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Irene Jansen

BC Care Aide Registry web site - 0 views

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    Update as of June 29, 2010 The BC Care Aide & Community Health Worker Registry is still open to applicants. As of June 29, 2010 all BC applicants must provide a copy of their BC health care assistant credentials whether they are working, not working or a
Govind Rao

A 'well-managed' conflict is still a conflict; Partnerships BC: Larry Blain's tenure as... - 0 views

  • Vancouver Sun Fri May 15 2015
  • An internal report from the Finance Ministry last year raised significant concerns about Partnerships BC, the government corporation that has overseen billions of dollars worth of public-private partnerships under the B.C. Liberals. Among the eyebrow-raising details was the disclosure that longtime Partnerships boss Larry Blain had been doing double duty as board chair and a paid consultant on a number of projects. The unusual arrangement was put in place in October 2010, when Blain stepped down after almost a decade as president and CEO of the Crown corporation and took up the appointment as chair of the overseer board of directors.
  • "A contract was approved by the board to enable him to provide professional services to Partnerships BC," said the report from the internal audit and advisory services branch in the Ministry of Finance. "Services included serving as a project board director on several projects that PBC was supporting and conducting special project work as requested by the CEO and approved by the board." Blain, an economist and investment banker who served on the transition team when the Liberals took office, was the founding CEO of Partnerships and helped steer some $17 billion worth of P3s, including the Canada Line, Sea to Sky Highway and Abbotsford Hospital.
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  • Thus the board's justification for putting him on contract to provide advice on projects: "The former CEO has specialized knowledge and experience with partnerships solutions." Still, the Partnerships brass were not oblivious to the conflicts that might arise if Blain were retained as a consultant on a project that was also being vetted by the board.
  • "In order to mitigate the risks of any conflict of interest arising from this arrangement," the review reported, "the board chair was required to recuse himself from any meetings where his projects or his contract were being discussed." Instead, another member of the board was designated to serve as temporary chair. The designated lead director also oversaw the authorization of Blain's consulting contract. "While this conflict of interest issue appears to have been generally well managed," the finance report went on to say, "there could be the perception by some stakeholders that the contractor role still conflicts with the board chair's role of providing independent oversight." Any such perceptions were history by the time the report was completed in July 2014. Blain had already departed as board chair earlier in the year, replaced by Dana Hayden, a former deputy minister turned private consultant.
  • The internal auditors didn't let Partnerships entirely off the hook for tolerating the unorthodox arrangement in the first place. "The government should consider reinforcing the conflict of interest guidelines for board members of crown corporations and government agencies and ensure that those guidelines are appropriately followed." In other words, "not guilty, but don't let us catch you doing it again." The audit findings, including recommendations to rectify other questionable procedures at Partnerships BC, were forwarded to a steering committee of government and industry representatives, chaired by deputy finance minister Peter Milburn. The committee reported back to Finance Minister Mike de Jong on Oct. 23 with further recommendations for tightening up procedures at Partnerships.
  • De Jong released both reports and accepted both sets of recommendations in the course of announcing the change of direction for Partnerships BC on Dec. 16 of last year. That was the same day the Liberals chose to announce they were greenlighting construction of a hydroelectric dam at Site C on the Peace River. Just one of those amazing coincidences, but it goes some way to explaining why there was relatively little reporting of the findings regarding Partnerships BC.
  • There matters stood until this week, when the New Democrats, drawing on a wealth of material gathered by their research department, challenged the Liberals over Partnerships' dealings with Larry (Two Hats) Blain. The highlights package: The contract with Blain's delightfully named consulting firm, Aardvark Insights, was worth $219,000. During that same four-year span he also collected $188,836 in fees and expenses as chair of the board. All this atop the $264,000 he was paid to serve as a director of three other government-owned corporations, and the almost $4 million he was paid for his eight-year service as CEO.
  • "There's plenty of Blain to go around," quipped one press gallery wag as the New Democrats built their case against the Liberals during question period Wednesday. Another joke making the rounds rebranded P3s as B3s, for "Blain, Blain and Blain" Responding for the government, de Jong paid tribute to Blain's well documented contributions to the agency and cited the audit findings that "the conflict issue appears to have been generally well managed." But he also said this: "Whilst one can suggest that by recusing and taking (other) steps ... the procurement process is properly followed, the standard that we set and expect of agencies, the leadership within those agencies, goes beyond that. There must not only not be a conflict; there must be no appearance of a conflict." Which is as close as the finance minister came to admitting his sense of relief that when the audit branch blew the whistle on this arrangement, Blain had already left the building at Partnerships BC.
healthcare88

