Data Then and Now. What do your Numbers Mean?

Size: px
Start display at page:

Download "Data Then and Now. What do your Numbers Mean?"

Transcription

1 Data Then and Now What do your Numbers Mean? Jennifer Payne, PhD Epidemiologist, DCPNS DCPNS Workshop 29 April 2011

2 Objectives become familiar with the National Diabetes Surveillance System understand how DCPNS provides practitioners with data to support individual care understand how the DCPNS Registry can support care improvements provincially

3 Outline Now: focus on National Diabetes Surveillance System Then: understand development of DCPNS Registry Back to Now: understand how the current Registry supports care individually understand how the DCPNS Registry can support care improvements provincially

4 Now : National Diabetes Surveillance System

5 National Diabetes Surveillance System (NDSS) developed to provide improved data about diabetes network of regionally distributed diabetes surveillance systems that compile administrative health care data Hospital admissions Practitioner billings aggregate anonymous data to Health Canada for national analyses data: pres

6 National Diabetes Surveillance System (NDSS) Reports on : Prevalence Incidence Comorbidity (e.g., hypertension) Health services utilization (e.g., hospital admissions)

7

8 Section I - Burden Prevalence Incidence Mortality Table of Contents Section II - Comorbidity e.g., Cardiovascular Disease Hypertension Section III Health Care Utilization e.g., hospital admission length of stay in hospital family practitioner visits

9 Crude and Age-Sex Standardized Diabetes Prevalence for the Population Aged 20+ in Nova Scotia and the DHAs 2008/09 Source: Nova Scotia Diabetes Statistics Report 2011 (DCPNS) in press

10 Crude Diabetes Prevalence for the Population Aged 20+ in Nova Scotia and the DHAs 2008/09 Source: Nova Scotia Diabetes Statistics Report 2011 (DCPNS) in press

11 Trend in Crude and Standardized Diabetes Incidence Rates (per 1000) for the Population Aged 20+ in Nova Scotia, 2004/05 to 2008/09 Source: Nova Scotia Diabetes Statistics Report 2011 (DCPNS) in press

12 $!!"!#,!"!# +!"!# Crude HTN Rates for the Population Aged 20+, with/without Diabetes (DM), in Nova Scotia by Age Group and Sex, 2008/09 )35+&6738+&-)6/&!"#$%&'()&*+,%&-./& *!"!# )!"!# (!"!# '!"!# &!"!# %!"!# $!"!# 4#-#54# 4#-#60#54# 7#-#54# 7#-#60#54#!"!# %!-&,# '!-',# (!-(,# )!-),# *!-*,# +!.# /0123# 01%&2"3#4& Source: Nova Scotia Diabetes Statistics Report 2011 (DCPNS) in press

13 Comparison of Measures of Diabetes Burden, Comorbidity, and Health Services Utilization by DHA Relative to Nova Scotia, 2008/09 Source: Nova Scotia Diabetes Statistics Report 2011 (DCPNS) in press

14 Then & Now : The DCPNS Registry

15 DCPNS Registry Evolution: Disease-based registry (via DCs): 1992: pediatric cases (<19yrs) 1994: adults DC Visit-based registry 2002: visits 2011: > 80,000 people 5000 new cases/yr; 50,000 visits/yr Longitudinal Analysis!

16 69,298 living

17 DCPNS Registry Individual Data Diabetes Centres: acts as clinical information system use to monitor care of individuals over time Reports: Monthly stats (DCs) Clinical Indicator Report (monitoring/evaluation) Physician/Nurse Practitioner Report Family Physician/Nurse Practitioner-Patient List

18 DCPNS Registry Group data Monitoring/Evaluation: acts as surveillance system monitor burden across province over time monitor disease management across province and over time can be used for evaluating change pre/post implementation of intervention/program

19 District Diabetes Report

20 Cumulative District B Cases (all DM/PreDM types), 2005/06 to 2009/10 Existing Registry Cases New Registry Cases 6,000 Frequency 4,500 3,000 1, , , ,590 4,915 5, /06 N=4, /07 N=4, /08 N=4, /09 N=5, /10 N=5,460

21 5-Year Trends in Type of DM/PreDM for Cases at Selected DCs, 1995/96 to 2009/10 PreDM tripled over the last 15 years

22 Characteristics of Adult ( 19 yrs) Types 1 & 2 DM Follow-Up Cases in District A, 2009 Characteristic District A NS % male / % female 52 / / 50 Mean age (yrs) as of 31-Dec % with body mass index > 30 (i.e., obese) Mean duration of DM in years % of DM treatment type apple Diet / exercise only apple Oral agent (OA) only apple Insulin only apple Insulin / OA combined % 33%

23 Adult ( 19 yrs) Types 1 & 2 DM Follow-Up Cases within Management Targets, District D, 2009 District D NS 100% 80% Percentage 60% 40% 20% 44% 47% 43% 44% 69% 71% 79% 82% 52% 44% 0% A1C < 7.0% BP < 130/80 LDL-C < 2.5 Absence of a documented eye or foot exam does not mean that the exam was not performed; it may have been performed but just not recorded. Eye exam in last 12 mos Foot exam in last 12 mos

24 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% A1C in Adult ( 19 yrs) Types 1 & 2 DM Follow-Up Cases, by Age Group and Sex, District B, Total Total 8.5% % < 7% Females Males

