Summary of Changes by Community,

Before and After Restructuring

Thunder Bay

before(1995)

after(2003)

change

hospitals

3 on 5 sites

2 on 2 sites

 

emergency and ambulatory/day-night visits

217,000

230,000

6% increase

operating rooms

15

11

 

hospital savings identified

 

 

$24 M or 19% of 95/96 expenses

chronic care beds

183

120

savings of $3.9M

Reinvestments

$

capacity

mental health community services

$5 M

 

LTC beds

$2 M

increase by 111 or 13%

LTC places

 

206 additional places or 13% increase

rehabilitation

$1 M

 

home care

$2 M

 

sub-acute

$2 M

 

MRI

$1 M

1 machine

capital reinvestment

$93 M

 

Sudbury

before(1995)

after(2003)

change

hospitals

4 on 4 sites

2 on 2 sites

 

emergency and ambulatory/day-night visits

199,000

193,500

3% decrease

operating rooms

21

17

 

hospital savings identified

 

 

$29 M or 17% of 95/96 expenses

chronic care beds

78

100

$1.2 M reinvestment

Reinvestments

$

capacity

mental health community services

$1 M

 

LTC beds

$2 M

increase of 86 or 7%

LTC places

 

increase of 536 or 36%

rehabilitation

$600,000

 

home care

$1 M

 

sub-acute

$2 M

 

MRI

$1 M

1 machine

capital reinvestment

$87 M

 

Lambton

before(1995)

after(2003)

change

hospitals

3 on 3 sites

3 on 2 sites

 

emergency and ambulatory/day-night visits

255,000

299,000

17% increase

operating rooms

11

9

 

hospital savings identified

 

 

$13 M or 13% of 95/96 expenses

chronic care beds

138

82

savings of $4 M

Reinvestments

$

capacity

mental health community services

0

 

hospital mental health

$600,000

 

LTC beds

$4.5 M

increase of 208 or 27%

LTC places

$5 M

403 additional places or 60%

rehabilitation

$400,000

 

home care

$1 M

 

sub-acute

$2 M

 

capital reinvestment

$4237 M

 

Pembroke

before(1995)

after(2003)

change

hospitals

2 on 2 sites

1 on 1 site

 

emergency and ambulatory/day-night visits

67,000

67,000

 

operating rooms

6

3

 

hospital savings identified

 

 

$5 M or 18% of 95/96 expenses

chronic care beds

62

18

savings of $1.2 M

Reinvestments

$

capacity

mental health community services

0

 

hospital mental health

$1 M

 

LTC beds

0

no change

LTC places

 

36 additional places or 4%

rehabilitation

$1.4 M

 

home care

$700,000

 

sub-acute

$1.2 M

 

capital reinvestment

$5.5 M

 

London

before(1995)

after(2003)

change

hospitals

6 on 8 sites

2 on 4 sites

 

emergency and ambulatory/day-night visits

710,000

800,000

13% increase

operating rooms

44

36

 

hospital savings identified

 

 

$47 M or 10% of 95/96 expenses

chronic care beds

266

176

savings of $10 M

Reinvestments

$

capacity

mental health community services

$31 M

 

LTC beds

$6 M

increase of 296 or 12%

LTC places

$18 M

1,521 additional places or 143%

rehabilitation

$5 M

 

home care

$4 M

 

sub-acute care

$4 M

 

capital reinvestment

$215 M

 

Metro Toronto

before(1995)

after(2003)

change

hospitals

39 on 46 sites

24 on 35 sites

 

emergency and ambulatory/day-night visits

3.4 M

3.9 M

15% increase

operating rooms

202

233

 

hospital savings identified

 

 

$376 M or 16% of 95/96 expenses

chronic care beds

2,241

1,478

savings of $66 M

Reinvestments

$

capacity

mental health community services

$2 M

 

