|
|
|
|
|
|
|
18 hospital organizations on 19 sites^ |
13 hospital organizations on 18 sites^ |
| 3,865 inpatient beds | 4562 inpatient beds including 615 acute care beds identified for population growth and aging and 304 sub-acute care beds (to be sited) |
|
|
|
|
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
2434 acute inpatient beds** including 615 acute care beds identified for population growth and aging 304 sub-acute beds (to be sited) 432 acute adult & 37 child/adolescent mental health beds 385 inpatient rehabilitation beds 714 complex continuing care beds |
|
|
|
|
1 organization on 1 sites
|
1 organization on 1 site
256 long term mental health beds including 40 medium secure beds & 9 child/adolescent beds |
|
|
|
|
| Halton | ||
| Joseph Brant Memorial Hospital | Retain | No change |
| Milton District Hospital | Retain | Amalgamate with Oakville-Trafalgar Memorial Hospital |
| Oakville-Trafalgar Memorial Hospital | Retain | Amalgamate with Milton District Hospital |
| Georgetown & District Memorial Hospital | Retain | Amalgamate with Peel Memorial and Etobicoke General Hospitals |
| Peel | ||
| Peel Memorial Hospital | Retain | Amalgamate with Georgetown and District Memorial and Etobicoke General Hospitals |
| The Credit Valley Hospital | Retain | No change |
| The Mississauga Hospital | Retain | Amalgamate with Queensway General Hospital as outlined in Metro Toronto Healt Services Restructuring Report, July 1997 |
| York | ||
| Markham Stouffville Hospital | Retain | No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals |
| York Central Hospital | Retain | No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals |
| York County Hospital | Retain | No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals |
| Durham | ||
| Ajax and Pickering General Hospital | Retain | Amalgamate with Centenary Health Centre |
| Whitby General Hospital | Close |
Amalgamate with North Durham Health Services Corp., Memorial Hospital - Bowmanville, and Oshawa General Hospital
(programs to be transferred to the East Durham Hospital Corporation and to the Ajax and Pickering site of Ajax and Pickering/Centenary Hospital Corporation) |
| Oshawa General Hospital | Retain | Amalgamate with North Durham Health Services Corp., Memorial Hospital - Bowmanville, and Whitby General Hospital |
| Memorial Hospital, Bowmanville | Retain | Amalgamate with North Durham Health Services Corp., Oshawa General Hospital, Whitby General Hospital |
North Durham Health Sevices Corp,
|
Retain | Amalgamate with Oshawa General Hospital, Whitby General Hospital and Memorial Hospital - Bowmanville |
| Whitby Psychiatric Hospital | Retain | Establish new governance as public hospital |
| Metro Toronto | ||
| Etobicoke General Hospital | Retain | Amalgamate with Peel Memorial Hospital and Georgetown and District Memorial Hospital |
| Centenary Health Centre | Retain | Amalgamate with Ajax and Pickering General Hospital |
|   |
|
|
  |   | ||||||||||
|   |   |   |   |   |
|
  |   |   |   | |||||
|
|
|
|
|
|
|
|
|
|
|
|||||
|
NORTH WEST GTA HOSPITAL CORPORATION |
  |   |   |
75 |
104 |
10 |
60 |
133 |
  | |||||
|
Brampton Site (1) |
208 |
2 |
210 |
  |
64 |
10 |
50 |
96 |
430 |
|||||
|
Georgetown site |
30 |
0 |
30 |
  |
0 |
0 |
0 |
37 |
67 |
|||||
|