Intervenors decry Charter challenge of medicare - 0 views

  • CMAJ October 18, 2016 vol. 188 no. 15 First published September 19, 2016, doi: 10.1503/cmaj.109-5330
  • News Intervenors decry Charter challenge of medicare Steve Mertl + Author Affiliations Vancouver, BC Sanctioning doctors to practise in both public and private health care, and bill above the medicare fee schedule would lead to an inequitable, profit-driven system, warns a promedicare coalition opposing a Charter challenge of British Columbia laws.
  • Cambie Surgeries Corp., which operates private clinics, and co-plaintiffs, launched the case against the BC government and its Medicare Protection Act. “(T)he Coalition Intervenors are here to advocate for all of those British Columbians who rely on the public system, and whose right to equitable access to health care without regard to financial means or ability to pay — the very object of the legislation being attacked — would be undermined if the plaintiffs were to succeed,” lawyer Alison Latimer said in her written opening submitted Sept. 14 to the BC Supreme Court.
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  • The intervenor coalition includes Canadian Doctors for Medicare, Friends of BC Medicare, Glyn Townson, who has AIDS, Thomas McGregor, who has muscular dystrophy, and family physicians Dr. Duncan Etches and Dr. Robert Woollard, both professors at the University of British Columbia. A second intervenor group representing four patients also warned that the Charter challenge would lead to an inequitable health system across Canada. “This case is indeed about the future of the public health care system, in its ideal and actual forms,” said the group’s lawyer Marjorie Brown, according to a report in The Globe and Mail. Cambie and its co-plaintiffs, who made their opening argument last week, say the BC law barring extra billing, so-called dual or blended practices and the use of private insurance for publicly covered services violates Sections 7 and 15 of the Canadian Charter of Rights and Freedoms.
  • A successful Charter challenge in BC would mean an inequitable health system, where those who can pay get priority service, states an intervenor coalition.
  • Moreover, they claim the prohibitions exacerbate the under-funded public system’s problems, especially waiting lists for various treatments and surgeries. Allowing a “hybrid” system would relieve the strain. The coalition brief, echoing the BC government’s lengthy opening argument, said there’s no evidence that creating a two-tier system would reduce wait times. But there is a risk of hollowing out the public system as resources migrate to the more lucrative private alternative. Those who couldn’t afford private insurance could still find themselves waiting for treatment, thus undermining the principles of universality and equity spelled out in the Canada Health Act, Latimer said in her submission. Latimer also questioned whether the legislation falls within the scope of the Charter, more often invoked to overturn criminal laws, not those with socio-economic objectives.
  • “This legislation is intended to protect the right to life and security of the person of all British Columbians, including the vulnerable and silent rights-holders whose equal access to quality health care depends upon the challenged protections,” Latimer stated. There’s also a risk of sapping the public system of not only doctors but nurses, lab technicians, administrators and others drawn to the more lucrative private market, the brief said. Dual practices could also foster “cream-skimming,” where private clinics handle simpler but profitable procedures, leaving complex cases to the public system. The British Columbia Anesthesiologists’ Society, intervening to support the challenge, will be making arguments later in the trial, which is due to last at least until February 2017. The federal government is expected to begin making arguments in several months.
Govind Rao

"Medicare Trial" Interveners Call on BC Government to Protect Patients and Uphold Publi... - 0 views

