sign in sign up
<<
Home , Eagle Lake First Nation, Ignace, Kenora, Kenora District, Northern Ontario, Peawanuck

Health Profile – Integrated Network (IDN)

June 2012

North West LHIN  RLISS du Nord-Ouest

Health Profile for Kenora Integrated District Network (IDN)

Introduction This profile is one of a series of five profiles for each of the proposed Integrated District Networks (IDN)s. Three of the five IDN areas correspond to three of four current sub-LHIN planning areas – , City of (and surrounding area) and (excluding city of Thunder Bay and surrounding area). The fourth and fifth proposed IDNs are formed from the current sub-LHIN planning area. The Northern IDN is proposed to encompass and all communities north of Sioux Lookout. The remaining part of Kenora District (including Red Lake, Kenora and Dryden) will be referred to as Kenora IDN.

The map illustrates the North West LHIN’s current sub-LHIN planning areas showing communities that have acute care hospitals.

Figure 1: Map of the North West LHIN

The Kenora District sub-LHIN planning area of the North West LHIN corresponds to the Kenora District Census Division excluding four Census Subdivisions which are part of the North East LHIN’s area – Attawapiskat, Fort Albany, and Marten Falls. Moving forward, it is proposed that this area be split into two separate Integrated District Networks - Kenora Integrated District Network and the Northern Integrated District Network. The Northern IDN would be comprised of Sioux Lookout, and all First Nations communities north of Sioux Lookout while the Kenora IDN would be comprised of the remainder of the current Kenora District sub-LHIN area. Figure 2 illustrates the split of the Kenora District sub-LHIN area into the Kenora IDN and the Northern IDN.

Health Profile – Kenora Integrated District Network (Draft) 2 North West LHIN  RLISS du Nord-Ouest

Figure 2: Map of the proposed Kenora and Northern Integrated District Networks

The following table presents some of the demographic characteristics of the Kenora District sub-LHIN area and the proposed IDN areas compared to the total North West LHIN population.

Table 1: Population Characteristics, 2006 Census Indicator Kenora District Kenora IDN Northern North West Sub-LHIN area IDN LHIN Total Population 64,465 43,712 20,753 235,090 % Age 65+ 11.1% 13.8% 5.7% 14.1% % Age 75+ 4.8% 6.0% 2.4% 6.8% % Aboriginal Identity 38.4% 21.8% 77.8% 19.2% % Francophone 2.5% 3.2% 1.0% 3.5% % Mother Tongue = Ojibway, Not 16.9% 4.3% 46.0% Oji- or Cree Available % Immigrant Population 6.3% 6.1* 7.6* 8.7% Data Source: Statistics . 2006 Census. Note: * Based on non-IR communities.

Health Profile – Kenora Integrated District Network (Draft) 3 North West LHIN  RLISS du Nord-Ouest

Population Estimates and Projections The following table lists the census subdivisions (municipalities/communities) and their respective population estimates for 2009 contained within the Kenora IDN. The list is in decreasing order of population size.

Table 2: Population Estimates (2009) for Census Subdivisions (CSDs) in Kenora IDN

2009 2009 CSD/Community Population CSD/Community Population Estimate Estimate Kenora 15,468 Eagle Lake 27 239 Dryden 8,342 Rat Portage 38A 188 Kenora & Kenora P.P., Unorganized 7,199 160 Red Lake 4,615 Wabigoon Lake 27 153 1,453 129 1,165 109 Machin 981 99 (Whitedog) 794 Wabauskang 21 89 Sioux Narrows-Nestor 692 37 59 21 627 54 626 33B 41 387 Lake Of The Woods 31G 0 Kenora 38B 361 Sabaskong Bay 35C 0 Shoal Lake 39A 357 Kenora District IDN 44,387 Data Source: Population Estimates PHU Municipality table, intellIHEALTH .

There are no communities within the Kenora IDN designated under the Services Act.

The Kenora District sub-LHIN area accounts for 27 percent of the North West LHIN’s population and is expected to grow by 5 percent over the next 10 years. Expected growth rates vary by age group. For example, the population aged 0 to 19 is expected to decrease by 7 percent over the next 10 years while the population of 65 to 79 year olds expected to increase by 46 percent.

