Summary of Restructuring Health Service in Essex County

Fact Sheet 1
GTA/905 Hospital System Overview

Table of Contents

Total Hospital Beds for the GTA/905

Long-Term Care Space Requirements for the GTA/905 (1996 and 2003)

Annual Reinvestments in Services (millions of $)

One-time Capital Investments for Acute Care Hospitals in GTA/905 ($ in millions)

Summary of Costs and Savings ($M)

CURRENT 1995/96	POST RESTRUCTURING* 2003
Overall Summary
17 hospital organizations on 18 sites^	12 hospital organizations on 17 sites^
3,865 inpatient beds	4,679 inpatient beds including 615 acute care beds identified for population growth and aging and 276 sub-acute care beds
Acute Care Facilities
15 hospital organizations on 16 sites 2,509 acute inpatient beds 249 acute adult & 16 child/adolescent mental health beds 123 inpatient rehabilitation beds 643 chronic care beds	10 hospital organizations on 15 sites 2,434 acute inpatient beds* including 615* acute care beds identified for population growth and aging 276 sub-acute beds 365 acute adult and 43 child/adolescent mental health beds 484 inpatient rehabilitation beds 819 complex continuing care beds
Mental Health Services
1 organization on 1 site 325 longer-term mental health beds including 40 medium secure beds & 15 child/adolescent beds	1 organization on 1 site 258 longer-term mental health beds including 40 medium secure beds & 15 child/adolescent beds
Long-Term Care
6,397 beds in nursing homes and homes for the aged 7,883 places in supportive housing, long-term care, attendant care and adult day care	4,580 additional beds in nursing homes and homes for the aged for a total of 10,977 beds 5,015 additional places in supportive housing, long-term care, attendant care and adult day care for a total of 12,898 places

* Reflects health care services located in the GTA/905. Services sited at the Etobicoke General Hospital site, Centenary Health Centre site, and the Queensway site of the Mississauga Queensway Hospital Corporation are excluded.
^ Includes the Shouldice Hospital, a private facility in York Region.
** Includes acute beds transferred from the Queensway site to the Mississauga site of the Mississauga Queensway Hospital Corporation. Acute mental health care beds are excluded.

Total Hospital Beds for the GTA/905

	Beds in Use 1996	HSRC Proposed Beds to 2003 Nov. 1997 Report	HSRC Revised Beds to 2003 April 1998
Acute care beds	2,509	2,434	2,434
Acute Mental Health Care Beds	265	469	408
Rehabilitation Beds	123	385	484
Complex Continuing Care Beds	643	714	819
Sub-acute beds	0	304	276
Sub - Total	3,540	4,306	4,421
Whitby Mental Health Centre	325	256	258
Total	3,865	4,562	4,679

Long-Term Care Space Requirements for the GTA/905 (1996 and 2003)

Region	Long-Term Care Beds in Nursing Homes and Homes For the Aged			Long-Term Care Places in Supportive Housing, Long-Term Home Care, Attendant Care and Adult Day Care
	1996*	Additional Beds Required to 2003	Total Beds Required to 2003	1996**	Additional Places Required to 2003	Total Places Required to 2003
Halton	856	1,241	2,097	1,768	772	2,540
Peel	1,691	1,797	3,488	2,850	1,118	3,968
York	1,806	1,014	2,820	1,468	1,973	3,441
Durham	2,044	528	2,572	1,797	1,152	2,949
Total	6,397	4,580	10,977	7,883	5,015	12,898

* Ontario LTC Bed Inventory and Ratio reported as of October 6, 1996
** Ministry of Health, Long Term Care Division

Annual Reinvestments in Services (millions of $)

	HSRC Report November 1997	HSRC Report April 1998
Acute Mental Health	$ 14.0	$ 9.9
Complex Continuing Care	$ 11.8	$ 20.6
Rehabilitation	$ 29.9	$ 36.5
MRI	$ 4.0	$ 5.0
Home Care	$ 24.7	$ 47.0
Long-Term Care - Beds	$ 78.0	$ 99.8
Long-Term Care - Places	n/a	$ 60.0
Sub- Acute	$ 21.9	$ 21.3
Total Reinvestments	$184.2	$ 300.1

One-time Capital Investments for Acute Care Hospitals in GTA/905 ($ in millions)

Hospital Name	Construction Costs*		Additional Capital
	HSRC Preliminary Report November 1997	HSRC Final Report April 1998	Specialized Services**
HALTON AND PEEL Credit Valley	$ 10.8	$24.8	Cancer services $ 28.8
Joseph Brant Memorial	$ 6.0	$6.9
East Halton Corporation Oakville site	$ 7.8	$7.6
North-West GTA Hospital Corporation Brampton site	$ 6.7	$33.7
Mississauga/Queensway Corporation Mississauga site	$ 22.0	$27.5	Cardiac services $2.2 -$7.5
YORK Markham-Stouffville	$ 5.8	$10.4
York Central	$ 19.7	$27.0
York County	$ 15.2	$22.6
DURHAM East Durham Hospital Corporation Oshawa site Ajax and Pickering/Centenary Hospital Corporation Ajax Site	0	$62.5 $12.8	Cancer services $ 28.2
Total Construction Costs	$143.7	$235.8	$ 59.2 - 66.5

* Construction costs include new construction, renovations, site development, ancillary costs, furniture and equipment.
** Capital estimates are provided by functional plans and require review following further detailed planning.

Summary of Costs and Savings ($M)

	Acute Care	Rehabilitation	Complex Continuing Care
NET EXPENSES (95/96)	$799.1	$13.2	$52.0
SAVINGS/ REINVESTMENTS	($81.6)	$36.4	$20.6
Program Transfers^	$ 22.3
COST OF RECONFIGURED SYSTEM	$739.8	$49.6	$72.6
% Savings (Cost)	(-10.2%)	276%	39.6%

^ Program Transfers reflect transfer of activity from Toronto to hospitals in the GTA/905. Excludes mental health

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