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Emergency Medicine Summary



           *P4R Ranking extracted for FY17-18 (FY201708 report)



          SJHC ED consists of five separate areas: Supertrack, Ambulatory, Pediatric, Resuscitation and MHESU
          (Mental Health Emergency Service Unit).
          SMH ED is a regional trauma and stroke centre. In addition, the ED also contains the Rotary Transition
          Centre, which is a 24-hour facility that provides temporary refuge to ED visitors who no longer require
          hospital care but have no place to go in the community.
          The two emergency departments across the network treat an average of 240 patients every day.





                        Structure                                    Finance*                             Performance & Quality*

          •Similar in structure at SJHC & SMH          •SJHC is grouped as a “very high-           •Comparable visits for:
           with both programs paired with               volume” hospital, where as SMH is           •ED Return Visits within 72 hours
           Mental Health/ Addictions                    grouped as a “teaching” hospital in          “Same diagnosis”
                                                        P4R                                         •Mental Health ED Visits
                                                       •Prior to volume adjustments, ranking        •Substance Abuse Visits
                                                        for SJHC and SMH are 39 and 40
                                                        (out of 73 hospitals) respectively,         •Diabetic Visits
                                                        with volume adjustments rank 6 and         •Opportunity for improvement
                                                        23*                                         SJHC
                                                                                                    •90 Percentile  ED LOS admitted >
                                                                                                       th
                                                                                                     SMH 6.5 hours
                                                                                                       th
                                                                                                    •90 Percentile Time to Inpatient
                                                                                                     bed > SMH 5.7 hours
                                                                                                   •Opportunity for improvement
                                                                                                    SMH
                                                                                                    •90 Percentile Time to PIA > SJHC
                                                                                                       th
                                                                                                     1 hour
                                                                                                    •90 Percentile ED LOS non-
                                                                                                       th
                                                                                                     admitted high and low acuity >
                                                                                                     SJHC 0.8 and 0.4 hours


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