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RepoRton emergency Departments

April 1, 2013 - March 31, 2014

Annual Accountability Reporton eMeRGency DepARtMentS

April 1, 2013 - March 31, 2014

Annual Accountability Report On Emergency Departments – April 1 . 2013 - March 31 . 2014

Table of ContentsAccountability Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

Map of Emergency Departments Across the Province . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Enhancing Emergency Care in Nova Scotia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Hours of Operation and Scheduled Hours of Closure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Overview: of ED Closures by DHA and Facility Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

Summary of Emergency Department Temporary Closures and Public Consultations by DHAs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Appendix A: Temporary Closures by Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Annual Accountability Report On Emergency Departments – April 1 . 2013 - March 31 . 2014 1

Accountability StatementThe Annual Accountability Report on Emergency Department Closures for the fiscal year ending March 31, 2014, is prepared pursuant to Section 6 of the Emergency Department Accountability Act. This Act requires that the District Health Authorities and the IWK Health Centre report on all emergency department closures, hold public consultations in communities that have experienced a pattern of ongoing closures, and report on the outcomes of those consultations directly to the Minister of Health and Wellness.

Some District Health Authorities, in consultation with their communities, have established hours of operation that are different than 24/7. These closures are well publicized and are part of the District Health Authority planning process to offer the best service and maximize the quality of care. Three hospitals in the province have established regular scheduled hours of operation.

Emergency department closures that are unpredictable and unplanned are considered temporary closures. These closures mainly occur when emergency department staff (doctors, nurses, or paramedics) are unavailable to cover a shift. Temporary closures present a challenge for both patients and the provincial emergency care system. In 2013/2014, fifteen hospitals experienced temporary closures.

We acknowledge that this accountability report is the responsibility of the Department of Health and Wellness and is, to the greatest extent possible, a complete and accurate representation of emergency department closures reported by the District Health Authorities and IWK Health Centre in Nova Scotia between April 1, 2013 and March 31, 2014.

Leo Glavine Dr. Peter W. Vaughan Minister of Health and Wellness Deputy Minister


Nova Scotia’s Emergency Departments


Enhancing Emergency Care in Nova ScotiaTraditionally, Emergency Departments (EDs) in Nova Scotia were intended to provide rapid assessment and management of patients with unknown or unexpected problems as well as those with deteriorating pre-existing illness or injury requiring emergency care.

While the role of EDs within the health care system remains unchanged, the way in which emergency care is delivered is different throughout the province. In recent years, enhancement of emergency care has focused on improving access to quality patient care that best meets the need of local communities. This has been demonstrated through the implementation of Collaborative Emergency Centres (CECs) and through the establishment of regular hours of operation within some facilities.

The Collaborative Emergency Centre (CEC) provides same day or next day access to primary health care (physicians and nurse practitioners) for extended hours. During night time hours, for most CECs, there is a collaborative care team available that consists of Paramedics and/or Registered Nurses who are supported by an Emergency Health Services Physician who provides oversight by being available by phone for consultation.

As of March 31, 2014, there are eight facilities that have implemented this model of care. Based on community needs, six (6) of these centres operate 24/7. Musquodoboit Valley Memorial Hospital operates 7 days per week from 8:00 am to 8:00 pm and New Waterford Consolidated Hospital operates Monday to Saturday from 7:00 am to 5:00 pm with a Mobile Care Team (MCT) that provides care to area resident’s non-urgent health needs overnight in their own home, Monday to Thursday from 7:00 pm to 7:00 am.

FACILITY COMMUNITY DATE IMPLEMENTED

FACILITY COMMUNITY DATE IMPLEMENTEDSouth Cumberland Community Health Centre Parrsboro July 27, 2011All Saints Springhill Springhill March 28, 2012Lillian Fraser Memorial Hospital Tatamagouche July 10, 2012Annapolis Community Health Centre Annapolis Royal September 17, 2012North Cumberland Memorial Hospital Pugwash September 19, 2012Twin Oaks Memorial Hospital Musquodoboit Harbour November 20, 2012Musquodoboit Valley Memorial Hospital Upper Musquodoboit March 19, 2013New Waterford Consolidated Hospital New Waterford September 30, 2013

The opening of CECs has resulted in a significant decrease in temporary emergency department closures post implementation.


