Patient Flow Daily Metrics - BGH

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Note:

  • ANB: Admit No Bed – this is the number of patients who have been admitted to hospital but are awaiting an appropriate bed in an inpatient unit
  • ANB and occupancy data as of 6:00am daily
  • Admissions and discharges are for the previous 24 hour period
  • Our occupancy goal is 90%

The above graph provides a general overview of the capacity of beds at the Brantford General Hospital. The occupancy percentage reflects the total number of beds available. There are a total of 262 beds at the BGH including Medical, Surgical, Complex Continuing Care, Integrated Stroke, Critical Care, Medical Cardiology, Psychiatry, Maternal & Child and others. The above graph provides only a general overview of system occupancy, and should not be interpreted to reflect wait times in the emergency department, or for any other hospital-based service. Surges in capacity are normal, and can be caused by many factors.

During times of excessive overcapacity the system responds in a variety of ways. ‘Overflow’ space is utilized for patients who are admitted to hospital but do not have an inpatient bed yet available to them; occasionally the utilization of this space requires the cancellation of previously-booked procedures or surgeries. Emergency surgeries or procedures always continue to occur as necessary.

Brant Community Healthcare System has a long-term goal of reducing ‘normal’ occupancy levels to below 100%. Initiatives to achieve this target are focused on improving patient flow throughout our system, preventing admissions where possible, and facilitating earlier discharges when safe and appropriate for patients.

Overcapacity ‐ Navigating the Numbers

The Brant Community Healthcare System (BCHS) is periodically faced with overcapacity pressures. As a result, patients who access our facilities may see some changes that raise questions and at times, cause concern. Here’s a simple guide to help you understand the information you may hear in the news and help you understand what to expect if you access care services at the BCHS.

Quick Facts

  • Patient safety is always our first priority. Please be assured that while accessing care, you will receive the attention you need and you will not be discharged from hospital until it is medically safe to do so.
  • If you come to the Emergency Department with a medical emergency, you will be attended to immediately. Only patients with non‐urgent needs may be affected by increased wait times when accessing our Emergency Department.
  • See below under “Questions and Answers” for options when you do not have a medical emergency
  • The “number of patients waiting in the emergency department for admission” is sometimes reported in the news media. This number is not reflective of the total number of people in our Emergency Department, or the time it will take to see a physician. You can see actual wait times for the Emergency Department here.
  • “Overcapacity” means there are more patients in our care than there are inpatient beds to hold them. If you require admission to hospital and the ward in which you will be cared for is full, you may be placed in a temporary area until a bed is available.
    • If you are receiving care in a temporary area, we commit to maintaining your privacy to the best of our ability.
    • Regardless of your location, you will still receive the medical care you need.
    • In some cases, even once you’re on the ward, you may not be placed in a bed immediately ‐ but we will move you to one as soon as it’s available.
    • If you are an out of town resident, and when medically appropriate, please work with your care team to identify if you can be sent to a facility closer to your home.
    • Ultimately, our goal is to get you home safely. If you require follow‐up after leaving hospital, there are a wide variety of outpatient services available. In consultation with your care team, these supports (i.e. home care, outpatient testing) will be utilized to assist your transition from hospital to home.
    • In many cases, tests or procedures will be deferred to a later date and done as an outpatient visit.
    • We support a 10:00am discharge time on all of our inpatient units at BCHS. Please prepare by arranging your ride for 10:00am on the day of discharge. You may be asked to wait for your ride in a temporary location. We will do our best to keep you comfortable while you wait.

Questions and Answers

What options are available to me if I don’t need to go to the Emergency Department?
Patients not requiring urgent care are asked to consult the following options before coming to the Emergency Department:

  • Consult with your family physician;
  • Call Telehealth Ontario at 1-866-797-0000. A registered nurse will take your call 24 hours a day, seven days a week and will provide free, confidential health advice or information;
  • Access a walk‐in clinic. A list of walk-in clinics and physicians accepting new patients is available on our website here.

Why doesn’t the BCHS add more beds to accommodate this overcapacity?
We are funded for a limited number of beds and when we exceed that number the funds to provide that care may take away from other acute services we provide in the hospital.

Why don’t you just build another hospital?
We feel that the key to addressing our situation lies in using the resources we have, more effectively.

Will you ever send me to a different hospital to receive care?
If you require hospital care, we make every attempt to ensure you are in a hospital which best meets your needs. If a change in hospital is required, it would only take place after consultation with you and your attending Physician.

If I have a surgery or outpatient procedure scheduled, will that be affected?
During times of overcapacity, elective surgeries and outpatient appointments may be rescheduled. This does not apply to emergency surgeries. If you have questions or concerns about your upcoming procedure, please discuss them with your doctor.

What are my options if I don’t need to be in hospital but can’t be at home on my own?
There is a wide variety of out‐patient services available through HNHB LHIN Home and Community Care. In consultation with your Physician and your care team these supports (i.e. home care, outpatient testing) will be utilized to assist your transition from hospital to home.

Will you ever send me to a different hospital to receive care?
If you have come to the BCHS to receive care which is not available at a hospital closer to your home, you will be repatriated to your home hospital if you no longer require our services, but are not yet ready to be discharged home.

Will I be able to go to Long Term Care sooner if I come to BCHS?
BCHS provides care for acute illnesses .If you come to the hospital with an acute illness, you will be discharged home as soon as your illness is resolved. If necessary, assessments for long-term care are done by HNHB LHIN Home and Community Care in your home in the community.

Why is staff at the hospital talking to patients every day about when they will be discharged?
Planning ahead means that you will be prepared to go home. The best and safest place for you to continue your recovery from any illness is at home. Once your healthcare team feels that you are ready for discharge, we will help you and your family to get you there.

Why do we have so many patients waiting for beds in the hospital?
We have some patients that are remaining in hospital longer than expected, and we need patients and families to work with us to get patients home sooner.

What happens when I come to the hospital, and when I am ready to leave, I can’t go back to my home?
Once your acute illness is over, BCHS and HNHB LHIN Home and Community Care will work together to find the right place with the right supports for you to continue to get stronger until you can go home.

 
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