Grey Bruce sub-region Descriptive Profile The purpose of the descriptive profile is to provide an overview of demographics and health service provider landscape in the sub-region to support discussions with Area Provider Tables around the development of sub-region Integration Tables The data contained in these slides come from a variety of sources available to the LHIN. This is a snap shot in time and may not reflect exact numbers at the time of viewing Draft: September 1, 2016 1 South West LHIN Overview • One of the largest LHINs – almost 22,000 km2 • 924,000 people (7.5% of Ontario’s population) • Significant rural population with many small Hanover communities • Large urban population within City of London • Large proportion of seniors • Small proportion of immigrants • 5 First Nations communities • French Language Services designation 2 Health Service Providers in the South West LHIN • 19 public hospitals (33 sites) and 1 private hospital • 1 Community Care Access Centre • 54 Community Support Services Agencies • 30 Mental Health and Addiction Agencies • 5 Community Health Centres • 78 Long Term Care Homes Other providers • Over 600 actively practicing family physicians • 19 Family Health Teams • 7 Public Health units 3 Grey Bruce sub-region 4 Demographics Grey Huron London South Oxford Elgin Bruce Perth Middlesex West LHIN Total population (2011) 1 144,657 134,212 105,719 439,151 87,461 925,300 % of the population who identify as 2.8% 0.9% 1.3% 2.3% 1.8%* 2.0% Aboriginal 2 * Includes largest First Nation in LHIN (Oneida of the Thames ) Grey Huron London South Oxford Elgin Bruce Perth Middlesex West LHIN Total population (2011) 1 144,657 134,212 105,719 439,151 87,461 925,300 % of the population that immigrated 0.3% 0.6% 0.6% 2.7% 0.9% 1.6% to Canada between 2006 and 2011 2 % of the population that are visible 1.7% 1.6% 2.5% 13.7% 2.7% 7.6% minority 2 % of the population who report 1.1% 0.8% 1.2% 1.6% 1.2% 1.3% French as their mother tongue 1 1 2011 Census of Canada 2 2011 National Household Survey 5 Demographics (continued) Grey Huron London South Oxford Elgin Bruce Perth Middlesex West LHIN Total population (2011) 1 144,657 134,212 105,719 439,151 87,461 925,300 % of seniors 65 years and older 1 20.7% 18.0% 16.6% 14.8% 15.6% 16.6% % of seniors 75 years and older 1 9.3% 8.7% 7.9% 7.1% 6.8% 7.8% Grey Huron London South Oxford Elgin Bruce Perth Middlesex West LHIN Total population (2011) 1 144,657 134,212 105,719 439,151 87,461 925,300 Median household income 2 $61,420 $60,580 $63,180 $57,987 $60,175 $59,496 % of the population who live under 12.2% 10.8% 11.6% 15.7% 15.8% 14.0% the low income cut off 2 % of the population between 25 and 64 years old without a high 13.7% 17.1% 15.5% 10.1% 17.4% 13.2% school diploma 2 % of families who have lone 11.7% 11.5% 13.9% 17.3% 13.9% 14.7% parents 1 It is estimated that up to 10% of Grey Bruce population is old order Amish and Mennonite 1 2011 Census of Canada 2 2011 National Household Survey 6 Grey Huron London Oxford Elgin South West LHIN Bruce Perth Middlesex Prevalence of Chronic Conditions, Based on Self- Report (CCHS 2013/14) Arthritis 22.6% 20.9% 17.0% 16.4% 21.9% 20.6% Asthma 8.0% 5.6% 7.2% 9.7% 9.0% 9.0% COPD 4.4% 3.0% 3.1% 1.5% 3.3% 4.8% Cancer 1.5% 1.1% 0.9% 1.2% 1.0% 1.0% Diabetes 7.3% 8.0% 5.6% 6.5% 6.6% 7.0% Hypertension 