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Doug Allan

Job cuts led to germy hospital wards | dailytelegraph.com.au - 1 views

  • CLEANERS have blamed job cuts at hospitals for the filthy emergency waiting areas exposed in a Daily Telegraph hygiene audit.
  • The Daily Telegraph conducted 30 hygiene tests at 15 hospitals and discovered 66 per cent of surfaces swabbed failed to meet hospitality industry standards, let alone hospital standards.
  • Three areas swabbed even contained unhygienic levels of the hospital bug staphylococcus.Figures from the Health Services Union reveal most of the 139 cleaning jobs lost in the past four years were at the hospitals that failed all of the hygiene tests.
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  • The greatest cutback in cleaners was 67 workers at Royal North Shore hospital, which joined Mt Druitt, Campbelltown, Nepean, Liverpool, Westmead, ­Fairfield and Blacktown hospitals in failing the ­hygiene test of toilet doors.
  • “Improving hand hygiene among doctors, in particular, and other health care workers is currently the single most effective intervention to reduce the risk of hospital-acquired infections in NSW hospitals, ” she said.
  • But Ms Skinner accused the HSU of “reckless scaremongering” over their claims the cutbacks could cause an infection outbreak.
  • Another 45 cleaners were cut from Westmead and ­Nepean hospitals where all surfaces tested failed, ­including seats in the ­emergency waiting area.
  • Campbelltown Hospital, where 15 cleaning positions have been cut, failed both hygiene tests and recorded an elevated level of staph on a toilet door.
Irene Jansen

A step backwards for workers' rights in Saskatchewan - 2 views

  • the government has eliminated successor rights for cafeteria, janitorial and security employees in government-owned buildings
  • Successor rights allow employees to keep their jobs as well as their union, collective agreement, wages, seniority and benefits when a new contractor takes over their work. By removing these rights only for cafeteria, janitorial and security staff the Saskatchewan Party is telling workers in these fields that they don’t even deserve the relatively meager wage they currently receive.
  • With the current rules, unionized cleaners, security and food service staff in public institutions usually make $12-17 an hour and receive some benefits.
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  • Driving down janitorial, security and food service workers wages, which will lead to a more transient workforce, may also compromise service. Evidence from England suggests that slashing hospital cleaners pay lowers cleaning standards and an increased incidence of hospital acquired infections.
Heather Farrow

Superbugs versus Outsourced Cleaners - 1 views

  • Published online before print June 22, 2016, doi: 10.1177/0019793916654482 ILR Review June 22, 2016 0019793916654482
  • *Adam Seth Litwin is an Associate Professor at the ILR School, Cornell University. Ariel C. Avgar is an Associate Professor at the School of Labor and Employment Relations, University of Illinois, Urbana-Champaign. Edmund R. Becker is a Professor at the Rollins School of Public Health, Emory University.
  • On any given day, about one in 25 hospital patients in the United States has a health care–associated infection (HAI) that the patient contracts as a direct result of his or her treatment. Fortunately, the spread of most HAIs can be halted through proper disinfection of surfaces and equipment. Consequently, cleaners—“environmental services” (EVS) in hospital parlance—must take on the important task of defending hospital patients (as well as staff and the broader community) from the spread of HAIs. Despite the importance of this task, hospitals frequently outsource this function, increasing the likelihood that these workers are under-rewarded, undertrained, and detached from the organization and the rest of the care team.
Irene Jansen

Robert Dryden and Jim Stanford. 2012. The Unintended Consequences of Outsourcing Cleani... - 0 views

  • This paper provides a more rounded portrait of the job description, working conditions, and compensation of cleaners in Toronto, on the basis of census data, existing academic literature, and other sources. It finds that the pay of cleaners is low; in private-sector settings, pay is inadequate to lift cleaners with dependents above the poverty line, and fall well below the levels estimated by researchers to constitute a “living wage”.
  • impacts of outsourcing on the quality and safety of cleaning services, on the well-being of communities, and ultimately on the fiscal performance of all levels of government.
Irene Jansen

