NEIGHBOURHOODS

6 -THE WESTWAY physician 7 WILLOWRIDGE-MARTINGROVE- Key Demographics Primary Care resident WEST DATA RICHVIEW 8 HUMBER HEIGHTS-WESTMOUNT 299 FAMILY PHYSICIANS 21 POPULATION SIZE 22 (105 family physicians per 100,000 residents) 23 PELMO PARK-HUMBERLEA 284,763 residents – third smallest sub-region by population 24 family health 25 GLENFIELD-JANE HEIGHTS FAMILY HEALTH TEAMS team 26 -RODING-CFB 2 27 HEIGHTS 15.0% 28 RUSTIC SENIORS POPULATION 42,832 29 MAPLE LEAF highest proportion of seniors in Central LHIN 30 BROOKHAVEN-AMESBURY 1 COMMUNITY HEALTH CENTRE 31 YORKDALE-GLEN PARK 13 out of 17 neighbourhoods have a higher % of seniors living alone 108 BRIAR HILL-BELGRAVIA > 18.7% than the Central LHIN average 112 BEECHBOROUGH-GREENBROOK 113 WESTON 1 NURSE PRACTITIONER LED CLINIC Numbers indicate Neighbourhood IDs 100% of residents reside in a LARGE URBAN SETTING North York West HEALTH LINK

59.9% LOWEST labour force participation rate

Health Care Utilization*

5.9% LOW SCREENING RATE for mammograms, North York West Neighbourhoods HIGHEST unemployment rate pap smears, any colorectal cancer screening, colonoscopy and fecal occult blood test

26.5% Highest proportion of SENIORS reside in Humber Heights- Westmount 52.0% LOWEST % of adult who have completed HIGHEST % of repeat ED visits (within 30 days) post- for substance abuse

Highest % of residents LIVING IN LOW-INCOME HIGHEST RATE of mental health and 41.3% Highest proportion of SENIORS LIVING ALONE reside in Weston 21.8% addictions-related physician visits for seniors NEIGHBOURHOODS HIGHEST RATE of high-acuity ED visits (321.9 per Second highest % of VISIBLE MINORITIES 1,000 population) 41.4% Highest proportion of LONE-PARENT FAMILIES reside in 58.8% Black Creek Most common minority languages are Spanish and Italian continued on back… *Sub-region data as compared to Central LHIN average rate

Highest rate of MENTAL HEALTH AND ADDICTIONS-RELATED 29.4% Highest % of LONE-PARENT FAMILIES 11.1% physician visits for adults are from residents living in Weston

HIGH PREVALENCE RATE of chronic diseases Highest rates of ED visits are from residents living in RUSTIC, (diabetes, asthma, hypertension and COPD) BEECHBOROUGH-GREENBROOK and WESTON Health Human Resources WHAT SUCCESS Better WHAT SUCCESS Care Successes* LOOKS LIKE MISSION Health System WHAT SUCCESS Better Funding Reform Care LOOKS LIKE Better LOW % of repeat ED visits Better Value Information Health Technology / Better (within 30 days) for mental health Information Better Value Management Health Enable people in our diverse communities Capital Infrastructure to receive the right care, at the right time, in the Quality Improvement right place through Plans and Quality a high-quality, person- Local Health Service Providers Reporting / Performance centred, sustainable, Management integrated system of ISION care from prevention 1 Hospital V through to end-of-life. CORE 1 Central LHIN Nursing Clinic VALUES

Collaboration / Listen to the 9 Long-Term Care Homes Partnership Patient Voice System Mental Health and Addictions Responsiveness Openness and 10 Agency Locations Transparency GOALSGOALSGOALS People / GOALS Community- E cient and GOALS: focused Community Support Services AccessAccessAccessAccess Evidence-driven Access 27 Agency Locations ConnectConnectConnectConnect Connect InformInformInformInform *Sub-region data as compared to Central LHIN average rate Inform ProtectProtectProtectProtect Infographic: Data supported by Central LHIN presentation Community Conversation: Protect North York West, April 5, 2017 Central LHIN Sub-region Planning North York West

