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Govind Rao

IRIS - Blogue - Les hôpitaux américains surclassés par les hôpitaux canadiens - 0 views

iris-recherche.qc.ca/...ses-par-les-hopitaux-canadiens

from heather US medicare US-Canada hospital

shared by Govind Rao on 27 Feb 15 - No Cached
  • par Steffie Woolhandler et David Himmelstein, dans la catégorie Santé
  • S’ils étaient mieux gérés, une famille moyenne de quatre personnes économiserait 2000$ par an en frais de santé  Dans bon nombre de pays, les familles endeuillées reçoivent des fleurs et des cartes de condoléances. Aux États-Unis, elles reçoivent un déluge de factures d’hôpital et de formulaires d’assurance à remplir.
Govind Rao

IRIS - Blogue - « La grosse » argent de la santé - 0 views

iris-recherche.qc.ca/...la-grosse-argent-de-la-sante

from heather Quebec cuts

shared by Govind Rao on 20 Feb 15 - No Cached
  • par Guillaume Hébert, dans la catégorie Santé
  • 50% des dépenses du Québec vont à la santé? C’est vrai, si on ferme les yeux sur les angles morts du calcul derrière ce chiffre. Si on faisait preuve d’un peu plus de nuances et d’honnêteté sur les « coûts de la santé », on arriverait à un chiffre qui tourne autour de 33-34%. On s’apercevrait également que comparées à la taille de l’économie québécoise, les dépenses de santé des Québécois-e-s augmentent à un rythme qui n’a rien d’insoutenable. Finalement, on verrait que les dépenses qui augmentent le plus ne sont pas forcément celles qu’on pense.
Govind Rao

IRIS - Blogue - L'austérité ou la violence budgétaire - 0 views

iris-recherche.qc.ca/...rite-ou-la-violence-budgetaire

from heather Quebec budget cuts

shared by Govind Rao on 17 Feb 15 - No Cached
  • par Philippe Hurteau, dans la catégorie Démocratie
  • Depuis la crise de 2008, l’austérité budgétaire a durablement pris racine. Tous les prétextes sont bons pour y avoir recours, que ce soit la lutte au déficit, à l’endettement public ou encore pour affronter les « privilèges » des employé.e.s de l’État. Dans chacun de ces cas, l’austérité se présente comme étant inévitable, incontournable. Bien entendu, la réalité est bien plus complexe et une compréhension juste de la conjoncture budgétaire de nombreux États ne peut se contenter de cette austère idée. Pourtant, il semble pertinent de comprendre les dynamiques en cours comme venant renforcir le virage autoritaire que
Heather Farrow

QC Auditor General misses point: extra-billing is illegal | Press Releases | Newsroom - 1 views

canadiandoctorsformedicare.ca/...-extra-billing-is-illegal.html

cdm Quebec audit privatization private clinics legislation court

shared by Heather Farrow on 12 May 16 - No Cached
  • TORONTO (May 12, 2016) – Extra-billing in Quebec medical clinics are “excessive” says Auditor General Guylaine Leclerc, but Federal Health Minister Jane Philpott has yet to act on calls to enforce the Canada Health Act and bring them under control. Leclerc tabled her Spring 2016 report yesterday in the National Assembly, which focused on the billing practices of medical clinics patients for services already covered by provincial insurance, or extra billing. According to the audit’s findings, neither the Ministry of Health (MSSS) nor Quebec’s health insurance board (RAMQ) are providing sufficient guidance and oversight with clinics and their billing practices.
  • Leclerc failed to recognize extra-billing prohibits equitable access to health care as well as violates sections 18 to 21 of the Canada Health Act. “Charging fees to patients for services covered by Quebec’s provincial insurance hurts everyone,” said Dr. Monika Dutt, Chair of Canadian Doctors for Medicare. “They deter people from seeking care, make health outcomes worse and in the end, drive up the costs as people get sicker before seeking treatment. Extra-billing is also not allowed under the Canada Health Act.” In March, Canadian Doctors for Medicare (CDM) asked the Honourable Jane Philpott, Canada’s Minister of Health, to defend and enforce the Canada Health Act against contraventions in British Columbia, Saskatchewan, Ontario as well as Quebec. CDM reiterated their concerns at May 3 press conference in Montreal hosted by FADOQ, a leading seniors’ organization in Quebec, that is seeking a writ of mandamus from the Federal Court to compel the Minister of Health to enforce the Act in the province.
  • “As physicians, our organization’s goal is to improve Medicare, which will not happen if the provincial and federal governments continue to ignore the problem of extra-billing,” Dutt continued. “CDM calls on the federal government to protect public Medicare in Quebec and across Canada by applying the penalties prescribed in the Act against extra billing.” Canadian Doctors for Medicare provides a voice for Canadian doctors who want to strengthen and improve Canada's universal publicly-funded health care system. We advocate for innovations in treatment and prevention services that are evidence-based and improve access, quality, equity and sustainability.
  • ...1 more annotation...
  • Auditor Calls Quebec Extra Billing Out of Control Doctors Call on Health Minister Jane Philpott to Illegal Billing Practices in Quebec TORONTO (May 12, 2016) – Extra-billing in Quebec medical clinics are “excessive” says Auditor General Guylaine Leclerc, but Federal Health Minister Jane Philpott has yet to act on calls to enforce the Canada Health Act and bring them under control.
Irene Jansen

