Kitchener-Waterloo-Wilmot-Wellesley-Woolwich (KW4) Sub-region Geography Data Analysis 1
DEMOGRAPHICS Total Population (2013) 391,521 Kitchener 231,482 Waterloo 104,165 Wilmot 20,240 Wellesley 11,216 Woolwich 24,418 # Seniors (65+) 51,437 Kitchener 29,456 Waterloo 13,633 Wilmot 3,332 Wellesley 1,166 Woolwich 3,850 % Seniors (65+) 13.1% Kitchener 12.7% Waterloo 13.1% Wilmot 16.5% Wellesley 10.4% Woolwich 15.8% % Rural Area Population 6.2% % Large Population 85.7% Source: 2011 Census, 2011 National Household Survey Land Area (sq.km) 1,068 MENNONITE POPULATIONS LIVING IN RURAL WATERLOO WELLINGTON Source: Waterloo Wellington Local Integration Network Rural Care Review Final report Jan 19, 2010; 2006 Census NUMBER OF MENNONITES % OF TOTAL POPULATION KW4 Sub-region WILMOT 1,835 12.4% WELLESLEY 4,175 44.6% WOOLWICH 4,270 24.0% 2
SOCIODEMOGRAPHIC PROFILE Sociodemographic factors are characteristics of a population that can affect a person s or a community s access to services and health outcomes. SOCIAL DETERMINANTS KW4 Residents WWLHIN Residents No Knowledge of English or French, # (%) 5870 (1.6%) 9,945 (1.4%) Range within municipalities (low to high) (0.1% - 4.0%) French as mother tongue (%) 5360 (1.5%) 10,515 (1.5%) Range within municipalities (low to high) (0.6%-1.6%) # who are immigrants (%) 84,940 (23.3%) 146,570 (20.5%) # of new immigrants (%) (2006-2011) 13,285 (3.6%) 18,830 (2.6%) Municipality where majority of new immigrants settle Kitchener and Waterloo (97%) # who self-identify as Aboriginal (%) 4,325 (1.2%) 10,180 (1.4%) Municipality where most Aboriginal people live in sub-region Kitchener % over 15 yrs of age in the Labour Force? 69.8% 69.8% # Unemployed (%) 13,760 (6.6%) 27,315 (6.7%) Municipality with the highest proportion of their population unemployed Kitchener (7.1%) and Waterloo (7.2%) % Without certificate, degree, or diploma 11.4% 12.3% Municipality with the highest proportion of their population without certificate, degree or diploma Municipalities of Woolwich(34.7%) and Wellesley (17.6%) % with post-secondary education 64.2% 62.0% Municipality with the highest proportion of their population with post secondary education Waterloo (75.5%) Average household income $86,540 $85,919 Range (High & Low) by municipality Woolwich- $113,678; Kitchener $76,770 # living below the low-income cut off (%) 43,600 (11.9%) 82,100 (11.5%) Municipality with the highest proportion of people living below the low-income cut off Wellesley and Kitchener % Seniors living below the low-income cut off 7.1% 6.6% # living alone (%) 34,800 (9.5%) 64,405 (9.0%) # Households in need of major repair (%) 6,820 (4.8%) 14,390 (5.3%) Source: 2011 Census, 2011 National Household Survey 3
HEALTH STATUS KW4 Residents WWLHIN Residents Complex Patients Complex Patients (% of total population) 12,620 27,260 (2013/14) *** Proportion of total population complex 3% 4% Complex Patients Female (% of complex) 6500 (51.5%) 14,130 (51.8%) Complex Patients Male (% of complex) 6120 (48.5%) 13,135 (48.2%) Complex Patients 65 years+ (% of complex) 7455 (59.1%) 16,320 (59.9%) Proportion of 65+ yrs population who are complex 14.5% 15.8% Chronic Conditions (2014/15) Rate of Mental Visits (2014/15), All Ages 20+ * 8.8 8.6 Rate of Diabetes (2014/15), All Ages 20+ * 8.8 9.0 Rate of Asthma (2014/15), All Ages 20+ * 11.9 12.6 Rate of High Blood Pressure (2014/15), All Ages 20+ * 18.8 19.2 Rate of Chronic Obstructive Pulmonary Disease (COPD) (2014/15), All Ages 35+ * 7.2 8.5 HEALTH CARE UTILIZATION AND PERFORMANCE Care Utilization Emergency visits (2014/15) 113,920 276,869 Emergency visit rate per 1,000 population 290.7 