LTC beds

$123 M

increase of 5,634 or 48%

LTC places

$64 M

additional 5,363 places or 42%

rehabilitation

-$7 M

 

home care

$42.5 M

 

sub-acute care

$33

 

Women’s Health Council

$8-10 M

 

MRIs

$5 M

5 new machines

capital reinvestment

$281 M

 

Ottawa

before(1995)

after(2003)

change

hospitals

9 on 10 sites

6 on 8 sites

 

emergency and ambulatory/day-night visits

1.1 M

1.3 M

27% increase

operating rooms

71

61

 

hospital savings identified

 

 

$82 M or 10% of 95/96 expenses

chronic care beds

714

384

$21 M in savings

Reinvestments

$

capacity

mental health community services

$3 M

 

LTC beds

$25 M

increase of 1,749 or 52%

LTC places

$7 M

607 additional places or 15%

rehabilitation

$12 M

 

home care

$9 M

 

sub-acute

$8 M

 

MRI

$2 M

2 machines

capital reinvestment

$140 M

 

Essex

before(1995)

after(2003)

change

hospitals

3 on 5 sites

3 on 4 sites

 

emergency and ambulatory/day-night visits

274,000

335,000

22% increase

operating rooms

25

27

 

hospital savings identified

 

 

$32.5 M or 15% of 95/96 expenses

chronic care beds

207

180

$370,000 in savings

Reinvestments

$

capacity

mental health community services

0

 

hospital mental health

$3 M

 

LTC beds

$8 M

increase of 446 or 22%

LTC places

 

additional 886 places or 42%

rehabilitation

$4 M

 

home care

$3 M

 

sub-acute

$5 M

 

MRI

$1 M

1 machine

capital reinvestment

$110 M

 

Kent

before(1995)

after(2003)

change

hospitals

3 on 3 sites

3 on 2 sites

 

emergency and ambulatory/day-night visits

144,000

118,000

18% decrease

operating rooms

12

7

 

hospital savings identified

 

 

$9.5 M or 14% of 95/96 expenses

chronic care beds

46

70

$2.4 M reinvestment

Reinvestments

$

capacity

mental health community services

$100,000

 

LTC beds

0

no change

LTC places

0

no change

rehabilitation

$1 M

 

home care

$1 M

 

sub-acute

$1.5 M

 

capital reinvestment

$42 M

 

Brockville

before(1995)

after(2003)

change

hospitals

3 on 3 sites

2 on 2 sites

 

emergency and ambulatory/day-night visits

61,500

71,600

16% increase

operating rooms

6

4

 

hospital savings identified

 

 

$5 M or 14% of 95/96 expenses

chronic care beds

67

57

$230,000 reinvestment

Reinvestments

$

capacity

mental health community services

0

 

hospital mental health

$3 M

 

LTC beds

0

no change

LTC places

 

298 place increase for all Leeds and Grenville, 35% increase

rehabilitation

$2 M

 

home care

$800,000

 

sub-acute

$800,000

 

capital reinvestment

$23.5 M

 

GTA

before(1995)

after(2003)

change

hospitals

17 on 18 sites

12 on 17 sites

 

emergency and ambulatory/day-night visits

1.3 M

1.8 M

increase of 35%

operating rooms

83

145

 

hospital savings identified

 

 

$59 M or 10% of 95/96 expenses

chronic care beds

643

819

$21 M reinvestment

Reinvestments

$

capacity

mental health community services

0

 

hospital mental health

$10 M

 

LTC beds

$100 M

increase of 4,580 or 72%

LTC places

$60

additional 5,015 places or 64%

rehabilitation

$36.5 M

 

home care

$47 M

 

MRI

$5 M

5 new machines

sub-acute

$21 M

 

capital reinvestment

$302 M

 

Hamilton

before(1995)

after(2003)

change

hospitals

4 on 7 sites

2 on 5 sites

 

emergency and ambulatory/day-night visits

613,000

675,000

10% increase

operating rooms

39

37

 

hospital savings identified

 

