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Govind Rao

'The health-care system in general is a mess' - Infomart - 0 views

  • Cape Breton Post Fri Jun 26 2015
  • Plummer Avenue served as a line drawn in the sand on Thursday. One side of the street was a sea of red as Liberal supporters gathered at a barbeque to celebrate the opening of Cape Breton Centre Liberal candidate Dave Wilton's office, while the other side was a flurry of red and pink union flags and chants, as members of various locals and home-care workers were waiting for the expected arrival of Premier Stephen McNeil, protesting possible privatization of homecare. "We're here out of concern the Liberal government is gong to privatize all or some parts of home-care services," said Shauna McKenzie, of New Waterford, a home-care worker for 20 years.
  • "It would be a loss for the workers, we'd be concerned about their wages, pensions and health benefits if certain parts of homecare or homecare itself, are privatized." "We're trying to make the public aware, protest to the Liberals so they might not go this route." About 25 people were gathered at the protest, filling the air with chants of "hey hey ho ho, Stephen McNeil's got to go." Evelyn Doucette, president of Canadian Union of Public Employees Local 3986, said they were there because Premier McNeil was due there to help Wilton open his office.
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  • "Were putting out a message to Stephen about the privatization that is going on with home support today, that we're against it," she said. "The plan being put out by the McNeil government to privatize homecare should be raising alarm bells for Nova Scotians. He has a lot of questions he should be answering. The health-care system is a mess." Doucette said although the province is saying right now they are no longer looking at competitive bidding for homecare, they're still saying home-care services might still need to be tendered for some or all regions in the province. "We still don't know where we stand with any of this, we need answers."
  • Roberta Hickman, of Glace Bay, a home-care worker for 18 years, expressed concerns privatization of homecare would mean the hiring of lower cost workers to do their duties. "We are concerned about the quality of care that's going to be delivered," she said. Hickman said clients are worried too, so the home-care workers are trying to play it down, not wanting to upset them.
  • "They have enough issues of their own, we don't want to add to it. We're just trying to deliver the best homecare we can." Premier McNeil did not show up for the noon to 1 p.m. opening, but it was discovered later he was at the office for a tour earlier that morning and had also stopped by the New Waterford Homecare Service Society office. Tony Kiritsis, media relations advisor for the Nova Scotia Department of Health and Wellness, said no decisions have been made in regard to homecare in the province, but the department is considering all options that will help improve the home-care system.
  • "We are not privatizing homecare. The main goal we are pursuing is to ensure that we have quality homecare services that put patients first. " Kiritsis said in the coming days the department will reach out to begin a discussion with Nova Scotians about the future of the home-care system and what people expect. "This will help government move forward with a plan to improve home-care service delivery in the province." smontgomery@cbpost.com
Irene Jansen

