Final Report - District of West Kelowna

ASSESSMENT OF MEDICAL SERVICES IN WEST KELOWNA
FINAL REPORT
DISîRICT OF
Wnsr
¡G¿OWAIA
Prepared by:
Joanne Konnert
Date:
April
2OL3
TABLE OF CONTENTS
Executive Summary
1,
lntroduction
3
Scope of Work
3
Current Health Care Service
3
Assessment of Health Care Service
5
Current Utilization of Health Care Service
8
SWOT Analysis and Recommendations Around Next Steps
8
Summary and Recommendations
Appendix
A:
1.1.
List of Participant lnterviews ...
13
Appendix B: West Kelowna Residents Association
Summary Report of Westside Health Service Gaps..
74
27
Appendix C: West Kelowna Physicians and Clinics
28
Specialists
Dentists,........
29
Foot Care......
..............29
Massage Thera pists (RMTs)
..............29
Medical Equipment & Supplies .......
..............29
Optometrists ........,......
..............30
Physiothera pists ...........
..............30
Appendix D: District of West Kelowna
- lnventory
of lH Services ....
31
Appendix E: Emergency Department Utilization by
Residents of West Kelowna and Peachland
32
EXECUTIVE SUMMARY
ln September of 2OL2 the District of West Kelowna engaged a consultant to assess the health
services located in West Kelowna. The result of the assessment would influence the
development of a medical centre in West Kelowna and what services the medical centre might
offer. Historically, there have been many conversations regarding this topic within the
community. ln 2008 lnterior Health purchased property in West Kelowna and developed a
functional program for an Urgent Care Centre. However, changes in organizational structure
and emerging pressures elsewhere within lnterior Health diverted attention from this project.
Key to this discussion is the collection of information and data regarding existing health services
and needs in West Kelowna and the surrounding area.
lnterviews were conducted with a variety of stakeholders. The utilization of services by
residents living on the Westside was reviewed. The West Kelowna Residents Association
conducted a survey of residents regarding the level of health care offered in West Kelowna.
West Kelowna is well served by family physicians. There are 3 clinics that offer extended hours.
ln addition to the physicians, there are dentists, massage therapists, physiotherapists,
optometrists and others who are located in West Kelowna. Diagnostic lmaging and Laboratory
services are offered Monday to Friday during day time hours. Residents access hospital services
primarily at Kelowna General Hospital. Most specialists and specialty programs are offered out
of Kelowna.
to a need for additional programing in the area of mental health and
substance use as well as a need for assistance in managing chronic disease. Residents also
wanted specialists and some specialty programs to be located in West Kelowna. Public transit
was identified as a barrier to accessing programs that are offered out of Kelowna. Little was
known about the services that are currently offered by lnterior Health.
Feedback received pointed
According to Statistics Canada, in 201-1 there were 45,107 residents living in the communities of
West Kelowna, Peachland, the unincorporated areas of the Central Okanagan Regional District
and Westbank First Nations. About 18% of the residents of West Kelowna, which is the largest
community with a population of 30,892, are over the age of 65. Projections are that the area
will continue to grow with the largest percentage of growth in the over 65 population. Given the
projected growth and aging of the population and the current perceptions of the residents of
the services that they need, the following recommendations were made:
1) The District of West Kelowna should
advocate with lnterior Health
for more
service
located within West Kelowna. Mental Health and Substance Use and management of
chronic illness are two areas of high priority. This may require additional resources or a
re-assignment of existing resources.
1.
2l
lnterior Health and the District of West Kelowna should work together to improve the
communication or access to information about existing health programs within West
Kelowna.
3)
The District of West Kelowna and lnterior Health should collaborate to examine future
partnership opportunities around the establishment of expanded health services on the
West Side specifically exploring the opportunities that may be presented through a P3
partnership.
4l
lnterior Health and the District of West Kelowna should designate a 'point person' within
each organization to provide information and to facilitate collaboration efforts. Each
organization is large with multiple demands and priorities. Without leadership, this
initiative could fail to move forward.
5)
The District of West Kelowna should consider the establishment of a sub-committee
related to health. Given the interest of the West Kelowna community in this topic, the
establishment of such a committee could assist in the dissemination of information
related to health services in the community as well as facilitating collaboration between
the District and lnterior Health.
2
INTRODUCTION
ln September of 2Ot2 the District of West Kelowna engaged a consultant to assist with the
development of an assessment of health care services in West Kelowna to determine whether or
not West Kelowna should pursue the development of a medicalfacility within its boundaries.
lnformation was collected through a variety of sources. lnterviews with key stakeholders in
lnterior Health were conducted to ascertain the level of service currently offered to residents of
West Kelowna, perceived gaps and potential solutions.
lnterviews were also conducted with representatives from key organizations such as the
Divisions of Family Practice for the Central Okanagan, the Westside Health Network and the
West Kelowna Residents Association. The municipal council in Peachland provided feedback as
did the manager of health services for Westbank First Nations. The physicians who practice in
West Kelowna and Peachland were invited to provide feedback and a small group did so at an
evening meeting held on Dec. 6, 2012. The supervisor of the BC Ambulance Service also
provided information (Appendix A for list of interviewees)
The West Kelowna Residents Association issued a call to residents of West Kelowna to provide
feedback to them via a survey regarding the level of health care offered in West Kelowna. They
received about 300 responses with about L/3 of the responses being directly related to this
project. The results were compiled and presented to the consultant at the beginning of
December. (see Appendix B for summary)
Neighboring municipalities were asked to provide letters of support and the Regional District of
Central Okanagan, Westbank First Nation, Lake Country, Peachland and the City of Kelowna all
responded.
SCOPE OF WORK
The consultant was asked to compile a listing and provide an assessment of health services and
service providers in the West Kelowna/Peachland area; to identify perceived health care needs
that were not being met as described by the community and health care providers; to identify
the utilization of services provided by lnterior Health and to provide recommendations around
next steps.
CURRENT HEALTH CARE SERVICE
This project includes the geographic area of the communities of West Kelowna, Peachland, the
unincorporated areas of the Central Okanagan Regional District and Westbank First Nations. The
area is separated from the City of Kelowna by a bridge. ln total, the population of these
3
areas is 45,107 (2OLL census). About 18% of the residents of West Kelowna, which has the
largest population at 30,892, are over the age of 65. Looking forward it is anticipated that the
population on the Westside will increase by about the same amount as the Central Okanagan
which is anticipated to grow by 2oo/o by the year 2O2t and about 36% by the year 2031 with the
most significant growth occurring in the over 65 age group.
