80
South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement April 10 th , 2013

South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Embed Size (px)

Citation preview

Page 1: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

South Island Health Status and Health Service Utilization

Grant Hollett and Jani UrquhartVancouver Island Health Authority

Planning and Community EngagementApril 10th, 2013

Page 2: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Disclaimer: Please Read• These indicators were chosen to provide a broad overview of health

status and utilization in the South Island region. There are many other indicators to take into account when planning services or programs.

• Please always check the date and source of data.• Please consider whether the data is a percentage or a rate.• Some indicators are influenced by small numbers. This can make a

small number of events look significant and sometimes result in an inflated rate.

Successful improvements in health can only come about with the involvement of an entire community. Partnering of community

organizations, all levels of government, and community members, is essential. VIHA can be a participant in such partnerships, but does not

necessarily play a primary role in addressing these issues.

Page 3: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

1. VIHA Overview2. CSC Boundary/Map3. Demographics4. Social Determinants of Health5. Health Status6. Health Services Utilization7. Community Services8. Service Overlap

Presentation Overview

Page 4: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

VIHA Overview

Page 5: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

776,000 population served (17% of BC)

18,500 health care professionals

1,800 physician partners

1,500 acute care beds

150+ facilities

$2 billion budget

56,000 kilometres squared

VIHA Quick Statistics

PEOPLE, IDEAS, Health Service Plan

Page 6: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement
Page 7: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement
Page 8: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Demographics

Page 9: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

<1 1-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-4

4

45-4

9

50-5

4

55-5

9

60-6

4

65-6

9

70-7

4

75-7

9

80-8

4

85-8

9

90+

Tota

l

-5%

0%

5%

10%

15% Sooke

VIHA

BC

Age Groups

Pro

po

rtio

n o

f P

op

ula

tio

n

<1 1-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-4

4

45-4

9

50-5

4

55-5

9

60-6

4

65-6

9

70-7

4

75-7

9

80-8

4

85-8

9

90+

Tota

l

-5%

0%

5%

10%

15% Saanich

VIHA

BC

Age Groups

Pro

po

rtio

n o

f P

op

ula

tio

n

Sooke

Saanich

Proportion of 2012 Population by 5-Year Age Groups Compared to

VIHA and BC

BC Statistics P.E.O.P.L.E. 2012

<1 1-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-4

4

45-4

9

50-5

4

55-5

9

60-6

4

65-6

9

70-7

4

75-7

9

80-8

4

85-8

9

90+

Tota

l

-5%

0%

5%

10%

15% South Island

VIHA

BC

Age Groups

Pro

po

rtio

n o

f P

op

ula

tio

nSouth Island

Page 10: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

2012 total population 2032 total population

54401 59743

2012 total population 2032 total population

68740 100456

2012 total population 2032 total population

123141 160199

Population Change 2012-2032

BC Statistics P.E.O.P.L.E. 2012

Page 11: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Greater

Victoria

Sooke

Saan

ich

Gulf Isla

nds

Cowichan

Lake C

owichan

Ladysm

ith

Nanaim

o

Qualicu

m

Alberni

Courtenay

Campbell

River

Vanco

uver Is

land W

est

Vanco

uver Is

land North

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

0%

4%

8%

12%

16%

20%

24%

28%

Aboriginal Population by VIHA Local Health Area

Total Aboriginal identity LHA % AboriginalVIHA Overall % Aboriginal BC Overall % Aboriginal

Tota

l Abo

rigin

al P

opul

ation

% o

f Pop

ulati

on Id

entifi

ed a

s Abo

rigin

al

Stats Canada - 2006 Census

Page 12: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Social Determinants of Health

Page 13: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Economic Status

Indicator Definition Sooke Saanich BC VIHAMedian Family Income1

Median family income from all sources in 2005 $73,652 $80,487 $65,787 $64,231

Income Assistance (IA)2

Percent of population aged 15+ receiving income assistance from provincial program

