Delta Hospital Planning Highlights Presentation

April 29, 2013 1900 hrs AGENDA Planning Project Highlights

1. Welcome & Introductions 2. Purpose of Delta Hospital Site Planning 3. Planning Process 4. Context Overview & Current Services 5. Delta Hospital within ’s Integrated Network of Care 6. Future Planning and Development Priorities 7. Questions Purpose of Delta Hospital Planning

• Define the role of Delta Hospital within the network of acute and community services in Fraser Health and the context • Align capacity planning to the overall capacity planning in Fraser Health and Lower Mainland • Anticipate emerging service requirements • Prioritize service enhancements and required capital investments • Provide support for funding requests and allocation Internal Planning Initiatives 1. Hospital Profile Development (typology) • Defines the hospital’s role within the acute network • Identifies 3 to 5 year Program priorities for the site • Lists current service provision and expected service provision (3 to 5 years)

2. High Level Master Concept Planning • Projects service and capital investment requirements (0 to 5 years, 6 to 15 years and 15 to 20 years) • Identifies space requirements Delta Hospital Planning Inputs

Master Concept Planning

Acute Care Capacity Initiative Delta Hospital Lower Mainland Planning Future

Hospital Profile Development Master Concept Planning Process Delta Hospital Planning Process included: • Data collection, analysis and projections • Survey for operational information • Key informant interviews • Focus Group meetings (internal & external) • Community Engagement • Functional Analysis • Site Analysis • Site Opportunities Development Delta Hospital Context Overview

• Delta Hospital is a primary care, level ll community hospital. • It serves the communities of , and Ladner with some inflow from other communities. • Population of the Delta catchment area is approximately 101,000 and it is estimated to see slower than average growth (5%) over the next 10 years. • It is projected the number of residents aged ≤25 will drop 11 percent by 2021. • The number aged 65+ projected to grow 30 percent by 2021. • The Tsawwassen First Nation expansion will bring 4000 new residents by 2020. Current Services

Delta Hospital services include: • 24/7 Emergency Department • 59 Acute Medicine beds • 3 Operating Rooms for day surgery • Endoscopy suite • IV Outpatient care • Rapid Access Outpatient clinics • Outpatient and Inpatient Medical Imaging and Laboratory services including a CT scanner • 92 bed Residential Care facility – Mountainview Manor Delta’s Role in the FH Network

Operating as part of an integrated network of care, DH provides primary, some secondary acute care and specialty services locally. To ensure the necessary critical mass and maintain required expertise, some services are provided only at regional sites within Fraser Health or the Lower Mainland.

– 18 percent of DH’s inpatients and 59 percent of surgical daycare cases were patients from outside of the Delta catchment area. – Delta residents access the following services at other Fraser Health or Lower Mainland hospitals: • maternal, infant, child and youth services • inpatient surgical care • Inpatient psychiatry and substance use • higher level of care or involving life, limb, or threatened organs

This “network” service delivery approach is also supported by and is increasingly integrated with a number of community programs, such as public health, home health, and community mental health and substance use services. Delta Hospital Use Today

Hospital Usage 2009-10 2010-11 2011-12 Inpatient 3,047 3,122 3,200

Day Surgery 8,282 8,541 8,971

Outpatient 6,828 7,928 8,978

Diagnostic 42,155 90,054 103,605 Services Emergency 26,581 28,274 30,214

Total 86,893 137,919 154,968 About Diagnostic Services

•*Consists of two medical departments: Laboratory and Medical Imaging

*75% of diagnosis are determined by doctors based on Laboratory and Medical Imaging results.

Delta Hospital’s Laboratory service is the only full service lab in Delta - 16% annual increase since 2007

Delta Hospital is the only site for Medical Imaging in Delta -10% annual increase since 2007

In 2012 - 50,725 patients were seen in the Laboratory and 1.2 million tests were performed In 2012 - 42,880 patients were seen in Medical Imaging for mammography, ultrasound, X-ray, fluroscopy and CT scans Acute Care Capacity Initiative Methodology Assumptions & Mitigation Strategies: • Occupancy Rate (95% per Ministry of Health) • Reduction of LOS • Reduction of ALC days

Projected* Bed Distribution for Delta: (* after mitigation strategies) 2011 – 40 Beds 2015 – 87 Beds 2013 – 59 Beds 2020 – 109 Beds Future State Planning Priorities – DRAFT Planning 0-5 yrs. . Expansion of Delta’s Medical Imaging services . Expansion of Delta’s Laboratory Medicine services . Service optimization and overall space enhancements . Potential Community Health Centre 6-15 yrs. . Optimization of the Surgical Outpatient program including expansion of the Sterile Processing Department . Potential acute capacity increases (87 beds) . Potential Residential Complex Care Expansion and Mountainview Replacement (200 beds) . Potential Mental Health Unit (25 beds) . Enhancement of the site for serving the Geriatric population 15 -20 yrs. . Enhancement and expansion of the ED On Site Potential Orpniutional PrinciplM

The existinll site \lias assessed ~ clinical tones as fo ll ows: • Major Buildings Zone Which may include pi'ogJ'aI'n such as the int~tlon of ill Conv'nunl ty Hea lth Centre, A r~nt Residen tial Cafe Fac:lllty, Medical Beds Th is may include repurposing ot adapti\'l!l reuse oflhe existirc residential care bu ilding lor a CtlC, olfices ot Seniors ootpatient Iac:ility • Minot Bulldines Zone Which may Include prt:Jgram such as tl'Mllntegralion 01 an altemate Community Health Centre location • Mditiom Zone Which may include pi'ogJ'aI'n addiUons lot lab, OR, Emergency, or Medical Imaging

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• Complete Business Case for top priority (Medical Imaging & Lab) projects for final approval by fall 2013

• Establish a high level funding formula for next priority projects Questions