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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. Disclaimer: Please Read.

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South island health status and health service utilization

South Island Health Status and Health Service Utilization

Grant Hollett and Jani Urquhart

Vancouver Island Health Authority

Planning and Community Engagement

April 10th, 2013


Disclaimer please read
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.


Presentation overview
Presentation Overview

  • VIHA Overview

  • CSC Boundary/Map

  • Demographics

  • Social Determinants of Health

  • Health Status

  • Health Services Utilization

  • Community Services

  • Service Overlap



VIHA Quick Statistics

776,000 population served (17% of BC)

56,000kilometres squared

18,500 health care professionals

1,800 physician partners

1,500 acute care beds

150+ facilities

$2 billion budget

PEOPLE, IDEAS, Health Service Plan



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

Sooke

South Island

Saanich

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


Population Change 2012-2032 to VIHA and BC

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



Economic status
Economic Status to VIHA and BC

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


Education
Education to VIHA and BC

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


Housing
Housing to VIHA and BC

2006 Census


Social support
Social Support to VIHA and BC

2006 Census


Healthy development
Healthy Development to VIHA and BC

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


Child health
Child Health to VIHA and BC

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


Crime
Crime to VIHA and BC

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


Health status
Health Status to VIHA and BC


to VIHA and BCIndicates statistically significant

BC Vital Statistics 2010 Report (2006-2010)


to VIHA and BCIndicates statistically significant

BC Vital Statistics 2010 Report (2006-2010)


to VIHA and BCIndicates statistically significant

BC Vital Statistics 2010 Report (2006-2010)


to VIHA and BCIndicates statistically significant

BC Vital Statistics 2010 Report (2006-2010)


Prevalence of chronic conditions 2009 10
Prevalence of Chronic Conditions 2009/10 to VIHA and BC

Ministry of Health Primary Care Chronic Disease Registries 2009-2010



Hospital visits by lha of residence
Hospital Visits by LHA of Residence to VIHA and BC

BC Discharge Abstract Database (DAD) 2010/2011


Blue matrix overview
Blue Matrix – Overview to VIHA and BC

  • 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.


Blue matrix population segments
Blue Matrix Population Segments to VIHA and BC

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


Population segments
Population Segments to VIHA and BC

Ministry of Health Blue Matrix 2008/09


Population Segments to VIHA and BC

Ministry of Health Blue Matrix 2008/09


Population Segment Costs to VIHA and BC

Ministry of Health Blue Matrix 2008/09


Population Segment Costs to VIHA and BC

Ministry of Health Blue Matrix 2008/09


Cost Per Patient to VIHA and BC

Ministry of Health Blue Matrix 2008/09


Cost Per Patient to VIHA and BC

Ministry of Health Blue Matrix 2008/09



Acute Inpatient Case Rates to VIHA and BC

Discharge Abstract Database (DAD) 2009/2011


Acute Inpatient Case Rates to VIHA and BC

Discharge Abstract Database (DAD) 2009/2011


Newborn Case Rates to VIHA and BC

Discharge Abstract Database (DAD) 2009/2011


Newborn Case Rates to VIHA and BC

Discharge Abstract Database (DAD) 2009/2011


Surgery Case Rates to VIHA and BC

Discharge Abstract Database (DAD) 2009/2011


Surgery Case Rates to VIHA and BC

Discharge Abstract Database (DAD) 2009/2011



ED Visit Rates to VIHA and BC

FirstNET 2009-2011


ED Visit Rates to VIHA and BC

FirstNET 2009-2011


ED Visits and Admissions by Presenting Complaint to VIHA and BC

FirstNET Feb-Oct 2012



ED Admissions by Presenting Complaint to VIHA and BC

FirstNET Feb-Oct 2012


ED Admissions by Presenting Complaint to VIHA and BC

FirstNET Feb-Oct 2012


ED Visits by CTAS Level to VIHA and BC

: Resuscitative

: Emergent

: Urgent

: Less Urgent

: Non-urgent


Frequent ED Users – 2011/12 to VIHA and BC

Frequent users = 6 or more visits

496 Frequent Users (~2%)

Number of ED Visits

FirstNET April 1,2011- March 31st, 2012


Frequent ED Users – 2011/12 to VIHA and BC

Frequent users = 6 or more visits

Saanich: 312 Frequent Users (2.4%)

Sooke: 184 Frequent Users (1.6%)

Number of ED Visits

FirstNET April 1,2011- March 31st, 2012


Community services
Community Services to VIHA and BC


Percent of msp services received locally
Percent of MSP Services Received Locally to VIHA and BC