Etobicoke site |
148 |
3 |
151 |
  |
40 |
0 |
10 |
0 |
201 |
|||||
|   |   |   |   |   |   |   |   |   |   | |||||
|
EAST HALTON HOSPITAL CORP. |
  |   |   |
52 |
43 |
0 |
35 |
73 |
  | |||||
|
Oakville site |
118 |
1 |
119 |
  |
43 |
0 |
35 |
43 |
240 |
|||||
|
Milton site |
32 |
0 |
32 |
  |
0 |
0 |
0 |
30 |
62 |
|||||
|   |   |   |   |   |   |   |   |   |   | |||||
|
JOSEPH BRANT MEMORIAL |
133 |
1 |
134 |
44 |
34 |
0 |
35 |
46 |
249 |
|||||
|   |   |   |   |   |   |   |   |   |   | |||||
|
CREDIT VALLEY |
167 |
1 |
168 |
55 |
44 |
11 |
50 |
57 |
330 |
|||||
|   |   |   |   |   |   |   |   |   |   | |||||
|
THE MISSISSAUGA/QUEENSWAY HOSPITAL CORP. |
  |   |   |   |   |   |   |   |   | |||||
|
Mississauga site (2) |
295 |
2 |
297 |
81 |
62 |
0 |
56 |
206 |
621 |
|||||
|   |   |   |   |   |   |   |   |   |   | |||||
|
MARKHAM STOUFFVILLE |
78 |
0 |
78 |
29 |
36 |
0 |
25 |
48 |
187 |
|||||
|
YORK CENTRAL (3) |
146 |
1 |
147 |
50 |
20 |
0 |
25 |
47 |
239 |
|||||
|
YORK COUNTY |
153 |
0 |
153 |
61 |
28 |
6 |
25 |
47 |
259 |
|||||
|   |   |   |   |   |   |   |   |   |   | |||||
|
EAST DURHAM HOSPITAL CORP. |
  |   |   |
136 |
63 |
10 |
65 |
148 |
  | |||||
|
Oshawa site |
258 |
1 |
259 |
  |
63 |
10 |
65 |
102 |
499 |
|||||
|
Bowmanville site |
45 |
0 |
45 |
  |
0 |
0 |
0 |
30 |
75 |
|||||
|
Port Perry site (4) |
36 |
0 |
36 |
  |
0 |
0 |
0 |
8 |
44 |
|||||
|
Uxbridge site (4) |
22 |
0 |
22 |
  |
0 |
0 |
0 |
8 |
30 |
|||||
|   |   |   |   |   |   |   |   |   |   | |||||
|
AJAX and PICKERING / CENTENARY HOSPITAL CORP. |
32 |
  |
78 |
6 |
47 |
110 |
  | |||||||
|
Pickering site |
88 |
1 |
89 |
  |
38 |
0 |
25 |
29 |
181 |
|||||
|
Scarborough site |
209 |
0 |
209 |
  |
40 |
6 |
22 |
81 |
358 |
|||||
|
ACUTE CARE SUBTOTAL |
2,166 |
13 |
2,179 |
615 |
512 |
43 |
423 |
915 |
4,072 |
|||||
| Acute Mental Health | 1995/96 capacity | Estimated to 2000 | Estimated to 2003 |
| Halton |
42 |
71 |
77 |
|
Peel |
101 |
154 |
170* |
|
York |
52 |
77 |
84 |
|
Durham |
54 |
91 |
101 |
|
Total |
249 |
393 |
432 |
|
|
|
|
|
|
HALTON |
Oakville Trafalgar Memorial Hospital |
10 |
0 |
|
PEEL |
Credit Valley Hospital |
0 |
11 |
|
Peel Memorial Hospital |
6 |
10 |
|
|
DURHAM |
Oshawa General Hospital |   |
10 |
|
Whitby Mental Health Centre |
13+
|
7+
|
|
|
YORK |
York County Hospital |
0 |
6 |
|   | Total | 31 | 44 |
Currently within the GTA/905, there is one longer term mental health facility; Whitby Mental Health Centre which serves residents of York, Durham, Victoria County and part of Scarborough. Residents of Halton receive longer term mental health services in Hamilton while the residents of Peel receive longer term mental health services in Metro. Beds within these facilities have not been specifically designated for the resident population of each GTA/905 region. The Health Services Restructuring Commission's planning guideline for longer term mental health would assess the needs of these regions as follows:
|   |
|
|
|
|
|
|
Longer Term Mental Health beds |
|
|
|
|
|
Siting of the longer term mental health beds is as follows: Halton residents will access services in Hamilton, Peel residents will access services in Metro (Queen Street Mental Health Centre) and York and Durham residents will access services at the Whitby Mental Health Centre.