 

$66 M or 11% of 95/96 expenses

chronic care beds

485

298

savings of $13 M

Reinvestments

$

capacity

mental health community services

$5 M

 

LTC beds

$27 M

increase of 1,223 or 49%

LTC places

0

 

rehabilitation

$8 M

 

home care

$6 M

 

sub-acute

$5 M

 

MRI

$2 M

2 new machines

neonatal ICU beds

$3 M

 

capital reinvestment

$77 M

 

Brant

before(1995)

after(2003)

change

hospitals

3 on 3 sites

2 on 2 sites

 

emergency and ambulatory/day-night visits

126,000

142,000

13% increase

operating rooms

10

8

 

hospital savings identified

 

 

$10 M or 13% of 95/96 expenses

chronic care beds

132

73

$4.5 M in savings

Reinvestments

$

capacity

mental health community services

$900,000

 

LTC beds

$4 M

168 additional places

LTC places

Included in above $4 M

40 additional places

rehabilitation

0

 

home care

$1 M

 

sub-acute

$2 M

 

capital reinvestment

$43 M

 

Frontenac, Lennox and Addington (Kingston)

before(1995)

after(2003)

change

hospitals

6 on 6 sites

3 on 3 sites

 

emergency and ambulatory/day-night visits

329,000

421,000

28% increase

operating rooms

18

15

 

hospital savings identified

 

 

$30 M or 9% of 95/96 expenses

chronic care beds

187

106

savings of $7 M

Reinvestments

$

capacity

mental health community services

$15 M

 

LTC beds

$2 M

increase of 93 beds or 8%

LTC places

$5 M

additional 445 places or 50%

rehabilitation

$700,000

 

home care

$1 M

 

sub-acute

$2 M

 

capital reinvestment

$108 M

 

Hastings and Prince Edward

before(1995)

after(2003)

change

hospitals

3 on 4 sites

1 on 4 sites

 

emergency and ambulatory/day-night visits

142,000

161,000

14% increase

operating rooms

11

8

 

hospital savings identified

 

 

$7.7 M or 9% of 95/96 expenses

chronic care beds

93

103

$1.4M reinvestment

Reinvestments

$

capacity

mental health hospital services

$200,000

 

LTC beds

0

no change

LTC places

$5 M

571 additional places or 59%

rehabilitation

$200,000

 

home care

$1 M

 

sub-acute

$2 M

 

capital reinvestment

$42 M

 

Haliburton, Kawartha and Pine Ridge

before(1995)

after(2003)

change

hospitals

8 on 10 sites

5 on 6 sites

 

emergency and ambulatory/day-night visits

276,000

327,000

18% increase

operating rooms

17

18

 

hospital savings identified

 

 

$26 M or 17% of 95/96 expenses

chronic care beds

209

231

savings of $0.2M

Reinvestments

$

capacity

mental health hospital services

$2.5 M

 

LTC beds

$15 M

increase of 691 beds or 35%

LTC places

$10 M

additional 867 places or 39%

rehabilitation

$5 M

 

home care

$2.5 M

 

sub-acute

$4.5 M

 

MRI

$1 M

1 machine

capital reinvestment

$81 M

 

Cornwall

before(1995)

after(2003)

change

hospitals

2 on 2 sites

2 on 2 sites

 

emergency and ambulatory/day-night visits

106,000

122,000

15% increase

operating rooms

15

7

 

hospital savings identified

 

 

$8 M or 13% of 95/96 expenses

chronic care beds

100

69

savings of $1 M

Reinvestments

$

capacity

mental health community services

$600,000

 

LTC beds

0

 

LTC places

0

 

rehabilitation

$700,000

 

home care

$2 M

 

sub-acute

$3 M

 

capital reinvestment

$17 M

 

