Fact Sheet
Summary of Restructuring Health Services in Hamilton-Wentworth

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Table of Contents
  1. Summary of Beds/Service Requirements
  2. Summary of Reinvestments and Savings

1. Summary of Beds/Service Requirements

Hamilton-Wentworth Hospital Inpatient Bed Requirements

Category 1995/96 1997/98 2003** Number of Beds
Variance from 1997/98
Acute Inpatient 1,387 1,155 1,060 (95)
Rehabilitation 128 127 146 19
Complex Cont. Care 485 444 269 (175)
Adult Acute Mental Health 83 83 91 8
LT Mental Health 193 193 124 (57)
Forensics 18 18 18 0
Child & Adolescent M.H. - - 17 17
Sub-acute care - - 99 99
Total 2,294 2,020 1,824 (196)
Operating Rooms 39   46  
ER Visits 163,448 156,574 192,366 28,918
Amb.Care Visits* 454,277 462,052 534,649 72,597
Source: 1997/98 and 1996/97 operating plans
* Excludes ambulatory care visits in Chedoke not funded by MOH
** HSRC benchmarked beds required for 2003

Impact of the Proposed Planning Guidelines on the Distribution of Long-Term Care Services in Hamilton-Wentworth

 
Current beds/ spaces 1995
Proposed beds/spaces to 2003
Change
#%
Complex continuing care

485

269

(216))

44% decrease

Long-term care

2,479

3,606

1,127

45% increase

Supportive housing/long-term home care

3,853

5,063

1,210

31% increase

Siting of Complex Continuing Care Beds in Hamilton Hospitals

Hospital/Site 1995-96 Complex Continuing Care, 2003
St. Joseph's 30 117
Henderson 38 117
General 0 0
McMaster 35 35
Chedoke 98 0
St. Peter's 284 0
Total 485 269

Proposed Siting of Rehabilitation Beds by 2003

Rehabilitation Site Regional Beds Local Short-Term and Long-Term Beds Total

St. Joseph's

0

25

25

Henderson site

0

20

20

McMaster site

0

20

20

General site

62

19

81

Transition to independent living

 

7

7

Total

62

91

153

Summary of Adult Acute and Longer-Term Mental Health Beds for 2000 and 2003 in Hamilton-Wentworth

  1995/96 (actual) Estimated to 2000 Estimated to 2003
Acute Mental Health

82

86

91

Longer-Term Mental Health*

193

156

124

Total

275

242

215

Siting of Acute and Longer Term Mental Health Services

Hospital/Site Acute Mental Health Longer-term Mental Health Forensic Beds Paediatric
mental health beds
St. Joseph's 41 124 18  
Henderson 26 0    
General 0 0    
McMaster 24 0   17
Total 91 124 18 17

2. Summary of Reinvestments and Savings

Summary of Required Reinvestments

Acute care- Level III neonatal ICU beds $2.8 Million
Home Care $ 3.1 Million
Long-Term Care $21 Million
Sub-Acute Care $ 7.1Million
Mental Health $1.4 Million
Rehabilitation $0.3 Million
Information Technology System tba
Total $35.7.Million

Summary of Capital Reinvestment for Hamilton Hospitals

 
St. Joseph's
General
McMaster
Henderson
Total

New construction

$17.6 M $ 4.4 M $ 0M $ 10.0 M $ 32.1 M
Renovations $5.9 M $ 1.6 M $ 5.5 M $ 2.3 M $ 15.4 M
Ancillary costs $5.4 M $ 1.4 M $ 1.3 M $ 2.9 M $ 11 M
Site development $1.3 M $ 0.2 M $ 0 M $ 0.5 M $ 2.0 M
Furnishings & equipment $5.2 M $ 0.9 M $ 2.9 M $ 2.5 M $ 11.5 M
Total capital estimates $35.5 M $ 8.5 M $ 9.7 M $ 18.3 M $ 72 M

Summary of Total Expenses and Savings

1995/96 Net Expenses *

$604,150,260

 

Clinical efficiencies

($34,496,246)

 

Program transfers

($1,954,286)

 

Support services efficiencies

($10,980,627)

 

Administrative efficiencies

($30,422,518)

 

Site closure

($3,906,785)

 

Change in selected expenses 1

($386,241)

 

Complex continuing care savings

($18,106,378)

 

TOTAL SAVINGS

$100,253,080

16.6%

REVISED EXPENSES

$503,897,180

 
* Net Expenses from OCDM
1 Selected expenses are overhead expenses not transferred to the receiving institutions during program transfers.

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