Our population structure is changing. We're living longer and as we age, the more we depend on our health care system. We now have access to more and better drugs to prevent and treat disease, and there is a rise in the rate of chronic disease such as diabetes and high blood pressure. To ensure the health care system is there for our loved ones and future generations, we must start doing things differently, in line with the Health System Funding Reform and its subsequent Quality Based Procedure Model or QBP. See link: http://www.health.gov.on.ca/en/pro/programs/ecfa/funding/hs_funding_qa.aspx
In order to effectively and efficiently optimize stroke QBP delivery to the community, the Diabetes and Vascular Health Team have been facilitating stroke QBP recommendations in partnership with all the hospitals in the region. Using a robust, evidence-based Decision Making Framework model, consultation with many stakeholders including patient representation, the cluster-based models for improvement are being evaluated for clinical effectiveness, cost effectiveness and system readiness.