Waterloo

before(1995)

after(2003)

change

hospitals

3 on 3 sites

3 on 3 sites

 

emergency and ambulatory/day-night visits

247,000

302,000

22% increase

operating rooms

24

24

 

hospital savings identified

 

 

$31M or 17% of 95/96 expenses

chronic care beds

349

198

savings of $15M

Reinvestments

$

capacity

mental health hospital services

$8 M

 

LTC beds

$17 M

766 additional beds or 44% increase

LTC places

$8.5 M

716 additional places or 42% increase

rehabilitation

$6 M

 

home care

$7 M

 

sub-acute

$5 M

 

MRI

$1 M

1 machine

capital reinvestment

$55 M

 

Parry Sound

before(1995)

after(2003)

change

hospitals

1 on 2 sites

1 on 1 site

 

emergency and ambulatory/day-night visits

 

 

 

operating rooms

 

 

 

hospital savings identified

 

 

Northern hospital N/A

chronic care beds

62

16

funding tbd by Ministry of Health

Reinvestments

$

capacity

mental health community services

0

 

LTC beds

$3 M

increase of 134 or 56%

LTC places

$500,000

increase of 41 or 10%

rehabilitation

$500,000

 

home care

$500,000

 

sub-acute

$400,000

 

capital reinvestment

$29.5 M

 

Niagara Region

before(1995)

after(2003)

change

hospitals

11 on 11 sites

3 on 10 sites

 

emergency and ambulatory/day-night visits

333,000

364,000

9% increase

operating rooms

22

18

 

hospital savings identified

 

 

$30 million or 11% of 95/96 expenses

chronic care beds

416

288

savings of $5 million

Reinvestments

$

capacity

mental health hospital services

$8 M

 

LTC beds

$29 M (beds and places)

increase of 555 or 191%

LTC places

$29 M (beds and places)

increase of 1,387

rehabilitation

$6 M

 

home care

$6 M

 

sub-acute

$6 M

 

MRI

$1 M

1 machine

capital reinvestment

$88 M

 

North Bay

before(1995)

after(2003)

change

hospitals

2 on 3 sites

1 on 1 site

 

emergency and ambulatory/day-night visits

76,000

89,000

17% increase

operating rooms

6

7

 

hospital savings identified

 

 

$7.3 million or 13% of 95/96 expenses

chronic care beds

10

42

reinvestment of $2 M

Reinvestments

$

capacity

mental health community services

$25 M

 

LTC beds

$0

no change

LTC places

$6 M

Increase of 538 or 520%

rehabilitation

$3 M

 

home care

$1 M

 

sub-acute

$2 M

 

capital reinvestment

$111 M

 

Sault Ste. Marie

before(1995)

after(2003)

change

hospitals

2 on 2 sites

2 on 1 site

 

emergency and ambulatory/day-night visits

100,000

110,000

10% increase

operating rooms

8

7

 

hospital savings identified

 

 

$11.6 million or 146.4% of 95/96 expenses

chronic care beds

60

50

savings of $200,000

Reinvestments

$

capacity

mental health community services

$500,000

 

LTC beds

$2.4 M

increase of 112 or 15%

LTC places

$7.7 M

increase of 645 or 62%

rehabilitation

$2.6 M

 

home care

$1.8 M

 

MRI

$1 M

1 machine

sub-acute

$1.1 M

 

capital reinvestment

$46 M

 

Capital Summary by HSRC Report

Community

$ in millions

Thunder Bay

93

Sudbury

87

Lambton

42

Pembroke

6

London

215

Toronto

318

Ottawa

140

Essex

110

Kent

42

Brockville

24

GTA

314

Hamilton

77

Brant

43

Kingston

108

Hastings & Prince Edward

42

Haliburton, Kawartha and Pine Ridge

81

Cornwall

17

Waterloo

55

Parry Sound

29

Niagara

88

North Bay

111

Sault Ste. Marie

46

TOTAL

2,090

 


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