Esse Quam Videri

I am a graduate student at the University of Toronto in the Department of Mechanical and Industrial Engineering specializing in healthcare operations.

My interests are quite diverse ranging from theology to healthcare to exercising to music. I delight in the diverse knowledge that our world has to offer.

Esse Quam Videri is Latin for "To be, rather than appearing to be." This is my life motto as it is my deepest desire - to live a life of integrity.

My name is Jonathan Wang.
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For various reasons, I have stopped using tumblr and have adopted a new blogging site at http://jonathanwang87.blogspot.ca/. The main reason is because I want to symc all my activity together with Google and so it just made sense to switch over.

I have also decided to use my new blog to focus on three things: working out, healthcare and my thoughts about Christianity.

See you all at http://jonathanwang87.blogspot.ca/ 

~J 

A modern twist on the old classic. A mighty fortress is our God - by Christy Nockels.

Ontario Minister of Health, Deb Matthews, is reported to have stated that physicians in Ontario make on average $385,000, with specialists making upwards of twice that amount.

A look at the CIHI report National Physician Database 2009-2010 Data Release seems to suggest otherwise. “Canadian physicians received an average of 288,549 (gross) in fee-for-service payments in 2009-2010. For family physicians, average gross payments were $238,764, compared to $340,916 for specialists. This average is based on physicians who received at least $60,000 a year in such payments.” In Ontario, that number is $237,330 for family docs, $371,758 for specialties, definitely not the best in Canada.

The above article goes on to say that the recently released Drummond report stated that “Ontario’s Doctors are the best paid in the country”, though when pressed for the data source, Drummond directed the reporter to the Ministry of Health. Acknowledging the difficulties of using CIHI data tables to report average physician compensation (due to alternate level payments), the Ministry of Health pointed to a recent ICES report showing that “Ontario was well ahead of other provinces in terms of physician compensation”, though a quick search shows no evidence for this and that the mythological $385,000 is not present in the document. And then the kicker:

Rick Glazier, a senior scientist at ICES who studies physician compensation, confirmed Science-ish‘s suspicions. “We don’t have this data and I am not aware of a data source.” He went on: “It’s actually shocking that we don’t know. This is an enormous public expense running into many billions of dollars and the fact that it’s not accounted for and can’t be compared across jurisdictions is pretty telling that no one is minding the store. Shouldn’t we as tax payers know where the dollars are being spent?”

Oh dear. A gentle reminder to politicians: Don’t go quoting a large number to bolster your “case” when you don’t know where that number came from. It is frustrating for those who care about data when politicians haphazardly quote numbers and statistics without reference. Albeit, the $385,000 is probably a number that Ms. Matthews had to come up with on the spot. Understandable. But the next time you quote a number, try quoting from a more reliable source than your best guess. Or just state that that is your best guess. Please.

Woodcock et al demonstrated recently that governmental percentage compliance targets in England heavily influence the stationary state of actual ED LOS compliance levels. The average percentage of patients waiting < 4 hours fell from 98% to 95% almost immediately following a change in governmental policy from 98% compliance to 95%. 

Goes to show that aiming high is always a better thing than aiming low. When you aim high, you can rise to that standard. When you aim low, you’ll never hit anything above your target. 

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Through Hymn,
On Word and Sacrament

A great description of justification by faith alone.

"Justification by Faith Alone" - Through Hymn

Very interesting solution to bridge the distance gap for ESRD patients, switching them from hemodialysis to peritoneal dialysis.

This is really timely as my research focus is on this. Nice to see this in the news.

Would like to point out however that it isn’t completely accurate that inappropriate use of the EDs “have nothing to do with congested EDs”. I’m sure that inappropriate use contributes, but in proportion to the effects of a lack of available inpatient beds, inappropriate use contributes very minutely.

It is sad how many deaths from c. diff can be averted simply by cleaning the surfaces of the hospital properly. Plus, with the financial pressure to turn beds quickly, cleaners seem to not have time to properly sterilize their equipment and/or change the water in their buckets. 

Financial incentives must not only include efficiency and speed of delivery but also quality of care.

Great visualization of health data.