Hours of operation Three hospital facilities have established regular hours of operation that are less than 24/7 to provide access to safe and quality care and to ensure emergency departments are providing the best access to care. Hours that these facilities are not opened are considered scheduled hours of closure. These facilities were faced with one or more of the following challenges in keeping their emergency departments open:

• Core staffing

• A significant reduction of patients visiting the emergency department during overnight hours

• Not being able to safely staff the emergency department at peak hours

• Instability from the public’s perspective of when the emergency department would be open

• Meeting the needs of the local community in which the facility was located

Hours of Operation and Scheduled Hours of ClosureEMERGENCY HOURS OF SCHEDULED HOURS DEPARTMENT OPERATION OF CLOSURE

Fishermen’s Memorial Hospital Open daily from 7:30 am to 10:30 pm 3,293Musquodoboit Valley Memorial Hospital Open daily from 8:00 am to 8:00 pm 4,392New Waterford Consolidated Hospital Open Monday to Saturday 7:00 am to 5:00 pm; Mobile Care Team operates Monday to Thursday 7:00 pm to 7:00 am 2,670TOTAL 10, 355

Fishermen’s memorial hospital (south shore District health authority)Fishermen’s Memorial Hospital’s (FMH) emergency department has been closed overnight (10:30 pm to 7:30 am daily) since July 1, 2008 after experiencing frequent closures due to staffing issues and the low number of visits to the emergency department between midnight and 7 am (average of 1 to 2 visits per night). Establishing hours of operation allows South Shore Health to safely staff the emergency department during its busiest times and provide a more reliable, consistent level of service to the community. South Shore Health’s ongoing efforts to stabilize staffing levels in the FMH ED have resulted in greater consistency for the community.

new waterForD consoliDateD hospitals (cape Breton District health authority)New Waterford officially transitioned to a CEC on September 30, 2013. However, the Cape Breton District Health Authority (CBDHA) began phasing in this model of care in July 2013. The New Waterford CEC model provides enhanced access to primary care (physicians and nurse practitioners) from 7:00 am to 5:00 pm Monday to Saturday. Additionally, this model provides care for people with non-urgent health needs in their own home through a Mobile Care Team which includes a Registered Nurse and an Advanced Care Paramedic from 7:00 pm to 7:00 am Monday to Thursday.


musquoDoBoit Valley memorial hospital (capital District health authority )Due to lack of physician resources, Musquodoboit Valley Memorial Hospital (MVMH) has operated under a new model of care since July 2009. The model included an emergency department that operated from 8:00 am to 5:00 pm Monday to Friday in conjunction with a collaborative care clinic allowing for same-day appointments with family physicians to improve access to primary care. There was 24 hour access to the emergency department on Saturdays and Sundays. This model of care had been well-received by the community and has helped with the retention of family doctors. In addition, patients appreciate the stability and security of the regular operational hours. This model is much like the CEC model of care which MVMH converted to on March 2013. Through the implementation of the CEC model regular hours of operation are now 8:00 am to 8:00 pm, 7 days per week.


ED Closures by District Health Authority and Facility TypeIncluding scheduled closures (Reporting Period: April 1, 2012 to March 31, 2013)

DHA FACILITY TYPE FACILITY NAME HOURS OF CLOSURE Temporary Scheduled DHA Total*

1 Regional South Shore Regional 0 0 Community Fishermen’s Memorial 298 3,293 3,595 Community Queens General 4 0 2 Regional Yarmouth Regional 0 0 Community Digby General Hospital 276 0 393 Community Roseway Hospital 117 0 3 Regional Valley Regional 0 0 CEC Annapolis CHC 165 0 237 Community Soldiers Memorial 72 0 4 Regional Colchester Regional 0 0 123 CEC Lillian Fraser Memorial 123 0 5 Regional Cumberland Regional HCC 0 0 CEC All Saint’s Hospital 85 0 194 CEC North Cumberland Memorial ** 68 0 CEC South Cumberland CC 41 0 6 Regional Aberdeen Hospital 0 0 07 Regional St. Martha’s Regional 0 0 Community Eastern Memorial Hospital 0 0 Community Guysborough Memorial 0 0 154 Community St. Anne Community & Nursing Care Centre 0 0 Community St. Mary’s Memorial 0 0 Community Strait Richmond Hospital 154 0 8 Regional Cape Breton Regional 0 0 Community Buchanan Memorial CHC 0 0 Community Glace Bay Hospital 1,050 0 Community Inverness Consolidated Hospital 0 0 6,422 Community New Waterford Consolidated 1,674 2,670 Community Northside General Hospital 1,028 0 Community Sacred Heart CHC 0 0 Community Victoria County Memorial 0 0 9 Tertiary QEII Health Sciences Centre 0 0 Regional Dartmouth General 0 0 Community Cobequid CHC 0 0 Community Eastern Shore Memorial 0 0 4,437 Community Hants Community Hospital 0 0 CEC Musquodoboit Valley Memorial 0 4,392 CEC Twin Oaks Memorial 45 0 IWK Tertiary IWK Health Centre 0 0 0TOTAL 5,200 10,355 15,555

*DHA Totals may be off by a maximum of 1 hour due to rounding of individual values for display but no rounding was done on DHA totals.


