Acute Care AND Beyond

18,500 Hospital Beds Cut: Occupancy at 98% Ontario Hospital Beds Staffed and in Operation 1990 – 2010 YearAcutePsychiatric Complex Continuing Care RehabilitationTotal ,4032,50511,4352,04849, ,9072,43011,5061,97547, ,8262,33111,4251,90245, ,9402,27610,9351,92643, ,0972,16610,5921,90540, ,3862,18210,3251,85339, ,0142,1479,6391,89037, ,9292,1428,6781,87534, ,3172,0948,1491,81532, ,7402,0627,7881,80231, ,5582,5057,5051,92431, ,9123,4447,4552,13732, ,3553,7097,4282,24032, ,7813,6206,8962,34931, ,5524,5476,5372,36231, ,4334,5116,4022,39731, ,4444,3686,0942,47831, ,4454,3055,9722,41531, ,7024,3336,0392,41031, ,7734,3325,9272,39231, ,3554,3355,7982,32230,810 Difference ,048+1,830-5, ,581 Difference- 45%+ 73%- 49%+ 13%- 38% Source: Ontario Hospital Association

Home Care Funding Declining as Share of Health Spending

Increasing Acuity 1992 – 2007 – Acuity increase of 29.7% In 2007 provincial CMM was an increase in 1.87% since 2006 when the provincial CMM was Result of redefinition of complex continuing care, closing of hospital beds, ageing, downloading of mental health patients/closing of beds By 2007, 74% of Ontario’s ltc residents were classified as Category F (second highest level of acuity)

Assessing Acuity 2001 PriceWaterhouse Coopers Report: Since then, government has never updated the study, but acuity has continued to increase.

The missing link: acuity increases, funding increases, care levels stagnant

History of Deregulation/Some Reversals