1/15/2021 Cover Page - PG1

Facility Profile 2019/20 Arrow Lakes

This profile provides an overview of the services provided at Arrow Lakes Hospital in the areas of,

Inpatient Cases & Days | Inpatient Surgery & Surgical Day Care | Emergency Department

The information provided within this document reflects services provided at the hospital, regardless of patient residence. This report is based on adults and children only. Newborns have been excluded. For some indicators, small volumes (<5) have been suppressed.

The Interior Health Strategic Information Department produces a number of utilization and service reports. In addition to this Facility Profile, Interior Health Strategic Information Department produces profiles for 1) Local Health Area (LHA), 2) Health Service Delivery Area (HSDA), and 3) Interior Health Authority Profile. These additional reports can be found on the Interior Health website: www.interiorhealth.ca/AboutUs/QuickFacts/PopulationLocalAreaProfiles/Pages/default.aspx

Interior Health

More informaon is available upon request from Interior Health’s Strategic Informaon Department. Inquiries and comments can be addressed by calling 1-250-469-7070 Ext. 70868

1/1 1/15/2021 Inpatients - PG2 Arrow Lakes Hospital | 2 Inpatients Inpatient Data provides information about hospitals and the patients who are admitted to them. This page includes the number of beds in operation, occupancy rates, patient age and residence, and admissions through the Emergency Department (ED), and the average Resource Intensity Weight (RIW).

Table 1: Number of Hospital Beds, 2017/18 - 2019/20

HospitalHospital Bed Type Bed Type 2017/18 2018/19 2019/20  Table 1: Beds funded and in Medical / Surgical Beds 6 6 6 Psychiatric Beds operaon at fiscal year end ICU / CCU Beds (March 31st). Rehabilitation Beds Source: MIS/GL; Excludes Obstetrical Beds Bassinets Pediatric Beds Total Beds in Operation 6 6 6

Figure 1: Percent of Inpatient Cases by Age Group, Figure 2: Percentage of Inpatient Cases by Patient 2019/20 Residence, 2019/20

77%

Arrow Lakes 94% 19% 1% 3%

0-17 Years 18-44 Years 45-64 Years 65+ Years

Figure 1: Elderly paents (65+ years of age) usually account for the Figure 2: Shows the percentage of hospitalizaons based on where the largest percentage of inpaents cases at Interior Health hospitals. paents live. Source: DAD; Excludes newborns; Source: DAD; Excludes newborns; Only most common LHAs are shown.

Figure 3: Occupancy Rates, 2017/18 - 2019/20 Figure 4: Average Resource Intensity Weight, 2017/18 - 2019/20

62.9% 62.7% 1.16 60.8% 1.07 1.09

2017/18 2018/19 2019/20 2017/18 2018/19 2019/20 Figure 4: RIWs provide the esmated cost per hospitalizaon relave Figure 3: Occupancy Rates are presented as an average, based on the to the average inpaent in (RIW = 1.0). A higher RIW means a number of beds staffed at March 31st each year. higher cost per paent case. Source: MIS/GL; Excludes newborns and pediatrics in the nursery Source: DAD CMG 2019; Excludes newborns

Figure 5: Percentage of Inpatient Cases Admitted Figure 6: Number of Inpatient Cases, 2017/18 - 2019/20 Through the ED, 2017/18 - 2019/20 182

66.0% 166 59.3% 150

57.2%

2017/18 2018/19 2019/20 2017/18 2018/19 2019/20 Figure 5: The majority of inpaents at Interior Health are usually Figure 6: Inpaent Case = A discharge from the hospital

admied via the ED. Source: DAD; Excludes newborns Source: DAD; Excludes newborns 1/1 1/15/2021 Inpatients - PG3 Arrow Lakes Hospital | 3 Inpatients Grouping Methodologies categorize inpatients into similar groups for reporting purposes: Major Clinical Categories (MCCs) are large groups generally related to body systems; Case Mix Groups (CMGs) further categorize inpatients into groups based on similarities of diagnosis, intervention, length of stay, and resource requirements such as costs.

Figure 7: Number of Inpatient Cases by Most Common MCCs, 2019/20 Figure 7 & 8: Shows the most common types of 11 11 10 inpaent cases. Meaning, 41 the MCCs and CMGs which 27 accounted for the most hospitalizaons. Some Other Reasons for Circulatory Kidney, Urinary Respiratory Mental Diseases & Hospitalization System Tract & Male System Disorders condions are split into Reproductive several CMGs due to System differences in treatment and/or costs. Figure 8: Number of Inpatient Cases by Most Common CMGs, 2019/20 Example: Vaginal Deliveries are split into four CMGs. Aw aiting Placement 18 Source: DAD; CMG 2019; Convalescence 14 Excludes newborns Low er Urinary Tract Infection 8