| Facility | Distribution of Rehabilitation Beds in Acute Hospitals* | Proposed Distribution of Local Rehabilitation Beds by 2003 |
| Joseph Brant Memorial Hospital | 20 | 35 |
|
East Halton Hospital Corp
|
- |
35 |
|
North West GTA Hospital Corp
|
- |
50 |
|
Mississauga Queensway Hospital Corp
|
- |
50 |
|
Credit Valley Hospital |
40 | 50 |
|
Markham Stouffville Hospital |
- | 25 |
|
York Central Hospital |
- | 25 |
|
York County Hospital |
24 | 25 |
|
East Durham Hospital Corp
|
39 |
65 |
|
Ajax and Pickering/ Centenary Hospital Corp
|
- |
25 |
|
Total |
123 | 385 |
| Facility | Distribution of Rehabilitation Beds in Acute Hospitals* | Proposed Distribution of Local Rehabilitation Beds by 2003 |
| Centenary Health Centre | 27 | 22 |
|
Salvation Army Scarborough Grace Hospital |
12 | 15 |
|
Scarborough General Hospital |
37 | 26 |
|
Toronto East General Hospital |
0 | 24 |
|
Providence Centre |
39 | 0 |
|
Total |
115 | 87 |
|   |
|
|
|
|
|
|
Long-term care beds in nursing homes or homes for the aged |
442 |
909 |
1,669 |
1,173 |
4,193 |
|
Places in supportive housing, long-term home care, attendant care and adult day care |
1,724 |
1,809 |
922 |
635 |
5,090 |
|   | Current beds/ places 1996 | Proposed beds/places to 2003 | Change | |
| # | % | |||
| Complex continuing care |
643 |
714 |
71 |
11% increase |
| Long-term care |
6,397 |
10,590* |
4,193 |
65.5% increase |
| Supportive housing/long-term home care, attendant care and adult day care |
7,943 |
13,033 |
5,090 |
64.1% increase |
| Facility | Current* | Proposed 2003 |
| Joseph Brant Memorial Hospital |
38 |
46 |
|
East Halton Hospital Corporation^^ |
65 |
73 |
|
North West GTA Hospital Corporation^ |
83 |
133 |
|
Credit Valley Hospital |
40 |
57 |
|
Mississauga Queensway Hospital Corporation - Mississauga site |
86 |
86 |
|
Markham Stouffville Hospital |
40 |
48 |
|
York County Hospital |
20 |
47 |
|
York Central Hospital |
65 |
47 |
|
East Durham Hospital Corporation** |
174 |
148 |
|
Ajax and Pickering/Centenary Hospital Corporation
|
0 |
29 |
|
Whitby General Hospital |
32 |
0 |
|
Total |
643 |
714 |
|   |
|
|
|
|
|
|
CHANGES IN ACUTE CARE EXPENSES |
  |   |   |   |   |
|
|
$ (20.6) |
$ (23.6) |
$ (15.4) |
$ (19.6) |
$ (79.2) |
|
|
$ - |
$ 16.3 |
$ 8.3 |
$ 0.1 |
$ 24.7 |
|
Changes to Acute Care Expenses |
$ (20.6) |
$ (7.3) |
$ (7.2) |
$ (19.5) |
$ (54.6) |
|
REINVESTMENTS |
  |   |   |   |   |
|
|
$ 1.7 |
$ 5.8 |
$ 2.6 |
$ 3.9 |
$ 14.0 |
|
|
$ 2.5 |
$ 7.4 |
$ 2.7 |
$ (0.8) |
$ 11.8 |
|
|
$ 5.5 |
$ 12.9 |
$ 5.7 |
$ 5.7 |
$ 29.8 |
|
|
$ 1.0 |
$ 1.0 |
$ 1.0 |
$ 1.0 |
$ 4.0 |
|
|
$ 2.8 |
$ 10.5 |
$ 6.1 |
$ 5.3 |
$ 24.7 |
|
|
$ 21.8 |
$ 31.1 |
$ 16.9 |
$ 8.2 |
$ 78.0 |
|
|
$ 4.5 |
$ 7.6 |
$ 4.5 |
$ 5.3 |
$ 21.9 |
|
Total Reinvestments |
$ 39.8 |
$ 76.3 |
$ 39.5 |
$ 28.6 |
$ 184.2 |
|
NET CHANGE IN EXPENSES |
$ 19.2 |
$ 69.0 |
$ 32.3 |
$ 9.1 |
$ 129.6 |
|   |
|
|
|
|
|
North West GTA Hospital Corp.