25 Surveillance vs Clinical Data Surveillance data (PHAC-NDSS) Population-based Crude estimates Basic subgroups: person (age, sex), place, time meant for high-level comparisons Clinical data (DCPNS-Registry) Patient/client-centric Very specific, rich data Meant for drilling down to individual level Capacity for detailed evaluation of care

26 With and eye to the future Registry: Monitor burden Evaluate care: Self-care System: link to health services data Evaluate interventions Manage care: use of DCs, specialists Care pathways/referrals Opportunity: Model for chronic disease: burden and management

DIABETES CARE PROGRAM OF NOVA SCOTIA NOVA SCOTIA DIABETES STATISTICS REPORT

DIABETES CARE PROGRAM OF NOVA SCOTIA NOVA SCOTIA DIABETES STATISTICS REPORT DIABETES STATISTICS REPORT 2016 June 2016 Published by: Diabetes Care Program of Nova Scotia 1276 South Park St, Bethune Building, Suite 548 Halifax, NS B3H 2Y9 Tel: 902-473-3219 Fax: 902-473-3911 E-mail:

More information

d i a b e t e s care program of nova scotia Nova Scotia diabetes

d i a b e t e s care program of nova scotia Nova Scotia diabetes d i a b e t e s care program of nova scotia Nova Scotia diabetes statistics report 2 0 0 8 March 2008 Published by: 1278 Tower Road, Bethune Building, Room 577 Halifax, NS B3H 2Y9 Tel: (902) 473-3219 Fax:

More information

Report from the National Diabetes Surveillance System:

Report from the National Diabetes Surveillance System: Report from the National Diabetes Surveillance System: Diabetes in Canada, 28 To promote and protect the health of Canadians through leadership, partnership, innovation and action in public health. Public

More information

The Cost of Diabetes in NOVA SCOTIA

The Cost of Diabetes in NOVA SCOTIA The Cost of Diabetes in NOVA SCOTIA The Cost of Diabetes in Nova Scotia The Nova Scotia Diabetes Cost Model 1 In 2009, the Canadian Diabetes Association commissioned a report, An Economic Tsunami: the

More information

Diabetes Care Program of Nova Scotia (DCPNS) Projects and Priorities Highlights April 24, 2009

Diabetes Care Program of Nova Scotia (DCPNS) Projects and Priorities Highlights April 24, 2009 Diabetes Care Program of Nova Scotia (DCPNS) Projects and Priorities Highlights April 24, 2009 Session Overview Current Projects (quick overview) Highlights: Prediabetes Pilot Screening Project Pam Talbot

More information

Stephanie Lea BA, BSc, RTR, MAHSR. Canadian Public Health Association Centenary Conference Toronto, Ontario June 14, 2010

Stephanie Lea BA, BSc, RTR, MAHSR. Canadian Public Health Association Centenary Conference Toronto, Ontario June 14, 2010 Describing Service Provision of the Nova Scotia Breast Screening Program (NSBSP) to Nova Scotia Women Aged 50 to 69 Years from 2002-2006: 2006: Final Results Stephanie Lea BA, BSc, RTR, MAHSR Canadian

More information

Self Monitoring of Blood Glucose (SMBG)

Self Monitoring of Blood Glucose (SMBG) Self Monitoring of Blood Glucose (SMBG) DCPNS Provincial Workshop April 28, 2011 Presenter: Pam McLean-Veysey Team Leader, Drug Evaluation Unit, Capital Health 1 Disclosure Pam McLean-Veysey provides drug

More information

QUANTIFYING THE BURDEN OF DIABETES

QUANTIFYING THE BURDEN OF DIABETES QUANTIFYING THE BURDEN OF DIABETES IN NOVA SCOTIA: TIME TO COMORBIDITY AND TIME TO DEATH FINAL REPORT 2010 Prepared by: Diabetes Care Program of Nova Scotia March 2010 Contact Information: Diabetes Care

More information

Lessons from the Development of a Canadian National System of Surveillance

Lessons from the Development of a Canadian National System of Surveillance Lessons from the Development of a Canadian National System of Surveillance NATHALIE JETTÉ MD, MSc, FRCPC Assistant Professor Neurology Hotchkiss Brain Institute Calgary Institute of Population and Public

More information

DIABETES MORTALITY IN NOVA SCOTIA FROM 1998 TO 2005: A DESCRIPTIVE ANALYSIS USING BOTH UNDERLYING AND MULTIPLE CAUSES OF DEATH

DIABETES MORTALITY IN NOVA SCOTIA FROM 1998 TO 2005: A DESCRIPTIVE ANALYSIS USING BOTH UNDERLYING AND MULTIPLE CAUSES OF DEATH DIABETES MORTALITY IN NOVA SCOTIA FROM 1998 TO 2005: A DESCRIPTIVE ANALYSIS USING BOTH UNDERLYING AND MULTIPLE CAUSES OF DEATH Alison Zwaagstra Health Information Analyst Network for End of Life Studies

More information

GUIDELINES FOR DYSLIPIDEMIA MANAGEMENT AND EDUCATION THROUGH NOVA SCOTIA DIABETES CENTRES

GUIDELINES FOR DYSLIPIDEMIA MANAGEMENT AND EDUCATION THROUGH NOVA SCOTIA DIABETES CENTRES GUIDELINES FOR DYSLIPIDEMIA MANAGEMENT AND EDUCATION THROUGH NOVA SCOTIA DIABETES CENTRES Prepared by DCPNS Action Committee Dr. Lynne Harrigan Brenda Cook Peggy Dunbar Bev Harpell with the assistance