Table 3: 2009 Age Distribution and 10-Year Population Growth Forecast for Kenora District Kenora IDN Northern IDN Kenora District

2009 % Pop in Age 2009 % Pop in 10-year Growth* Age Group Population Group Population Age Group (2009 – 2019) Estimate Estimate 00-19 11,182 25.2% 8,587 41.4% -7% 20-44 13,301 30.0% 7,498 36.2% 4% 45-64 13,791 31.1% 3500 16.9% 4% 65-79 4,600 10.4% 919 4.4% 46% 80+ 1,513 3.4% 226 1.1% 19% All Ages 44,387 100.0% 20,730 100.0% 5% Source: Population Data Tables, intellIHEALTH. Note: * Population projections are not available for the two Integrated District Networks in Kenora District due to the large number of small census subdivisions (communities) in these IDNs where reliable population projections are not available.

Health Profile – Kenora Integrated District Network (Draft) 4 North West LHIN  RLISS du Nord-Ouest

Health Status and Health Outcomes Data from the Community Health Survey (CCHS) is only available at the Public Health Unit (PHU) or Local Health Integration Network (LHIN) level in Ontario. The Northwestern Health Unit (NWHU) area is the health region that best represents the Kenora District sub-LHIN area and the two IDNs within Kenora District.

Table 4: Self-Reported Health Status, CCHS 2009/2010, age 12+ Northwestern North Indicator Health Unit ON West LHIN (NWHU) Perceived health as excellent or very good (%) 56.1 57.4 61.0 Perceived mental health as excellent or very good (%) 69.2 68.2 74.3 Perceived life stress, quite a lot (age 15+) (%) 22.5 21.8 24.0 Sense of community belonging, somewhat strong or 74.8 76.2 67.4 very strong (%) Life satisfaction – satisfied or very satisfied (%) 91.6 90.7 91.5 Source: . 2011. Health Profile. Statistics Canada Catalogue no. 82-228-XWE. . Released June 28 2011. http://www12.statcan.gc.ca/health-sante/82-228/index.cfm?Lang=E

The perceived health status of NWHU area residents is very similar to that of the North West LHIN residents as a whole.

Table 5: Self-Reported Health Behaviours/Practices, CCHS 2009/2010, age 12+ Northwestern North Indicator Health Unit West ON (NWHU) LHIN Overweight or obese, age 18+ (%) 65.5 61.7 52.0 Pain or discomfort that prevents activities (%) 19.6 19.0 13.5 Current smoker; daily or occasional (%) 22.4 23.9 18.9 Heavy drinking (%) 22.2 20.9 15.9 Leisure-time physical activity; moderately active or active (%) 59.7 58.0 50.5 Regular medical doctor (%) 81.3 83.5 91.1 Contact with a medical doctor in the past 12 months (%) 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

The rates of heavy drinking, smoking and being overweight are similar between the NWHU area and the North West LHIN residents overall, but higher than provincial rates.

Health Profile – Kenora Integrated District Network (Draft) 5 North West LHIN  RLISS du Nord-Ouest

The following table provides age-standardized rates of hospitalization and death for various diseases or conditions from the Statistics Canada Health Profiles. The hospitalization data is for fiscal year 2009/10 and the mortality data is for the calendar years 2005 to 2007 (average annual rate).

Table 6: Hospitalization and Mortality Indicators – Health Profile, Statistics Canada Northwestern North West Indicator (age-standardized rate per 100,000 Health Unit ON LHIN population) (NWHU) Injury hospitalization 1084.0 861.0 406.0 Self-injury hospitalizations 184.0 156.0 58.0 Mental illness hospitalization rate 866.0 933.0 392.0 Ambulatory care sensitive conditions 579.0 538.0 280.0 Coronary artery bypass graft (CABG) 101.0 133.0 72.0 Percutaneous coronary intervention (PCI) 241.0 277.0 170.0 Total; all causes of death 699.0 629.1 521.8 All cancers; deaths 195.5 171.7 159.1 Circulatory diseases; deaths 182.7 182.4 155.6 Respiratory diseases; deaths 50.7 41.8 41.3 Unintentional injuries; deaths 51.2 39.4 23.4 Suicides and self-inflicted injuries; deaths 26.6 20.6 7.7 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

Hospitalization rates due to injury and mortality rates due to injuries and suicides are somewhat higher in the NWHU area compared to the North West LHIN overall and significantly higher than the province as a whole.

