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Local Health Hub Profile – Greenstone 8 Local Health Hub Profile – Greenstone Thunder Bay District Integrated District Network Spring 2013 North West LHIN RLISS du Nord-Ouest Local Health Hub Profile – Greenstone 2 North West LHIN RLISS du Nord-Ouest Table of Contents INTRODUCTION ..................................................................................................................................................... 4 DEMOGRAPHICS AND POPULATION CHARACTERISTICS ......................................................................................... 5 DEMOGRAPHICS........................................................................................................................................................ 5 POPULATION HEALTH CHARACTERISTICS ................................................................................................................ 6 LHIN FUNDED HEALTH SERVICES ............................................................................................................................ 8 ACUTE CARE ............................................................................................................................................................. 8 LONG-TERM CARE (LTC) ......................................................................................................................................... 8 COMPLEX CONTINUING CARE (CCC) ...................................................................................................................... 8 INPATIENT REHABILITATION ...................................................................................................................................... 9 INPATIENT MENTAL HEALTH ................................................................................................................................... 11 COMMUNITY BASED CARE ...................................................................................................................................... 14 Primary Care .................................................................................................................................................... 14 Home Care ....................................................................................................................................................... 15 ANALYSIS OF ACUTE CARE HOSPITAL DISCHARGES .............................................................................................. 17 MARKET SHARE OF ACUTE CARE DISCHARGES .................................................................................................... 17 HOSPITALIZATIONS RELATED TO DIABETES ........................................................................................................... 19 DIABETES AND AMPUTATIONS ................................................................................................................................ 21 DEMENTIA PATIENT POPULATION .......................................................................................................................... 23 HOSPITAL USE AT THE END OF LIFE (IN-HOSPITAL PALLIATIVE CARE) ................................................................ 24 DISCHARGES FROM THE LOCAL HEALTH HUB’S ACUTE CARE HOSPITAL – GERALDTON DISTRICT HOSPITAL ... 26 ALTERNATE LEVEL OF CARE (ALC) LENGTH OF STAY (LOS) .............................................................................. 27 RE-ADMISSIONS FOR SELECT CONDITIONS ........................................................................................................... 27 ANALYSIS OF AMBULATORY CARE VISITS ............................................................................................................. 28 EMERGENCY (ED) VISITS ....................................................................................................................................... 28 EMERGENCY VISITS RELATED TO DIABETES ......................................................................................................... 32 NON-URGENT EMERGENCY VISITS ........................................................................................................................ 32 ED WAIT TIMES ...................................................................................................................................................... 