Medicine, Complex Continuing Care, and Rehab. Community Forum Presentation

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1 H Medicine, Complex Continuing Care, and Rehab Community Forum Presentation

2 Complex Continuing Care Who are our Complex Continuing Care Patients Currently? Patients waiting for Long Term Care beds Patients that are end of life palliative Patients that have medically complex needs (tracheotomies, feeding through tubes) Patients that are no longer acutely ill but require some time to regain their strength and improve their ability to manage independently when they leave the hospital Patients that require rehabilitation with longer, less intense therapy needs (slow stream rehab) Current Number of Complex Continuing Care Beds and Occupancy 12 beds Average number of patients over 5 years 5.72 patients 47% occupancy Over the past 2 years (2013/2014) 1-3 patients 18% occupancy

3 In Patient Rehabilitation Who are our In Patient Rehabilitation Patients Currently? Patients who have had a stroke Patients that have had joint replacements Patients that require targeted rehab for a variety of conditions Current Number of In Patient Rehabilitation Beds and Occupancy 5 beds Average number of patients over 5 years 1.7 patients 34%occupancy Over the past 2 years (2013/2014) 1-3 patients 40% occupancy

4 Medicine Who are our Medicine Patients Currently? Patients who become ill because of a chronic disease Patients who become ill as a result of a variety of issues that require closer monitoring, more intense treatment, or medications that are better managed in the hospital than in the community Current Number of Medicine Beds and Occupancy 22 beds Average number of patients over 5 years 14.7 patients 66%occupancy Over the past 2 years (2013/2014) patients 66% occupancy

5 # of Patients WDH Census / / / / /14 Medicine CCC Rehab Total Average Census Page 5

6 Access to Care A provincial process to improve access to services in the health care system The South West Local Health Integration Network (LHIN)and the organizations within the LHIN are undertaking a review of a variety of services and programs to improve access to care for patients: The number of Complex Continuing Care beds, the location, and how they are used The number of Rehabilitation Beds, the location, and how they are used How stroke patients are managed in our LHIN and the practices that are used to support patients to have the best outcomes Community services available, the location, and how they are used We are also implementing Home first in an effort to ensure that patients have the opportunity to make life changing decision (placement in LTC) Development of standards of care that are based on evidence

7 Changes at WDH Complex Continuing Care (CCC) In 2015/2016 the number of CCC beds will be reduced from 12 to 5 These are unoccupied beds therefore no impact to patients Patients will be assessed by Community Care Access Centre to determine eligibility for CCC beds (patient s waiting for Long Term Care will not be eligible) CCC beds will become part of the system meaning patients throughout the LHIN can access the beds if they are eligible We will need to maintain a 93% occupancy rate We will review and improve our program for patients with an emphasis on therapy services

8 Changes at WDH In Patient Rehabilitation Beds There is no change to the number of Rehabilitation beds, they will remain at 5 Patients will be assessed by Community Care Access Centre to determine eligibility for Rehab beds Rehab beds will become part of the system meaning patients throughout the LHIN can access the beds if they are eligible We will need to maintain an occupancy rate of 87% Rehab will focus on general rehab. In the future, stroke patients will be managed at a District Stroke Centre (Please note this is still in the planning stages when more information is available it will be shared) We will review and improve our program for patients with an emphasis on therapy services

9 Changes at WDH Medicine Staffing adjustment to census (2014/2015) One team and consolidated team station Redevelopment to improve team station function

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