Cambridge - North Dumfries Sub-region Geography Data Analysis 1
DEMOGRAPHICS Total Population (2013) 143,241 Cambridge 133,463 North Dumfries 9,778 # Seniors (65+) 18,295 Cambridge 16,954 North Dumfries 1,341 % Seniors (65+) 12.8% Cambridge 12.7% North Dumfries 13.7% % Rural Area Population 3.6% % Large Population 93.1% Source: 2011 Census, 2011 National Household Survey Land Area (sq.km) 300 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 CAMBRIDGE - NORTH DUMFRIES WWLHIN No Knowledge of English or French, # (%) 2070 (1.5%) 9,945 (1.4%) Range within municipalities (low to high) (0.4% -1.6%) French as mother tongue (%) 2150 (1.6%) 10,515 (1.5%) Range within municipalities (low to high) (1.1%-1.6%) # who are immigrants (%) 26,560 (19.8%) 146,570 (20.5%) # of new immigrants (%) (2006-2011) 2,175 (1.6%) 18,830 (2.6%) Municipality where majority of new immigrants settle Municipality of Cambridge (98%) # who self-identify as Aboriginal (%) 2,495 (1.9%) 10,180 (1.4%) Municipality where most Aboriginal people live in sub-region Municipality of Cambridge % over 15 yrs of age in the Labour Force? 69.7% 69.8% # Unemployed (%) 6,110 (8.1%) 27,315 (6.7%) Municipality with the highest proportion of their population unemployed City of Cambridge (8.3%) highest unemployment rate in the LHIN % Without certificate, degree, or diploma 14.9% 12.3% Municipality with the highest proportion of their population without certificate, degree or diploma City of Cambridge (15.3%) % with post-secondary education 55.9% 62.0% Municipality with the highest proportion of their population with post secondary education Municipality of North Dumfries (64%) Average household income $82,710 $85,919 Range (High & Low) by municipality North Dumfries- $107,908; City of Cambridge - $80,958 # living below the low-income cut off (%) 15,625 (11.6%) 82,100 (11.5%) Municipality with the highest proportion of people living below the low-income cut off City of Cambridge % Seniors living below the low-income cut off 7.0% 6.6% # living alone (%) 10,485 (7.8%) 64,405 (9.0%) # Households in need of major repair (%) 2,995 (6.0%) 14,390 (5.3%) Source: 2011 Census, 2011 National Household Survey 3
HEALTH STATUS Cambridge - North Dumfries Residents WWLHIN Residents Complex Patients Complex Patients (% of total population) 6,030 27,260 (2013/14) *** Proportion of total population complex 4% 4% Complex Patients Female (% of complex) 3140 (52.1%) 14,130 (51.8%) Complex Patients Male (% of complex) 2890 (47.9%) 13,135 (48.2%) Complex Patients 65 years+ (% of complex) 3475 (57.6%) 16,320 (59.9%) Proportion of 65+ yrs population who are complex 19.0% 15.8% Chronic Conditions (2014/15) Rate of Mental Visits (2014/15), All Ages 20+ * 9.1 8.6 Rate of Diabetes (2014/15), All Ages 20+ * 11.0 9.0 Rate of Asthma (2014/15), All Ages 20+ * 13.8 12.6 Rate of High Blood Pressure (2014/15), All Ages 20+ * 21.4 19.2 Rate of Chronic Obstructive Pulmonary Disease (COPD) (2014/15), All Ages 35+ * 10.9 8.5 HEALTH CARE UTILIZATION AND PERFORMANCE Care Utilization Emergency visits (2014/15) 56,955 276,869 Emergency visit rate per 1,000 population 393.1 361.4 Acute separations ** (2014/15) 9,562 49,527 Acute separation rate per 1,000 population 66.0 64.7 Number of Long-term Care (LTC) Homes 8 36 Long-term Care (LTC) beds (as of March 2014) 839 4,110 LTC beds per 1,000 population (age 75+) 105.7 89.6 Active home care cases (2012) 7,661 40,060 Active home care case rate per 1,000 population 52.9 52.3 Care System Performance 30-day hospital readmissions (Number, (Rate)) (2015/16 Q2) 242 (8.9%) 1,265 (9.1%) Repeat Unscheduled Emergency Visits Within 30 Days for Mental 67 (15.2%) 419 (17.4%) Conditions (Number, (Rate)) (2015/16 Q3) Repeat Unscheduled Emergency Visits Within 30 Days for Substance Abuse 39 (21.7%) 254 (24.1%) Conditions (Number, (Rate)) (2015/16 Q3) Emergency visits for conditions best managed elsewhere for WW residents 483 (3.6) 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) 14.2% 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 CAMBRIDGE - NORTH DUMFRIES RESIDENTS ACCESSING EMERGENCY AND ACUTE CARE? Acute Care Discharges, Cambridge - North Dumfries 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? CAMBRIDGE 85.11% 14.89% Cambridge Memorial Hospital NORTH DUMFRIES 66.74% 33.26% Cambridge Memorial Hospital and Grand River Hospital Cambridge - North Dumfries Region 84.27% 15.73% Discharge Abstract Database, Intellihealth; WWDSC Emergency Department visits, Cambridge North Dumfries residents, by location of visit (FY 2015-16) WWLHIN ED Visits OUT OF LHIN ED Visits Majority to which hospital(s) or external LHIN? CAMBRIDGE 91.36% 8.64% Cambridge Memorial Hospital NORTH DUMFRIES 47.96% 52.04% HNHB LHIN Cambridge - North Dumfries Region 89.38% 10.62% 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) ** Cambridge - 87 60.7 43 30.0 North Dumfries Region Cambridge 84 62.9 40 30.0 North Dumfries 3 30.7 3 30.7 *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 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
Sub-region Geographies 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 hospita Community Care Access Communtiy Long Term Care Family Team Nurse Practitioner Led Clinic CCAC
HEALTH SERVICE PROVIDERS LOCATED AND/OR SERVING CAMBRIDGE - NORTH DUMFRIES Primary Care Total Number of Primary Care Physicians: 87 Family Teams Two Rivers FHT Grandview FHT PrimaCare FHT Community Langs Community North Dumfries (Satellite of Langs) Waterloo Region Nurse Practitioner Led Clinic Community Care Access Acute Cambridge Memorial Hospital Long Term Care Cambridge Country Manor Fairview Mennonite Home Golden Years Nursing Home Hilltop Manor Riverbend Place Saint Luke s Place St. Andrew s Terrace Stirling Heights Long Term-Care Community Mental Cambridge Memorial Hospital Canadian Mental Assoc. Waterloo Dunara Homes for Recovery Grand River Hospital 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 City of Cambridge Canadian National Institute for the Blind Community Support Connections - Meals on Wheels and More Fairview Mennonite Home Hospice Waterloo Hospice Independent Living of Waterloo Region K-W Seniors Day Program The Working (K-W Working for the Unemployed) Sunnyside - Region of Waterloo St. Joseph s Traverse Independence Not-For-Profit Trinity Village Care University of Waterloo for Sight Enhancement 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