Monthly Archives: January 2010

In Brief: Ombudsman report on LHIN expected soon / Emergency Physician calls for standards in wake of Niagara death / RNAO drafts election priorities / More…

Ontario Ombudsman Andre Marin has completed his investigation into the process used in two key Local Health Integration Network (LHIN) decisions. The ombudsman received 37 complaints about the Hamilton Niagara Haldimand Brant LHIN from residents, community associations, health care professionals and a Hamilton-area MPP. The complaints stemmed from decisions to reorganize services at the Niagara Health System and at Hamilton Health Sciences. The Ombudsman’s office has told the media that the findings will be released in the next several weeks. … Dr. Alan Drummond, speaking on behalf of the Canadian Association of Emergency Physicians, said national standards are needed in planning emergency care. “Let’s decide what we as a nation are going to accept in terms of time and and distance to effective emergency care, because that doesn’t seem to be defined by anybody,” he told the Canadian Press. Drummond was responding to the recent death of an 18-year-old Niagara woman who died before being able to reach the Welland Hospital. Her family believe her life may have been saved had she been able to go to the former Fort Erie hospital. Fort Erie’s ER was closed due to budget restraints last year. “Why don’t we take this opportunity of this tragic death to say, ‘look, let’s re-dedicate ourselves to planning effectively. Let’s not make health care decisions based on budgetary constraints within regional health authorities.” BC is the only province in Canada that has developed such standards. The province has stipulated that 98 per cent of residents in a region should be able to get access to an emergency department within an hour. … The Registered Nurses Association of Ontario has released a paper challenging the provincial political parties to adopt platforms that strengthen the health care system and improve communities. Creating Vibrant Communities: RNAO’s Challenge to Ontario’s Political Parties outlines key policy priorities for the nursing association. Copies can be downloaded from the RNAO web site at http://www.rnao.org/ …Dan Carriere, CEO of Southlake Regional Health Centre, will head up the Peer Review of the Peterborough Regional Health Centre. Carriere has been CEO of the Newmarket based hospital for 16 years. The final report is expected at the end of April. … Four hospitals in the Central East LHIN are getting additional money through the $10 million provincial growth fund. The fund is intended to make adjustments to the budget of hospitals situated in regions with high population growth. Lakeridge Health is receiving $1,054,400 – enough the pull the hospital out of deficit for the first time since amalgamation. Rouge Valley will receive an additional $236,400, Northumberland Hills will get $63,800, and Campbellford Memorial will get $55,400.

OPSEU asks for moratorium on job loss in North Bay

NORTH BAY – A proposal to transfer 31 psychiatric rehabilitation beds out of the city of North Bay will mean the loss of dozens of jobs, warns the union representing staff at North East Mental Health Centre (NEMHC).

OPSEU is asking for a moratorium on any bed transfers until the full impact to the community is known.

Sue Brown, OPSEU Regional Vice-President and member of Local 636 at NEMHC, says that the loss of these beds will not only affect patient care, but could impact 50-100 jobs in North Bay.

“This area can’t afford to lose any more stable, well-paying jobs,” Brown said. “We must make every attempt to keep these patient services in North Bay.” At issue is a so-called “lack of space” at the new North Bay Hospital.

Services at NEMHC will be amalgamated into the hospital when the scheduled closure of NEMHC occurs in early 2011, and the hospital says there is no room for the 31 psychiatric beds.

OPSEU Local 636 president Jackie Smythe says that every attempt must be made to keep services and jobs in North Bay.

“Recommendations to the Local Health Integration Network (LHIN) are that the beds be moved to Sudbury or Sault Ste. Marie,” Smythe said. “We need to know what the full extent of the job loss will be here before a decision like that is made.” At a meeting held Monday night, North Bay city council voted unanimously in favour of a motion to keep the 31 beds in North Bay.

“More money for hospitals” – Dalton McGuinty

Under pressure in a downtown Toronto by-election, Dalton McGuinty has given the first indication of hospital funding for 2010/11.  Hospital funding has been a key issue in the riding vacated by former health minister George Smitherman.  “I can say one thing with absolute certainty,” Premier Dalton McGuinty told the media Wednesday, “there will be more money for hospitals this year, but it won’t grow at the same rate it has in recent years.”McGuinty said he has to take the economy into account.

Tom Closson, president of the Ontario Hospital Association, said “even at two per cent funding, hospitals would have to fine one per cent operational efficiency, plus they’d have to address the deficits that they already have.”

