Private Surgical Facilities utilization is on the Rise in Canada
Non-hospital, same-day surgery
- Ophthalmology (laser eye facilities)
- Orthopaedic (arthroscopy)
This is a growing and highly lucrative industry in Canada. According to
Developing surgical facilities have been a provincial government goal since 2012 as Ontario has searched for ways to reduce health care costs and conserve resources. Such facilities were a key recommendation of the 2012 Drummond Report on reform of the provincial public service and the Ontario Action Plan for Health Care. With hospital funding under pressure, surgeons wishing to perform elective surgery have needed to find or create private facilities to provide services. Private-owned but publicly funded facilities are being supported by a number of provincial governments as a means to off-load wait times in the standard acute care facilities.
The problem of long surgical wait times has also received attention from the Canadian government, the provincial and regional health systems, the media, and the public over the last decade. Alternative surgical settings located within hospital premises or in an independent care facility may increase surgical capacity in the publicly funded system. Non-hospital healthcare facilities such as Ambulatory Surgery Centres (
What’s at Risk for Surgical Facilities
- Since patients can’t stay in the
centrefor more than 24 hours, there is a risk of poor patient outcomes from the post-op care process.
- There is a risk of poor patient outcomes due to the surgeon’s failure to comply with regulatory requirements as per the CPSO (College of Physicians and Surgeons in each province).
- There is a risk of equipment deficiencies (e.g. malfunctioning equipment, breakage of surgical instruments,
detachmentof equipment, and lack of optimal equipment) that could result in serious injury or poor patient outcomes.
- There is a risk of adverse outcomes due to
failureof the healthcare facility to follow the equipment manufacturer's recommendations for maintenance, cleaning, calibration, and replacement; not reporting equipment malfunction to the appropriate personnel for follow-up and testing; incorrect training information; or inadequate communication of manufacturer equipment recalls.
- There is a risk of infections or disease outbreak.
centresare overcrowded or understaffed, or if staff are stressed or overworked, then there is an increased risk of malpractice, neglect, and infections.
The risks are generally perceived as greater for non-hospital surgical facilities compared to hospital surgical facilities, given the restricted or limited contingency plans for intraoperative emergencies and post-op care. This is why more complex cases are typically done in hospitals rather than non-hospital surgical facilities. Also, surgical centers do not have the same staffing and equipment requirements as the hospitals, which could lead to
Over the last few years, the College of Physicians and Surgeons of Ontario (CPSO) has increased inspections to oversee these facilities. The CPSO and the Canadian Association for Accreditation of Ambulatory Surgical Facilities also serve as the governing body that accredits surgical facilities. But the liability risk may still be higher than needed.
What MedThree Can Offer
As an insurance professional, you can grow your healthcare book of business by using MedThree Insurance Group’s products, because they provide complete and integrated coverage for the healthcare industry.
- Professional liability
- General liability
- Equipment breakdown
With MedThree’s complete coverage product designed for non-hospital and ambulatory surgical
The MedThree Advantage
MedThree Insurance Group