7 * “a of the Long Service Award — John Gi e,; Mary Parker, Joseph Zavaglia, Hugh Harrison — have given the hospital 2 combined total of 128 years of service. . omorrow and — Omorrow... _ 9. Serve the present and future needs of the population of the: North Shore...” vee ‘, .Lkons Gate Hospital has a well-deserved reputation as a pro- gressive héalth care institution. Five years ago the opening of ur Medical Day Centre and facilities for day surgery together th ready -existing psychiatric day care centre were 1q steps: Now the economics of health care are mak- modes of health care delivery mandatory in mote and more. communities. “~ : \ “This past year LGH cared for more patients than ever. The hospital had an average of six more inpatients every day for an occupancy rate of 91 per cent. More surgery was performed 13,978 ‘procédures as compared to 13,480 in the year efore. — and,’ as-always, day surgery accounted for an in- creasing share — 6,284 patients came in for surgery and retum- ed Home the same day as compared to 6,142 the year before. The Medical Day Centre saw an ever-widening variety of pa- tients.—- 2450 patients .in 10 programs. “If it were not for the foresight and planning of two decades losion in medical knowledge and technology will con- ‘to have an-almost overwhelming affect on the develop- ment-of our hcspital. We know acute inpatient hospital care will be more intense and will have to be supplanted by ambula- ‘caiment programs, more long-term care capacity and ts on activities. Restricting the hospital's patients to the t acutely ill will call for more highly trained critical care A physiotherapist teaches a strengthening exercise . for an injured ankle. 41 - Sunday, June 23, 1985 - North Shore News “The functions and relationships among the three leadership groups in the hospital (board, Management and physicians) will be critical in the years ahead, as will the management and productivity of hospital employees.” Canadian Hospital Association Study Supplies and operating expenses increase relentlessly. The hospital spends approximately $114,500 a month on drugs — $1,374,000 a year. Approximately $678,336 is spent on gas, electricity and oil per year — averaging out to $56,528 a month. The cost of producing meals has risen 4.5 per cent in the past two years. And we know that financial restraints will make the situa- tion more and more difficult. Last year it cost more than $150,000 a day to tun the hospital — $1 million a week _ $55 million a year. The hospital has received notification of its funding for the 1985/86 fiscal year. Government funds and the hospital's other sources of income, such as semi-private and private room fees, co-insurance fees and investment income, will provide $54,954,000 of the $56,537,000 needed for the coming year. This is an income increase of only 1.08 per cent and does not even begin to cover the inflationary costs that the hospital has no contro! over. To avoid staff layoffs and a reduction in services, the hospital's board of trustees has approved a budget plan that combines closures of wards during periods of low demand such as long weekends and the summer months and utilization of the remainder of a surplus to augment the funds. The surplus, gained when monies were set aside for a wage settlement in 1983 that came in lower than anticipated, will provide $1.1 million and some plant funds will be shifted into the operating budget to avoid a deficit. ~ Such a tight budget will have to be monitored very closely and adjusted at frequent intervals. Planning will start im- mediately for the 1986/87 year in order to avoid crash pro- grams brought about by what are expected to be very limited funds. oe ; ; Demands for health care services are increasing, operating costs are rising and resources are restricted. To fulfill its mis- sion of serving “‘an optimum quality level and range of services appropriate to the community, provid- ed on an effective and economical basis” the hospital administration has to balance the needs and demands of the community and the promises of new technology against the resouices available. TO It is a delicate juggling game and at stake is the quality of health care for the residents of the North Shore — now and in the future. Board of Directors of the — North and West Varicouver Hospital Society 1984/85 ELECTED OFFICERS Municipality of West Vancouver ’ City of North Vancouver D. Byer D. Burbidge S. Simpson J.M. Warne D. Brousson H. Clark J. Halley F. Russell District of North Vancouver W. Perrault P.A. White W. Crompton R. Clark MUNICIPAL REPRESENTATIVES Ald. D. Blackburn (Until November 1984) Ald. M. Sager (From Decernber 1984 to March 1985) Mayor J.E. Loucks Mayor M. Baker PROVINCIAL GOVERNMENT REPRESENTATIVE d.R. Knight AUXILIARY REPRESENTATIVE A. Wilson (Until March 1985) MEDICAL STAFF REPRESENTATIVES Chief of Staff President of Staff Dr. N.S. Madill Dr. Peter Osberg EXECUTIVE STAFF OF LIONS GATE HOSPITAL John W. Borthwick President Eric H. O'Dell Executive Vice-President Dr. James W. Corbeit Vice-President - Medical Joyce M. Campbell Vice-President - Nursing Tom E. McMillan Vice-President Gerry A. Martins Vice-President - Finance PHARMACY (¢ of prescriptions) ‘Laboratory (incl. Lab, ECG _ & EEG) - units ” : * Note: Inpatients: STATISTICS BEDS - Set up at end of fiscal Total (excluding bassinets) oe Newborn oy ; INPATIENT ADMISSIONS — Acute Long Term Care Discharge Planning Extended Care Newborm Total PATIENT DAYS Acute Long Term Care ~ Discharge Planning ’ Extended Care Newborn Total “OCCUPANCY RATE ° : oo ‘. Based on average set.up during fiscal year Acute Extended Care 100% | AVERAGE LENGTH OF STAY (days)... Acute _ ), Long Term Care Discharge Planning Extended Care ~. Newborn : OBS EMERGENCY PATIENTS ‘451,443 $1871 | OQUTPATIENTS® .- and Relerred-in’ ° 1980". 1985” ‘2,663,695 3,174,561 Imaging (Radiology, Nuclear Medicine and Ultrasound and Computerized Tomography) - visits - . = "30-741 36,596 .. Rehabilitation Medicine: . (Physical/Occupational pe! Therapy) - units Ce vay . 812,624 1,081,624 1,643,475 .. 1,984,852 ]: Surgical Procedures . . _ 2,920 . 6,308 74930... 7,657 Medical Day Care Visits _ ; Pe 3,488 12,658 _— . os Psychiatric Day/Night Care : . cg Visits 9,483 14,371 2,857,001 . 18.630. 73985 | 830532 ..921,612| 97,670 - 108,456 8,833,641. 6,210,397 those patients admitted to a hospital bed. . “1980 Dietary Meals Therapeutic Diet. Meals Laundry - Pounds of Linen Processed Outpatients: those patients not admitted toa - hospital bed, but who have undergone’ a treatment or diagnostic procedure at the hospital. : a