October 2018 Contents

1. Central LHIN • Sub-regions & Key Stats • Public Health Units & Sub-regions • Sub-regions with Neighbourhoods • Health Service Providers in Central LHIN • Understanding the Population - Population & Socio-Demographic Characteristics

2. North York West Sub-region – Overview • North York West Neighbourhoods • North York West Asset Map • Home and Community Care Service Allocation • Seniors Population • Diversity, Low-Income and Lone-Parent Families • Adult Health & Disease Prevalence • Prevention & Screening • Mental Health & Addictions challenges • Healthcare Utilization • Alternate Level of Care • Primary Care Physicians by Sub-region

2 Data Sources:

*Estimates Population and Pop 65+ : LHIN Sub-Region Population Social and Economic Profile (August 2017), Health Analytics Branch, MOHLTC; % of Low Income (After-tax Income): 2016 Census Profiles LHINs and Sub-regions (2018-03-08), MOHLTC.

^ ED visits: ED visits crude rate. IntelliHealth Ambulatory Care, AM Case Type equal to EMG AND Fiscal Year 2017-18 AND Patient LHIN = Central LHIN.

~Long-Term Care (LTC) Beds: Number of licensed LTC beds within Central LHIN boundary (Internal Tracking).

3 4 Central LHIN Sub-regions with Neighbourhoods

5 Central LHIN Sub-regions and Neighbourhoods South Simcoe Northern York Region Western York Region Eastern York Region North York West North York Central Adjala-Tosorontio North Beechborough-Greenbrook Aurora Centre North (8184) Around Maple (8161) Ballantrae-Stouffville (8172) Banbury- (42) (8203) (112) Adjala-Tosorontio South Aurora Centre South West Concord- (8144) Buttonville (8156) Black Creek (24) (34) (8197) (8177) Alliston North (8202) Aurora Centre West (8183) King City (8178) Cornell (8153) Briar Hill - Belgravia (108) (52) Alliston South (8201) Aurora North West (8182) Kleinburg (8165) Markham 16th (8170) Brookhaven-Amesbury (30) Bayview Woods-Steeles (49) Bradford 1 (8200) Aurora South East (8175) Maple (8162) Markham Cathedral (8169) Downsview-Roding-CFB (26) Clanton Park (33) Bradford 2 (8199) Aurora South West (8176) Maple Teston (8163) Markham Central East (8152) Glenfield-Jane Heights (25) (47) Newmarket East Gwillimbury Heights Humber Heights-Westmount Bradford 3 (8195) Clearmeadow/Glenway Markham East (8151) (53) (8193) (8) (8181) North Tecumseth (8198) Keswick East (8207) Nobleton (8179) Markham Hagerman (8149) Humber Summit (21) (48) South Simcoe (8196) Keswick South (8206) Richmond Hill B (8158) Markham Village (8154) Humbermede (22) Lansing-Westgate (38) Kingsview Village-The Keswick West (8205) Richmond Hill Bathurst (8174) Markham West (8147) East (50) Westway (6) Mount Albert (8190) Richmond Hill C (8159) Milliken East (8150) Maple Leaf (29) Newtonbrook West (36) Richmond Hill Doncrest Newmarket Armitage (8185) Milliken West (8148) Pelmo Park-Humberlea (23) -Donalda (45) (8157) Newmarket College Manor Richmond Hill East (8168) Stouffville (8171) Rustic (28) Pleasant View (46) (8188) Newmarket Leslie Valley Richmond Hill North East Thornhill North (8146) Weston (113) St.Andrew-Windfields (40) (8192) (8167) Richmond Hill North West Willowridge-Martingrove- Newmarket Military (8189) Thornhill South (8145) (43) (8166) Richview (7) Newmarket North West Richmond Hill Richvale (8160) Unionville (8155) (27) Westminster-Branson (35) (8194) Newmarket Quaker Schomberg (8180) Yorkdale-Glen Park (31) Willowdale East (51) Hill/Haskett Park (8187) Newmarket Stonehaven South of Maple (8143) Willowdale West (37) (8186) Queensville-Sharon-HL The Hill (8173) (8191) Ravenshoe West (8204) Woodbridge East (8142) Roches Point (8210) Woodbridge North (8164) Woodbridge South East Sutton-Pefferlaw (8211) (8141) 9 Neighbourhoods 22 Neighbourhoods 22 Neighbourhoods 16 Neighbourhoods 17 Neighbourhoods 18 Neighbourhoods 6 Health Service Providers (HSPs) in Central LHIN The map depicts the service locations of Central LHIN nursing clinics and funded HSPs.

