Sub-region Geography Data Analysis 1
DEMOGRAPHICS Total Population (2013) 91,628 28,074 Erin 11,246 Guelph/Eramosa 12,983 Mapleton 10,463 Minto 8,775 Southgate 7,310 North 12,085 West Grey 692 # Seniors (65+) 14,579 4,920 Erin 1,473 Guelph/Eramosa 1,989 Mapleton 975 Minto 1,638 Southgate 1,089 North 2,354 West Grey 141 % Seniors (65+) 15.9% 17.5% Erin 13.1% Guelph/Eramosa 15.3% Mapleton 9.3% Minto 18.7% Southgate 14.9% North 19.5% West Grey 20.4% % Rural Area Population 50.7% % Large Population 1.3% Land Area (sq.km) 3,110 Source: 2011 Census, 2011 National Household Survey MENNONITE POPULATIONS LIVING IN RURAL WATERLOO WELLINGTON Source: Waterloo Local Health Integration Network Rural Health Care Review Final report Jan 19, 2010; 2006 Census NUMBER OF MENNONITES % OF TOTAL POPULATION Sub-Region CENTRE WELLINGTON 550 2.3% ERIN 10 0.1% MAPLETON 2,990 32.2% MINTO 305 3.8% SOUTHGATE 480 7.0% WELLINGTON NORTH 560 5.1% 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 Residents WWLHIN Residents No Knowledge of English or French, # (%) 595 (1.4%) 9,945 (1.4%) Range within municipalities (low to high) (0.1% - 2.3%) French as mother tongue (%) 960 (1.1%) 10,515 (1.5%) Range within municipalities (low to high) (0.5%-1.7%) # who are immigrants (%) 9070 (10.6%) 146,570 (20.5%) # of new immigrants (%) (2006-2011) 370 (0.4%) 18,830 (2.6%) Municipality where majority of new immigrants settle, Erin and Geulph/Eramosa (69%) # who self-identify as Aboriginal (%) 1,355 (1.6%) 10,180 (1.4%) Municipality where most Aboriginal people live in sub-region, Minto, Southgate and Guelph/Eramosa % over 15 yrs of age in the Labour Force? 70.6% 69.8% # Unemployed (%) 2,475 (5.1%) 27,315 (6.7%) Municipality with the highest proportion of their population unemployed Southgate (6.3%) and North (6.7%) % Without certificate, degree, or diploma 15.5% 12.3% Municipality with the highest proportion of their population without certificate, degree or diploma Mapleton (34%), North (22.6%), Minto (21.8%), Southgate (20.9%) % with post-secondary education 55.8% 62.0% Municipality with the highest proportion of their population with post secondary education Guelph/Eramosa (68.1%) Average household income $89,389 $85,919 Range (High & Low) by municipality Erin $116,434; Minto $66,956 # living below the low-income cut off (%) 7,880 (9.2%) 82,100 (11.5%) Municipality with the highest proportion of people living below the low-income cut off North and Southgate % Seniors living below the low-income cut off 4.5% 6.6% # living alone (%) 5,970 (6.9%) 64,405 (9.0%) # Households in need of major repair (%) 1,950 (6.3%) 14,390 (5.3%) Note: In Southgate, 1 in every 10 houses is in major need of repair Source: 2011 Census, 2011 National Household Survey 3
HEALTH STATUS Residents WWLHIN Residents Complex Patients Complex Patients (% of total population) 3,350 27,260 (2013/14) *** Proportion of total population complex 4% 4% Complex Patients Female (% of complex) 1725 (51.5%) 14,130 (51.8%) Complex Patients Male (% of complex) 1625 (48.5%) 13,135 (48.2%) Complex Patients 65 years+ (% of complex) 2185 (65.2%) 16,320 (59.9%) Proportion of 65+ yrs population who are complex 15.0% 15.8% Chronic Conditions (2014/15) Rate of Mental Health Visits (2014/15), All Ages 20+ * 7.9 8.6 Rate of Diabetes (2014/15), All Ages 20+ * 7.7 9.0 Rate of Asthma (2014/15), All Ages 20+ * 12.5 12.6 Rate of High Blood Pressure (2014/15), All Ages 20+ * 18.7 19.2 Rate of Chronic Obstructive Pulmonary Disease (COPD) (2014/15), All Ages 35+ * 9.5 8.5 HEALTH CARE UTILIZATION AND PERFORMANCE Health Care Utilization Emergency visits (2014/15) 59,215 276,869 Emergency visit rate per 1,000 population 621.8 361.4 Acute separations ** (2014/15) 7,678 49,527 Acute separation rate per 1,000 population 80.6 64.7 Number of Long-term Care (LTC) Homes 6 36 Long-term Care (LTC) beds (as of March 2014) 586 4,110 LTC beds per 1,000 population (age 75+) 93.7 89.6 Active home care cases (2012) 5,535 40,060 Active home care case rate per 1,000 population 58.1 52.3 Health Care System Performance 30-day hospital readmissions (Number, (Rate)) (2015/16 Q2) 150 (8.6%) 1,265 (9.1%) Repeat Unscheduled Emergency Visits Within 30 Days for Mental Health 58 (20.4%) 419 (17.4%) Conditions (Number, (Rate)) (2015/16 Q3) Repeat Unscheduled Emergency Visits Within 30 Days for Substance Abuse 11 (15.9%) 254 (24.1%) Conditions (Number, (Rate)) (2015/16 Q3) Emergency visits for conditions best managed elsewhere for WW residents 787 (9.3) 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) 10.0% 