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Govind Rao

Universal Health Coverage: Beyond Rhetoric | Health, Education, Social Protection News ... - 0 views

  • Universal Health Coverage: Beyond Rhetoric Posted on November 29, 2013 by admin by Amit Sengupta Municipal Services Project – Occasional Paper, November 2013
  • This paper raises critical questions around the wide and growing enthusiasm for Universal Health Coverage (UHC). Typically defined as a health financing system based on pooling of funds to provide health coverage for a country’s entire population, it often takes the form of a ‘basic package’ of services made available through health insurance and provided by a growing private sector.
Govind Rao

NorthumberlandView.ca Study Compares Insurance Coverage for New Medicines Between Canad... - 0 views

  • National News: Study Compares Insurance Coverage for New Medicines Between Canada's Public and Private Sector Drug Plans [ Edit ] Contributed by admin on Sep 20, 2013
  • A new study published by the Canadian Health Policy Institute (CHPI) compares insurance coverage for new medicines between Canada's provincial and federal public drug programs; and between public sector drug programs and the benchmarks currently set in a competitive market by private-sector drug insurance. Using data from Health Canada and IMS Brogan, the study specifically examined insurance coverage for new medicines in five (5) select therapeutic classes - allowing Canadians to see how they are uniquely impacted by differences in drug insurance benefits across plans, according to the treatment areas that affect them most directly.
Govind Rao

Health boards' admin support under scrutiny in attempt to rein in spending - Newfoundla... - 0 views

  • Finance minister says spending has grown by more than 70 per cent in a decade
  • May 01, 2015
  • Finance Minister Ross Wiseman announced during Thursday's provincial budget that the government will consolidate key administrative support services in the health care system
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  • Changes are coming to Newfoundland and Labrador's health-care system as the provincial government looks to shift more of its focus towards frontline health care services and consolidate administrative support among the four health authorities.  It's part of a five-year plan announced in Thursday's budget aimed at improving patient care and ensuring the health care system is sustainable, said Finance Minister Ross Wiseman. It follows on the heels of a pre-budget announcement on April 28 that outlined plans to partner with the private sector to add 360 additional long-term care beds throughout the province.
Govind Rao

Union, Horizon spar about potential job losses in centralized scheduling - Infomart - 0 views