Compass retains hold on Island health contracts - 0 views

  • Compass Group Canada retains its monopoly over housekeeping and food services at Vancouver Island health facilities, despite the health authority's attempts to dump the contractor.
  • Vancouver Island Health Authority announced Thursday it has renewed its housekeeping contract, worth $10.61 million per year over five years, with Crothall Services Canada, a division of Compass.
  • "There have been some dreadful outbreaks, including C-Difficile and others, at Nanaimo Regional General Hospital and now the company that was responsible for cleaning is essentially getting rewarded with another contract," Krog said.
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  • VIHA says the new contract with Crothall raises cleaning standards, increases staffing levels, creates a specialist outbreak cleaning team, enhances monitoring processes and introduces more patient and staff satisfaction surveys.
  • Mike Old, spokesman for the Hospital Employees' Union, said the union supports the decision of the health authority to retain the experienced workers who currently clean the facilities."Our concerns about crushing workloads for cleaning staff have been recognized through a commitment to higher staffing levels in this contract," Old said.
  • Improper cleaning methods and insufficient cleaner strength had a significant effect in an 11-month C-Difficile outbreak at Nanaimo Regional General Hospital that infected 94 people and killed five which started in 2008.
  • Compass employees lacked proper training to use toxic chemicals that caused hair loss, nose inflammation, respiratory problems and skin irritation, according to two failed WorkSafe B.C. inspections issued in 2008 and 2009.
  • Workers used ineffective cleaners. Staff over-diluted bleach cleaner and later needed to switch to a soil-lifting detergent that would remove the virus from surfaces.
  • If the housekeeping fails on any of the new measures during monitoring, financial penalties will be applied.
  • In April last year, VIHA said it was getting rid of Compass and signing a new contract with Marquise to provide housekeeping and food services at residential care facilities on the south Island - Glengarry, Mount Tolmie, Aberdeen, Gorge Road and Priory Hospital - as well as Queen Alexandra Centre for Children's Health and Saanich Peninsula Hospital. But before the ink on the contract was dry, Marquise was bought by Compass.
  • Compass has three of its divisions working in VIHA's contracted sites: Crothall Services, providing housekeeping services; Morrison, providing food services; and Marquise Group, providing both food and housekeeping services in residential care facilities.
Mike Old

Cleaners important to health care - 2 views

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    The recent revelation about out-of-control C. difficile infection rates and the breakdown of the infection prevention and control programs at Burnaby and Royal Columbian hospitals should surprise no one.
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    Op-ed published in Thursday's Vancouver Sun detailing some of the warning signs that preceded a major C. diff outbreak at Burnaby General.
Irene Jansen

Cleaners important to health care. HEU. Vancouver Sun. - 2 views

  • Scotland banned the contracting out of hospital housekeeping in 2008 and brought cleaning back in house. The result? According to the latest figures from Health Protection Scotland, cases of C. difficile have dropped dramatically.
Govind Rao

Layoff notices issued to nearly 1,200 Lower Mainland health care workers | Hospital Emp... - 0 views

  • News release It’s time for successorship laws that protect workers and ensure stable health care delivery, says the Hospital Employees’ Union March 2, 2015
  • Staff at a Surrey long-term care facility, and cleaners in Vancouver Coastal Health hospitals, have been given layoff notices by their corporate employers. The Ahmon Group has told more than 240 care aides, nurses, cleaners, and dietary workers that it will contract out all of their work at its Laurel Place care home in Surrey, effective June 1, 2015. The workers are members of HEU and signed a first collective agreement with Ahmon Group just last October. And Aramark – the U.S.-corporation that has held a commercial contract to clean Vancouver Coastal Health hospitals and extended care facilities since 2003 – has lost its contract and will lay off about 935 staff between August 9 and September 22.
Doug Allan

Layoff notices issued to nearly 1,200 Lower Mainland healthcare workers :: Longwoods.com - 0 views