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 Health Analytics Branch. Source: Health Analytics Branch, 2016 (2011 Census, 2011 National House hold Survey, Discharge Abstract Database, Ontario Mental Health 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: Health Analtyics Branch, 2015 Material deprivation (1 = least deprived; 5 = most deprived) 1 5 Residential instability (1 = least unstable; 5 = most unstable) Ethnic concentration (1 = low concentration; 5 = high concentration) 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] 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) ** 60 65.5 55 60.0 CENTRE WELLINGTON 31 110.4 29 103.3 ERIN 7 62.2 6 53.4 GUELPH/ERAMOSA 4 30.8 4 30.8 MAPLETON 4 38.2 4 38.2 MINTO 4 45.6 4 45.6 SOUTHGATE 2 27.4 0 0.0 WELLINGTON NORTH 8 66.2 8 66.2 WEST GREY 0 0.0 0 0.0 *Excludes physicians in the following practice models: hospitalists, locums, walk-in clinics, student health services, public health,focused practice (cosmetic, sports med) ** CHC: Community Health ; FHT: Family Health Team Health Force Ontario, 2016 (MOHLTC GP List June 2016; CPSO - Public - Doctor Registry http://www.cpso.on.ca/public-) ; Register/All-Doctors-Search; WWLHIN Primary Care Capacity Review 2014 5
WHERE ARE WELLINGTON RESIDENTS ACCESSING EMERGENCY AND ACUTE CARE? Acute Care Discharges, residents, by location of stay (Fiscal Year (FY) 2015-16) WWLHIN Acute Stays Emergency Department visits, residents, by location of visit (FY 2015-16) WWLHIN ED Visits OUT OF LHIN Acute Stays OUT OF LHIN ED Visits Majority to which hospital(s) or external LHIN? CENTRE WELLINGTON 86.04% 13.96% WELLINGTON NORTH 82.62% 17.38% North Health Care and MINTO 77.12% 22.88% North Health Care MAPLETON 69.71% 30.29% North Health Care and Grand River Hospital GUELPH/ERAMOSA 57.55% 42.45% Guelph General Hospital and WEST GREY 39.81% 60.19% SWLHIN ERIN 20.13% 79.87% CWLHIN SOUTHGATE 15.20% 84.80% SWLHIN Rural Region 67.81% 32.19% Discharge Abstract Database, Intellihealth; WWDSC Majority to which hospital(s) or external LHIN? CENTRE WELLINGTON 94.61% 5.39% WELLINGTON NORTH 93.89% 6.11% North Health Care MINTO 84.00% 16.00% North Healthcare MAPLETON 80.67% 19.33% North Health Care and GUELPH/ERAMOSA 75.30% 24.70% Guelph General Hospital and WEST GREY 28.69% 71.31% SWLHIN SOUTHGATE 20.69% 79.31% SWLHIN ERIN 16.61% 83.39% CWLHIN Rural Region 75.68% 24.32% Data Source: National Ambulatory Care Registry, Intellihealh; WWDSC 6
Sub-region Geographies Cambridge & North Dumfries Guelph Kitchener, Waterloo, Wellesley, Wilmot (KW4) Service Providers Community Care Access Communtiy Long Term Care Public Health Family Health Team Nurse Practitioner Led Clinic CCAC Sub-region Geographies Sub-region Geographies Cambridge & North Dumfries Cambridge & North Dumfries Guelph Guelph 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 Public Health Public Family Health FamilyHealth HealthTeam Team Family Health Team Nurse Practitioner LedLed ClinicClinic Nurse Practitioner Nurse Practitioner Led Clinic 7 CHC Sub-region Geographies Cambridge & North Dumfries Guelph Kitchener, Waterloo, Wellesley, Wilmot (KW Service Providers Community Care Access hospit Communtiy Long Term Care Public Health Public Health Family Health Team Nurse Practitioner Led Clinic CCAC
HEALTH SERVICE PROVIDERS LOCATED IN WELLINGTON AREA Primary Care Total Number of Primary Care Physicians: 60 Family Health Teams East FHT Mount Forest FHT Upper Grand FHT Minto-Mapleton FHT Community Care Access Acute North Health Care Community Mental Health Canadian Mental Health Assoc. Waterloo Dunara Homes for Recovery Family Counselling and Support Services for Guelph- Grand River Hospital Homewood Health House of Friendship Portage Ray of Hope Stonehenge Therapeutic Community Waterloo Regional Homes for Mental Health Source: MOHLTC, 2012 - WWLHIN 2016 Long Term Care Caressant Care Arthur Nursing Home Caressant Care Fergus Nursing Home Caressant Care Harriston Nursing Home Royal Terrace Saugeen Valley Nursing Center Ltd. Terrace Community Support Services Alzheimer Society of Waterloo Canadian National Institute for the Blind Community Support Connections - Meals on Wheels and More East Community Services Guelph Independent Living Hospice Waterloo Hospice St. Joseph s Health Guelph Township of Mapleton Traverse Independence Not-For-Profit Trinity Village Care University of Waterloo, for Sight Enhancement Victorian Order of Nurses for Canada Waterloo Local Health 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 Health Integration Network Waterloo LHIN @WW_LHIN 8