Health Authority Expenditures

Health authorities are responsible for providing a variety of services to British Columbians. This includes the delivery of prevention, hospital, residential, community- based and primary health care services. Health expenditures are commonly broken down into six sectors:

  • Acute Care
  • Home and Community Care - Residential
  • Home and Community Care - Community
  • Mental Health and Addictions
  • Population Health and Wellness
  • Corporate

More information is provided for each of the sectors in the following pages.

Exhibit 20 shows the percentage breakdown of health authority spending, by health sector, in 2011/12.

In 2011/12, the health authorities reviewed and updated the industry definitions used to assign costs to the different sectors. The sector information reported for 2008/09 to 2010/11 was not restated according to the new mapping structure. Readers are therefore cautioned that this impacts the comparability of 2011/12 information to the prior years. The new definitions will be applied consistently going forward.

The six Health Authorities:
VIHA - Vancouver Island Health Authority
VCHA - Vancouver Coastal Health Authority
NHA - Northern Health Authority
IHA - Interior Health Authority
FHA - Fraser Health Authority
PHSA - Provincial Health Services Authority

 

ACUTE CARE

In 2011/12, health authorities spent $7.4 billion on the "Acute Care" health sector.

Acute Care refers to short-term medical treatment, usually in a hospital, for illness or injury or while recovering from surgery. The expenses incurred to provide Acute Care services include:

  • salaries and wages of staff,
  • physician fees,
  • supplies, and
  • contracted services.

It should be noted that the physician fees identified here are rolled up into the fees identified under funding of Physicians and Other Health Care Practitioners discussed above.

Exhibit 21 shows how much each health authority has spent over the past four years on Acute Care.

 

HOME AND COMMUNITY CARE – RESIDENTIAL

In 2011/12, health authorities spent $1.7 billion on the "Home and Community Care - Residential" health sector.

Home and Community Care – Residential refers to facilities that provide 24-hour professional nursing care and supervision for seniors who have complex care needs and can no longer be cared for in their own homes.

Exhibit 22 shows how much each health authority has spent over the past four years on Home and Community Care - Residential.

* In 2011/12, the health authorities reviewed and updated the industry definitions used to assign costs to the different sectors. Under the new definitions, PHSA identified costs to be included in Home and Community Care - Residential.

 

CORPORATE

In 2011/12 health authorities spent $1.1 billion in the "Corporate" health sector.

The expenditures assigned to Corporate vary among the health authorities, but could include expenditures incurred on human resources, financial services, capital planning, communications, information management, technology, risk management, medical administration and emergency service planning. Readers should therefore exercise caution in comparing corporate spending across the health authorities. Please refer to page 28 for more information.

Exhibit 23 shows how much each health authority has spent over the past four years in the Corporate category.

 

HOME AND COMMUNITY CARE – COMMUNITY

In 2011/12, the health authorities spent $943 million on the "Home and Community 2009 Care - Community" health sector.

Home and Community Care - Community refers to services that provide home support, community nursing and rehabilitation services for assisted living and adult day programs.

Exhibit 24 shows how much each health authority has spent over the past four years on Home and Community Care - Community.

* In 2011/12, the health authorities reviewed and updated the industry definitions used to assign costs to the different sectors. Under the new definitions, PHSA identified costs to be included in Home and Community Care - Community.

 

MENTAL HEALTH AND ADDICTIONS

In 2011/12, health authorities spent $915 million on the "Mental Health and Addictions" health sector.

Mental Health and Addictions refers to a range of programs and services that assist people who are experiencing difficulties with mental health or substance use in a variety of community and at-home settings.

Exhibit 25 shows how much each health authority has spent over the past four years on Mental Health and Addictions.

 

POPULATION HEALTH AND WELLNESS

In 2011/12, health authorities spent $536 million in the "Population Health and Wellness" health sector.

Population Health and Wellness refers to services that focus on health promotion and prevention. This is a key focus of the current government.

Exhibit 26 shows how much each health authority has spent over the past four years on Population Health and Wellness.