  • The Daily Gleaner (Fredericton) Sat Oct 17 2015
  • The union that represents thousands of New Brunswick's front-line health-care professionals says a plan to centralize employee scheduling within the Horizon Health Network will cut jobs and reduce spending in some rural communities. However, officials with the province's largest regional health authority say job losses should be minimal and employees affected by the change may be able to move to keep their positions. Earlier this year, the Horizon Health Network announced that it would create a new dedicated scheduling team in Saint John that would help work units across New Brunswick schedule employee shifts, make arrangements for vacation time, and sort out which employees would be called in to work if a colleague called in sick.
  • The goal, say officials with the Horizon Health Network, is to remove unnecessary paperwork from the duties of managers in the field, standardize scheduling protocols at sites across the province, reduce payroll errors, and avoid potential union grievances by ensuring the proper distribution of overtime and call-in shifts. Robin Doull, Horizon's regional director of workforce optimization, said roughly 80 per cent of the health authority's staff will eventually be scheduled in this way by March 2017.
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  • Doull said the project will begin rolling out in January, when certain staff members at the Miramichi Regional Hospital will start using the software developed for this initiative and working in collaboration with the scheduling team in Saint John. Ralph McBride, co-ordinator for CUPE Local 1252, said it's a shame the professionals who are currently scheduling staff at various sites across the province aren't able to keep those responsibilities. "We see this as taking away important jobs in rural New Brunswick and moving them to urban centres," he said. He said that based on what he's heard from the Horizon Health Network, between 17-20 health-care professionals working in Miramichi could be affected by this organizational decision.
  • "To lose 17-20 positions, to lose any positions out of the Miramichi, out of any rural setting and off to a place like Saint John, creates a hardship in that economy, in that area," he said. "I guess what the government failed to consider is that most of the people that are in these central scheduling systems are long-term employees. They've got stakes in their hometowns. That's where many have grown up. That's where they live. Some of them are 20-year employees, 25-year employees, 30-year employees. To ask somebody that's in their mid-50's to uproot and move is, I think, shameful and disrespectful."
  • Doull said that, to be clear, this decision to centralize staffing was made by the Horizon Health Network - not the Department of Health, as suggested by the union. "A couple of years ago we started on this in a preliminary way and it's now becoming operational for us," he said. Doull also denied that many positions will be in jeopardy.
  • "There are three staffing support clerks in Miramichi that are affected," he said, explaining that employees impacted by the move to centralized scheduling will have the option to move to Saint John and continue working there. "All employees who work in the staffing support clerk classification have the option to take a position in the staffing centre in Saint John. If they do not take the offered position, they may choose to 'bump' into another CUPE position, if they have the basic qualifications for the position and the person in that position has less seniority. Their right to 'bump' includes any position (as described) at any site in Horizon." McBride said he thinks the provincial government would have to be on board with a plan of this scope. "I believe the government is not wanting to be the forerunners of this so they're using the health authority to deliver a message," he said, explaining that there are already rumours more services - such as accounts payable - could be following suit in the months ahead. "Things don't happen in health care in New Brunswick without the Department of Health knowing. Somebody has to give the blessing on this."
  • The union representative said the changes will cause turmoil for work units across the province as, per the terms of the existing collective bargaining agreements, senior employees affected by the scheduling changes choose to bump junior colleagues out of other positions. "(The affected employees) will exercise their right to bump under the collective bargaining agreement. But somewhere down the line it's going to take away from the economy," he said.
  • McBride said that he hopes the new centralized scheduling program works effectively when employees begin using it in January, explaining that it was initially slated to kick off earlier. "There's going to be some stuff they'll have to work out," he said.
  • "This move was supposed to happen the first of November. But we got word (this week) that it had been delayed because there had been glitches in the system. It's like any software program, it's not been tested to its full extent. So there's going to be issues with it." It's too bad, he said, that the employees who were already working on scheduling staff at various sites across New Brunswick couldn't join the centralized scheduling team, yet remain at their initial site. "With today's technology, they should be able to do scheduling from any office, any facility in the province. They don't need to centralize them all into one location," he said.
Govind Rao

Horizon plans to centralize health worker scheduling in province - Infomart - 0 views

