Tag Archives: Deb Matthews

Ontario gets worse grade than feds on CMA report card

Ontario is the only region in Canada to receive a worse rating than the federal government on how it deals with health care according to the Canadian Medical Association’s National Report Card for 2012.

The report card represents a poll of Canadians conducted in July by Ipsos Read Public Affairs.

Given most Canadians likely couldn’t name the Federal Health Minister, Ontario’s inferior ranking is a curious result.

Federal Health Minister Leona Aglukkaq has been largely invisible to the public. When questions started getting asked about the federal response to the Sandoz drug shortage, for example, Aglukkaq was largely missing in action.

Despite federal sponsorship of the Mental Health Commission of Canada, Aglukkaq was a bit player at the launch of the Commission’s strategy earlier this year, her speech uninspired, her commitments no more than a nod to fund ongoing research.

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Refugee Health: The Harper government blinks

The Harper government blinked this week.

Determined to bulldoze through unpopular cuts to the Interim Federal Health Program (IFHP) for refugees, the government partially backed off claiming they were simply “clarifying the wording” on the plan.

The plan provides interim comprehensive health coverage to refugees and asylum seekers until they qualify for provincial and territorial health coverage.

Cuts were due to take place at the end of June, but over the long weekend the wording was changed on the government website, maintaining so-called “supplemental benefits” to United Nations’ refugees the government selects and brings to Canada. The benefits are also being maintained for some privately sponsored refugees.

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PSW registry up and running despite unresolved key issues

Health Minister Deb Matthews rose in the legislature to announce June 13 the new PSW Registry is up and running. Initially PSWs (Personal Support Workers)  in the home care sector are being asked to sign up, followed by those working Ontario’s long term care homes.

This is the same registry the Health Professionals Regulatory Advisory Committee (HPRAC) recommended against in 2006 after extensive consultations with PSWs, employers, clients and other stakeholders.

HPRAC instead recommended additional steps to be taken to “improve PSWs education and training, staffing and supervision, and to provide better access to satisfactory recourse for patients and clients as a means of addressing instances of abuse and misconduct.”

HPRAC felt the cost of establishing such a registry would be prohibitive compared to the benefits it could generate.

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Zero tolerance for abuse and neglect? Hardly.

Health Minister Deb Matthews talks about zero tolerance of neglect and abuse in Ontario’s nursing homes. Her actions would suggest the opposite.

Yesterday Matthews said that inspection of long-term care homes will be based on complaints and critical incidents only. If the home doesn’t get complaints or critical incidents go unreported, it doesn’t get inspected.

This is despite a requirement in the Long Term Care Homes Act that requires an annual inspection of each home.

Jane Meadus of the Advocacy Centre for the Elderly says the intent of the Act was that each home would receive an annual resident quality inspection (RQI) – a detailed inspection conducted by a team of specialists, including an RN, a dietitian and an environmental inspector. An RQI can take as long as 17 days to conduct.

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Stories we couldn’t let pass by this week

CCACs hire 144 direct care nurses

This month the government announced 900 new nursing positions to come from their 2007 commitment to 9,000 new nurses for the health system. Among them are 144 nurses who will go into the schools to support early identification and intervention of students with potential mental health and/or addictions issues. The nurses will assess and develop plans of care, provide direct service for mild cases, and offer support and referral for more complex issues. What’s particularly interesting about this initiative is these nurses will be working directly for the Community Care Access Centres, the first new hires to provide direct care since Bob Rae was in the Premier’s seat. When Mike Harris changed the NDP’s multi-service agencies into the CCACs, he insisted that a strict purchaser-provider split exist, hoping to divest all direct care workers to private agencies. He never entirely succeeded – OPSEU still represents CCAC home care therapists that were supposed to be divested by 1998. The fact that the government has placed these nurses into the employ of the CCAC is a hopeful sign that the terrible Harris-era competitive bidding process may quietly be coming to an end. While Deb Matthews publicly said competitive bidding would return, OPSEU members are telling us the agency contracts are all being extended again.

Merging surgical departments in Windsor

A zero base budget for hospitals is forcing many administrators to look at novel ways to make ends meet. In Windsor much has been made about Finance Minister Dwight Duncan’s proposal for a very expensive mega-hospital, however, the two hospitals are looking at integration options that might save money in the meantime. Windsor Hotel Dieu is pushing for greater coordination of surgical departments with the Windsor Regional Hospital. Facing a $700,000 operating room budget deficit, Dieu is hoping costs could be saved by having the two hospitals move into even greater specialization than currently exists. Dieu presently specializes in trauma and neurosurgery while WRH does most of the pediatric surgeries. WRH CEO David Musyj told the Windsor Star he was cautious — concerned that Hotel Dieu’s financial problems could put more pressure on his 11 operating rooms.