Health Service Access and Utilization Dryden Regional Health Centre, Lake of the Woods District Hospital (in Kenora) and the Red Lake Margaret Cochenour Memorial Hospital are the acute care hospitals in the Kenora Integrated District Network area. Dryden Regional Health Centre has been identified for provision of French Language Services (FLS).

The table below summarizes the 2009/10 admissions and inpatient days at hospitals in the Kenora IDN area. The table includes acute care admissions for mental health diagnoses, but excludes admissions to designated mental health beds.

Table 7: Distribution of Acute Care Services in the Kenora IDN Share of Share of Facility/Hospital Site Admissions Days IDN’s LHIN's Admissions Admissions Dryden Regional Health Centre 1,332 10,513 27.6% 4.6% Lake Of The Woods District Hospital, 2,538 15,571 52.7% 8.7% Kenora Red Lake Margaret Cochenour Memorial 948 3,366 19.7% 3.2% Hospital Kenora District IDN Total 4,818 29,450 100% 16.5% Source: PwC. Draft North West LHIN Blueprint Project Report. Oct 2011.

Health Profile – Kenora Integrated District Network (Draft) 6 North West LHIN  RLISS du Nord-Ouest

Lake of the Woods District Hospital handles 52.7% of inpatient admissions within the Kenora IDN while Dryden Regional Health Centre handles 27.6% and Red Lake Margaret Cochenour Memorial Hospital handles 19.7%.

In addition to acute care beds, there are a number of other inpatient bed types located in the acute care facilities in the Kenora IDN.

Table 8: Bed Types (as of Sept. 30, 2010) Inpatient Mental Newborn Hospital Acute CCC ELDCAP Rehab Health Bassinets Dryden Regional Health Centre 31 10 4

Lake Of The Woods District Hospital, 55 10 19 8 Kenora Red Lake Margaret Cochenour 14 4 2 Memorial Hospital Kenora IDN 100 24 19 14

Source: Web-Enabled Reporting System (WERS); extracted Jan. 2012.

There are 19 designated Inpatient Mental Health beds in the Kenora IDN, located at Lake of the Woods District Hospital in Kenora. The following table contains the location of all designated inpatient mental health beds in the North West LHIN.

Table 9: Designated (Adult) Mental Health Beds in North West LHIN Mental Provider Name IDN area Type Health Beds Lake Of The Woods District Hospital Kenora District Acute Psych 19 Thunder Bay Regional Health Sciences Centre City of Thunder Bay Acute Psych 30 Thunder Bay Regional Health Sciences Centre City of Thunder Bay Forensic 20 St. Joseph's Care Group – Lakehead site City of Thunder Bay Long Term 71 North West LHIN Total 140 Source: PwC. Draft North West LHIN Blueprint Project Report. Dec. 2011.

Of the 10,772 weighted days of inpatient mental health care for Kenora District sub-LHIN area residents, 45% were at the Thunder Bay Regional Health Sciences Centre, 29% at Lake of the Woods District Hospital in Kenora and 6% at St. Joseph’s Care Group. The remaining 20% of inpatient mental health days were spent outside of the North West LHIN. The majority of care outside of the North West LHIN came from the North Bay campus of Northeast Mental Health Care Centre (16%).

Inpatient Rehabilitation The residents of the North West LHIN received 16 percent less inpatient rehabilitation services than expected given their clinical and socio-demographic characteristics. Within the North West LHIN, residents of Kenora District and Rainy River District had particularly low access to inpatient rehabilitation; Rainy River had 70 percent less inpatient rehabilitation services than expected and Kenora District had 30 percent less than expected. St. Joseph’s Care Group located in the City of Thunder Bay has 50 inpatient rehabilitation beds which service all residents of the North West LHIN.

Health Profile – Kenora Integrated District Network (Draft) 7 North West LHIN  RLISS du Nord-Ouest

Long-Term Care (LTC)

Table 10 lists the long-term care homes located in the Kenora IDN as of 2009/10.

Table 10: Long-Term Care Homes

# of LTC Beds Long-Term Care Home Birchwood Terrace Nursing Home, Kenora 96

Northwood Lodge Home for the Aged, Red Lake 32

Pinecrest Home for the Aged, Kenora 126

Princess Court, Dryden 97

Kenora IDN Total 351

None of the long-term care homes in the Kenora IDN have been identified for FLS.