  • Times & Transcript (Moncton) Fri Oct 16 2015
  • Officials with the Horizon Health Network say plans to centralize staff scheduling for roughly 13,000 health-care professionals across New Brunswick will begin in January, when select employees at the Miramichi Regional Hospital will start using the new system. Currently, staff are scheduled by the managers of work units at hospitals and health clinics across the province. That's going to change, though, as the province's largest regional health authority takes steps to standardize its policies and protocols around shift-scheduling in the months ahead. Robin Doull, Horizon's regional director of workforce optimization, said work has been underway behind the scenes to prepare the new scheduling software that will be used by roughly 80 per cent of the health authority's staff, one site at a time, before the full implementation by March 2017.
  • The centralized scheduling team will work out of a provincially owned office on Charlotte Street in Saint John. "For all intents and purposes, we've built a call centre," he said. "We're working with the Miramichi Regional Hospital right now towards their implementation in January. There are going to be people at the Miramichi Regional Hospital in January who are calling us, emailing us, and using an information system that we've built to tell us about their scheduling requirements." For an organization that has close to 13,000 employees, some wonder how will it all work. Representatives from the Canadian Union of Public Employees say the move may make good business sense, but it will also come with a steep price for rural parts of the province by shifting dozens of good-paying jobs to a single urban centre. Doull said the team is taking steps to explain the plan to the employees who'll soon be using the new system. If a staff member wants to book five vacation days several months from now, the employee would log into a new software system and create an electronic request.
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  • The member of the scheduling team responsible for that work unit would receive the request along with a list of employees that have the skill-sets and availability to work in that vacationing staffer's place. "They assign that work according to the various union collective agreements," he said. However, if the matter is unfolding in a shorter period of time, such as if someone was calling in sick for a shift scheduled to start later today, there's a different protocol. "Obviously that needs more immediate attention. There's an actual telephone call from a manager or a supervisor at (the unit) to a dedicated line in the scheduling centre," he said. Together, the employee's manager would work with the scheduling team to sort out the appropriate person to be offered the shift. Why is Horizon making this change? The goal is to lighten the administrative load on health-care managers across the province so they can focus on the day-to-day delivery of care.
  • "We're taking that sort of task or transaction work out of the nursing units. Typically, it's done by ward clerks or, in many cases, the managers themselves. It consumes a lot of their time. But that's only part of their job. They have responsibilities for other operational requirements in their various units," he said. Doull said the health authority also sees value in managing schedules in a consistent way across the province. "What we want to do for all of the areas is standardize the processes and the application of the collective agreement rules. So instead of having (more than) 200 people in Horizon who have as some small part of their job (tried) to get by in doing scheduling work as best they can with no formal software support or training, we're going to bring that into a purpose-built department," he said. "And there are efficiency payoffs for that, both financial and operational, for us as an organization." He did acknowledge that there will still be room for personal interventions by managers, particularly if a quick conversation at the office door can resolve a pressing matter easily and effectively.
  • If a matter is of an urgent nature, the employee can contact their manager or appointed supervisor directly and have a conversation about the request for time off and the manager can figure out a specific way to handle the situation. "All the manager is going to do is simply call the centre in Saint John, or email the staffing team that they work with, and say, 'An employee has talked to me. This is what we're going to do and here's how I want you to deal with the shift on Saturday,'" he said. "The manager always has that direct-line option to deal with things that are of a more timely nature." Although, too much of that can be a problem, said Doull, explaining that in some units across the province managers can fall into routines where the easiest employee to reach, or the most willing employee to work, receives most of the overtime or sick-time shift offers. "Later on, one of the four or five people (ahead of the preferred employee) may very well come back and say, 'I have a grievance because I should have been offered that shift. What are you going to do for me?' And we may be in a situation of having to, in effect, pay twice for time that needs to be worked," he said.
  • "I wouldn't characterize it that it happens often, but it certainly happens often enough that we know about it and it's one of the problems that we're specifically trying to solve." Members of the scheduling team are working to determine which site will be the next to adopt this new staffing system. Ultimately, when the scheduling team is fully operational and slotting shifts for units across Horizon, a team of 21 staff members will be working at the Saint John centre between the hours of 5 a.m. and 11 p.m. "That's roughly 70 full-time equivalent (positions for our team)," he said.
  • Doull said he knows many employees are likely worried about this change, but the move is expected to create significant savings for Horizon. "What we're looking to do is return time to managers and clinical staff," he said. "We know patients have a better experience if they know who the manager is in their area and they're able to interact with them regularly ... We know staff are more satisfied at work if they're able to have access to their manager." There are also savings expected through reductions in payroll errors.
  • "If someone puts in the wrong code for a specific number of hours and an employee gets paid the wrong thing, we know how often we're going back and correcting these. What this system will do is take a lot of the manual data entry of our pay processes away," he said. "It'll be automated and driven by what the employee is scheduled to work." It should also help to highlight problems in specific units, he said. "If we have an area, for example, that is using a lot of overtime, we'll know who is not there, why they're not there, which positions are not actually filled because there's nobody to work them, and we'll be better able as an organization to identify where our recruiting issues are," he said.
  • Ralph McBride, CUPE Local 1252's provincial co-ordinator, said he's concerned about the economic impacts the move could have on communities across the province. "We're not overly impressed with centralizing services. We see this as taking away important jobs in rural New Brunswick and moving them to urban centres," he said. "We think there are economic hard times happening currently in the Miramichi. This won't help." There are no plans to integrate this system with scheduling protocols used by the Vitalité Health Network. The Daily Gleaner requested information from the Vitalité Health Network on how the province's other regional health authority schedules its staff and the paper is still waiting for a response.
Cheryl Stadnichuk

Health regions wait and see what 'transformational change' means | Regina Leader-Post - 0 views

