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1. 1. Summary of Total Bed/Service Requirements
   • Summary of Clinical Services Changes (by number of hospital beds)
   • Redistribution of Clinical Services
2. 2. Summary of Reinvestments and Savings
   • Estimates of Reinvestments
   • Summary of Estimated Capital Reinvestment Costs
   • Summary of Total Expenses and Savings

1. Summary of Total Bed/Service Requirements

Summary of Clinical Services Changes (by number of hospital beds)

Bed Category	Actual (1995/96)	Projected Operating Plan (1997/98)	Recommended to 2003
Acute Care	136	121	92
Acute Mental Health	n/a	n/a	24
Complex Continuing Care	67	42	57
Local Rehabilitation	-	-	16
Sub-acute Care	-	-	11
TOTAL	203	163	200
ICU Beds (included in acute care number)	6	6	6
Operating Rooms	6	6	4

Redistribution of Clinical Services

Beds	Brockville General Hospital 1995/96	St. Vincent de Paul Hospital* 1995/96	Total	Total Operating Plan 1997/98	Total Req'd in 2003
Acute	77	59	136	121	92
Chronic**	67	0	67	42	57
Rehab**	0	0	0	0	16
Acute Mental Health**	0	0	0	0	24
Longer Term Mental Health**	0	0	0	0	0
Sub-acute Beds	N/A	N/A	N/A	N/A	11
Total Beds	144	59	203	163	200
Operating Rooms***	4	2	6	6	4
ICU/CCU****	5	4	9	9	6

* Bed number are based on original constructed capacity.
** Complex continuing, rehab and mental health beds have been calculated using HSRC methodology.
*** In addition to 4 ORs, 2 cystoscopy suites will also be required. Currently present at BGH.
**** There are currently 5 ICU spaces staffed and in operation at BGH compared to 4 ICUs in 1989.

2. Summary of Reinvestments and Savings

Estimates of Reinvestments

Category	Estimated Reinvestment
	HSRC November 1997 Estimate	HSRC February 1998 Estimate
Mental Health	$1,239,272	$2,970,429
Sub-Acute Care	$790,955	$790,955
Complex Continuing Care	N/A	$233,498
Rehabilitation	$1,745,873	$1,817,421
Home Care	$822,170	$822,170
Information Technology	Tbd	Tbd
Total	$4,598,270	$6,634,473

Summary of Estimated Capital Reinvestment Costs

Category of Cost	General	St. Vincent	Total
Total Construction	$12,901,635	$4,250,000	$17,151,635
Ancillary @ 23.2%	$2,993,179	$986,000	$3,979,179
Site Development	$1,500,000	$500,000	$2,000,000
Furnishings/Equip.	$250,000	$100,000	$350,000
TOTAL	$17,644,814	$5,836,000	$23,480,814

Summary of Total Expenses and Savings

1995/96 NET EXPENSES*	$34,115,726
Clinical Efficiencies	-$2,784,030
Program Transfers	-$427,585
Support Services Efficiencies	-$600,412
Administrative Efficiencies	-$1,218,588
Re-allocation of Other Expenses**	$319,432
Site Closure	$0
Change in Selected Expenses	-$19,801
TOTAL SAVINGS	-$4,730,984	13.9%
REVISED EXPENSES	$29,384,742

* Net Expenses from Ontario Cost and Distribution Methodology
** Refers to plant costs of chronic care wing.

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