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Health PEI
Extended Care
• Extended Care – Restorative
– Convalescent
– Respite
– Palliative
Extended care is NOT long-term or acute care – Manors provide a home for our seniors who can no longer live independently and need access to medical supervision.
Health PEI
Re-focusing Community Hospitals
• Stewart Memorial Hospital will provide care for 23 long term care beds.
• Community Hospital O’Leary and Souris Hospital will provide extended care for patients who do not require the services of an acute care hospital.
• Western Hospital and Kings County Memorial Hospital will provide acute care.
• Prince County Hospital and Queen Elizabeth Hospital will remain our two centres of specialized acute services.
Health PEI
Collaborative Emergency Centre Modelfor Western Hospital, Alberton
• During the day 8 am - 8 pm the current emergency room model will continue
• Overnight 8 pm to 8 am – it will be a Collaborative Emergency Centre– Two health professionals onsite
– Two models being considered – nurse/paramedic and nurse/nurse
– In contact via telephone to an ER physician
Health PEI
8-1-1 Telehealth
• A free, confidential telephone service you can call to get health advice or general health information from a registered nurse.
• Experienced health advice 24 hours a day, 365 days a year.
• Available in multiple languages.
Health PEI
• Average daily census: 89
• 4,100 in-patients discharged
• 27,500 visits to Emergency Department
• 2,590 Surgeries
• C-Section Rate is 24.9% (Provincial is 29.5%)
PCH: Quick Stats 2011-12• 2,632 Endoscopy Clinic
• 4,882 Physiotherapy Clinic
• 461 Births
• 97% Patient Satisfaction Rate
• 86% OR Utilization Rate
Health PEI
• Second largest acute care hospital with 110 staffed beds.
• Acute Care Services: emergency, general medicine (adult and pediatric), surgical (day surgery and inpatient surgery), intensive care, intermediate care, progressive care, in-patient units (medical, surgical, maternity and child care, special care nursery, palliative care, restorative care, and mental health).
Profile: Prince County Hospital
Health PEI
• Ambulatory care services: endoscopy, minor surgery, oncology, nursing clinic, secondary stroke prevention clinic, rehabilitation services (physiotherapy and occupational therapy), nutrition counseling, cardio-pulmonary testing/treatment, asthma/COPD education, blood/specimen collection, health resource centre, mental health and addition services.
• Hemodialysis unit
• 467 FTE’s
• 420 Volunteers
Profile: Prince County Hospital continued…
Health PEI
Medical Staff• 8 Emergency Department
• 4 Psychiatry
• 5 Internal Medicine (1 vacant)
• 3 Obstetrics/Gynecology
• 3 Anesthesia
• 3 General Surgery
• 2 ENT
• 3 Pediatrics
• 22 Family Medicine
Health PEI
Where Prince County residents are being hospitalized
2011/12 Inpatient Market Share – All Programs
P
84%
15%
Patient Residence - East Prince
Prince County
Queen Elizabeth
45%
31%
11%
8%6%
Patient Residence - West Prince
Prince County
Western Hospital
Queen Elizabeth
Stewart Memorial
O'Leary
Health PEI
Inpatients Awaiting Beds (IAB)QEH / PCH
*Q4: Fourth quarter only reporting for Jan & Feb
11.512.2 12.1 12.5 11.9
1.9 2.03.1
2.3 2.3
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
Q1 Q2 Q3 Q4* FY
Daily Average Fiscal Avg
Inpatient Awaiting Beds FY 2012/13
QEH PCH
Health PEI
CURRENT Acute Care Bed Utilization(Medical Beds)
41
21
2930.7
29
13
18 17.3
0
5
10
15
20
25
30
35
40
45
QEH (70 beds) PCH (34 beds) Comm Hosp East (47 beds)
Comm Hosp West (48 beds)
# o
f B
ed
s
Occupied by Acute Pts Occupied by ALC Pts
Health PEI
Emergency Department Wait TimesPCH (Door to Doctor)
0.00
0.50
1.00
1.50
2.00
2.50
Ho
urs
April 1/12 to Mar 31/13
Resuscitation, Emergent, and Urgent Less and Non Urgent
Health PEI
PCH Occupancy Rates
80.6%85.0% 85.2%
0%
20%
40%
60%
80%
100%
2010/11 2011/12 2012/13*
Occupancy Rate
* Data reported for period Apr 1/12 to Feb 28/13)
Health PEI
PCH Utilization
64.64%
25.84%
6.37%2.37% 0.78%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
East Prince West Prince Queens Out of Province Kings
Discharges by Geographical Region PCH2011-12
Health PEI
Primary Care Networks (PCNs)
• Geographic areas with similar population size & equitable staff/resource allocation
• West Prince, East Prince, Queens West,
Queens East and Kings Networks
• Goals:
– enhance patient access
– integrate services
– provide accountability and sustainability of health
• Administrative and clinical staff work collaboratively
• Enhanced CDM initiatives reduced ED visits, reduced hospitalizations (& LOS) and improved clinical health outcomes
Health PEI
East Prince Primary Care Network (Summerside Area)
• Invested in intensive education for primary care nurses
• Initiated Advanced Clinical Access Project
• Enhanced chronic disease prevention and management (e.g., chronic obstructive pulmonary disease, INR, diabetes, and hypertension)
• Well-women’s clinics
• Obesity management at Harbourside / Kensington
• In planning stages of doing outreach to the Summerside Medical Centre
• Prescription refill appointments
• Shared rounds at PCH (opens up primary care appointments)
• Nurse practitioner working collaboratively with the team
Health PEI
Service improvements
will take effect in stages over the
next several months and Islanders will be
informed well in advance of service changes.
www.betteraccessbettercare.ca Toll Free: 1-800-236-5196
Health PEI
Operating on a long-term service contract with the Government of PEI
Over 140 Paramedics PCP, ICP, and ACP Paramedic Classifications 19 Units Multi-Patient Transports
Island EMS
Health PEI
• Dispatch center located on PEI MedacomAtlantic
• Standardized ambulance fleet and equipment
• A standardized scope of practice allows for paramedics to work under one medical advisor instead of the previous four
• This scope of practice will define the standards of care paramedics can use during treatment of patients
Standardized Care
Health PEI
Enhancements-Ambulance
• Service starts with a 911 call
– prior to hospital arrival
• Paramedics trained to assess, treat, manage
– Administer medications
– Online medical consultation
– Extensive scope
Health PEI
Enhancements: Ambulance
• Improved response times
– rural response times
• RRU (rapid response units)
– Highly Trained ACP
– SUV – medically equipped
– Located east and west
Health PEI
Ambulance Transfer Unit
• Interfacility transfer ambulance
• Support transfers between hospitals
• Improved bed flow/utilization
• Contributes to improved overall response
times
Health PEI
Health PEI Strategic Plan2012-2016
One Island health system supporting improved health for Islanders.
Health PEI
Goals
• Quality: Providing safe, quality, person-centered care.
• Access: Providing access to appropriate care by the right provider in the right setting.
• Efficiency: Optimizing resources and processes to sustain a viable health system.
Health PEI
Access Priorities
• Reducing wait-times in key areas:
– Primary care providers
– Long term-care
– Mental health and addiction services
– Elective surgeries
– Emergency services
• Improving access to care for vulnerable populations
Health PEI
Ongoing Priorities
• Shift from reliance on hospital-based services to community-based services.
• Renewed model of home-based services.
• Renewed model of community-based primary health care.
• Improved integration of acute and facility-based services to ensure using resources efficiently and effectively.