Region Sub-region Geography Data Analysis 1
DEMOGRAPHICS Total Population (2013) 135,972 128,573 Puslinch 7399 # Seniors (65+) 18,669 17,205 Puslinch 1,464 % Seniors (65+) 13.7% 13.4% Puslinch 19.8% % Rural Area Population 5.8% % Large Population 94.2% Source: 2011 Census, 2011 National Household Survey Land Area (sq.km) 302 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 Region Residents WWLHIN Residents No Knowledge of English or French, # (%) 1,415 (1.1%) 9,945 (1.4%) Range within municipalities (low to high) (0.3%-1.2%) French as mother tongue (%) 2,050 (1.6%) 10,515 (1.5%) Range within municipalities (low to high) (1.4%-1.6%) # who are immigrants (%) 25,950 (20.4%) 146,570 (20.5%) # of new immigrants (%) (2006-2011) 2,965 (2.3%) 18,830 (2.6%) Municipality where majority of new immigrants settle City of (100%) # who self-identify as Aboriginal (%) 1,985 (1.6%) 10,180 (1.4%) Municipality where most Aboriginal people live in sub-region City of % over 15 yrs of age in the Labour Force? 69.6% 69.8% # Unemployed (%) 4,955 (6.8%) 27,315 (6.7%) Municipality with the highest proportion of their population unemployed City of (6.9%) % Without certificate, degree, or diploma 10.3% 12.3% Municipality with the highest proportion of their population without certificate, degree or diploma City of % with post-secondary education 65.8% 62.0% Municipality with the highest proportion of their population with post secondary education Municipality of Puslinch Average household income $85,251 $85,919 Range (High & Low) by municipality Puslinch - $127,172; - $83,047 # living below the low-income cut off (%) 14,885 (11.7%) 82,100 (11.5%) Municipality with the highest proportion of people living below the low-income cut off City of % Seniors living below the low-income cut off 6.4% 6.6% # living alone (%) 13,150 (10.3%) 64,405 (9.0%) # Households in need of major repair (%) 2,635 (5.2%) 14,390 (5.3%) Source: 2011 Census, 2011 National Household Survey 3
HEALTH STATUS Region Residents WWLHIN Residents Complex Patients Complex Patients (% of total population) 5,260 27,260 (2013/14) *** Proportion of total population complex 4% 4% Complex Patients Female (% of complex) 2765 (52.6%) 14,130 (51.8%) Complex Patients Male (% of complex) 2500 (47.5%) 13,135 (48.2%) Complex Patients 65 years+ (% of complex) 3205 (60.9%) 16,320 (59.9%) Proportion of 65+ yrs population who are complex 17.2% 15.8% Chronic Conditions (2014/15) Rate of Mental Visits (2014/15), All Ages 20+ * 8.1 8.6 Rate of Diabetes (2014/15), All Ages 20+ * 8.3 9.0 Rate of Asthma (2014/15), All Ages 20+ * 13.4 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+ * 8.9 8.5 HEALTH CARE UTILIZATION AND PERFORMANCE Care Utilization Emergency visits (2014/15) 54,459 276,869 Emergency visit rate per 1,000 population 404.8 361.4 Acute separations ** (2014/15) 10,067 49,527 Acute separation rate per 1,000 population 74.8 64.7 Number of Long-term Care (LTC) Homes 6 36 Long-term Care (LTC) beds (as of March 2014) 695 4,110 LTC beds per 1,000 population (age 75+) 81.0 89.6 Active home care cases (2012) 7,819 40,060 Active home care case rate per 1,000 population 58.1 52.3 Care System Performance 30-day hospital readmissions (Number, (Rate)) (2015/16 Q2) 314 (11.3%) 1,265 (9.1%) Repeat Unscheduled Emergency Visits Within 30 Days for Mental 89 (18.1%) 419 (17.4%) Conditions (Number, (Rate)) (2015/16 Q3) Repeat Unscheduled Emergency Visits Within 30 Days for Substance Abuse 68 (23.9%) 254 (24.1%) Conditions (Number, (Rate)) (2015/16 Q3) Emergency visits for conditions best managed elsewhere for WW residents 345 (2.7) 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) 11.9% 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 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 GUELPH REGION RESIDENTS ACCESSING EMERGENCY AND ACUTE CARE? Acute Care Discharges, Region residents, by location of stay (Fiscal Year (FY) 2015-16) WWLHIN Acute Stays OUT OF LHIN Acute Stays Majority to which hospital(s) or external LHIN? GUELPH 87.84% 12.16% General Hospital PUSLINCH 67.34% 32.66% General Hospital Region 87.0% 13.01% Discharge Abstract Database, Intellihealth; WWDSC Emergency Department visits, Region residents, by location of visit (FY 2015-16) WWLHIN ED Visits OUT OF LHIN ED Visits Majority to which hospital(s) or external LHIN? GUELPH 94.17% 5.83% General Hospital PUSLINCH 73.15% 26.85% General Hospital and Cambridge Memorial Hospital Grand Total 93.56% 6.4% 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) ** Region 112 82.4 88 64.7 GUELPH 110 85.6 86 66.9 PUSLINCH 2 27.0 2 27.0 *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 5
Kitchener, Waterloo, Wellesley, Wilmot (KW4) Service Providers Community Care Access Communtiy Long Term Care Family Team Nurse Practitioner Led Clinic CCAC CHC Sub-region Geographies Sub-region Geographies 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 Kitchener, Waterloo, Wellesley, Wilmot (KW Service Providers Community Care Access Communtiy Long Term Care Family Team Nurse Practitioner Led Clinic CCAC hospita
HEALTH SERVICE PROVIDERS LOCATED IN GUELPH AREA Primary Care Total Number of Primary Care Physicians: 112 Family Teams FHT Mango Tree FHT Community CHC Community Care Access Acute General Hospital Homewood St. Joseph s Long Term Care Eden House Nursing Home The Elliott Community LaPointe-Fisher Nursing Home Morriston Park Nursing Home Riverside Glen Long -Term Care Facility St. Joseph s, Long-Term Care Community Mental Canadian Mental Assoc. Waterloo Dunara Home for Recovery Grand River Hospital - Family Counselling Support Services for - Homewood (MSAA) House of Friendship Portage Ray of Hope Stonehenge Therapeutic Community Community Support Services Alzheimer Society of Waterloo Canadian National Institute for the Blind Community Support Connections - Meals on Wheels and More Independent Living Hospice Waterloo Hospice St. Joseph s Trinity Village Care University of Waterloo, for Sight Enhancement Victorian Order of Nurses for Canada Source: MOHLTC, 2012 - WWLHIN 2016 Waterloo 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 Local Integration Network Waterloo LHIN @WW_LHIN 7