Pop quiz: who wrote this: “Our government expects – as do health care providers – that this change will exacerbate the health conditions of patients with chronic conditions and those who are at risk of developing such conditions. In addition, given preventative care is less costly that emergency or acute care treatment, your policy represents a significant download to provinces and especially Ontario, where the vast majority of refugee claimants reside.” If you guessed Ontario Health Minister Deb Matthews, you’d be correct. Matthews’ wrote Federal Citizenship and Immigration Minister Jason Kenney in December over the impact of cuts to the Interim Federal Health Program for refugees. Tomorrow (Wednesday) opponents of the federal cuts will be meeting outside of Deb Matthews’ downtown Toronto office to ask Ontario to have a heart and provide stop-gap coverage for these disenfranchised refugees left without coverage. Demo starts at 11:30 am near Bay and Wellesley Streets in Toronto.
Windsor Regional Hospital is closing its long-standing Acute Injuries Rehabilitation and Evaluation Centre after the facility lost $300,000 last year. Once a revenue-generator for the hospital, the centre provides assessment and treatment services to people injured in automobile accidents or on the job. Revenues came from WSIB and other private insurance providers. The hospital claims two other private centres have meant that this insurance work done by the hospital has “dried up.” Curiously Windsor lawyer Suzanne Dajczak told the CBC that the closure would mean costs would shift to the patients. “When you’re injured, you’re under stress, finances generally are cut – in the cases that I see, substantially. They usually come when they’re denied and, yes, they’re going to struggle, and it’s going to be more difficult for injured workers” (Emphasis added). Is Ms. Dajczak suggesting that these private clinics may be less supportive of injured worker claims than the public hospital?
Posted in Uncategorized
Tagged Andrea Horwath, Cindy Forster, Deb Matthews, Interim Federal Health program, Jason Kenney, Jim Bradley, Kensington Eye Clinic, Kensington Screening Clinic, Kevin Smith, Liberal Leadership, Niagara Health System, Ontario Health Minister, Quinte Health Care, Sandra Pupatello, Suzanne Dajczak, Tim Hudak, Windsor Regional Hospital
The Niagara Health System’s supervisor has commissioned a poll on his interim recommendations for the struggling multi-site hospital.
If anything, the poll confirmed why Kevin Smith had been appointed by the province.
Pollara conducted a telephone survey in June of at least 75 adult residents in each of the 12 communities served by the hospital.
The overall impression rating was 4.5 out of 10 – far below the usual 90 per cent plus approval rating of most Ontario hospitals. 13 per cent described their impression as “very negative.” The worst scores came from Fort Erie and Port Colborne, two communities that have already lost their hospital emergency departments.
John Wright folded his arms looking more than a little apprehensive.
The CEO of the Canadian Institute for Health Information was about to address a room full of hospital officials, many upset about the Canadian Hospital Reporting Project (CHRP) launched a month earlier. The forum was the May 16 Breakfast with the Chiefs organized by publisher longwoods.com.
CHRP was supposed to be the ultimate benchmark, looking at data from 600 hospitals across Canada and involving 100,000 bits of information.
Wright said that CIHI had already experienced 80,000 hits on the site, which to some may suggest success, to others a quantification of the damage done to the reputation of their hospital.
Knowing the onslaught that was coming, Wright pointed out that “perfection is achieved by slow degrees. It needs the hand of time.”
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Tagged CHRP, CIHI, Hamilton St. Joseph's Health Care, hospital performance data, John Wright, Kelly Isfan, Kevin Smith, Niagara Health System, Norfolk General Hospital, Ontario hospital administrative costs, Shalom Glouberman
How organizations determine the cost of employee turnover can vary. Some look at only the recruitment costs. For example, in 2008 HealthForce Ontario estimated it costs $25,000 to recruit a nurse. Others look at broader impacts, including the cost of severance, recruitment, training, overtime and lost productivity. London Health Sciences Centre, for example, estimates the real cost of employee turnover can be as much as 1.5 times the position’s annual compensation.
At the Niagara Health System Kevin Smith, the government appointed supervisor, noted in his interim report the difficulty the regional hospital system faces in recruitment and retention, estimating a 5.7 per cent annual rate of turnover to 2019. That turnover is about equally divided between retirees and those who simply decide to resign and seek work elsewhere. That means about 1,750 staff will need to be replaced between 2013-2019. Seventy physicians will also need to be replaced over that period.
“There is intense pressure and frankly competition to attract the best and the brightest to any organization and the NHS is currently at a disadvantage,” Smith notes.
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.