  • Health regions in the province are in wait-and-see mode until the province releases more information on what, exactly, its promised “transformational changes” to those administrative bodies will mean. Regina Qu’Appelle Health Region (RQHR) president and CEO Keith Dewar wasn’t surprised to hear Tuesday’s throne speech make reference to Premier Brad Wall’s plan for big changes coming to the delivery of public service, including health. What that actually means for the RQHR and other regions, though, is unknown. Wall has signalled the June 1 budget will set the stage for a year’s worth of consultation on the matter, much of which will focus on cutting administrative cost.
  • Health Minister Dustin Duncan said “continual improvement through transformation is not new to the health care sector in Saskatchewan and the government is looking to balance the cost of front line and administrative costs. “We would just expect that whether you work in front line staff or in admin, just hope and trust people are going to continue to do their jobs as we work through this process, it’s not going to happen over night,” said Duncan. He said the need for such “transformational change” is caused by an aging population. The majority of a person’s health costs over their life are used as they approach old age, and with a number of baby boomers approaching retirement, those days are coming.
  • In 2008, the Alberta Health Service (AHS) brought together 12 formerly separate health entities, including three health authorities. It is one of the biggest employers in Canada and, when created, was set up to run like a $13-billion corporation by a board of directors
Heather Farrow

Provincial supervisor for Brockville hospital a distraction for real problem of governm... - 0 views

  • BioMedReports Thu Sep 22 2016,
  • TORONTO, ONTARIO--(Marketwired - Sept. 22, 2016) - The appointment of a provincial supervisor for Brockville General Hospital (BGH), a Mike Harris strong-arm tactic that the Ontario Liberals once railed against, is a "surface distraction from the real problem; provincial underfunding of our hospitals, including BGH, that is causing deficits," the Canadian Union of Public Employees (CUPE) charged today.
  • Reports suggest that the hospital borrowed $5 million in addition to a $4 million deficit. "Suggesting that mismanagement is at the root of the hospital's deficit deflects blame from the culprit, a provincial government intent on starving hospitals of the funding they need to provide adequate patient care. Putting the hospital under administration is an optics exercise to distract from the significant provincial funding shortfall," says Michael Hurley, president of CUPE's Ontario Council of Hospital Unions. CUPE represents several hundred BGH front line staff.
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  • Ontario is among Canada's lowest provincial funders for hospital care. Based on the latest figures from the Canadian Institute for Health Information (CIHI), Ontario government funding for hospitals is $1,395.73 per capita. The rest of Canada, excluding Ontario, spends $1,749.69 per capita. In other words, provincial and territorial governments outside of Ontario spend $353.96 more per person on hospitals than Ontario does. That is a whopping 25.3 per cent more than Ontario. "BGH is not alone in racking up a deficit. Every hospital in Ontario is struggling because hospital funding is far too low," says Hurley. Research done by CUPE has found that average Ontario hospital funding for the population the size of Brockville in 2005/6 would have been about $1.04 million less than average funding for the same population outside of Ontario. But by 2015/16 the funding shortfall for a population the size of the City of Brockville would have exploded to $7.74 million.
  • "$7.74 million a year for the Brockville hospital would have them operating solidly in the black. This hospital is struggling valiantly to provide services through eight consecutive years of provincial funding cutbacks. The solution here isn't a supervisor and more cuts to care, staff and programs but to increase this hospital's funding," says Hurley.The views expressed in any and all content distributed by Newstex and its re-distributors (collectively, the "Newstex Authoritative Content") are solely those of the respective author(s) and not necessarily the views of Newstex or its re-distributors. Stories from such authors are provided "AS IS," with no warranties, and confer no rights. The material and information provided in Newstex Authoritative Content are for general information only and should not, in any respect, be relied on as professional
Govind Rao

Merging health boards disruptive, expensive, says report < Health care, Nova Scotia | CUPE - 1 views