The consultant, with the assistance of the West Kelowna Residents Association, compiled a list
of providers of health services in West Kelowna and Peachland (see Appendix C). This list
included physicians with offices in West Kelowna and Peachland, as well as support services
located in the community (eg. Laboratory, Diagnost¡c lmaging, Physiotherapy, Massage Therapy,
Optometry, and Pharmacies).
lnterior Health offers numerous programs in the West Kelowna/Peachland area and provided a
listing of those services. (Appendix D) ln addition to the programs offered in West Kelowna in
the building located at 2300 Carrington Road, there are also services that are offered to the
residents of West Kelowna and Peachland however those programs are located in Kelowna. An
example would be mental health and substance use programming.
The BC Ambulance Service (BCAS) has a station located in Peachland and one in West Kelowna.
According to the area supervisor, the response time is within 10 minutes provided they are not
on another call. lf the West Kelowna crew are already responding to a call, Peachland and
Kelowna will cross cover. The ambulance crews in West Kelowna and Peachland also receive
back up from the Advanced Life Support ambulance crews located in Kelowna. W¡th lights and
sirens, it is estimated to take about !5 - 20 minutes to take someone from West Kelowna to
Kelowna General Hospital. The BCAS has also located a helicopter to service most of the
geography of the interior of BC (with the exception of the East Kootenays which receives service
from Alberta). The helicopter is stationed in Kamloops.
ln addition to the programs that are formally offered by lnterior Health or by private providers
such as Valley Medical, non-profit organizations such as the Westside Health Network provide a
valuable service through a variety of volunteer programs. These programs range from assisting
individuals to connect with the appropriate service, providing help around the house and giving
assistance with driving to medical appointments. They also provide a listing of health care
related services and programs on their website at www.westsidehealthnetwork.com.
These listings demonstrate that there are a significant number of health care and health related
services that are available to residents of West Kelowna and Peachland. These services can be
found in various locations throughout the two communities and some that are available out of
Kelowna.
4
ASSESSMENT OF HEALTH CARE SERVICE
The consultant was also asked
to provide an assessment of the services currently provided
in
West Kelowna. The assessment was completed through interviews with various stakeholders,
and a survey that was conducted by the West Kelowna Residents Association.
ln terms of physician services - the majority are family physicians and there are more than 30
family physicians providing service to West Kelowna and Peachland, including one family
physician whose office specializes in maternity care. At least three family physician offices in
West Kelowna offer extended hours, while others maintain an office practice with Monday to
Friday day time hours. The walk in clinics generally offer service until 7 or 8 in the evening. One
walk in clinic also offers service on Sunday and statutory holidays. Although some residents
reported difficulty in finding a family physician, it was not possible to identify the extent of the
problem. Support services such as laboratory and medical imaging are owned by private
providers. The laboratory service is run by Valley Medical and is available from Monday to
Friday 8 - 4:30. Diagnostic lmaging is similar in that it is offered Monday to Friday during
daytime hours by Kelowna Medical lmaging. There are some specialists who have offices ln
West Kelowna. A physiatrist, a rheumatologist, urology and obstetrics all provide some service
in West Kelowna.
The West Kelowna Residents Association (WKRA) is a voluntary organization whose stated
purpose is:
1)
2')
Advancement of the quality of life with in West Kelowna
Promote the interest of residents with groups, organizations and all levels of
government
3)
Organize and promote functions and activities for those residents located within the
area of West Kelowna
Through the month
of November, the WKRA solicited feedback from the residents of West
Kelowna and Peachland about gaps in health service. They posted notices on the¡r website,
copied the media, and provided media interviews designed to encourage feedback. They
received about 300 responses. ln reviewing the responses it was felt that about L/3 were
directly related to this project. The most frequent concerns were:
1)
Laboratory services: limited hours of operation, no appointment system and specific
tests that were not available on the Westside
2)
Access
to Specialist
physicians: very limited availability of specialists on the Westside
and difficulties of travel, transit, parking and communication when accessing specialists
who are located in Kelowna or at Kelowna General Hospital
5
3)
Respiratory services: not currently available in West Kelowna
-
only in Kelowna and lack
of service for individuals with asthma and COPD
4l
lmaging Services: limited hours of operation and test availability and long wait times for
ultrasound
5)
Transit and Parking: the lack of bus service, parking problems/access for elderly to KGH
and to other specialist services and appointments
6)
7l
8)
9)
Fractures/casting: difficult to access service
Pediatrics: limited programming in West Kelowna, transport to KGH is challenging
Pain Service: limited availability of service
lnternal Medicine (coronary care): No ECG
cardiology clinic outdated and hurried service.
or 24 hour monitors on the Westside,
Other concerns related to lack of emergency or after hour pediatric service which can only be
obtained at KGH. Some expressed concern regarding the availability of ambulance coverage and
the wish for paramedics with Advanced Life Support training to be located on the West side.
Appreciation was expressed for the Home Nursing program offered by lnterior Health.
ln the summary report from the WKRA, mention is made of the lack of knowledge that the
residents of West Kelowna have of the services that are currently available in their community.
Long time residents of West Kelowna may be aware of services but newcomers are not.
The Association has held meetings over the past few years with a variety of stakeholders and the
concerns articulated above are similar to the concerns that have historically been identified.
The Division of Family Practice, which includes all family physicians in the Central Okanagan
identified access to Gastrointestinal Screening (sigmoidoscopies and colonoscopies) as a need
for the larger Central Okanagan which would include the residents of West Kelowna and
surrounding area. They described long waitlists which are problematic for those residents who
are needing the procedure to rule out a diagnosis such as cancer.
Transportation was mentioned by several groups as a significant issue. Although this is not a
service which is under the jurisdiction of Health, it is seen as a barrier to accessing health
services. Many of the health programs that are needed are offered in Kelowna. For individuals
who are unable to drive, public transportation can take a long time and for some folks this can
be very exhausting. The Westside Health Network does offer assistance to folks to access a
medical appointment. They have about 25 - 30 volunteer drivers and they make about 40 - 60
trips a month. The person who wishes to access this service needs to join the Network and to
offer some compensation to the volunteer driver to cover off the cost of gas etc. This service is
6
available for the individual who has a single appointment as opposed to supporting someone
who may need to access a service in Kelowna 2 or 3 times a week. Transportation was also
identified as an issue for aboriginals living on Westbank First Nation land. lt was reported that
these individuals often delay accessing health care services especially if they need to travel to
Kelowna. The delay can result in an increase in severity of the illness sometimes leading to
need for hospitalization which may have been avoided had service been accessed earlier.
a
The Central Okanagan LHA Health Services Profile (December 2010 version) indicates that
depression/anxiety has a higher prevalence in the Central Okanagan as compared to the rest of
the BC. Feedback from the Westbank First Nation Manager of Health Service indicates that
mental health and addiction issues are of great concern. Other groups have indicated that more
service/support is needed around mental health and substance use issues for all ages and this
was also noted by physicians as an area of significant need. lnterior Health does provide service
in this area but it is generally offered out of Kelowna or from a team that is available to the West
Side on a limited basis.