Health transfer data shows Alberta wins at other provinces' expense - Winnipeg Free Press - 1 views

www.winnipegfreepress.com/...ovinces-expense-143691846.html

cht equalization per capita

shared by Irene Jansen on 23 Mar 12 - No Cached
  • Ottawa is moving toward a pure per-capita system of calculating how much each province should receive in federal health-care funding, starting in 2014. The new system means the existing equalization component in health transfers — intended to even things out among have and have-not provinces — will disappear.
  • the change means Alberta will receive $1.1 billion extra each year, on average
  • Redford added that Alberta got the short end of the stick for years and this finally evens the playing field.
  • ...2 more annotations...
  • As a of the change, the other provinces — especially Ontario, British Columbia and Quebec — will all receive less than they otherwise would have. Ontario will be losing out on $382 million annually, British Columbia will be down $351 million and Quebec will see $210 million less each year.
  • A separate calculation by researchers at the Library of Parliament shows that on a per capita basis, the change in health funding penalizes Newfoundland and Labrador the most.
  • Irene Jansen on 23 Mar 12
     
    Quebec 2012 Budget http://www.budget.finances.gouv.qc.ca/Budget/2012-2013/en/documents/budgetplan.pdf Section E pp 273 - 98. See in particular: P 281 P 290 P 297
Irene Jansen

The Acting Auditor General of Québec issues the conclusions of its audit conc... - 0 views

communiques.gouv.qc.ca/...c3940.html

ag quebec ltc investigation staffing fees quality inspections

shared by Irene Jansen on 05 Jun 12 - No Cached
Govind Rao

Adoption of Bill 10: A Sad Day for Democracy | Jeff Begley - 0 views

www.huffingtonpost.ca/...bill-c-10_b_6648250.html

from heather Quebec cuts legislation

shared by Govind Rao on 10 Feb 15 - No Cached
  • Posted: 02/10/2015
  • The Couillard government has chosen its camp: it has decided to side with the powerful who have no qualms about crushing conflicting or dissenting voices in order to impose their vision. It took less than a year for the man who presented the Liberals as the most respectful and transparent government in our history to attack democracy. And what better opportunity to ride roughshod over democracy than a bill that dismantles our public system of health care and social services?
  • Contrary to what various columnists say, I don't find it surprising that Minister Barrette wanted to cut off debate and push through Bill 10. It's the cornerstone that will make it possible to move ahead with more privatization in health care and social services. The government will group services together to make them more attractive for private enterprise. You're not convinced? Well then, just ask yourself why the Federation of Chambers of Commerce is already salivating over the business opportunities that the bill will bring. In fact, this is practically the only group that has given the bill whole-hearted support. And why is the minister giving himself the right to award contracts to the private sector?
Govind Rao

Quebec must act to curb spending on medication, health commissioner says | Montreal Gaz... - 0 views

montrealgazette.com/...ation-health-commissioner-says

from heather Quebec pharmacare drugs

shared by Govind Rao on 20 Mar 15 - No Cached
  • March 19, 2015
  • Quebec must act soon to control the runaway costs of prescription drugs, Quebec’s health and welfare commissioner warned on Thursday. In a 140-page report tabled at the National Assembly, commissioner Robert Salois recommended an overhaul of Quebec’s prescription medication policy, which was released during Philippe Couillard’s term as health minister.
  • The costs are running so high, he said, they threaten the future of the province’s 18-year-old drug insurance plan. Quebec spent $7.7 billion on prescription drugs in 2014, $200 million more than the year before, he said.
Irene Jansen