For fifteen sites (15) (see above) the majority of temporary closures were due to physician unavailability with the exception of Annapolis Community Health Centre and Fishermen’s Memorial Hospital which reported that the majority of closures were due to the unavailability of nursing staff. Other recorded reasons for closure included paramedic unavailability, maintenance upgrades and power failures.


Summary of ED Temporary Closure Hours and Public Consultations by District Health Authority(Reporting Period: April 1, 2013 – March 31, 2014)

District Health Authorities are required to hold two public consultations throughout the fiscal year and those DHAs with an ongoing pattern of ED closures are expected to engage with communities and discuss plans for mitigating further closures. These consultations are summarized below along with a summary of ED temporary closures (for specific dates of closure see Appendix A).

South Shore District Health Authority (DHA 1) HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYFishermen’s Memorial Hospital 298 hoursSouth Shore Regional Hospital 0 hoursQueens General Hospital 4 hoursTotal 302 hours

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesJuly 24, 2013 Lunenburg N/A 17 & August 29, 2013 & 20 Summary of Discussion:

• A steering committee established to provide leadership and advice to the SSDHA Board of Directors met to discuss the role of Fishermen’s Memorial Hospital in the district’s emergency system. Committee membership includes representatives from SSDHA as well as the Lunenburg Town Council, Health Services Foundation, auxiliary, the community health board and local physicians. Additional attendees of the meeting held on August 29, included the MLA for Lunenburg County.


DHA Action:

• South Shore Health indicated that they continue to works towards implementation of the approved vision for Fishermen’s Memorial Hospital, which includes integration of primary care and urgent care. This vision has been strongly and consistently endorsed by many groups and individuals within the community.

South West Nova District Health Authority (DHA 2HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYDigby General Hospital 276 hoursRoseway Hospital 117 hoursYarmouth Regional Hospital 0 hoursTotal 393 hours

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesJune 25, 2013 Roseway Hospital - Blaise MacNeil, CEO 3 members of the public Shelburne High School Gerald Pottier, Board Chair 10 representatives both – opening remarks from South West Health Summary of Discussion:

• Discussion of specific ED closures was limited. Talk focused mostly on recruitment issues in general and the importance of local decision making in health care. Three main points included:

1. Concern about local community’s ability to make health care decisions if government moves to centralize district health authorities.

2. Importance of partnerships with local municipal governments on physician recruitment issues.

3. The need to promote awareness that effective recruitment of Emergency Department Physicians and other health care professionals is a long term process. Most recruitment efforts will not pay off immediately, but instead require a long-term vision.

DHA Action:

• One of the Strategic Directions of South West Health focuses on physician recruitment. The district also works very closely with municipal partners and the community to present attractive recruitment options for physicians and their families. South West Health has seen success in gaining new doctors in the past year, but will continue to make recruitment a priority.

PUBLIC CONSULTATIONS

Approx. # Date Community Chair/Speakers of AttendeesThursday, General Hospital Blaise MacNeil, CEO 35 – including 7November 14. 2013 – Digby High School Gerald Pottier, Board Chair representatives from – Opening remarks South West Health


Summary of Discussion:

• There was a wide-ranging discussion of various health care related issues, such as shortage of Family Physicians, recruitment and what options are available for people with routine medical issues who do not have a Family Physician. Additional issues raised include:

1. Concern regarding the inconsistency in payment for ED Physicians across the province.

2. Can RNs and Nurse Practitioners perform in an expanded role in the ED?

3. Support expressed for partnership between local municipal government and South West Health on recruitment issues.

DHA Action:

• The unattached patient clinic is available in Digby for those without a primary health care provider. The clinic is also an alternative to the Emergency Department for non-urgent medical issues. A Nurse Practitioner (NP) has recently been added to this clinic.

South West Health utilizes NPs in a variety of primary health care settings and is interested in exploring how best to maximize the role of NPs within their scope of practice. There is also some recent work to introduce Family Practice Nurses and have Registered Nurses support some Well Women’s Clinics in Digby.

One of the Strategic Directions of South West Health focuses on physician recruitment. The district works very closely with municipal partners and the community to present attractive recruitment options for physicians and their families. South West Health has seen success in gaining new doctors in the past year, but will continue to make recruitment a priority.

Annapolis Valley District Health Authority (DHA 3HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYAnnapolis Valley CHC 165 hoursSoldiers’ Memorial 72 hoursValley Regional 0 hoursTOTAL 237

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesMay 6, 2013 Annapolis Royal Betty Mattson, Chair, AVH Board 30 of Directors Janet Knox, President & CEO Dr. Lynne Harrigan, VP Medicine Summary of Discussion:

• Members of the community were invited to a Community Education Session about the Collaborative Emergency Centre (CEC) at Annapolis Community Health Centre. The presentation, led by the site manager and two site physicians, discussed the day and night time models of the CEC, looked at some changes that had been implemented since the CEC’s opening, and provided opportunity for members of the community to ask questions and share perspectives. Questions for clarification of process were raised, in addition to concerns about travel within the district.