Market Share of Acute Inpatient Days

The following table shows where residents of the Kenora District sub-LHIN area went for acute care in Ontario in fiscal year 2009/10.

Table 11: Market share of acute inpatient days in Ontario hospitals by sub-LHIN 2009/10

Sub-LHIN/LHIN of Hospital

Rainy Thunder Thunder Kenora Total River Bay City Bay Other LHIN District Days Sub-LHIN of Patient District District

Kenora District 76% 0% 22% 0% 2% 45,312

Rainy River District 4% 71% 22% 0% 3% 14,255

Thunder Bay City 0% 0% 93% 0% 7% 94,928

Thunder Bay District 1% 0% 42% 50% 6% 23,732

Total Days 35,407 10,531 111,248 12,057 8,984 178,227 Source: PwC. Draft North West LHIN Blueprint Project Report. Oct 2011.

When the residents of Kenora District sub-LHIN area are split into the Kenora IDN and Northern IDN we see a somewhat different pattern. Almost 84% of days spent in Ontario hospitals by Kenora IDN residents were in the three hospitals within the Kenora IDN. A further 13.3% were in Thunder Bay Regional Health Sciences Centre. The remaining 3% of inpatient days were spent in hospitals in other LHINs (1.7%), Thunder Bay District IDN hospitals (0.7%), Rainy River District hospitals (0.6%) and at Sioux Lookout Meno Ya Win (0.3%).

Health Profile – Kenora Integrated District Network (Draft) 8 North West LHIN  RLISS du Nord-Ouest

The following table shows the number of discharges by residents of the Kenora Integrated District Network from hospitals across Canada by the most responsible diagnosis category. Of the 6,063 discharges in fiscal year 2009/10, 15.6% were from facilities in . For all North West LHIN residents, 6.4% of discharges were from Manitoba facilities.

Table 12: Percentage of Patients Hospitalized in Manitoba by Clinical Program (ICD-10 Chapter), 2009/10

Kenora Integrated District North West Network LHIN % Discharges % Discharges # Most Responsible Diagnosis ICD-10 Chapter from from Discharges Manitoba Manitoba 01 Infectious/Parasitic Diseases (A00-B99) 152 9.9% 2.5% 02 Neoplasms (C00-D48) 317 33.4% 4.9% 03 Blood and Immune (D50-59) 65 4.6% 1.0% 04 Endocrine, Nutrition, Metabolic (E00-E90) 169 11.2% 3.0% 05 Mental and Behavioural (F00-F99) 194 3.1% 2.8% 06 Nervous System (G00-G99) 95 18.9% 1.7% 07 Eye and Adnexa (H00-H59) 27 81.5% 0.3% 08 Ear and Mastoid process (H60-H95) 10 10.0% 0.3% 09 Circulatory (I00-I99) 827 21.2% 12.6% 10 Respiratory (J00-J99) 511 5.5% 8.7% 11 Digestive (K00-K93) 588 11.1% 10.0% 12 Skin and Subcutaneous Tissue (L00-L99) 83 7.2% 1.3% 13 Musculoskeletal & Connective Tissue 278 23.0% 4.7% (M00-M99) 14 Genitourinary (N00-N99) 276 27.9% 5.0% 15 Pregnancy, Childbirth and Puerperium 494 15.6% 8.2% (O00-O99) 16 Certain Conditions Originating in Perinatal 153 26.8% 3.2% Period (P00-P96) 17 Congenital Malformation, Deformity and 24 50.0% 0.6% Chromosomal (Q00-Q99) 18 Symptoms, signs & abnormal clinical/lab 481 4.4% 8.1% findings (R00-R99) 19 Injury, poisoning & other consequences of 525 14.5% 8.7% external causes (S00-T98) 21 Factors influencing health status & services 794 14.2% 12.5% (Z00-Z99) Kenora IDN Residents Total 6,063 15.6% 6.4% Source: Discharge Abstract Database, CIHI Portal. June 2012.

