Formalization of Waterloo Wellington LHIN Sub-Regions

Delivering integrated care 

Achieving our mission to create a high quality, integrated health care system requires a structure that reflects the needs of local residents. Health services should be accessible and close to home, but sometimes people need more complex care and equipment that isn’t available everywhere.  
 
Years ago, the Health Links model of care was introduced to provide coordinated care plans for patients with complex medical issues within their local communities. This model of care has proven to provide better health outcomes for residents and has provided more access to care in the community instead of the emergency department. 
 
To expand on this successful model of care, we created four sub-region geographies where providers from primary care, home and community care, hospitals and public health will work in collaboration to ensure residents have optimal health and well-being. The aim is to build bridges between organizations and bring in specialized care when needed to create a system that is collaborative, efficient and provides you with the best possible care.
 
The proposed sub-regions have been recommended based on what makes the most sense to support the delivery of integrated care. . The Waterloo Wellington LHIN analyzed qualitative and quantitative data assessing access and utilization of health care services, current service locations, population health, and vulnerable populations, including French-speaking and Aboriginal populations.  
 
Based on the data analysis and anecdotal evidence, the WWLHIN is recommending the sub-region geographies remain the same as the current Health Links areas.
 
Once the geographies are formalized, there will be additional engagement opportunities to determine what integrated planning in the sub-regions will look like to ensure diversity within sub-regions is captured in the planning process. 

DRAFT Recommendations:

The Waterloo Wellington LHIN is recommending the following planning sub-regions and corresponding municipalities (see Map below):

SUB-REGION

Municipalities

Guelph

Guelph

Puslinch


Cambridge-North Dumfries

Cambridge

North Dumfries


KW4

Kitchener

Waterloo

Wellesley

Willmot

Woolwich


Wellington

Guelph/Eramosa

Centre Wellington

Erin

Mapleton

Minto

Southgate

Wellington North

West Grey (portion of municipality)


waterloo wellington sub regions

Analyses and population attributes for the four proposed sub-regions:


GUELPH SUB-REGION

The Guelph Sub-Region consists of 135,972 residents, with the majority residing in the City of Guelph. Approximately 95% of residents live in a large urban centre within the sub-region. The City of Guelph population is slightly younger than the Puslinch population, with 13.4% and 19.8% of residents over the age of 65 years, respectively.  

The Guelph sub-region has over 100 primary care physicians serving the community with almost all physicians working in models of care with interdisciplinary health team support.  The majority of the physicians work in Guelph (approximately 110 physicians), with a small number in Puslinch (under 5 physicians). The Guelph region residents, primary care providers, specialists and Guelph General hospital have a strong referral network aligning with the proposed sub-region.

Approximately 90% of Guelph residents and 70% of Puslinch residents receive emergency department services at Guelph General Hospital. Almost 90% of Guelph residents and 70% of Puslinch residents have their acute care stays at Guelph General Hospital. 

KW4 SUB-REGION

The Kitchener-Waterloo-Wellesley-Wilmot-Woolwich (KW4) sub-region consists of 391.521 residents (51% of the WWLHIN population), with the majority residing in the municipalities of Kitchener and Waterloo. Approximately 86% of residents live in a large urban centre within the sub-region.  The municipalities of Wilmot and Woolwich have the oldest population with over 15% of residents over the age of 65 years. Almost 70% of the LHIN’s Mennonite population lives in the Wellesley, Wilmot and Woolwich townships (10,280 Mennonite residents). Approximately 20% of residents in the townships are Mennonites.

The KW4 sub-region has over 245 primary care physicians serving the community with 90% of physicians located in Kitchener and Waterloo. Less than 20% of primary care providers work in models of care with interdisciplinary health team support.  The majority of physicians who have access interdisciplinary health teams are in Kitchener. The KW4 region residents, primary care providers, specialists and local hospitals have a strong referral network aligning with the proposed sub-region.

KW4 residents receive the majority of their acute and emergency department services at Grand River Hospital and St. Mary’s Hospital.  A large proportion of residents from Wellesley and Wilmot also access services in South West LHIN. 

CAMBRIDGE-NORTH DUMFRIES SUB-REGION

The Cambridge North Dumfries (CND) sub-region consists of 143,241 residents, with the majority residing in the municipality of Cambridge. Approximately 93% of residents live in a large urban centre within the sub-region. . The City of Cambridge population is slightly younger than the North Dumfries population, with 12.7% and 13.7% of residents over the age of 65 years, respectively. 

The CND sub-region has over 85 primary care physicians serving the community with approximately half of the physicians working in models of care with interdisciplinary health team support.  The majority of the physicians work in Cambridge (approximately 85 physicians), with a small number in North Dumfries (under 5 physicians). The CND region residents, primary care providers, specialists and Cambridge Memorial Hospital have a strong referral network aligning with the proposed sub-region.

Approximately 91% of Cambridge residents and 47% of North Dumfries residents receive emergency department services within Waterloo Wellington LHIN, the majority of which go to Cambridge Memorial Hospital. The majority of North Dumfries residents go outside of the LHIN for emergency services (52%), with most going to facilities in Hamilton Niagara Haldimand Brant (HNHB) LHIN.  CND sub-region residents receive the majority of their acute care within Waterloo Wellington at Cambridge Memorial Hospital and Grand River Hospital 

WELLINGTON SUB-REGION

The Wellington sub-region consists of 91,628 residents, spread over 3,110 square kilometers (65% of the LHIN land area). Approximately 51% of residents reside in rural areas.  The sub-region is slightly older than the LHIN average with 16% of residents over the age of 65 years.  The municipality of Mapleton has the youngest population, while Minto, Wellington North and West Grey have the oldest populations.  A large number of Mennonite residents (an estimated 4,895 residents) also live in the sub-region with the majority living in the municipality of Mapleton.

The Wellington sub-region has approximately 60 primary care physicians serving the community with almost all providers having access to interdisciplinary health team support.  Aligning with the proposed sub-region, Wellington region residents and their respective primary care providers and specialists have strong referral networks with the rural hospitals, as well as Guelph General Hospital.

Wellington residents access most of their acute and emergency department services within Waterloo Wellington LHIN, 67.81% and 75.7%, respectively. However, West Grey and Southgate residents tend to receive services in South West LHIN, while Erin residents access services in Central West LHIN. The municipalities of Centre Wellington, Wellington North, Minto and Mapleton tend to have services provided by North Wellington Health Care and Groves Memorial Hospital. Guelph/Eramosa residents receive the majority of care at Guelph General Hospital and Groves Memorial Hospital.

View the Qualitative Information Sources Consulted for Development of Proposed Sub-Region