Vector Poll: Ontarians less comfortable with placing a family member in a nursing home

Ontarians are less comfortable with the prospect of a family member in a nursing home than residents of other provinces according to an August Vector Poll.

Only 20 per cent said they would feel “very comfortable” with the idea compared to 28 per cent in Quebec and 30 per cent in the Maritimes.

Ontario has the highest percentage of for-profit nursing home beds in Canada.

Across Canada about one in three said they were either “not too comfortable” or “not at all comfortable with the idea.”

Not surprisingly, wealthy households were less likely to be concerned than families with yearly incomes below $40,000, reminding us that we already have two-tier health care when it comes to the quality of nursing home care.

Earlier this year we raised the alarm about too few nursing home inspectors for Ontario’s 630 public nursing homes. Most nursing homes in Ontario have not received a detailed inspector since 2009.

About three out of four Ontarians told Vector that inspections should be made stricter. Across Canada, even 71 per cent of Conservative voters told the pollsters they saw a need for more stepped up inspection despite their party’s preference for fewer government services.

Given concerns about the quality of nursing home care, Ontarians were evenly split on whether the government should invest more money in long-term care beds or increase tax breaks to renovate homes to care for a relative.

The Vector poll was taken August 8-20 nationally with 1,102 adults participating. The Ontario segment is a sample of 500 – sample error would be 4.4 percentage points up or down. The Vector Poll is commissioned by a coalition of labour organizations including OPSEU.

Hospitals: Who is earning more than the $418,000 proposed BPS salary cap?

The Ontario Hospital Association is disappointed again.

This week Dwight Duncan announced the government’s intention to cap salaries for new employees in the broader public sector – including hospitals – to $418,000 a year, or double Dalton McGuinty’s salary.

The idea had gained some traction in the last election when the NDP proposed it as a way of reining in rising executive salaries in the broader public sector.

The OHA issued a release this week in which they used the 2010 public sector salary disclosure to show that only 77 of the 207,000 people employed by Ontario’s hospitals earned more than $418,000 per year. Assuming those folks were rolled back to double the Premier’s salary (which Duncan is NOT proposing) it would save $4.7 million. If applied to all BPS employers, it would amount to $7.3 million.

Given it only applies to new employees, the University Health Network’s Bob Bell, for example, would get to hang on to his almost $754,000 earned in 2011.

“This is another example of the Government of Ontario and legislators devaluing the work and skills of hospital leaders, and those who lead Ontario’s vital BPS organizations,” the OHA said in the release.

Obviously OHA President and CEO Pat Campbell trotted out the 2010 figures because they happened to be on hand from last year’s response to the NDP campaign pledge. We actually took a look at the 2011 disclosure and found one less body in the more than “double the Dalton” club. However, with all those registered nurses barely creeping into the sunshine list, it would be easy to overlook a couple of high flyers.

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Health and safety challenges for three quarters of a million health care workers

There are more than three-quarter of a million health care workers in Ontario.

Not only are patients aging and requiring more intensive care, but the workforce itself is aging and facing increases workload stress.

The Ministry of Labour has issued its 2012-13 health and safety plan for the sector, noting these kinds of increased challenges.

That includes musculoskeletal disorders related to increased residential care – especially when increasingly the workplace is in “uncontrolled environments” such as a patient’s home.

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The illness or the environment? Is Ontario Shores responsible for high rate of violent incidents?

Most mentally ill patients are more likely to be the victim of the violence than the perpetrator of it. Most evidence would suggest individuals experiencing mental illness are no more inclined towards violence than the general public.

Yet among Canadian psychiatrists, 50 per cent have reported to have been assaulted by a patient at least once. Whitby’s Ontario Shores Centre for Mental Health Sciences has experienced a rise of incidents of workplace violence in recent years. In the last three months for which we have data (May, June, July 2012), the centre has experienced 90 reported acts of physical violence.

The situation has led to an ongoing exodus from the employer. Many skilled workers choose to quit rather than continue to put their health at jeopardy. Only about a third of employees who were at the Whitby psychiatric hospital in 2006 (when it divested from the Ministry of Health) remain there today. This is an employer that used to be known for excellent retention of staff.

A 2003 paper by Queen’s University faculty Dr. Heather Stuart suggests that aggressive behaviors differ dramatically in treatment units, “indicating that mental illness is not a sufficient cause for the occurrence of violence.”

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Bad week for private companies mining for profits in health care

This hasn’t been a good week for private companies mining big profits in Canada’s health system.

Quebec police are probing a hospital private-public partnership deal awarded to SNC Lavalin Group Inc according to the Globe and Mail.

Police raids took place at the McGill University Health Centre headquarters on Tuesday in what the Globe suggests will “threaten to tarnish one of Canada’s landmark private sector bids to build public infrastructure.”

The newspaper reports that up until recently, the project had been “overseen” by Riadh Ben Aissa, the former head of SNC’s construction division. Ben Aissa is presently in a Swiss jail in regard to allegations of corrupt payments to public officials in Africa.