  • August 26, 2014
  • Plaintiffs apply to postpone constitutional challenge in order to seek resolution in face of mounting public pressure and looming trial
  • VANCOUVER, BRITISH COLUMBIA--(Marketwired - Aug. 26, 2014) - The BC Health Coalition and Canadian Doctors for Medicare welcome the possible resolution of a charter challenge to public health care law launched by for-profit clinic owner Dr. Brian Day. "We are pleased that Day seems to be finally recognizing the need to abandon a law suit that never had any merit, and was no more than a stalling tactic that has allowed him to flout the basic rules of medicare, rules that virtually all other Canadian doctors respect and comply with," says Rick Turner, BC Health Coalition co-chair. "The case has cost far too much time and taxpayer money already." The legal challenge took aim at public health care law and sought the introduction of US-style two-tier health care in Canada. It was scheduled to go to trial on September 8, 2014 in BC Supreme Court. Yesterday the BC Supreme Court case judge granted a request from Dr. Day's legal team for a 6 month delay of the trial in order to pursue a resolution with the defendant BC government.
Cheryl Stadnichuk

Surrey Board of Trade Receives Support for a Universal Pharmacare Program for Business ... - 0 views

  • KELOWNA, BC – The Surrey Board of Trade is calling on the provincial government and the federal government economic benefits of universal pharmacare for businesses at the BC Chamber of Commerce Annual General Meeting and Conference, May 29 – 31 in Kelowna. This policy was approved at today’s BC Chamber policy session as a priority to the BC Government. “Drug coverage in Canada is provided through an incomplete patchwork of private and public programs that varies across provinces. This fragmented system reduces access to medicines, diminishes drug purchasing power, duplicates administrative costs, and isolates pharmaceutical management from the management of medical and hospital care. It is needlessly costing Canadian businesses billions of dollars every year,” said Anita Huberman, CEO Surrey Board of Trade.
  • There is a better option. A universal, comprehensive public drug plan that was consistent throughout BC and across Canada would be a wise investment for BC’s economic prosperity. Research has shown that such a plan would reduce employer-sponsored drug costs in Canada by up to $10.2 billion per year – a $570 million annual savings for businesses in British Columbia alone.4 This would boost Canada’s labour market competitiveness.
  • A universal pharmaceutical program would be economically viable not only by taking advantage of the power of a single purchaser, but through the following: Reduction of administration costs for businesses and unions Elimination of the need for tax subsidies to encourage employer funded benefit packages Decreased direct emergency and acute care medical costs due to inappropriate or underuse of drug 28therapies Reduction of other health service costs 28Because of these increased efficiencies, a universal pharmacare program would increase government costs by only $3.4 billion, $2.4 billion of which could be financed by the reduced cost of private drug benefits for public sector employees. The 2015 Angus Reid Institute poll found that most taxpayers would support such a program, even if it required modest increase in taxes.
Heather Farrow

