Facility Profile - Revised June 2021 2019/20 Penticton Regional Hospital
This profile provides an overview of the services provided at Penticton Regional Hospital in the areas of, Inpatient Cases & Days | Inpatient Surgery & Surgical Day Care | Emergency Department
The information provided within this document reflects services provided at the hospital, regardless of patient residence. This report is based on adults and children only. Newborns have been excluded. For some indicators, small volumes (<5) have been suppressed.
The Interior Health Strategic Information Department produces a number of utilization and service reports. In addition to this Facility Profile, Interior Health Strategic Information Department produces profiles for 1) Local Health Area (LHA), 2) Health Service Delivery Area (HSDA), and 3) Interior Health Authority Profile. These additional reports can be found on the Interior Health website: www.interiorhealth.ca/AboutUs/QuickFacts/PopulationLocalAreaProfiles/Pages/default.aspx
Interior Health Hospitals
More informa on is available upon request from Interior Health’s Strategic Informa on Department. Inquiries and comments can be addressed by calling 1-250-469-7070 Ext. 70868
/ Penticton Regional Hospital | 2 Inpatients Inpatient Data provides information about acute care hospitals and the patients who are admitted to them. This page includes the number of beds in operation, occupancy rates, patient age and residence, and admissions through the Emergency Department (ED), and the average Resource Intensity Weight (RIW).
Table 1: Number of Hospital Beds, 2017/18 - 2019/20
HospitaHlo Bsepdit aTly pBeed Type 2017/18 2018/19 2019/20 Table 1: Beds funded and in Medical / Surgical Beds 87 87 102 Psychiatric Beds 15 15 15 opera on at fiscal year end ICU / CCU Beds 7 7 7 (March 31st). Rehabilitation Beds 13 13 13 Source: MIS/GL; Excludes Obstetrical Beds 7 7 7 Bassinets Pediatric Beds 11 11 11 Total Beds in Operation 140 140 155
Figure 1: Percent of Inpatient Cases by Age Group, Figure 2: Percentage of Inpatient Cases by Patient 2019/20 Residence, 2019/20
Penticton 59% 57%
Southern Okanagan 15% 20% 17% Summerland 12% 3% Keremeos 7% 0-17 Years 18-44 Years 45-64 Years 65+ Years
Figure 1: Elderly pa ents (65+ years of age) usually account for the Figure 2: Shows the percentage of hospitaliza ons based on where the largest percentage of inpa ents cases at Interior Health hospitals. pa ents live. Source: DAD; Excludes newborns; Source: DAD; Excludes newborns; Only most common LHAs are shown.
Figure 3: Occupancy Rates, 2017/18 - 2019/20 Figure 4: Average Resource Intensity Weight, 2017/18 - 2019/20
91.5% 90.4% 89.0% 1.17 1.16 1.16
2017/18 2018/19 2019/20 2017/18 2018/19 2019/20 Figure 4: RIWs provide the es mated cost per hospitaliza on rela ve Figure 3: Occupancy Rates are presented as an average, based on the to the average inpa ent in Canada (RIW = 1.0). A higher RIW means a number of beds staffed at March 31st each year. higher cost per pa ent case. Source: MIS/GL; Excludes newborns and pediatrics in the nursery Source: DAD CMG 2019; Excludes newborns
Figure 5: Percentage of Inpatient Cases Admitted Figure 6: Number of Inpatient Cases, 2017/18 - 2019/20 Through the ED, 2017/18 - 2019/20 8,246
7,663 7,514 70.5% 72.0% 71.7%
2017/18 2018/19 2019/20 2017/18 2018/19 2019/20 Figure 5: The majority of inpa ents at Interior Health are usually Figure 6: Inpa ent Case = A discharge from the hospital admi ed via the ED. Source: DAD; Excludes newborns Source: DAD; Excludes newborns / Penticton Regional Hospital | 3 Inpatients Grouping Methodologies categorize inpatients into similar groups for reporting purposes: Major Clinical Categories (MCCs) are large groups generally related to body systems; Case Mix Groups (CMGs) further categorize inpatients into groups based on similarities of diagnosis, intervention, length of stay, and resource requirements such as costs.