23.4% 22.4% 17.4% 16.5% 16.9% 17.5% Ischemic Heart Disease 4.7% 5.3% 4.6% 4.1% 5.2% 4.7% Stroke 1.6% 1.1% 0.9% 0.8% 1.7% 1.4% Mortality Rate per 100,000 Population, for Select Chronic Conditions (Statistics Canada 2011) Arthritis 6.4 5.8 2.9 3.0 1.7 3.8 Asthma 0.7 0.7 < 0.5 0.4 0.6 0.5 COPD 44.6 48.0 31.9 27.9 40.0 34.8 Cancer 279.1 245.6 231.6 218.0 216.1 231.6 Diabetes 34.9 31.3 22.0 19.3 29.4 24.6 Hypertension 42.2 12.7 9.1 7.8 10.6 8.6 Ischemic Heart Disease 165.2 141.6 174.4 94.9 156.7 127.7 Stroke 45.9 45.9 37.7 29.0 36.7 35.7 7 Grey Huron London Complex Patients 2013/14 Elgin Oxford Bruce Perth Middlesex Total patients (health care users) 75,222 92,547 116,212 109,169 379,098 Complex Patients (4+ conditions) # 4,265 5,005 7420 5,905 21,200 % of patients that are complex 5.7% 5.4% 6.3% 5.4% 5.6% # of Complex patients NOT enrolled with a Patient enrollment Model (PEM) 1,135 1,215 1,700 1,295 6,055 % of Complex patients NOT enrolled with a Patient enrollment model (PEM) 27% 24% 22.9% 22% 29% Complex patients, by age group <18 yrs 80 115 130 150 515 18-44 340 420 635 455 2,225 45-64 1,130 1,185 1,810 1,385 5,735 65-79 1,650 1,845 2,770 2,050 6,965 80+ 1,070 1,435 2,070 1,870 5,760 Complex patients, by sex Female 2,190 2,645 3,685 3,095 11,195 Male 2,075 2,360 3,735 2,815 10,005 This analysis is based on all patients who used health care services in 2013/14. Complex patients are those with 4 or more conditions (i.e.., the 'target population' for Health Links). Note that the number of patients (health service users) is not the same as the estimated population of an area. 8 Distribution of CCAC patients (adult/children at home) Comm. Ind = community independence 9 Number and percent of CCAC patients attached to a primary care provider 10 Percentage of adults who are very or somewhat satisfied with the health care in their community by Health Link % satisfied with health care in 95% 95% Health Link community* UCI LCI Elgin 87.7 79.0 96.4 Oxford 92.9 86.1 99.8 South Grey Bruce NR** NR NR North Grey Bruce 90.0 83.2 96.8 Huron Perth 93.5 89.2 97.8 London Middlesex 86.6 82.6 90.7 * Wide confidence intervals so caution when interpreting ** Number not available due to low response rate 11 Grey Bruce Area Provider Table: Grey Bruce Integrated Health Coalition Co-chairs: Paul Rosebush CEO and President, South Bruce Grey Health Centre Jennifer Cornell, Administer, Green Gables 12 Grey Bruce • 3 Hospitals • Grey Bruce Health Services • Lion’s Head • Markdale • Meaford • Owen Sound • Southampton • Wiarton Hanover Hanover • Hanover and District Hospital • South Bruce Grey Health Centre • Chesley • Durham • Kincardine • Walkerton • 1 Community Health Centre • 8 Community support services • 19 Long Term Care Homes • 5 Mental health and addictions programs • 1 CCAC (for whole LHIN) • 1 Public Health Unit • 105 active family physicians • 6 Family Health Teams 13 LHIN funded Health Service Providers 14 Community Support Services: Lead Agencies LHIN Sub- HSP Name Contact Region Home and Community Support Grey Bruce Andy Underwood Services of Grey Bruce ONE CARE Home & Community Huron Perth Kathy Scanlon Support Services London Cheshire Homes London Judi Fisher Middlesex Victorian Order of Nurses Elgin Suzanne Mezenberg Middlesex Elgin Branch Victorian Order of Nurses Oxford Oxford Suzanne