Note that HSPs with offices in a particular region often provide services for people in other regions.

Central LHIN funds a total of 83 HSPs through 99 accountability agreements.

Source: Family Population Nursing CHC, MH&A, Hospital ~Nursing Clinics, Central LHIN October 2018 Sub-region CHC* MH&A* CSS* Hospital LTC Physicia Served Per Clinics~ MH&A* CSS (Private) *HSP Locations: Health Service Providers' ns ** Physician** service locations, HSP 360 October 2018; The Western York Region 2 1 6 3 23 1 11 536 1,000 table does not include West Park Healthcare Centre. North York Central 2 5 3 20 1 8 1 249 1,600 ** Family physicians, Primary Care Service North York West 1 2 11 5 14 1 9 181 1,600 Capacity Assessment Framework Information Northern York Region 1 1 10 9 14 1 8 202 1,100 Planning Package for LHINs (May 02, 2018), Eastern York Region 1 7 2 18 1 7 1 154 2,500 MOHLTC. Population Served Per Physicians: South Simcoe 1 5 4 3 1 3 37 2,200 Provincial average is 1,300;

7 Understanding the Population (by Sub-region)

North York Western York Eastern York South Simcoe Northern York Central Population Characteristics West (801) Central (802) Region (803) Region (804) (805) Region (806) LHIN

Population (2016 Census) 268,216 384,478 494,792 374,803 81,336 209,339 1,812,964 13,448,494 % seniors age 65+ 16.1% 17.7% 13.9% 15.3% 15.1% 13.9% 15.4% 16.7% % seniors age 75+ 8.4% 8.8% 6.0% 6.1% 6.1% 5.8% 7.0% 7.3% % Living in a rural area 0.0% 0.0% 2.9% 2.9% 29.1% 9.1% 3.7% 17.2% % Living in a large urban centre 100.0% 100.0% 94.2% 87.5% 0.0% 72.1% 88.1% 68.1% % of families with children that are lone parent 42.6% 29.4% 18.0% 19.1% 22.2% 23.7% 24.9% 27.4% Socio-demographic Characteristics (% population) English Mother Tongue 49.5% 40.9% 46.6% 42.7% 80.5% 77.3% 50.0% 69.5% % Francophone (IDF) 1.4% 2.3% 1.6% 1.4% 1.6% 1.8% 1.7% 4.7% No knowledge of English or French 5.9% 5.1% 4.7% 9.1% 1.2% 1.6% 5.4% 2.5% Language spoken most often at home other than Official Languages Italian Mandarin Mandarin Cantonese Portuguese Mandarin Cantonese Mandarin Immigrants 54.9% 58.0% 49.9% 55.5% 19.8% 24.4% 49.3% 29.1% Recent immigrants (within 5 years) 7.8% 11.4% 4.9% 5.8% 1.6% 2.3% 6.5% 3.6% Visible minorities 60.8% 59.5% 44.9% 72.9% 12.6% 20.5% 51.9% 29.3% Indigenous Identity 0.6% 0.4% 0.2% 0.3% 2.0% 1.7% 0.6% 2.8% Labour force participation rate (age 15+) 60.3% 61.3% 67.5% 63.8% 69.6% 70.5% 64.8% 64.7% Unemployment rate (age 15+) 9.6% 8.5% 6.2% 7.0% 6.0% 6.3% 7.3% 7.4% Population with post-secondary education (age 25-64) 52.2% 78.5% 73.4% 67.8% 55.9% 66.5% 68.7% 65.1% Living in low-income 22.6% 22.6% 11.7% 14.3% 8.3% 9.7% 15.8% 14.4%