|
11.3 m |
3.1m |
2.3m |
16.7m |
|
East Halton Corp.
-Oakville site |
5.7 |
1.6 |
0.5 |
7.8 |
| Joseph Brant Memorial Hospital | 4.3 | 1.2 | 0.5 | 6.0 |
| The Credit Valley Hospital | 7.3 | 2.0 | 1.5 | 10.8 |
|
The Mississauga Queensway Hospital Corp.
-Mississauga site |
15.1 |
4.2 |
2.7 |
22.0 |
| York Central Hospital | 12.3 | 3.7 | 3.7 | 19.7 |
| York County Hospital | 9.6 | 2.6 | 3.0 | 15.2 |
| Markham Stouffville Hospital | 4.0 | 1.2 | 0.6 | 5.8 |
|
East Durham Hospital Corp.
-Oshawa site |
25.9 |
8.0 |
5.8 |
39.7 |
| Total | 95.5m | 27.6m | 20.6m | 143.7m |
| 1995/96 NET EXPENSES* |   |
$799,137,834 |
  |
|
|
($54,070,019) |
  |   |
|
|
($18,763,672) |
  |   |
|
|
($7,612,015) |
  |   |
|
|
($603,124) |
  |   |
|
|
$1,804,002 |
  |   |
|
TOTAL SAVINGS |
  |
($79,244,827) |
|
|
Program transfers ^ |
  |
$24,677,444 |
  |
|
REVISED EXPENSES |
  |
$744,570,451 |
|
| NET EXPENSES | $52,067,780 |
| Program Enhancements |
$4,160,213 |
|
Resource Intensity Adjustment |
$6,943,539 |
|
Site Closure Savings |
($230,043) |
|
Administrative Allocation |
$1,073,414 |
|
Change in Selected Expenses |
($85,553) |
|
COST OF RECONFIGURED SYSTEM |
$63,929,350 |
| TOTAL REINVESTMENT | $11,861,570 (22.8%) |
| ADJUSTED NET EXPENSES | $13,201,485 |
| Program Enhancements |
$23,357,664 |
|
Allied Health Expense Adjustment |
$2,465,316 |
|
Administrative Allocation |
$4,115,843 |
|
Selected Expenses |
$707,425 |
|
COST OF RECONFIGURED SYSTEM |
$43,140,307 |
| TOTAL REINVESTMENT | $29,938,822 (227%) |
|   |
|
|
|
Hospitals |
Acute: 15 organizations; 16 sites
Mental Health: 1 org; 1 site Private: 1 organization; 1 site |
Acute: 10 organizations; 15 sites
Mental Health: 1 org; 1 site Private: 1 organization; 1 site |
|
Total Inpatient Beds 2 |
3865 |
4562 |
|
Acute Care Beds |
2509 |
2434 (including growth) |
|
Sub-acute Care Beds (to be sited) |
0 |
304 |
|
Acute Mental Health |
249 |
432 |
|
Child/Adolescent Mental Health 3 |
31 |
44 |
|
Longer Term Mental Health |
- | - |
|
Rehabilitation |
123 |
385 |
|
Complex Continuing Care |
643 |
714 |
|
LTC beds |
6,397 |
10,590 |
|
LTC places |
7,883 |
12,973 |
|
Acute Care Savings |
  |
$79 M |
|
Capital Reinvestment |
  |
$144 M |
|
Total Reinvestment |
  |
|
|
Mental Health |
  |
$14 M |
|
Complex Continuing Care |
  |
$12 M |
|
Rehabilitation |
  |
$30 M |
|
MRI |
  |
$4 M |
|
Home Care |
  |
$25 M |
|
Long Term Care |
  |
$78 M |
|
Sub-acute Care |
  |
$22 M |
|
|
|
|
| Halton | ||
| Joseph Brant Memorial Hospital | Retain | No change |
| Milton District Hospital | Retain | Amalgamate with Oakville-Trafalgar Memorial Hospital |
| Oakville-Trafalgar Memorial Hospital | Retain | Amalgamate with Milton District Hospital |