A number of individuals responding to the survey from the West Kelowna Residents Association
indicated that the bridge is still seen as a barrier to accessing timely care. However, in
conversat¡on with a representative from the BC Ambulance Service, he indicated that even when
there has been an accident on the bridge the ambulance is still able to get across and the new
bridge has virtually eliminated most issues that occurred with the old bridge. BCAS does have a
contingency plan in the unlikely event that the bridge is totally blocked.
rehab service - particularly physiotherapy following discharge from hospital was
identified by a few individuals as a gap. Some individuals travel to Kelowna General Hospital
(KGH) to take part in outpatient programs that are offered. However, travel to these
appointments can be difficult and many identified challenges with parking at KGH. Access to
physiotherapy is available in the community on a private basis but it is seen as expensive and not
Access
to
necessarily meeting the needs of the newly discharged patient.
There is limited programming that is available in West Kelowna that is related to patient
education around the prevention and/or successful self management of chronic disease such as
COPD. lnterior Health offers limited support in this area and it is usually done on an individual
basis as home care nurses visit clients in their homes. Physicians also offer this out of their
office but they do not always have access to other members of the health care team who also
have much to offer in terms of assisting patients to successfully manage their chronic illness.
7
CURRENT UTILIZATION OF HEALTH CARE SERVICE
Data provided by lnterior Health indicates that the number of emergency visits to the three
Emergency Departments located in the Okanagan Valley (Penticton Regional Hospital, Vernon
Jubilee Hospital and Kelowna General Hospital) from residents of the westside has been
declining over the past 2 - 3 years. Visits in 20L1./2012 are20% fewer than visits in 2008/2009.
(see Appendix E)This is a reversal of the trend seen prior to2008/2009 and is different from the
experience at KGH where emergency visits have been increasing. This might suggest that the 2
or 3 walk in clinics which exist in West Kelowna, are meeting a need around the lower acuity
visits and/or additional programming such as the Move lt and Mingle group offered out of the
Westside Health Network is assisting folks to stay healthy or providing them with information to
prevent emergency visits. During the physician focus group it was noted that two of the walk in
clinics had increased their capacity to see patients and this may have had an influence on the
decreasing
ER
visits.
For residents of West Kelowna who are admitted to any one of the three hospitals in the
Okanagan Valley, the vast majority are admitted to Kelowna General Hospital. That is
understandable given that it is geographically the closest hospital. The main reasons for an inpatient admission by a resident of West Kelowna, Peachland, in all three Okanagan hospitals are:
vaginal delivery, knee replacement and chronic obstructive pulmonary disease (COPD). The
latter two reasons are reflective of the growing numbers of seniors in this area.
The Central Okanagan LHA Health Services Profile indicates that, in addition to a higher
prevalence of depression and anxiety, the age standardized rate for arthritis and respiratory
problems are higher than the BC rate further supporting the need for programming around
chronic disease.
A review of the utilization of home care nursing service within West Kelowna was requested
however the information related to these visits is coded centrally. lt is difficult to separate these
visits from those that occur within the rest of the Central Okanagan. However, when compared
with Vernon and Penticton, it appears that within the Central Okanagan there is a lower
utilization of service which could indicate an opportunity for additional programming which
could occur on the Westside.
SWOT ANALYSIS AND RECOMMENDATIONS AROUND NEXT STEPS
The District of West Kelowna has a number of health services that can be accessed on the
Westside. They have close access to a major tertiary hospital in Kelowna General. However,
there are few specialists that are located in West Kelowna. There is limited programming for
mental health and substance use and most of the service is offered out of Kelowna or is
8
available on a very limited basis on the west side. Both physicians and community members
referenced this as a significant gap.
The population of West Kelowna is growing and will continue to grow, particularly in the over 65
age range. As these residents age, it will become increasingly challenging for them to access
service that is offered in Kelowna. Public transit from West Kelowna to Kelowna is available but
for some folks to access. The Westside Health Network offers some assistance
but it is unrealistic to think that this organization will be able to meet all transportation needs.
it
is challenging
The population of West Kelowna/WFN is 37,960 (zOtL census). Communities of a similar
population (Vernon at 38,000 and Penticton at 32,000) offer more services within the
community than is found in West Kelowna. West Kelowna has good access to an excellent
hospital in Kelowna General, however some of the community services that would be located
within the community are often only accessed out of Kelowna.
ln order to address the current and future needs of the West Kelowna population, as well as the
residents who live in other communities on the westside, additional space and resources would
need to be allocated.
ln terms of programming, there are two models that could be looked
at.
ln talking with
representatives from lnterior Health and some community representatives from West Kelowna,
there was support for the notion of a primary care centre that would offer a variety of services
out of one location.
A primary care centre within West Kelowna could offer additional service to the community'
The centre could offer primary care with a team approach. Access to nurse practitioners and
mental health professionals could address the perceived gap in mental health service and in
addition could provide intervention for individuals with a chronic illness. Co-location of different
professionals would assist folks to more easily access the services that they require. lf a new
location is established, consideration should be given to providing space where specialists could
attend to patients from the west side - perhaps on a rotating basis or there may be some who
would be interested in re-locating. Although there is interest in having such a facility in West
Kelowna, the fact that radiology and lab are offered by private providers who are currently well
established in their own facilities will be a challenge. Discussions will need to take place
between lnterior Health and the private providers if a primary care centre were to be
established.
Another model might be to operate both a primary care centre and an urgent care centre' An
example of th¡s model is currently being constructed in Parksville on Vancouver lsland.
Oceanside is a primary care centre that is projected to open mid 2013 and will house mental
health and addictions, public health, community health programs and primary care physicians.
9
The centre will also provide urgent care L5 hours a day 7 days a week and this would include
dealing with such things as attending to simple fractures, dealing with acute pain, and
managing infections
with intravenous antibiotics. Oceanside will also have the capacity to
stabilize and transfer to hospital when necessary. Although the historical data indicates that the
numbers are decreasing for the less acute emergency visits from residents on the west side, an
urgent care centre might draw residents from Kelowna as well as those on the Westside if the
wait times were lower than at the Emergency Department at KGH. Some West Kelowna
physicians have indicated that an urgent care centre would enable them to care for patients that
they currently send to KGH. However, an urgent care centre would require lab and diagnostic
imaging so there would need to be an arrangement with the private provider or lH could
duplicate the service - which would depend on whether or not the provincial government would
provide the appropriate licensing for these duplicate facilities. lf urgent care was part of the
programming at the centre then lH would need to work with government to determine which
legislation would govern the urgent care centre.
Currently there are physician offices in West Kelowna offering walk in service which includes a
component of urgent care. lf an urgent care model were selected there would need to be
consultation with existing physician services to ensure that there is not an unintended
consequence of reducing service within the community of West Kelowna. Although there are
challenges with wait times within emergency departments, diversion of lower acuity patients is
not usually seen as a solution as the wait times for that group are generally not the problem.