More information

Diabetes and Hypertension in Canada: New data from the Canadian Chronic Disease Surveillance System

Diabetes and Hypertension in Canada: New data from the Canadian Chronic Disease Surveillance System 1 Diabetes and Hypertension in Canada: New data from the Canadian Chronic Disease Surveillance System Karen C. Roberts, Cynthia Robitaille, Sulan Dai, Paula Stewart, Glenn Robbins, Chris Waters, Bob McRae

More information

THE COST OF DIABETES IN ALBERTA

THE COST OF DIABETES IN ALBERTA THE COST OF DIABETES IN ALBERTA The Alberta Diabetes Cost Model 1 In 2009, the Canadian Diabetes Association commissioned a report, An Economic Tsunami: the Cost of Diabetes in Canada, to determine the

More information

INFLUENZA Surveillance Report Influenza Season

INFLUENZA Surveillance Report Influenza Season Health and Wellness INFLUENZA Surveillance Report 2011 2012 Influenza Season Population Health Assessment and Surveillance Table of Contents Introduction... 3 Methods... 3 Influenza Cases and Outbreaks...

More information

Aussi disponible en français sous le titre : Le Diabète au Canada : Rapport du Système national de surveillance du diabète, 2009

Aussi disponible en français sous le titre : Le Diabète au Canada : Rapport du Système national de surveillance du diabète, 2009 Report from the National Diabetes Surveillance System: Diabetes in Canada, 29 To promote and protect the health of Canadians through leadership, partnership, innovation and action in public health. Public

More information

Diabetes in Manitoba: Trends among Adults

Diabetes in Manitoba: Trends among Adults Diabetes Among Adults in Manitoba (1989-2013) Diabetes in Manitoba: Trends among Adults 1989-2013 1989-2013 Epidemiology & Surveillance Active Living, Population and Public Health Branch Manitoba Health,

More information

THE COST OF DIABETES IN BRITISH COLUMBIA

THE COST OF DIABETES IN BRITISH COLUMBIA THE COST OF DIABETES IN BRITISH COLUMBIA The British Columbia Diabetes Cost Model 1 In 2009, the Canadian Diabetes Association commissioned a report, An Economic Tsunami: the Cost of Diabetes in Canada,

More information

SCHOOL-BASED IMMUNIZATION COVERAGE IN NOVA SCOTIA: to

SCHOOL-BASED IMMUNIZATION COVERAGE IN NOVA SCOTIA: to Health and Wellness SCHOOL-BASED IMMUNIZATION COVERAGE IN NOVA SCOTIA: 2008-09 to 2011-12 May 23, 2013 Population Health Assessment and Surveillance Acknowledgements Provincial surveillance of school-based

More information

Diabetes in Manitoba 1989 to 2006 R E P O R T O F D I A B E T E S S U R V E I L L A N C E

Diabetes in Manitoba 1989 to 2006 R E P O R T O F D I A B E T E S S U R V E I L L A N C E Diabetes in Manitoba 1989 to 2006 R E P O R T O F D I A B E T E S S U R V E I L L A N C E May 2009 Key Results Diabetes Prevalence Manitoba has experienced a considerable growth in the number of people

More information

Diabetes Care Program of Nova Scotia (DCPNS)

Diabetes Care Program of Nova Scotia (DCPNS) 1! Diabetes Care Program of Nova Scotia (DCPNS) Triage and Discharge Guidelines for Initial and Follow-Up Appointments in Diabetes Centres (DCs) in Nova Scotia, 2016 Frequently Asked Questions (FAQs) Background:

More information

The Cost of Diabetes in MANITOBA

The Cost of Diabetes in MANITOBA The Cost of Diabetes in MANITOBA The Cost of Diabetes in Manitoba The Manitoba Diabetes Cost Model 1 In 2009, the Canadian Diabetes Association commissioned a report, An Economic Tsunami: the Cost of Diabetes

More information

Working with Epidemiologists in Heart Disease and Stroke Prevention Program Planning Appendix of Resources and References

Working with Epidemiologists in Heart Disease and Stroke Prevention Program Planning Appendix of Resources and References Working with Epidemiologists in Heart Disease and Stroke Prevention Program Planning Appendix of Resources and References This document is a compilation of additional information, definitions, (hyper)links

More information

The Cost of Diabetes in PRINCE EDWARD ISLAND

The Cost of Diabetes in PRINCE EDWARD ISLAND The Cost of Diabetes in PRINCE EDWARD ISLAND The Cost of Diabetes in Prince Edward Island The Prince Edward Island Diabetes Cost Model 1 In 2009, the Canadian Diabetes Association commissioned a report,

More information

Results of the liberalisation of Medisave for a population-based diabetes management programme in Singapore

Results of the liberalisation of Medisave for a population-based diabetes management programme in Singapore Results of the liberalisation of Medisave for a population-based diabetes management programme in Singapore Woan Shin TAN 1, Yew Yoong DING 1, 2, Christine WU 3, Bee Hoon HENG 1 1 Health Services and Outcomes

More information

The 2012 SAGE Wait Time Program: Survey of Access to GastroEnterology in Canada Can J Gastroenterol 2013;27:83-9.