Pressure has been mounting since 18-year-old Reilly Anzovino died December 27 just as an ambulance carrying her arrived at the Welland hospital. The emergency room at Fort Erie, five kilometers closer, had been closed last year as part of the controversial Niagara Health System restructuring plan. Her family, the OFL, and the Ontario Health Coalition have all been calling for a coroner’s inquest.

Meanwhile, the ombudsman is investigating whether the regional LHIN properly consulted the public on changes to the NHS, including closure of ERs in Fort Erie and Port Colborne.

OPSEU has been running a campaign encouraging individuals to write an e-letter to their MPP about this issue. To date, more than 3,000 postcards and e-letters have been sent to Ontario MPPs. Have your say. Go to http://www.avoidingzero.ca

Champlain CCAC cuts service rather than improve efficiency

The Champlain Community Care Access Centre continues to cut services instead of finding efficiencies – this despite being placed under interim management by The Ottawa Hospital in December.

OPSEU Local 4101 at CAREFOR Health and Community Services was provided with notice of temporary layoff for two social workers January 19. The CCAC has capped the number of social work visits for this service provider for the rest of the 2009/10 budget year to less than 80 visits. Each social worker conducts about three visits per day.

These cuts, and the potential for more in the near future, threaten access to care at the community level within the City of Ottawa. The CCAC does not directly provide regulated health professional therapies within the City. These services are provided through contracts with other health service providers including CAREFOR. The rural communities are serviced by CCAC therapists.

The Champlain CCAC serves 25,000 residents per day, 55,000 clients per year. It is the second largest health care provider in the Local Health Integration Network after The Ottawa Hospital.

Since amalgamation in 2007, the Champlain CCAC has had three executive directors and three board chairs.

In September a LHIN-sponsored KPMG report on the CCAC was released, detailing how badly the organization was run.

KPMG highlighted frustration of the LHIN’s hospitals with the CCAC. They include insufficient case managers to handle their volumes and a lack of skilled service provider staff at the agency level. “Many are unsure that the agency staff in the community are knowledgeable about the complexity of some patients and the most appropriate care plan.” The report states the hospitals have been working around the CCAC, asking individuals to return to the hospital for follow-up care.

Despite been given a role as system navigator, the CCAC also appeared unaware of the availability of social service programs in the community.

Long term care homes also complained that the information they were provided about new residents didn’t match with the status of the individual when they were admitted to the home. Some of these clients could have remained in the community had proper supports been available.

While complaints mostly centered on a disorganized management team, clients indicated to KPMG they had a positive relationship with their CCAC Case Manager.

OPSEU asks ombudsman to investigate Grey Bruce Health Unit

The Ontario Public Service Employees Union has asked the Ontario ombudsman, Andre Marin, to investigate the Grey Bruce Health Unit’s operation and management.

The Grey Bruce Health Unit employees 107 program staff.

While front line staff are steadily declining, management positions have almost doubled from 18 to 35 positions.

The complaint followed the recent layoff of two tobacco youth advisor employees.

These cuts come at a time when the Hazel Lynn, Medical Officer of Health, has had her salary increased by $100,000, leading many to question the Health Unit’s sense of priority.

The Grey Bruce Health Unit has been the subject of controversy since its decision to consolidate operations in a new Owen Sound building dubbed by some as the “Taj Mahal by the water.”

The additional mortgage costs for the under-used building was roughly equal to the number of staff positions eliminated when the unit relocated.

During the H1N1 outbreak, local media questioned why residents from Walkerton and Southern Grey Bruce had to travel to Owen Sound to receive their vaccine. The Saugeen Times wrote in November: “Some would muse that this is another example of how the powers that be have become overwhelmed with the magnitude of the spiffy new Health Unit facility in Owen Sound and have become blinded to the reality of the mammoth size of Grey Bruce.”

Cutting jobs while stimulating the economy makes no sense — OPSEU

Some recent postings on our main OPSEU site —

Closure of the Windsor public health lab makes no sense when the province is spending billions to stimulate the economy. See President Warren (Smokey) Thomas’ letter to Finance Minister (and Windsor-area MPP) Dwight Duncan at http://www.opseu.org/bps/health/Microsoft%20Word%20-%20Dwight%20Duncan%20Jan%2025%202010.pdf

OPSEU writes to the Central West LHIN urging them to stop plans to effectively close the Shelburne Hospital. See the union’s letter at http://www.opseu.org/bps/health/Microsoft%20Word%20-%20Joe%20McReynolds%20Jan%2025%202010.pdf

Startling new data from the Canadian Institute for Health Information indicates health care may be sustainable — but tax cuts aren’t. See the President’s message at http://www.opseu.org/presidentsmessage/january-25-2010.htm

