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ESC LHIN Report Mapping Neighbourhoods ESC LHIN | Mapping Neighbourhoods Summary of Work

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ESC LHIN Report Mapping Neighbourhoods ESC LHIN | Mapping Neighbourhoods Summary of Work ESC LHIN Report Mapping Neighbourhoods ESC LHIN | Mapping Neighbourhoods Summary of Work Overview of the LHIN Geography The Erie St. Clair Local Health Integration Network (ESC LHIN) covers a geographical area from Grand Bend to Windsor, and services the regions of Chatham-Kent, Sarnia/Lambton, and Windsor/Essex. The LHIN is home to approximately 640,000 people, with almost half residing in large urban population centers and the remaining residing outside these areas, in either small urban or rural areas. Across the LHIN, there are 5 hospitals: Chatham-Kent Health Alliance, Bluewater Health, Hotel-Dieu Grace Healthcare, Erie Shores Healthcare, and Windsor Regional Hospital. The LHIN funds approximately 83 local health providers who service the region. Sub-Regions Within the LHIN, there are six sub-regions: Windsor, Tecumseh Lakeshore Amherstburg LaSalle, Essex South Shore, Chatham City Centre, Rural Kent, and Lambton (see map). These sub-regions were formalized based on existing care patterns and through engagement with patients, providers and community members. Indigenous On-Reserve Populations There are a number of Indigenous and Métis communities in Erie St. Clair, including: Bkejwanong Territory (Walpole Island), Chippewas of Kettle and Stony Point, Aamjiwnaang First Nation, Delaware Nation (Moravian Town) and Caldwell First Nation. Additionally, many Métis peoples reside in communities throughout Erie St. Clair. ESC LHIN | Mapping Neighbourhoods | Page 2 of 47 Mapping Neighbourhood Project Background & Summary Starting in 2017, the Population Health Solutions Lab (the Lab) partnered with the ESC LHIN, public health units and other local partners to develop, test and validate appropriate and meaningful mid-level geographies as a basis for analysis and joint health planning in the region. This mid-level geography, termed ‘neighbourhoods’ use Census geographies as building blocks. They also contain 7,000 to 50,000 population size, but generally fall in the range of 10,000 to 20,000 population, as defined by the 2016 Census. This phase of the Mapping Neighbourhoods project did not include neighbourhood mapping for Lambton County. Approach to Mapping To allow for optimal adaption of local context within the ESC LHIN, different approaches to neighbourhood mapping were undertaken in Windsor-Essex County (Windsor, Essex South Shore, and Tecumseh Lakeshore Amherstburg LaSalle LHIN sub-regions) and the Municipality of Chatham-Kent (Rural Kent and Chatham City Centre LHIN sub-region). Nevertheless, in both areas, alignment to municipality boundaries was determined to be of greater importance than other geographical boundaries (e.g. sub-region). Through a series of meetings, insights were gathered from geospatial and data experts from three organizations who had completed copious work in population health assessment and geospatial mapping of these community: (1) Chatham-Kent Public Health Unit; (2) United Way Windsor-Essex County; and (3) Windsor-Essex County Health Unit. Municipality of Chatham-Kent In Chatham-Kent, wards were determined to be an important geographical boundary and were subsequently used as a starting point for creating neighbourhoods. Dissemination areas (DAs), a level of geography defined by Statistics Canada for the Census were grouped together to align as closely as possible with ward boundaries. In the Chatham specifically, Ward 6 was split into four separate neighbourhoods based on a variety of factors including the following: population size and density; physical barriers such as streets and rivers; data on socioeconomic status from the Ontario Marginalization Index; and knowledge of local community context. In total, 9 new neighbourhoods or Community Health Planning Areas (CHPA) were created in Chatham-Kent. Through local insight, this naming convention was selected as it allows for alignment with the current ward numbering system. Table 1: Original and new neighbourhoods/CHPAs in Chatham-Kent. Original Change New Neighbourhood Neighbourhood Ward 1- West Kent Combined DAs to form one neighbourhood. Included DA CHPA – 1 35360307 from Ward 2 based on similar population demographic/density. Ward 2- South Kent Combined DAs to form one neighbourhood. Moved DA CHPA – 2 35360342 into CK8 based on similar population demographic/density. Ward 3- East Kent Combined DAs to form one neighbourhood. CHPA – 3 ESC LHIN | Mapping Neighbourhoods | Page 3 of 47 Ward 4- North Kent Combined DAs to form one neighbourhoods. CHPA – 4 Ward 5- Wallaceburg Combined DAs to form one neighbourhoods. CHPA – 5 Ward 6- Chatham Split ward into four neighbourhoods based on ward CHPA – 6a alignment, population size, density, etc. (aligned to DAs). CHPA – 6b CHPA – 6c East-West division: Sandys Street/Lacroix Street. CHPA – 6d North-South division: Grand Avenue West/Grand Avenue East. Windsor-Essex County (City of Windsor and Essex County) Through consultations with United Way Windsor-Essex County and Windsor-Essex County Health Unit, municipalities were determined