Figure 7: Number of Inpatient Cases by Most Common MCCs, 2019/20
Figure 7 & 8: Shows the most common types of 808 781 725 inpa ent cases. Meaning, the MCCs and CMGs which 949 941 accounted for the most hospitaliza ons. Some Digestive System Circulatory Musculoskeletal Mental Diseases Significant Trauma, System System and and Disorders Injury, Poisoning condi ons are split into Connective Tissue and Toxic Effect of several CMGs due to Drugs differences in treatment and/or costs. Figure 8: Number of Inpatient Cases by Most Common CMGs, 2019/20 Example: Vaginal Deliveries are split into four CMGs. Unilateral Knee Replacement 337 Source: DAD; CMG 2019; Unilateral Hip Replacement 233 Excludes newborns Chronic Obstructive Pulmonary Disease 226 Viral/Unspecified Pneumonia 207 General Symptom/Sign 170 Heart Failure w /o Coronary Angiogram 169 Ischemic Event of Central Nervous System 155 Symptom/Sign of Digestive System 153 Substance Abuse w Other State 127 Vaginal Birth w /o Anaesthetic or Non-Major Interv. 115
Figure 9: Number of Inpatient Days by Most Common MCCs, 2019/20
Figure 9 & 10: Shows the 5,520 5,004 condi ons that accounted 4,673 for the most inpa ent days. 6,671 Alternate Level of Care (ALC) 5,894 Days are included. The most Mental Diseases Other Reasons for Significant Trauma, Circulatory Digestive System common condi ons do not and Disorders Hospitalization Injury, Poisoning System necessarily account for the and Toxic Effect of most inpa ent days and vice Drugs versa. Figure 10: Number of Inpatient Days by Most Common CMGs, 2019/20 Example: At most Interior Health hospitals, there are Rehabilitation 1,965 a large number of vaginal Ischemic Event of Central Nervous System 1,404 deliveries, but because those pa ents have very General Symptom/Sign 1,400 short hospital stays, they do Viral/Unspecified Pneumonia 1,394 not account for a significant Fixation/Repair Hip/Femur 1,383 propor on of the hospital Heart Failure w /o Coronary Angiogram 1,253 days. Chronic Obstructive Pulmonary Disease 1,214 Source: DAD; CMG 2019; Excludes newborns Dementia 1,194 Unilateral Knee Replacement 948 Convalescence 878 / Penticton Regional Hospital | 4 Inpatients Inpatient Days are calculated from admission date until discharge date, reported by: Acute/Rehab: Days where the patient received acute care or rehabilitation service; Alternate Level of Care (ALC): Days when acute services are no longer required, but patient remains in hospital waiting for other resources.
Figure 11: Number of Inpatient Days, 2017/18 - 2019/20
Number of Acute/Rehab Days Number of Alternate Level of Care Total Inpatient Days (ALC) Days
50,141 46,572 46,483 43,376 38,905 39,315
7,667 7,168 6,765
2017/18 2018/19 2019/20 2017/18 2018/19 2019/20 2017/18 2018/19 2019/20
Figure 11: Shows the three year trend in the number of Acute/Rehab, ALC, and Total Inpa ent Days u lized. Source: DAD; Excludes newborns
Figure 12: ALC Days Rate, 2017/18 - 2019/20 Figure 13: Average Length of Stay in Days, 2017/18 - 2019/20
6.2 6.1 6.1 16.5% 15.4% 13.5% 5.2 5.1 5.3
2017/18 2018/19 2019/20
2017/18 2018/19 2019/20 ALOS - Acute/Rehab Days ALOS - Total Days (incl. ALC)
Figure 12: ALC Rate is the percentage of inpa ent days that were Figure 13: Average Length of Stay (ALOS) is the average number of days designated as Alternate Level of Care. per hospitaliza on reported by Acute/Rehab, and Total Days (Including Source: DAD; Excludes newborns ALC). Source: DAD; Excludes newborns
/ Penticton Regional Hospital | 5 Inpatient Surgical Cases Inpatient Surgical Case: A patient with a significant procedure during their hospitalization. The data shows the number and types of surgical patients, rather than the number of procedures performed or operating room utilization.