Can 'Caring Across Generations' Change the World? | The Nation - 1 views

  • in 2010 the national median wage for homecare workers stood at $9.40 per hour
  • the mean annual income for these workers in 2009 was $15,611
  • More than half of all personal care aides live in households that depend on one or more public benefits
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  • an
$84 billion, largely for-profit industry
  • Although a few states have extended some wage and hours protections to homecare workers, these workers enjoy no federal right to form a union or bargain collectively
  • Caring Across Generations campaign
  • the campaign’s collaborators spanned the community/labor spectrum, from AFSCME and the SEIU to 9 to 5, the Alliance of Retired Americans, the National Day Laborer Organizing Network and the YWCA
  • Hand in Hand: The Domestic Employers Association
  • Her group, mostly employers, goes to rallies, signs petitions and gives testimony in defense of caregivers because, as she says, “My quality of life depends on their quality of life.”
  • Caring Across Generations, like the National Domestic Workers Alliance, aims to build relationships between those doing the work and those they’re working for.
  • 200 groups were signed on as campaign partners
  • argues for cuts to the defense budget, imposing financial transaction taxes and increasing corporate taxation
  • CAG is fighting to expand Medicaid and Medicare, and to protect Social Security and healthcare spending too.
  • Despite industry complaints that paying minimum wages will drive up the cost of care, CAG and its allies flooded the Labor Department website with positive comments. Since the public comment period closed on March 12, the group has been waiting with bated breath. The department has sixty days to review, after which the Office of Management and Budget has ninety days, and then the rules should go into effect
  • Since summer, local Care Councils have formed across the country, bringing people on all sides of the care equation together to fight budget cuts and attacks on union rights, and for increased funding for homecare. The councils have planned public Care Congresses in key cities
  • Homecare, after retail and nursing, is the third-fastest-growing workforce in the United States. But organizing has been slow and sometimes cutthroat
  • Jennifer Klein, who with Eileen Boris has written a book on organizing homecare
  • the workers are variously defined as public workers (employed by the state and paid through Medicaid) or independent contractors (working for private agencies) or they may be hired directly by the client
  • After 74,000 mostly Latina homecare workers in Los Angeles voted to join the SEIU in 1999, the labor movement celebrated—and then fell into a bitter turf war between the SEIU and the state, city and municipal employees’ union, AFSCME, over how California’s remaining homecare workers should be contracted and represented.
  • In contrast with traditional unions and movement leaders who have prioritized short-term legislative, ballot-measure or electoral campaigns, intersectional organizers emphasize building power over the long term
  • National Nurses United, does worry about simply going along with the trend toward homecare. “Obviously, we want people to have choices, but it can’t be driven by budgets,” she says. “As nurses, we’re still seeing the blowback from the deinstitutionalization of mental care.”
  • in several states where they represent caregivers, unions have created a registry of potential clients for their members
Govind Rao

Homecare workers set to strike on Wednesday - Thunder Bay - CBC News - 0 views

  • Dec 10, 2013
  • The head of the Ontario Homecare Association says a pending strike by personal support workers is a symptom of a broader funding problem. Homecare workers employed by Red Cross Care Partners across the province will go on strike Wednesday morning — and that includes more than 20 homecare workers in Thunder Bay.
Govind Rao

Homecare workers could help alleviate hospital overcrowding - New Brunswick - CBC News - 0 views

  • John Lefrancois says paying homecare workers more than $12.58 per hour is part of solution
  • May 14, 2015
  • Homecare agencies in New Brunswick are hoping the provincial government follows a recommendation from doctors that would see homecare workers paid more as part of a short-term solution to hospital overcrowding.
Govind Rao

SEIU Healthcare applauds efforts to reduce homecare wait times NorthumberlandView.ca - 0 views

  • Provincial News: SEIU Healthcare applauds efforts to reduce homecare wait times
  • Feb 04, 2015
  • SEIU Healthcare is applauding the Government of Ontario’s commitment to homecare today after Minister of Health and Long-Term Care Eric Hoskins announced the investment of funds to reduce homecare wait times.
Heather Farrow

Ontario and Kingston come up short in terms of health spending: unions - Infomart - 0 views

