About Dr. Howard Ovens

Howard Ovens is the former Director of the Department of Emergency Medicine for the Sinai Health System in Toronto, Canada. He’s a Professor in the Department of Family and Community Medicine at the University of Toronto and a member of the CAEP Public Affairs Committee. He’s also the Ontario Government Expert Lead for EM. He tweets on issues of public policy and administration related to EM (@HowardOvens) and is the lead author for EM Cases ‘Waiting to Be Seen - Where EM Policy Meets Practice', blog series.

WTBS 6 Measuring Quality – The Value of Health Care Metrics

A New York Times article titled “How Measurement Fails Doctors and Teachers” went viral on social media in January and caused a lot of chatter in medical circles. Its author, a professor of medicine at the University of California, gave voice to a wide sense of frustration, and while I understand that feeling and think it’s justified, I don’t agree with labelling measurement as the culprit. As I expressed in my first WTBS blog post, “Why Recording Time to Initial Assessment is Worthwhile,” I believe my job as an administrator is to make the job of my staff easier, and measurements can help us maintain standards of care and understand where gaps in the system may exist—when such data are collected and used appropriately. In this guest blog, Dr. Lucas Chartier, an emergency physician in Toronto with a background in quality improvement, expands on the subject of how we’ve gone off course in our zeal for measurement and helps us try to find the path back to our intended goals.

WTBS 4 – Emergency Physician Speed: How Fast is Fast Enough?

Racing legend Mario Andretti famously said, “If everything seems under control, you’re just not going fast enough.” He was talking about cars, but to many beleaguered emergency physicians trying to keep up with the patient queue, emergency medicine often seems this way. This guest blog on emergency physician productivity began as a question to our national association, the Canadian Association of Emergency Physicians (CAEP): Are there any national standards with respect to emergency physician productivity, i.e., expected number of patients assessed per hour? The question was referred to the CAEP Public Affairs Committee and triggered a lively email discussion among our members....

Health Equity, Trust and Data Collection in the Emergency Department

I view the emergency department as a safe refuge, a modern-day secular sanctuary. We are the one health-care service that never turns anyone away; we provide shelter to the homeless on cold winter nights, safety for battered women, and food for the hungry. I have always felt this “sanctuary” role was part of the core mission of the ED, one with a great potential for improving lives, or at least providing comfort.

Funding FOAMed

  Funding and freeing the future of learning that is FOAMed Longtime followers of EM Cases will have noticed a progressively prominent display on its website of the logo and inclusion of the name of the Schwartz/Reisman Emergency Medicine Institute — or SREMI —over the past two years. Some of you may have wondered what an Emergency Medicine Institute is, and what this one has to do with EM Cases. It's about funding FOAMed. What is SREMI? SREMI was established in November 2013 by a founding gift from our patrons, Gerald Schwartz and Heather Reisman. It is a partnership of Mount Sinai Hospital (now part of the Sinai Health System) and North York General Hospital in Toronto. Our vision is to advance the discipline of emergency medicine through the development of new knowledge — research and translating that knowledge into practice — as well as advocating for system improvement through better public policy. The partnership brought together two hospitals that already knew each other well and collaborated extensively; Mount Sinai brought strength in research and education including simulation, North York added its national reputation in continuing medical education. Dr. Anton Helman, the founder of EM Cases, [...]

By |2017-02-03T11:50:18-04:00May 14th, 2015|Categories: Waiting to be Seen|Tags: , , |1 Comment

Why Recording Time to Initial Assessment is Worthwhile

As both an emergency director and a practising emergency physician, I believe it is the job of administrators to make the challenges of front line staff easier, not vice-versa. Clinicians are too busy taking care of patients to perform purely administrative chores. But one task that I would ask all emergency doctors to adopt is the step of recording the time of Physician Initial Assessment, or PIA times. The time from arrival until they first see a physician is what most patients consider their ED wait time, and it is an important metric to report. Yes, it means one more small box to fill out in your charting, but it can be of huge benefit to doctors. Allow me to explain why....

By |2016-10-17T12:02:50-04:00April 23rd, 2015|Categories: Waiting to be Seen|Tags: , , |0 Comments