Health Profile – Kenora Integrated District Network (Draft) 9 North West LHIN  RLISS du Nord-Ouest

The table below shows the number of hospital admissions for ambulatory care sensitive conditions (ACSC) that would have been avoided if the Kenora District (Census Division) had the provincial average standardized admission rate.

Table 13: Potentially Avoidable 2009/10 Hospital Admissions at Provincial Average Standardized Admission Rate (Top 10 for Kenora District CD) Kenora District North West LHIN Ambulatory Care Sensitive Condition CD Total Influenza / pneumonia 167 729 Alcohol related 136 246 Angina 53 192 COPD 50 411 Diabetes with complications 45 203 Cellulitis 44 155 Atrial fibrillation 36 178 Kidney / Urinary 34 208 CHF 32 216 Dehydration / Gastroenteritis 30 61 Total Kenora Top 10 ACSC 626 2,597 All ACSC 701 2,867 Source: PwC. Draft North West LHIN Blueprint Project Report. Oct 2011.

Emergency Visits North West LHIN residents have high rates of emergency visit use, particularly for less-urgent and non- urgent visits (CTAS levels IV and V). The standardized rate of Emergency visits per capita among North West LHIN residents was 2.1 times the provincial average in 2009/10. Table 14 shows the volume 2009/10 volume of unscheduled emergency department visits anywhere in Canada by residents of the Kenora Integrated District Network by CTAS level and hospital of visit.

Health Profile – Kenora Integrated District Network (Draft) 10 North West LHIN  RLISS du Nord-Ouest

Table 14: Emergency Visits by North West LHIN Hospital and CTAS Level for Kenora IDN Area Residents, 2009/10 IV& V Less- I & II urgent/ Resuscitation/ III - Non- Kenora IDN CTAS Level Emergent Urgent urgent Total General Hospital 0 5 8 13 Dryden Regional Health Centre 522 4,239 10,928 15,978 Geraldton District Hospital 0 <5 9 10 Lake of the Woods District Hospital 489 4,810 12,901 18,375 General Hospital 0 0 <5 4 The McCausland Hospital 0 <5 <5 4 Nipigon District Memorial Hospital 0 0 <5 4 Red Lake Margaret Cochenour 99 508 1,748 2,355 Memorial Hospital Riverside Health Care Facility – Emo 0 <5 32 34 Riverside Health Care Facility – <5 53 386 458 La Verendrye Hospital Riverside Health Care Facility – <5 <5 66 68 Rainy River Sioux Lookout Meno Ya Win Health <5 33 194 234 Centre Thunder Bay Regional Health 142 330 156 628 Sciences Centre Wilson Memorial General Hospital <5 <5 5 8 North West LHIN Facilities Total 1,260 9,985 26,443 38,172 Facilities in other LHINs 46 94 150 290 Facilities in other provinces 29 70 93 196 Kenora IDN Residents Total 1,335 10,089 26,686 38,658 Source: NACRS, CIHI Portal. June 2012.

The majority of unscheduled emergency visits by Kenora IDN residents in North West LHIN hospitals were CTAS level IV and V – 69.3%. Lake of the Woods District Hospital saw half (48.8%) of these types of cases and 48.1% of all visits. Dryden Regional Health Centre saw 41.3% of CTAS IV & V cases and 41.9% of all visits. Red Lake Margaret Cochenour Memorial Hospital saw 6.6% of CTAS IV & V cases and 6.2% of all visits. With respect to the most complex cases (CTAS I and II), Dryden Regional Health Centre saw 41.4% of these cases and Lake of the Woods District Hospital saw 38.8%. Outside of the Kenora IDN, Thunder Bay Regional Health Sciences Centre saw 11.3% of the most complex cases (CTAS I and II).

Health Profile – Kenora Integrated District Network (Draft) 11 North West LHIN  RLISS du Nord-Ouest

The following table shows the distribution of all emergency visits by Kenora IDN residents to any hospital in Canada by main reason for the visit.

