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Health and Wellness Facility Roles

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Health and Wellness Facility Roles May 1, 2013 Summerside Health and Wellness Facility Roles Health PEI Extended Care • Extended Care – Restorative – Convalescent – Respite – Palliative Extended care is NOT long-term or acute care – Manors provide a home for our seniors who can no longer live independently and need access to medical supervision. Health PEI Re-focusing Community Hospitals • Stewart Memorial Hospital will provide care for 23 long term care beds. • Community Hospital O’Leary and Souris Hospital will provide extended care for patients who do not require the services of an acute care hospital. • Western Hospital and Kings County Memorial Hospital will provide acute care. • Prince County Hospital and Queen Elizabeth Hospital will remain our two centres of specialized acute services. Health PEI Collaborative Emergency Centre Model for Western Hospital, Alberton • During the day 8 am - 8 pm the current emergency room model will continue • Overnight 8 pm to 8 am – it will be a Collaborative Emergency Centre – Two health professionals onsite – Two models being considered – nurse/paramedic and nurse/nurse – In contact via telephone to an ER physician Health PEI 8-1-1 Telehealth • A free, confidential telephone service you can call to get health advice or general health information from a registered nurse. • Experienced health advice 24 hours a day, 365 days a year. • Available in multiple languages. Health PEI Prince County Hospital Health PEI PCH: Quick Stats 2011-12 • Average daily census: 89 • 2,632 Endoscopy Clinic • 4,100 in-patients • 4,882 Physiotherapy discharged Clinic • 27,500 visits to • 461 Births Emergency Department • 97% Patient Satisfaction • 2,590 Surgeries Rate • C-Section Rate is 24.9% • 86% OR Utilization Rate (Provincial is 29.5%) Health PEI Profile: Prince County Hospital • Second largest acute care hospital with 110 staffed beds. • Acute Care Services: emergency, general medicine (adult and pediatric), surgical (day surgery and inpatient surgery), intensive care, intermediate care, progressive care, in-patient units (medical, surgical, maternity and child care, special care nursery, palliative care, restorative care, and mental health). Health PEI Profile: Prince County Hospital continued… • Ambulatory care services: endoscopy, minor surgery, oncology, nursing clinic, secondary stroke prevention clinic, rehabilitation services (physiotherapy and occupational therapy), nutrition counseling, cardio- pulmonary testing/treatment, asthma/COPD education, blood/specimen collection, health resource centre, mental health and addition services. • Hemodialysis unit • 467 FTE’s • 420 Volunteers Health PEI Medical Staff • 8 Emergency Department • 4 Psychiatry • 5 Internal Medicine (1 vacant) • 3 Obstetrics/Gynecology • 3 Anesthesia • 3 General Surgery • 2 ENT • 3 Pediatrics • 22 Family Medicine Health PEI Where Prince County residents are being hospitalized 2011/12 Inpatient Market Share – All Programs P Patient Residence - East Prince Patient Residence - West Prince 6% 15% 8% Prince County 11% Prince County 45% Western Hospital Queen Elizabeth Queen Elizabeth Stewart Memorial 84% 31% O'Leary Health PEI Inpatients Awaiting Beds (IAB) QEH / PCH Inpatient Awaiting Beds FY 2012/13 14.0 12.2 12.1 12.5 11.9 12.0 11.5 10.0 8.0 6.0 4.0 3.1 1.9 2.0 2.3 2.3 2.0 0.0 Q1 Q2 Q3 Q4* FY Daily Average Fiscal Avg QEH PCH *Q4: Fourth quarter only reporting for Jan & Feb Health PEI CURRENT Acute Care Bed Utilization 45 (Medical Beds) 41 40 35 30.7 30 29 29 25 21 20 18 # of Beds # 17.3 15 13 10 5 0 QEH (70 beds) PCH (34 beds) Comm Hosp East (47 Comm Hosp West (48 beds) beds) Occupied by Acute Pts Occupied by ALC Pts Health PEI Emergency Department Wait Times PCH (Door to Doctor) April 1/12 to Mar 31/13 2.50 2.00 1.50 Hours 1.00 0.50 0.00 Resuscitation, Emergent, and Urgent Less and Non Urgent Health PEI PCH Occupancy Rates Occupancy Rate 100% 85.0% 85.2% 80.6% 80% 60% 40% 20% 0% 2010/11 2011/12 2012/13* * Data reported for period Apr 1/12 to Feb 28/13) Health PEI PCH Utilization Discharges by Geographical Region PCH 2011-12 70.00% 64.64% 60.00% 50.00% 40.00% 30.00% 25.84% 20.00% 10.00% 6.37% 2.37% 0.78% 0.00% East Prince West Prince Queens Out of Province Kings Health PEI Primary Care Networks (PCNs) • Geographic areas with similar population size & equitable staff/resource allocation • West Prince, East Prince, Queens West, Queens East and Kings Networks • Goals: – enhance patient access – integrate services – provide accountability and sustainability of health • Administrative and clinical staff work collaboratively • Enhanced CDM initiatives reduced ED visits, reduced hospitalizations (& LOS) and improved clinical health outcomes Health PEI East Prince Primary Care Network (Summerside Area) • Invested in intensive education for primary care nurses • Initiated Advanced Clinical Access Project • Enhanced chronic disease prevention and management (e.g., chronic obstructive pulmonary disease, INR, diabetes, and hypertension) • Well-women’s clinics • Obesity management at Harbourside / Kensington • In planning stages of doing outreach to the Summerside Medical Centre • Prescription refill appointments • Shared rounds at PCH (opens up primary care appointments) • Nurse practitioner working collaboratively with the team Health PEI Service improvements will take effect in stages over the next several months and Islanders will be informed well in advance of service changes. www.betteraccessbettercare.ca Toll Free: 1-800-236-5196 Health PEI IEMS - Ambulance Response Health PEI Island EMS Operating on a long-term service contract with the Government of PEI Over 140 Paramedics PCP, ICP, and ACP Paramedic Classifications 19 Units Multi-Patient Transports Health PEI Standardized Care • Dispatch center located on PEI Medacom Atlantic • Standardized ambulance fleet and equipment • A standardized scope of practice allows for paramedics to work under one medical advisor instead of the previous four • This scope of practice will define the standards of care paramedics can use during treatment of patients Health PEI Enhancements-Ambulance • Service starts with a 911 call – prior to hospital arrival • Paramedics trained to assess, treat, manage – Administer medications – Online medical consultation – Extensive scope Health PEI Enhancements: Ambulance • Improved response times – rural response times • RRU (rapid response units) – Highly Trained ACP – SUV – medically equipped – Located east and west Health PEI Ambulance Transfer Unit • Interfacility transfer ambulance • Support transfers between hospitals • Improved bed flow/utilization • Contributes to improved overall response times Health PEI Health PEI Strategic Plan 2012-2016 One Island health system supporting improved health for Islanders. Health PEI Goals • Quality: Providing safe, quality, person- centered care. • Access: Providing access to appropriate care by the right provider in the right setting. • Efficiency: Optimizing resources and processes to sustain a viable health system. Health PEI Access Priorities • Reducing wait-times in key areas: – Primary care providers – Long term-care – Mental health and addiction services – Elective surgeries – Emergency services • Improving access to care for vulnerable populations Health PEI Ongoing Priorities • Shift from reliance on hospital-based services to community-based services. • Renewed model of home-based services. • Renewed model of community-based primary health care. • Improved integration of acute and facility- based services to ensure using resources efficiently and effectively. Health PEI.
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