Welland strikes committe to respond to hospital restructuring

Tired of being ignored, Welland city council has formed a committee to respond to changes at the Niagara Health System. “It’s almost like we’ve been phoning the NHS, the LHIN and the province, leaving a message and saying what we think and not getting a response,” Councillor Frank Campion told Niagara This Week. Campion said that while the hospital restructuring decisions were not theirs to make, the issue is a concern for city hall. Councillor David Alexander told the newspaper that a reduction in hospital services makes it more difficult to market the community to potential investors. Despite its highly controversial restructuring plan, the NHS has an operating deficit of more than $18 million and wait times far above provincial benchmarks.

Health coalition calls for Coroner’s Inquest after ER closures in Niagara region

The Ontario Health Coalition is joining the call for a coroner’s inquest into the death of Reilly Anzovino after a Boxing Day car accident. Ms. Anzovino was taken by ambulance to Welland because the closest emergency department in Fort Erie was recently closed due to budget cuts. She passed away prior to arriving at the hospital. This is the second death since the emergency department closures at Fort Erie and Port Colborne, raising questions about whether these changes have contributed to avoidable fatality.

“This raises the issue of the human costs of hospital budget cuts across Ontario,” said Natalie Mehra, Director of the Ontario Health Coalition. “Hospital officials, consultants and the government have consistently downplayed the risks associated with closing small communities’ emergency departments. They have even tried to sell the cuts as improvements and quality care.”

Ambulances are now directed to the Welland hospital 43 km away. Since ambulances cannot carry blood – often needed in car accident traumas – there is widespread concern in the community that the removal of the emergency department in Fort Erie may be a contributing factor in Ms. Anzovino’s death.

Prior to the closure of the Emergency Departments in Niagara, the Ontario Health Coalition conducted in-depth interviews with 50 paramedics across Ontario. The paramedics were unanimous in their concern about local ER closures. All stated that ambulances cannot replace a hospital emergency department.

OPSEU calls for moratorium on job cuts in Brockville

OPSEU is calling upon the health minister to place a moratorium on jobs cuts at the Brockville Mental Health Centre until the future of the facility has been determined.  

MPP Bob Runciman made headlines in the Brockville area this week after bringing a series of new proposals to Health Minister Deborah Matthews January 13th.  

 The proposals include a secure treatment unit for female offenders, new forensic beds, and an alternate level of care facility for patients discharged from psychiatric hospital beds but who are unsuitable for nursing homes.  

Matthews is now studying the proposal.   George Weber, CEO of the Royal Ottawa Group, which operates the Brockville site, said several of the proposals had merit, but insisted the phase out of transitional beds continue.

These beds are scheduled to be closed by March, 2011.  

In his letter to Matthews, OPSEU President Warren (Smokey) Thomas reminded the health minster the government was trying to stimulate jobs, not eliminate them.  

“At a time when the province is incurring considerable debt to stimulate the economy and create jobs, it makes little sense to issue these layoffs when the possibility remains that replacement jobs may be created to take advantage of the experience of these professional and support staff,” he wrote.  

OPSEU insists that to layoff these workers this year only to recruit them back next year may be a costly mistake.  

The Royal Ottawa Mental Health Centre initially argued the changes are part of the recommendations made by the Health Restructuring Commission in the 1990’s. However, the hospital is ignoring the fact that the enabling conditions set out by that Commission have not been fulfilled in the community.  

“It seems there is a lot of good will out there to preserve these jobs in Brockville,” said Local 439 President Dave McDougall. “We just need the time and space to bring this all together.”  

OPSEU believes the Runciman recommendations are a good start, but all parties need to get together to outline a viable plan for the future of the facility. 

A media conference is planned for next week in Brockville.

Headwaters board votes to close Shelburne Hospital

The board of Headwaters Health Care Centre (HHCC) has decided to close down the Shelburne Hospital.  The board approved cuts of $1.8 million based on a freeze in funding come April. Twenty-two chronic care beds will move to Orangeville while four will be eliminated. In addition, HHCC is closing eight acute care beds and one pediatric bed at its Orangeville site. “It’s not about health care, it’s all about money,” Shelburne Mayor Ed Crewson told the Orangeville Banner. Dr. Ron Murphy, the only dissenting board member, said bed reductions would lead to longer wait times and potential clogging of the emergency room. The HHCC budget will now have to go to the Local Health Integration Network (LHIN) for final approval. What to do something about it? Go to www.avoidingzero.ca