The 2012 SAGE Wait Time Program: Survey of Access to GastroEnterology in Canada Can J Gastroenterol 2013;27:83-9. The 2012 SAGE Wait Time Program: Survey of Access to GastroEnterology in Canada Can J Gastroenterol 2013;27:83-9. Desmond Leddin MB, David Armstrong MD, Mark Borgaonkar MD, Ronald J Bridges MD, Carlo A

More information

November 5 to 11, 2017 (Week 45)

November 5 to 11, 2017 (Week 45) Hanks you Overall Summary November 5 to 11, 2017 (Week 45) Influenza activity crossed the seasonal threshold in week 45, indicating the beginning of the influenza season at the national level. The number

More information

SCHOOL-BASED IMMUNIZATION COVERAGE IN NOVA SCOTIA:

SCHOOL-BASED IMMUNIZATION COVERAGE IN NOVA SCOTIA: SCHOOL-BASED IMMUNIZATION COVERAGE IN NOVA SCOTIA: 2012-2013 February 18, 2015 Population Health Assessment and Surveillance Acknowledgements Provincial surveillance of school-based immunizations would

More information

NOVA SCOTIA. Diabetes Management & Support Resources

NOVA SCOTIA. Diabetes Management & Support Resources NOVA SCOTIA Diabetes Management & Support Resources Bear River First Nation Health Centre The band offers fitness programs, nutrition programs, school diabetes programs, diabetes awareness, healthy lifestyle

More information

Fragile X in British Columbia

Fragile X in British Columbia Fragile X in British Columbia Past, present and future Dr Gudrun Aubertin MD MSc FRCPC FACMG Clinical Geneticist Medical Director, Fragile X Clinic Vancouver Island Health Authority Learning Objectives

More information

Diabetes in New Brunswick

Diabetes in New Brunswick Diabetes in New Brunswick 1998-27 Office of the Chief Medical Officer of Health November 21 Diabetes in New Brunswick 1998-27 Office of the Chief Medical Officer of Health November 21 Diabetes in New

More information

North American Association of Central Cancer Registries (NAACCR)

North American Association of Central Cancer Registries (NAACCR) North American Association of Central Cancer Registries (NAACCR) Susan T. Gershman President Outline I. NAACCR Organizational Structure II. Data Standards III. Education and Training IV. Certification

More information

CARE PATHWAYS. Allyson Ashley

CARE PATHWAYS. Allyson Ashley CARE PATHWAYS Allyson Ashley WHAT IS A CARE PATHWAY? An explicit statement of the goals and key elements of care based on evidence, best practice, and patient s expectations and their characteristics The

More information

December 3 to 9, 2017 (Week 49)

December 3 to 9, 2017 (Week 49) Hanks you December 3 to 9, 2017 (Week 49) Overall Summary Overall, Influenza activity continues to increase across Canada; however many indicators such as hospitalizations, outbreaks and geographic spread

More information

RESPIRATORY WATCH Week 3 (January 14 to January 20, 2018)*

RESPIRATORY WATCH Week 3 (January 14 to January 20, 2018)* Number of positive specimens RESPIRATORY WATCH Week (January to January, )* IN SUMMARY Activity levels** Zones, & are reporting localized activity. The is no activity being reported in Zone. There have

More information

Life with Arthritis in Canada: A Personal and Public Health Challenge

Life with Arthritis in Canada: A Personal and Public Health Challenge 1 Life with Arthritis in Canada: A Personal and Public Health Challenge S O Donnell, O C Lagacé,, C Bancej, L McRae, P Stewart and the Arthritis in Canada Editorial Board CPHA Centennial Conference June

More information

Nova Scotia s Provincial Approach to Self-Monitoring of Blood Glucose (SMBG)

Nova Scotia s Provincial Approach to Self-Monitoring of Blood Glucose (SMBG) Nova Scotia s Provincial Approach to Self-Monitoring of Blood Glucose (SMBG) DCPNS Decision Tool for.providers CPHA Conference, Montreal, PQ, June 2011 Peggy Dunbar, Provincial Program Manager Special

More information

The Cost of Diabetes in NEWFOUNDLAND & LABRADOR

The Cost of Diabetes in NEWFOUNDLAND & LABRADOR The Cost of Diabetes in NEWFOUNDLAND & LABRADOR The Cost of Diabetes in Newfoundland and Labrador The Newfoundland and Labrador Diabetes Cost Model 1 In 2009, the Canadian Diabetes Association commissioned

More information

CHAPTER 4: Population-level interventions

CHAPTER 4: Population-level interventions CHAPTER 4: Population-level interventions Population-level interventions refer to policies and programs that are applied to entire populations to promote better health outcomes. In this chapter, we describe

More information

REPORT FROM THE CANADIAN CHRONIC DISEASE SURVEILLANCE SYSTEM: ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IN CANADA, 2018

REPORT FROM THE CANADIAN CHRONIC DISEASE SURVEILLANCE SYSTEM: ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IN CANADA, 2018 REPORT FROM THE CANADIAN CHRONIC DISEASE SURVEILLANCE SYSTEM: ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IN CANADA, 2018 P R O T E C T I N G A N D E M P O W E R I N G C A N A D I A N S T O

More information

2017 Physician Incentive Program by Payer

2017 Physician Incentive Program by Payer 2017 Physician Incentive Program by Payer BCN Commercial Payout Summary TARGET AMOUNT per SERVICE Breast screening 80%+ $125^ Childhood immunizations ( % of who children who turn 2 in Flat fee $50 the

More information

Current Assessment of Influenza Activity in Waterloo Region. Influenza Activity: August 28, 2016 to October 22, 2016 (Weeks 35 to 42)

