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Proposed Models (Stage 1)

In approving MAHC to move to the next stage in the planning process (Stage 1), the Ministry directed MAHC to continue exploration of the work previously considered at the Pre-Capital Submission stage.   

MAHC's Capital Plan Development Task Force, which is overseeing MAHC's Stage 1 planning, has further refined and evolved three models in consultation with hospital clinicians and stakeholders including community health care providers, municipalities and others.  The following is a summary of the programs and services to be provided in each of the models under consideration by the task force.  Greater detail is available in the Models on a Page.  Included in the Part A evaluation is a high-level siting exploration. Based on the task force's understanding of the three models, could our current sites accommodate the future needs, or would alternatives need to be explored.  Once a preferred model is selected, the options for how to best deliver the model will be studied in much greater detail in the Part B work, with criteria established to help select the preferred approach. 

Two Acute Sites

The Two Acute Sites model proposes to maintain acute care beds and Emergency Depts., general surgery, obstetrics and intensive care in two sites.  These would be supported by other core diagnostic services and allied health and support services in both sites.  Specialty surgeries and programs like Chemotherapy and Complex Continuing Care that are currently single sited are proposed to continue to be in one site only.  The future model also proposes to add a Stroke Rehabilitation Unit and MRI capabilities at one site.

Inpatient Site/Outpatient Site 

The Inpatient Site/Outpatient Site model proposes to include Emergency Depts. at two sites and to separate outpatient and inpatient services between two sites. The Inpatient site would include all hospital beds, surgical services, obstetrics, and intensive care, and would be supported by other core diagnostic services and allied health and support services in both sites.  The Inpatient site also proposes the addition of a Stroke Rehabilitation Unit and MRI capabilities.  The Outpatient site would include services that do not require an overnight stay in hospital like endoscopies, x-rays and other diagnostic imaging, and services like chemotherapy and dialysis. 

One Site

The One Site model proposes to provide all programs and services on a single site, including the addition of a Stroke Rehabilitation Unit and MRI capabilities. 

 Programs and Services
MAHC
Current State 2017

Two Acute Sites

Inpatient Site / Outpatient Site 

One
Site

 Emergency Department  Dual Sited Dual Sited  Dual Sited Single Sited
 Endoscopy  Dual Sited Dual Sited  Dual Sited Single Sited
 Diagnostic Imaging (e.g. X-ray, Ultrasound, CT)  Dual Sited Dual Sited  Dual Sited Single Sited
 Core Laboratory  Dual Sited Dual Sited  Dual Sited Single Sited
 General Surgery  Dual Sited Dual Sited  Single Sited Single Sited
 Obstetrics  Dual Sited Dual Sited  Single Sited Single Sited
 Beds  Dual Sited Dual Sited  Single Sited Single Sited
 Intensive Care  Dual Sited Dual Sited  Single Sited Single Sited
Specialty Surgery (e.g. Cataract, Urology, Gynaecological)  Single Sited Single Sited  Single Sited Single Sited
Specialty Programs (e.g. Chemotherapy, Dialysis, Cytology, Nuclear Medicine, Pathology)  Single Sited Single Sited  Single Sited

Single Sited

Programs and Services That Could be Appropriate to Shift to Community:

With proper design and delivery, MAHC proposes in the future the following services could be safely provided in the community in line with Ministry direction to demonstrate a shift of appropriate services from hospital to community:

Prenatal Care, Paediatric Clinic, Pacemaker Clinic, Seniors Assessment and Support Outreach Team, Diabetes Education, Outpatient Dietitian, Dialysis, Microbiology, Cytology