  • Sep 5, 2013
  • The cost of merging district health boards is likely to outweigh any savings according to a research report commissioned by CUPE hospital workers in Nova Scotia. “Healthcare Restructuring in Nova Scotia” by Barbara Clow, PhD was unveiled at a meeting of CUPE hospital workers in New Glasgow yesterday. The report, which looks at healthcare restructuring across the country, concludes that merging health boards could also lead to reduced services and loss of decision-making in communities.
Irene Jansen

CHSRF on Call > Public Policy and Canadians' Attitudes Towards the Healthcare System - 0 views

  • Ian Brodie, former chief of staff for Stephen Harper and Stuart Soroka, researcher in attitudes to healthcare, discuss the all-important influence of public opinion on public policy development.
    • Irene Jansen
       
      For Stephen Elliott-Buckley's notes, see Dropbox\HCIC\Admin\Coordinators and Ressearchers\Soroka and Brodie with sbuckley notes
  •  
    Jansen Q: what are opinion trends re privatization? Soroka A: tough question, asking questions about private health care is tough - no lack of data, but hard to interpret what polling firms and respondents think of as private delivery - it's hard to get a sense for exactly how people feel about privatization of specific parts of the system - general trend over past 15 years in proportion of Canadians willing to consider private options (e.g. paying for quicker access), increasing willingness to consider private options alongside increasing concern about the future of the healthcare system (more concerned = more willing to consider private options) - at its height, 50-50 split (clear opposed : willing to consider), this is one of the reasons I argue that policy makers should consider attitudes about the future, i.e. ongoing support for public health care system partly depends on opinions about the future - including this aspect, willingness to consider serious change
Irene Jansen

CMAJ: Crowdfunding for medical expenses - 0 views

  • Most crowdfunding sites take a percentage of the money raised by each campaign, usually between 3% and 7%.
  • the majority of donations are in the area of medical expenses
  • Medical expenses are the leading cause of bankruptcy in the United States, according to a study that indicated about 62% of personal bankruptcies in 2007 were reportedly due to medical bills, even though most of those people had insurance —&nbsp;up from about 46% in 2001&nbsp;(Am J Med 2009;122[8]:741-46).
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  • Many Americans are driven to fundraise on the Internet because they do not have, or have inadequate, health insurance
Irene Jansen

Health Authorities and the IWK Health Centre Taking Common Approach to Collective Barga... - 0 views

  • Nova Scotia's nine district health authorities and the IWK Heath Centre are taking a common approach to collective bargaining, to ensure that the province’s health care system remains affordable
  • On February 6, Capital Health and NSGEU (Local 42 – Healthcare) began collective bargaining
  • The new approach to bargaining – which will see the districts and IWK bring forward a common set of proposals – is part of a larger effort to reduce costs, find efficiencies and improve the delivery of health care services across the districts and IWK. Over the past two years, the districts and IWK have reduced their administrative costs to 5.1%, now below the national average of 5.2%. Along with the provincial government, they are working to further reduce the costs of administration and support services through a shared services initiative.
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  • Compensation, including wages, represents approximately 70% of the districts/IWK operational costs.
Govind Rao

Health Edition Online - Print Article - 0 views

  • eptember 6, 2013 &nbsp;&nbsp;|&nbsp;&nbsp; Volume 17 Issue 34 Merging health regions in NS would be bad idea, report says Merging district health authorities in Nova Scotia would be disruptive and expensive, says a study commissioned by the CUPE workers union. It says centralization has not shown to save money, pointing to the experience of Alberta where health care deficits have grown since health regions were amalgamated i
Govind Rao

Petition Tabled in Parliament by the Hon. Thomas Mulcair on Behalf of Federal Retirees ... - 0 views

  • Contributed by admin on Feb 05, 2014
  • Today, NDP Leader Thomas Mulcair tabled a petition in the House of Commons on behalf of federal retirees who are worried that Treasury Board President Tony Clement will double their health insurance costs under the Public Service Health Care Plan (PSHCP).
  • Mr. Gary Oberg, President of the National Association of Federal Retirees (FSNA)
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  • Over 20,000 people have also signed an online petition at change.org.
  • double health insurance costs for federal retirees, including military and RCMP veterans. Changes could also make some federal retirees ineligible for health insurance coverage in their retirements.
Govind Rao