DHA Action:

• Annapolis Valley Health continues to build the relationship with the community around the CEC and respond to any questions or concerns that arise.


Approx. # Date Community Chair/Speakers of AttendeesNovember 12, 2013 Middleton, Nova Scotia Betty Mattson, Chair, AVH Board Middleton Town of Directors Council Hospital Janet Knox, President & CEO, Committee Dr. Lynne Harrigan, VP Medicine, Middleton, Nova Scotia Summary of Discussion:

• The council was updated on the issues of physician staffing within the Soldiers Memorial Hospital ED, the number of closures, strategies that had been put in place and were in progress, and suggested areas of collaboration. Discussion around recruitment and retention of physicians, emergency room status, family practice residency program, primary health care/community care and the goals and progress on the development of SMH.

DHA Action:

• Annapolis Valley Health continues its formalized link with the Town Council’s Hospital Committee to support collaboration, inform issues and ensure progress on resolution.


Approx. # Date Community Chair/Speakers of AttendeesFebruary 26, 2014 Middleton, Nova Scotia Janet Knox, President and CEO Middleton Town Dr. Lynne Harrigan, VP Medicine Council Hospital Jeanne Saulnier, Site Manager, Committee Soldiers Memorial Hospital (SMH) Summary of Discussion:

• Annapolis Valley Health updated the group on the challenges in maintaining the Soldiers Memorial Hospital Emergency Room, recruitment of physicians and the Role Study document for Soldiers Memorial Hospital. A positive response was received from the Middleton Town Council Hospital Committee.

DHA Action:

• Annapolis Valley Health and Middleton Town Council Hospital Committee agree to talk about collaboration on written articles in local paper for SMH.


Colchester East Hants Health Authority (DHA 4)HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYColchester Regional 0 hoursLillian Fraser Memorial 123 hoursTOTAL 123 hours

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesMay 18, 2013 Tatamagouche N/A N/A


• CEHHA holds an annual Quality Week and as part of this, hosted an Open House which provided the opportunity to highlight services and quality improvement activities including the CEC.

DHA Action:

• N/A

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesSeptember 24, 2013 Elmsdale Sheila Peck, Chair of CEHHA 20 – 40 Board of Directors Peter MacKinnon CEO


• As part of the Annual General Meeting, attendees discussed recent ED closures and acknowledged that current closures were sporadic with no on-going pattern.

DHA Action:

• N/A


Cumberland Health Authority (DHA 5)HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYAll Saints Hospital 85 hoursCumberland Regional HCC 0 hoursNorth Cumberland Memorial 68 hoursSouth Cumberland CC 41 hoursTOTAL 194

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesJune 4, 2013 Joggins Bruce Saunders, Board Chair 20 Bruce Quigley, CEO Summary of Discussion:

• During semi-annual meeting of the CHA no questions were raised regarding CEC operations.

DHA Action:

• N/A

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesNovember 12, 2013 Amherst Bruce Saunders, Board Chair 15 Bruce Quigley, CEO Summary of Discussion:

• During annual meeting of the CHA no questions were raised regarding CEC operations.

DHA Action:

• N/A

Pictou County Health Authority (DHA 6)* HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYAberdeen Hospital 0 hours

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesN/A N/A N/A N/A

*Public consultations not required as there were no significant closures of the ED


Guysborough Antigonish Strait Health Authority (DHA 7) HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYEastern Memorial Hospital 0 hoursGuysborough Memorial Hospital 0 hoursSt. Anne Community & Nursing Care Centre 0 hoursSt. Martha’s Regional Hospital 0 hoursSt. Mary’s Memorial Hospital 0 hoursStrait Richmond Hospital 154 hoursTOTAL 154 Hours

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesApril- July 2013 Sherbrooke, Nova Scotia Peggy Mahon and 160 (multiple sessions) Matthew Murphy



• physician recruitment Several community members raised the issue of physician recruitment.

• ambulance services - wait times Concern was expressed that, at times, there is no ambulance truck available in the area and whether community members may need to wait longer for service if there is a Collaborative Emergency Centre.

• community challenges related to out-migration, recruitment and Building a collaborative team Several community members raised concerns about out-migration and the challenges associated with recruiting health professionals to rural areas. This was raised in relation to establishing a collaborative team within the Collaborative Emergency Centre to offer a range of services.

• current services working well Some community members mentioned that the current system seems to be working well. Community members have a lot of pride in their hospital noting they “have an exceptionally good hospital.” There have been no closures of the Emergency Department and no one is ever refused treatment. The physicians operate using same-day appointments.

