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Govind Rao

Ontario keeps its secrets as hospital labs may face more privatization | OPSEU Diablogue - 2 views

  • Posted on September 25, 2014 |
  • The Ministry of Health has only promised to release a redacted version of a Deloitte report that may shape the future of lab services in Ontario. (Canstock Photo)
  • The Ontario government has been less than transparent when it comes to the future of its public medical laboratories. A recent Deloitte Review of Ontario’s public lab system has been the subject of much discussion in the lab world. We’ve been told by those who have seen it that it sets the stage for the next phase of privatization within the sector. Not content to take volumes generated by community-based health care providers, the big laboratory companies are now seeking to siphon off more of the hospital work. One laboratory company – Lifelabs – represents about 70 per cent of all community lab work in the province.
Govind Rao

Keep Alberta hospital labs public | CUPE Alberta - 1 views

  • July 22, 2015
  • Hospital lab privatization has failed in the past. Previous Alberta governments have tried selling lab work to private businesses, only to reverse course after patient safety was compromised, and costs went up. The previous PC government pushed ahead with a contract to give lab services to companies with a history of overcharging, driving up health care costs and disputes with regulators and governments. Now, the NDP government has to decide whether to continue this course of action, find a new contractor, or move the lab services in house.
Govind Rao

Alberta Health Services privatizing Edmonton labs - Edmonton - CBC News - 1 views

  • Dec 11, 2013
  • Alberta Health Services is going ahead with its plan to privatize all of its diagnostic lab services in Edmonton. The health authority announced Wednesday that a request for proposal has been issued for a private provider to establish a single $3 billion lab for the Edmonton Zone. The new lab will replace hospital labs operated by AHS and Covenant Health as well as the services provided by DynaLIFE.
Irene Jansen

Tiny labs inside Edmonton ambulances could save cardiac patients' lives - 0 views

  • The researchers, led by cardiologist Dr. Paul Armstrong, are moving small diagnostic laboratories into 25 Edmonton ambulances to determine if a simple blood test done in the field could hasten treatment and save the lives of those having heart failure or a “silent” heart attack.
  • If the research proves successful, the new protocol could be expanded across Canada and beyond in the next two to three years to become the new way to treat some cardiac patients faster before they even reach the hospital.
  • Six years back, the same team enabled paramedics to do in-ambulance electrocardiograms that are beamed directly to the smartphone of an on-call doctor.
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  • The immediate, in-ambulance care for patients with severe heart attacks has saved one in 100 such patients
  • During the first stage of the research, trained paramedics will deliver the confirmed lab results directly to the emergency doctor. That could save the 45 to 60 minutes it would normally take for a blood test to be done in the hospital, sent to a nearby lab, and results delivered.
  • If that initial phase proves beneficial for patients, paramedics will then begin sending the blood results to an on-call physician via a smartphone. That physician can then guide the paramedic team to give treatment right away.
  • The paramedics may also be counselled to drop off patients with milder heart attacks at the catheterization labs at the University or Royal Alexandra hospitals, where they would wait three to six hours to have a balloon inserted to clear the blockage. Normally, patients face a three- to four-day delay in hospital to access that lab, Welsh said.
  • such expedited care could save the health system money by reducing hospital stays to two days for such patients instead of the usual five to seven.
Govind Rao