Paramedicine expands to rural communities in B.C. - Infomart - 0 views

  • Williams Lake Tribune Wed Apr 27 2016
  • Alexis Creek, Anahim Lake, Bella Bella and Bella Coola have been named as remote B.C. communities that will welcome community paramedicine. Alexis Creek, Anahim Lake, Bella Bella and Bella Coola have been named as some of the 73 rural and remote B.C. communities that will welcome community paramedicine, a program that offers residents enhanced health services from paramedics. Health Minister Terry Lake made the announcement Wednesday.
  • "The Community Paramedicine Initiative is a key component of our plan to improve access to primary health-care services in rural B.C.," Lake said. "By building upon the skills and background of paramedics, we are empowering them to expand access to care for people who live in rural and remote communities, helping patients get the care they need closer to home." The program is just one way the Province is working to enhance the delivery of primary care services to British Columbians. The services provided may include checking blood pressure, assisting with diabetic care, helping to identify fall hazards, medication assessment, post-injury or illness evaluation, and assisting with respiratory conditions.
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  • Under this program, paramedics will provide basic health-care services, within their scope of practice, in partnership with local health-care providers. The enhanced role is not intended to replace care provided by health professionals such as nurses, but rather to complement and support the work these important professionals do each day, delivered in non-urgent settings, in patients' homes or in the community. "As a former BC Ambulance paramedic, I understand the potential benefits of community paramedicine," said Jordan Sturdy, MLA for West Vancouver-Sea to Sky. "Expanding the role of paramedics to help care for the health and well-being of British Columbians just makes sense." Community paramedicine broadens the traditional focus of paramedics on pre-hospital emergency care to include disease prevention, health promotion and basic health-care services. This means a paramedic will visit rural patients in their home or community, perform assessments requested by the referring health care professional, and record their findings to be included in the patient's file. They will also be able to teach skills such as CPR at community clinics.
  • "Community paramedics will focus on helping people stay healthy and the specific primary care needs of the people in these communities," said Linda Lupini, executive vice president, BC Emergency Health Services. "This program also allows us to enhance our ability to respond to medical emergencies by offering permanent employment to paramedics in rural and remote areas of the province." "Community paramedicine brings improved patient care and more career opportunities to rural and remote areas," said Bronwyn Barter, president, Ambulance Paramedics of BC (CUPE 873). "Paramedics are well-suited to take on this important role in health-care provision." Community paramedicine was initially introduced in the province in 2015 in nine prototype communities. The initiative is now expanding provincewide, and will be in place in 31 communities in the Interior, 18 communities in northern B.C., 19 communities on Vancouver Island, and five communities in the Vancouver coastal area this year.
  • At least 80 new full-time equivalent positions will support the implementation of community paramedicine, as well as augment emergency response capabilities. Positions will be posted across the regional health authorities. The selection, orientation and placement process is expected to take about four months. Community paramedics are expected to be delivering community health services in northern B.C. this fall, in the Interior in early 2017, on Vancouver Island and the Vancouver coastal area in the spring of 2017. BC Emergency Health Services has been co-ordinating the implementation of community paramedicine in B.C. with the Ministry of Health, regional health authorities, the Ambulance Paramedics of BC (CUPE 873), the First Nations Health Authority and others. Copyright 2016 Williams Lake Tribune
Govind Rao

BC Doctors Divided on Day Presidency | PressReleasePoint - 0 views

  • Posted May 26th, 2015 for Canadian Doctors for Medicare
  • VANCOUVER, MAY 26, 2015 – BC doctors split evenly today on the candidacy of controversial medical figure Brian Day today. Day, who is in a high profile court battle with the government of BC edged out his closest rival by a single vote today, garnering 44% of the votes cast, and support from less than 10% of the BC physicians eligible to vote.
Irene Jansen

Residential care quality: A review of the literature on nurse and personal care staffin... - 0 views

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    Nursing Directorate BC Ministry of Health by Janice M. Murphy Increases knowledge of nurse to resident ratios as it relates to nurse and resident outcomes in residential settings. Relationship between overall staffing levels and quality of care. LPNs and CA also contribute to quality care. Job satisfaction, staffing turnover and retention related to quality of care.
Govind Rao

BC community health workers ratify five-year deal | cupe.bc.ca - 0 views

  • February 3, 2014  
  • BC community health workers ratify five-year deal
  • March 31, 2019 and covers over 15,000 workers in community health jobs across the province.  Approximately 1,000 of those workers are CUPE members.
Govind Rao

BC can't show value for health care $$ - BC News - Castanet.net - 0 views

  • by The Canadian Press - Story: 109416 Feb 20, 2014 / 6:10 pm
  • British Columbia's auditor general says the Liberal government lacks oversight over a key portion of the largest-ticket item in their annual budget — health-care spending. A report released Thursday by auditor general Russ Jones said the province can't demonstrate that it's getting good value for the billions of dollars it pays doctors every year.
Govind Rao

Send a message to the BC Government | BC Health Coalition - 0 views

  • Brian Day is trying to bring US-style health care to Canada through a constitutional challenge against Medicare. Standing between Day and Canadian public health care: the BC Government. Send them a message now to show your support for a resolution to the case that includes universal health care and protecting patients and public funds from providers who put profit before care.
Govind Rao