Harper attacks Council of Canadians

Our friends at the Council of Canadians are under attack by the Harper government for encouraging Canadians to overturn elections of seven Tories elected in ridings involved in the so-called robocall scandal. According to the Ottawa Citizen, the Federal Tories hope to overturn lawsuits that seek new elections in the ridings. The Tories are basing their bid to throw out the lawsuits on an obscure and ancient legal prohibition against “champerty and maintenance,” which the Citizen describes as “meddling in another party’s lawsuit to share in the proceeds.” While the Council of Canadians would not stand to gain anything monetarily from the actions, the Tories highlight a Council fundraising campaign that notes the challenge among its work. Of course the Tories have no problems with right-wing organizations, many with American funding, helping to litigate against such left-wing institutions as Medicare. That includes the Canadian Constitution Foundation, an extreme right-wing group based in Alberta that supported Lindsay McCreith and Shona Holmes in their 2007 case intended to open up Ontario to two-tier private health insurance. While the CCF doesn’t say where their money comes from, they do specifically note on their website that they have charitable status with the U.S. Internal Revenue Service. Like the Council of Canadians, the CCF lists its McCreith/Holmes case as among the worthy activities it undertakes to solicit donations.

Unemployed Docs: You don’t want fries with that

Much has been made of potential doctor shortages resulting from the no-holds barred death match between the Ontario Medical Association and Health Minister Deb Matthews.

It is notable that last year Dr. Sacha Bhatia, the former health advisor to Premier Dalton McGuinty, wrote an essay published on longwoods.com last year that discussed the problems young physicians will soon have finding work.

Bhatia notes a Royal College of Physicians and Surgeons of Canada study that reports graduates in 13 specialities in Canada were having difficulty finding jobs, and another study published in the Annals of Thoracic Surgery that found 34 per cent of cardiac surgery graduates were underemployed.

“There are several factors affecting demand for physicians,” writes Bhatia. “Hospital budget constraints mean less capacity for physicians to operate in. Technology changes, expanded scopes of practice of non-physician specialties, and improvements in efficiency also mean fewer physicians are required to do the same volume of work.”

Bhatia states that these efficiencies should be offset by increased demand resulting from an aging medically complex population.

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McGuinty says he needs majority to take hard line against labour

Dalton McGuinty may have handed health care professionals and other public sector workers a reason to vote against the Liberals in upcoming Kitchener-Waterloo byelection.

The seat was recently vacated by Tory health critic Elizabeth Witmer after she accepted an appointment as Chair of the Workplace Safety and Insurance Board (WSIB). This despite past conflicts between Witmer and the Liberals over the WSIB.

Should the byelection be won by the Liberals, it would propel the McGuinty government into a defacto majority, the speaker allowed to break tie votes in provincial parliament.

Given the “elegant” compromise with the NDP over the budget, why would McGuinty suddenly need a majority so badly that he would be willing to appoint a long-time opponent to such a sensitive position at WSIB?

According to the Toronto Star’s Martin Regg Cohn, McGuinty says he needs the majority “because tough times require a hard line against labour.”

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Matthews comments considered “condescending” in Sudbury

Sudbury residents may be a little mystified by Health Minister Deb Matthews recent comments on their emergency room problem.

Health Sciences North recently closed 30 transitional beds in March. These beds were occupied by individuals described as alternate level of care (ALC) – patients who have completed their acute care treatment, but are not well enough to go home.

Now the hospital has among the highest waits in the province for access to its ER.

According to the Sudbury Star, a 17-hour wait in February expanded to a 19.7 hour wait in March. The hospital is fingering the rising number of ALC patients as the culprit.

Some would look at this and see some dots connecting.

Remarkably, in an interview with the Sudbury Star, Matthews said “I’ve been enormously impressed with the way the community has come together to find solutions.”

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Playing political games with the safety of our blood system

The story in quotes:

“IVIG is a product made from large pools of human plasma and it is not possible to claim with certainty that there is no risk of infectious disease transmission.” – From Guidelines for the Use of Intravenous Immune Globulin (IVIG) for Neurologic Conditions, by Tom Feasby, Brenda Banwell, et al. April 2007.

“WHO recommends the following integrated strategy for the provision of safe blood and blood products and safe, efficacious blood transfusions…Collection of blood from voluntary, non-remunerated blood donors at low risk of infections that can be transmitted through blood and blood products, the phasing out of family/replacement donation and the elimination of paid donation.”—From Screening Donated Blood for Transfusion-Transmissible Infections, Recommendations, World Health Organization, 2010.

“We value your time. There are several ways we would like to show you how much we appreciate your continued generosity. You may choose one of the easy methods for collecting your earnings: direct credit to your bank account, cheques, or prepaid Visa cards.” – Website, Canadian Plasma Resources (ExaPharma), a private company that has applied to Health Canada to open two Plasma Donor Clinics in Toronto.

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McGuinty holds course on health care – LHINs to get more funding power

The new health care plan appears to be the old health care plan after all.

Yesterday the Minister of Health released Ontario’s Action Plan for Health Care, a 14-page outline of the McGuinty government’s plan for its largest social program.

The media have focused on primary care being brought under the jurisdiction of the Local Health Integration Networks (LHINs), although it is not clear whether that is just the Family Health Teams (FHTs) or whether it applies to all primary care doctors.

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