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View Fact Sheet 1

• Summary of Total Bed/Service Requirements
  • Size of Essex County Health System
  • Hospital Bed Numbers
  • Impact of the Proposed Planning Guidelines on the Distribution of Long-Term Care Services in Essex County
• Summary of Required Reinvestment and Savings
  • Reinvestment Summary
  • Capital Reinvestment
  • Summary of Total Expenses and Savings

1. Summary of Total Bed/Service Requirements

Size of Essex County Health System

Hospital Bed Numbers

Bed Category	Actual (1995/96)	1997/98 Projected Operating Plan	Beds to 2003
Acute*	829	625	530
Projected Growth**	-	-	95
Acute Mental Health	115	110	68
Child and Adolescent Mental Health	-	-	9
Longer-term Mental Health	-	-	59
Complex Continuing Care	207	155	180
Rehabilitation	32	36	81***
Sub-Acute/Transitional Care	-	-	67
Total	1183	926	1089
ICUs (included in acute bed number)	69	65	46
Operating Rooms	25	25	27

* includes ICUs
** estimate only for purposes of sizing physical plant;
*** 5 of these beds are transitional to independent living beds

Impact of the Proposed Planning Guidelines on the Distribution of Long-Term Care Services in Essex County

	Current beds/ spaces 1997	Proposed beds/spaces to 2003	Change
			#	%
Complex continuing care	207	180	(27)	13% decrease
Long-term care	1,991	2,437	446	22% increase
Supportive housing/long-term home care	2,127	3,013	886	41% increase

2. Summary of Required Reinvestment and Savings

Reinvestment Summary

	HSRC Report October 1997	HSRC Report February 1998
Home Care	$ 3.4 million	$ 3.4 million
Long-Term Care	$ 8.3 million	$ 8.3 million
Sub-Acute Care	$ 4.8 million	$ 4.8 million
MRI unit	$ 1.0 million	$ 1.0 million
Rehabilitation	$ 4.4 million	$ 4.4 million
Mental Health	-	$ 2.8 million
TOTAL	$21.9 million	$24.7 million

Capital Reinvestment

Facility	Capital Estimate
Hotel-Dieu Grace	$ 54.8 million
WRH - Metropolitan site	$ 24.2 million
WRH - Western site	$ 22.2 million
Leamington District Memorial	$ 1.7 million
Total	$ 102.9 million

Summary of Total Expenses and Savings

	October 1997 Report	February 1998 Report
1995/96 Net Expenses *	$229,218,550	$229,218,550
Clinical efficiencies	$20,174,894	$19,705,080
Program transfers	$606,359	$2,058,025^
Support services efficiencies	$3,421,622	$3,461,806
Administrative efficiencies	$5,622,372	$5,333,234
Site closure	$1,709,345	$1,922,000
Change in selected expenses1	$525,013	$142,472
Complex continuing care savings	$368,279	$368,297
TOTAL SAVINGS	$32,472,884	$32,990,914
REVISED EXPENSES	$196,790,666	$196,227,636

* Net Expenses from Ontario Cost and Distribution Methodology
^ Does not include the transfer of longer-term mental health funding from London: this will be included in re-investment totals
¹ Selected expenses are overhead expenses not transferred to the receiving institutions during program transfers.

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