Changing How Health Care is Delivered and Experienced in

Cynthia Stables, Director, Community Engagement and Communications

North East Local Health Integration Network (NE LHIN) August 3, 2011 Hornepayne Hornepayne Population Profile

1996 to 2006 Population in Population in Population Population 1996 2001 in 2006 % Change

Northeastern 582,159 553,158 551,691 -5.2%

Ontario 10,753,573 11,410,046 12,160,282 13.1%

1,480 1,362 1,209 -18.3% Hornepayne

2 Hornepayne Population Profile

3 NE LHIN Region • 400 000 square kilometres • 550,000 people • 60% Urban; 40% Rural • 24% Francophone and 10% Aboriginal • 17% people aged 65+ (13% for Ontario); in 2030, 30% compared to 22% • High morbidity and mortality rates • Poor health behaviours • The NE LHIN has divided the region into five HUB areas based on hospital referral patterns. 4 NE LHIN HUB Areas Sault Ste. Marie/Algoma 4 hospitals; 7 long-term care homes (Sault Ste. Marie, Blind River, , , 14 community support services Wawa, Hornepayne, , Tarbett, North 10 community mental health & addictions Shore, Johnson, and more)

Cochrane/Timiskaming 10 hospitals; 13 long-term care homes (Timmins, Cochrane, Englehart, Kirkland Lake, Hearst, 14 community support services Kapuskasing, Temiskaming Shores, Earlton, Smooth 3 Community Health Centres Rock Falls, Iroquois Falls, Matheson, and more) 14 community mental health & addictions

7 hospitals; 14 long-term care homes Sudbury/Manitoulin/Parry Sound 33 community support services (Sudbury, , Parry Sound, Burk’s Falls, 2 community health centres Kearney, Britt, and more) 16 community mental health & addictions

Nipissing 3 hospitals; 8 long-term care homes, ( North Bay, West Nipissing, Sturgeon Falls, Mattawa, 9 community support services Powassan, Trout Creek, and more) 1 community health centre 7 community mental health & addictions

James and Hudson Bay Coasts 1 hospital; 5 community support services (Moosonee, Moose Factory, Peawanuck, Kashechewan, 1 community mental health & addictions Fort Albany, Attawapiskat, and more)

Regional Health Service Providers: NE LHIN holds accountability agreements with 186

North Bay Regional Health Centre (NBRHC) [regional mental health] health service providers that deliver more than 600 North East Community Care Access Centre (NE CCAC) services to citizens of Northeastern Ontario. North East LHIN: • Local decision making: 9 member Board makes public decisions in NE – replacing -based decision making. Staff work in offices in North Bay, Sudbury, Sault Ste Marie and Timmins. $5 M budget

• More money to front line care: 186 health service providers receive $1.3 B through Accountability Agreements. 36 staff in NE LHIN replacing 98 ministry/district council staff

• System Thinking for the North –better access to care through integrations; improved wait times; increased collaboration and transparency among providers.

6 Ontario Budget ($ Billions)

2011-12 2012-13 2013-14 Total Revenue 108.5 111.8 117

Expenses Health 47.6 49.2 50.6 Education 23.2 24 24.3 Post-secondary/training 7.1 7.1 7.4 Children/Social Services 13.7 14 14.4 Justice 4.7 4.6 4.2 Other 17.4 15.7 15.9 Programs Total 113.8 114.6 116.7 Interest on debt 10.3 11.4 12.6 Total expense 124.1 126 129.3 Surplus / (Deficit) (16.3) (15.2) (13.3) Source: 2011 Ontario Budget

7 The Provincial Context $47.6 Billion – 2011/2012 0.42 Cents of every provincial program dollar

Ontario's 14 LHINs Hospitals Long Term Care Homes Ontario's 14 LHINs Community Care Access Centres $22,000,000,000 Provincial Programs Mental Health and Addictions $26,000,000,000 Community Support Services Community Health Centres Assisted Living Services and Supportive Housing Provincial Programs OHIP Public Health Ambulance Services Health Policy and Research eHealth

8 The Northeastern Ontario Context NE LHIN Budget -- $1.3 Billion

Community Mental Health Community Support Services, and Addictions Community Health, and 6% Assisted Living 4% Community Care Access Centres 8%

North East Mental Health Program 4%

Long Term Care Hospitals 14% 64%

9 Annual Investment in Hornepayne

$3.8 Million – Hornepayne Community Hospital

10 How Do We Access Health Care in Northeastern Ontario? *

11 Rural Hospitals - % ALC Patients in Acute Beds 35%

30%

25%

20%

15%

10% Small Hospitals % ALC in Acute Beds Hornepayne Community Hospital % ALC in Acute Beds 5%

0% NE LHIN Performance Indicators 2010/11 NE LHIN NE LHIN Performance Target (FY 2010/11) Cancer Surgery 62 days 48 days Cardiac By-Pass Procedures 62 days 49 days Cataract Surgery 125 days 115 days Hip Replacement Surgery 301 days 300 days Wait Times Knee Replacement Surgery 426 days 300 days Diagnostic MRI Scan 105 days 69 days Diagnostic CT Scan 33 days 29 days Community Setting to Community Home Care Services (from Application 50 days 36.5 days to First Service) Admitted Patients 29.1 hrs 21 hrs Non-Admitted Complex Patients 7.9 hrs 6.5 hrs ER Length of Stay for Non-Admitted Minor / 4.4 hrs 4 hrs Uncomplicated Percentage of alternate level of care (ALC) patient days in NE 31% (Q3) 17% LHIN hospitals

13 Delivering Health Care in Hornepayne

•Porcupine Health Unit provides home care services.

• National Institute for the Blind makes an annual visit to the community each May.

•Breast Screening Clinic mobile visits the community every May.

•NE CCAC looks after placement for the Hornepayne Community Hospital long-term care beds.

14 The Health Care Shift -- Demographics

15 Engagement Questions Are NE LHIN health care investments in Hornepayne aligned with the needs of people living here?

Are there opportunities for your local health service providers to better coordinate their services in a more integrated and patient focused way?

What are the main gaps in service in your community?

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