Acute Care
AND Beyond
18,500 Hospital Beds Cut:
Occupancy at 98%
Ontario Hospital Beds Staffed and in Operation 1990 – 2010
Year
Acute
Psychiatric
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Difference
1990 - 2010
Difference
33,403
31,907
29,826
27,940
26,097
25,386
24,014
21,929
20,317
19,740
19,558
19,912
19,355
18,781
18,552
18,433
18,444
18,445
18,702
18,773
18,355
-15,048
- 45%
Source: Ontario Hospital Association
Rehabilitation
Total
2,505
2,430
2,331
2,276
2,166
2,182
2,147
2,142
2,094
2,062
2,505
3,444
3,709
3,620
4,547
4,511
4,368
4,305
4,333
4,332
4,335
+1,830
Complex
Continuing
Care
11,435
11,506
11,425
10,935
10,592
10,325
9,639
8,678
8,149
7,788
7,505
7,455
7,428
6,896
6,537
6,402
6,094
5,972
6,039
5,927
5,798
-5,637
2,048
1,975
1,902
1,926
1,905
1,853
1,890
1,875
1,815
1,802
1,924
2,137
2,240
2,349
2,362
2,397
2,478
2,415
2,410
2,392
2,322
+274
49,391
47,818
45,484
43,077
40,760
39,746
37,690
34,624
32,375
31,392
31,492
32,948
32,732
31,646
31,998
31,743
31,384
31,137
31,484
31,424
30,810
- 18,581
+ 73%
- 49%
+ 13%
- 38%
CCAC Funding as Percentage of Health Care Budget
6%
5.47%
5.22%
5.18%
4.83%
5%
4.44%
4.22%
4.32%
4.44%
4.51% 4.42%
4.39%
4.13%
4%
3%
2%
Ontario Home Care Funding Per Client
1%
$4,000
0%
1999
2001
2003
2005
2007
2009
Source: OACCAC
Home Care Funding Declining
as Share of Health Spending
$3,500
$3,000
$2,500
Funding in $
$2,000
$1,500
$1,000
funding per funding per
client 2002/03 client 2008/09
• 1992 – 2007 – Acuity increase of 29.7%
• In 2007 provincial CMM was 98.13 an increase in
1.87% since 2006 when the provincial CMM was
96.33
• 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)
Increasing 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