Health and Wellness

May 1, 2013

Summerside

Health PEI

Facility Roles

Health PEI

Extended Care

• Extended Care – Restorative

– Convalescent

– Respite

– Palliative

Extended care is NOT long-term or acute care – Manors provide a home for our seniors who can no longer live independently and need access to medical supervision.

Health PEI

Re-focusing Community Hospitals

• Stewart Memorial Hospital will provide care for 23 long term care beds.

• Community Hospital O’Leary and Souris Hospital will provide extended care for patients who do not require the services of an acute care hospital.

• Western Hospital and Kings County Memorial Hospital will provide acute care.

• Prince County Hospital and Queen Elizabeth Hospital will remain our two centres of specialized acute services.

Health PEI

Collaborative Emergency Centre Modelfor Western Hospital, Alberton

• During the day 8 am - 8 pm the current emergency room model will continue

• Overnight 8 pm to 8 am – it will be a Collaborative Emergency Centre– Two health professionals onsite

– Two models being considered – nurse/paramedic and nurse/nurse

– In contact via telephone to an ER physician

Health PEI

8-1-1 Telehealth

• A free, confidential telephone service you can call to get health advice or general health information from a registered nurse.

• Experienced health advice 24 hours a day, 365 days a year.

• Available in multiple languages.

Health PEI

Prince County Hospital

Health PEI

• Average daily census: 89

• 4,100 in-patients discharged

• 27,500 visits to Emergency Department

• 2,590 Surgeries

• C-Section Rate is 24.9% (Provincial is 29.5%)

PCH: Quick Stats 2011-12• 2,632 Endoscopy Clinic

• 4,882 Physiotherapy Clinic

• 461 Births

• 97% Patient Satisfaction Rate

• 86% OR Utilization Rate

Health PEI

• Second largest acute care hospital with 110 staffed beds.

• Acute Care Services: emergency, general medicine (adult and pediatric), surgical (day surgery and inpatient surgery), intensive care, intermediate care, progressive care, in-patient units (medical, surgical, maternity and child care, special care nursery, palliative care, restorative care, and mental health).

Profile: Prince County Hospital

Health PEI

• Ambulatory care services: endoscopy, minor surgery, oncology, nursing clinic, secondary stroke prevention clinic, rehabilitation services (physiotherapy and occupational therapy), nutrition counseling, cardio-pulmonary testing/treatment, asthma/COPD education, blood/specimen collection, health resource centre, mental health and addition services.

• Hemodialysis unit

• 467 FTE’s

• 420 Volunteers

Profile: Prince County Hospital continued…

Health PEI

Medical Staff• 8 Emergency Department

• 4 Psychiatry

• 5 Internal Medicine (1 vacant)

• 3 Obstetrics/Gynecology

• 3 Anesthesia

• 3 General Surgery

• 2 ENT

• 3 Pediatrics

• 22 Family Medicine

Health PEI

Where Prince County residents are being hospitalized

2011/12 Inpatient Market Share – All Programs

P

84%

15%

Patient Residence - East Prince

Prince County

Queen Elizabeth

45%

31%

11%

8%6%

Patient Residence - West Prince

Prince County

Western Hospital

Queen Elizabeth

Stewart Memorial

O'Leary

Health PEI

Inpatients Awaiting Beds (IAB)QEH / PCH

*Q4: Fourth quarter only reporting for Jan & Feb

11.512.2 12.1 12.5 11.9

1.9 2.03.1

2.3 2.3

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

Q1 Q2 Q3 Q4* FY

Daily Average Fiscal Avg

Inpatient Awaiting Beds FY 2012/13

QEH PCH

Health PEI

CURRENT Acute Care Bed Utilization(Medical Beds)

41

21

2930.7

29

13

18 17.3

0

5

10

15

20

25

30

35

40

45

QEH (70 beds) PCH (34 beds) Comm Hosp East (47 beds)

