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12. North Simcoe Muskoka LHIN 12. North Simcoe Muskoka LHIN Contents 12. North Simcoe Muskoka LHIN 1 Highlights 1 North Simcoe Muskoka LHIN .................................................................................................................................... 1 Residents of North Simcoe Muskoka LHIN Sub‐Regions .......................................................................................... 3 Population Characteristics 8 Population Estimates ................................................................................................................................................ 8 2016 Census Profile .................................................................................................................................................. 9 Births and Mortality ................................................................................................................................................ 16 General Health, Risk Factors, and Prevention ........................................................................................................ 21 Chronic Conditions ................................................................................................................................................. 23 Human Resources 35 Primary Care 38 Primary Care Enrolment ......................................................................................................................................... 38 Selected Measures from the Health Care Experience Survey ............................................................................... 38 Community Care 40 Mental Health 41 Wait Time for Community Services ........................................................................................................................ 41 Mental Health and Substance Abuse Emergency Department Visits .................................................................... 41 Utilization of ED and Adult Designated Mental Health Beds by LHIN of Facility ................................................... 42 Surgery & Diagnostic Imaging 44 Day Surgery and Cardiac Catheterization Utilization ............................................................................................. 44 Surgical & Diagnostic Imaging Wait Times ............................................................................................................. 45 Oncology and Dialysis 54 Home Care 58 Palliative Care 61 Emergency Department 64 Emergency Department Utilization ........................................................................................................................ 64 Emergency Department Performance ................................................................................................................... 68 Acute Care 70 Acute Care Utilization by Residents of the North Simcoe Muskoka LHIN ............................................................. 70 Acute Care Utilization for North Simcoe Muskoka LHIN Facilities ......................................................................... 71 Acute Care Inflow/Outflow ..................................................................................................................................... 73 Post‐Acute Care 74 Inpatient Rehabilitation Utilization ........................................................................................................................ 74 Complex Continuing Care Utilization ..................................................................................................................... 77 Alternate Level of Care 78 Closed ALC Cases .................................................................................................................................................... 79 Open ALC Cases ...................................................................................................................................................... 80 Hospital Processes and Capacity ............................................................................................................................ 81 Long‐Term Care 83 12. North Simcoe Muskoka 17 September 2018 Highlights Comprehensive information about population demographics, health status, health outcomes, chronic conditions, human resources, primary care, health service utilization, and long‐term care in the North Simcoe Muskoka LHIN can be found under the content headings of in the remainder of this document, beginning with the socio‐demographic profile. This Highlights introduction is intended to provide a guide to areas in which either the North Simcoe Muskoka LHIN or one of its sub‐regions is significantly different from the province as a whole. Sub‐region comparisons within this section are always to the other 751 sub‐regions across the province, and LHIN comparisons are always to the other 13 LHINs. North Simcoe Muskoka LHIN Population Characteristics The North Simcoe Muskoka LHIN had the 2nd lowest population in the province. The North Simcoe Muskoka LHIN had the highest percentage of residents with high school completion only. Residents of the North Simcoe Muskoka LHIN received the highest rate of palliative home visits in the last 90 days of life (tied with Waterloo Wellington). The North Simcoe Muskoka LHIN had a significantly lower percentage of people who died in hospital than the provincial value, and also had the lowest rate in the province. Residents of the North Simcoe Muskoka LHIN had the 2nd lowest rehabilitation admission rate in FY16/17. The North Simcoe Muskoka LHIN had the shortest rehabilitation length of stay. Hospitals in North Simcoe Muskoka had the greatest reduction in active CCC cases between 2013/14 and 2016/17. Residents of North Simcoe Muskoka had the 2nd lowest CCC active case rate in 2016/17. Strengths The North Simcoe Muskoka LHIN had the lowest primary Caesarean section rate in the province. The North Simcoe Muskoka LHIN had the 2nd highest rate of self‐reported attachment to a regular doctor. The North Simcoe Muskoka LHIN had the 2nd lowest prevalence rate for cancer. North Simcoe Muskoka had the lowest rate of potential years of life lost for perinatal conditions. North Simcoe Muskoka LHIN had the 2nd lowest inpatient rehabilitation admission rate. The North Simcoe Muskoka LHIN had the 2nd lowest mean length of stay for inpatient rehabilitation in the province. Patients awaiting discharge from North Simcoe Muskoka LHIN hospitals had the shortest wait by the end of 2017/18. Challenges/Opportunities In 2016, the stillbirth rate per 1,000 live births in North Simcoe Muskoka was the 2nd highest rate in the province. The rate of repeat Caesarean sections in North Simcoe Muskoka was the highest in the province. The proportion of people reporting heavy drinking in North Simcoe Muskoka was the 2nd highest among LHINs, and significantly higher than the Ontario proportion. The North Simcoe Muskoka LHIN had the highest prevalence rate for stroke. 1 Or however many sub-regions have reported data across the province. pg. 1 12. North Simcoe Muskoka 17 September 2018 In 2017/18, 90th percentile wait time for cataract surgeries was longest in the North Simcoe Muskoka LHIN. 2nd highest percentage of residents with difficulty accessing after‐hours care without going to the ED. North Simcoe Muskoka residents had the 2nd highest rate of emergency department utilization for opioid overdose in 2016/17, as well as the 2nd highest that were accidental. North Simcoe Muskoka LHIN hospitals had the highest mean length of stay for discharges from adult designated mental health beds. Hospitals in the North Simcoe Muskoka LHIN had the lowest ALC throughput ratio. pg. 2 12. North Simcoe Muskoka 17 September 2018 Residents of North Simcoe Muskoka LHIN Sub‐Regions BARRIE AND AREA SUB‐REGION HIGHLIGHTS Population Characteristics - 5th lowest CCC active case rate. - 8th lowest rehabilitation admission rate per 100,000 population in FY16/17. Strengths ‐ Barrie and Area had the 8th lowest inpatient rehabilitation admission rate in the province. ‐ At the end of 2017/18, residents of Barrie and Area had had the 2nd shortest wait to date for discharge from an ALC designation in hospital (open cases). Challenges/Opportunities ‐ Barrie and Area had the highest stillbirth rates in the province. ‐ Significantly higher prevalence rate for asthma than Ontario. - 7th lowest percentage of residents who were able to see their provider the same day or next day when they were sick. - 6th highest percentage of residents who went to a walk in clinic for something that could have been treated by a primary care provider if they were available. pg. 3 12. North Simcoe Muskoka 17 September 2018 SOUTH GEORGIAN BAY SUB‐REGION HIGHLIGHTS Population Characteristics ‐ According to the census, South Georgian Bay had the 7th highest increase in population between 2011 and 2016. ‐ 2nd highest percentage of population aged 65+. ‐ 4th highest percentage of population aged 75+. ‐ 3rd highest dependency ratio. ‐ Among the eight sub‐regions with the highest service hour rates for personal support. ‐ Highest rate of palliative home visits in the last 90 days of life in 2016/17. ‐ 4th lowest percentage of patients who receive palliative care who died in hospital in 2016/17 (tied with Quinte). ‐ Lowest percentage of residents who died in hospital. ‐ Among the shortest acute length of stay in acute hospital beds in 2016/17. Strengths ‐ Compared to Ontario, the proportion of people with a regular medical doctor was significantly higher in South Georgian Bay. ‐ Significantly
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