Hospital lab's future in doubt - Infomart - 1 views

  • The North Bay Nugget Wed Sep 23 2015
  • The outpatient lab at the North Bay Regional Health Centre is under the microscope as the facility tries to staunch a flood of red ink. We are reviewing a number of different parts of the hospital operation," Dave Smits, vice-president of corporate, said Tuesday. Smits said the health centre is looking at about 40" different initiatives, including the outpatient lab. The health centre announced last week it is cutting 158 full-time equivalent jobs with another 50 possibly to be cut if the province doesn't help with one-time funding for early retirement packages. The hospital also will close 30 beds between the medical and mental health sides of the facility. The hospital has laid off 196 staff over the past three years.
  • Smits said the outpatient clinic in North Bay operates different from most communities in the province, because there is no private laboratory in the city to handle some of the tests. We are looking at it," Smits said. We've been looking at it off and on over the years. We've talked about it and we continue to go back to it. The question is, if it is different here, is it different good or different bad? Are there options in the community? Will others be able to provide the services in the community?" Smits said the lab at the hospital is heavily utilized and provides a high degree of service." He said any physician in the community can order any type of laboratory test at the hospital's outpatient lab, while other communities across the province have private labs that can pick up the majority of tests.
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  • We historically are different because there is no testing laboratory in the community," Smits said. That means the tests or samples have to be sent out of the city, which can result in sometimes substantial delays." There isn't a patient who visits the hospital, he said, who does not have at least some contact with the lab, including testing at various clinics offered at the hospital. Smits said the review of the laboratory has been underway over the summer. He expects it should be completed in the next month or so, and we will have a decision on what exactly might change in the next four to six weeks." The announced cuts at the hospital will affect positions across the facility, including allied health workers such as social workers, dietitians and occupational therapists, as well as nurses and cleaning staff.
  • The province has frozen hospital funding over the past four years, which has cut budgets in real terms by more than 20 per cent, according to the Canadian Union of Public Employees. In a release, CUPE said the facility received $14 million less in provincial funding this year than it needed just to maintain existing services. Last year the provincial funding deficit was $18 million, while 40 nursing positions were eliminated in 2013 to counter a $14-million deficit."
Govind Rao

Children's feeling strained; ER beset by equipment problems, staff shortages and long w... - 0 views