Sept 3 2014 Dr Day article - 0 views

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    The Campbell River Citizens for Quality Health Care are warning people of what they say is a serious threat to our public health care system. The group said there is a dangerous legal attack on Canada's public health care system and it is going to court in September. Because most people in Canada have not heard anything about it, the group wants people to get the word out. Dr. Brian Day, a private clinic operator in Vancouver, wants the court to strike down the province's health-care law, which effectively bans clinics from billing patients for services already covered by the public system. Dr. Day claims that the defining principle at the heart of Canadian Medicare - that health services be provided according to patients' needs, not their ability to pay - is unconstitutional. His challenge will be heard in the BC Supreme Court starting Sept. 8 this year. Though the challenge is launched in B.C., it has the potential to bring USstyle care to Canadians across the country says the group. "Evidence shows that the kind of system Dr. Day is seeking would lead to longer wait times for care and poorer health for Canadians," said Edith MacHattie. Co-chair, BC Health Coalition Citizens for Quality Health Care want to make sure what they believe is a dangerous legal challenge is struck down.
Govind Rao

BC Quality Forum 2015 - 0 views

  • BC Quality Forum 2015 Dates: 18 – 20 Feb, 2015 Location: Vancouver, BC Address: Hyatt Regency Vancouver
  • Quality Forum 2015 will feature two days of presentations and interactive workshops on a variety of topics related to improving quality across the continuum of care. For more information or to register visit the conference website:http://qualityforum.ca/program-guide/
healthcare88

BC refutes Charter challenge of medicare - 0 views

  • CMAJ October 18, 2016 vol. 188 no. 15 First published September 19, 2016, doi: 10.1503/cmaj.109-5327
  • Steve Mertl
  • It was the British Columbia government’s turn Sept. 12 to rebut a Charter challenge barring doctors from operating both inside and outside the public health care system. However, anyone who came to the BC Supreme Court expecting an impassioned defence of medicare was disappointed. Instead, lawyer Jonathan Penner attacked the legal underpinnings of the case filed by Cambie Surgeries Corp., which operates a Vancouver private clinic, and its co-plaintiffs.
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  • The law prevents physicians from operating both inside and outside of the provincial Medical Services Plan. The restriction on so-called dual or blended practices violates Section 7 of the Charter of Rights and Freedoms guaranteeing “right to life, liberty and security of the person,” Gall said.
  • The strains on the public system, such as waiting lists to see specialists and for surgeries, are “indisputable facts,” Penner told Justice John Steeves. But the remedy proposed by the plaintiffs — a hybrid system where doctors can deliver private and medicare services and patients can buy insurance for services already covered by medicare — will not solve the problem. In fact, said Penner, it could make things worse by disrupting the public system and diverting resources from it.
  • Penner warned that if the Cambie plaintiffs win their challenge, the implications will extend outside British Columbia. Other provinces have similar restrictions on physician practice and private insurance that, like BC, are tied to federal transfer payments under the Canada Health Act. The trial opened Sept. 6 when Peter Gall, acting for Cambie, an affiliated clinic and several patients, argued BC’s Medicare Protection Act handcuffed both doctors and those seeking timely care.
  • Penner’s argument addressed core questions in the closely watched case: Does the law infringe doctors’ freedom to provide and patients’ right to receive timely medical care and, if it does, are those restrictions reasonable under the Canadian Charter of Rights and Freedoms?
  • Orthopedic surgeon Dr. Brian Day of Cambie Surgery Centre says provincial laws limiting private care have resulted in rationing and long waiting lists.
  • The law also keeps residents from using private insurance to pay for treatment for things covered by the public system, despite the fact that some groups, such as those covered under WorkSafe BC injury claims, get expedited private care. That violates the Charter’s equality provisions under Section 15, argued Gall. The arguments echoed long-held positions of orthopedic surgeon Dr. Brian Day, Cambie’s co-founder and the visible face of the case. He contends provincial laws limiting private care have resulted in rationing and long waiting lists.
  • The alleged Charter violations are far from clear cut, said Penner, as he reviewed previous Charter decisions. A key test, for instance, is whether legislation violates the principles of fundamental justice under Section 7. Past rulings have specifically warned against applying it to social policies, he pointed out. Gall noted that the Supreme Court of Canada’s 2005 decision in the Dr. Jacques Chaoulli challenge affirmed Quebecers’ right to use private medical insurance to pay for publicly insured services when the public system was inadequate.
  • But Penner said the wording of the Canadian and Quebec charters differ on fundamental freedoms and only three of nine Supreme Court justices found the Quebec law violated the Canadian Charter in Chaoulli. The evidence in the Cambie case is not the same, he added. “It will tell a very different story.” Even if evidence points to Charter violations, he said, such violations are legal under Section 1 of the Charter, which allows “reasonable limits prescribed by law as can be demonstrably justified in a free and democratic society.”
  • The justification here is government’s ability to ensure universal access based on need, not ability to pay, said Penner, adding courts have deferred to legislatures on social policies such as those covering housing. Granting the plaintiffs’ application would reverse that by putting patients with money or insurance ahead of those without, said Penner.
  • Penner was expected to take two days to present the government’s defence, with intervenors on both sides of the case presenting separate arguments later in the week. The trial is scheduled to last six months and hear from dozens of witnesses, including experts, historians and patients. Steeves’ decision is expected to end up being reviewed by the Supreme Court.
healthcare88