| Georgetown & District Memorial Hospital | Retain | Amalgamate with Peel Memorial and Etobicoke General Hospitals |
| Metro Toronto | ||
| Etobicoke General Hospital | Retain | Amalgamate with Peel Memorial Hospital and Georgetown and District Memorial Hospital |
|   |
|
|
|
Hospitals |
4 organizations; 4 sites |
2 organizations; 4 sites 1 |
|
Total Inpatient Beds |
762 |
787 |
|
Acute Care Beds |
550 |
421 (including growth) |
|
Sub-acute Care Beds (to be sited) |
0 |
63 |
|
Acute Mental Health |
42 |
77 |
|
Child/Adolescent Mental Health |
10 |
0 |
|
Rehabilitation |
20 |
70 |
|
Complex Continuing Care |
140 |
156 |
|
LTC beds |
856 |
2,029 |
|
LTC places |
1768 |
2,403 |
|
Acute Care Savings |
  |
$20.6 M |
|
Capital Reinvestment |
  |
$13.8 M |
|
Total Reinvestment |
  |
|
|
Mental Health |
  |
$1.7 M |
|
Complex Continuing Care |
  |
$2.5 M |
|
Rehabilitation |
  |
$5.5 M |
|
MRI |
  |
$1.0 M |
|
Home Care |
  |
$2.8 M |
|
Long Term Care |
  |
$21.8 M |
|
Sub-acute Care |
  |
$4.5 M |
|
|
|
|
| Peel | ||
| Peel Memorial Hospital | Retain | Amalgamate with Georgetown and District Memorial and Etobicoke General Hospitals |
| The Credit Valley Hospital | Retain | No change |
| The Mississauga Hospital | Retain | Amalgamate with Queensway General Hospital as outlined in Metro Toronto Healt Services Restructuring Report, July 1997 |
| Metro Toronto | ||
| Etobicoke General Hospital | Retain | Amalgamate with Peel Memorial Hospital and Georgetown and District Memorial Hospital |
|   |
|
|
|
Hospitals |
3 organizations; 3 sites |
3 organizations; 3 sites 2 |
|
Total Inpatient Beds |
1208 |
1562 |
|
Acute Care Beds |
889 |
876 (including growth) |
|
Sub-acute Care Beds (to be sited) |
0 |
106 |
|
Acute Mental Health |
101 |
170 |
|
Child/Adolescent Mental Health |
6 |
21 |
|
Rehabilitation |
40 |
150 |
|
Complex Continuing Care |
172 |
239 |
|
LTC beds |
1,691 |
3,360 |
|
LTC places |
2,850 |
3,772 |
|
Acute Care Savings |
  |
$23.6 M |
|
Capital Reinvestment |
  |
$49.5 M |
|
Total Reinvestment |
  |
|
|
Mental Health |
  |
$5.8 M |
|
Complex Continuing Care |
  |
$7.4 M |
|
Rehabilitation |
  |
$12.9 M |
|
MRI |
  |
$1.0 M |
|
Home Care |
  |
$10.5 M |
|
Long Term Care |
  |
$31.1 M |
|
Sub-acute Care |
  |
$7.6 M |
|
|
|
|
|
York |
||
| Markham Stouffville Hospital | Retain | No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals |
| York Central Hospital | Retain | No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals |
| York County Hospital | Retain | No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals |
|   |
|
|
|
Hospitals |
Acute: 3 organizations; 3 sites
