LeClerc named third CEO of Champlain LHIN

The Champlain Local Health Integration Network has confirmed Chantale LeClerc as its permanent CEO.

LeClerc had been serving as interim CEO upon the departure of Alex Munter, who left six months ago to serve as CEO of the Children’s Hospital of Eastern Ontario.

LeClerc, a former nurse, has been with the LHIN since 2008. Prior to stepping into Munter’s shoes, she was senior director of health system integration.

LeClerc has impressive credentials, including graduating from a management program for nursing executives at the University of Pennsylvania’s Wharton School.

LeClerc is the third CEO of the Champlain LHIN since it was created in 2005. Of the 14 LHINs, only three have their original CEOs – Erie St. Clair (Gary Switzer), Central West (Mimi Low-Young) and South East (Paul Huras).

The Drummond Commission for Public Sector reform recommended a wage increase for LHIN CEOs given the turnover of senior management, many leaving for hospital jobs.

According to the Ottawa Citizen, Ms. Leclerc will earn about $249,000 this year.

New report makes privacy recommendations around secondary use of health records

It’s possible your health records are being used at this moment without your consent.

Health records are a valuable source of information for health research, population health monitoring, quality improvement and as evidence to inform management of our health system.

Ontario’s Information and Privacy Commissioner notes, in a new report released March 2nd, that such information is often used and disclosed to researchers in a form in which patients are identifiable. This is because the original health provider lacks the resources or capacity to “de-identify” the records before making it available, especially when the documents are paper-based. Even when data from electronic health records (EHRs) are de-identified, some researchers have found it is sometimes possible to re-identify individuals from the anonymous data.

Ontario’s Personal Health Information Protection Act (2004) permits certain secondary uses of information contained in these records without consent from the individual.

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Quebec proving two-tier health has a dramatic impact on access to public care

Advocates for two-tier health care fail to acknowledge that a second tier comes with a significant cost to the first.

Waits for colonoscopies in Montreal are averaging between two to three years in the public system for patients considered to be at average risk.

The city’s Royal Victoria Hospital has stopped accepting new patients for colonoscopies – at least until the backlog can be resolved.

One family physician has contacted the Montreal Gazette to suggest the long waits are all about forcing patients into private clinics, especially when the gastroenterologists are working both the private and public side of the system.

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Did The Scarborough Hospital hide its near insolvency from the LHIN?

The merger between the Scarborough and Toronto East General hospitals may be off, but the Central East Local Health Integration Network certainly took note of one of the report’s statements – The Scarborough Hospital is near financial insolvency.

This may be the main reason why the Toronto East General Hospital backed off from a proposed merger, or as the consultant’s report states, was a “potential show stopper.”

The LHIN has since released a statement March 1st that suggest The Scarborough Hospital’s financial predicament may have been previously misrepresented.

“The report makes a number of observations related to the financial sustainability of The Scarborough Hospital that are not substantiated by evidence or data previously submitted by the hospital to the LHIN which will require some clarification by the hospital,” the LHIN release states.

Or in more common parlance, TSH CEO Dr. John Wright may have some explaining to do.

The LHIN also raised issues about how the merger talks had evolved, noting that the process lacked a transparent explanation of the vision, aims and scope of an integration, a clear understanding of the benefits to the community, nor an appropriate community engagement plan.

The Scarborough Hospital is expected before the LHIN on March 28th to outline its plan on how it will “move forward.”

Who’s behind the attack on Canada’s public health system?

Where you buy your groceries, which newspaper you subscribe to, or where you do your banking may contribute to funding the attack on public health care in Canada.

The explosive growth of right-wing think tanks across Canada has been supported by some of our largest corporations to promote their own private interests. The question is, are these legitimate research institutes or business lobbyists?

While the media continually treats reports from these organizations as gospel, they seldom ask who provides the funding?

The irony is not lost on us, especially given the Montreal Economics Institute’s campaign to make unions open their books to the public while they themselves refuse to divulge who their funders are.

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Why is the OHA not standing up for hospitals?

