Mark Roseman

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@markroseman

Fighting systemic rot in healthcare. Independent and unapologetic generalist, writer, philosopher, entrepreneur. Not a doctor. Recovering technology/UX geek.

Victoria, British Columbia healthdatabc.ca Joined March 2008

713 Following 1.8K Followers 31K Posts

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Mark Roseman @markroseman Oct 17

I've been critical of many aspects of our health system and tried to gather data to support those criticisms.

Because I think it's not only important but possible for us to do better. What would I change? Glad you asked.

healthdatabc.ca/platform/

Mark Roseman @markroseman 1h

MRI wait times 2-7x longer than medically recommended maximums won't be fixed by our usual approaches of "we're trying our best" and tossing a bit more money at them.

Yes, we're short on resources. But this is primarily a management and accountability problem.

If @LDoerkson's new government wants to make a serious dent in health care, they must start by relentlessly focusing on RESULTS. Not by how much they spend. But what they get for that spending.

Everyone has ideas on how to fix health care. But given system complexity, it's the implementation of those ideas that matters. Don't be like the NDP and figure the job is done once the press release goes out. Keep focused on measurable results.

Mark Roseman Verified account @markroseman 4d

New report on CT/MRI wait times in BC.

Based on FOI data, this shows typical waits are 2-7 times longer than recommended benchmarks. Waits at many sites are MUCH longer.

This prevents a very different picture than the glowing reports of new capacity govt likes to report.

View quoted post on X

Mark Roseman @markroseman 1d

Time to stop pretending that our health system is okay?

Or that our usual approaches of trying our best and tossing a bit more money will make a difference?

Yes, we're short on resources. But fundamentally, this is a management problem. And an accountability problem.

Mark Roseman Verified account @markroseman 4d

This tightly packed graphic shows median and 90th percentile waits for every site in BC.

Key thing is the tiny red line at the left of each chart showing the maximum time people are supposed to wait.

The bars show how long they actually are waiting.

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Mark Roseman @markroseman 2d

Wait time stats for CT/MRI scans are 2-7x above benchmark maximums. Fixable?

We do about 500k outpt scans per year. If paid privately, at ~$1000 each, that's $500M per year.

Over last ten years, health authority "corporate" expenditures (head office bureaucracy…) increased by $2,349M per year.

In other words, diverting about one fifth of the INCREASE in health authority bureaucracy would cover the cost of every outpatient scan in BC.

Our spending choices matter.

Mark Roseman Verified account @markroseman 4d

New report on CT/MRI wait times in BC.

Based on FOI data, this shows typical waits are 2-7 times longer than recommended benchmarks. Waits at many sites are MUCH longer.

This prevents a very different picture than the glowing reports of new capacity govt likes to report.

View quoted post on X

Mark Roseman @markroseman 2d

Let me fix the title:

After nearly two years of being told that the loophole in MSP they were using was being closed, program for patients with long COVID chooses to deliberately cut services to hold its own vulnerable patients hostage and use them as pawns in a misguided, self-serving media campaign rather than seek appropriate funding for services they were providing.

Clinic was repeatedly told that what it was doing would never be acceptable under MSP funding rules; allowing the practice to continue would have disastrous consequences for access to specialist care in BC.

This is shoddy journalism @CBCNews. Especially when the same journalist who wrote a previous story on this was provided all the background as to what went into this decision but failed to even mention it here.

cbc.ca/news/canada/br…

www.cbc.ca Program for kids with long COVID scales back after MSP changes | CBC News A Nanaimo teenager is among those losing access to support they say has changed their life. The B.C. Centre for Long COVID reduced treatment options after changes to MSP came into force November 1.