  • Kingston Heritage Thu Aug 11 2016
  • News -According to a new study done by the Ontario Council of Hospital Unions (OCHU) and CUPE, hospital funding in Ontario is much lower than hospital funding in the rest of Canada "It is a big problem and it is getting worse," said Mike Rodrigues, president of CUPE 1974 (Kingston General Hospital). "We have done some research and now we are ready to present our findings to both the public and the government." The findings, which were acquired using data available from the Canadian Institute of Health Information (CIHC),
  • were released on Aug. 2 at the Seniors Centre in Kingston. CUPE and the OCHU looked at data relating to hospital beds, levels of care, admissions and readmissions and of course overall funding and they focused on comparing Ontario to the rest of Canada. "We wanted to release this report to draw attention to the fact that provincially, by our calculations, Ontario is about $4.8 billion short compared to all the other provinces in terms of how we fund our hospitals," said Michael Hurley, president of the OCHU. "We are calling on the government to make a real investment and at least fund these hospitals at their real costs."
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  • According to CIHI, Ontario government per capita funding for hospitals is $1,395.73. The rest of Canada, excluding Ontario, spends $1,749.69 per capita on hospitals. In other words, provincial and territorial governments outside of Ontario spend $353.96 more per person on hospitals than Ontario does, or roughly 25 per cent more. According to the findings, these numbers have increased steadily over the years and in 2005-2006 the gap between Canada and Ontario was at just 4.3 per cent.
  • "With working in the hospital you see reductions and they may seem small at first, but year-to-year you really see their growing impact," said Rodrigues. "Our front line workers hear the frustrations. They also hear about being sent home too early and see the readmissions." According to the report, Ontario has the fewest number of hospital beds in
  • any province and the length of hospital stays continue to be reduced for this reason. This decrease leads to an increase in readmissions. "We have a drop in admissions and an increase in readmissions," explained Hurley. "In terms of readmissions, Ontario is higher than the rest of Canada and Kingston is actually higher than the rest of Ontario. From our point of view, readmissions represent failures of the system to actually repair people properly."
  • The report also looked at funding for homecare and long-term care, an area the government has claimed they are expanding to meet growing needs. "We have been told that investments are being made in those areas," said Hurley. "But long-term care is 7.2 per cent behind the rest of the country and for homecare and community care we spend 14.3 per cent less. We have the fewest number of hospital beds, so you think we would have the most vibrant homecare system, but in fact we underspend."
  • Overall, Hurley emphasized that while hospitals require about a three per cent increase year to year to keep up with inflationary needs, hospitals in Ontario and in Kingston are only receiving about one per cent. "The increase should actually be around five per cent when you take into account additional pressures like population growth and aging and we are nowhere near that," he said. "Because of that we see nursing and staff cuts as a result and that is not acceptable." In terms of staffing, the reports conclude that in Kingston, across all hospitals, approximately 137 registered nurses and about 407 other staff would need to be added to equal comparable staffing in other provinces like Manitoba or New Brunswick.
  • That is a lot of people," said Hurley. "This lack of staffing means there is less care in the hospital for mothers who have just given birth, or people recovering from surgery and than again leads to readmissions and complications." So what can be done about these issues?
  • "People can talk to their Member of Provincial Parliament about these issues. That would be really appreciated," said Hurley. "We are doing these reports in every major community in the province and we are hoping to get some traction with the government to increase the funding." Illustration:
  • Mandy Marciniak / Michael Hurley, president of the OCHU (left) and Mike Rodrigues, president of CUPE 1974 (Kingston General Hospital).
Govind Rao

SEIU Healthcare | SEIU Healthcare prepares for province-wide homecare strike - 0 views

  • November 5, 2013
  • RICHMOND HILL, ON, Nov. 5, 2013 /CNW/ - Sharleen Stewart, president of SEIU Healthcare, reported to the Ontario Ministry of Labour today that bargaining with Red Cross Care Partners has not produced an agreement and her union is taking steps to prepare for a province-wide strike involving 4,500 Personal Support Workers. In a video statement, Stewart said "We do not take this action lightly, but we have been left with no choice." She reported that RCCP, Ontario's largest homecare agency, will spend half the funds it gets from the province this year, about $72 million, on "administration, company profits and extremely generous executive salaries."
Doug Allan

AHS to reverse controversial home care decisions - Infomart - 0 views

  • Care providers at Abby Road Housing Co-operative, Artspace Housing Co-operative and Creekside Support Services, who had been slated to be laid off July 31, will keep their jobs.
  • Management and staffing at all three facilities had been set to pass to private, for-profit contractors as part of the province-wide reduction in homecare companies
  • "We have reversed a decision that effectively cancelled homecare contracts with three Edmonton-based supportive living cooperatives, recognizing the unique and specialized care they provide," he added.
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  • Alberta Union of Provincial Employees president Guy Smith spoke in support of the reversal.
  • The Wildrose Party also spoke out in favour of the decision.
  • ?Ultimately, the decision to centralize home-care providers means less choice and less quality of care for patients who have a very personal relationship with their caregivers.
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    Alberta reverses decision to turn home care work over to three (Ontario based) for-profit home care providers
Govind Rao

