The CIHI report, which covers 21 health system measurements in six
different clinical areas, employs a high and low rate indicator that
takes into consideration the size of the hospital (caseload), then
affixes an "adjusted rate" to equalize the impact since the comparisons
are based on either per 1,000 or per 100.
SMH had a total inpatient load of 2,278 in this study period, staffed
28 beds, and operating expenditures of $28.6 million. It is included
with other "peer group" "small" hospitals for comparison purposes.
Below are some highlights of the adjusted rates at SMH:
C-sections: 32.7 per 100
VBAC: 20 per 100
Coronary Angio following AMI: 57 per 100
28 day readmission - AMI: 20 per 100
28 day readmission - Stroke: 11 per 100
30 day mortality - AMI: 17 per 100
30 day mortality - Stroke: 4 per 100
30 day readmission - Medical: 12 per 100
30 day readmission - Obstetrics: 1 per 100
30 day readmission - Overall: 8 per 100
30 day readmission - Surgical: 5 per 100
30 day readmission - 19 and under: 3 per 100
SMH spends eight per cent of its operating budget on administration
including finance and human resources. And SMH's cost per weighted case
is $4,995.
In January, SMH submitted a 368 page Pre Capital Schedule
A report to the Central Local Health Integration Network
(LHIN) laying out the justification for a multi-million expansion to
the Alliston hospital.
Constructed in 1962 to serve about 7,000 people, it handles more than
30,000 cases through its emergency department, which is about 4,000 sq.
ft in space.
"This is well less than half
of documented hospital standard stated in the Hospital Service Needs
and Capacity Planning report and creates heightened risks for infection
control, patient and staff safety, patient privacy, mobility access,
falls prevention and ambulance off-loading protocols," according to the
submission's cover letter. "The fact that the
main lobby, hospital registration desk, coffee shop, gift shop and
entrance to the Hospital are now shared with the Emergency Department
triage area and waiting room is unacceptable. A recent Ministry of
Health review as well as a HIROC review of these facilities found code
violations and issues that constitute ever increasing risk factors for
both the Hospital and the Ministry."
