Ministry Reports

Specialized Pediatric Services Review

Report of The Minister's Advisory Committee, April 2002


On November 5, 2001, the Minister of Health and Long-Term Care called for a provincial review of specialized pediatric services. This report provides the findings and recommendations of the Specialized Pediatric Services Review Committee (SPSRC), the provincial committee formed to provide advice to the Minister. The SPSRC included representation from the province's five academic health sciences centres (AHSCs) with specialized pediatric programs and the Ministry of Health and Long-Term Care.

This report provides a review and recommendations for the future delivery of pediatric cardiac surgery. As well, preliminary recommendations on pediatric organ transplantation are provided based on the information currently available.

The report builds on the considerable work done in the past on this topic, including the Health Services Restructuring Commission's (HSRC) provincial review of specialized pediatric services. The HSRC's report has been used by the SPSRC as a reference point for its work. The HSRC's major recommendations included: consolidation of pediatric cardiac surgery at The Hospital for Sick Children (if Children's Hospital of Eastern Ontario is unable to attain 200 annual cases); consolidation of kidney, heart, lung, and liver transplants at The Hospital For Sick Children for patients under 15 years old; and establishment of a pediatric coordinating group to develop guidelines to include minimum volumes for critical mass. The SPSRC updated the HSRC's data and analyses, which was based on 1995/96 data, to provide a current context upon which to base recommendations for the future delivery of tertiary pediatric cardiac surgery and pediatric transplantation services.

Document Download

Full Report
Specialized Pediatric Services Review
36 pages | 118 kb | PDF format

Appendices
Appendix 1
Specialized Pediatric Services Review Committee - Membership 
2 pages | 5.8 kb | PDF format

Appendix 2
Minister's Advisory Committee Specialized Pediatric Services Review 
3 pages | 11.5 kb | PDF format

Appendix 3
Summary of Criteria 
1 pages | 5.4 kb | PDF format

Appendix 4
Data Definitions
3 pages | 12.3 kb | PDF format

Appendix 5
Graph 1 - Tertiary Pediatric Surgical Cases in Ontario, 1996/97 to 2000/01 
1 pages | 3.5 kb | PDF format

Appendix 6
Table 2 - Tertiary Pediatric Cardiac Surgery Separations, 1996/97 to 2001/01
23 kb | XLS format

Appendix 7
Tertiary Pediatric Cardiac Surgery in Ontario (with and without pump in province and by hospital), 1995/96 to 2000/01 
¯ Graph 4 : Pediatric Cardiac Surgery in Ontario 
¯ Graph 4a : Hospital for Sick Children: Pediatric Cardiac Surgery
¯ Graph 4b : CHEO: Pediatric Cardiac Surgery
¯ Graph 4c : London: Pediatric Cardiac Surgery

Appendix 8
Cardiac database maintained by HSC : HSC Cases
37 kb | PPT format

To view Portable Document Format PDF files, you will need to have Adobe Acrobat® Reader installed on your computer. You can download this free software from the Adobe website.

To view PPT format files, you need to have MS PowerPoint® installed on your computer. If you do not have the full-version software, you can download a free viewer from the Microsoft Website.

To view XLS format files, you need to have MS Excel® installed on your computer. If you do not have the full-version software, you can download a free viewer from the Microsoft Website.

For More Information

Call ServiceOntario, Infoline at:
1-866-532-3161 (Toll-free in Ontario only)
TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm

If you are a member of the media, call Communications and Marketing Branch at 416-314-6197 or visit our News Room section.