Health Profile – Northern Integrated District Network (IDN)

June 2012

North West LHIN  RLISS du Nord-Ouest

Health Profile for Northern 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 – Rainy River District, City of (and surrounding area) and Thunder Bay District (excluding city of Thunder Bay and surrounding area). The fourth and fifth proposed IDNs are formed from the current District sub-LHIN planning area. The Northern IDN is proposed to encompass and all communities north of Sioux Lookout. The remaining part of (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 – Northern Integrated District Network 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 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-Cree 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 – Northern Integrated District Network 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 Northern IDN. The list is in decreasing order of population size.

Table 2: Population Estimates (2009 for Census Subdivisions (CSDs) in the Northern IDN 2009 2009 CSD/Community Population CSD/Community Population Estimate Estimate Sioux Lookout 5,234 Fort Severn 89 429 Pikangikum 14 2,080 Kingfisher Lake 1 414 Sandy Lake 88 1,838 Summer Beaver 364 Fort Hope 64 1,125 352 Kitchenuhmaykoosib 84 (Big Trout Lake) 913 349 28 835 Kee-Way-Win 312 Weagamow Lake 87 700 Neskantaga 268 Kasabonika Lake 677 North Spirit Lake 263 Deer Lake 674 Muskrat Dam Lake 254 Webequie 633 Slate Falls 175 Pickle Lake 487 Wawakapewin 21 Wunnumin 2 487 Lansdowne House 0 Cat Lake 63C 478 MacDowell Lake 0 Bearskin Lake 459 Sachigo Lake 2 0 Poplar Hill 458 Wapekeka 1 0 Sachigo Lake 1 451 0 Northern IDN 20,730 Data Source: Population Estimates PHU County Municipality table, intellIHEALTH .

There are no communities within the Northern IDN designated under the French Language 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 Age Group 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 – Northern Integrated District Network 4 North West LHIN  RLISS du Nord-Ouest

The population in the Northern IDN has a much higher proportion of children and youth and a much lower proportion of seniors than Kenora IDN and the total North West LHIN population.

Health Status and Health Outcomes Data from the Canadian 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: 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 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 – Northern Integrated District Network 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 Sioux Lookout Meno Ya Win Health Centre is the only acute care hospital in the proposed Northern Integrated District Network area. It is designated as a Centre of Excellence for Aboriginal Health.

The table below summarizes the 2009/10 admissions and inpatient days at hospitals in the Northern IDN. 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 Northern IDN Share of Share of Facility/Hospital Site Admissions Days IDN’s LHIN's Admissions Admissions Sioux Lookout Meno Ya Win Health 1,942 9,422 100% 7% Centre Kenora District Total 1,942 9,422 100% 7% Source: PwC. Draft North West LHIN Blueprint Project Report. Oct 2011. All of the inpatient acute care service in the Northern IDN is provided by Sioux Lookout Meno Ya Win Health Centre.

Health Profile – Northern Integrated District Network 6 North West LHIN  RLISS du Nord-Ouest

In addition to acute care beds, there are other inpatient bed types located in the Northern IDN.

Table 8: Bed Types (as of Sept. 30, 2010) Inpatient Mental Newborn Hospital Acute CCC ELDCAP Rehab Health Bassinets Sioux Lookout Meno Ya Win Health 36 5 4 Centre William A. "Bill" George Extended Care 20 Facility Northern IDN 36 5 4 20

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

There are no designated Inpatient Mental Health beds in the Northern IDN. 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 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 – Northern Integrated District Network 7 North West LHIN  RLISS du Nord-Ouest

Long-Term Care (LTC)

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

Table 10: Long-Term Care Homes

# of LTC Beds Long-Term Care Home Northern IDN Total 0

There are, however, 20 Elderly Capital Assistance Program (ELDCAP) beds located at William A. “Bill” George Extended Care Facility in Sioux Lookout.

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. A much higher % of acute days spent in Ontario hospitals by Northern IDN residents were at Thunder Bay Regional Health Sciences Centre (39.3%). Over half (56.3%) were spent at Sioux Lookout Meno Ya Win Health Centre, within the Northern IDN. The Kenora IDN hospitals and hospitals in other LHINs each accounted for 2.2%. Looking at the number of discharges rather than inpatient days, 61.1% were from Sioux Lookout Meno Ya Win Health Centre, 32.1% from Thunder Bay Regional Health Sciences Centre and 4.9% from Kenora IDN hospitals.