Comm Hosp West (48 beds)

# o

f B

ed

s

Occupied by Acute Pts Occupied by ALC Pts

Health PEI

Emergency Department Wait TimesPCH (Door to Doctor)

0.00

0.50

1.00

1.50

2.00

2.50

Ho

urs

April 1/12 to Mar 31/13

Resuscitation, Emergent, and Urgent Less and Non Urgent

Health PEI

PCH Occupancy Rates

80.6%85.0% 85.2%

0%

20%

40%

60%

80%

100%

2010/11 2011/12 2012/13*

Occupancy Rate

* Data reported for period Apr 1/12 to Feb 28/13)

Health PEI

PCH Utilization

64.64%

25.84%

6.37%2.37% 0.78%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

East Prince West Prince Queens Out of Province Kings

Discharges by Geographical Region PCH2011-12

Health PEI

Primary Care Networks (PCNs)

• Geographic areas with similar population size & equitable staff/resource allocation

• West Prince, East Prince, Queens West,

Queens East and Kings Networks

• Goals:

– enhance patient access

– integrate services

– provide accountability and sustainability of health

• Administrative and clinical staff work collaboratively

• Enhanced CDM initiatives reduced ED visits, reduced hospitalizations (& LOS) and improved clinical health outcomes

Health PEI

East Prince Primary Care Network (Summerside Area)

• Invested in intensive education for primary care nurses

• Initiated Advanced Clinical Access Project

• Enhanced chronic disease prevention and management (e.g., chronic obstructive pulmonary disease, INR, diabetes, and hypertension)

• Well-women’s clinics

• Obesity management at Harbourside / Kensington

• In planning stages of doing outreach to the Summerside Medical Centre

• Prescription refill appointments

• Shared rounds at PCH (opens up primary care appointments)

• Nurse practitioner working collaboratively with the team

Health PEI

Service improvements

will take effect in stages over the

next several months and Islanders will be

informed well in advance of service changes.

www.betteraccessbettercare.ca Toll Free: 1-800-236-5196

Health PEI

IEMS - Ambulance Response

Health PEI

Operating on a long-term service contract with the Government of PEI

Over 140 Paramedics PCP, ICP, and ACP Paramedic Classifications 19 Units Multi-Patient Transports

Island EMS

Health PEI

• Dispatch center located on PEI MedacomAtlantic

• Standardized ambulance fleet and equipment

• A standardized scope of practice allows for paramedics to work under one medical advisor instead of the previous four

• This scope of practice will define the standards of care paramedics can use during treatment of patients

Standardized Care

Health PEI

Enhancements-Ambulance

• Service starts with a 911 call

– prior to hospital arrival

• Paramedics trained to assess, treat, manage

– Administer medications

– Online medical consultation

– Extensive scope

Health PEI

Enhancements: Ambulance

• Improved response times

– rural response times

• RRU (rapid response units)

– Highly Trained ACP

– SUV – medically equipped

– Located east and west

Health PEI

Ambulance Transfer Unit

• Interfacility transfer ambulance

• Support transfers between hospitals

• Improved bed flow/utilization

• Contributes to improved overall response

times

Health PEI

Health PEI Strategic Plan2012-2016

One Island health system supporting improved health for Islanders.

Health PEI

Goals

• Quality: Providing safe, quality, person-centered care.

• Access: Providing access to appropriate care by the right provider in the right setting.

• Efficiency: Optimizing resources and processes to sustain a viable health system.

Health PEI

Access Priorities

• Reducing wait-times in key areas:

– Primary care providers

– Long term-care

– Mental health and addiction services

– Elective surgeries

– Emergency services

• Improving access to care for vulnerable populations

Health PEI

Ongoing Priorities

• Shift from reliance on hospital-based services to community-based services.

• Renewed model of home-based services.

• Renewed model of community-based primary health care.

• Improved integration of acute and facility-based services to ensure using resources efficiently and effectively.