0.70% 0.50% 1.9% 1.9%

Unemployment Rate2

Percent of population aged 25 and over that are unemployed 2.60% 2.90% 5.1% 4.8%

1BC Statistics 2010 Profiles (2006 Census) 2 BC Statistics 2010 Profiles

Sooke Saanich$0

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

$70,000

$80,000

$90,000

Median Family IncomeBC VIHA

Sooke Saanich0%

1%

2%

Income AssistanceBC and VIHA

Sooke Saanich0%

1%

2%

3%

4%

5%

6%

Unemployment Rate BC VIHA

Page 14: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Education

Indicator Definition Sooke Saanich BC VIHA

18 Year Olds who Graduated1

Percent of 18 year olds who did graduate high school 63.4% 74.0% 71.0% 62.7%

Adults with Post-Secondary Education2

Percent of population aged 25 to 54 with post-secondary education 61.4% 67.0% 62.8% 61.7%

1BC Statistics 2010 Profiles (2007/08-2009/10) 22006 Census

Sooke Saanich0%

10%

20%

30%

40%

50%

60%

70%

80%

18 Year Olds Who GraduatedBC VIHA

Sooke Saanich0%

10%

20%

30%

40%

50%

60%

70%

80%

Adults with Post-Secondary EducationBC VIHA

Page 15: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Housing

Indicator Definition Sooke Saanich BC VIHA

Home Ownership Costs

Percent of home owners spending more than 30% of income on housing 23.2% 16.4% 22.7% 19.5%

Housing Rental Costs

Percent of renters spending more than 30% of income on rent 33.7% 42.3% 43.4% 44.5%

Crowded Households

Percent of private households with 6 or more persons 2.1% 2.2% 3.1% 1.6%

2006 Census

Sooke Saanich0%

5%

10%

15%

20%

25%

Home Ownership CostsBC VIHA

Sooke Saanich0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Rental CostsBC VIHA

Sooke Saanich0%

1%

2%

3%

4%

Crowded HouseholdsBC VIHA

Page 16: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Indicator Definition Sooke Saanich BC VIHA

Seniors Living Alone

Percent of persons aged 65 and over that are not in census families and are living alone

22.0% 23.7% 27.3% 29.2%

Lone-parent Families

Percent of census families in private households that are lone-parent families

25.2% 23.4% 25.7% 29.9%

Social Support

2006 Census

Sooke Saanich0%

5%

10%

15%

20%

25%

30%

35%

Seniors Living AloneBC VIHA

Sooke Saanich0%

5%

10%

15%

20%

25%

30%

35%

Lone-Parent FamiliesBC VIHA

Page 17: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Healthy Development

Indicator Definition Sooke Saanich BC VIHA

Children on Income Assistance1

Percent of children less than 19 years of age receiving income assistance 1.2% 0.80% 3.4% 3.9%

Children in Care1 Children in care per 1,000 children aged 0 to 18 years 13.9 7.2 9.2 13.4

Children in Need of Protection2

Reported children in need of protection rate per 1,000 children aged 0 to 18 years

7 3 6.7 11.3

1BC Ministry of Social Development, 2010; 2Ministry of Children and Family Development

Sooke Saanich0%

1%

2%

3%

4%

5%

Children on Income Assistance

BC VIHA

Sooke Saanich0

2

4

6

8

10

12

14

16

Children in CareBC VIHA

Sooke Saanich0

2

4

6

8

10

12

Children in Need of Protec-tion

BC VIHA

Page 18: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Child Health

Indicator Definition Sooke Saanich BC VIHA

Injury and Poisoning Hospitalizations1

Hospitalization rate per 1,000 children aged 0 to 14 3.8 5.0 4.6 5.3

Respiratory Diseases Hospitalizations1

Hospitalization rate per 1,000 children aged 0 to 14 8.9 13.7 8.3 10.2

Maternal Smoking2Percent of pregnant women who reported smoking at any time during their current pregnancy

15.0% 10.1% 9.6% 13.6%

1BC Statistics 2009-2010; 2BC Perinatal Program 2003/2004-2007/2008)

Sooke Saanich0

1

2

3

4

5

6

Injury & Poisoning Hos-pitalizations

BC VIHA

Sooke Saanich02468

10121416

Respiratory Disease Hospitalizations

BC VIHA

Sooke Saanich0%2%4%6%8%

10%12%14%16%

Maternal Smoking

BC VIHA

Page 19: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Crime

Indicator Definition Sooke Saanich BC VIHA

Alcohol Sales Per Capita1

Litres of alcohol sold per resident population aged 19 and older. High tourist areas will be overstated.

