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The handbook provides the purpose and introduction to quality-based procedures, including an evidence-based framework, feasibility, cost impact, and how the model supports innovation. It defines patient groups and inclusion/exclusion criteria, describes elective and non-elective repair and EVAR pathways, and outlines initial rationale, wait-time considerations, risk-adjusted outcomes, centralization, and technology utilization. It further details best-practice clinical pathways and implementation guidance, along with revision histories.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/non-cardiac-vascular-aortic-aneurysm-quality-based-procedure-clinical-handbook-revised-december-2024/506219/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/non-cardiac-vascular-aortic-aneurysm-quality-based-procedure-clinical-handbook-revised-december-2024/506219.png","ImageObject",300,407,{"name":92,"@type":93},"Asher","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-10-05",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the purpose of the Quality-Based Procedure clinical handbook for non-cardiac vascular aortic aneurysm care?","Question",{"text":113,"@type":114},"It sets out the purpose of quality-based procedures and frames how care should be organized and evaluated for aortic aneurysm across patient groups and procedure types.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How does the handbook define patient groups and which repairs are included?",{"text":118,"@type":114},"It describes patient groupings and applies inclusion and exclusion criteria, then organizes pathways for elective and non-elective aortic aneurysm repair as well as juxtarenal EVAR approaches with fenestrated grafts, including advanced repair categories.",{"name":120,"@type":111,"acceptedAnswer":121},"Which evidence-based elements guide implementation and quality expectations?",{"text":122,"@type":114},"The handbook uses an evidence-based framework and covers availability of evidence, feasibility/infrastructure for change, cost impact, wait times, risk-adjusted clinical outcomes, centralization, and technology utilization.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},506219,1791460955,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},687197207639,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","ONTARIO HEALTH AND MINISTRY OF HEALTH  \nQuality-Based Procedure Clinical Handbook  \nNon-Cardiac Vascular (Aortic Aneurysm)  \nREVISED DECEMBER 2024  \nTable of Contents  \nList of Abbreviations ....................................................................................................................... 5  \nPreface ............................................................................................................................................ 8  \nOntario Health ............................................................................................................................ 8  \nDecember 2024 Revision Summary ............................................................................................ 8  \nMarch 2022 Revision Summary .................................................................................................. 9  \nTable 1. Summary of March 2022 Updates to AA Groupings ............................................... 10  \nI. Inclusion of Non-Elective Procedures ................................................................................ 11  \nII. Inclusion of Advanced Aortic Aneurysm Repair Procedures ............................................ 12  \nIII. Code Revisions ................................................................................................................. 13  \nFebruary 2021 Revision Summary ............................................................................................ 13  \nInclusion of Same Day (Outpatient) Procedures .................................................................. 13  \nOctober 2018 Revision Summary ............................................................................................. 15  \nCode Revisions ...................................................................................................................... 15  \nTable 2. 2018 Coding Revisions............................................................................................. 15  \n1.0 Purpose ................................................................................................................................... 17  \n2.0 Introduction to Quality-Based Procedures ............................................................................. 18  \nFigure 1. Evidence-Based Framework for QBPs.................................................................... 19  \nPractice Variation .................................................................................................................. 19  \nAvailability of Evidence ......................................................................................................... 19  \nFeasibility/Infrastructure for Change.................................................................................... 20  \nCost Impact ........................................................................................................................... 20  \nQuality-Based Procedure Clinical Handbook for Lower Extremity Occlusive Disease 2  \n2.1 How Will QBPs Encourage Innovation? .............................................................................. 20  \n3.0 Description of this QBP ........................................................................................................... 21  \n3.1 Patient Groups .................................................................................................................... 21  \nTable 3. AA Repair Groupings ............................................................................................... 22  \n3.2 Inclusion and Exclusion Criteria .......................................................................................... 23  \nTable 4. Elective AA Repair (Standard and Moderate, excluding Juxtarenal EVAR) ............ 23  \nTable 5. Non-Elective AA Repair (Standard and Moderate, excluding Juxtarenal EVAR) .... 25  \nTable 6. Elective Juxtarenal EVAR with Fenestrated Graft (NEW) ........................................ 26  \nTable 7. Non-","cbCaicpztWorZFuM","https://ap.wps.com/l/cbCaicpztWorZFuM","pdf",930278,56,"English","# List of Abbreviations\n# Preface\n## Ontario Health\n## December 2024 Revision Summary\n## March 2022 Revision Summary\n## Table 1. Summary of March 2022 Updates to AA Groupings\n## I. Inclusion of Non-Elective Procedures\n## II. Inclusion of Advanced Aortic Aneurysm Repair Procedures\n## III. Code Revisions\n## February 2021 Revision Summary\n## Inclusion of Same Day (Outpatient) Procedures\n## October 2018 Revision Summary\n## Code Revisions\n## Table 2. 2018 Coding Revisions\n# 1.0 Purpose\n# 2.0 Introduction to Quality-Based Procedures\n## Figure 1. Evidence-Based Framework for QBPs\n## Practice Variation\n## Availability of Evidence\n## Feasibility/Infrastructure for Change\n## Cost Impact\n## 2.1 How Will QBPs Encourage Innovation?\n# 3.0 Description of this QBP\n## 3.1 Patient Groups\n## Table 3. AA Repair Groupings\n## 3.2 Inclusion and Exclusion Criteria\n## Table 4. Elective AA Repair\n## Table 5. Non-Elective AA Repair\n## Table 6. Elective Juxtarenal EVAR with Fenestrated Graft (NEW)\n## Table 7. Non-Elective Juxtarenal EVAR with Fenestrated Graft (NEW)\n## Table 8. Advanced Elective AA Repair\n## Table 9. Advanced Non-Elective AA Repair\n## 3.3 Initial Rationale for Choosing this QBP\n## Table 10. Evidence-Based Framework for Aortic Aneurysm Repair\n## 3.4 Initial Application of the Evidence-Based Framework\n## Wait Times\n## Risk-Adjusted Clinical Outcomes\n## Centralization\n## Technology Utilization\n## 3.5 Initial Objectives of this QBP\n## 3.6 Documentation and Clinician Engagement\n# 4.0 Best Practices to Guide Implementation\n## 4.1 Best-Practice Clinical Pathways\n## Figure 2. Treatment of Asymptomatic Aortic Aneurysm\n## Figure 3. Treatment of Symptomatic Aortic Aneurysm","[{\"question\":\"What is the purpose of the Quality-Based Procedure clinical handbook for non-cardiac vascular aortic aneurysm care?\",\"answer\":\"It sets out the purpose of quality-based procedures and frames how care should be organized and evaluated for aortic aneurysm across patient groups and procedure types.\"},{\"question\":\"How does the handbook define patient groups and which repairs are included?\",\"answer\":\"It describes patient groupings and applies inclusion and exclusion criteria, then organizes pathways for elective and non-elective aortic aneurysm repair as well as juxtarenal EVAR approaches with fenestrated grafts, including advanced repair categories.\"},{\"question\":\"Which evidence-based elements guide implementation and quality expectations?\",\"answer\":\"The handbook uses an evidence-based framework and covers availability of evidence, feasibility/infrastructure for change, cost impact, wait times, risk-adjusted clinical outcomes, centralization, and technology utilization.\"}]","Non-Cardiac Vascular (Aortic Aneurysm) Quality-Based Procedure Clinical Handbook - Revised December 2024 | PDF",1791161515,141]