33 Local Health Hub Profile – Greenstone 3 North West LHIN RLISS du Nord-Ouest Greenstone Local Health Hub Profile Introduction This profile is one of a series of 14, corresponding to each of the 14 Local Health Hubs (LHHs) in the North West LHIN. The Greenstone LHH is one of five LHHs that are part of the Thunder Bay District Integrated District Network (IDN), which in turn is one of the five IDNs in the North West LHIN’s new integrated health system model. The map below illustrates the location of the Local Health Hub communities and the Integrated District Networks. Figure 1: Map of the North West LHIN Local Health Hub Profile – Greenstone 4 North West LHIN RLISS du Nord-Ouest Demographics and Population Characteristics Demographics The following table lists the communities (census subdivisions (CSDs)) that are aligned to the Greenstone Local Health Hub, as well as their respective population counts from the 2006 and 2011 censuses and the percentage population change over that time period. Table 1: Greenstone Local Health Hub Communities, 2006 and 2011 Census CSD/Community Type of CSD 2006 2011 % Change Census Census Greenstone Municipality 4,886 4,724 -3.3 Long Lake 58 Indian Reserve (IR) 417 367 -12.0 Whitesand IR 247 260 5.3 Ginoogaming First Nation IR 175 167 -4.6 Aroland 83 IR 325 361 11.1 Lake Nipigon IR 20 0 -100 Greenstone LHH Total 6,070 5,879 -3.1 Data Source: Statistics Canada. 2011 Census and 2006 Census. The following table presents some of the demographic characteristics of all five LHHs in the Thunder Bay District IDN, including the Greenstone LHH, with comparisons to the overall North West LHIN population. Table 2: Population Characteristics, 2011 Census Indicator Marathon Terrace Nipigon Green- Manitou- Unassigned Thunder North Bay stone wadge CSDs1 Bay West District LHIN IDN1 Total Population 4,035 2,675 3,400 5,880 2,105 6,375 24,460 231,1202 % Age 65+ 9.5% 16.8% 18.1% 12.1% 15.9% 17.2% 14.3% 16.0% % Age 75+ 3.5% 7.7% 8.1% 4.9% 4.8% 8.5% 5.5% 7.3% % Aboriginal Identity3 20.2% 5.8% 29.2% 35.3% 5.7% 11.3% 19.9% 19.2% % Francophone 9.2% 6.4% 4.3% 22.2% 15.8% 3.9% 10.5% 3.4% Data Source: Statistics Canada. 2011 Census and 2006 Census. 1 The census subdivisions unassigned to a LHH but assigned to Thunder Bay District IDN in this profile will be removed from Thunder Bay District IDN moving forward. Two csds will move to Northern IDN and four csds will move to City of Thunder Bay IDN. 2Adjusted for incompletely enumerated Indian Reserve Census Subdivisions. 3 Based on 2006 Census; questions on Aboriginal identity not included in 2011 Census. Key Findings: . The population of the Greenstone LHH is younger than in the broader Thunder Bay District IDN and North West LHIN; . The proportion of the residents who are francophone is higher than in any other LHH in the North West LHIN; . The proportion of the residents who self-identify as aboriginal is much higher than in the broader Thunder Bay District IDN and North West LHIN. Local Health Hub Profile – Greenstone 5 North West LHIN RLISS du Nord-Ouest Population Health Characteristics The following table shows the latest health behaviour indicators from the Canadian Community Health Survey (CCHS) for the Northwestern Health Unit (NWHU), Thunder Bay District Health Unit (TBDHU), North West LHIN and Ontario. Note that residents living on Indian Reserve census subdivisions are not included in the CCHS.1 Table 3: Self-Reported Health Behaviours/Practices, Canadian Community Health Survey 2009/2010, age 12+ Thunder Bay Northwestern North Indicator District Health Health Unit West ON Unit (TBDHU) (NWHU) LHIN Overweight or obese, age 18+ (%) 60.2 65.5 61.7 52.0 Pain or discomfort that prevents activities (%) 18.8 19.6 19.0 13.5 Current smoker; daily or occasional (%) 24.6 22.4 23.9 18.9 Heavy drinking (%) 20.4 22.2 20.9 15.9 Leisure-time physical activity; moderately active or active (%) 57.3 59.7 58.0 50.5 Regular medical doctor (%) 84.4 81.3 83.5 91.1 Contact with a medical doctor in the past 12 months (%) 80.2 77.4 79.3 82.2 Source: Statistics Canada. 2011. Health Profile. Statistics Canada Catalogue no. 82-228-XWE. Ottawa. Released June 28 2011. http://www12.statcan.gc.ca/health-sante/82-228/index.cfm?Lang=E Key Finding: . The rates of heavy drinking, smoking and being overweight in the TDBHU area are consistent with those of North West LHIN residents overall, and higher than provincial rates. The following table gives an indication of the burden of chronic disease in the North West LHIN, based on self-reported chronic conditions. Table 4: Self-Reported Prevalence of Chronic Conditions, Canadian Community Health Survey, 2009/10 Indicator Thunder Bay Northwestern North ON District Health Health Unit West Unit (TBDHU) (NWHU) LHIN Canadian Community Health Survey, 2009/10: % report being diagnosed by health professional Arthritis -age 15+ 20.5%1 26.6% 22.4% 17.3% -age 65+ 49.2% 57.8% 51.6% 46.7% Diabetes -age 12+ 6.7% 7.3% 6.9% 6.8% -age 65+ 19.2% 25.9% 21.1% 19.6% High blood pressure -age 12+ 19.2% 21.6% 19.9% 17.4% -age 65+ 57.9% 53.6% 56.7% 49.7% Chronic obstructive pulmonary disease 6.2% 4.2% (COPD) -age 35+ 7.3% 3.5% 11.5% 7.2% -age 65+ 14.2% 4.6% 1 There are two public health units in the North West LHIN area – Northwestern
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