  • Staff at a Surrey long-term care facility, and cleaners in Vancouver Coastal Health hospitals, have been given layoff notices by their corporate employers. The Ahmon Group has told more than 240 care aides, nurses, cleaners, and dietary workers that it will contract out all of their work at its Laurel Place care home in Surrey, effective June 1, 2015.
  • And Aramark – the U.S.-corporation that has held a commercial contract to clean Vancouver Coastal Health hospitals and extended care facilities since 2003 – has lost its contract and will lay off about 935 staff between August 9 and September 22.
  • HEU secretary-business manager says that stronger successorship language is needed to protect workers and services in a health care system that has seen significant privatization over the last decade.
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  • "Contracting out, contract flipping and sales of business will become more and more frequent as B.C.'s privatization of seniors' care and hospital support services enters its second decade," says Pearson.
  • "And these workers – many of them among the lowest paid in our public health care system – deserve stronger employment security and protection of their hard-earned wages and benefits," adds Pearson. "As it stands, they don't even know if they'll be hired by a new contractor."
  • Most health care workers have no access to even the weak successorship provisions in the Labour Code. The B.C. Liberals excluded both public employers and publicly-subsidized private employers from these provisions in 2002 and 2003.
Govind Rao

Mac cleaners refused to clean suspected Ebola patient's room - 0 views

  • Oct 18, 2014
  • Hamilton Spectator
  • Housekeepers refused to clean the room of a suspected Ebola patient at McMaster Children's Hospital and called in the Ministry of Labour to investigate a lack of training and knowledge about proper equipment.
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  • While Hamilton Health Sciences was named by the Ministry of Health Friday to be one of 10 hospitals in the province to treat Ebola cases, it was recently found to have fallen short in protecting its cleaning staff against the potentially deadly virus.
  • "We're upset our members were put in this situation," said Dave Murphy president of CUPE 7,800. "They felt they were at risk."
Govind Rao

Patients at increased risk of infection as Elisabeth Bruyere cuts 30 cleaners | Canadia... - 0 views

  • Dec 2, 2015
  • Lack of adequate provincial funding for hospitals is again forcing cuts to patient care at Elisabeth Bruyere Hospital, says Brian Grant, president of the Canadian Union of Public Employees (CUPE) 4540. Grant will hold a media conference tomorrow (Thursday, December 3) at 10 a.m. outside the hospital at 43 Bruyere Street to highlight the impact of the most recent cuts. 
Irene Jansen

A Study of Home Help Finds Low Worker Pay and Few Benefits - NYTimes.com - 0 views

  • With the exception of caregivers who provide “companionship care” for the aged and infirm, domestic workers like nannies and house cleaners are covered by federal minimum wage laws
    • Irene Jansen
       
      2.5 million home care aides are excluded from federal minimum wage and overtime protections in the Federal Labor Standards Act, a regulation Obama promised last December to revise
Doug Allan

Hospitals protected from revealing contracts; Advocates seek to lift veil on taxpayer f... - 0 views

  • etails of Ontario hospital contracts with consultants, cafeteria operators, cleaning staff or baby formula suppliers remain secret even though hospitals became subject to Freedom of Information Act provisions at the start of 2012.
  • But exemptions in the act protect hospitals' economic interests and their ability to be competitive, so private third-party contracts (funded by taxpayer dollars) remain inaccessible.
  • Advocates of public sector accountability say the secrecy surrounding those contracts must change. "Hospitals have privatized a range of services from food services to IT contracts to construction contracts," said Natalie Mehra, director of the Ontario Health Coalition, a public health care advocacy group. "In various areas there are claims that contracts have gone to friends of the CEO, to third parties that don't have an arm's-length relationship with the board or its executives. "The things we need to know are: how much money, to whom exactly, for what services and what are the terms they are getting for those deals."
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  • In response to the 2011 C. difficile outbreak in the Niagara Health System, Mehra said they are "trying to find out the details of the cleaning contracts and whether the private companies were allowed to dramatically reduce the number of cleaners. "These are things that intrinsically affect patient care."
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    Despite changes to FOI laws -- commercial confidentiality prevents access to hospital contracts for privatized services
Doug Allan

