1. Acute Care AND Beyond

3. 18,500 Hospital Beds Cut: Occupancy at 98% Ontario Hospital Beds Staffed and in Operation 1990 – 2010 YearAcutePsychiatric Complex Continuing Care RehabilitationTotal 199033,4032,50511,4352,04849,391 199131,9072,43011,5061,97547,818 199229,8262,33111,4251,90245,484 199327,9402,27610,9351,92643,077 199426,0972,16610,5921,90540,760 199525,3862,18210,3251,85339,746 199624,0142,1479,6391,89037,690 199721,9292,1428,6781,87534,624 199820,3172,0948,1491,81532,375 199919,7402,0627,7881,80231,392 200019,5582,5057,5051,92431,492 200119,9123,4447,4552,13732,948 200219,3553,7097,4282,24032,732 200318,7813,6206,8962,34931,646 200418,5524,5476,5372,36231,998 200518,4334,5116,4022,39731,743 200618,4444,3686,0942,47831,384 200718,4454,3055,9722,41531,137 200818,7024,3336,0392,41031,484 200918,7734,3325,9272,39231,424 201018,3554,3355,7982,32230,810 Difference 1990 - 2010 -15,048+1,830-5,637+274- 18,581 Difference- 45%+ 73%- 49%+ 13%- 38% Source: Ontario Hospital Association

4. Home Care Funding Declining as Share of Health Spending

5. Increasing Acuity 1992 – 2007 – Acuity increase of 29.7% In 2007 provincial CMM was 98.13 an increase in 1.87% since 2006 when the provincial CMM was 96.33 Result of redefinition of complex continuing care, closing of hospital beds, ageing, downloading of mental health patients/closing of beds By 2007, 74% of Ontario’s ltc residents were classified as Category F (second highest level of acuity)

6. Assessing Acuity 2001 PriceWaterhouse Coopers Report: Since then, government has never updated the study, but acuity has continued to increase.

7. The missing link: acuity increases, funding increases, care levels stagnant

8. History of Deregulation/Some Reversals