361.4 Acute separations ** (2014/15) 22,718 49,527 Acute separation rate per 1,000 population 58.0 64.7 Number of Long-term Care (LTC) Homes 16 36 Long-term Care (LTC) beds (as of March 2014) 1,990 4,110 LTC beds per 1,000 population (age 75+) 86.2 89.6 Active home care cases (2012) 19,466 40,060 Active home care case rate per 1,000 population 49.7 52.3 Care System Performance 30-day hospital readmissions (Number, (Rate)) (2015/16 Q2) 559 (8.3%) 1,265 (9.1%) Repeat Unscheduled Emergency Visits Within 30 Days for Mental 2015 (17.1%) 419 (17.4%) Conditions (Number, (Rate)) (2015/16 Q3) Repeat Unscheduled Emergency Visits Within 30 Days for Substance Abuse 136 (26.1%) 254 (24.1%) Conditions (Number, (Rate)) (2015/16 Q3) Emergency visits for conditions best managed elsewhere for WW residents 512 (1.4) 2,127 (3.0) (Number, Rate per 1,000) (2015/16 Q3) Percent of days spent in acute care beds when should be receiving their care in a more appropriate location (ALC) (2015/16 Q3) 8.9% 10.6% * Age-Standardized ** Acute separations are when a person leaves a hospital because of: discharge, death, sign-out against medical advice or transfer. *** Complex Patients are residents with 4 or more chronic and/or high cost conditions as defined by the Analytics Branch. Source: Analytics Branch, 2016 (2011 Census, 2011 National House hold Survey, Discharge Abstract Database, Ontario Mental Reporting System, National Ambulatory Care Reporting System, Continuing Care Reporting System) / Chronic Conditions Source: OHIP claims; Ontario Diabetes Database; Disease registries, ICES 4
Dimensions of Marginalization (Based on ON-Marg index*) Source: Analtyics Branch, 2015 Material deprivation (1 = least deprived; 5 = most deprived) Residential instability (1 = least unstable; 5 = most unstable) Ethnic concentration (1 = low concentration; 5 = high concentration) 1 5 1 5 1 5 *The Ontario Marginalization Index (ON-Marg) uses census data from 2001 and 2006 to illustrate levels of marginalization across the province. ON-Marg focuses on four dimensions that contribute to the process of marginalization: residential instability, material deprivation, dependency and ethnic concentration. For more information on the variables included in each dimension, or the methods and limitations, please see: [http://www.torontohealthprofiles.ca/onmarg/userguide_data/on-marg_user_guide_1.0_final_may2012.pdf] WHERE ARE KW4 RESIDENTS ACCESSING EMERGENCY AND ACUTE CARE? Acute Care Discharges, KW4 residents, by location of stay (Fiscal Year (FY) 2015-16) WWLHIN Acute Stays Emergency Department visits, KW4 residents, by location of visit (FY 2015-16) WWLHIN ED Visits 5 OUT OF LHIN Acute Stays OUT OF LHIN ED Visits Majority to which hospital(s) or external LHIN? KITCHENER 88.20% 11.80% Grand River Hospital WATERLOO 87.80% 12.20% Grand River Hospital WILMOT 77.27% 22.73% Grand River Hospital WELLESLEY 70.32% 29.68% Grand River Hospital WOOLWICH 84.49% 15.51% Grand River Hospital KW4 Total 86.99% 13.01% Discharge Abstract Database, Intellihealth; WWDSC Majority to which hospital(s) or external LHIN? KITCHENER 93.64% 6.36% Grand River Hospital and St Mary's Hospital WATERLOO 92.61% 7.39% Grand River Hospital and St Mary's Hospital WILMOT 63.32% 36.68% Grand River Hospital and St Mary s Hospital WELLESLEY 58.39% 41.61% Grand River Hospital and St Mary's Hospital WOOLWICH 86.16% 13.84% Grand River Hospital and St Mary's Hospital KW4 Total 90.90% 9.10% Data Source: National Ambulatory Care Registry, Intellihealh; WWDSC HEALTH HUMAN RESOURCES Comprehensive Primary Care Providers* by Sub-Region Number of Physicians Rate of Physicians