Health Profile – Northern Integrated District Network 8 North West LHIN  RLISS du Nord-Ouest

The following table shows the number of discharges by residents of the Northern Integrated District Network from hospitals across Canada by the most responsible diagnosis category. Of the 3600 discharges in fiscal year 2009/10, 17.2% were from facilities in Manitoba. 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

Northern 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) 86 22.1% 2.5% 02 Neoplasms (C00-D48) 75 22.7% 4.9% 03 Blood and Immune (D50-59) 24 0.0% 1.0% 04 Endocrine, Nutrition, Metabolic (E00-E90) 118 17.8% 3.0% 05 Mental and Behavioural (F00-F99) 127 3.1% 2.8% 06 Nervous System (G00-G99) 44 25.0% 1.7% 07 Eye and Adnexa (H00-H59) 11 63.6% 0.3% 08 Ear and Mastoid process (H60-H95) 10 0.0% 0.3% 09 Circulatory (I00-I99) 203 12.3% 12.6% 10 Respiratory (J00-J99) 271 14.8% 8.7% 11 Digestive (K00-K93) 252 15.9% 10.0% 12 Skin and Subcutaneous Tissue (L00-L99) 47 10.6% 1.3% 13 Musculoskeletal & Connective Tissue 4.7% (M00-M99) 117 11.1% 14 Genitourinary (N00-N99) 145 15.9% 5.0% 15 Pregnancy, Childbirth and Puerperium 8.2% (O00-O99) 552 23.6% 16 Certain Conditions Originating in Perinatal 3.2% Period (P00-P96) 204 30.9% 17 Congenital Malformation, Deformity and 0.6% Chromosomal (Q00-Q99) 28 50.0% 18 Symptoms, signs & abnormal clinical/lab 8.1% findings (R00-R99) 188 8.0% 19 Injury, poisoning & other consequences of 8.7% external causes (S00-T98) 375 21.1% 21 Factors influencing health status & services 12.5% (Z00-Z99) 723 12.9% Northern IDN Residents Total 3,600 17.2% 6.4% Source: Discharge Abstract Database, CIHI Portal. June 2012.

Health Profile – Northern Integrated District Network 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 Northern Integrated District Network by CTAS level and hospital of visit.

Health Profile – Northern Integrated District Network 10 North West LHIN  RLISS du Nord-Ouest

Table 14: Emergency Visits by North West LHIN Hospital and CTAS Level for Northern IDN Residents, 2009/10 IV& V Less- I & II urgent/ Resuscitation/ III - Non- Northern CTAS Level Emergent Urgent urgent IDN Total Atikokan General Hospital 0 <5 10 13 Dryden Regional Health Centre 11 72 228 314 Geraldton District Hospital <5 <5 10 17 Lake of the Woods District Hospital 6 44 129 182 Manitouwadge General Hospital 0 0 <5 1 The McCausland Hospital 0 0 0 0 Nipigon District Memorial Hospital 0 <5 <5 2 Red Lake Margaret Cochenour 9 42 182 233 Memorial Hospital Riverside Health Care Facility – Emo 0 0 0 0 Riverside Health Care Facility – 0 5 29 34 La Verendrye Hospital Riverside Health Care Facility – 0 <5 0 1 Rainy River Sioux Lookout Meno Ya Win Health 132 1,620 10,790 12,673 Centre Thunder Bay Regional Health 457 1215 598 2,270 Sciences Centre Wilson Memorial General Hospital 0 <5 <5 2 North West LHIN Facilities Total 617 3006 11,979 15,742 Facilities in other LHINs 21 33 54 108 Facilities in other provinces 41 88 106 238 Northern IDN Residents Total 679 3,127 12,139 16,088 Source: NACRS, CIHI Portal. June 2012.

The majority of unscheduled emergency visits by Northern IDN residents in North West LHIN hospitals were CTAS level IV and V – 76.1%. Sioux Lookout Meno Ya Win l saw 90.1% of these types of cases and 80.5% of all visits. With respect to the most complex cases (CTAS I and II), Thunder Bay Regional Health Sciences Centre saw three-quarters (74.1%) of Northern IDN cases. Within the Northern IDN, Sioux Lookout Meno Ya Win Health Centre saw 21.4%.

Health Profile – Northern Integrated District Network 11 North West LHIN  RLISS du Nord-Ouest

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

Table 15 – Emergency Visits for Northern IDN Residents by ICD-10 Chapter of Main Problem Diagnosis, 2009/10 ICD10 Chapter Visits % ER Visits Symptoms, signs & abnormal clinical/lab findings (R00-R99) 5551 35.0 Factors influencing health status & services (Z00-Z99) 3083 19.4 Injury, poisoning &other consequences of external causes (S00-T98) 2121 13.4 Dis of musculoskeletal system & connective tissue (M00-M99) 1395 8.8 Mental & behavioural disorders (F00-F99) 732 4.6 Dis of the respiratory system (J00-J99) 572 3.6 Dis of the skin & subcutaneous tissue (L00-L99) 517 3.3 Dis of the digestive system (K00-K93) 415 2.6 Diseases of the eye and adnexa (H00-H59) 278 1.8 Dis of ear & mastoid process (H60-H95) 277 1.7 Dis of the genitourinary sys (N00-N99) 256 1.6 Pregnancy, childbirth & puerperium (O00-O99) 191 1.2 Certain infect & parasitic dis(A00-B99) 154 1.0 Diseases of the nervous system (G00-G99) 116 0.7 Endocrine, nutritional &metabolic dis(E00-E90) 102 0.6 Dis of the circulatory system (I00-I99) 72 0.5 Dis blood&blood-forming&immune(D50-D89) 21 0.1 Certain conditions originating in perinatal period(P00-P96) 13 0.1 Neoplasms (C00-D48) 8 0.1 Congenital malformations, deformities & chromosonal (Q00-Q99) <5 0.0 All Visits – Northern IDN Residents 15876 100.0 Source: NACRS, CIHI Portal. June 2012.