125 118 107 129

Serious Juvenile Crime Rate2

Juvenile crime rate per 1,000 population aged 12 to 17 (B&E, crimes with weapons and assaults with serious injury)

4.5 2.5 4.1 5.0

Serious Crime Rate2Total violent and property crime rate per 1,000 population

7.7 4.9 12.3 10.0

1BC Statistics Agency 2010; 2BC Statistics Agency 2007-2009

Sooke Saanich0

20

40

60

80

100

120

140

Alcohol Sales Per Capita

BC VIHA

Sooke Saanich0

1

2

3

4

5

6

Serious Juveline Crime Rate

BC VIHA

Sooke Saanich0

2

4

6

8

10

12

14

Serious Crime Rate

BC VIHA

Page 20: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Health Status

Page 21: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

BC Vital Statistics 2010 Report (2006-2010) Indicates statistically significant

Drug I

nduced Dea

ths

Medica

lly Tr

eatab

le Dise

ases

Circulat

ory Sy

stem

Digesti

ve Sy

stem

Alcohol R

elated

Deaths

Falls

Cancer

Respira

tory

Suicid

e

Motor Veh

icle

End/N

ut/Met

Disease

s

Diabete

s

Arterie

s/Arte

rioles

/Cap

illarie

s

Pneumonia

and In

fluenza

Lung C

ancer

Ischae

mic Hea

rt Dise

ase

Chronic L

ung Dise

ase

Cerebro

vascu

lar Dise

ase/St

roke

Total

Deaths

0

0.2

0.4

0.6

0.8

1

1.2

1.4

Sooke Standardized Mortality Ratios (SMR)

SookeVIHABC

Page 22: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

BC Vital Statistics 2010 Report (2006-2010) Indicates statistically significant

Drug I

nduced Dea

ths

Medica

lly Tr

eatab

le Dise

ases

Circulat

ory Sy

stem

Digesti

ve Sy

stem

Alcohol R

elated

Deaths

Falls

Cancer

Respira

tory

Suicid

e

Motor Veh

icle

End/N

ut/Met

Disease

s

Diabete

s

Arterie

s/Arte

rioles

/Cap

illarie

s

Pneumonia

and In

fluenza

Lung C

ancer

Ischae

mic Hea

rt Dise

ase

Chronic L

ung Dise

ase

Cerebro

vascu

lar Dise

ase/St

roke

Total

Deaths

0

0.2

0.4

0.6

0.8

1

1.2

1.4

Saanich Standardized Mortality Ratios (SMR)

Saanich

VIHA

BC

Page 23: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

BC Vital Statistics 2010 Report (2006-2010) Indicates statistically significant

Drug I

nduced Dea

ths

Medica

lly Tr

eatab

le Dise

ases

Circulat

ory Sy

stem

Digesti

ve Sy

stem

Alcohol R

elated

Deaths

Falls

Cancer

Respira

tory

Suicid

e

Motor Veh

icle

End/N

ut/Met

Disease

s

Diabete

s

Arterie

s/Arte

rioles

/Cap

illarie

s

Pneumonia

and In

fluenza

Lung C

ancer

Ischae

mic Hea

rt Dise

ase

Chronic L

ung Dise

ase

Cerebro

vascu

lar Dise

ase/St

roke

Total

Deaths

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

Sooke Potential Years of Life Lost Index (PYLLI)

SookeVIHABC

Page 24: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

BC Vital Statistics 2010 Report (2006-2010) Indicates statistically significant

Drug I

nduced Dea

ths

Medica

lly Tr

eatab

le Dise

ases

Circulat

ory Sy

stem

Digesti

ve Sy

stem

Alcohol R

elated

Deaths

Falls

Cancer

Respira

tory

Suicid

e

Motor Veh

icle

End/N

ut/Met

Disease

s

Diabete

s

Arterie

s/Arte

rioles

/Cap

illarie

s

Pneumonia

and In

fluenza

Lung C

ancer

Ischae

mic Hea

rt Dise

ase

Chronic L

ung Dise

ase

Cerebro

vascu

lar Dise

ase/St

roke

Total

Deaths

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

Saanich Potential Years of Life Lost Index (PYLLI)

