Page 126 - CEO Orientation

Nephrology Summary

SJHC: Regional Renal Program operates out of two locations and is one of 26 designated Regional Programs in the Greater Toronto Area.
The program offers a comprehensive range of services for patients at risk of kidney failure or who are in the later stages of kidney disease.
Our interprofessional team works with patients and their families with the goal of managing their health to delay the need for kidney
replacement treatment (dialysis or kidney transplant) and to educate them on kidney replacement options if required.
SMH: The Diabetes Comprehensive Care program manages patients diagnosed with diabetes and who experience complications
associated with it. The program comprises of 4 service areas which include endocrine, ophthalmology, nephrology, and urology. Within
these, services offered include endocrinology/diabetes, ophthalmology, the osteoporosis program, renal services, the renal transplant
program, and urology. In addition to these service areas, the program also oversees research into the prevention of and causes of diabetes
and its associated complications, risk reductions and treatment of heart attacks, kidney failure, and circulatory problems, as does it conduct
research into vascular biology, metabolic regulation, risk modification, lipids, complication progression, patient impact and end-stage renal
disease management. The Diabetes Comprehensive Care program consists of a total of 21 inpatient beds.

Structure Finance Performance & Quality

•SMH has a full program dedicated •One of two adult kidney transplant •2000 transplants have occurred at
to Renal Disease Services programs serving the Greater SMH, with approximately 900 post-
•Both have a common partnership Toronto Area and is part of the transplant patients being actively
with Ontario Renal Network Multi-Organ Transplant Program at followed in the ambulatory clinic.
the University of Toronto. There are approximately 450
•Transplant referral hospital for over patients on our deceased donor list
30 dialysis centres in the Greater and about 50 patients in various
Toronto Area stages of evaluation for living
•Nephrology volumes have grown kidney donation.
by 10% in Ontario; volumes have •As a proportion of inpatient
grown by 2% at SMH and volumes, Nephrology makes up 2%
decreased by 6% at SJHC. of SMH and SJHC activity.
•SJHC and SMH make up 5% and
6% of Ontario market share
respectively.
•Both SJHC and SMH are early
adopter for renal bundled payment
for home PD

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