Dirty hospital rooms a top concern for Canadians - Health - CBC News - 2 views

  • "They couldn't keep up with the amount of time she had to go to the washroom [so] she'd have an accident,"
  • Nearly a third of respondents, who included patients, health-care workers and relatives and friends of patients, said hospital rooms and bathrooms were not kept clean. Stories shared by res
  • Stories shared by res
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  • Karl Rinas, 61, who was treated for a bleeding ulcer at a Leamington, Ont., hospital last February, says he ended up wiping down the bathroom himself after his complaints about the dried liquid waste he found on the floor and toilet seat failed to get a reaction, but he worried about older, less mobile patients.
  • Despite all her efforts, Martin says she has no doubt that the antibiotic-resistant superbug Clostridium difficile infection her mother contracted soon after surgery was related to the hospital's level of cleanliness.
  • "I know everybody nowadays has to work more with less, but to me, a hospital should be absolutely clean," she said.
  • Of the respondents who wrote into the fifth estate's survey about being harmed in hospital, most said the harm was a hospital-acquired infection such as MRSA and C. difficile.
  • Unlike in the food industry, there are no standardized inspections for cleanliness in hospitals.
  • A World Health Organization report that compared Canada's infection data with that of 12 other wealthy countries found that Canada had the second-highest prevalence (11.6 per cent) of hospital-acquired infections after New Zealand — much higher than that of Germany (3.6 per cent) or France (4.4 per cent).
  • Is outsourcing to blame?Those who work in hospitals have pointed to the increased outsourcing of housekeeping in recent years as one reason behind the decline in hospital cleanliness that patients and hospital workers have observed
  • "There's no question there's been an impact on the quality of cleaning, and you can see that throughout the years as various hospitals have struggled with very high-profile superbug outbreaks," said Margi Blamey, spokesperson for the Hospital Employees' Union (HEU), which represents 41,000 hospital cleaning and support staff in B.C.
  • But health authorities in other countries are moving away from private cleaning services. Four years ago, Scotland reversed its decision to allow outsourcing of cleaning and catering services because it felt private contractors were not doing a good enough job keeping the spread of infections in check.
  • Blamey says as long as housekeeping is done on a for-profit basis, employers will reduce the number of staff and cut corners on staff training and cleaning supplies.
  • The Canadian Nosocomial Infection Surveillance Program is the closest thing to a federal overview that Canada has, but it relies on voluntary reporting by only 54 hospitals in 10 provinces, most of them teaching facilities, which, according to infection control experts, generally have higher infection rates than other acute care hospitals because they tend to see more seriously ill patients.
  • Michael Gardam, who oversees infection prevention and control at the three hospitals that are part of Toronto's University Health Network, agrees that hospitals have fewer resources for housekeeping these days and have to concentrate cleaning on areas that are most likely to transmit bacteria — primarily the surfaces that multiple patients touch.
  • "I probably get more emails about dust bunnies in the stairwells than anything else in the hospital, and yet, we've done that for a reason. You're not going to catch anything from a stairwell, but you're going to catch it from your bed rails," Gardam said.
  • About two-thirds of hospital-acquired infections are preventable, Gardam said, but making a direct link between cleanliness and infection is not as straightforward as it might seem. Some hospital-acquired infections such as ventilator-associated pneumonia or central line-associated bloodstream infections have little to do with the hospital environment and can be controlled through proper protocols around equipment use. But a superbug like C. difficile is a lot trickier because it is hard to pinpoint its source.
  • Increasing cleaning staff on nights and weekends could also help. A typical medium-sized B.C. hospital that contracts out cleaning services has 24 cleaners by day but only four at night, says Blamey, and workers are often not backfilled when ill or on vacation.
  • "Bacteria don't care what time it is," said Gardam.
  • The infection expert says it doesn’t matter whether a private or public entity oversees cleaning; both have had problems with cleanliness. The bottom line is that hospitals generally undervalue the importance of cleaning staff, Gardam said.
  • "People don't really think of them as part of the team, but if you think about how infections are spread in hospitals, they're actually an incredibly important part of the team that goes far beyond just the cosmetic appearance of the room."
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    CBC story discusses importance of hospital cleaning, and debates demerits of contracting out. 
Irene Jansen