  • Montreal Gazette Wed Aug 19 2015
  • Nearly three months after it opened, the emergency room of the new Montreal Children's Hospital continues to be plagued by a wide array of problems - from a leaking ceiling in one of the treatment rooms to delays in routine blood tests - all of which is compromising patient care and infuriating parents, says an ER nurse with first-hand knowledge of the difficulties.
  • The nurse's account corroborates, in part, the complaints of parents who have said that they've waited for hours and hours to have their child treated only to be turned away because of a shortage of staff. Since it opened on May 24, the ER has often reported more than 200 children each morning who are waiting to be examined by a physician - 25 per cent more than average, according to statistics by the Quebec Health Department.
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  • The number of "medical incidents" - hospital jargon for treatment errors - has spiked, said the nurse, who agreed to be interviewed on condition that his or her name not be published for fear of reprisals. The nurse said the hospital has prohibited stafffrom speaking to journalists about problems in the ER. In perhaps the most glaring case, a patient who was "gushing blood" arrived by ambulance in the ER and was supposed to undergo a transfusion immediately, but the blood supply was not ready even though it had been ordered in advance 30 minutes earlier, the nurse said. The girl ended up dying because of the severity of her injuries, not the delay in receiving the blood transfusion, but the case nonetheless illustrates the risks involved, the nurse added.
  • A second source described other "botched" cases, including a boy with a badly fractured femur "who sat in the ER for (eight) hours without it being set until someone actually looked at the X-ray." The are multiple causes for the problems, said the ER nurse and the second source - a lack of staff and unfamiliarity with the new medical equipment, lab technicians who haven't been trained in processing pediatric blood samples, and glitches in the facilities. And all those problems have occurred amid cost-cutting imposed by the provincial government.
  • "It's a zoo, it's dangerous," the ER nurse told the Montreal Gazette. "Before we moved in, we were told three things: the new ER was going to be more patient-centred; the doctors, nurses and clerks would be working better together; and it was supposed to be more comfortable. I haven't seen any of those things. Nobody works together because we're all preoccupied with our own things. We're running around like dogs. For me, it's falling apart. Patients' lives are in danger."
  • Officials at the Montreal Children's denied that lives are in jeopardy, but acknowledged that there have been problems in the processing of lab samples, some staffing shortages as well as glitches. At the same time, the medical team has been treating an unseasonably high number of patients with serious illnesses, said Dr. Harley Eisman, director of the emergency department. "I think we all recognize that moving to a new house is a big deal for everybody, and actually, our emergency department has had some significant cases," Eisman said. "We've dealt with many sick children over the past couple of weeks. We've had pretty brisk numbers as well. It hasn't been a quiet summer for us."
  • Lyne St-Martin, nurse manager at the Children's ER, said although "we have occasional shortages (of nurses), for the most part our quotas are met and our nursing staffis rather stable." Still, St-Martin warned that staff and patients will have to make adjustments for months to come at the Glen site, following the Children's move there from its old address on Tupper St.
  • "I do want to highlight that we transitioned three months ago, and that in speaking to other hospitals that have actually moved as well, they spoke about a one-year transition time where there is a very steep adaptation, and it will continue for several months to come," St-Martin said. "So none of this is surprising." Among the problems identified by the ER nurse:
  • At one point, water started pouring from a pipe in the ceiling of one of the treatment rooms. Staff closed the room and protected the medical equipment, but the leak hasn't been repaired yet. In the meantime, staffcan't use the sinks in the adjoining rooms to wash their hands. Eisman said there are other treatment rooms available and the ER flow hasn't been hampered. An emergency psychiatric room for agitated adolescent patients - some of whom are suicidal - has a bathroom that locks from inside and can't be opened by staff, the nurse said. There have been two cases where patients locked themselves in the bathroom and security was called but the guards arrived late. Eisman said that there is now a protocol in place to post a guard next to the bathroom in such cases. He added that glitches like the bathroom lock are being addressed quickly, although some parts are on back order.
  • Some of the lab techs, who used to work at the old Royal Victoria Hospital, have not been trained fully to process blood samples for children, resulting in delays as long as four hours for medical issues that must be addressed immediately, the nurse said. Eisman responded that "when we opened we certainly raised issues about lab performance. We opened a line of communication with the lab and were immediately on it and the lab performance has improved dramatically."
  • The Children's ER is consistently understaffed by nurses, and yet more than a dozen have not yet been fully trained to perform all tasks in the department, and there have been delays "in working up infants for signs of meningitis," the nurse said. What's more, many ER nurses are assigned to accompany patients on other floors, resulting in longer waits for emergency patients. As a consequence, frustrated parents have ended up shouting at nurses in the ER. Some of the nurses have reacted by seeking solace in the bathroom and crying in private for up to half an hour.
  • St-Marin said the ER nurses have been trained to deal with parents who are in crisis, and added "that our numbers show that (patients) are not waiting longer. In fact, we're tending to our sicker patients faster." She did not cite any statistics. The ER nurse accused the McGill University Health Centre of mismanagement, saying it had been planning the Montreal Children's move for years but has not trained staffproperly in using some of the new equipment. For example, some X-ray technicians continue to use portable X-ray machines rather than the new equipment in the ER. The MUHC has also balked at paying nurses to work overtime, yet the ER has ordered great quantities of rarely-used IV filters at $500 a box that sit mostly unused on shelves, the nurse added. aderfel@montrealgazette.com twitter.com/Aaron_Derfel
Govind Rao

Privatization has a price - Infomart - 0 views

  • Edmonton Journal Mon Aug 24 2015 Page: A10 Section: Opinion Byline: Alvin Finkel Dateline: Edmonton Source: Edmonton Journal Re: "Need for lab urgent: AHS," Aug. 19 Wildrose health critic Drew Barnes and other right-wingers claim that ideology is behind Health Minister Sarah Hoffman's decision to consider re-establishing public delivery for medical lab services in Edmonton. And Mr. Barnes does not subscribe to an ideology? The question of public versus private operation of medical labs has been studied thoroughly in a 2011 book by political economist and registered nurse Ross Sutherland. He concludes that private operation adds 25 per cent to costs because of the monopoly private operator's profits and extra administrative costs owing to the private firm not being integrated into the networks of the medicare system. Privatization also reduces transparency because a private firm is protected in law from having to disclose business information that it considers confidential.
  • Lab privatization was not even Tory policy before Ralph Klein became premier and yes, his reasons were ideological. There were no problems with the public lab system at the time, and it is interesting that no one suggests that Calgary's return to a public system involves ideology. Alvin Finkel Edmonton
Govind Rao