Source(s): LHIN and Sub-region Census Profile – 2016 Census, HAB, MOHLTC. 8 North York West (NYW) – Overview

9 North York West Neighbourhoods

Total # Neighbourhood Name Population (2016 Census) 6 Beechborough-Greenbrook 6,205 7 Black Creek 21,730 8 Briar Hill-Belgravia 14,255 21 Brookhaven-Amesbury 17,750 22 Downsview-Roding-CFB 35,055 23 Glenfield-Jane Heights 30,500 24 Humber Heights-Westmount 13,370 25 Humber Summit 12,430 26 Humbermede 15,540 Kingsview Village-The 27 6,480 Westway* 28 Maple Leaf 10,135 29 Pelmo Park-Humberlea 10,730 30 Rustic 9,950 31 Weston 17,995 Willowridge-Martingrove- 108 3,365 Richview* 112 York University Heights 27,595 113 Yorkdale-Glen Park 14,805

North York West Region has 17 neighbourhoods.

Source: http://www.ontariohealthprofiles.ca 10 North York West Health Service Provider North York West Asset Map* Locations Central LHIN Nursing Clinics Nursing Clinic at Hospital Community Health Centres (CHC) Black Creek Community Health (CHC, CSS) Mental Health and Additions (MH&A) Across Boundaries – An Ethnoracial Mental Health Centre Addiction Services for York Region Canadian Mental Health Association Branch Caritas School of Life COTA Health (MH&A, CSS) Jane/Finch Community and Family Centre (MH&A, CSS) LOFT Community Services Community Support Services (CSS) Access Independent Living Services Services for Seniors Hazel Burns Hospice Lumacare Services PACE Independent Living St. Demetrius Supportive Care Services Villa Colombo Home for the Aged Hospital Humber River Hospital Long Term Care (LTC) Downsview Long Term Care Centre Harold and Grace Baker Centre Hawthorne Place Care Centre - Rykka Care Centres LP Norfinch Care Community North Park Nursing Home Ukrainian Canadian Care Centre Source: Nursing clinics, Central LHIN, October 2018; HSP Locations: Health Service Providers' service Villa Colombo Home for the Aged locations, HSP 360 October 2018. Village of Humber Heights - Schlegel Villages Inc. *based on Health Service Provider physical locations (eg. head office, satellites, clinic, etc.) Weston Terrace Care Community 11 HSPs providing services in NYW Sub-region North York West Health Service Provider List Central LHIN Nursing Clinics Community Support Services (CSS) Nursing Clinic at Humber River Hospital Access Independent Living Services Aphasia Institute Community Health Centres (CHC) Bernard Betel Centre for Creative Living Black Creek Community Health Better Living Health and Community Services Carefirst Seniors and Community Services Association Mental Health and Additions (MH&A) CHATS - Community & Home Assistance to Seniors Across Boundaries - An Ethnoracial Mental Health Centre Circle of Home Care Services (Toronto) Addiction Services for York Region Community Head Injury Resource Services of Toronto Bernard Betel Centre for Creative Living COTA Health Black Creek Community Health Centre Etobicoke Services for Seniors Canadian Mental Health Association, Toronto Branch Hazel Burns Hospice Canadian Mental Health Association, York Region Jane/Finch Community and Family Centre Caritas School of Life Lumacare Services Cedar Centre PACE Independent Living COTA Health The Canadian Hearing Society - York Region Humber River Hospital Villa Colombo Home for the Aged Inc. Jane/Finch Community and Family Centre Lance Krasman Memorial Centre for Community Mental Health Hospital Loft Community Services Humber River Hospital North York General Hospital North Yorkers for Disabled Persons Inc Southlake Regional Health Centre The Vitanova Foundation Toronto North Support Services York Support Services Network

Source:. Nursing clinics, Central LHIN, October 2018; HSP Locations: Health Service Providers' service area, HSP 360 October 2018.

