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B - What Does the E-Scan Tell Us

Table 1.0 shows that there are 288 SCI-specific beds, across the 16 SCI rehabilitation sites, with a range of 8-60 beds per site. A cadre of dedicated, rehabilitation professionals service both traumatic SCI and non-traumatic SCI patients. Table 1.0 Spinal Cord Injury Rehabilitation Sites in Canada . SITE PROVINCE SCI BEDS 1 Spinal Cord Injury Program, GF Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver British Columbia 2 Tertiary Neurological Rehabilitation, Foothills Medical Centre, Alberta Health Services, Calgary Alberta 3 Spinal Cord Injury Program, Glenrose Rehabilitation Hospital, Alberta Health Services, Edmonton 4 Spinal Cord Injury Program, Saskatoon City Hospital, Saskatoon Health Region and University of Saskatchewan, Saskatoon Saskatchewan 16 5 Spinal Cord Injury Program, Health Sciences Centre Winnipeg, Winnipeg Regional Health Authority, Winnipeg Manitoba 13 6 Regional SCI Rehabilitation Program, Parkwood Hospital, St. Joseph’s Healthcare, London Ontario 7 Spinal Cord Injury Rehabilitation Program, Hamilton Health Sciences, Regional Rehabilitation Centre, Hamilton 8 Brain and Spinal Cord Rehab Program, Toronto Rehabilitation Institute, University Health Network, Toronto 9 Physical Medicine and Rehabilitation Program, St. Mary’s of the Lake Hospital, Providence Care, Kingston* 10 Physical Medicine and Rehabilitation, The Ottawa Hospital, Ottawa 9** 11 Programme lésions médullaires, Institut de réadaptation Gingras-Lindsay de Montréal Québec 12 Programme pour les personnes présentant une pathologie du système locomoteur, Centre de réadaptation Lucie Bruneau 13 Programme des myélopathies, Institut de réadaptation en déficience physique de Québec, Québec City 14 New Brunswick Provincial SCI Program, Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton New Brunswick 10+ 15 Spinal Cord Rehabilitation Program, Nova Scotia Rehabilitation Centre, Queen Elizabeth II Health Sciences Centre, Capital Health, Halifax* Nova Scotia 17 16 Spinal Cord Rehabilitation Unit, Leonard A. Miller Centre, Eastern Health, St. John’s* Newfoundland 8++ * Contribution to the E-Scan data collection was contingent on having RHSCIR registry infrastructure in place, for data collection. ** Capacity is up to 24 + Capacity is up to 22 ++ Capacity is up to 18. With a bed base of 300, and growing numbers of individuals with SCI, non-traumatic capacity, is becoming a major issue. In Canada, sites are forced to predict length of stay (LOS) at admission, shorten rehabilitation LOS, and develop strategies to optimize patient flow, without decreasing quality of care. Who Receives Rehabilitation? In the fiscal year 2009, the total number of inpatient admissions, across Canada, was 1140. The majority of these were in initial rehabilitation (n = 960, 84%, 658 males), followed by readmissions (n = 140, 12%, 111 males) and then other admissions (n = 40, 4%, 29 males), comprised typically of patients with similar impairments and different disease entities. The total number of other cases admitted (any etiology) was 33, with 28 (13 males) in initial rehabilitation, four (two males) in readmission, and one (male) in any other admission class. Figure 1.0 shows the distribution of admission, by etiology of impairment. The 12% readmission rate is high, and it is important to know the reason(s) for readmission, when planning services. Figure 1.0 Admisions and Type, for Individuals with Spinal Cord Patholog y, to Tertiary SCI Rehabilitation Sites (n = 13). 24 18 15 15 10 60 8 24 15 26 Traumatic 581 Non- Traumatic 526 Other 33 Initial Rehab 84% (n = 960) Readmission 12% (n = 140) Other 4% (n = 40) 38 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


B - What Does the E-Scan Tell Us
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