Conservatives ignoring health care staffing crisis NorthumberlandView.ca - 0 views

  • Contributed by admin on Feb 19, 2014 - 09:25 AM
  • The NDP is outraged that eight years after Stephen Harper promised to reduce wait times for family doctors, four million Canadians still can’t find a family physician and worse yet, more and more doctors can’t find work.
  • “There is no good reason why any Canadian should wait months to get care, while qualified doctors can’t find work,” said NDP Health critic Libby Davies (Vancouver – East). “New Democrats have long proposed a practical solution that will find work for doctors and reduce wait times for Canadians. Instead of acting, the Conservatives are turning their backs on health care.”
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  • The NDP is proposing a Pan-Canadian Health Human Resources Strategy whereby federal, provincial and territorial governments coordinate training and working opportunities for doctors and other health professionals, reducing wait times in the process. The United Kingdom and Australia currently use a national approach to coordinate human resources in their health care systems. “Once again the Conservatives have failed Canadians. In their 2012 budget they short-changed the provinces by $31-billion and Canadians are paying the price,” said NDP deputy Health critic Dany Morin (Chicoutimi – Le Fjord).
Govind Rao

CUPE NS acute care workers proud to mark Administrative Professionals' Day/Week < Healt... - 0 views

  • Apr 23, 2014
  • week on behalf of the hundreds of clerical and administrative staff who work in hospitals across Nova Scotia. These hard-working women and men play a critical role in our province’s health care system. On this day, we take a moment to commend them for their commitment and dedication to the health and wellness of Nova Scotians! Look for this print ad in daily newspapers across the province today.
Govind Rao

Administrative Professionals Day shines a light on HEU's clerical team | Hospital Emplo... - 0 views

  • April 23, 2014 They are often behind the scenes performing “invisible” jobs, but nearly 10,000 members of HEU’s clerical team provide a vital role in delivering quality care to British Columbians. That’s why HEU locals across the province are proud to celebrate the vital contribution clerical workers make to their health care team. In previous years, HEU’s Clerical Team Appreciation Day has been scheduled on various dates. But the union’s clerical subcommittee decided for consistency to partner their day with the national Administrative Professionals Day, which falls in April.
Govind Rao

More than 3,000 Take to the Streets to Stop Massive Hospital Cuts, Closures and Privati... - 0 views

  • Provincial News: More than 3,000 Take to the Streets to Stop Massive Hospital Cuts, Closures and Privatization Contributed by admin on Nov 21, 2014
  • TORONTO, Nov. 21, 2014 /CNW/ - More than 20 bus loads of people from across Ontario were joined by thousands in Toronto to stop the aggressive and systematic dismantling of our community hospitals by Ontario's government. Patients, seniors, hospital workers, nurses, health care professionals, doctors and concerned community members joined forces in a giant rally today to send a clear message to Ontario's Wynne government that the cuts to – and privatization of – public community hospitals must stop. Speakers talked about being charged extra user fees of hundreds or even thousands of dollars at private clinics for cataract surgeries, colonoscopies, endoscopies and other services. The clinics also bill OHIP, speakers noted, and charge extra user fees on top even though the Canada Health Act is supposed to prevent the direct billing of patients and ensure equal access to health care based on need not wealth. The coalition is demanding that the government stop their plans to cut diagnostics and surgeries from local hospitals and contract them out to regional private clinics forcing patients not only to pay the extra fees but also to travel out of their home towns for needed care and privatizing public health care.
Govind Rao

Why Canadian Hospitals Outperform U.S. Hospitals | Physicians for a National Health Pro... - 0 views

  • By Steffie Woolhandler and David HimmelsteinThe Huffington Post Canada, Feb. 12, 2015
  • In many countries, bereaved families get condolence cards and flowers. In the U.S., they are also deluged with hospital bills and insurance paperwork. That paperwork isn't merely an insult. It costs U.S. society a fortune. Take hospitals, for instance. According to research we recently published in Health Affairs, U.S. hospitals spent $215 billion in 2011 on billing and administration, a striking 1.43 per cent of GDP.
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