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In-hospital Care discussion slides November 28 th , 2012 Darcy.eyres@gov.bc.ca

In-hospital Care discussion slides November 28 th , 2012 Darcy.eyres@gov.bc.ca. Previously Identified In-patient Issue Categories. Context for understanding in-patient care. Volume of in-patients by hospital categories. Provider categories. 424,183 In-patient cases in 2011/12. 109,450.

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In-hospital Care discussion slides November 28 th , 2012 Darcy.eyres@gov.bc.ca

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  1. In-hospital Care discussion slides November 28th, 2012 Darcy.eyres@gov.bc.ca

  2. Previously Identified In-patient Issue Categories

  3. Context for understanding in-patient care

  4. Volume of in-patients by hospital categories

  5. Provider categories 424,183 In-patient cases in 2011/12 109,450 63% • There are specialty hospitals like BC Children’s. • Includes Cranbrook which is funded like a Hospitalist model. • PAH is a DOFP/Hospitalist mix. RIH DOFP is to support assigned patients. • Strictly speaking a few of the DOFPs have DOD agreements still in place which would increase this figure. Who had MRP?

  6. Patient categories Low of 7.6% to a high of 18.8% based on CCHS. 1 1 2 3 Low of 5% in Kitimat to a high of 90% in Vancouver General. 2 3 Note: There can be some double counting across categories as some LHAs have multiple hospitals of varying size. Some LHAs do not have a hospital in them which lowers the overall provincial average to 45% of GPs continuing to deliver in-patient care services in 2011/12. Unassigned in-patient care models often much lower

  7. Provincial In-patient volume breakdown 1 424,183 In-patient Cases in 2011/12 2 Is made up of 3 reasons For the 41% of GP MRP cases 3 For the 63% of GP Unassigned MRP cases

  8. The different provider categories all affect one another

  9. An overall matrix of the major categories for in-patient care

  10. GP compensation by service categories - multiple inequities !

  11. 17 Large Hospitals(>10,000 in-patient cases in 2011/12) 33% 24% 76% GP Assigned % GP MRP GP Unassigned 68% 67% 17% Unassigned due to not having a GP 44% Unassigned due to out of town % provincial volume 2011/12 % Medical Specialist MRP 39% Unassigned due to GP not delivering in-pat serv.

  12. 9 Medium Sized Hospitals(5,000 - 10,000 in-patient cases in 2011/12) 53% 44% 56% GP Assigned % GP MRP GP Unassigned 15% 47% 22% Unassigned due to not having a GP 39% Unassigned due to out of town % provincial volume 2011/12 % Medical Specialist MRP 39% Unassigned due to GP not delivering in-pat serv.

  13. 26 Small Sized Hospitals (1,000 – 4,999 cases) 39% 63% 61% % GP MRP GP Assigned GP Unassigned 33% 14% 37% Unassigned due to out of town 38% Unassigned due to not having a GP % provincial volume 2011/12 % Medical Specialist MRP 29% Unassigned due to GP not delivering in-pat serv.

  14. 34 Tiny Sized Hospitals (<1,000 cases) 33% 97% 67% % GP MRP GP Assigned GP Unassigned 38% Unassigned due to not having a GP 3% 3% % provincial volume 2011/12 % Medical Specialist MRP 34% Unassigned due to out of town 28% Unassigned due to GP not delivering in-pat serv.

  15. Summary of recommendations S M L

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