DHA Action:

• In response to a question asking how it is determined how many physicians are needed in an area, the response from GASHA was that it is determined through population and community needs and that currently two physicians are targeted for St. Mary’s District (then serviced by 1.25 FTE physicians). The municipality indicated they would like to assist with physician recruitment.

• Given the results of the consultation and that there have been no closures of the Emergency Department at St. Mary’s Memorial Hospital, GASHA has proceeded with a proposal to improve primary health care services and to maintain the current Emergency Services at the hospital with a physician on-call for emergencies and for inpatients. GASHA continues to actively recruit a second full-time physician for St. Mary’s District. GASHA is concerned about the ability to sustain the current arrangement in the long term with only one regular physician.


Cape Breton District Health Authority (DHA 8) HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYBuchanan Memorial Consolidated 0 hoursCape Breton Regional 0 hoursGlace Bay Hospital 1,050 hoursInverness Consolidated Hospital 0 hoursNew Waterford Consolidated 1,674 hoursNorthside General Hospital 1,028 hoursSacred Heart CHC 0 hoursVictoria County 0 hoursTOTAL 3,752 Hours

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesSept. 24, 2013 New Waterford Dianne Calvert Simms, CEO 822:00 pm to 4:00 pm Kathy Bell, Director, Community Health && Dr. Peter Littlejohn, Family Physician 33 6:00 pm to 8:00 pm Dr. Andrew Travers, EHS Medical Director Jeff Fraser, EHS Director of Operations Tom Dobson, EHS Coordinator, Community Paramedicine Martha McLean, Director of Critical Care Summary of Discussion:

• Progress update on the Mobile Collaborative Emergency Centre (CEC) for New Waterford Consolidated Hospital

• Education around primary health care in the CEC model

• Opportunity to meet members of the Mobile Care Team (MCT), see the unit and learn what it does and how to access it

• Audience Feedback

• Question & Answer Session

DHA Action:

• The New Waterford CEC and Mobile Care Team went live on Sept. 30, 2013. The District, Emergency Health Services and the Province issued three public progress updates (Spring 2013, Fall 2013 & Winter 2014) on the initiative that included questions asked by the community during this session. Work continues with the advisory and operations committee to enhance the CEC.


Capital District Health Authority (DHA 9)* HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYCobequid CHC 0 hoursDartmouth General Hospital 0 hoursEastern Shore Memorial 0 hoursHants Community Hospital 0 hoursMusquodoboit Valley Memorial 0 hoursTwin Oaks Memorial 45 hoursQEII Health Sciences Centre 0 hoursTOTAL 45 Hours

PUBLIC CONSULTATIONS Approx. # Date Community Chair/Speakers of AttendeesN/A N/A N/A N/A


IWK HOURS OF TEMPORARY EMERGENCY DEPARTMENT CLOSURES

FACILITYIWK Health Centre 0 hours


Approx. # Date Community Chair/Speakers of AttendeesN/A N/A N/A N/A

*Public consultations not required as there were no significant closures of the ED .


Appendix A: Temporary ED Closures by Date and Hours Closed (Reporting Period: April 1, 2013 – March 31, 2014)

DHA 1FISHERMAN’S MEMORIAL

HOSPITALTemporary Closures – 2013/2014

DATE HOURS CLOSEDAPRIL 4/27/2013 8.0MAY 5/31/2013 4.5JUNE 6/1/2013 4.56/21/2013 8.0JULY 7/12/2013 4.57/13/2013 4.57/28/2013 3.5AUGUST 8/2/2013 5.58/3/2013 5.58/4/2013 5.58/5/2013 5.58/6/2013 5.58/7/2013 15.08/9/2013 5.58/10/2013 5.58/11/2013 5.58/12/2013 5.58/23/2013 5.58/24/2013 5.58/31/2013 5.5SEPTEMBER 9/1/2013 15.0

DHA 1 (CONTINUED)FISHERMAN’S MEMORIAL


DATE HOURS CLOSEDOCTOBER10/17/2013 9.010/23/2013 4.5NOVEMBER 11/6/2013 5.011/20/2013 7.511/22/2013 5.511/23/2013 15.011/30/2013 3.0DECEMBER12/14/2013 4.512/27/2013 8.012/30/2013 8.0 12/31/2013 8.0JANUARY 1/1/2014 8.0FEBRUARY 2/10/2014 5.52/14/2014 5.52/15/2014 5.52/16/2014 10.02/21/2014 8.52/22/2014 5.52/23/2014 15.0MARCH 3/9/2014 8.53/10/2014 8.53/11/2014 5.5TOTAL TEMPORARY 297.5