12 NYW – Home and Community Care Service Allocation This table shows the Central LHIN Home and Community Care service provider organizations that provide Service Provider service in the NYW sub-region, by

Organization (SPO) Nursing Support Personal Therapy Occupational Physiotherapy Social Work Language Speech Dietician Services Total 1to1 Rehab 2 service type. Bayshore 1 Care Partners 1 CBI 1 Circle of Care 1 Closing the Gap 3 ParaMed Home Health 3 RNS Health Care 0 Saint Elizabeth 3 Spectrum Health Care 2 SRT Med-Staff 2 The Speech Clinic 0 VHA Home Healthcare 5 WeCare Health Services 1 # of SPO 5 10 2 3 1 3 1

*Note: In-Home (Child, Adult and ABI) and Clinic only, does not include School Health Support Services (SHSS) SPO assignments

Source: Central LHIN Service Allocation by LHIN Sub Region-final.xlsx – August 9. 2018 13 North York West – Seniors Population Seniors Aged 65 and over, 2016 Seniors Aged 65 and over, living alone, 2016

North York West has a higher percentage of seniors aged 65+ compared to % of Total population in private households that are 65+, living the LHIN average (16.0% vs 15.4% - LHIN, 16.7%-Ontario).** alone, Both sexes, 2016

Humber Heights-Westmount has the second highest proportion of seniors among all NYW neighbourhoods (25.5%).*1

1Willowridge-Martingrove-Richview has the highest proportion of seniors;

however, that neighborhood has the smallest population size (n=3,365) 38.2%

29.1%

26.9%

26.8%

25.3%

24.6%

23.8%

23.5%

23.0%

22.6%

21.8%

21.2%

19.5%

14.3% 16.0% 17.9% 18.1% 18.2% compared to all NYW neighborhoods. 14.3% 14 of 17 neighbourhoods in North York West have a higher proportion of seniors living alone compared to the LHIN average (17.9% - LHIN, 23.5% - Ontario).* Weston has the highest proportion of seniors living alone of all NYW neighborhoods (38.2%). Source(s): *http://www.ontariohealthprofiles.ca, Census-based populated denominator (2016) ** LHIN Sub-region Population Social and Economic Profile (Feb 28 2017), HAB, MOHLTC 14 North York West – Seniors Population Seniors Aged 65 and over, 2016, living alone that experiences difficulties with ADL

% of Total population in private household that are 65+, living alone

with ADL

47%

36%

35%

32%

32%

30%

29%

29%

28%

28%

27%

26%

25%

25%

26.6%

22%

19%

15%

12%

Rustic

Central

Ontario

Weston

Maple Leaf Maple

Black Creek Black

Humbermede

Humber Summit Humber

Yorkdale-Glen Park Yorkdale-Glen

Briar Hill - Belgravia Hill Briar

Glenfield-Jane Heights Glenfield-Jane

Brookhaven-Amesbury

York University Heights University York

Pelmo Park-Humberlea Pelmo

Downsview-Roding-CFB

Willowridge-Martingrove-…

Beechborough-Greenbrook

Humber Heights-Westmount Humber Kingsview Village-The Westway Village-The Kingsview

10 of 17 neighbourhoods in North York West have a higher proportion of seniors living alone that experience difficulties with ADL compared to the LHIN average (26.6% - LHIN, 28.9% - Ontario).*