Current Assessment of Influenza Activity in Waterloo Region. Influenza Activity: August 28, 2016 to October 22, 2016 (Weeks 35 to 42) Region of Waterloo Public Health and Emergency Services Local Influenza Surveillance Bulletin Released October 31, 2016 Current Assessment of Influenza Activity in Waterloo Region As of October 31, 2016,

More information

RESPIRATORY WATCH Week 2 (January 6, 2019 to January 12, 2019 )*

RESPIRATORY WATCH Week 2 (January 6, 2019 to January 12, 2019 )* Number of positive specimens RESPIRATORY WATCH Week (January, to January, )* IN SUMMARY Activity levels** Central and Western Zones have localized activity. Northern and Eastern Zones are reporting sporadic

More information

Type 2 Diabetes in Adolescents

Type 2 Diabetes in Adolescents Type 2 Diabetes in Adolescents Disclosures Paid consultant, Eli Lilly, Inc, Pediatric Type 2 Diabetes Clinical Trials Outline The burden of diabetes Treatment and Prevention Youth Diabetes Prevention Clinic

More information

Diabetes Care Contents

Diabetes Care Contents Diabetes Care Contents July 2010 Vol. 20 Number 2 in Nova Scotia A NEWSLETTER OF THE DIABETES CARE PROGRAM OF NOVA SCOTIA State of the Art The Diabetes Physical Activity and Exercise Toolkit, 2nd Edition...implementation

More information

A1. Does your government have a formal, written diabetes policy or strategy?

A1. Does your government have a formal, written diabetes policy or strategy? Survey of Diabetes Programs and Services in Canada Canadian Diabetes Association Diabetes Progress Report A1. Does your government have a formal, written diabetes policy or strategy? Yes. In October 2002,

More information

Prince Edward Island Asthma Trends

Prince Edward Island Asthma Trends Prince Edward Island Asthma Trends 2001-2011 November 2014 Population Health Assessment and Surveillance Unit, Chief Public Health Office, Department of Health and Wellness Dr. Carol McClure, Chronic Disease

More information

Reaping the Benefits of Cancer Registries: Examples from End of Life Studies

Reaping the Benefits of Cancer Registries: Examples from End of Life Studies Reaping the Benefits of Cancer Registries: Examples from End of Life Studies Grace Johnston, MHSA, PhD Professor, School of Health Services Administration, Dalhousie University, and Epidemiologist, Surveillance

More information

Developmental origins of type 2 diabetes in children. DCPNS April 16, 1010

Developmental origins of type 2 diabetes in children. DCPNS April 16, 1010 Developmental origins of type 2 diabetes in children DCPNS April 16, 1010 Is there an early window of opportunity? Target pre-pregnancy to impact risk of type 2 diabetes for future generations of children

More information

Prince Edward Island Chronic Obstructive Pulmonary Disease (COPD) Trends

Prince Edward Island Chronic Obstructive Pulmonary Disease (COPD) Trends Prince Edward Island Chronic Obstructive Pulmonary Disease (COPD) Trends 2001-2011 December 2014 Population Health Assessment and Surveillance Unit, Chief Public Health Office, Department of Health and

More information

Mental Health Statistics, to

Mental Health Statistics, to , 1982-83 to 1993-94 Jean Randhawa and Rod Riley* Since the early 1980s, in relation to the size of the population, general and psychiatric hospitals have seen a drop in separations for mental disorders.

More information

November 9 to 15, 2014 (week 46)

November 9 to 15, 2014 (week 46) Hanks you November 9 to 15, 2014 (week 46) Overall Summary In week 46, overall influenza activity increased from the previous week with sporadic activity reported in six provinces and one territory. Low-level

More information

Case Studies in T2DM A Comprehensive Management Approach

Case Studies in T2DM A Comprehensive Management Approach Case Studies in T2DM A Comprehensive Management Approach John E. Anderson, MD The Frist Clinic Nashville, TN 43 yo Latina woman with 5 yrs T2DM. Originally diagnosed with PCOS and IGT by GYN at 32 yo.

More information

12 to 18 January, 2014 (Week 03)

12 to 18 January, 2014 (Week 03) Hanks you 12 to 18 January, 2014 (Week 03) Overall Summary In week 03, overall laboratory detections of influenza decreased slightly, reflecting decreased activity in some regions that experienced an earlier

More information

Measuring Hypertension Control. Reporting Methods for Measure Up/Pressure Down

Measuring Hypertension Control. Reporting Methods for Measure Up/Pressure Down Measuring Hypertension Control and Reporting Methods for Measure Up/Pressure Down November 2013 Agenda Recent guideline activity regarding cardiovascular disease Current measurement approach for Measure

More information

Inequity in access to guideline-recommended colorectal cancer treatment in Nova Scotia, Canada

Inequity in access to guideline-recommended colorectal cancer treatment in Nova Scotia, Canada Inequity in access to guideline-recommended colorectal cancer treatment in Nova Scotia, Canada André Maddison MSc, Yukiko Asada PhD, Robin Urquhart PhD(c), Grace Johnston PhD, Fred Burge MD MSc CAHSPR

More information

11/20/2014. Suggested Optimization of Medications for the frail Elderly (SOME) Polypharmacy. SOME* Polypharmacy. SOME Polypharmacy

11/20/2014. Suggested Optimization of Medications for the frail Elderly (SOME) Polypharmacy. SOME* Polypharmacy. SOME Polypharmacy SOME* Polypharmacy Suggested Optimization of Medications for the frail Elderly (SOME) Polypharmacy Information for Nursing Home Stakeholders Joint Venture between Nova Scotia Department of Health and Wellness