DHA 1QuEENS GENERAL


HOURS DATE CLOSEDNOVEMBER11/24/2013 4.0TOTAL TEMPORARY 4.0


DHA 2ROSEwAY HOSPITAL

Temporary Closures – 2013/2014

HOURS DATE CLOSEDAPRIL4/17/2013 12.0JUNE / JULY6/30/2013 24.07/1/2013 JULY7/2/2013 12.0AUGUST8/17/2013 6.08/29/2013 12.0JANUARY1/12/2014 24.01/13/2014 MARCH3/1/2014 15.03/2/2014 3/22/2014 12.03/23/2014 TOTAL TEMPORARY 117.0

DHA 2DIGbY GENERAL HOSPITAL


HOURS DATE CLOSEDAPRIL4/5/2013 12.04/10/2013 12.04/12/2013 12.04/17/2013 12.04/19/2013 12.04/24/2013 12.04/26/2013 12.0MAY5/3/2013 12.05/15/2013 12.05/17/2013 12.05/22/2013 12.05/24/2013 12.05/29/2013 12.05/31/2013 12.0JUNE6/5/2013 12.06/7/2013 12.06/13/2013 12.06/21/2013 12.0SEPTEMBER9/30/2013 12.0NOVEMBER11/8/2013 12.0DECEMBER12/30/2013 12.0FEBRUARY2/19/2014 12.0MARCH3/14/2014 12.0TOTAL TEMPORARY 276.0

DHA 3ANNAPOLIS COMMuNITY

HEALTH CENTRETemporary Closures – 2013/2014

HOURS DATE CLOSEDMAY5/11/2013 13.55/12/2013 5/13/2013 13.55/14/2013 AUGUST8/1/2013 14.58/2/2013 8/22/2013 14.58/23/2013 SEPTEMBER9/9/2013 10.0OCTOBER10/3/2013 14.010/4/2013 10/8/2013 14.010/9/2013 10/9/2013 14.010/10/2013 10/11/2013 14.010/12/2013 10/16/2013 14.010/17/2013 NOVEMBER11/17/2013 14.511/18/2013 11/18/2013 14.511/19/2013 TOTAL TEMPORARY 165.0


DHA 3SOLDIERS’ MEMORIAL


HOURS DATE CLOSEDAUGUST8/24/2013 15.08/25/2013 FEBRUARY2/6/2014 15.02/8/2014 15.0MARCH3/10/2014 27.03/11/2014 TOTAL TEMPORARY 72.0

DHA 4LILLIAN FRASER MEMORIAL


HOURS DATE CLOSEDAPRIL4/28/2013 12.04/29/2013 MAY5/24/2013 4.05/26/2013 12.05/31/2013 4.0JUNE6/1/2013 12.06/2/2013 12.06/14/2013 6.06/15/2013 12.06/27/2013 6.06/28/2013 6.0JULY7/16/2013 12.07/17/2013 7/19/2013 12.07/20/2013 OCTOBER10/12/2013 7.010/13/2013 6.0TOTAL TEMPORARY 123.0

DHA 5ALL SAINTS SPRINGHILL


HOURS DATE CLOSEDAPRIL4/4/2013 12.04/5/2013 12.04/8/2013 12.04/12/2013 12.0MAY5/17/2013 12.05/27/2013 1.05/28/2013 12.05/29/2013 AUGUST8/16/2013 12.08/17/2013 TOTAL TEMPORARY 85.0


DHA 5NORTH CuMbERLAND MEMORIAL HOSPITAL


HOURS DATE CLOSEDJUNE6/4/2013 3.06/6/2013 12.06/22/2013 5.0JULY7/27/2013 12.0AUGUST8/19/2013 12.08/22/2013 12.0OCTOBER10/13/2013 12.010/14/2013 TOTAL TEMPORARY 68.0

DHA 5SOuTH CuMbERLAND COMMuNITY HEALTH

CENTRETemporary Closures – 2013/2014

HOURS DATE CLOSEDJUNE6/1/2013 3.06/12/2013 12.06/13/2013 NOVEMBER11/9/2013 12.011/10/2013 DECEMBER12/25/2013 2.0MARCH3/7/2014 12.03/8/2014 TOTAL TEMPORARY 41.0

DHA 7STRAIT RICHMOND


HOURS DATE CLOSEDAPRIL4/29/2013 12.04/30/2013 12.0MAY5/1/2013 5.0JULY7/15/2013 12.07/16/2013 12.07/19/2013 12.07/25/2013 12.07/26/2013 12.010/21/2013 12.010/22/2013 12.010/23/2013 12.0JANUARY1/6/2014 4.5FEBRUARY2/26/2014 12.02/27/2014 12.0TOTAL TEMPORARY 153.5