Beechbourough-Greenbrook has the highest proportion of seniors living alone that experiences difficulties with ADL among all NYW neighbourhoods (47%). Source(s): *http://www.ontariohealthprofiles.ca; Population in Private Households: Living Alone and Activities of Daily Living (2016) ** LHIN Sub-region Population Social and Economic Profile (Feb 28 2017), HAB, MOHLTC 15 North York West – Diversity Top 3 Languages** for Non-English speaking Households by Neighbourhood (2016) North York West has the second highest Neighbourhood Name #1 #2 #3 Beechborough-Greenbrook Portuguese Spanish Italian proportion of visible minorities in the Assyrian LHIN (60.8% vs 51.9%-LHIN, 29.3%- Black Creek Vietnamese Spanish Languages Briar Hill – Belgravia Tagalog Portuguese Spanish Ontario).*. Brookhaven-Amesbury Spanish Portuguese Vietnamese Downsview-Roding-CFB Italian Spanish Tagalog The second highest proportion of Glenfield-Jane Heights Vietnamese Spanish Italian population with no knowledge of English Humber Heights-Westmount Ukrainian Spanish Italian Humber Summit Italian Urdu Punjabi or French in the LHIN (5.9% vs. 5.4% - Humbermede Spanish Urdu Italian LHIN).* Kingsview Village-The Westway Spanish Polish Somali Maple Leaf Italian Tagalog Spanish Pelmo Park-Humberlea Italian Spanish Vietnamese The most common languages spoken at Rustic Italian Spanish Somali home other than English are Italian and Weston Spanish Somali Portuguese Spanish. Willowridge-Martingrove-Richview Italian Ukrainian Polish York University Heights Italian Spanish Tagalog Yorkdale-Glen Park Italian Portuguese Spanish

Source(s): * Visible Minority , Indigenous Identity (Aboriginal Visible Minority* Indigenous Identity* Identity), LHIN Sub-region Population Social and Economic Profile (Mar 8 2018), HAB, MOHLTC; 60.8% ** Top 3 languages, Neighbourhood level data, 1,655 (0.6%) Central LHIN Ontario Central LHIN http://www.ontariohealthprofiles.ca/. 51.9% 29.3% 10,505 16 NYW –Lone-Parent Families and Low-Income Lone Parent Families in Central LHIN North York West has the highest proportion of lone-parent families in the LHIN (31.5% vs the 17.4%-LHIN and 17.1%-Ontario).*

Black Creek neighbourhood has the highest proportion of lone-parent families (42.0%)* among all neighbourhoods in NYW.

North York West has the highest proportion % who are living below the low-income measure, after tax (by Sub-region) of the population living below the low- North York West 22.6% income measure, after tax in the LHIN North York Central 22.6% (22.6% vs 15.8%-LHIN, 14.4%-Ontario).** Central LHIN 15.8% Ontario 14.4% Eastern York Region 14.3% Western York Region 11.7%

Source(s): *http://www.ontariohealthprofiles.ca; ** LHIN Sub-region Northern York Region 9.7% Population Social and Economic Profile (Mar 8 2018), HAB, MOHLTC South Simcoe 8.3%

17 NYW– Adult Health & Disease Prevalence

North York Western York Eastern York Northern York Central Prevalence North York West South Simcoe Ontario Central Region Region Region LHIN

Asthma 16.4 (H) 11.2 (L) 15.4 (H) 14.7 (L) 17.8 (H) 17.6 (H) 14.9 14.9

COPD 9.9 (H) 7.3 (L) 7.0 (L) 6.1 (L) 11.4 (H) 10.0 (H) 7.8 11.3

Diabetes 16.9 (H) 12.2 (L) 13.5 (NS) 14.6 (H) 11.7 (L) 11.4 (L) 13.6 13.0

High Blood Pressure 25.1 (H) 20.2 (L) 21.2 (L) 21.6 (L) 22.0 (NS) 22.1 (H) 21.8 21.9 Mental Health & Lower is better Addiction related 9.4 (H) 7.9 (L) 8.8 (H) 6.7 (L) 9.5 (H) 10.2 (H) 8.5 9.5 visits

North York West has higher prevalence rates compared to LHIN average in all 3 disease prevalence indicators. Diabetes, Asthma and Mental Health and Addiction related visits prevalence rates are the highest among the 6 Sub-regions within the LHIN.