The BC Nurses' Union uses scabs and pits unions against one another | rankandfile.ca - 0 views

  • October 25, 2016
  • When an employee of the BC Nurses’ Union (BCNU) was diagnosed with cancer she had many medical appointments to keep. After returning to work, she still has to go to the Cancer Agency every 3 months for a check up.
healthcare88

Make sure BC babies can access health care | BC Health Coalition - 0 views

  • I get really worried and powerless when my son is sick; I don’t know how much help I can get without his MSP coverage." 
  • A sick baby is scary enough. Now imagine being prevented from bringing your baby to the doctor when they really needed it.
Heather Farrow

5 reasons why private surgeries won't shorten waits in the public system : Policy Note - 0 views

  • Sep 7, 2016
  • By Seth Klein and Andrew Leyland
  • After years of delay, Dr. Brian Day’s case against the BC Government is now being heard in BC Supreme Court. Day and his private for-profit Cambie Surgery Centre are challenging the parts of the BC Medicare Protection Act that prevent doctors and private clinics from directly billing patients for medically necessary procedures; in other words, the provincial legislation that protects our public health care system by making it illegal to create a parallel private, for-profit system. Day claims these limitations are un-constitutional because they prevent patients from leap-frogging waits in the public health system.
Govind Rao

Our Response to Cambie Case Resolution Negotiations | BC Health Coalition - 0 views

  • September 26, 2014
  • Dear Minister, Attorney General, and Medical Services Commission Chair, The BC Health Coalition and Canadian Doctors for Medicare welcome the possible resolution of the charter challenge to B.C.'s Medicare Protection Act by a group of plaintiffs led by Dr. Brian Day: Cambie Surgeries Corporation (CSC), Specialist Referral Clinic Inc. (SRC), and five individuals. As interveners in the challenge, we were pleased with the strong defence that the BC government prepared for the trial.We look forward to a speedy resolution that upholds public health care law and ensures full and immediate compliance by these clinics, and all physicians practicing there, with BC's Medicare Protection Act (MPA).
Govind Rao

Nursing shortages forecast - BC News - Castanet.net - 0 views

  • Apr 30, 2015
  • The head of the BC Nurses' Union is painting a dire picture of nursing on Vancouver Island. Gayle Duteil said nursing shortages will continue to get worse as private clinics 'poach' staff from the public health-care system. Duteil said the culprit is the contracting out of 55,000 day surgeries to private clinics. "Where do they think the specialty trained operating room nurses will come from?" asked Duteil, who also questions why taxpayers' dollars are going to non-profit clinics instead of the public system.
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