More information

Survivorship After Allogeneic Stem Cell Transplantation: Monitoring, Management and Quality of Life

Survivorship After Allogeneic Stem Cell Transplantation: Monitoring, Management and Quality of Life 1 Survivorship After Allogeneic Stem Cell Transplantation: Monitoring, Management and Quality of Life Stephanie J. Lee, MD, MPH Fred Hutchinson Cancer Research Center April 16, 2016 (40 min) Hematopoietic

More information

Chapter Two. What s next after sex Considering Diabetes by Sex. (Moving on to include gender)

Chapter Two. What s next after sex Considering Diabetes by Sex. (Moving on to include gender) From the Beginning: Understanding Diabetes Using Dis aggregated Data Introduction This case study on diabetes was originally included in Prairie Women s Health Centre of Excellence s guide on gender and

More information

Standards for the Nova Scotia Fluoride Mouthrinse Program

Standards for the Nova Scotia Fluoride Mouthrinse Program Standards for the Nova Scotia Fluoride Mouthrinse Program Approved by the Fluoride Mouthrinse Steering committee October 1, 2004 Table of Contents Introduction... 3 Rationale for the Standards... 4 Purpose

More information

GUIDELINES FOR MONITORING BREAST CANCER SCREENING PROGRAM PERFORMANCE THIRD EDITION

GUIDELINES FOR MONITORING BREAST CANCER SCREENING PROGRAM PERFORMANCE THIRD EDITION Report from the Evaluation Indicators Working Group GUIDELINES FOR MONITORING BREAST CANCER SCREENING PROGRAM PERFORMANCE THIRD EDITION Public Health Agency of Canada Acknowledgments We would like to acknowledge

More information

Fasting or non fasting?

Fasting or non fasting? Vascular harmony Robert Chilton Professor of Medicine University of Texas Health Science Center Director of Cardiac Catheterization labs Director of clinical proteomics Which is best to measure Lower continues

More information

Incidence trends of type 2 diabetes, medication-induced diabetes, and monogenic diabetes in Canadian children

Incidence trends of type 2 diabetes, medication-induced diabetes, and monogenic diabetes in Canadian children Incidence trends of type 2 diabetes, medication-induced diabetes, and monogenic diabetes in Canadian children A comparison Canadian Paediatric Surveillance Program study one decade later Principal investigators

More information

Community Influenza Surveillance Report Update of Current Status January 9 th, 2019

Community Influenza Surveillance Report Update of Current Status January 9 th, 2019 218-219 Community Influenza Surveillance Report Update of Current Status January 9 th, 219 First report of 219 This is the first Community Influenza Surveillance Report of 219 and covers the three-week

More information

Physical Activity: Impact on Morbidity and Mortality

Physical Activity: Impact on Morbidity and Mortality Physical Activity: Impact on Morbidity and Mortality International Congress of Nutrition September 17, 2013 Steven N. Blair Departments of Exercise Science & Epidemiology/Biostatistics Arnold School of

More information

Information Management. A System We Can Count On. Chronic Conditions. in the Central East LHIN

Information Management. A System We Can Count On. Chronic Conditions. in the Central East LHIN Information Management A System We Can Count On Chronic Conditions in the Central East LHIN Health System Intelligence Project October 2007 Table of Contents About HSIP..................................ii

More information

REPORT FROM THE CANADIAN CHRONIC DISEASE SURVEILLANCE SYSTEM:

REPORT FROM THE CANADIAN CHRONIC DISEASE SURVEILLANCE SYSTEM: REPORT FROM THE CANADIAN CHRONIC DISEASE SURVEILLANCE SYSTEM: PROTECTING AND EMPOWERING CANADIANS TO IMPROVE THEIR HEALTH TO PROMOTE AND PROTECT THE HEALTH OF CANADIANS THROUGH LEADERSHIP, PARTNERSHIP,

More information

Surgical Outcomes: A synopsis & commentary on the Cardiac Care Quality Indicators Report. May 2018

Surgical Outcomes: A synopsis & commentary on the Cardiac Care Quality Indicators Report. May 2018 Surgical Outcomes: A synopsis & commentary on the Cardiac Care Quality Indicators Report May 2018 Prepared by the Canadian Cardiovascular Society (CCS)/Canadian Society of Cardiac Surgeons (CSCS) Cardiac

More information

Sexually Transmitted & Blood-Borne Infections in LGL ( )

Sexually Transmitted & Blood-Borne Infections in LGL ( ) Sexually Transmitted & Blood-Borne Infections in LGL (2006 2015) Some Highlights: Chlamydia, Hepatitis C and Gonorrhoea were the sexually transmitted infections with the highest incidences in LGL in 2015.

