1. Presentation Stormont/Glengarry Health Links May 17, 2013 Seaway Valley Community Health Centre

2. CCH 2012/13 Data

3. Approximately 800 individuals met 2 or more of the criteria 5+ ED visits High Cost Acute Hospitalizations 2+ Acute Hospitalizations Approximately 550 individuals had a high-cost acute hospitalization

4. CMG for High-Cost Cases 2012 - 2013 (April - February) CMG Code CMG DescriptionCases% Total 670/671Dementia/Organic Mental Disorder416.43% Top 5 = 22% Top 10 = 36% Top 14 = 44% 139COPD315.27% 727Fixation/Repair Hip/Femur223.74% 222Open Large Intestine/Rectum Resection without Colostomy, Unplanned213.57% 223Open Large Intestine/Rectum Resection without Colostomy, Planned193.23% 174Pacemaker Implantation/Removal Except Cardioverter/Defibrillator Implant183.03% 196Heart failure without coronary angiogram162.72% 221Colostomy/Enterostomy162.72% 225Non-Major Excision/Repair of Upper Gastrointestinal Tract, Unplanned152.55% 726Hip Replacement with Trauma/Complication of Treatment142.38% 193Myocardial Infarction/Shock/Arrest with Coronary Angiogram142.38% 806Convalescence122.04% 194Myocardial Infarction/Shock/Arrest without coronary angiogram122.04% 26Ischemic Event of Central Nervous System101.70%

5. Primary Care Information -Seaway Valley Community Health Centre/Centre de santé communautaire de l’Estrie 6% 11% 7% 8% 9% 8% 11%

6. Primary Care Information - No primary care identified 14% 10% 22% 12% 23% 10% 12%

7. Primary Care Information 7-10% of patients (meeting 2 or more of the criteria) are individuals receiving primary care from SVCHC or CSCE – representing approx. 80 individuals 10-20% of patients (meeting 2 or more of the criteria) are individuals who did not identify a primary care provider – representing 160 individuals We do have the ability to drill down and identify the individual.