I've been employed in health (not front line) since long before health transformation began, but I did not realize that there was no increase in ER beds at the three remaining hospitals after the other three were closed. There are actually fewer. Unbelievable.
"HSC had 777 hospital beds in 2016-17, the year before consolidation. That fell to 762 during the first year of the hospital mergers. It increased slightly to 780 in 2021-22, according to Shared Health data. Capacity at HSC has remained largely unchanged, even though the facility is seeing more acutely ill patients.
In 2015-16, HSC had an average bed occupancy rate of 88.5 per cent. That jumped to 94.8 per cent in 2021-22. It now has less capacity to absorb spikes in patient volume.
St. Boniface had 493 staffed hospital beds in 2016-17. That number fell to 464 beds in 2021-22. Grace saw its bed count decline from 235 in 2016-17 to 227 in 2021-22. Patients are also piling up in those ERs.
Meanwhile, government continues to peddle the falsehood that almost 40 per cent of people who show up at ERs and urgent-care centres could have received treatment elsewhere, suggesting it’s causing ER overcrowding.
The 40 per cent figure is the portion of patients triaged as Level 4 or 5 patients, the least ill patients on the Canadian Triage and Acuity Scale. That doesn’t mean everyone triaged as a Level 4 or 5 could be treated at a doctor’s office or a walk-in clinic. Some have complex medical issues that may require a hospital stay. Government is spreading erroneous information to divert attention away from the poor management of its hospital-consolidation rollout.
Manitoba’s 2017 Wait Times Reduction Task Force, commissioned by the Tory government, confirmed that Level 4 and 5 patents are not the main cause of ER overcrowding.
“CTAS 4 and 5 level patients have been identified by media, politicians, many ED staff, and fellow ED patients as the ‘black sheep’ of emergency care,” the report says. “There is an enduring, persistent belief that they are the fundamental problem in (emergency department overcrowding). If they can be dealt with elsewhere, all will be well. That is a myth.”
The report, written by experts in the field, found the main cause of ER overcrowding is the growing length of time patients are spending in emergency departments — often on gurneys in hallways — waiting for a bed on a medical ward. That leads to poor outcomes.
“There is clear evidence that prolonged ED stays contribute to increased illness (morbidity) and death (mortality), as well as prolonged hospital stays as an admitted in-patient,” the report found.
That may not be something government officials are willing to acknowledge publicly. But it is in their own report."
Excerpted from today's Tom Brodbeck column. https://www.winnipegfreepress.com/arts-and-life/life/health/2023/03/16/creative-explanations-aside-task-force-clear-on-cause-of-er-crisis-more-than-five-years-ago