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Reality checks in – austerity plan based on exaggerated deficits

In February we attended a forum hosted by the Centre for Policy Alternatives looking at the manufactured crisis the Liberals are using to bring in a far-reaching austerity agenda.

At the time, we noted that Finance Minister Dwight Duncan has a consistent history of grossly exaggerating the forecast deficit. In 2010-11 Duncan was off by 43 per cent with his forecast. Progressive economists were forecasting the actual deficit for 2011-12 would not be $16.3 billion, but come in closer to $12 billion.

They weren’t far off.

There was little attention last Thursday when Finance Minister Dwight Duncan revealed last year’s deficit was in fact $3.3 billion lower than forecast, coming in at $13 billion.

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Is competitive bidding in home care done? Let’s hope so.

September 10 Doris Grinspun, executive director of the Registered Nurses Association of Ontario, tweeted that Health Minister Deb Matthews had just announced to a nursing meeting that the moratorium on competitive bidding in home care would be made permanent. No formal confirmation of this announcement has been made by the Ministry of Health.

No services competition has successfully taken place since 2004 when then Health Minister George Smitherman announced the appointment of Elinor Caplan to conduct a review into the competitive bidding process.

The Caplan review followed months of campaigning in the Niagara region after the Victorian Order of Nurses had lost the local home care nursing contract during its centenary in the community. OPSEU-represented VON members had met with MPPs up and down the Niagara peninsula to point out problems with the competition.

The union complained that the bidding process had been tainted by the then Niagara CCAC administrator who told at least one patient in advance of the competition that VON would not be a successful bidder.

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Ontario Shores says we got it all wrong

Earlier this week we ran a story about how a manager at Ontario Shores Centre for Mental Health Sciences had used a YouTube clip from the 2000 movie “Meet The Parents” to intimidate staff.

In the YouTube clip, Robert DeNiro corners his future son-in-law in a tuxedo rental dressing room after finding drug paraphernalia among the bridal party. DeNiro reminds Stiller of his “circle of trust.”

“If I can’t trust you, Greg, I have no choice but to put you outside the circle. Once you’re out, you’re out. There’s no coming back.”

“I will be watching you, studying your every move,” DeNiro warns. “I will bring you down, baby. I will bring you down to Chinatown.”

The union complained to management that the video clip was a not-so-veiled threat to staff. OPSEU received no response until yesterday.

Ontario Shores says we got it all wrong. That’s not what the context was. The staff meeting where the clip was shown – in dietary – was all about relationships.

We viewed the clip again to try to see it Ontario Shores way.

Here’s a few possible explanations:

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Will new health care technology bring a utopia or dystopia?

It’s easy to get carried away with the continual promise of better health care through technology. From the IBM Watson super computer to vending machines that dispense pharmaceuticals, we are likely on the cusp of a new wave of technology that will vastly change the way we deliver health care. Whether that is for better or worse is up for debate.

The public largely buys into the dream of transformation through technology. Even with all the questions raised about problems with electronic health records, for example, surveys still show substantial public support. Are we even aware of what the trade-offs are?

Richard Alvarez, President and CEO of Canada Health Infoway, told an audience this morning that the next big thing will be personal health monitors, easily accessible devices that can be picked up at department stores like Walmart.

Speaking at Longwood’s Breakfast with the Chiefs alongside Dr. Jennifer Zelmer, vice-president of clinical adoption and innovation at Canada Health Infoway, the two argued that technology can be a case of the good, the bad and the ugly. Not surprisingly given the speakers, the presentation got specific on the good and much more vague on the bad and the ugly.

Canada Health Infoway is an independent not-for-profit corporation created by Canada’s First Ministers in 2001, and funded by the Government of Canada. CHI has a mandate to work with governments, health care stakeholders and the technology industry to “improve access to health information for better care.”

After enthusing about personal health monitors, Alvarez pondered who would pay for these items, harkening back to a quote they began the session with from futurist William Gibson – “the future is already here, it’s just not very evenly distributed.” What role does government play in levelling that playing field?

Richard Alvarez, President and CEO of Canada Health Infoway

Richard Alvarez, President and CEO of Canada Health Infoway

The speakers highlighted the ability of technology to make health care more accessible to remote communities, especially ones that face difficulties recruiting specialists. Zelmer specifically made the claim that Telehealth saves Canadian patients from driving 47 million kilometres at an estimated cost of $55 million. The opportunities are certainly much broader. Alvarez said with digital scanning it was possible for pathologists to work out of a single center in Canada. It was interesting that none of the audience members picked up on the implications of this – if it could all be done out of a single center, what’s to say that this center even had to be in Canada? That should be enough to make any pathologist nervous.

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Tory health care white paper elicits a big ho-hum

If the Tories thought that yesterday’s new health care white paper was likely to change the channel on the byelection defeats, they likely woke up this morning disappointed.

Despite health care’s long standing ranking as the number one issue among Ontarians, there was little media coverage of the white paper.

Of those that did comment, most appear baffled by the plan.

Health Minister Deb Matthews wondered why the paper had been authored by deputy health critic Bill Walker, and not Christine Elliott, who has far more experience in the health care portfolio.

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