Private: 1 organization; 1 site |
Acute: 3 organizations; 3 sites
Private: 1 organization; 1 site |
|
Total Inpatient Beds |
688 |
887 |
|
Acute Care Beds |
487 |
518 (including growth) |
|
Sub-acute Care Beds (to be sited) |
0 |
62 |
|
Acute Mental Health |
52 |
84 |
|
Child/Adolescent Mental Health |
0 |
6 |
|
Rehabilitation |
24 |
75 |
|
Complex Continuing Care |
125 |
142 |
|
LTC beds |
1,806 |
2,715 |
|
LTC places |
1,468 |
3,277 |
|
Acute Care Savings |
  |
$15.4 M |
|
Capital Reinvestment |
  |
$40.7 M |
|
Total Reinvestment |
  |
|
|
Mental Health |
  |
$2.6 M |
|
Complex Continuing Care |
  |
$2.7 M |
|
Rehabilitation |
  |
$5.7 M |
|
MRI |
  |
$1.0 M |
|
Home Care |
  |
$6.1 M |
|
Long Term Care |
  |
$16.9 M |
|
Sub-acute Care |
  |
$4.5 M |
|
|
|
|
|
Durham |
||
| Ajax and Pickering General Hospital | Retain | Amalgamate with Centenary Health Centre |
| Whitby General Hospital | Close |
Amalgamate with North Durham Health Services Corp., Memorial Hospital - Bowmanville, and Oshawa General Hospital
(programs to be transferred to the East Durham Hospital Corporation and to the Ajax and Pickering site of Ajax and Pickering/Centenary Hospital Corporation) |
| Oshawa General Hospital | Retain | Amalgamate with North Durham Health Services Corp., Memorial Hospital - Bowmanville, and Whitby General Hospital |
| Memorial Hospital, Bowmanville | Retain | Amalgamate with North Durham Health Services Corp., Oshawa General Hospital, Whitby General Hospital |
|
North Durham Health Sevices Corp,
|
Retain | Amalgamate with Oshawa General Hospital, Whitby General Hospital and Memorial Hospital - Bowmanville |
| Whitby Psychiatric Hospital | Retain | Establish new governance as public hospital |
| Metro Toronto | ||
| Centenary Health Centre | Retain | Amalgamate with Ajax and Pickering General Hospital |
|   |
|
|
|
Hospitals |
Acute: 5 organizations; 6 sites
Mental Health: 1 org.; 1 site |
2 organizations; 5 sites
Mental Health: 1 org.; 1 site |
|
Total Inpatient Beds 1 |
1207 |
1326 |
|
Acute Care Beds |
583 |
619 (including growth) |
|
Sub-acute Care Beds (to be sited) |
0 |
73 |
|
Acute Mental Health |
54 |
101 |
|
Child/Adolescent Mental Health |
15 |
17 2 |
|
Rehabilitation |
39 |
90 |
|
Complex Continuing Care |
206 |
177 |
|
LTC beds |
2,044 |
2,486 |
|
LTC places |
1,797 |
3,521 |
|
Acute Care Savings |
  |
$19.6 M |
|
Capital Reinvestment |
  |
$39.7 M |
|
Total Reinvestment |
  |
|
|
Mental Health |
  |
$3.9 M |
|
Complex Continuing Care |
  |
($0.8) M |
|
Rehabilitation |
  |
$5.7 M |
|
MRI |
  |
$1.0 M |
|
Home Care |
  |
$5.3 M |
|
Long Term Care |
  |
$8.2 M |
|
Sub-acute Care |
  |
$5.3 M |