More information

Protocol for Healthcare Worker Influenza Immunization Surveillance in Acute Care Hospitals in Nova Scotia

Protocol for Healthcare Worker Influenza Immunization Surveillance in Acute Care Hospitals in Nova Scotia Protocol for Healthcare Worker Influenza Immunization Surveillance in Acute Care Hospitals in Nova Scotia Patient Safety Act Final March 2016 The following protocol is an appendix to the Patient Safety

More information

Cervical Cancer and Pap Test Utilisation in Manitoba

Cervical Cancer and Pap Test Utilisation in Manitoba Cervical Cancer and Pap Test Utilisation in Manitoba 1970-1999 Alain Demers Marion Harrison Grace Musto Kathleen Decker Robert Lotocki The Department of Epidemiology and Cancer Registry and the Manitoba

More information

Bariatric Surgery Update

Bariatric Surgery Update Bariatric Surgery Update Alexander Perez, MD, FACS Professor of Surgery Chief, Division Minimally Invasive and Foregut Surgery Speaker Disclosure Dr. Perez has disclosed that the has no actual or potential

More information

NATIONAL SURVEILLANCE OF OSTEOARTHRITIS AND RHEUMTOID ARTHRITIS IN CANADA

NATIONAL SURVEILLANCE OF OSTEOARTHRITIS AND RHEUMTOID ARTHRITIS IN CANADA NATIONAL SURVEILLANCE OF OSTEOARTHRITIS AND RHEUMTOID ARTHRITIS IN CANADA Results from the Canadian Chronic Disease Surveillance System Public Health Agency of Canada, Ottawa, ON October 26, 2017 AAC 2017

More information

West Nile virus and Other Mosquito borne Diseases National Surveillance Report English Edition

West Nile virus and Other Mosquito borne Diseases National Surveillance Report English Edition and Other Mosquito borne Diseases National Surveillance Report English Edition July to July 8, 17 (Week 7) West Nile Virus Canada Humans As of surveillance week 7, ending on July 8, 17, the Public Health

More information

Effect of post-intubation hypotension on outcomes in major trauma patients

Effect of post-intubation hypotension on outcomes in major trauma patients Effect of post-intubation hypotension on outcomes in major trauma patients Dr. Robert S. Green Professor, Emergency Medicine and Critical Care Dalhousie University Medical Director, Trauma Nova Scotia

More information

The epidemiology of invasive diseases caused by Haemophilus influenzae type a (Hia), a report from IMPACT

The epidemiology of invasive diseases caused by Haemophilus influenzae type a (Hia), a report from IMPACT The epidemiology of invasive diseases caused by Haemophilus influenzae type a (Hia), a report from IMPACT Canadian Immunization Conference December 8, 2016 B. Tan, MD, A. McConnell, MD, MS, J. Bettinger,

More information

Fit your brain with physical activity

Fit your brain with physical activity Fit your brain with physical activity Is it worth the sweat? Saïd Mekary, PhD Assistant Professor, School of Kinesiology Director, Acadia Active Aging Acadia University 29th Provincial Conference CHAMPIONING

More information

American Diabetes Association: Standards of Medical Care in Diabetes 2015

American Diabetes Association: Standards of Medical Care in Diabetes 2015 American Diabetes Association: Standards of Medical Care in Diabetes 2015 Synopsis of ADA standards relevant to the 11 th Scope of Work under Task B.2 ASSESSMENT OF GLYCEMIC CONTROL Recommendations: Perform

More information

Administrative Data: A Valuable Tool for Modeling Health Service Utilization and Outcomes for Chronic Disease

Administrative Data: A Valuable Tool for Modeling Health Service Utilization and Outcomes for Chronic Disease Administrative Data: A Valuable Tool for Modeling Health Service Utilization and Outcomes for Chronic Disease Lisa M. Lix, PhD P.Stat. University of Saskatchewan Workshop on Dynamic Modeling for Health

More information

Antimicrobial Resistant Organisms (ARO) Surveillance SURVEILLANCE REPORT FOR DATA FROM JANUARY TO DECEMBER

Antimicrobial Resistant Organisms (ARO) Surveillance SURVEILLANCE REPORT FOR DATA FROM JANUARY TO DECEMBER Antimicrobial Resistant Organisms (ARO) Surveillance SURVEILLANCE REPORT FOR DATA FROM JANUARY 1 2007 TO DECEMBER 31 2011 TO PROMOTE AND PROTECT THE HEALTH OF CANADIANS THROUGH LEADERSHIP, PARTNERSHIP,

More information

Economic Burden of Musculoskeletal Diseases in Canada

Economic Burden of Musculoskeletal Diseases in Canada Economic Burden of Musculoskeletal Diseases in Canada Presented by Sylvie Desjardins, Policy Research Unit, Public Health Agency of Canada October 23 rd, 2006 1 Fact Sheet MSK has the higher prevalence

More information

Local Influenza Surveillance Bulletin Released October 31, 2016

Local Influenza Surveillance Bulletin Released October 31, 2016 Local Influenza Surveillance Bulletin Released October 31, 2016 Released November 28, 2016 Current Assessment of Influenza Activity in Waterloo Region As of November 28, 2016, there have been 6 laboratory

More information

Provider Perspective of Quality Measurement

Provider Perspective of Quality Measurement Provider Perspective of Quality Measurement The American Medical Group Association supports its members in enhancing population health and care for patients through integrated systems of care Improve

More information

Working Document on Monitoring and Evaluating of National ART Programmes in the Rapid Scale-up to 3 by 5

Working Document on Monitoring and Evaluating of National ART Programmes in the Rapid Scale-up to 3 by 5 Working Document on Monitoring and Evaluating of National ART Programmes in the Rapid Scale-up to 3 by 5 Introduction Currently, five to six million people infected with HIV in the developing world need

More information

Physician Resource Plan and Physician Employment

Physician Resource Plan and Physician Employment Physician Resource Plan and Physician Employment A Nova Scotia Approach November 2015 Nova Scotia s Communities Challenges Timely access to family doctors Long waits for some specialty services Recruitment

More information

The Diabetes Link to Heart Disease

The Diabetes Link to Heart Disease The Diabetes Link to Heart Disease Anthony Abe DeSantis, MD September 18, 2015 University of WA Division of Metabolism, Endocrinology and Nutrition Oswald Toosweet Case #1 68 yo M with T2DM Diagnosed DM

More information

April 8 to April 14, 2012 (Week 15)

April 8 to April 14, 2012 (Week 15) Hanks you April 8 to April 14, 212 (Week 15) Overall Influenza Summary The peak of activity for the 211-212 influenza season in Canada has passed as most indicators of influenza activity continue to decline.