You have to wonder about the Ontario Hospital Association and its publicly stated views of the Drummond Commission report.

Upon the release of the report, the OHA publicly welcomed it despite what the Dean of Queen’s University’s Faculty of Medicine refers to as the report’s “anti-hospital sentiment.”

“Overall, the OHA and its member hospitals welcome the perspective that Mr. Drummond brings to the broader public sector and intend to review the report and its recommendations carefully,” the OHA stated in a February 15 release.

That was the last OHA release, on Drummond or anything else.

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Ombuds logs 79 complaints about the Niagara Health System

As private not-for-profit corporations, Ontario’s hospitals are not normally subject to review by the Ombudsman’s office – a point Andre Marin has made over and over as he attempts to wrestle for jurisdiction of the MUSH sector – municipalities, universities, school boards and hospitals.

However, when the Ministry takes over a hospital, as it did with the appointment of Kevin Smith last August 31st, the rules change.

To date, the Ombudsman has received 79 complaints about Niagara Health System, but says he has not begun an investigation. According to the Niagara’s Bullet News, the Ombudsman’s office has been looking at each complaint and raising issues with Smith.

The complaints have also been petering out over time. Forty of the 79 complaints were received last September. Only a “handful” have been made this year according to the news report.

Toronto East General ends merger talks with The Scarborough Hospital

The merger is off.

In a surprise move, the Toronto East General Hospital board pulled out of discussions with The Scarborough Hospital over a possible merger.

The hospital noted the lack of support by the Central East Local Health Integration Network for such a merger (see Friday’s BLOG story).

A $90,000 consultant’s report, initially to have been released to the public in March, was released on the TEGH web site Friday. The CEOs have had the report since February 17.

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Central East hospitals lose most of their ER performance funding

What do hospitals really receive in funding increases?

This is often a difficult question to answer given funding flows in so many different ways.

One of them is pay-for-results (P4R) funding.

In year four of the scheme, the P4R program was intended to reward hospitals that succeeded in reducing emergency room wait times. Payments would be determined each quarter.

The results have been hardly stellar.

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Owen Sound media insists down is really up

Ah, reporters.

We recently contacted a writer from the Owen Sound Sun Times regarding her story about the Drummond Commission recommendations. In it, reporter Tracey Richardson states:

“About 100 of those recommendations were devoted to the $47-billion health care industry, which eats up about 43% of the provincial budget and is growing.”

We pointed out that in the most recent budget health care made up 42 per cent of provincial program spending, and that it has recently been as much as 46 per cent of program spending (2010-11 budget).

How could this be construed as “growing” as a percentage of government spending? 42, after all, is less than 46.

Ms. Richardson replied to our e-mail complaint about the inaccuracy in her story. She said health care spending was somewhere between 42 and 43 per cent, depending on your “political leanings.” She didn’t offer to explain how this could be more than 46 per cent, but that we were free to write a letter to the editor if we had “strong opinions.”

Sorry Tracey – but you were plain wrong. You accepted Don Drummond’s word as fact, and evidently never looked at the actual provincial budget documents. When we attempted to correct your error, you suggested it was opinion.

For the record, this is what the provincial budgets actually forecast health care spending to be:

  • 2009-10: 43 per cent of program spending
  • 2010-11: 46 per cent of program spending
  • 2011-12: 42 per cent of program spending

In 2010-11 the actual spending on health care came in $454 million below what was forecast. Yes, below.

The government explained in last spring’s budget “health sector expense is projected to decrease by $454.0 million, primarily due to revised Electronic Health Record project plans, lower-than-expected uptake in vaccine and assistive devices programs, and the extended deadline for short-term stimulus projects.”

Ah, the facts. They have a way of messing up a pretty good story.

Oh, and the $47 billion health “industry?” It’s actually a lot bigger than that. Only about two-thirds of Ontario’s health care expenditures are public. The rest? You pay it out-of-pocket or through private insurance. Costs are rising there too, but Don Drummond has no recommendations on that front.