Edmonton health labs could be monopolized under NDP watch | iNews880 - 0 views

  • Edmonton, AB, Canada / iNews880 Daniel Stilwell July 08, 2015
  • The Alberta New Democrats may not stop Alberta Health Services from signing a $3 billion contract privatizing all Edmonton area lab services under one company. Dynalife is the current provider of diagnostic lab services in Edmonton, but their contract expires in March 2016. In 2013, AHS announced plans to seek a new provider for those services and ultimately chose Australian-based Sonic Healthcare as their “preferred provider”.  The new contract would also see Sonic Healthcare take over lab services provided by Covenant Health and AHS.
Govind Rao

Cutting outpatient lab services will help balance Midland hospital budget - 1 views

  • Apr 21, 2015
  • Program costs about $1.4 million a year to operate, says GBGH
  • MIDLAND – Outpatient laboratory services could be cut from Georgian Bay General Hospital as early as September and will help balance the budget. According to GBGH communications director Jackie McLauchlin-Welch, the services will move to Gamma Dynacare Medical Labs on Penetanguishene Road in Midland.
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  • An expanded Gamma Dynacare is expected to be up and running in September, said McLauchlin-Welch, adding the lab at the hospital will continue to operate for patients.
Heather Farrow

Alberta Health Quality Council calls for single public oversight for lab services - Edm... - 3 views

  • May 03, 2016
  • The Health Quality Council is recommending the Alberta government move to a "single public sector platform" for delivering lab services in Alberta. The review, requested by Health Minister Sarah Hoffman last September, also urges the government to act quickly on lab issues in the Edmonton zone and northern Alberta.
Govind Rao

Alberta government halts privatization of lab services | National Union of Public and G... - 1 views

  • "Long-term care in Newfoundland and Labrador. Hydro in Ontario. Home care in British Columbia. Privatization schemes are being tried all across Canada and so it's heartening to see a government finally standing up and saying, 'Is this really worth it?'" — NUPGE National President James Clancy EDMONTON (14 Aug 2015) — In a victory for Albertans, and for public services across Canada, Alberta's provincial government has cancelled a $3 billion deal that would have seen an Australian for-profit company take over 75 per cent of medical lab services in Edmonton. “I do not feel I have enough evidence to convince me that moving forward with this plan is in the best interest of Albertans,” said Alberta Health Minister Sarah Hoffman during a news conference on Aug. 13.
Govind Rao

Ontario's private outpatient lab sector needs overhaul, say critics - Healthy Debate - 1 views

  • by Wendy Glauser, Jill Konkin & Andrew Remfry (Show all posts by Wendy Glauser, Jill Konkin & Andrew Remfry) February 12, 2015
  • Ontario’s system for funding private medical laboratories has been controversial since it was set up almost two decades ago. Now, facing critics who have only gotten louder, the government may be considering reform. In her mandate letter after last year’s election, Premier Kathleen Wynne asked Health Minister Eric Hoskins to “explore opportunities to optimize quality and value in community laboratories.” ‘Community’ or ‘outpatient’ lab tests are ordered by doctors and nurse practitioners and include everything from blood sugar to kidney function to pregnancy tests. Across Canada, there are many different models for delivering these tests, involving public and for-profit providers.
Govind Rao

Lab privatization delay sign of hope for health-care union | National Union of Public a... - 0 views

  • "Our union has opposed from the outset any move to take lab services out of AHS and, in fact, is on record supporting the return of all health services to public control." — Elisabeth Ballermann, HSAA President Edmonton (17 July 2015) — A delay in the privatization process of Edmonton area laboratory services has been welcomed by the Health Sciences Association of Alberta (HSAA/NUPGE), the union representing about 1,500 affected front-line workers.
Govind Rao

Inside a $200 million health-care scheme - 1 views

  • Federal investigators say a small blood lab in New Jersey paid doctors kickbacks to send blood work to the lab as part of a $200 million health-care fraud scheme.
  • There was an excess of a dozen doctors who actively participated in the scheme like there was nothing wrong with it," according to Scott Lampert, special agent in charge at Health and Human 0eServices. "This was in excess of a $200 million health-care fraud scheme—one of the largest that I've ever seen," Lampert said.
Cheryl Stadnichuk