SaanichVIHABC

Page 25: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Ministry of Health Primary Care Chronic Disease Registries 2009-2010

Prevalence of Chronic Conditions 2009/10

Depres

sion/A

nxiety

Hypert

ensio

n

Osteoart

hritis

Diabete

s

Ischae

mic Hea

rt Dise

ase

Chronic K

idney Dise

ase

Congesti

ve Hea

rt Fa

ilure

Chronic O

bstructi

ve Pulm

onary D...

Demen

tia

Rheumato

id Arthriti

s0%

5%

10%

15%

20%

25%

30%

Sooke

SookeVIHA

Depres

sion/A

nxiety

Hypert

ensio

n

Osteoart

hritis

Diabete

s

Ischae

mic Hea

rt Dise

ase

Chronic K

idney Dise

ase

Congesti

ve Hea

rt Fa

ilure

Chronic O

bstructi

ve Pulm

onary Di...

Demen

tia

Rheumato

id Arthriti

s0%

5%

10%

15%

20%

25%

30%

Saanich

SaanichVIHA

Page 26: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Health System Utilization

Page 27: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

BC Discharge Abstract Database (DAD) 2010/2011

Hospital Visits by LHA of Residence

Victoria General Hospi-tal

60%

Royal Jubilee Hospital34%

Saanich Peninsula Hospital

3%

Other VIHA Hospitals1%

Hospitals Outside VIHA

3%

Sooke Resident Cases by Hospital

Victoria General Hospital34%

Royal Jubilee Hospital34%

Saanich Peninsula Hospital

27%

Other VIHA Hospi-tals1%

Hospitals Outside VIHA

3%

Saanich Resident Cases by Hospital

Page 28: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Blue Matrix – Overview

• Developed by the Ministry of Health• Links patient data from multiple sources:

– All billing records (MSP)– Hospital discharge abstracts (DAD)– Home and community care datasets – Etc.

Page 29: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Blue Matrix Population Segments

PS00 Non User PS01 Healthy PS02 Adult Major Age 18+

PS03 Child and Youth Major <18

PS04 Low Complex Chronic Conditions

PS09 Severe Disability

PS08 Frail in the Community

PS07 Maternity and Healthy Newborns

PS06 Mental Health and Substance Use

PS05 Medium Complex Chronic Conditions

PS10 High Complex Chronic Conditions

PS11 Cancer

PS12 Frail in Care (in Residential Care)

PS13 End of Life

Page 30: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Population Segments

Ministry of Health Blue Matrix 2008/09

Page 31: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Population Segments

Ministry of Health Blue Matrix 2008/09

Page 32: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Population Segment Costs

Ministry of Health Blue Matrix 2008/09

Page 33: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Population Segment Costs

Ministry of Health Blue Matrix 2008/09

Page 34: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Cost Per Patient

Ministry of Health Blue Matrix 2008/09

Page 35: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Cost Per Patient

Ministry of Health Blue Matrix 2008/09

Page 36: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Acute Inpatient Utilization

Page 37: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Acute Inpatient Case Rates

Discharge Abstract Database (DAD) 2009/2011

Page 38: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Acute Inpatient Case Rates

Discharge Abstract Database (DAD) 2009/2011

Page 39: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Newborn Case Rates

Discharge Abstract Database (DAD) 2009/2011

Page 40: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Newborn Case Rates

Discharge Abstract Database (DAD) 2009/2011

Page 41: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Surgery Case Rates

Discharge Abstract Database (DAD) 2009/2011

Page 42: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Surgery Case Rates

Discharge Abstract Database (DAD) 2009/2011

Page 43: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Emergency Department Activity

Page 44: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Visit Rates

FirstNET 2009-2011

Page 45: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Visit Rates

FirstNET 2009-2011

Page 46: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Visits and Admissions by Presenting Complaint

FirstNET Feb-Oct 2012

Page 47: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Visits and Admissions by Presenting Complaint