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

Non-Medical Practitioners:

  • Chiropractors

  • Naturopaths

  • Physical Therapy

  • Osteopathy

  • Oral Surgeons

  • Podiatrists

  • Optometrists

  • Dental Surgeons

  • Oral Medicine

  • Orthodontists

  • Massage Practitioners

  • Acupuncture

  • Midwives

MSP 2010/2011


Percent of msp services received locally1
Percent of MSP Services Received Locally to VIHA and BC

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

Non-Medical Practitioners:

  • Chiropractors

  • Naturopaths

  • Physical Therapy

  • Osteopathy

  • Oral Surgeons

  • Podiatrists

  • Optometrists

  • Dental Surgeons

  • Oral Medicine

  • Orthodontists

  • Massage Practititoners

  • Acupuncture

  • Midwives

MSP 2010/2011


Percent of msp services received locally2
Percent of MSP Services Received Locally to VIHA and BC

MSP 2010/2011


Community mhas age distribution
Community MHAS Age Distribution to VIHA and BC

Highest rate of MHAS clients in population aged 25 to 29 years

ADT 2011/12


Community mhas age distribution1
Community MHAS Age Distribution to VIHA and BC

Highest rate of MHAS clients in population 25-29 yrs in Sooke and 30-34 yrs in Saanich

ADT 2011/12


Home care clients and visits 2011 12 per 1 000 population
Home Care Clients and Visits – 2011/12 to VIHA and BCPer 1,000 Population

CCIMS 2011/12


Home care clients and visits 2011 12 per 1 000 population1
Home Care Clients and Visits – 2011/12 to VIHA and BCPer 1,000 Population

CCIMS 2011/12


Home care clients and visits 2011 12 rate per 1 000 75 population
Home Care Clients and Visits – 2011/12 to VIHA and BC Rate per 1,000 75+ Population

CCIMS 2011/12


Home care clients and visits 2011 12 rate per 1 000 75 population1
Home Care Clients and Visits – 2011/12 to VIHA and BC Rate per 1,000 75+Population

CCIMS 2011/12


Service overlap
Service Overlap to VIHA and BC


Service overlap sooke and saanich residents using service in 2011 12
Service Overlap to VIHA and BCSooke and Saanich Residents Using Service in 2011/12

ED / MHAS Users: 52

ED Users: 326

Total Frequent ED Users (6+ Visits): 478

Community MHAS Users: 2,200

Total Community MHAS Users: 2,286

ED / MHAS / HCC Users: 4

HCC / ED Users: 96

LTC/HC Users: 1,964

Total LTC and Home Care Users: 2,094

Total Users: 4,672

HCC / MHAS Users: 30

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


Preliminary Observations to VIHA and BC

  • 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 cont d
Preliminary Observations cont’d… to VIHA and BC

  • 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


Questions
Questions? to VIHA and BC

Jani Urquhart (Analyst): [email protected]

Grant Hollett (Corporate Director): [email protected]


Day in the life of viha
Day in the Life of VIHA… to VIHA and BC

5,300 residential care clients

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

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 17newborns


Sooke birth statistics
Sooke Birth Statistics to VIHA and BC

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


Saanich birth statistics
Saanich Birth Statistics to VIHA and BC

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


ED Visits by Presenting Complaint to VIHA and BC

FirstNET Feb-Oct 2012


ED Visits by Presenting Complaint to VIHA and BC

FirstNET Feb-Oct 2012




ED Visits by Time of Day to VIHA and BC

: Resuscitative

: Emergent

: Urgent

: Less Urgent

: Non-urgent


ED Visits by Day of Week to VIHA and BC

: Resuscitative

: Emergent

: Urgent

: Less Urgent

: Non-urgent


Home support clients and service days 2011 12 per 1 000 population
Home Support Clients and Service Days (2011/12) to VIHA and BCPer 1,000 Population

CCIMS 2011/12


Home support clients and service days 2011 12 per 1 000 population1
Home Support Clients and Service Days (2011/12) to VIHA and BCPer 1,000 Population

CCIMS 2011/12


Home support clients and service days 2011 12 per 1 000 population 75
Home Support Clients and Service Days (2011/12) to VIHA and BCPer 1,000 Population (75+)

CCIMS 2011/12


Home support clients and service days 2011 12 per 1 000 population 751
Home Support Clients and Service Days (2011/12) to VIHA and BCPer 1,000 Population (75+)

CCIMS 2011/12


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