Myocardial Infarction/Shock/Arrest w out Angiogram 8

Heart Failure w ithout Coronary Angiogram 6

Chronic Obstructive Pulmonary Disease 5

Other/Unspecified Sepsis/Shock 5

Viral/Unspecified Pneumonia 5

Figure 9: Number of Inpatient Days by Most Common MCCs, 2019/20 Figure 9 & 10: Shows the condions that accounted 98 82 48 47 for the most inpaent days. 670 Alternate Level of Care (ALC) Days are included. The most Other Reasons for Trauma, Injury, & Circulatory Kidney, Urinary Mental Diseases & common condions do not Hospitalization Poisoning System Tract & Male Disorders necessarily account for the Reproductive most inpaent days and vice System versa. Figure 10: Number of Inpatient Days by Most Common CMGs, 2019/20 Example: At most Interior Health hospitals, there are Aw aiting Placement 383 a large number of vaginal Convalescence 213 deliveries, but because those paents have very 40 short hospital stays, they Fracture/Dislocation/Rupture of Pelvis/Sacrum/Coccyx 35 don not account for a Low er Urinary Tract Infection 32 significant proporon of the Poisoning/Toxic Effect of Drug 31 hospital days. Heart Failure w ithout Coronary Angiogram Source: DAD; CMG 2019; 27 Excludes newborns Dementia 20 Viral/Unspecified Pneumonia 20 Disorder of Pancreas except Malignancy 18 1/1 1/15/2021 Inpatients SC - PG4C Arrow Lakes Hospital | 4 Inpatients Inpatient Days are calculated from admission date until discharge date, reported by: Acute/Rehab: Days where the patient received acute care or rehabilitation service; Alternate Level of Care (ALC): Days when acute services are no longer required, but patient remains in hospital waiting for other resources.

Figure 11: Number of Inpatient Days, 2017/18 - 2019/20

Number of Acute/Rehab Days Number of Alternate Level (ALC) Total Inpatient Days Days

1,385 1,289 1,304

1,103 1,141

658 483

282

15

2017/18 2018/19 2019/20 2017/18 2018/19 2019/20 2017/18 2018/19 2019/20

Figure 11: Shows the three year trend in the number of Acute/Rehab, ALC, and Total Inpaent Days ulized. Source: DAD; Excludes newborns

Figure 12: ALC Days Rate, 2017/18 - 2019/20 Figure 13: Average Length of Stay in Days, 2017/18 - 2019/20

7.8 7.6 7.6 57.7% 6.1

20.4% 3.2 1.2%

2017/18 2018/19 2019/20

2017/18 2018/19 2019/20 ALOS - Acute/Rehab Days ALOS - Total Days (incl. ALC)

Figure 12: ALC Rate is the percentage of inpaent days that were Figure 13: Average Length of Stay (ALOS) is the average number of days designated as Alternate Level of Care. per hospitalizaon reported by Acute/Rehab, and Total Days (Including Source: DAD; Excludes newborns ALC). Source: DAD; Excludes newborns

Inpatient Surgical Cases & Surgical Day Care

Surgeries are generally not preformed at Arrow Lakes Hospital

1/1 1/15/2021 ED - PG7

Arrow Lakes Hospital | 5 Emergency Department Emergency Department (ED) data provides information on visits made to the Emergency Room. Most of the data is based on unscheduled ED visits.

Figure 21: Number of Emergency Department Visits, Figure 22: Percentage of Unscheduled ED Visits by Unscheduled vs. Scheduled, 2017/18 - 2019/20 Age Groups, 2019/20 Unscheduled ED Visits Scheduled ED Visits

3,059 3,104 3,047 30% 31% 26% 2,118 2,030 1,536 13%

2017/18 2018/19 2019/20 2017/18 2018/19 2019/20 0-17 Year 18-44 Years 45-64 Years 65+ Years

Figure 22: Unlike Inpaent SDC Cases, elderly paents usually do not Figure 21: Shows the number and trend of ED visits. account for the most ED visits at many Interior Health Hospitals. Source: Unscheduled Visits, Admissions Universe; Scheduled Visits, Source: Admissions Universe MIS

Figure 23: Percentage of Unscheduled ED Visits Figure 24: Number of Unscheduled ED Visits Admitted Admitted to Hospital, 2017/18 - 2019/20 to Hospital, 2017/18 - 2019/20

108

3.5% 3.2% 3.1% 99 94

2017/18 2018/19 2019/20 2017/18 2018/19 2019/20

Figure 23: Shows the percentage of unscheduled ED visits that result in Figure 24: Shows the number of unscheduled ED visits that result in admission. admission. Source: Admissions Universe Source: Admissions Universe

Figure 25: Percentage of Unscheduled ED Visits by Triage Level, 2017/18 - 2019/20

L1: Resuscitation L2: Emergent L3: Urgent L4: Less Urgent L5: Non-Urgent Undifferentiated 60.0% 53.4% 53.0% 31.4% 28.7% 23.6% 9.6% 9.1% 8.7% 7.0% 5.7% 4.3% 2.1% 1.6% 1.1% 0.4% 0.2% 0.2%

17/18 18/19 19/20 17/18 18/19 19/20 17/18 18/19 19/20 17/18 18/19 19/20 17/18 18/19 19/20 17/18 18/19 19/20

Figure 25: Provides the percentage of ED visits by Triage Level based on the Canadian Triage Acuity Scale (CTAS). Source: Admissions Universe 1/1