More information

Data Linkage. Dr Sradha Kotwal DNT Adelaide, Staff Specialist, Department of Nephrology Prince of Wales Hospital, Randwick, Sydney

Data Linkage. Dr Sradha Kotwal DNT Adelaide, Staff Specialist, Department of Nephrology Prince of Wales Hospital, Randwick, Sydney Data Linkage Dr Sradha Kotwal DNT Adelaide, 2017 Staff Specialist, Department of Nephrology Prince of Wales Hospital, Randwick, Sydney Post-Doctoral Research Fellow, The George Institute for Global Health,

More information

11 to 17 May, 2014 (Week 20)

11 to 17 May, 2014 (Week 20) Hanks you Overall Summary 11 to 17 May, 2014 (Week 20) In week 20, influenza activity in Canada continued to decline, although some regions reported small increases in circulation of influenza B. Late-season

More information

Diabetes & Exercise: The importance of regular physical activity for. Good Health, One Step at a Time. In this article:

Diabetes & Exercise: The importance of regular physical activity for. Good Health, One Step at a Time. In this article: Focus on CME at the University of Alberta Diabetes : Good Health, One Step at a Time By Rhonda C. Bell, PhD; and Catrine Tudor-Locke, PhD Presented at the Western Canada Nutrition Day, November 2, 2002

More information

Obesity in South Korea

Obesity in South Korea Obesity in South Korea Nah-Mee Shin, Ph.D, Assistant Professor, APRN, BC (Nurse Practitioner) Korea University, College of Nursing 1 To get to know South Korea Geography: area: 98,477 sq.km. (38,022 sq.mi.);

More information

CLINICAL PROFILE OF TYPE 2 DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN COASTAL KARNATAKA

CLINICAL PROFILE OF TYPE 2 DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN COASTAL KARNATAKA CLINICAL PROFILE OF TYPE 2 DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN COASTAL KARNATAKA * Sanjay Kini and Avinash Kumar Department of Community Medicine, Kasturba Medical college, Manipal *Author

More information

Key Diabetes Trends Across Texas 2016

Key Diabetes Trends Across Texas 2016 Texas Business Group on Health presents Snapshot of Key Diabetes Trends Across Texas 2016 Diabetes, along with its sibling - Obesity are costly and serious epidemics, that continue to pose significant

More information

Recent Changes in Cervical Cancer Screening in Canada

Recent Changes in Cervical Cancer Screening in Canada Recent Changes in Cervical Cancer Screening in Canada Meg McLachlin, MD, FRCPC Program Head, Pathology Senior Medical Director, Diagnostic Services Recent Changes in Cervical Cancer Screening in Canada

More information

Non-type 1 diabetes mellitus in Canadian children

Non-type 1 diabetes mellitus in Canadian children Non-type 1 diabetes mellitus in Canadian children Principal investigators Shazhan Amed, MD, FRCPC, FAAP, Division of Endocrinology, The Hospital for Sick Children, 555 University Ave, Toronto ON M5G 1X8;

More information

Using Actuarial Tools in the Province of British Columbia to Eliminate Chronic Diseases 2016 IAA Annual Meeting

Using Actuarial Tools in the Province of British Columbia to Eliminate Chronic Diseases 2016 IAA Annual Meeting Using Actuarial Tools in the Province of British Columbia to Eliminate Chronic Diseases 2016 IAA Annual Meeting Ella Young Decision Support Vancouver Coastal Health The Goal Make the plethora of health

More information

Blood Pressure Measurement (children> 3 yrs)

Blood Pressure Measurement (children> 3 yrs) Blood Pressure Measurement (children> 3 yrs) If initial BP elevated, repeat BP manually 2x and average, then classify Normal BP Systolic and diastolic

More information

Bariatric Surgery Update

Bariatric Surgery Update Friday General Session Bariatric Surgery Update Alex Perez, MD Chief, Division of Minimally Invasive and Foregut Surgery James E. Thompson, MD Family Distinguished Professor in Surgical Simulation Co Director,

More information

Established Risk Factors for Coronary Heart Disease (CHD)

Established Risk Factors for Coronary Heart Disease (CHD) Getting Patients to Make Small Lifestyle Changes That Result in SIGNIFICANT Improvements in Health - Prevention of Diabetes and Obesity for Better Health Maureen E. Mays, MD, MS, FACC Director ~ Portland

More information

Objectives: A Collaborative Model: Capital Health & IWK's University Connection

Objectives: A Collaborative Model: Capital Health & IWK's University Connection A Collaborative Model: Capital Health & IWK's University Connection David J. Pilon, PhD Capital Health Objectives: From the Hospital to the University Project University-based Activities Other University

More information

The Metabolic Syndrome: Is It A Valid Concept? YES

The Metabolic Syndrome: Is It A Valid Concept? YES The Metabolic Syndrome: Is It A Valid Concept? YES Congress on Diabetes and Cardiometabolic Health Boston, MA April 23, 2013 Edward S Horton, MD Joslin Diabetes Center Harvard Medical School Boston, MA

More information