Page 48: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Admissions by Presenting Complaint

FirstNET Feb-Oct 2012

Page 49: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Admissions by Presenting Complaint

FirstNET Feb-Oct 2012

Page 50: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Visits by CTAS Level: Resuscitative: Emergent: Urgent: Less Urgent: Non-urgent

Page 51: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Frequent ED Users – 2011/12

Number of ED Visits

496 Frequent Users (~2%)

FirstNET April 1,2011- March 31st, 2012

Frequent users = 6 or more visits

Page 52: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Frequent ED Users – 2011/12

Number of ED Visits

FirstNET April 1,2011- March 31st, 2012

Saanich: 312 Frequent Users (2.4%)Sooke: 184 Frequent Users (1.6%)

Frequent users = 6 or more visits

Page 53: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Community Services

Page 54: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Percent of MSP Services Received Locally

GP

Medical Specialist

Diagnostic Specialist

Non-Medical Practitioner0%

10%

20%

30%

40%

50%

60%

70%

80%

49%

15%

4%

44%

68%

44%

20%

68%62%

36%

21%

54%

South Island Region VIHA BC • Residents of the South Island Region received fewer MSP services locally than the average VIHA and BC resident in 2010/11

•Chiropractors•Naturopaths•Physical Therapy•Osteopathy•Oral Surgeons•Podiatrists•Optometrists

•Dental Surgeons•Oral Medicine•Orthodontists•Massage Practitioners•Acupuncture•Midwives

Non-Medical Practitioners:

MSP 2010/2011

Page 55: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Percent of MSP Services Received Locally

GP

Medical Specialist

Diagnostic Specialist

Non-Medical Practitioner0%

10%

20%

30%

40%

50%

60%

70%

37%

5%2%

47%

60%

24%

5%

41%

Sooke Saanich • On average, residents of Sooke received fewer MSP services locally than residents of Saanich in 2010/11

•Chiropractors•Naturopaths•Physical Therapy•Osteopathy•Oral Surgeons•Podiatrists•Optometrists

•Dental Surgeons•Oral Medicine•Orthodontists•Massage Practititoners•Acupuncture•Midwives

Non-Medical Practitioners:

MSP 2010/2011

Page 56: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Percent of MSP Services Received Locally

MSP Service Sooke Saanich South Island Region VIHA BC

GP 36.97% 60.06% 48.94% 68.23% 62.35%

Medical Specialist 4.67% 24.10% 15.36% 44.15% 36.27%

Diagnostic Specialist 1.90% 5.24% 3.87% 20.22% 21.00%

Non-Medical Practitioner 46.82% 41.17% 43.94% 67.78% 54.43%

MSP 2010/2011

Page 57: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Community MHAS Age Distribution<1

5

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-4

4

45-4

9

50-5

4

55-5

9

60-6

4

65-6

9

70-7

4

75-7

9

80-8

4

85-8

9

90+

0

50

100

150

200

250

300

350

-

5

10

15

20

25

30

35

40

45

MHAS Clients MHAS Clients per 1,000 Population

Age (Years)

MHA

S Cl

ient

s

MHA

S Cl

ient

s per

1,0

00 P

opul

ation

Highest rate of MHAS clients in population aged

25 to 29 years

ADT 2011/12

Page 58: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Community MHAS Age Distribution<1

515

-19

20-2

425

-29

30-3

435

-39

40-4

445

-49

50-5

455

-59

60-6

465

-69

70-7

475

-79

80-8

485

-89

90+

0

50

100

150

200

250

300

350

-

10

20

30

40

50

60

Sooke

Age (Years)

MH

AS

Clie

nts

MH

AS

Clie

nts

per 1

,000

Pop

ulati

on

ADT 2011/12

<15

15-1

920

-24

25-2

930

-34

35-3

940

-44

45-4

950

-54

55-5

960

-64

65-6

970

-74

75-7

980

-84

85-8

990

+

0

50

100

150

200

250

300

350

-

10

20

30

40

50

60

Saanich

Age (Years)

MH

AS

Clie

nts

MH

AS

Clie

nts

per 1

,000

Pop

ulati

on

Highest rate of MHAS clients in population 25-29 yrs in Sooke and

30-34 yrs in Saanich

Page 59: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Home Care Clients and Visits – 2011/12Per 1,000 Population

