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Evidence Booster: Assessment and Management of Foot Ulcers for People with Diabetes
Approximately 1.53 million Ontarians are living with diabetes and between 16,600 and 27,600 may develop a diabetic foot ulcer (DFU).1 The direct healthcare costs for DFU are between $320 to $400 million and indirect costs are between $35 to $60 million.1 Offloading devices (devices that relieve pressure) have demonstrated substantial cost savings. An offloading device can cost between $100 (removable cast walker) to $1,500 (total contact casting), as opposed to $70,000 per amputation. The estimated cost savings for Ontario is between $48 to $75 million per year due to saved limbs.
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Evidence Booster: Becoming restraint-free - The impact on falls rate
The Ontario Long-Term Care Homes (LTCH) Act, 2007 requires all LTC homes to have a program to minimize restraints. The rationale cited for not becoming restraint-free are: a) falls rate will rise, b) understaffing, and c) family members who insist on use. Research demonstrates more serious injury and increased mortality rates with restraint use (Cleary & Scott, 2015).
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Evidence Booster: Best Practice Guideline Implementation and Estimated Cost Savings
The annual direct health-care costs are estimated to be CAD $2 billion due to falls, with older adults accounting for nearly half of these costs. In 2012, the average cost for a serious injurious fall was estimated to be CAD $31,000  when compared to a patient with no falls treated for similar diagnosis. This reflected direct and indirect in-patient costs of 34 days in the hospital with nursing care and excluded physician billing.
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Evidence Booster: Best Practice Guideline Implementation to Improve Oral Health Care
In 2010, the global economic impact of dental diseases amounted to US$442 billion. Across OECD countries, 5% (average) of total health expenditures originate from treatment of oral diseases. Recent findings suggest oral diseases account for productivity losses of over $1 billion per year in Canada alone.1 Improvements in oral health would result in substantial economic benefits by reducing treatment costs and by decreasing productivity losses in the labour market.
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Evidence Booster: Best Practice Guideline Implementation to Improve Person- and Family- Centred Care
The aim of this Evidence Booster is to examine the quality of partnerships with persons and families experiencing care through implementation of the RNAO BPG Client Centred Care (2006) and Person- and Family- Centred Care (2015), in one Ontario long-term care (LTC) and one Ontario hospital Best Practice Spotlight Organization® (BPSO®).
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