The decision regarding the future model of service delivery remains with lnterior Health. The
role of the District is to work together with lH to ensure that the health needs of the citizens of
West Kelowna are met.
the model, it would seem that additional space is required for the future lnterior
Health Services by 2016 which is when their existing lease runs out. Currently they occupy about
7000 square feet. lf they were to re-locate to either a purpose built building or different leased
space, additional operating dollars would need to be found in order to service the increased
Regardless of
space and programming that is required.
A new location could be met through a number of different options. A Request for Proposal
(RFP) could be issued for new leased space. There is currently a developer within West Kelowna
who is interested and there may be others who would respond to such an RFP. lnterior Health
currently owns land in West Kelowna and lH could decide to build a new purpose built facility'
The latter could be totally financed through lnterior Health and the Regional District or through
a P3 model. However, if a purpose build structure was the right option, lnterior Health has
limited capital dollars and many demands on those limited funds. A P3 model may bring the
required capital to the table but government approval would be required if the debt was
1_0
assumed by lnterior Health as that debt would be included on the provincial government books.
A P3 model where local government assumed the debt may be a more viable option. The P3
model would be more successful if there were other tenants in the building who would
contribute to the ongoing costs of such a structure (pharmacy, professional offices, etc) .
SUMMARY AND RECOMMENDATIONS
West Kelowna has access to a number of health care services. There are over 30 primary care
physicians who practice out of locations on the Westside. There is support from services such as
dentistry, and physiotherapy who are also located on the Westside - mostly in West Kelowna.
There are a few specialists with offices in West Kelowna but the majority practice out of
Kelowna which creates challenges of access for those individuals who are unable to transport
themselves. Many constituents reported that public transit is challenging.
to
mental health and substance use programing was mentioned by physicians and
residents as a significant challenge. Most of the programing is offered out of Kelowna.
Managing chronic illness was also identified as an area of need. For example: Chronic
Obstructive Pulmonary Disease (COPD) was identified as one of the top three reasons why
residents of the Westside are admitted to hospital, however, there is very little respiratory
service available in this community. Given that the population of West Kelowna is growing and
aging, the management of chronic disease will become a greater challenge in the future.
Access
There seems to be a window of opportunity over the next three years for lnterior Health and the
District of West Kelowna to work together to provide additional service to residents on the
Westside. The following recommendations are meant to address that opportunity:
1) The District of West Kelowna should
advocate with lnterior Health for more service
located within West Kelowna. Mental Health and Substance Use and management of
chronic illness are two areas of high priority. This could require additional resources or it
could be a re-assignment of existing resources.
2l
lnterior Health and the District of West Kelowna should work together to improve the
communication or access to information about the existence of current health programs
within West Kelowna.
3)
The District of West Kelowna and lnterior Health should collaborate to examine future
partnership opportunities around the establishment of expanded health services on the
West Side specifically exploring the opportunities that may be presented through a P3
partnership.
4l
lnterior Health and the District of West Kelowna should designate a 'point person' within
each organization to provide information and to facilitate collaboration efforts. Each
'1.1.
5)
organization is large with multiple demands and priorities. Without leadership, this
initiative could failto move forward.
The District of West Kelowna should consider the establishment of a sub-committee
related to health. Given the interest of the West Kelowna community in this topic, the
establishment of such a committee could assist in the dissemination of information
related to health services in the community as well as facilitating collaboration between
the District and lnterior Health.
t2
APPENDIX A
List of Participant lnterviews
Dr. Robert Halpenny, CEO of lnterior Health
Marty Woods, Administrative Director of Laboratory Services in lnterior Health
Zeno Cescon, Administrative Director of Diagnostic lmaging for lnterior Health
Andrew Neuner, VP of Community lntegration for lnterior Health
Shannon Hopkins, Administrative Director of lntegrated Services for lnterior Health
Dr. Gail Klammer, President of Division of Family Practice for Central Okanagan
Tristan Smith, Executive Director, Division of Family Practice for Central Okanagan
Ron Green, Director, West Kelowna Residents Association
Pam Crema, Manager of Health Services for Westbank First Nations
Sylvia Weir, Director of Contracted Services
for lnterior Health
Rick Reese, President, North Sonoran Land Co.
Dr. Duncan lnnes, Pathologist
Dr. Paul Kurkjian, Radiologist
t/c
t/c
Dr. Mike Banwell, family physician in West Kelowna
t/c
Dr. Mark Sorrestad, family physician in West Kelowna
Westside Health Network (four directors, Sonia Newman Exec. Dir., one staff member)
Peachland Municipal Council
Dr. Eric Gustafsson, family physician in West Kelowna
Dr. Toya Oyelese, family physician in West Kelowna
Dr. Roy Maroney, family physician in West Kelowna
Donna Lommer, CFO lnterior Health
13
APPENDIX B
WEST
LOWNA RES DENTS ASSOC IATION
SUMMARY REPORT Of
WESTSIDE HEALTH SERVICE
GAPS
R.F. Green
Health & Safety Committee WKRA
12t112012
Abstract: lnformation regarding problems with existing services, lack of specific services, access
and the needs as stated by Physician and Residents responses to a public survey conducted by
WKRA.
1.4
WKRA SUMMARY GAP REPORT for J. KONNERT and the DWK.
As per our rneeting of October 18 we have attempted to obtain updated community
input to gaps in the medical services for residents living on the west side of the lake,
(West Kelowna, Peachland, and the Regional District and WFN Lands)
Notices were posted on the West Kelowna Residents Association website in October
and November, and copied to media in the first round, with subsequent letters to local
newsprint. We also provided interulews to media. The résident's responses by and
large confirm the service data previously collected from a series of public meetings.
The responses were sought in confidence and therefore this report does.not contain
individual resident's names or addresses. Similarly individual physicians or other
medicalstaff we have contacted are not identified by name
Note
,
'
ttemized gaps tisted helow do not include specific KGH or PGH patient's medical
problems but rather seek to ídpntify gaps in services operated by KGH or theír corporate
contrcctors or seruices that could potentially be filled by an Urgent Care Centre.
Repeated Gap Service AreaE ( b4sed on 50 - 70 responses)'
Laboratory Services
R1 Limited hours of operation for working residents
R2 No appointment system available
R3 Specific tests not available on Westside (e.9. BNP, EKG')
Specialists Access
R4 Very limited availability on the Westside (or none)
R5 Difficulties of travel, Translt, Parking and communication
Respiratory Services
R6 Not curently available in DWK- Kelowna only
R7 Asthma and GOPD responses
lmaging Services
RB Radiology Centre operates restrictive hours.& days
R9 GPs seeking increased avallability based on requ¡rements,
and many concêrns over ultrasound waits up to 6 months
Transit & Parking
Fractures/Casting
R10 Restrictive visiting avaÎlability/ack of bus service
R1l Parking problems/Access for elderly
R12 Multivisit access and parking problems
R13 Difficulties in accessibility and transit
t
15
Gaps continued
Fractures
continued
R14 Neurological related damage wait times
R15 Service hours, transport and stress
R16 lH Clinic good educators but hours of operation poor
R17 Lack of services allowed/available underWork Safe
and no pain clinîc or assistance
Pediatrics
Long term Pain
lnternal Medicine
(Coronary GarÐ
R18 Cardiology clinic outdated and hurried services.