Homecare in critical condition; Saying seniors want to grow old at home,Quebec tabled l... - 0 views

  • Montreal Gazette Wed Aug 6 2014
  • Former high school teacher, union activist and painter Beverly Spanier is sick of begging for care. Spanier, 69, a recent paraplegic, has been waiting for physiotherapy for five months. Her Montreal highrise living room - once a meeting place for like-minded intellectuals, activists and artists - has become a sick bay, dominated by a hospital bed. Within easy reach, a wobbly table with medication bottles, gels and diapers.
  • Spanier had surgery on her back last year for spinal stenosis, a condition that choked the nerves to the legs and robbed her mobility. Following seven months at the Lindsay Rehabilitation Hospital, Spanier was sent home in February in a wheelchair - and promised help from her local health agency.
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  • Spanier was deemed eligible for about 32 hours of homecare a week, roughly five hours a day.
Govind Rao

Nicole Bernier: Canada relies too much on unpaid caregivers | The Province - 0 views

  • October 6, 2014
  • The unexpected and largely unreported good news about homecare in this country is that the vast majority of Canadians who receive home help or homecare for a chronic health condition are getting all the services they need. According to a recently released Statistics Canada article, 2.2 million individuals representing eight per cent of Canadians 15 years and older, received homecare in 2012. Most of these individuals, 1.8 million, consider that over a one-year period they received all the services they required such as personal care, transportation or household maintenance to help with their daily activities.
  • So how does Canada achieve so much with so little? Canada has a heavy reliance on informal, unpaid caregivers.
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  • Women are more likely to be caregivers and to provide more care hours than men, and spouses are the first resort for care.
Heather Farrow

Homecare workers ratify three-year agreement - SEIU Healthcare - 0 views

  • August 18, 2016, Richmond Hill
  • SEIU Healthcare members vote in favour of deal with CarePartners.SEIU Healthcare is pleased to announce a three-year deal representing 3,400 homecare workers was ratified today.This province-wide agreement with CarePartners was achieved in the first round of bargaining for personal support workers (PSWs) since the homecare strike of 2013.
Irene Jansen

Health ministers look to cut back on pricey diagnostic tests - The Globe and Mail - 0 views

  • Ontario, for instance, is pumping money into providing more home care. Manitoba is looking toward preventive medicine. Saskatchewan is reviewing ways to improve long-term care. Nova Scotia has a system where paramedics treat some ailments in long-term care facilities to avoid tying up hospital beds.
    • Irene Jansen
       
      For truth re. Ontario home care, see: as http://ochuleftwords.blogspot.ca/search/label/homecare Wall's vision of "improving LTC" in Saskatchewan involves expanding retirement homes (largely private for-profit, lesser-regulated).
  • Mr. Ghiz said they could use more help from Ottawa.“Hopefully, some day, the federal government will be at the table with dollars and with ideas – we're open
    • Irene Jansen
       
      "Hopefully, some day, the federal government will be at the table with dollars and with ideas - we're open". This is not a battle cry.
  • finding ways to keep seniors out of hospital. Ontario, for instance, is pumping money into providing more home care. Manitoba is looking toward preventive medicine. Saskatchewan is reviewing ways to improve long-term care. Nova Scotia has a system where paramedics treat some ailments in long-term care facilities to avoid tying up hospital beds.
    • Irene Jansen
       