MUHC support staff protest $50-million in planned cuts - 0 views

  • the McGill University Health Centre is eliminating a special housekeeping squad devoted to eradicating C. difficile and other potentially deadly pathogens from patient rooms.
  • The MUHC set up the 10-person squad following the epidemic of Clostridium difficile-associated infections at the Montreal General Hospital in 2003-2004. More than 1,200 Quebecers died after contracting C. difficile diarrhea across the province during that epidemic
Heather Farrow

Angus, Bennett to fly to Attiwapiskat, MPs get emotional during late-night debate on su... - 0 views

  • More funds and youth involvement are crucial for a long-term solution for remote First Nations communities, says NDP MP Charlie Angus.
  • Monday, April 18, 2016
  • PARLIAMENT HILL—NDP MP Charlie Angus, who is flying to Attawapiskat First Nation on Monday with Indigenous Affairs Minister Carolyn Bennett to meet with Chief Bruce Shisheesh, is calling for immediate action to provide critical services to the 2,000 residents of this northern Ontario community located in his riding.
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  • We need to stabilize the situation in Attawapiskat in terms of making sure they have the health support they need,” Mr. Angus (Timmins-James-Bay, Ont.) told The Hill Times last week. “We need a plan to get people who are needing help in any of the communities to get that help.”
  • A rash of attempted suicides prompted Mr. Angus, who’s also the NDP critic for indigenous and northern affairs, to call for an emergency debate on the ongoing suicide crisis in the James Bay community of about 2,000. As a result, the House of Commons convened until midnight last Tuesday for an emotionally charged discussion on mental health services following a string of incidents in northern reserves in recent months. Several MPs choked up during their statements, recounting suicide incidents in their ridings and personal lives.
  • Sometimes partisan politics need to be put aside and members need to come together to find solutions to prevent another unnecessary loss of life,” Conservative MP Todd Doherty (Cariboo-Prince George, B.C.) said during the debate. NDP MP Georgina Jolibois (Desnethé-Missinippi-Churchill River, Sask.) said the suicide rate went up in her home community of La Loche in northern Saskatchewan after a shooting spree that killed four people last January.
  • Liberal MP Robert-Falcon Ouellette (Winnipeg Centre, Man.) recalled visiting the northern Manitoba Pimicikamak Cree Nation, which declared a state of emergency over a series of suicide attempts last month.
  • Mr. Angus made an emotional appeal to action in his opening remarks during the emergency debate. “We have to end the culture of deniability whereby children and young people are denied mental health services on a routine basis, as a matter of course, by the federal government,” he said. Eleven people attempted to take their lives in Attawapiskat two Saturdays ago, prompting the First Nation to declare a state of emergency—the fourth one since 2006. There has been more than 100 suicide attempts in the reserve since the month of September, many of which involved children. The community has been plagued by flooding and several housing crises in recent years.
  • Eighteen mental health workers were dispatched to Attawapiskat on Tuesday, including two counsellors, one crisis worker, two youth support workers, and one psychologist. While there is no set timeline, they’re not expected to leave for at least two weeks, said Health Canada assistant deputy minister Keith Conn during a teleconference last week.
  • Some of the people treated for mental health problems last week had previously been airlifted out of the community for assessment before being sent back after their examination, according to Mr. Conn. This past Tuesday, at least 13 people, including a nine-year-old child, had made plans to overdose on prescription pills as part of a suicide pact. The Nishnawbe-Aski Police Service apprehended them before sending them to the local hospital for a mental health assessment.