Figure 14: Number of Inpatient Surgical Cases by Most Common Procedures, 2019/20
Implantation of internal device, knee joint 352
Implantation of internal device, hip joint 307
Cesarean section delivery 174
Excision total, uterus and surrounding structures 107
Fixation, femur 106
Excision total, gallbladder 102
Excision partial, prostate 92
Excision partial, large intestine 82
Excision total, appendix 72
Implantation of internal device, heart NEC 64
Figure 14: Shows the number of surgical cases for the most common types of inpa ents surgical cases. Each pa ent is counted only once and reported according to the most significant procedure during the hospitaliza on. Source: DAD; CIHI Interven on Par on List (IPL); Excludes newborns
Figure 15: Surgical Cases as Percentage of Total Figure 16: Number of Inpatients Surgical Cases, Inpatients, 2017/18 - 2019/20 2017/18 - 2019/20
2,189
26.7% 26.5% 2,003
25.9% 1,981
2017/18 2018/19 2019/20 2017/18 2018/19 2019/20
Figure 15 & 16: Shows the percentage and number of inpa ents who underwent significant procedures during their hospitaliza on. Source: DAD; CIHI Interven on Par on List (IPL); Excludes newborns
/ Penticton Regional Hospital | 6 Surgical Day Care - Revised June 2021 Surgical Day Care (SDC) Case: A patient who undergoes a resource-intensive procedure, performed on a outpatient basis. The patient is not admitted and usually leaves on the same day as the procedure. Figure 17: Number of Surgical Day Care Cases, 2017/18 - 2019/20
*Cystoscopy/Endoscopy Other SDC Total SDC Figure 17: Provides the number of SDC cases broken down by 8,260 *Cystoscopies and Endoscopies 8,023 7,847 vs. other SDC procedures. 5,882 * Cystoscopy and Endoscopy = 5,476 5,561 Principal procedure of cystoscopy, gastrointes nal endoscopy as defined by the Ministry of Health. 2,547 2,378 2,286 Source: DAD; Excludes newborns
2017/18 2018/19 2019/20 2017/18 2018/19 2019/20 2017/18 2018/19 2019/20
Figure 18: Number of SDC Cases by CACS Group (Excluding *Cystoscopy/Endoscopy), 2019/20
Hernia Repair, Open Approach 256 Figure 18: Shows the most common SDC cases excluding Dilation/Curettage and Endometrial Ablation 186 Cystoscopies and Endoscopies. Other Knee Intervention, excluding cruciate repair 137 The cases are reported based on Other Minor Low er Urinary Tract Intervention 128 the Comprehensive Ambulatory Open Fixation/Fusion w ithout Graft 110 Classifica on System (CACS) Low er Urinary Tract Intervention 96 grouping methodology. Source: DAD; CACS 2019; Excludes Sinus Intervention 96 newborns Ovarian and Fallopian Intervention 90 Removal and Destruction Calculi Upper Urinary Tr… 82 Complete and Partial Mastectomy 70
Figure 19: Percentage of SDC Cases by Patient Figure 20: Percentage of SDC Cases by Age Group, Residence, 2019/20 2019/20
Penticton 46% 49%
Southern Okanagan 25% 32%
Summerland 12%
12% Princeton 6% 7%
Keremeos 5% 0-17 Years 18-44 Years 45-64 Years 65+ Years Years
Figure 19: Shows who u lized SDC services based on where the Figure 20: Elderly pa ents (65+ years of age) accounted for the most pa ent lives. SDC cases at many of the Interior Health Hospitals. Source: DAD; Excludes newborns; Only the most common LHAs are Source: DAD; Excludes newborns shown / Penticton Regional Hospital | 7 Emergency Department Emergency Department (ED) data provides information on visits made to the Emergency Room. Most of the data is based on unscheduled ED visits.
Figure 21: Number of Emergency Department Visits, Figure 22: Percentage of Unscheduled ED Visits by Unscheduled vs. Scheduled, 2017/18 - 2019/20 Age Groups, 2019/20 Unscheduled ED Visits Scheduled ED Visits 35%
37,836 38,094 37,489 29% 25%
12%
<5 <5 <5
2017/18 2018/19 2019/20 2017/18 2018/19 2019/20 0-17 Year 18-44 Years 45-64 Years 65+ Years
Figure 22: Unlike Inpa ent SDC Cases, elderly pa ents usually do not Figure 21: Shows the number and trend of ED visits. account for the most ED visits at many Interior Health Hospitals. Source: Unscheduled Visits, Admissions Universe; Scheduled Visits, Source: Admissions Universe MIS
Figure 23: Percentage of Unscheduled ED Visits Figure 24: Number of Unscheduled ED Visits Admitted Admitted to Hospital, 2017/18 - 2019/20 to Hospital, 2017/18 - 2019/20
5,890
5,522
15.7% 14.1% 14.5% 5,337
2017/18 2018/19 2019/20 2017/18 2018/19 2019/20
Figure 23: Shows the percentage of unscheduled ED visits that result in Figure 24: Shows the number of unscheduled ED visits that result in admission. admission. Source: Admissions Universe Source: Admissions Universe
Figure 25: Percentage of Unscheduled ED Visits by Triage Level, 2017/18 - 2019/20
L1: Resuscitation L2: Em ergent L3: Urgent L4: Less Urgent L5: Non-Urgent Undifferentiated % % % % % 8 8 7 % . . . 9 5 . 1 . 2 2 2 . 0 0 4 4 4 9 4 4 3 % % % 8 6 . 9 . . 2 1 0 1 1 % % % 1 4 2 2 % % % % % % . . . 4 8 3 3 6 5 4 4 4 ...... 0 0 0 0 0 0
17/18 18/19 19/20 17/18 18/19 19/20 17/18 18/19 19/20 17/18 18/19 19/20 17/18 18/19 19/20 17/18 18/19 19/20
Figure 25: Provides the percentage of ED visits by Triage Level based on the Canadian Triage Acuity Scale (CTAS). Source: Admissions Universe /