      For the truth on Ontario home care, see http://ochuleftwords.blogspot.ca/search/label/homecare Wall's vision of "improving LTC" in Saskatchewan involves expanding retirement homes (lesser-regulated, largely for-profit).
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  • The provinces will look to expand a collective drug-purchasing plan, set new guidelines to cut the number of unnecessary medical procedures and improve home care for senior citizens. These strategies were on the table Friday as provincial health ministers hunkered down in Toronto for two meetings on overhauling the nation's universal health-care system and wrestling down its cost.
  • The greatest cost pressure on the system, however, may be the demographic shift and the steady rise in the number of senior citizens requiring chronic care.
  • The second, chaired by Ontario Health Minister Deb Matthews, focused on dealing with the nation's aging population.
  • The provinces are also looking at ways to cut back on pricey diagnostic tests and surgeries such as MRIs, knee replacements and cataract removals. After consulting with health-care professionals, they hope to draw up a series of voluntary guidelines, to be presented this summer, on when such procedures are necessary and when they can be skipped.
  • The provinces will look to expand a collective drug-purchasing plan, set new guidelines to cut the number of unnecessary medical procedures and improve home care for senior citizens. These strategies were on the table Friday as provincial health ministers hunkered down in Toronto for two meetings on overhauling the nation's universal health-care system and wrestling down its cost.
  • The first session was part of the Health Care Innovation Working Group
  • The first session was part of the Health Care Innovation Working Group
  • The second, chaired by Ontario Health Minister Deb Matthews, focused on dealing with the nation's aging population.
  • Last year, the working group produced a deal that saw the provinces and territories, with the exception of Quebec, team up to purchase six generic drugs in bulk, which resulted in savings of $100-million annually.They want to take a similar approach to buying name-brand medicines. Mr. Ghiz estimated such a plan could save $25-million to $100-million more.
  • Last year, the working group produced a deal that saw the provinces and territories, with the exception of Quebec, team up to purchase six generic drugs in bulk
  • They want to take a similar approach to buying name-brand medicines. Mr. Ghiz estimated such a plan could save $25-million to $100-million more.
  • The provinces are also looking at ways to cut back on pricey diagnostic tests and surgeries such as MRIs, knee replacements and cataract removals. After consulting with health-care professionals, they hope to draw up a series of voluntary guidelines, to be presented this summer, on when such procedures are necessary and when they can be skipped.
  • The greatest cost pressure on the system, however, may be the demographic shift and the steady rise in the number of senior citizens requiring chronic care.
  • finding ways to keep seniors out of hospital.
  • For all the provinces' innovations, however, Mr. Ghiz said they could use more help from Ottawa.
  • “Hopefully, some day, the federal government will be at the table with dollars and with ideas – we're open
Irene Jansen

Defending Public Healthcare: Private homecare funding increases 1/3 faster than public ... - 1 views

  • Conference Board of Canada figures released with a study
  • a study
  • Conference Board estimates indicate that the increase in public funding for home care in Ontario (in nominal dollars) was between 62% and 65% over the 11 years from 1999 to 2010.  Over the same period, private payment for health care increased 88%.  
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  • Ontario lost a lot of ground in publicly funded home health care during the last Progressive Conservative government.  
  • In the publicly funded home support category, Ontario continued to increase funding during that period, but still fell well short of the Canada-wide increase.  
  • According to Conference Board figures, home care fell as a percentage of total health care spending, falling from 5.82% in Ontario in 1999 to 4.65% in 2010 (and from 4.72% to 4.54% Canada-wide).  Again, in Ontario all of the decrease was during the Progressive Conservative years; there has been a small rebound during the Liberal years (from 4.51% to 4.65%).  
Irene Jansen

Canadian Home Care Association - - 0 views

  •  
    Presentations from the 2011 National Summit of the Canadian Homecare Association
Irene Jansen