Higher than the LHIN rate (Significantly Different) Lower than the LHIN rate (Significantly Different)

Source: www.ontariohealthprofiles.ca, Adult Health and Disease (2016/17). CRICH/ICES defined prevalence rate as High (H) or Low (L) as: chances are at least 19 in 20 that the Health Link rate is higher (H) or lower (L) than the LHIN rate. Rates marked as not significantly higher or lower than the LHIN rate = NS 18 NYW – Adult Health & Diseases Prevalence

Diabetes in Central LHIN High Blood Pressure in Central LHIN

North York West has the highest prevalence rates in diabetes North York West has the highest prevalence rates in High Blood disease prevalence compared to LHIN average in all 5 disease Pressure disease prevalence compared to LHIN average in all 5 prevalence indicators.(16.9% vs the 13.6%-LHIN and 13.0%- disease prevalence indicators.(25.1% vs the 21.8%-LHIN and 21.9%- Ontario).* Ontario).*

Humber Summit neighborhood has the highest prevalence rate in Rustic neighborhood has the highest prevalence rate in High Blood diabetes (20.4%)* among all neighbourhoods in NYW. Pressure (26.5%)* among all neighbourhoods in NYW. Source(s): *http://www.ontariohealthprofiles.ca; Adult Health and Disease (2016/17) ** LHIN Sub-region Population Social and Economic Profile (July 31 2018), HAB, MOHLTC 19 NYW– Prevention & Screening

South Simcoe and South West York South North York Central North York West Prevention and Screening Northern York Central LHIN Ontario Region Health Link Region Health Link Health Link Health Link Region Health Link

Mammograms 65.5% ( L) 68.3% (H) 70.6% (H) 62.2% ( L) 61.5% ( L) 66.1% 63.2%

Pap Smears 61.2% ( H) 59.6% ( H) 58% ( H) 51.4% ( L) 52.5% ( L) 56.5% 55.1%

Any Colorectal Cancer Screening 65.0% ( L) 67.6% ( H) 70.5% ( H) 64.4% ( L) 57.8% ( L) 65.8% 58.9%

Colonoscopy 48.2% ( H) 48.7% ( H) 47.1% ( H) 43.3% ( L) 35.1% ( L) 45.4% 37.0%

Fecal Occult Blood Test 31.9% ( L) 36.1% ( L) 43.7% ( H) 36.6% (NS) 34.2% ( L) 36.9% 35.4% Higher is better Higher than the LHIN rate (Significantly Different) Lower than the LHIN rate (Significantly Different)

North York West Health Link has lower rates than LHIN average in all 5 prevention/screening indicators. Mammograms, colorectal cancer screening and colonoscopy screening rates are the lowest in the LHIN. The screening/prevention rates for all indicators are also lower than the respective provincial rate.

Source: www.ontariohealthprofiles.ca. Prevention (2013/15)/ CRICH/ICES defined screening rates as High (H) or Low (L) as: chances are at least 19 in 20 that the Health Link rate is higher (H) or lower (L) than the LHIN rate. Rates marked as not significant = NS