Both province and patients pay for tests at Copeman Clinic - Calgary - CBC News - 0 views

  • The Copeman clinic, a private medical facility, has been billing Alberta Health for medical tests many of its own doctors believed were unnecessary. Allegations of over-testing have been raised before; but until now it was not clear that several layers of government were defraying the cost.
  • Copeman bills are also structured so that patients, and their employers, through health spending accounts, may apply the expense as a tax deduction
  • While Copeman's in-house lab took patients' blood and urine samples, it has almost no capacity for analysis, and the vast majority of analysis work was done, and paid for, by the province, sources told CBC News.
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  • Of the 19 tests and assessments Copeman set out in its 2012 schedule for standard patient testing, 16 are covered by Alberta Health. On an initial visit for men over aged 50, for example, the cost absorbed by the province for lab analysis alone reached $347 per patient.
  • Patients are also billed for the tests, allowing them to claim the costs against health spending accounts, or, in some cases, as tax deductions in their personal tax filings. A patient bill shows tests administered at the Copeman private medical clinic in Calgary. (Tracy Johnson/CBC) More than a dozen patient receipts obtained by CBC News show lump sum charges of over $1,000 for the lab and diagnostic work, all of which is cited as "physician prescribed." That language means the cost of eligible analysis work would be borne by the province.
  • CBC News also obtained a patient bill that shows a $1,283 charge for a "physician consultation, assessment, interpretation and report. Physician follow-up consultation(s). Continual care."
Heather Farrow

Health-care cuts cost Windsor cancer equipment, lab claims - Windsor - CBC News - 0 views

  • Lab performed 500 PET-CT scans Windsor patients last year
  • Jun 22, 2016
  • Windsor-Essex is without a critical piece of medical equipment now that Precision Diagnostic Imaging has suspended operation of its PET-CT scanner. PET-CT scans are used to diagnose cancer, epilepsy and dementia.
Heather Farrow

Supreme Court rules in favour of lab workers claiming workplace cancer - The Globe and ... - 0 views

  • Jun. 24, 2016 1
  • The Supreme Court of Canada has ruled in favour of three British Columbia medical workers who argued they developed breast cancer as a result of their jobs.The cases involve Katrina Hammer, Patricia Schmidt and Anne MacFarlane, who worked in a lab at Mission Memorial Hospital.
Govind Rao

Lab contract cancellation could hurt patient safety, documents suggest - Edmonton - CBC... - 0 views

  • But health minister says Dynalife can meet demand until new laboratory is built
  • Aug 19, 2015
  • The New Democrat government's cancellation of a $3-billion laboratory contract could compromise patient safety because there may be insufficient resources to meet demand, internal Alberta Health Services documents show. The cancellation means the province must continue to rely on laboratory services from Dynalife, its current private provider.
Govind Rao

Private sector stats - Infomart - 0 views

  • Calgary Herald Mon Aug 24 2015
  • Re: "Cancellation of lab contract a warning to business community," David MacLean, Opinion, Aug. 21. David MacLean claims cancelling the lab contract is a bad decision because it potentially takes a big contract away from the private sector. He states it has been proven that private business "can perform most services more cheaply and effectively than government." MacLean is associated with a business advocacy organization. Let's determine how costeffective America's privately run health-care system really is compared to Canada's. A New York Times article on May 18, 2014, found that in the U.S., the "biggest bucks are currently earned, not through the delivery of care, but from overseeing the business of medicine."
  • The base pay of American insurance and hospital executives, and hospital administrators, far outstrips doctors' salaries. The average annual salary for an insurance company CEO is $584,000; for a doctor, it is $185,000. The article states "the proliferation of high earners in the medical business and administration ranks adds to the $2.7-trillion health-care bill ..."
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  • Studies suggest administrative costs make up 20 to 30 per cent of the U.S. healthcare bill. The U.S. had a per capita expenditure on healthinsurance administration in 2011 of $606, compared to Canada at $148. This is neither a cheap nor an effective way of providing health services. Let's not jump on the private-sector bandwagon without thinking this through. Gene Tillman Calgary
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