Editorial: Quebec's health care problems call for new thinking - 1 views

www.montrealgazette.com/...story.html

quebec waits neoliberal surgery

shared by Irene Jansen on 14 Nov 12 - No Cached
  • Surgery wait times for deadly ovarian, cervical and breast cancers are typically three times longer than government benchmarks for the procedures.
  • the problem is not confined to a particular institution or area
  • a lack of resources, notably nursing staff and budget compressions that result in operating rooms standing empty even as a backlog of surgeries accumulates.
  • ...3 more annotations...
  • Another difficulty is ideological resistance to such innovations as increased private health service delivery and performance-based funding
  • Claude Castonguay, under whose direction Quebec’s medicare system was instituted four decades ago, has written a new book
  • In an open letter to the premier published this week, he says that what is needed is an overall plan
Irene Jansen

Medecins Québécois pour un Regime Public. Two-Tier Radiology: Quebec's Creep... - 2 views

www.mqrp.qc.ca

doctors quebec coalition ally private clinics

shared by Irene Jansen on 19 Nov 12 - No Cached
  • Irene Jansen on 19 Nov 12
     
    Our 2012 annual report is now available in English The report shows: "While it has more material and human resources, Quebec is less effective than Canada as a whole in providing accessible medical imaging services. The exclusion from public coverage of CAT scan, MRI and ultrasound tests performed outside a hospital leads to joint public-private practice that has the effect of draining resources from the public to the private sector. This damaging distortion leads to problems of access to medical imaging for most patients…"  The report documents the inequitable, inefficient, costly and potentially unsafe utilization of medical imaging technology in Quebec's unique and highly privatized system.  One aspect, the relatively effective use of technology in hospitals compared to private clinics (which would be better yet if the system were entirely public), is clearly not limited to Quebec: "According to a 2008 study by Bercovici and Bell of public hospitals and private clinics offering MRIs in several provinces, including Quebec, the rate of use of machines is about 50% higher in hospitals than in private clinics: an average of 14.7 hours of operation per day during the week and 11.8 hours per day on weekends for hospital machines, compared to 9.7 hours per day during the week and 8.2 hours per day on weekends for machines in clinics." http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2645224/ The recommendations are also valuable information. 
Jonah Gindin

Montreal's super hospital suffering from deficit, scandals - thestar.com - 2 views

www.thestar.com/...uffering-from-deficit-scandals

P3 hospitals

shared by Jonah Gindin on 20 Dec 12 - No Cached
  • Part of the problem, the expert committee said in a report, is an unexplained 880,000 extra hours of unapproved overtime since 2009, while the number of procedures carried out remained steady. It also pointed to real estate transactions that sometimes used “hazardous” processes of shifting between numbered companies to get around the necessary authorizations.
  • Most prominently, the health centre was in the news after Pierre Duhaime, the former head of SNC-Lavalin, the lead contractor for the super hospital, was charged with fraud and conspiracy related to payments that police say are linked to the firm’s winning of the MUHC contract.
Irene Jansen

Nov 30 2012 Video: P3 or Traditional? Keeping Hôtel-Dieu a public hospital < ... - 0 views

cupe.ca/...traditional-keeping-hotel-dieu

from heather p3 qc hospital cupe

shared by Irene Jansen on 18 Dec 12 - No Cached
  • This documentary highlights the work of CUPE local 1108 and allies to keep the Centre hospitalier universitaire de Québec (CHUQ)'s Hôtel-Dieu a public hospital.
Heather Farrow

Strike at Manoir Sainte-Julie: Teamsters Call Upon Minister Charbonneau - 0 views

www.newswire.ca/...ter-charbonneau-590124011.html

Quebec union strike ltc

shared by Heather Farrow on 16 Aug 16 - No Cached
  • LAVAL, QC, Aug. 14, 2016 /CNW Telbec/ - The Teamsters Union is calling upon Francine Charbonneau, Minister responsible for Seniors and Anti-Bullying, to bring the owner of Résidences Soleil, Eddy Savoie, back to the negotiating table. Despite the maintenance of all services by union members, the month-long strike is impacting the quality of life of residents at Résidences Soleil's Manoir Sainte-Julie, and the Union wants to see the conflict resolved.
  • a tour of several other residences to remind management that, sooner or later, this dispute must be resolved.
  • The workers are demanding an hourly raise of $1.50 and a night shift bonus for a two-year labour contract. It should be noted that many night shift workers of a well-known convenience store chain receive a $2 hourly rate bonus, whereas the employees of Résidences Soleil get none.
  • ...1 more annotation...
  • The Teamsters represent the orderlies, who earn up to $6 an hour less than they would in the public sector, as well as the nurses and nursing assistants, who also earn less than their peers in the public sector. However, these workers all have the same skills, the same training and virtually the same duties.
Irene Jansen