20 MHSA Hospitalization NYW Health Health and Addiction related symptom to mental health. Mental ** (9.7).** health Weston LHIN vs7.2 addiction relatedhospitalization versus NYW health health conditions are defined by the of occurrence a for doctor`s visit hasthe and substanceand abusehospitalization neighbourhood – - – Ontario). higher higher related related Admission(2015/17) Hospital Mental Health & Addictions prevalence of mentalprevalence healthof Source: has the highesthasofthe rate http://www.ontariohealthprofiles.ca LHIN in NYW (5.7 mental vs and 4.3 , Mental a - (Mental (Mental Health & Substance Abuse by Hospital): days*30within ED visitsof repeat% Results of Results of multi Source: province Abuse - LHIN, comparedprovincialto LHINand - North YorkWest River (Humber Hospital) Higher %of Higher Mental Health 21.2% * 15.7% amongthe Stocktake ( % 15.8% 31.8% - site facilities including UCCs are UCCs are including facilities aggregated site to the hospital. of repeat of

- 18.3% Ontario report, report, 2016/17 Q4 to 2017/18. Q3 repeat ED 19.4% vs. vs.

sub 19.8% 27.5% ). Challenges

- 20.4% ED regions 21.2% visits visits -

LHIN, 21.2% . Comparableto performance. within within 30 days within within 30 days performance 32.7% – Supplemental Supplemental - Substance Abuse Ontario has: 16.9% 19.7% (20.4% for for ). 23.3% - Rep Substance Mental Health 26.7% . Visit by . Visit vs. vs. 27.5%

19.8% 31.8% the Hosp. 32.7%

- 32.9% 21 North York West – Health Care Utilization Rate of ED Visits (per 1000 population) NYW has the second highest rate of ED visits (per 1000 population) compared to the LHIN rate (380.3 vs 308.1-LHIN, 476.2-Ontario)**. This region has the highest rate of High Urgency* ED visits (per 1000 population) in the LHIN (305.7 vs 219.8-LHIN, 292.1-Ontario).**

The top 3 neighbourhoods in the region with the highest rates of all ED visits are Beechborough-Greenbrook, Rustic, and Weston.

* High Urgency = CTAS levels 1, 2, and 3

Rate of Hospitalization (per 1000 population) North York West has the highest hospitalization rate (per 1000 population) compared to the LHIN rate (72.7 vs 60.1- LHIN and 75.6-Ontario). This region has the highest rate of hospitalizations for medical conditions in the LHIN (29.9 vs 22.8 – LHIN, 32.3 – Ontario).

The top 3 neighborhoods in the region with the highest rates of hospitalization are: Weston, Black Creek and Beechborough-Greenbrook.

Source(s): **http://www.ontariohealthprofiles.ca – Age Standardized, All Ages 0+ ; ***Population and Equity analysis (2016-05), Health Analytics Branch, MOHLTC. 22 North York West - ALC North York West has a higher percentage of hospital days that are alternate level of care compared to the LHIN average.(13.7% vs the 12.5%-LHIN and 13.3%-Ontario).*

Rustic neighborhood has the highest prevalence rate in diabetes (22.1%)* among all neighbourhoods in NYW.

North York West (Humber River Hospital) has: - Lower ALC rate compared to the LHIN and provincial performance (13.0% vs. 15.1%-LHIN, 15.7%-Ontario).

- Second Highest ALC rate that is waiting for Long Term Care as discharge designation (9.3% vs. 7.3%- LHIN, 7.1% - Ontario).

Source(s): **http://www.ontariohealthprofiles.ca; Alternate Level of Care (ALC) Days (2015/17); Stocktake 2016Q4 – 2017Q3 Average YTD 23 Primary Care by Sub-region (2016)

There are 11 Family Health Teams (FHTs), 2 Community Health Centres (CHCs) & 2 Nurse Practitioner-Led Clinics in CLHIN

Total # of Primary Care Physicians Practicing in CLHIN: 1,359 Only 9% (122* of 1,359) are in FHTs

Population Served per Physician Provincial Average: 1,300 people per physician

Source: Primary Care Service Capacity Assessment Framework Information Planning Package for LHINs (May 02, 2018), MOHLTC. * Number of FHTs and Number of Physicians in FHTs: Central LHIN Internal Data. 24