South Island Region

VIHA0

5

10

15

20

25

30

35

40

45

5046

29

Clie

nts

per 1

,000

Pop

ulati

on

South Island Region

VIHA0

100

200

300

400

500

600 567

305

Visi

ts p

er 1

,000

Pop

ulati

on

CCIMS 2011/12

Page 60: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Home Care Clients and Visits – 2011/12Per 1,000 Population

Sooke Saanich VIHA0

10

20

30

40

50

60

70

80

22

70

29

Clie

nts

per 1

,000

Pop

ulati

on

Sooke Saanich VIHA0

100

200

300

400

500

600

700

203

625

305

Visi

ts p

er 1

,000

Pop

ulati

on

CCIMS 2011/12

Page 61: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Home Care Clients and Visits – 2011/12 Rate per 1,000 75+ Population

South Island Region

VIHA0

50

100

150

200

250

300

350

400

348

206

Clie

nts

per 1

,000

Pop

ulati

on (7

5+)

South Island Region

VIHA0

500

1,000

1,500

2,000

2,500

3,000

3,500

3,010

1,999

Visi

ts p

er 1

,000

Pop

ulati

on (7

5+)

CCIMS 2011/12

Page 62: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Home Care Clients and Visits – 2011/12 Rate per 1,000 75+Population

Sooke Saanich VIHA0

50

100

150

200

250

300

350

400

261

376

206

Clie

nts

per 1

,000

Pop

ulati

on (7

5+)

Sooke Saanich VIHA0

500

1,000

1,500

2,000

2,500

3,000

3,500

2,262

3,273

1,999

Visi

ts p

er 1

,000

Pop

ulati

on (7

5+)

CCIMS 2011/12

Page 63: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Service Overlap

Page 64: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Total LTC and Home Care Users: 2,094

Service OverlapSooke and Saanich Residents Using Service in 2011/12

LTC/HC Users: 1,964

Community MHAS Users: 2,200

HCC / ED Users: 96

ED / MHAS Users: 52

HCC / MHAS Users: 30

ED / MHAS / HCC Users: 4

Total Community MHAS Users: 2,286

MHAS = 2,286 Users; LTC/HC = 2,094 Users; Frequent ED = 478 Users; Total = 4,672 Users

Total Users: 4,672

Total Frequent ED Users (6+ Visits): 478

ED Users: 326

Page 65: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

• On average, a younger population in Sooke, and an older population in Saanich compared to VIHA and BC

• Compared to VIHA and BC:– Sooke and Saanich fair better on all economic indicators– Sooke has a lower % of 18 year olds who graduated (compared to BC only)– Fewer seniors living alone and lone-parent families in both LHAs– Lower % of children on income assistance in both LHAs– Saanich has a higher rate of respiratory disease hospitalizations in children– Sooke has a higher rate of maternal smoking– Lower serious crime rate in both LHAs

Preliminary Observations

Page 66: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

• SMR and PYLLI in both Sooke and Saanich are generally lower than VIHA and BC, many in Saanich were statistically significantly lower

• Compared to VIHA, South Island had:• Lower acute inpatient case rates• Higher newborn case rates• Similar day and inpatient surgery case rates• Lower rates of ED visits and admissions, but higher ED

admission rates for mental health, substance misuse, Ob and/or Gyn, general and minor and ENT

• Fewer residents receiving services locally• Higher home care clients and visits overall in both age cohorts

• Highest volume of Community MHAS clients was in the 20-24 age group but highest rate of MHAS clients in pop. aged 25-29

Preliminary Observations cont’d…

Page 67: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Questions?

Jani Urquhart (Analyst): [email protected] Grant Hollett (Corporate Director): [email protected]

Page 68: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

5,300 residential care clients

1,050 assisted living clients

800 visits to the emergency room

177 acute admissions to hospital

170 surgeries

54 MRIs and 270 CT scans

18 deaths and 17 newborns

4,800 home support clients (7,722 hours)

Day in the Life of VIHA…

Page 69: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Sooke Birth Statistics

[1] Rank in VIHA refers to the rank of all VIHA LHAs, where 1 is the most instances occurring and 14 is the fewest.