DHA 8GLACE bAY HEALTH CARE

FACILITYTemporary Closures – 2013/2014

HOURS DATE CLOSEDAPRIL4/9/2013 15.04/10/2013 4/10/2013 15.04/11/2013 4/14/2013 15.04/15/2013 4/23/2013 15.04/24/2013 MAY5/6/2013 15.05/7/2013 5/12/2013 15.05/13/2013 5/24/2013 15.05/25/2013 JUNE6/3/2013 14.06/4/2013 7/3/2013 15.07/4/2013 7/5/2013 13.07/11/2013 15.07/12/2013 7/28/2013 15.07/29/2013 AUGUST8/2/2013 15.08/3/2013 8/3/2013 15.08/4/2013 8/8/2013 15.08/9/2013 8/9/2013 15.08/10/2013 8/10/2013 15.08/11/2013 8/16/2013 15.08/17/2013 8/18/2013 15.08/19/2013

DHA 8 (CONTINUED)GLACE bAY HEALTH CARE


HOURS DATE CLOSEDSEPTEMBER9/3/2013 15.09/4/2013 9/9/2013 15.09/10/2013 9/10/2013 15.09/11/2013 9/26/2013 15.09/27/2013 OCTOBER10/1/2013 15.010/2/2013 10/2/2013 15.010/3/2013 10/14/2013 15.010/15/2013 10/15/2013 15.010/16/2013 10/16/2013 15.010/17/2013 10/24/2013 15.010/25/2013 10/27/2013 15.010/28/2013 NOVEMBER11/9/2013 15.011/10/2013 11/23/2013 15.011/24/2013 11/24/2013 15.011/25/2013 11/25/2013 15.011/26/2013 DECEMBER12/8/2013 13.012/14/2013 13.012/26/2013 15.012/27/2013 12/27/2013 15.012/28/2013 12/28/2013 15.012/29/2013 12/29/2013 15.012/30/2013

DHA 8 (CONTINUED)GLACE bAY HEALTH CARE


HOURS DATE CLOSEDJANUARY1/10/2014 15.01/11/2014 1/11/2014 15.01/12/2014 1/12/2014 15.01/13/2014 1/13/2014 15.01/14/2014 1/18/2014 13.0FEBRUARY2/5/2014 15.02/6/2014 2/6/2014 15.02/7/2014 2/10/2014 15.02/11/2014 2/13/2014 25.02/14/2014 2/14/2014 15.02/15/2014 2/15/2014 15.02/16/2014 2/16/2014 39.02/18/2014 2/19/2014 25.02/20/2014 2/22/2014 7.0MARCH3/1/2014 15.03/2/2014 3/2/2014 15.03/3/2014 3/3/2014 15.03/4/2014 3/4/2014 15.03/5/2014 3/5/2014 15.03/6/2014 3/7/2014 15.03/8/2014 3/9/2014 15.03/10/2014 3/10/2014 27.03/11/2014


DHA 8GLACE bAY HEALTH CARE


HOURS DATE CLOSEDMARCH (CONTINUED)3/12/2014 13.03/16/2014 15.03/17/2014 3/17/2014 15.03/18/2014 3/19/2014 15.03/20/2014 3/21/2014 16.03/22/2014 3/26/2014 7.0TOTAL TEMPORARY 1050.0

DHA 8NEw wATERFORD

CONSOLIDATED HOSPITALTemporary Closures – 2013/2014

HOURS DATE CLOSEDAPRIL4/1/2013 16.04/2/2013 4/4/2013 31.04/5/2013 4/6/2013 35.04/7/2013 4/8/2013 16.04/9/2013 4/11/2013 8.04/12/2013 12.04/13/2013 26.04/14/2013 4/15/2013 16.04/16/2013 4/18/2013 8.04/19/2013 12.04/20/2013 35.04/21/2013 4/22/2013 16.04/23/2013 4/24/2013 111.04/28/2013 4/29/2013 16.04/30/2013 MAY5/2/2013 36.05/3/2013 5/4/2013 35.05/5/2013 5/7/2013 16.05/8/2013 5/9/2013 82.05/12/2013 5/14/2013 16.05/15/2013 5/16/2013 13.05/17/2013 12.05/18/2013 26.05/19/2013 5/20/2013 26.05/21/2013 5/23/2013 36.05/24/2013 5/25/2013 9.0

DHA 8 (CONTINUED)NEw wATERFORD


HOURS DATE CLOSEDMAY (CONTINUED)5/26/2013 14.05/27/2013 16.05/28/2013 5/30/2013 31.05/31/2013 JUNE6/1/2013 35.06/2/2013 6/3/2013 16.06/4/2013 6/4/2013 16.06/5/2013 6/6/2013 16.06/7/2013 6/8/2013 14.06/9/2013 6/10/2013 16.06/11/2013 6/11/2013 16.06/12/2013 6/13/2013 26.06/14/2013 6/15/2013 35.06/16/2013 6/17/2013 14.06/18/2013 6/18/2013 14.06/19/2013 6/19/2013 19.06/20/2013 6/20/2013 14.06/21/2013 6/21/2013 14.06/22/2013 6/22/2013 38.06/24/2013 6/24/2013 14.06/25/2013 6/25/2013 14.06/26/2013 6/26/2013 14.06/27/2013 6/27/2013 14.06/28/2013 6/28/2013 86.0