Over half (54.4%) 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 13.4% of visits were due to “Injuries, poisoning and other consequences of external causes”.

Health Profile – Northern Integrated District Network 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 Northern 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 Northern IDN Residents, fiscal year 2010/11 Community Social Services (CSS) Sector %Total Head Office 1 Revenue Organization Name Area Served Location funded by NW LHIN2 Bearskin Lake First Nation Bearskin Lake Bearskin Lake First Nation †

Big Trout First Nation Thunder Bay Big Trout Lake First Nation †

Deer Lake First Nation Deer Lake †

Eabametoong First Nation Eabamet Lake †

Fort Severn First Nation Fort Severn †

Kasabonika First Nation Kasabonika Lake Kasabonika Lake Nation †

Keewaywin First Nation Keewaywin †

Kingfisher Lake First Nation Kingfisher Lake Kingfisher Lake First Nation †

Lac Seul First Nation Hudson † Marten Falls First Nation Ogoki Post Marten Falls* † Mishkeegogamang First Nation New Osnaburgh Mishkeegogamang First Nation † Muskrat Dam First Nation Muskrat Dam Muskrat Dam First Nation † Summer Beaver Nibinamik First Nation † North Caribou Lake First Nation Weagamow Lake North Caribou Lake First Nation † North Spirit Lake First Nation North Spirit Lake North Spirit Lake First Nation † Northern Communities (including Fort Severn, Deer Lake, Northern Chiefs Tribal Council Balmertown † Keewaywin, North Spirit Lake, Poplar Hill)

Pikangikum † Pikangikum First Nation Poplar Hill Poplar Hill First Nation † Sachigo Lake First Nation Sachigo Lake Sachigo Lake First Nation † Sandy Lake Sandy Lake First Nation † Slate Falls Slate Falls First Nation † St. Joseph’s Care Group Thunder Bay North West LHIN † Wapakeka First Nation Angling Lake Wapakeka First Nation † Webequie Webequie First Nation †

Health Profile – Northern Integrated District Network 13 North West LHIN  RLISS du Nord-Ouest

Windigo First Nation Sioux Lookout Windigo First Nation † Wunnumin Lake Indian Band Wunnumin Wunnumin First Nation †

Community Health Centre (CHC) sector %Revenue Head Office 1 Organization Name Area Served funded by Location 2 NW LHIN Kenora District (including , Mary Berglund Family Clinic Ignace English River, Borrup Corners, 92.8% Dyment and Savant Lake) 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% Community Mental Health and Addictions (CMHA) Sector Substance Abuse (SA) 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 Lake of the Woods District Kenora Kenora and surrounding communities 76.6% Hospital Red Lake Margaret Cochenour Memorial Red Lake Red Lake and Northern Communities 75.9% Hospital Reverend Tommy Beardy Muskrat Dam and Northern Memorial Wee Che He Muskrat Dam 100% Communities Wayo-Gamik Sioux Lookout Meno-Ya- Sioux Lookout and Northern Sioux Lookout 79.7% Win Health Centre Communities St. Joseph’s Care Group Thunder Bay North West LHIN 81.9% Mental Health (MH) Sector %Revenue Head Office 1 Organization Name Area Served funded by Location 2 NW LHIN Kenora District, Rainy River District Canadian Mental Health Kenora and Court Support in Northern 97.6% Association – Kenora Communities Lake of the Woods District Kenora Kenora and surrounding communities 76.6% Hospital Red Lake Margaret Cochenour Memorial Red Lake Red Lake and Northern Communities 75.9% Hospital Reverend Tommy Beardy Muskrat Dam and Northern Memorial Wee Che He Muskrat Dam 100% Communities Wayo-Gamik

Health Profile – Northern Integrated District Network 14 North West LHIN  RLISS du Nord-Ouest

Sioux Lookout Meno-Ya- Sioux Lookout and Northern Sioux Lookout 79.7% Win Health Centre Communities

St. Joseph’s Care Group Thunder Bay North West LHIN 81.9%

Thunder Bay Regional Thunder Bay North West LHIN 71.7% Health Sciences Centre * Marten Falls is part of North East LHIN’s service area † 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 – Northern Integrated District Network 15