per 100,000 Number of Physicians with Access to Inter-disciplinary Teams (CHC & FHT model) ** Rate of Physicians with Access to Inter-disciplinary Teams per 100,000 people (CHC & FHT model) ** KW4 245 62.6 46 11.7 KITCHENER 157 67.8 34 14.7 WATERLOO 68 65.3 2 1.9 WILMOT 4 19.8 0 0.0 WELLESLEY 5 44.6 5 44.6 WOOLWICH 11 45.0 5 20.5 *Excludes physicians in the following practice models: hospitalists, locums, walk- in clinics, student health services, public health,focused practice (cosmetic, sports med) ** CHC: Community ; FHT: Family Team Source: Force Ontario, 2016 (MOHLTC GP List June 2016; CPSO - - Doctor Registry http://www.cpso.on.ca/-) ; Register/All-Doctors-Search; WWLHIN Primary Care Capacity Review 2014
Kitchener-Waterloo-Wilmot-Wellesley-Woolwich Kitchener, Waterloo, Wellesley, Wilmot (KW4) (KW4) Service Providers Community Care Access Communtiy Long Term Care Family Team Nurse Practitioner Led Clinic CCAC CHC Sub-region Geographies Sub-region Geographies Wellington Wellington Kitchener, Waterloo, Wellesley, Wilmot (KW4) Kitchener, Waterloo, Wellesley, Wilmot (KW4) Service Providers Service Providers Service Providers develop Quality Improvement Plans (QIP) Community Carewho Access Community Care Access Community Care Access Communtiy Communtiy Communtiy Long Term Care Long Care Long Term Term Care Family Family Team Team Family Team Nurse Practitioner LedLed ClinicClinic Nurse Practitioner Nurse Practitioner Led Clinic 6 Sub-region Geographies Wellington hospit Kitchener, Waterloo, Wellesley, Wilmot (KW Service Providers Community Care Access Communtiy Long Term Care Family Team Nurse Practitioner Led Clinic CCAC
HEALTH SERVICE PROVIDERS LOCATED IN KW4 AREA Primary Care Total Number of Primary Care Physicians: 245 Family Teams New Vision FHT for Family Medicine FHT Mango Tree FHT Community Kitchener Downtown CHC Woolwich CHC Waterloo Region Nurse Practitioner Led Clinic Community Care Access Acute St. Mary s General Hospital Grand River Hospital Long Term Care A.R. Goudie Eventide Home Chateau Gardens Elmira Long-term Care Columbia Forest Long-term Care Derbecker s Heritage House Forest Heights Long Term Care Lanark Heights Long Term Care Barnswallow Place Community Care Nithview Community Parkwood Mennonite Home Pinehaven Nursing Home Sunnyside Home Trinity Village Care Twin Oaks of Maryhill The Village of Winston Park Nursing Home The Village at University Gates The Westmount Community Mental Carizon Canadian Mental Assoc. Waterloo Wellington Dufferin Dunara Homes for Recovery Grand River Hospital (MSAA) House of Friendship Portage Ray of Hope St. Mary s General Hospital Stonehenge Therapeutic Community Waterloo Regional Homes for Mental Community Support Services Alzheimer Society of Waterloo Wellington City of Kitchener City of Waterloo Canadian National Institute for the Blind Community Care Concepts of Woolwich, Wellesley and Wilmot Community Support Connections - Meals on Wheels and More Fairview Mennonite Home Hospice Waterloo Hospice Wellington Independent Living of Waterloo Region K-W Seniors Day Program The Working (K-W Working for the Unemployed) Sunnyside - Region of Waterloo Traverse Independence Not-For-Profit Trinity Village Care University of Waterloo, for Sight Enhancement Source: MOHLTC, 2012 - WWLHIN 2016 Waterloo Wellington Local Integration Network 50 Sportsworld Crossing Road, East Building, Suite 220, Kitchener, Ontario N2P 0A4 Local: 519-650-4472 Toll-Free: 1-866-306-LHIN (5446) Fax: 519-650-3155 Website: wwlhin.on.ca Email: waterloowellington@lhins.on.ca Waterloo Wellington Local Integration Network Waterloo Wellington LHIN @WW_LHIN 7