R19 No ECG or 24hr monitors on theWestside. Acesss
only in in Kelowna.
Gap Service areaa (slngular 4 to 49 responses)
Ëmergency Pediatrios R 20 Ëvening/night accessibilities -only at KGH,
R 2lExtended hours required for Minor lnjuries, lngestions,
.i
Ambulance
Services
Ultrasound Wait
Laser
lists
treatments
Allergies
KGH
Emergency
Visit Schedules
R22 Lack of availability (example GPs and relatives who have
transported seriously ill patients).
R23 Ambulances on duty but holding at KGH for sign off
decreases their availability
R24 RCMP concerns re connector
R25 Viewed by Physicians & Patiente as a "ridiculous problem"
R26 Specific wait times can exacerbate problems
R27 Various & dangerous allergies need urgent care available
R28 Waiting Time and service complaints
R 29 Trying to comply with multiple appointments when ill.
R 30 Lack of communication and poor transfers of records
between Physicians.
Other accêss limÍtatlons or gaps identified singly or in previous public meetings,
These mostly relate to a wide range of both minor and major services in health care
e.g. wound care, home care, Dialysis, Eye care, Pain Management, Knowledge of
seruices available, hours of operation, Orthopedics, Minor Burn treatmentss.etc
2
T6
Other lim itations or reported gaps contin ued,.......
.
Appointment wait times increase with both distant and multi specialist referrals and
create difficulties for non mobile patients.
ln both phone and face to face discussions and public meetings with residents there
was of course constant repetition of Access, Bridge Probtems, Lack of Transit, Parking,
Appointment waits, Specialist access., KGH emergency waits, Hours of operation for
Radiology and Labs, etc..
The majority of health system experiences, needs, problems], and criticism, regardless
of discipline or existing service problems drew similar responses from this survey to
those received from previousty held public meetings in both districts
The specific sets of gap items listed above were extracted from written comments and
based on multiple inputs. The items and needs communicated were similar regardless
of whetherthe respondent resided on DWK, DP, CORD, orWFN Lands.
New or additional information revealed by suruey and media announcements :
The appalling lack of residents knowledge of the services that are currently
available on the Westside, and, their patient service limitations.
The very large and growing population that do not have a consistent general
practitioner, (Estimated at 35% and who therefore rely more heavily on
emergency access.)
The depth of feelings generated in matters of health Gare among both relatives
and patients, and the number of multi-problem patients.
.
c
.
o
Chronic kidney care only available in Kelowna
Previous support re-confirmed
This confirmation included Service Clubs, Retired Physicians, Fire Services, the WFN,
RCMP, and the District Councils of West Kelowna and Peachland.
Previous needs responses given at area meetings are attached in Appendix B
ExÍsting seruices (CAT Gliniclprovlded by IHA on the Westslde
Clinic manages wellwith limited space, i.e. has limited bays and work space. lt is open
short day hours only that do not allow for easy access by the working population. lt is
not wellsigned and residents do not alt know of its existence..
3
t7
Existing services (CAT) continued.......
Diabetic Education and continuing care - limited access is provided at the CAT with
hours of operation limíted to 2 days perweek in daytime. Access hours forworking
residents and school child'ren are not compatible with needs.
There is a definite lack of knowledge about the existence of these IHA services as
defined by a limited poll, for example long time residents may know of the location and
çomething of the seruices but, I io 10 year residents generally have lÍttle or no idea of
either its existence or its seruices .
Horne Care Nursing service is only currently available in daytime hours. Similarly, the
Pallhtfue care Nurse is only avaitable in day time hours. . lncreased numbers and
dernands of Gancer patients requirìng Home and Palliative care services and limited
day time hours results in Cancer patients being admitted or readmitted to hospital and
then await care while occupyÌng a hospital bed awaiting cdie...
Local GP Glinic practices and thelrsêrvices,
We have received some complaints about these "walk in olinic'seruices, which we
believe have some basis in respectto operation schedules, management decisions and
pressures in respect to fee schedules.
We have two examples of problems with one walk in clinicwhich operates on a strict
time spent with patient's basis. There is no perception of anything wrong with that for
singular minor problem visits, but it is a gap that does considerably upset the patients
with multiple problems or side effects conoerns that are not best answered bythe
knowledge of a pharmacisi.
Note: Conversety , those clinics that accept appointments wÍth a specific GP do not
have any recorded complaints to date,
Family Practice
Patient/resident comments have been received from executive members of the local
Family Practice Physicians. A couple of detailed têsponses from FP members are
included in the e mail copies in Appendix A
Adult Gare
Adutt care givers and support groups are faced with specific challenges in respectto
4
18
Adult Care continued....
Adult Gare programs, caregivers and support groups are faced with an growing elderly
population in need of service at home. The alternative of providing more residential
care beds is tax and delivery expensive when compared to costs of home care and is a
service and quality of care consideration for a large percentage of our residents..
ln sumrnary..,..,.
ln responding to this WKRA Survey residents and physicians have identified a number
of specific gaps in servÍce and a number of impediments thereto that mitigate against
accessible and acceptable service delivery.
The residents of the Westside clearly recognize the need for a facility operating a
coordínated care stream to address chronic disease care and minor surgical and
accident needs. The provisíon of Triage level3 and 4 diagnoses and intervention
services does not curently exist in a acceptable manner and is badly needed.
A sampling of residents e mail responses as written and received by the WKRA is listed
and attached in Appendix A. ( Sample copies include input from Westside physicians
who are residents).
Previous concerns/needs received during public meetîngs are confirmed in Appendix B
by
reen,
Ghair, Health & Safety Committee
lÂ/est Kelowna Residents Association
Joe Lavigne
President
West Kelowna Residents Association
5
t9
AFPËNÐIX A
Attached to the summary report of the WKRA.
November 3A 2Cj,2
20
APPENDIX A, to WKRA UGc Summery Report of Specific
concerns in 2012
Extractions The following verbatim quotes represent repeated expressions of major
residents concerns:-.
"Wasted time spent at the Laboratory Service for those of us with lifetirne health care
problems (sometimes sitting for hours at the lab)
"Judging time requirements for Kelowna for multiappointments is very hard, and is
sometimes impossible due to access problems and last minute cancellations.
Lab opening hours should be more sensitive forfood deprived patients.
"Not all residents can make it across the bridge to the hospitalto receive emergency
assessments and treatment help. lfractured my arm in two places and created nerve
damage, lt was impossible to drive and I had to wait till daylight for assistance.
"Communication problems, accessibility and a definite lack of GP availability can be
major issues when health care needs become urgent, especially for newcomers like us..
