Tag Archives: Windsor Regional Hospital

Musyj calls for hospital mergers despite lack of supporting evidence

Windsor Regional Hospital CEO David Musyj is suggesting the best way to bend the health care cost curve is to amalgamate his hospital with Windsor Hotel Dieu Hospital.

As usual, Musyj lacks any evidence to support his suggestion, made before an audience of Rotarians in that city.

He may instead want to look at the independent Canadian Health Services Research Foundation web site, which says there is no evidence that such mergers save money.

“While the intuitive appeal of ‘bigger is better’ in hospital mergers is powerful, it’s clear the empirical evidence is weak and the potential for negative outcomes significant,” the Research Foundation states.

The Foundation warns that mergers are particularly difficult on staff morale, which has a direct impact on the quality of patient care.

They also note that mergers can disrupt services and absorb more management attention during a transition period, also affecting patient care.

The Windsor Star notes that the merger may be a tough sell given the last such merger cost the region two hospital sites and beds.

When mergers do occur, senior management usually go cap in hand to their boards, asking for more compensation to deal with the greater responsibility they now face.

Other money saving ideas Musyj gave the Rotarians include cuts to outpatient services and charging patients a fee for emergency room visits – the latter a clear violation of the Canada Health Act.

Musyj said Ontario needed a Royal Commission to look at the way the province delivers health services.

He also defended the LHINs, suggesting moving administrative offices to London or Toronto would not be in the best interests of his community.

Windsor hospital CEO uses OPS deal to attack hospital workers

What does a one per cent increase for the Ontario Public Service have to do with Windsor Regional Hospital? Answer: very little.

Yet this morning the hospital’s CEO made the front page of the Windsor Star attacking the agreement, which does not directly impact staff at the hospital.

It’s true that all wage settlements are subject to comparison at the bargaining table, and it is likely WRH CEO David Musyj will try and introduce the lowest comparators he can find. If the two sides cannot agree, an arbitrator will look at all the submitted comparators. That’s the nature of the process.

OPSEU does not shy away from negotiating the best contracts for its members. During a recession it’s not unusual to have the final years of a multi-year contract make up for lower increases in the early years.

Musyj says both the arbitration and negotiation process is broken. How so? This is the same CEO who claimed he couldn’t afford $3.6 million in salary increases while the hospital was receiving more than $10 million in new money and audited statements revealed he was actually sitting on a surplus. Better still, the spring budget revealed status quo for the hospitals, forestalling reductions in the rate of increase that had been forecast in the 2010 budget. That means Musyj will likely see that surplus increase.

Musyj says his office is expected to reduce expenses by 10 per cent, but that doesn’t necessarily mean he will be taking another cut in pay (the latest Sunshine list showed Musyj took a cut in pay to $254,847 in 2010 from $265,000 in 2009). The government has made it clear that it will not penalize hospitals that fail to do so. With a surplus, what is Musyj’s motivation for doing so?

The question comes down to this: we are now emerging out of the recession, why is it would-be politicians like Musyj still trying to reduce the standard of living of working people? As we have noted repeatedly, the same thing was never asked of profitable corporations who are seeing their taxes cut to record lows.

It’s already party time on Bay Street and Wall Street.

This morning the economy posted stronger than expected job numbers, suggesting Ontario is bouncing back from the recession. That means more revenue for the government, and by extension, its hospitals. Where’s the panic?

Musyj is playing politics at the expense of the morale of his staff. This is far from good leadership.