Tag Archives: Jane Meadus

Briefs: TSH looking for $6.8 million in savings, Arnprior petition and more

The Rouge Valley Health System and The Scarborough Hospital officially filed notification to the Local Health Integration Network of their intent to merge, but it doesn’t mean hard times are over. Robert Biron, CEO of The Scarborough Hospital, sent a memo to staff Tuesday that reminded everyone that the health service provider still has a budget to balance. Biron estimates cost pressures of $8.4 million for 2014-15. The hospital has projected revenue increases of $1.6 million, but it still leaves them $6.8 million short. That shortfall represents about two per cent of TSH’s annual budget. Biron says it is the intention of the hospital to “minimize the impact” to services and staff positions where possible, however the memo gives notice that voluntary exit and early retirement packages will be offered soon. No specific cuts were identified in the memo. The TSH board will receive the budget plan on March 4th. Despite the formal notification to the LHIN, the hospitals will not make a final decision to merge for another 60 to 90 days.

In December we reported on a local fight-back campaign by the unionized staff (CUPE, OPSEU and ONA) at the Arnprior and District Memorial Hospital. The professional and support staff at the hospital are upset by the loss of six acute care beds at a time when the region’s population is rapidly expanding. Now our colleagues at CUPE have posted an on-line Avaaz petition for community members to sign that calls on the hospital to reopen the beds and staff them properly. If you’d like to add your name to the Avaaz petition, click here.

The Ontario College of Physicians and Surgeons has raised an interesting point around the province’s plan to shift endoscopies from hospitals to private Independent Health Facilities (IHFs). The College notes that IHFs are presently exempt from the Out of Hospital Premises Inspection Program (OHPIP) it conducts. Up until now endoscopy clinics have been considered community speciality clinics, not IHFs. In the most recent issue of the College’s Dialogue Newsletter, they state “the OHPIP model functions more efficiently and quickly to protect patients than the IHF model.” Despite the shift in status, the College is proposing to continue doing OHPIP inspections at these facilities. In 2011 the College warned that a private Ottawa endoscopy clinic failed to properly sterilize equipment and placed patients at risk of HIV, hepatitis B, and hepatitis C. The College also found that the clinic’s nurse was preoccupied with advancing the scope and not recording vital signs, that potential exposure to toxic fumes took place, single-use items were being re-used, and that cramped and cluttered premises posed a hazard by making it difficult to transfer a patient in the event of an emergency. Endoscopies and cataract surgery are at the top of the province’s list for divestment from community hospitals.

The more Ontarians understand the threat by PC leader Tim Hudak to end the Rand Formula, the less they like the Tories. While Forum Research president Dr. Lorne Bozinoff told the Toronto Star the anti-union policies are not seen as a massive wedge issue, “there’s some uneasiness that they’ve (PCs) just gone too far to the right.” The Forum Research Poll shows the Tories dropping in public opinion in tandem with declining disapproval of the Rand Formula. Those opposed to the Rand Formula dropped from 45 per cent to 38 per cent from November to January. Likely Ontarians are coming to understand that by undermining the province’s trade unions all labour rights are threatened – both union and non-union. The Forum Research polls still places the Tories in the lead at 36 per cent followed closely by the Liberals at 33 per cent and the NDP at 26 per cent. NDP Leader Andrea Horwath and Liberal Premier Kathleen Wynne share 40 per cent personal approval ratings while Hudak continues to lag behind with 21 per cent. In a press release issued yesterday, Bozinoff said “it appears Tim Hudak’s signature idea, ending compulsory union dues, is not a winner in Ontario, even among supporters of his own party.” The random sampling of public opinion was conducted among 1222 Ontarians 18 years of age and older between January 24-25.

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Frail, often elderly, and with nowhere to go

Nobody believes a hospital ward is a long-term solution for patients who have completed their acute care treatment but due to their medical frailty are unable to go home without support. The question is, where are the appropriate resources for these patients? Public home care and nursing homes have significant waits. Some nursing homes can take as long as seven years to get into.

Some hospitals are trying to push patients into retirement homes to wait until public services are made available, sometimes with threats of levying illegal and sizeable daily fees. If they do follow to a retirement home, the private costs may be prohibitive and there is no guarantee of receiving appropriate care. These are not nursing homes.

Often the frail and elderly are left with nowhere to go.

Jane Meadus says these individuals need to know their rights. A lawyer with the Advocacy Centre for the Elderly (ACE), Meadus says the legal clinic receives about 250 complaints per year.

Meadus spoke with Anna Maria Tremonti during this morning’s edition of CBC’s The Current. Click here to link to the audio interview.

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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Walker misses point on why for-profit nursing homes cherry-pick residents

Dr. David Walker is accusing long-term care homes of cherry-picking patients who are easy to care for, leaving more complex ones to hospitals.

As the province’s point person on the alternate level of care issue, did he just discover this?

When Ontario decided to put the more than half of its nursing home beds in the hands of profit-seeking companies, what did they expect?

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