'As a patient with multi issues emergency access is not only made difficult by the lack of
a localfacility, but also I so often observe non emergency people clogging up the
systern. A local facitity would be of so much needed help for the seniors and those of
us with disabilities.
"My husband has had cardiac problems and arrests which have been made more
difficult by slow responses. I would feel so much better about our future if we had a
Westside facility that could help us when we are in urgent need.
"Thank you so much for keeping this issue of a locally accessible facility in the
forefront.. Although we have more Doctors offices now they only provide limited daytime
service. Driving to Kelowna is becoming more tedious and dangerous every day with
the growth in our local populations. We need to start on a localfacility NOW.
"We need a facility so badly on the Westside. Delays in diagnosis and response times
and delays in traffic add a tremendous amount of stress to patients and relatives alike.
We require an accessible multi service facility. Triage works in disasters but does not
work well in large hospitals. We need to bring local servíces together in a centralized
urgent care facility that takes advantage of technotogy and existing medical skills.
21.
Quotes continued
"The Westside needs to improve health services through a centralized location. This is a
rnajor need for our large senior population. lf they do not have personal transportation
managing chronic disease and multi appointments is extremely dífficult and this is
exacerbated by limited hours of operation at mostWestside facilities...-.
"You don't realize the problems/difficulties ín health care systems access untilthere is
an ernergency in your family, especiafly at a time when nothing is open locally.
"Based on firsthand accounts of my neighbours and friends and, responses at public
meetings I have attended, the needs are growing faster day by day and more
accessibility to quality health care is now very badly needed on the Westside.
"l don't care what you call it just tell us that we can realistically have a centre that can
serve patients and relatives on the Westside. We have outgrown the present facilities
with their limited hours and help is often needed outside doctors or clinics operating
hours. Glosing at 4.30 is no help to those of us who work, and access to a decent
emergency clinic is without question a priority issue for both families and seniors who
'reside on the Westside.
"Lack of any local health services out of hours and nothing open on weekends is
disgracefuland affects allWestside residents not just our aging parents. We are not
seeking services that duplicate everything available at KGH, we know that is unrealistic
"The day will come when we need a full service hospitalthat is a given. So lets make
sure we build a facility on District land that is expandable, and meets basic emergency
needs.
"Yes I believe we need a health care centre on the westside centrally located if possible.
Wwe need something that is designed and built for expansion. At a minimum it should
provide Radiology, Laboratory services, emergency care and overnight stay with room
for expansion. Thinking ahead is not a health care or government trait but let's make it
happen for a change, we have an opportunity to do it right.
'We read with great interest a report of West Kelowna and Peachland Councils meeting
to review possible expansion of health services. With such a population increase on the
Westside it is imperative to find solutions to problems of accessibility.
'With increasing valley population, especially seniors and their health concerns KGH
22
Quotes continued
cannot, and should not be counted on to handle it all. Surely it is time to get started on
solutions now.
"We believe that accessible health care is the most important problem to be worked on
"The need is too great to be pushed aside by IHA any longer
"Local Doctors could not provide the services I needed so they sent me to Vancouver
specialists which meant expensive travel, and loss of wages incurred in multi visits over
a two year period. lf even only some of the needed pre and post care actions could
have been done here it would have helped me and my famíly.
'Travelling or driving into Kelowna for my regular KGH visits is becoming slower and
more frustrating every day but my doctor says I need to reduce my stress levels (he
doesn't have to do it!) With both the current and projected population inceases forWest
Kelowna and Peachland it surely must be evident to all the decision makers that we
need to staÉ building a an urgent care centre.
"The average age of our residents is 84 years and I am approaching 80. Many of us
have more than one condition requiring health care services not locally available or not
currently available in this region for whatever rea$on.
"Our concern is not just the physical needs but the stresses of patients and relatives
alike.lso. Improved health care services closer to hand and readily accessible would so
much increase The following pages of this appendix represent a samplíng of written
comments received by WKRA in October and November 2012.
"l received surgery at KGH recently but now have to keep going back for therapy and
follow-ups. Couldn't some of those services be available locally?
'We love the Westside to live and believe it is a great place forfamifies, but as far as
resources go health care is definitely a strongly needed area where it is lacking.
23
APPENT}IX B
Previous residents requests appanded to WKRA/UGG Summary Report
November 30 2012 (Collated 2009,2010 &2011,
7t
24
Itttqìority commtrnts
l¡l:el'ie'ru l{e
ts fuso':iaticn
Associatíott
:;un Vil
l¡e:¡chland Rota
Club
Peuchiancl Rr:tirernent
Rol,?
'JVest banl< Eveni
C uk,
'û/estbâ nk Lir¡n ct r¡b
Peircl rland
ülnt:erned cit' zens
Br':al<fa st Clt¡b
',lVestbank
'rVastbanl<
borlro,rd Associ¿ tion
l(erlowrra lle:;idett ts As;;ot:îationl
n favot tr rrf i¡ Vt/ e;tsidr: faci
b.rt co 'ìcrlfrrecl
t.lz
n favour r:f û VVestsidr: fa ct
rftltl'r n'¡a
rncre s€rvlces
:¿8
n fat¡ot¡r r:f il VVe stsid¡: faci
with ffrore
É.erYi ces
32
ln larrol¡ r r>f ;¡ UVe;tsi de faci
?4.
ln favott r>f
W e ;tsidr¡ faci
¡ n:il
',iVf:N Ccut'rcil
T]TAL
N
(¡
witli fftOlÊ
n favot ff of ;l vu e stsidt: fa cl
1S
n favot¡r r¡f
z2
ln favo ur of il Ltcc â nd tn cre:ased
21
Cost a
24t-
ln
aÎ d
L¡CC
r>f :¡
6
AI cclu¡lci
!,9C1
s.ervlceS
sG!rvr ces
t cc
ln fatrour
n favor¡r
than nc¡w-
cûncern bul tn c rr¡a:;ecl so rvictls
7+?
?
Pei¡ch lan d Coultcìl
a
at: lea sl
4C
"/Vt:st
',Àlcst l(crlo¡rr¡a tlo
loJt cost
36
VVest (e ov,rna
rr errb:rs¡
of ,l
VVests
r
for one
fe VC ur o{ a 'tV r:stsic e
dt: f:r ct
l,.tcc
ot'z.,+l-,t
AUDIENCE FEEDBACK
14 Presentations
Day Surgery
Yes
SÛolo
Wound Care
Yes
lV Therapy
Yes
75%
70%
Minor Burns
Yes
85%
ENT Nose Bleeds
No
40%
lnfections
No
L%
Sprains
Yes
55o/a
Fractures
Yes
859/(/
Pain Mngmt
Yes
63To
Minor Pediatrics
Yes
68Yo
Allergies
No
t%
lmaging
Yes
100%
Respiratory
Yes
76To
Dialysis
s0/s0
so/so
s0%
Work Safe
Physïotherapy
Yes
90%
Laboratory
Yes
100%
Ðiabetes
No
40%
ECG
Yes
790Á
Video Link: ks (Tele Health)
Yes
7t%
Errorsrange estimate 8%
s09'É
Attendancr e Total 614 incl possible duplicates
26
APPENDIX
C
West Kelowna Physicians and Clinics
v4T
3K3
Dr. Mark Bailee
223L Louie Drive
Westbank
Dr. Mike Banwell
33L Anders Road
West
Kelowna VIZIK2 7767555720
Dr. Annette Brower
18-2475 Dobbin Road
West
Kelowna
Dr.
