Environmental Scan - Government of Nova Scotia

Physician Resource PlanningAn Environmental ScanThe following figure identifies the number of unique patients seen on a FFS and shadow-bill basis per 1.0 FTEby DHA for selected specialties as well as the number of services per unique patient per 1.0 FTE by DHA.Figure 93 # Unique Patients seen on a FFS and Shadow-Bill basis per 1.0 FTE by DHA, 2009/10 (Source: MSI & S-Bill)The shaded cells are more or less than one standard deviation from the provincial average. The percentagestandard deviation in general paediatrics and general surgery (in terms of number of unique patients) is veryhigh, at 53% and 43% respectively, reinforcing the need to interpret this information with caution.In the subsequent ‘analysis’ phase of the project a closer examination of a demand-based model will beprovided to give context and comparison to a population health needs based model.Figure 94 # Services per Patient seen on a FFS and Shadow-Bill basis per 1.0 FTE by DHA, 2009/10 (Source: MSI & S-Bill)14.1 Inpatients from Out-of-ProvinceInformation on patient admissions from out-of-province (O.O.P.) is provided in the following figures. Fifty-threepercent of all 3,946 O.O.P. patients are admitted to QEII (2,105 admissions), 31% to IWK, 4% to CumberlandRegional Health Care Centre (160 admissions), and the balance distributed across a number of hospitals.O.O.P. admissions represent 8% of total admissions and 6% of total inpatient days stay at QEII and 7.5% of totaladmissions and 14% of total inpatient days stay at IWK. Cardiology (14.3%), general surgery (7.8%), andneonatal-perinatal medicine (3.2% of admissions, but 10% of days stay) represent the most frequent doctorservices for O.O.P. patients. Overall the O.O.P. patient volume does not represent a significant portion of totaladmissions to QEII. At IWK a significant portion (14%) of hospital days stay are O.O.P. patients and a third of thedays stay are attributable to one doctor service; neonatal-perinatal medicine.Figure 95 Out-of-Province Hospital Admissions – Summary 2009/10 (Source: NS Hospital Discharge Data)108 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011