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 |