Tag Archives: Stacey Daub

CCAC CEOs may not have enjoyed their cornflakes this morning

You would think the Community Care Access Centres would tread a little carefully these days. The Tories want to get rid of them. The Registered Nurses Association of Ontario would like to fold them into the LHINs. We’re creeping into the time of year where budgets run out and home care patients get left in the lurch, particularly around rehabilitation. It’s generally not a fun time for the CCACs.

The CEOs might be enjoying their day a little less this morning after Bob Hepburn’s column in the Toronto Star.  It left our spoons hovering above the Cornflakes.

Hepburn contends that the leadership at the CCACs have been handsomely rewarding themselves with lavish increases while applying restraint to the front line workers. Maybe it’s a last hurrah before it all ends?

Hepburn points to two examples – Cathy Szabo, CEO of the Central CCAC who saw her salary jump by 50 per cent from 2009 to 2012, and Melody Miles, CEO of the Hamilton-Niagara-Haldimand-Brant CCAC who gave herself a 24 per cent increase over the same period. For Szabo, her wage jumped $91,000 to $270,734. For Miles, her wage jumped during the same period by nearly $53,000 to $265,949.

The information comes from the sunshine list, which we always caution fails to give the full picture, including if the executives worked the full year covered under the report.

We decided to look at the rest of the list. Among CCAC CEOs, you have to really feel for North Simcoe Muskoka CCAC chief William Innes. Back in 2009 he reported earnings of $224,890. For the last two years it has been $199,877.

Central East’s Don Ford is the lowest paid CCAC CEO today. It’s true his kid’s likely didn’t go hungry with earnings of $180,769 in 2012, but the man has not had a raise since the economy took a dump in 2009. In 2009 Ford’s reported earnings on the sunshine list were $181,953. His taxable benefits are also far lower than many of his counterparts at $761.02 in 2012 (by comparison Catherine Szabo received $11,723 in taxable benefits). He’s at the bottom of the provincial heap.

Szabo and Miles draw down some of the biggest incomes among CCAC executives province-wide, but the biggest winner in 2012 was former deputy minister Margaret Mottershead,  who was then the CEO of the Ontario Association of Community Care Access Centres (and now she’s gone). Some may wonder why a small group of 14 CCACs needs an association, but we’ll leave that alone for now. Mottershead’s reported compensation for 2012 was $318,322, up slightly less than $5,000 from the year before. That would be a 1.5 per cent increase for anybody lacking a calculator.

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10 revealing moments at this year’s OHA HealthAchieve

The Ontario Hospital Association’s HealthAchieve is one of the major health care conferences on our annual calendar. Here are 10 revealing moments from this year’s three-day event:

1. Metaphors really stick. Don Berwick, former administrator of the U.S. Medicaid/Medicare program, spoke about the Choleteka Bridge in Honduras. An engineering marvel, it was considered one of the strongest bridges in the world. The year after it was built, Hurricane Mitch struck and washed out more than 150 bridges in the country – but not the Choleteka. The only problem is, the hurricane actually moved the path of the river to render the bridge obsolete. Speaker after speaker picked up on this metaphor in relation to health care delivery.

2. Performance pay is a stupid idea. OHA hospitals have been moving towards “performance” or “at risk pay” in recent years. It essentially means that a portion of an executives’ pay is contingent on the hospital reaching certain pre-established goals. Not only does this demean the executive by suggesting they would not act in the organization’s best interests otherwise, but means the goals get dumbed down – or what Berwick says “makes timidity logical.” Berwick says he prefers goals that are difficult to reach. When Berwick said he is not a fan of performance based pay, a significant portion of the packed audience broke into spontaneous applause. The OHA may want to revisit this policy.

3. “Benchmarking is the cream of the crap.” – Mark Britnell, Chairman and Partner, KPMG Global Health Practice. Say no more.

4. Several speakers emphasized the importance of “Senior Friendly Hospitals,” including the importance of early mobilization. Getting seniors mobile in hospital can shorten the length of stay, shorten duration of delirium and improve the return to independent functioning. Nobody mentioned that many Ontario hospitals are presently eliminating physiotherapy positions to balance their budgets.

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