CUPE Ontario | Communities Care for Homecare - PSW Registry - 0 views

  • This past May, the government announced that they were going to establish a Personal Support Worker Registry. 
  • mandatory registry that it will be at a minimum a list of names
  • "grand parenting"
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  • all workers who are PSWs that are employed by publicly funded employers.
  • The Ontario government has established a Personal Support Worker (PSW) Registry. 
  • Initially affecting PSWs (and associated classifications) in home care, it is scheduled to roll out to long term care and hospitals
  • CUPE successfully fought for a seat on the Registry Steering Committee, but unfortunately, despite objections from CUPE and other labour representatives, employers and government consistently pushed the Registry in new directions for which there was no consensus. 
  • The Registry has been put under the leadership of an employer organization.   There is inadequate protection of the privacy of PSWs.    There is no fair process for the removal of PSWs from the Registry list – yet PSWs will not be able to work for publicly funded employers unless their name is on the Registry. The Registry also enables ‘self-directed care'.   The Registry has an "optional" section on the application form where PSWs can sign up to work for private individuals who receive funding through a parallel system to Medicare. The Registry is serving to help weaken Medicare as private individuals often pay workers less with poorer quality care.
  • CUPE Ontario and OCHU have stepped down from their seat on the PSW Registry steering committee
Govind Rao

North America home healthcare market: $130 billion industry by 2017 - 1 views

  •  
    CompaniesandMarkets.com Mon Aug 12 2013, 2:11pm ET The North America home healthcare market was valued at $90.9 billion in 2012; it is poised to grow at a CAGR of 7.5% to reach $130.4 billion by 2017. Home healthcare market includes products, services, and telehealth. The home care product category comprises homecare testing, screening & monitoring devices, home healthcare therapeutic equipment, mobility assist & other devices, fitness, and nutrition products. Services include unskilled care, rehabilitation therapy, infusion therapy, and respiratory therapy, while telehealth includes home telehealth monitoring devices and telehealth services.
Govind Rao

Homecare Roadmap has potential, but beware of some dangerous pitfalls: Health Coalition... - 0 views

  • (May 13, 2015) The Ontario government’s plan to reform home care is short on details. The broad steps outlined in it contain potential for a strong and progressive vision to emerge, but there are also perils that Ontario Health Coalition is urging Health Minister Eric Hoskins to avoid. “We want to be positive and we want to be able to applaud progressive steps by the Health Minister,” said Natalie Mehra, executive director, “but this “Roadmap” does not actually contain any concrete commitment to provide access to care for people in need. It does not establish clear public coverage for any level of home care services. Also, we are really worried about the potential implementation of a complex system of contracting out and subcontracting home care that the Minister’s panel proposed, which would make the system even more complex and fragmented. If the Minister follows his panel without questioning the pro-privatization slant of their recommendations, there is a very high danger of for-profit privatization of home care, including care coordination and care provision functions. This is absolutely not in the public interest.”
Doug Allan

False promises hurt - Infomart - 2 views

  • Despite pumping $2.1 billion into home-care services to treat 637,000 clients last year, Ontario's system is clearly broken
  • . Combine that reality with an aging population that is being discharged from hospitals "sicker and quicker," and disaster awaits.
  • If Tenenbaum's experience - and numerous other horror stories - indicate the future, then aging or infirm Ontarians are in big trouble. On a more positive note, Premier Kathleen Wynne said in her throne speech that she "understands the pressing need" to expand home-care service.
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  • it is one way to force the CCACs (and the companies that supply home-care workers) to account for the services
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    Toronto Star editorial on home care crisis
Doug Allan

Hospital in the home, anyone? - Infomart - 0 views

  • Windsor has already seen the closure of two hospitals with the promise of enhanced community services which never materialized. In fact, there was a marked deterioration in community support services.
  • A third hospital is now nearly gone and a new smaller mega hospital lurks in the wings. The goal of the hospital business is to have less legal liability, fewer employees and benefits, fewer pensions and maybe fewer clients.
  • Hospitals will shrink and "hospital in the home" is the newest catch all phrase. Loss of hospital beds and services are sugar-coated for the public with the elusive promise of enhanced community services.
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