HOURS DATE CLOSEDJULY7/2/2013 7/2/2013 14.07/3/2013 7/3/2013 14.07/4/2013 7/4/2013 14.07/5/2013 7/5/2013 62.07/8/2013 7/8/2013 14.07/9/2013 7/9/2013 14.07/10/2013 7/10/2013 14.07/11/2013 7/11/2013 14.07/12/2013 7/12/2013 14.07/13/2013 7/13/2013 62.07/16/2013 7/16/2013 14.07/17/2013 7/17/2013 14.07/18/2013 AUGUST8/1/2013 5.08/9/2013 10.08/17/2013 10.0SEPTEMBER9/2/2013 10.0OCTOBER10/12/2013 12.010/18/2013 12.0NOVEMBER11/8/2013 12.011/12/2013 12.011/15/2013 12.0



HOURS DATE CLOSEDDECEMBER12/23/2013 12.012/24/2013 12/24/2013 12.012/25/2013 12/25/2013 12.012/26/2013 JANUARY1/1/2014 12.0FEBRUARY2/1/2014 12.02/3/2014 12.0MARCH3/3/2014 12.03/8/2014 12.03/12/2014 12.03/15/2014 12.0TOTAL TEMPORARY 1674.0

DHA 8NORTHSIDE GENERAL


HOURS DATE CLOSEDAPRIL4/7/2013 16.04/8/2013 4/14/2013 13.04/17/2013 16.04/18/2013 4/21/2013 13.04/28/2013 16.04/29/2013 MAY5/1/2013 16.05/2/2013 5/4/2013 16.05/5/2013 5/5/2013 16.05/6/2013 JUNE6/19/2013 16.06/20/2013 JULY7/7/2013 26.07/8/2013 7/15/2013 16.07/16/2013 7/20/2013 16.07/21/2013 7/23/2013 16.07/24/2013 AUGUST8/6/2013 16.08/7/2013 8/7/2013 16.08/8/2013 8/9/2013 51.08/11/2013 8/13/2013 16.08/14/2013 8/22/2013 13.08/23/2013 8/25/2013 16.08/26/2013 8/30/2013 13.08/31/2013


DHA 8 (CONTINUED)NORTHSIDE GENERAL


HOURS DATE CLOSEDSEPTEMBER9/2/2013 16.09/3/2013 9/8/2013 16.09/9/2013 9/13/2013 36.09/15/2013 9/16/2013 16.09/17/2013 9/20/2013 16.09/21/2013 9/27/2013 16.09/28/2013 OCTOBER10/18/2013 16.010/19/2013 10/26/2013 26.010/27/2013 NOVEMBER11/10/2013 16.011/11/2013 11/15/2013 16.011/16/2013 11/17/2013 16.011/18/2013 11/23/2013 13.011/24/2013 16.011/25/2013 DECEMBER12/8/2013 16.012/9/2013 12/25/2013 16.012/26/2013 12/26/2013 16.012/27/2013 12/28/2013 12.012/29/2013 12/29/2013 16.012/30/2013

DHA 8 (CONTINUED)NORTHSIDE GENERAL


HOURS DATE CLOSEDJANUARY1/3/2014 16.01/4/2014 1/11/2014 13.01/12/2014 16.01/13/2014 1/20/2014 16.01/21/2014 FEBRUARY2/1/2014 16.02/2/2014 2/8/2014 12.02/9/2014 16.02/10/2014 2/16/2014 16.02/17/2014 2/18/2014 16.02/19/2014 2/22/2014 27.02/23/2014 MARCH3/2/2014 16.03/3/2014 3/7/2014 16.03/8/2014 3/10/2014 13.03/12/2014 16.03/13/2014 3/14/2014 16.03/15/2014 3/15/2014 16.03/16/2014 3/16/2014 16.03/17/2014 3/17/2014 16.03/18/2014 3/21/2014 16.03/22/2014 3/22/2014 27.03/23/2014 3/28/2014 16.03/29/2014 3/29/2014 16.03/30/2014 TOTAL TEMPORARY 1028.0

DHA 9TwIN OAkS MEMORIAL


HOURS DATE CLOSED4/27/2013 12.04/28/2013 5/7/2013 12.05/8/2013 8/14/2013 3.08/22/2013 12.08/25/2013 3.59/13/2013 2.0TOTAL TEMPORARY 44.5

Documents

AnnuAl AccountAbility RepoRt - Nova Scotia › DHW › publications › Annual...Annual Accountability Report On Emergency Departments – April 1 . 2013 - March 31 . 2014 5 musquoDoBoit