Table 15 – Emergency Visits for Kenora IDN Residents by ICD-10 Chapter of Main Problem Diagnosis, 2009/10 ICD10 Chapter Visits % ER Visits Symptoms, signs & abnormal clinical/lab 16,476 41.6 findings (R00-R99) Injury, poisoning & other consequences of 6,728 17.0 external causes (S00-T98) Factors influencing health status & services 5,212 13.2 (Z00-Z99) Diseases of musculoskeletal system & 3,023 7.6 connective tissue (M00-M99) Diseases of the respiratory system (J00-J99) 1,960 4.9 Diseases of ear & mastoid process (H60-H95) 1,110 2.8 Diseases of the digestive system (K00-K93) 955 2.4 Diseases of the skin & subcutaneous tissue 849 2.1 (L00-L99) Mental & behavioural disorders (F00-F99) 750 1.9 Diseases of the eye and adnexa (H00-H59) 656 1.7 Diseases of the genitourinary sys (N00-N99) 533 1.3 Certain infectious & parasitic diseases 430 1.1 (A00-B99) Pregnancy, childbirth & puerperium (O00-O99) 246 0.6 Diseases of the circulatory system (I00-I99) 210 0.5 Diseases of the nervous system (G00-G99) 198 0.5 Endocrine, nutritional & metabolic diseases 164 0.4 (E00-E90) Neoplasms (C00-D48) 53 0.1 Diseases of blood & blood-form& immune 32 0.1 (D50-D89) Certain conditions originating in perinatal 10 0.0 period (P00-P96) Congenital malformation, deformity & <5 0.0 chromosonal (Q00-Q99) All Unscheduled Emergency Visits 39,596 100.0 Source: NACRS, CIHI Portal. June 2012.

Over half (54.8%) of unscheduled emergency visits are assigned to the non-specific categories of “Symptoms, signs & abnormal clinical/lab findings” and “Factors influencing health status and services”. A further 17.0% of visits were due to “Injuries, poisoning and other consequences of external causes”.

Health Profile – Kenora Integrated District Network (Draft) 12 North West LHIN  RLISS du Nord-Ouest

Non-Acute Care LHIN Funded Services

The table below lists the health service providers (HSP) in other sectors that provide service to Kenora IDN residents and receive some or all of their funding from the North West LHIN.

Table 16: North West LHIN Funded Health Service Providers for Kenora IDN Residents, fiscal year 2010/11 Community Social Services (CSS) Sector %Total Head Office 1 Revenue Organization Name Location Area Served funded by 2 NW LHIN Alzheimer Society of Kenora District and Rainy River District Kenora 45.3% Kenora & Rainy River including Northern Communities Anishinaabeg of Sioux Narrows and surrounding Kabapikotawangag Sioux Narrows † Aboriginal communities Resource Council Brain Injury Services of with services primarily Thunder Bay 62.8% Northern Ontario (BISNO) in Thunder Bay Canadian Hearing Society Thunder Bay North West LHIN 0.7% Canadian Red Cross City of Thunder Bay, Thunder Bay Thunder Bay 77.2% Society Thunder Bay District and Dryden area Dryden Aboriginal Metis/Status First Nations’ women and Dryden 96.2% Women’s Resource Centre families in Dryden area Dryden and surrounding area (including Dryden Regional Health Dryden Ignace, Vermilion Bay, Wabigoon and 74.2% Centre Eagle Lake First Nations) Migisi Sahgaigan Eagle Lake First Nation † Grace Haven Lutheran Dryden and surrounding area in Kenora Dryden 44.3% Community Care Centre District Kenora area (Ochiichagwebabigoining, Kenora Chiefs Advisory Grassy Narrows, Iskatewizaagaygun, Kenora 33.3 Inc. Shoal Lake 40, Naotkamegwanning, Wabaseemoong First Nations

Municipality of Machin Machin Muncipality of Machin 0.8%

Naotkamegwanning First Naotkamegwanning First Nation Pawitik † Nation (Whitefish Bay) Northwestern Independent Keewatin Kenora District and Rainy River District 84.9% Living Services Inc. Patricia Region Senior Dryden area (including Machin, Oxdrift Dryden 94.8% Services Wabigoon and Eagle River) St. Joseph’s Care Group Thunder Bay North West LHIN 81.9% † Do not report on all programs 1 Source: Schedule A1 and A2 of SAAs from each health service provider 2 Source: Web Enabled Reporting System (WERS) 2010/11.