to be an important geographical boundary for neighbourhoods to align to. A municipality-by-municipality approach was utilized in Windsor-Essex County. For the City of Windsor, the City’s Planning Districts were determined to be an appropriate starting point for neighbourhood creation. Census tracts (CTs), a level of geography defined by Statistics Canada for the Census were grouped together to align as closely as possible with existing planning district boundaries. For the municipalities in Essex County, areas were further divided by CTs (Amherstburg, Lakeshore, and LaSalle) or DAs (Essex, Kingsville, Leamington, and Tecumseh) to isolate the more densely populated pockets or towns from the rest of the municipality. To illustrate, in the Town of Essex, the northeast corner of the municipality is more densely populated than the rest. Thus, DAs in this pocket were grouped together and separated from the less densely populated area in the town, resulting in the creation of two neighbourhoods in the Town of Essex. Like Chatham-Kent, the approach to creating neighbourhoods in Windsor-Essex County included the following factors: population size and density; physical barriers such as streets and rivers; data on socioeconomic status from the Ontario Marginalization Index; and knowledge of local community context. In total, 29 new neighbourhoods were created in Windsor-Essex County. Table 2: Original and new neighbourhoods in Windsor-Essex. Original Change New Neighbourhood Amherstburg Split into two neighbourhoods – rural and urban. Grouped by A1 census tracts (CT). A2 Essex Split into two neighbourhoods – rural and urban. Grouped by DAs. E1 E2 Kingsville Split into two neighbourhoods – rural and urban. Grouped by DAs. K1 K2 Leamington Split into two neighbourhoods – rural and urban. Grouped by DAs. LE1 LE2 Lakeshore Split into three neighbourhoods – one rural and two urban. L1 Grouped by census tracts (CT). L2 L3 Tecumseh Split into two neighbourhoods – rural and urban. Grouped by DAs. T1 T2 ESC LHIN | Mapping Neighbourhoods | Page 4 of 47 LaSalle Split into three neighbourhoods – one rural and two urban. LS1 Grouped by census tracts (CT). LS2 LS3 East Riverside Combined most CTs to form one neighbourhood. W1 Moved DAs 35370292, 3537093, 35370294, 35370295 from W1 to W2 based on similar demographics. Riverside Combined CTS to form one neighbourhood. W2 Moved DAs 35370292, 3537093, 35370294, 35370295 from W1 to W2 based on similar demographics. East Windsor Combined with a portion of Forest Glade (area west of Jefferson W3 Blvd) to form one neighbourhood. Forest Glade Split along Lauzon Road. Area east of this road formed one W3 neighbourhood and area west of the road formed parts of W11 and W10 W3. W11 Sandwich Combined with CTs that align to Ojibway and Malden to form one W4 neighbourhood. Ojibway Combined with CTs that align to Malden and Sandwich to form one W4 neighbourhood. Malden Combined with CTs that align to Ojibway and Sandwich to form one W4 neighbourhood. Roseland Combined with part of Devonshire (area south of Division Road W5 East) to form one neighbourhood. Devonshire Area south of Division Road East combined with W5 to form one W5 neighbourhood. W7 Area north of this road combined with CTs that align with Remington Park and some of Walker Farm and South Windsor to form one neighbourhood. South Combined CTs to form one neighbourhood (except DA 35370146 W6 Windsor which is part of W7). Remington Combined with CTs that align to most of Devonshire and some of W7 Park Walkerfarm and South Windsor to form one neighbourhood. Walker Farm Combined CTs to form one neighbourhood (except DA 35370135 W7 which is part of W11). W11 South Combined CTs to form one neighbourhood. W8 Cameron University Combined CTs to form one neighbourhood. W9 Sandwich Combined with CTs that align to a portion of Forest Glade (area east W10 South of Lauzon Road) to form one neighbourhood. Fontainbleu Combined with CTs that align to a portion of Forest Glade and W11 Walkerfarm to form one neighbourhood. Walkerville Divided along Moy Avenue. Area west of this road combined with W12 W13. Area east of this road combined with W12. W13 South Combined with portion of Walkerville to form one neighbourhood. W12 Walkerville ESC LHIN | Mapping Neighbourhoods | Page 5 of 47 South Central Combined with CTs that align to City Centre and a portion of W13 Walkerville to form one neighbourhood. City Centre Combined with CTs that align to South Central and a portion of W13 Walkerville to form one neighbourhood. Qualitative Feedback Neighbourhood maps were developed for Chatham-Kent and Windsor-Essex County. Neighbourhoods were defined using standard Census geographies, and had a minimum population size of 7,000 with an average size of 13,000. To ensure that the newly created neighbourhood maps were valid and possessed local significance, feedback was sought from stakeholders who were familiar with communities within Windsor-Essex and Chatham-Kent in the form of a map worksheet. A project background PowerPoint presentation, an instruction guide and map worksheets, as well as an interactive web tool illustrating the proposed neighbourhoods were provided to orient individuals to the feedback process and the approach.
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