L82475 Dobbin Road
West
Kelowna V4I2E9
250 768 6315
Dr. Ronald Corbett
3591 Elliott Road
West
Kelowna
V4T
1N9
2507686920
Dr. Florin Covasser
407-3500 Carrington Road
West
Kelowna
V4T
3C1
250 452 6742
Dr. Andrew De Pieri
2145 Louie Drive
Westbank
v4T
3E6
2s07687656
Dr. Suzanne Gossier
107-3500 Carrington Road
West
V4T
3C1
250 452 6742
Dr.
Eric Gustafsson
223L Louie Drive
Westbank
v4r
2P3
250 768 6985
Dr.
B Hautala
853 Anders Road
West
Kelowna VIZLK2 778755 5270
Dr. D F Hawkins
L9-2475 Dobbin Road
West
Kelowna V41289
250 861 3235
Dr. Larry Hancock
2L45 Louie Drive
Westbank
vrzrK2
2507687656
Dr. Lourens Human
2231- Louie Drive
Westbank
v4T
3E6
250 768 6985
Dr. Corrina lampen
2448 Dobbin Road
West
Kelowna
V4T
1K5
250 768 5355
Dr. Duncan Laidlow
L90-2300 Carrington Road
West
Kelowna
V4T
2N6
250 768 2722
Dr. Marcel Lavanchy
107-3500 Carrington Road
West
Kelowna
V4T
3C1
25O 452 6742
Dr. Bernard Lewke
2423 Apollo Road
West
Kelowna
V4T
1P6
250 768 9515
Dr. J McNern
IO5-223L Louie Drive
Westbank
v4T
3E6
250 768 6985
Dr. Leonie Maritz
tO5-223I Louie Drive
Westbank
v4T
3K3
250 768 6985
Dr. Roy Maroney
3591 Elliot Road
West Kelowna V4T 1N9 250 768 6920
Dr. Shawn Martin
3591 Elliott Road
West
Kelowna
V4T
1N9
2507686920
Dr. H Muendel
3591 Elliott Road
West
Kelowna
V4T
1N9
250 768 8756
Dr. Alex Omelchuk
2145 Louie Drive
Westbank
v4T3E6
2507687656
R Bystrom
Kelowna
V4T
289
250 768 6985
250 768 83L5
27
Dr.
c/o Kelowna Medical lmaging
#103 - 3685 Brown Road West Kelowna
P Kurkjian
Kelowna
v4T
1.P7
250 768 L666
V4T
1N9
2507686920
v4T
3K3
2s0 768 6985
359L Elliot Road
West
Dr. D Reid
105-223L Louie Drive
Westbank
Dr. A Spiess
t8-2475 Dobbin Road
West
Kelowna
V4T
2E9
250 768 8315
Dr. Mark Sorrestad
3591 Elliott Road
West
Kelowna
V4T
1N9
2507686920
Dr. Andre Van Heerden
2145 Louie Drive
Westbank
v4T
3E6
2507687656
Dr. Gerhard Verster
21-45 Louie Drive
Westbank
v4T
3E6
2507687656
Dr. Drikus Verwey
2145 Louie Drive
Westbank
v4T3E6
2507687656
Dr.
195-223L Louie Drive
Westbank
v4T
3K3
250 768 6985
Dr. Marie Wild
21-45 Louie Drive
Westbank
v4T
3E6
2s07687656
Dr.
406-2330 Hwy 97
Dr.
T Oyelese
P
Warren
FP
Wildgrube
West
Kelowna
VgT
2P3
250 768 6985
West
Kelowna
V4T
289
250 768 8315
West Kelowna
v4T
2H8
2507681778
tO8223I Louie Drive
Westbank
v4T
3E6
250 859 1550
105-223L Louie Drive
Westbank
v4T3E6
2507633842
Peachland
voH
1x7
250767 3432
S
Dr. Claire Young
L6-2475 Dobbin Road
Dr. D. lnnes
c/o Valley Medical Laboratories
2427 Main
Sl.
SPECIALISTS
Gynaecology
West Kelowna Gynaecology
Dr. Owen
Yoshida
Urology
West Kelowna
Urology
Dr. M Carter
Dr. K Prestage
Dr. J Wiesenthal
Peachland Physicians
Beach Avenue Medical
Clinic 58480
Beach Avenue
Dr. J. Brinkerhoff
Dr.
P
Chetty
28
West Kelowna Dentists
Carrington Dental
Aura
Centre
DentalClinic
#360
-
2300 Carrington Road
West
Kelowna V4T2N6
250 980 0580
v4T
3C3
7787542872
V4T
2GL
2507687007
V4T2E8
25O7O7 0428
2205 Louie Drive
Westbank
West
Dr. Orlo
Powell
#2-2525 Dobbin Rd.
Dr. Jack
DeGruchy
#8
-
Kelowna
West Kelowna
2483 Main St.
Westside Orthodentic Centre
#200-2300 Carrington
Dr. Kevin
Andersen
Valley West Dental
Centre
3587 Elliott
Rd.
Rd.
#220-3645 Gosset
Rd.
West
Kelowna V4T2N6 2507685573
West
Kelowna V4T1N9 2507687671.
West
Kelowna V4T2N8 2507682789
West
Kelowna V4fIP7
25O7689747
Kelowna VATIZI
250 768 3984
Dr. Donald
Belke
3653 Hoskins
Dr. Shauna
Palmer
2446 Main St.
West
3208 Sunset Place
West Kelowna
V4T153
250 7L8 8800
3685 Brown Road
West Kelowna
V4TTP7
250 768 5907
2453A Main Street
Westbank
v4T2L5
250 768 1020
106 3480 Carrington Road
West Kelowna
v4T3C1
250 768 2727
3597 Gleneagles Drive
Westbank
v4r 2L5
250 768 1879
2224 Upper Sundance Dr.
West Kelowna
v4T 156
778 754 5563
West Kelowna
V4T 1P3
250768 491,r
Rd.
Foot Care
41.