Mezenberg Branch 15 Community Support Service agencies (LHIN funded) providing service in Grey Bruce Grey Bruce only or Provider Name LHIN-wide service provision Alzheimer Society Of Grey-Bruce Grey Bruce Chippewas Of Nawash Unceded First Nation Grey Bruce Home And Community Support Services Of Grey-Bruce Grey Bruce Participation Lodge - Grey Bruce Grey Bruce The Governing Council of the Salvation Army in Canada - Owen Sound Grey Bruce Victorian Order Of Nurses For Canada - Ontario Branch Grey-Bruce Grey Bruce LHIN-wide (except London Community Health Services - Canadian Red Cross - Woodstock Branch Middlesex) Dale Brain Injury Services Inc. LHIN-wide Participation House Support Services - London And Area LHIN-wide Regional HIV/AIDS Connection LHIN-wide Southwest Ontario Aboriginal Health Access Centre LHIN-wide The Canadian Hearing Society - London Region LHIN-wide The Canadian National Institute For The Blind - Ont Div - London LHIN-wide 16 Home and community care providers contracted by CCAC providing service in Grey Bruce Provider name CarePartners Closing the Gap ParaMed Home Health Care Victorian Order of Nursing 17 Mental Health and Addiction agencies (LHIN funded) providing service in Grey Bruce Grey Bruce only or LHIN-wide Provider name service provision Canadian Mental Health Association, Grey Bruce Grey Bruce Branch Grey Bruce Health Services: Community Mental Health Services, Withdrawal Management and Grey Bruce Behavioural Supports Ontario Outreach Team HopeGreyBruce Mental Health and Addictions Grey Bruce Services G&B House, Recovery Home Provincial Southwestern Ontario Aboriginal Health Access Grey Bruce and London Centre Middlesex Community Health Centre in Grey Bruce South East Grey Community Health Centre - Markdale 18 Assisted Living Organizations New AL hubs Number of people served and Locations since 2014 VON Grey Bruce - (3 locations in Owen Sound) 40 (HRS) 0 VON Grey Bruce - (1 location in Meaford) 4 (HRS) 2 VON Grey Bruce - (2 locations in Thornbury) 3 (HRS) 0 VON Grey Bruce - (2 locations in Wiarton)) 18 (HRS) 0 VON Grey Bruce - (1 location in Southampton) 0 (HRS) 0 VON Grey Bruce – (1 location in Port Elgin, ON) 5 (HRS) 0 VON Grey Bruce - (2 locations in Kincardine) 12 (HRS) 2 Participation Lodge Grey Bruce (1 location in 5 (APD), 5 (ABI) 0 Owen Sound) Participation Lodge Grey Bruce (1 location in 8 (APD), 1 (HRS), 1 (ABI) 0 Hanover) Participation Lodge Grey Bruce (Outreach – Grey 12 (APD) 0 Bruce) Participation Lodge Grey Bruce (1 location in 6 (ABI) 0 Holland Centre) Dale Brain Injury (Outreach - Grey Bruce) 19 clients (ABI) 0 25 APD = Adults with physical disabilities 83 HRS = High Risk Seniors 31 ABI = Acquired brain injury Total = 139 19 Adult Day Program: locations and spaces available ADP # Days / wk Mon Tues Wed Thurs Fri Sat Sun # Spaces / Week VON Oxford Woodstock 5 30 15 15 15 15 90 VON Oxford Ingersoll 3 15 15 15 45 VON Oxford Tillsonburg 5 15 15 15 15 15 75 Oxford County 60 30 45 30 45 0 0 210 Four Counties (Newbury) 3 15 15 15 45 Craigwiel (Ailsa Craig) 5 15 15 15 18 15 78 VON ME Strathroy 5 16 16 16 16 16 80 VON ME Dorchester 5 15 15 15 15 15 75 Salvation Army (London) 5 25 25 25 25 25 125 McCormick (London) 7 75 75 75 75 75 15 15 405 Dearness Home (London) 5 30 30 30 30 30 150 London Middlesex 176 176 191 194 191 15 15 958 Valleyview (St.