working Group

Dr. Alison Paprica’s project has resulted in several quick wins for her province, and beyond. Her work has led to the development of the following definition of appropriateness which has been adopted by the Council of the Federation Health Care Innovation Working Group (HCIWG) comprising all provincial and territorial health ministers.

The Challenge

Establishing which existing Ontario funded healthcare services and products should be scaled back, discontinued or retained.

The Improvement Project

Dr. Alison Paprica, through her EXTRA project, adapted a detailed framework that flags practices that are low value or even harmful to patients.

The Result and Impacts

Development of a definition of appropriateness adopted by the Council of the Federation Health Care Innovation Working Group which includes all provincial and territorial health ministers. There have also been impacts at the organizational, budgetary, human resources and policy levels. Five practices were identified as priorities for reassessment and two of these have been removed from standard Ontario laboratory ordering forms, resulting in an estimated $39 million/year redirected to higher value laboratory tests. Two of the other five candidates are undergoing consideration, with potential cost savings of $20 million/year.

Read the full Impact Story: 

Reassessing Existing Funded Health Services and Products to Support Appropriate Care