Orthotics
Okanagan
Pedorthics
Massage Therapists (RMTs)
Family Wellness
Chiropractic
Centre
Connection
Glenrosa Massage
Clinic
Maguire Massage
Therapy
Westside Therapeutic Massage 3570 Old Okanagan Hwy
Medical Equipment and Supplies
Canadian Red Cross
2466 Main Street
Westbank
v+TrzT
250 768 8965
London Drugs
2LSl- Louie Drive
Westbank
v4T3E6
250 768 8504
London Drugs Pharmacy
215L Louie Drive
Westbank
v4T3E6
250707 2360
Medicine Shop Pharmacy
2441,A Main Street
Westbank
V4T1K5
2so707 2952
29
Medical Equipment and Supplies
Road
Kelowna V\Z2V2
250 769 8690
Westbank
v4T1N9
2507687645
2241 Louie Drive
Westbank
v4T3K3
2507681459
Save On Pharmacy
L-2475 Dobbin Road
Westbank
v4T2E9
2507682323
Shoppers Drug Mart
38-301 Highway 97S
West Kelowna
v4T2P3
250 765 4L56
Pharmacies
2475 Dobbin Road
Westbank
V4T2E9
250 707 0891,
Walmart Supercentre
Elk Road & Louie Drive
Westbank
v4t3E5
2507681759
Dr. J Dvorak (Walmart)
2l-70 Louie Drive
Westbank
v4TrY2
2507685713
Vintage View Optometry
108-3480 Carrington
Westbank
v4T3C1
2507685546
Westbank
v4r2E9
2507684020
250 768 5907
Okaped Orthotics
LL8-2476 Westlake
Peoples Drug Mart
200-3591 Elliot Road
Rexall Pharmacy
West
Optometrists
Road
Drs. Nelson & Singh
Westbank Vision
Care
L5-2475 Dobbin Road
Drs. Erhardt, Almond & Strawn
Physiotherap¡sts
Oka naga n Physiotherapy
3685.Brown Road
Westbank
v TrP7
Pinnacle Physiothera py
3585 Elliot Road
Westbank
v4T1P6 2507687L0r
Westbank Physiotherapy
3585 Elliot Road
Westbank
v4T1N9 2507687r9t
Westside Physiothera py
2424 Apollo Road
Westbank
v4T1P6
2507685907
30
APPENDIX D
DISTRICT OF WEST KELOWNA - INVENTORY OF IH SERVICES
Service
Other
Hours
Days
Current Location
Home Health and Mental Health
CAT (Community
Ambulatory Clinic)
Mon-Sat2bays
8:1 5-1 6:1 5
DWK Health Centre
Community Nursing
Daily
8:30
DWK Health Centre
Community Rehab OT/PT
Mon
- 16:30
8:3O - 16:42
Diabetes Education
Mon & Wed
8:30-16:42
DWK Health Centre
Home Care Nursing
Daily
8:30-16:30
DWK Health Centre
Home Support
9lines, daytime
7 am -11 pm
DWK Health Centre
-
Fri
5 lines eves
-
8:30
-
Sat covers all COK.
On CallSun.
DWK Health Centre
DWK Health Centre
16:42
Long Term Care
Mon
Mental Health
as required Mon-Fri
Palliative HCN
Daily
Adult Day Program
10 ADP spots, 5 days
2 baths, 5 days/week
Village at Smith Creek
Care Giver Support Group
Every 2 weeks
DWK Health Centre
Fri
Outreach from Ellis office
8:30
-
DWK Health Centre
16:30
(SW)
Social Work
Senior's Mental Health
- Fri
Mon - Fri
8:30
Mon
20
-
DWK Health Centre
16:30
-25
Outreach from Groves
Office
hrs/wk
Promotion and Prevention
Child Health Clinics
MonÂffed
and
Tuesday
1"t and 3'd Tuesday
2nd
4th
DWK Health Centre
AM
AM
PM
PM
DWK Health Centre
May/June/Sept
times vary
DWK Health Centre
Flu Clinics
OcVNov/Dec
times vary
DWK Health Centre
Fluoride Varnish Clinics
Thursday
Allday
DWK Health Centre
Pneumococcal Clinics
Nov/Dec
PM
DWK Health Centre
COK lmmunization Clinics
4th Tuesay/2no
Kindergarten Clinics
Thurs
Housing and Gare
Assisted Living (AL)
22 suites
Residential care facility
'138 residential beds
owned by Baptist Housing
- contract with lH
Village at Smith Creek
owned by Baptist Housing
contract with lH
Village at Smith Creek
Residential care facility
100 beds
New Build
Opening January 2013
Residential care facility
63 beds
Private WBFN)
Pine Acres
Residential care facility
104
owned and operated by lH
Brookhaven Care Centre
31
APPENDIX
E
Emergency Department Utilization by Residents of West Kelowna and Peachland
Strategic lnformation Management
lnformation Management
lnterior Health
Project Title: Emergency Department Utilization by Residents of West Kelowna and Peachland
Reporting Period: Fiscal Years 2007lO8to 2011112
Requestor: JoanneKonned
Purpose: To assist with the planning of a health care facility in West Kelowna
Data Notes & Limitations
.
VVe
were unable to identify persons belonging to the Westbank First Nations
(wFN)
.
Patient area of residence was determined by postal code. The postal codes for
each Emergency Department (ED) patient is the latest on file, not necessarily the postal code
at the time of the visit.
.
Central Okanagan Regional District = Central Okanagan J ElectoralArea
Emergency Department Data:
Visits for unscheduled only
Patients who left without being seen by a physician (LWBS) were removed from
the individual CTAS levels (1-5 and N)
.
.
.
CTASN=unspecified
lnpatient Admissions
Based on acute and rehab levels of care (excluding newborns)
Datafor 2011112is preliminary and subject to change
.
.
Findings & Analysis
Summarv
A)
B)
Population (based on 2011 Census):
.
\¡Vest KelownaAffFN - 37,960
.
Peachland - 5,200
.
Central Okanagan Regional District
-
1,947
ED Visits
The number of ED visits by residents from the selected municipalities has been
decreasing since 200812009, and ranged from 10,036 in 2008/09 to 7,895 in2011112.
Over 90% of the visits were to KGH each year
Approximately 84o/o of all visits were made by residents of West KelownaA/t/FN,
which corresponds to population size (i.e., W. KelownaA/t/FN residents made up 84.2o/o
of residents from all three municipalities).
With the exception of 200712008, the distribution of CTAS levels was relatively
consistent over the years at each facility (see Table 2). Specifically, at KGH,
.
32
CTAS 3 visits made up the highest percentage of all visits (50.2% to 57.5%), while
CTAS 1 visits accounted for the fewest visits (0.2% to 0.7o/o).
C)
lnpatientAdmissions
ln 2011112, 3,705 residents of the selected municipalities had hospitalizations at
KGH
(3,553), PRH (61), and VJH (91).
.
.
.
.
The majority of patients (-85%) were residents of West KelownaÂffFN.
Nearly all of the hospitalizations (-96%) occurred at KGH.
The
3
most common CMGs for hospitalization were vaginal deliveries, knee
replacements and COPD.
33