Birth Rates Sooke VIHA % Difference Rank in VIHA BC % Difference

Elderly Gravida 190.45 199.02 -4% 5 226.55 -16%

Low Birth Weight 47.20 50.75 -7% 11 55.50 -15%

Infant Death 3.05 4.54 -33% 13 3.77 -19%

Teen Mother 27.48 45.26 -39% 13 32.67 -16%

Cesarean 363.41 300.49 21% 1 308.56 18%

Preterm 69.68 76.90 -9% 10 75.21 -7%

Stillbirth 4.97 8.43 -41% 12 9.12 -45%

Live Birth 11.08 8.51 30% 2 9.93 12%

Source: BC Vital Statistics Annual Report, 2010 (Avg. 2006-2010)

Page 70: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Saanich Birth Statistics

[1] Rank in VIHA refers to the rank of all VIHA LHAs, where 1 is the most instances occurring and 14 is the fewest.

Birth Rates Saanich VIHA % Difference Rank in VIHA BC % Difference

Elderly Gravida 242.05 199.02 22% 3 226.55 7%

Low Birth Weight 58.46 50.75 15% 1 55.50 5%

Infant Death 4.10 4.54 -10% 11 3.77 9%

Teen Mother 37.44 45.26 -17% 10 32.67 15%

Cesarean 299.49 300.49 0% 4 308.56 -3%

Preterm 87.18 76.90 13% 5 75.21 16%

Stillbirth 6.12 8.43 -27% 11 9.12 -33%

Live Birth 6.16 8.51 -28% 12 9.93 -38%

Source: BC Vital Statistics Annual Report, 2010 (Avg. 2006-2010)

Page 71: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Visits by Presenting Complaint

FirstNET Feb-Oct 2012

Page 72: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Visits by Presenting Complaint

FirstNET Feb-Oct 2012

Page 73: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Frequent User Presenting Complaints

Page 74: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Frequent User Complaint Groups

Page 75: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Visits by Time of Day: Resuscitative: Emergent: Urgent: Less Urgent: Non-urgent

Page 76: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

ED Visits by Day of Week: Resuscitative: Emergent: Urgent: Less Urgent: Non-urgent

Page 77: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Home Support Clients and Service Days (2011/12) Per 1,000 Population

South Island Region

VIHA0

20

40

60

80

100

120

140130

91

Clie

nts p

er 1

,000

Pop

ulati

on

South Island Region

VIHA0

500

1000

1500

2000

2500 2,320

1,514

Serv

ice

Days

per

1,0

00 P

opul

ation

CCIMS 2011/12

Page 78: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Home Support Clients and Service Days (2011/12) Per 1,000 Population

Sooke Saanich VIHA0

50

100

150

200

250

70

198

91

Clie

nts p

er 1

,000

Pop

ulati

on

Sooke Saanich VIHA0

500

1000

1500

2000

2500

3000

3500

4000

1,314

3,439

1,514

Serv

ice

Days

per

1,0

00 P

opul

ation

CCIMS 2011/12

Page 79: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Home Support Clients and Service Days (2011/12) Per 1,000 Population (75+)

South Island Region

VIHA0

200

400

600

800

1000

12001116

513

Clie

nts p

er 1

,000

Pop

ulati

on (7

5+)

South Island Region

VIHA0

5000

10000

15000

20000

25000

21,305

9,201

Serv

ice

Days

per

1,0

00 P

opul

ation

(75+

)

CCIMS 2011/12

Page 80: South Island Health Status and Health Service Utilization Grant Hollett and Jani Urquhart Vancouver Island Health Authority Planning and Community Engagement

Home Support Clients and Service Days (2011/12) Per 1,000 Population (75+)

Sooke Saanich VIHA0

200

400

600

800

1000

1200

10821130

513

Clie

nts p

er 1

,000

Pop

ulati

on (7

5+)

Sooke Saanich VIHA0

5000

10000

15000

20000

25000

21,498 21,224

Serv

ice

Days

per

1,0

00 P

opul

ation

(75+

)

CCIMS 2011/12