  • Mr. Conn said he’s heard criticism of the mental health assessment process from Attawapiskat First Nation Chief Bruce Shisheesh. Individuals who are identified as likely to commit suicide are typically sent to a hospital in Moose Factory, Ont., to be psychologically evaluated by a psychologist or psychiatrist. They are then discharged and sent back to the community, where some try to take their life again. Mr. Conn said Health Canada does not “control the process,” but he personally committed to review the mental health assessment effectiveness.
  • No federally funded psychiatrists were present in the region prior to the crisis, despite reserve health-care falling under the purview of the federal government. Mr. Conn said the Weeneebayko Area Health Authority (WAHA), a provincial health unit servicing communities on the James Bay coastline, is usually responsible for the Attawapiskat First Nation following an agreement struck with the federal government about 10 years ago.
  • A mental health worker position for the reserve has been vacant since last summer, in part because there’s a lack of housing for such staff. The community has been left without permanent, on-site mental health care services. Since then, the position has been filled by someone already living on reserve. During the emergency debate in the House last week, Health Minister Jane Philpott (Markham-Stouffville, Ont.) emphasized the need for short- and long-term responses to the crisis.
  • We need to address the socio-economic conditions that will improve indigenous people’s wellness in addition to ensuring that First Nations and Inuit have the health care they need and deserve,” she said. Ms. Philpott pointed to the Liberal government’s budget, which includes $8.4-billion for “better schools and housing, cleaner water, and improvements for nursing stations.”
  • “Our department and our government are ensuring that all the necessary services and programs are in place,” she said during the debate. “We are currently investing over $300-million per year in mental wellness programs in these communities.” Yet, Mr. Angus said the budget includes “no new mental health dollars” for First Nations communities. In addition to allocating more funds for mental health services to indigenous communities, Mr. Angus said there needs to be a concerted effort to bring in the aboriginal youth in the conversation.
  • We need to bring a special youth council together,” he told The Hill Times on Wednesday. “We need to have them be able to come and talk to Parliament about their concerns, so we’re looking at those options now.” Emotion was audible in Mr. Angus’ voice when he read letters he received from Aboriginal youth during the emergency debate, which expressed a desire to work with the federal government to solve the crisis.
  • The greatest resource we have in this country is not the gold and it is not the oil; it is the children,” he said. “The day we recognize that is the day that we will be the nation we were meant to be.” Mr. Angus met with Indigenous and Northern Affairs Minister Carolyn Bennett (Toronto—St. Paul’s, Ont.) earlier in the week to discuss potential long-term solutions to the suicide crisis. “I’ve always had an excellent relationship with Carolyn Bennett, and as minister we’re trying to find ways to work together on this, to take the tension down, to start finding solutions,” Mr. Angus said. Mr. Angus criticized “Band-Aid” solutions that have been thrown at First Nations issues over the years and said there needs to be a “transformative change” this time.
  • That’s where we have to move beyond the positive language to actually the brass tacks,” he said. During the emergency debate, Mr. Angus supported the idea of giving more resources to frontline workers such as on-reserve police, and health and treatment centres. 0eMr. Angus’ riding sprawls from shores of the Hudson Bay to the Timiskaming district on the border with Quebec, an area roughly equivalent in land size to that of Guinea. He holds two constituency offices in Timmins and Kirkland Lake.
Irene Jansen