Health Profile – Kenora Integrated District Network (Draft) 13 North West LHIN  RLISS du Nord-Ouest

Community Social Services (CSS) Sector (Cont’d) %Revenue Head Office 1 Organization Name Area Served funded by Location 2 NW LHIN The Board of Management Kenora District (including Keewatin, of the District of Kenora Kenora , Sioux Narrows, Red Lake, 82.5% Home for the Aged Balmertown and Sioux Lookout) Wabaseemoong First Whitedog Wabaseemoong First Nation † Nation Ear Falls Wabauskang First Nation † Wabigoon Lake Ojibway Dryden Wabigoon First Nation † Nation City of Thunder Bay, Thunder Bay Wesway Inc. Thunder Bay District, Kenora District and Rainy River 42.9% District Community Health Centre (CHC) sector %Revenue Head Office 1 Organization Name Area Served funded by Location 2 NW LHIN Kenora District (including Ignace, Mary Berglund Family Ignace English River, Borrup Corners, Dyment Clinic and ) 92.8% Home Care Sector - Community Care Access Centre (CCAC) %Revenue Head Office 1 Organization Name Area Served funded by Location 2 NW LHIN North West CCAC Thunder Bay North West LHIN 98.7% Substance Abuse Programs %Revenue Head Office 1 Organization Name Area Served funded by Location 2 NW LHIN Ontario with priority given to residents Changes Recovery Homes Keewatin of Kenora District, Rainy River District 82.6% and Northern Communities Canadian Mental Health Fort Frances and surrounding area 98.6% Association – Fort Frances Dryden Regional Health Dryden Dryden and surrounding region 74.2% Centre Kenora area (Ochiichagwebabigoining, Kenora Chiefs Advisory Grassy Narrows, Iskatewizaagaygun, Kenora 33.3% Inc. Shoal Lake 40, Naotkamegwanning, Wabaseemoong First Nations Lake of the Woods District Kenora Kenora and surrounding communities 76.6% Hospital St. Joseph’s Care Group Thunder Bay North West LHIN 81.9% † Do not report on all programs 1 Source: Schedule A1 and A2 of SAAs from each health service provider 2 Source: Web Enabled Reporting System (WERS) 2010/11.

Health Profile – Kenora Integrated District Network (Draft) 14 North West LHIN  RLISS du Nord-Ouest

Mental Health (MH) Sector %Revenue Head Office 1 Organization Name Area Served funded by Location 2 NW LHIN Brain Injury Services of Northern Ontario with services primarily Thunder Bay 62.8% Northern Ontario in Thunder Bay Rainy River District with Consumer Canadian Mental Health Fort Frances Survivor Initiatives and Psycho-geriatric 98.6% Association – Fort Frances programs also offered in Kenora District Canadian Mental Health Kenora, Rainy River, Northern Kenora 97.6% Association – Kenora Communities Early Psychosis Intervention in City of Canadian Mental Health Thunder Bay Thunder Bay, Thunder Bay District, 84.0% Association – Thunder Bay Kenora District and Rainy River District Dryden Regional Health Dryden Dryden and surrounding region 74.2% Centre Kenora Association for Kenora City of Kenora 10.6% Community Living Kenora area (Ochiichagwebabigoining, Kenora Chiefs Advisory Grassy Narrows, Iskatewizaagaygun, Kenora 33.3 Inc. Shoal Lake 40, Naotkamegwanning, Wabaseemoong First Nations Kenora Sexual Assault Kenora Kenora area (including ) 28.5% Centre Lake of the Woods District Kenora Kenora and surrounding communities 76.6% Hospital Naotkamegwanning First Pawitik Naotkamegwanning First Nation † Nation St. Joseph’s Care Group Thunder Bay North West LHIN 81.9% Kenora, Dryden and Red Lake in Sunset Country Kenora Kenora District and Fort Frances in 100.0% Psychiatric Survivors Rainy River District Thunder Bay Regional Thunder Bay North West LHIN 71.7% Health Sciences Centre Wabaseemoong First Whitedog Wabaseemoong First Nation † Nation Waasegiizhig Kenora All Aboriginal people in Kenora District † Nanaandawe’iyewigamig City of Thunder Bay, Thunder Bay Wesway Inc. Thunder Bay District, Kenora District and Rainy River 42.9% District † Do not report on all programs 1 Source: Schedule A1 and A2 of SAAs from each health service provider 2 Source: Web Enabled Reporting System (WERS) 2010/11.

Health Profile – Kenora Integrated District Network (Draft) 15