Burnaby Hospital misses threshold in cleaning audit - 1 views

  • Burnaby Hospital did not meet the provincial bench-mark in high-risk areas such as patient rooms during a cleaning audit conducted on March 29
  • Whenever a hospital misses the benchmark on its monthly cleaning audit and inspectors identify areas in need of attention, another audit is conducted within weeks,
  • "They had an intensive super-clean, which ended on March 23, and then they fell back to their normal low staffing levels and a week later they failed a cleaning audit," said Health Employees' Union spokesman Mike Old, adding there are not enough cleaning staff to keep the hospital safe for patients. The HEU represents cleaners at Burnaby Hospital, who are employed by service provider Aramark.
Irene Jansen

TheSpec - Home care's 'race to the bottom' - 1 views

  • St. Joseph's Home Care is ready to compete for a flood of opportunity believed to be coming this fall when the province is expected to overhaul how contracts are awarded.
  • The home care agency — run by the same organization as St. Joseph's Hospital and Villa — cut wages by up to 15 per cent in all new contracts it wins.
  • The $13.96 starting hourly rate is now below Hamilton's living wage of $14.95. It takes five years to reach the top rate of $15.31.
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  • That's also below the starting wage of $16.07 for personal support workers, dietary aides, health aides and home cleaners.
  • Kim Ciavarella, president of St. Joseph's Home Care. “We introduced this new tier so we'd be able to bid on those contracts. It positions us very nicely.”
  • The 190 workers came close to striking over the two-tier system that sees lower wages go to staff working on any new contracts
  • “We feel it's a race to the bottom,” said Bill Hulme, community care lead for the Service Employees International Union Local 1 Canada, which represents 10,000 home care workers including those at St. Joseph's.
  • The low wages, combined with a lack of job security, have made home care the most unstable sector of the health care system and the hardest in which to retain staff, says Jane Aronson, a home care researcher and director of McMaster's school of social work.
  • “I find it unfathomable that at the same time the provincial and federal governments keep saying home care is very important, it's organized so those who are its front line staff won't have security and in this instance won't even have a living wage,” she said. “It's not a field people can afford to work in very long so we lose people with skills.
  • home care workers make far less than the hourly wage because they're often not paid for their transportation time between clients
  • The province halted competitive bidding in January 2008 to try to resolve some of these issues. It's expected something new will be in place this fall.
  • St. Joseph's Health System is testing what it calls “bundled care,” which involves the province giving a set amount of money to provide diagnostic, hospital, long term care and home care to patients with a co-ordinator overseeing it all and acting as a point of contact.
Irene Jansen

Patient advocates help bridge the gap - 0 views

  • Patient advocacy has always existed, but experts say that the phenomenon has become more pronounced than ever
  • the issue has caught the attention of the Canadian Medical Association Journal. In a two-part series published last week, the CMAJ concluded that "patient navigators (are) becoming the norm in Canada."
  • Historically, hospital social workers have fulfilled the role. But friends and relatives of patients have often stepped in to help. During the 2004 C. difficile hospital epidemic in Montreal, some family members whose loved ones fell ill from the diarrhea-causing bacterium told The Gazette that they hired private cleaners to scrub patient rooms.
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  • Today, patient advocacy has even evolved into a commercial industry of its own, with the so-called professional patient navigator - at least in the United States. But there are also signs of it emerging in Canada, too.
  • The U.S. advocates will accompany patients to their medical appointments with a prepared list of questions for the doctor. Afterward, they will follow up with the patients to make sure they're taking their prescriptions. They educate patients about treatment options that they might not have been aware of, especially after a cancer diagnosis. They also co-ordinate care among the various specialists a patient might see. Fees range from $75 to $400 an hour.
  • There are about 2,000 patient advocates in the U.S. - a tiny percentage of the population, but the number is climbing every year.
  • Llewellyn said her company is interested in expanding into the Canadian market.
  • In Montreal, a couple of private companies that specialize in services to the elderly - like finding placement in a seniors' residence - are also beginning to advertise limited patient advocacy.
  • Some observers argue that the need for patient advocacy is even stronger in Quebec because two-tier medicine is more entrenched here than elsewhere in the country.
  • Quebec has responded to what many have called the cancer crisis by creating the new position of the infirmiere pivot - a nurse who acts as a navigator for cancer patients. There are about 270 infirmieres pivot in Quebec, and other provinces have set up similar positions.In addition to the infirmiere pivot, CLSC clinics assign social workers and nurse liaisons to advocate on behalf of patients. Then there are hospital social workers like Johanna Salvanos, who assists the elderly in the geriatrics department at the Jewish General.
Doug Allan

Clean up your acts - Infomart - 0 views

  • The news that only 62 per cent of infection-control experts say the hospitals they work in are clean enough is more than a little disconcerting. In an online survey of experts from 119 Canadian hospitals, some 40 per cent of those who responded said their institutions are dirty enough to facilitate the spread of C. difficile and other nasty bugs
  • The statistics are a gross-out for Canadians who, quite rightly, assume that housekeeping staffin hospitals are trained to perform a high-calibre level of cleaning and sanitation.
  • Cleaning takes up to five per cent of operating budgets for hospitals. However, the problem may be less with the amount of money spent on cleaning and more on the training of cleaning staffthemselves. About one-third of those surveyed said their hospitals' cleaners aren't properly trained in cleaning and disinfection methods for patients' rooms.
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  • Those in charge of infection control need to examine what the situation is in their own hospitals and make the necessary changes to ensure standards are met and maintained. Canadians are fully justified in expecting hospitals to clean up their acts.
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