C. difficile victims settle suit with Quebec hospital - Montreal - CBC News - 0 views

www.cbc.ca/...cdiff-lawsuit-quebec.html

hai quebec

shared by Irene Jansen on 23 Jan 12 - No Cached
  • The families of patients who died after contracting C. difficile at a Quebec hospital in 2006 will each receive about $25,000 in compensation.
  • Seventy patients were infected and 16 died during the outbreak of C. difficile
  • The patients who survived the infection are also included in the settlement, but will receive a lesser amount.
  • ...1 more annotation...
  • In 2007, the Quebec coroner faulted hospital administrators for failing to spend enough money on measures known to contain the spread of the superbug.
Irene Jansen

Enquêtes sur trois coopératives de santé. Quebec health insurance board rulin... - 0 views

communiques.gouv.qc.ca/...c7417.html

user fees cha quebec

shared by Irene Jansen on 23 Jan 12 - No Cached
  • la Régie de l'assurance maladie du Québec (RAMQ) conclut que la majorité des personnes consultées lors de ces enquêtes avaient la perception qu'il était obligatoire d'être membre de la coopérative et de payer une cotisation annuelle pour avoir accès ou plus rapidement accès à un médecin
  • Les enquêtes ont aussi démontré que le paiement à l'avance d'une cotisation annuelle s'apparentait à un forfait. Ce forfait pouvait comprendre l'accès à des services non assurés, à des fournitures ou des frais accessoires à des services assurés pour lesquels les personnes pouvaient être facturées à coût moindre ou, encore, les obtenir sans frais additionnels. La RAMQ considère que ce type de forfait est illégal.
  • Une contribution financière exigée de quelque manière que ce soit d'une personne assurée pour avoir accès ou une priorité d'accès à un médecin contrevient à la Loi sur l'assurance maladie.
  • ...2 more annotations...
  • Par conséquent, les trois coopératives doivent prendre les mesures appropriées afin de dissiper toute confusion, de sorte que les personnes assurées n'aient pas la perception qu'elles doivent être membres et payer une cotisation annuelle pour voir ou continuer de voir leur médecin. De plus, les trois coopératives de santé doivent modifier leurs règles de cotisation annuelle afin que celles-ci servent à financer leur fonctionnement et non à constituer un forfait annuel de services médicaux à l'intention des personnes assurées.
  • Les personnes qui ont déboursé des frais considérés comme illégaux dans ces trois coopératives peuvent demander un remboursement à la RAMQ. À cette fin, des factures détaillées et des preuves de paiement originales démontrant que de tels frais ont été payés doivent être jointes. La demande de remboursement doit être faite dans l'année suivant la date du paiement.
Irene Jansen

Accueil - Portail informationnel Santé et Services sociaux - 0 views

www.informa.msss.gouv.qc.ca

website quebec fromdelicious

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Irene Jansen on 23 Jan 12
     
    Sept 2011 The MSSS has launched a new information portal, which greatly facilitates the search for general and management statistics regarding the Quebec population and health services and social services. Data atlases are available on a wide range of iss
Irene Jansen

Minimum safe staffing levels may be set for emergency departments and elderly care ward... - 0 views

www.bmj.com/...bmj.d8353

staffing hospitals safety england

shared by Irene Jansen on 23 Jan 12 - No Cached
  • The public inquiry into the high number of deaths at Mid Staffordshire NHS Foundation Trust is expected to recommend that minimum staffing ratios be set for total numbers and the skills mix of doctors and nurses in accident and emergency and elderly care wards in England to ensure the safety of care.
  • counsel to the inquiry, Tom Kark QC, said “that consideration should be given to the production of model staffing guidelines for certain types of wards and departments against which the Care Quality Commission should assess the acceptability of staffing.”
  • Mr Kark pointed out that the real danger in accident and emergency services at Mid Staffordshire was understaffing, inadequate training, and poor governance.
  • ...5 more annotations...
  • Brian Jarman, director of the Dr Foster Unit at Imperial College London, told the inquiry that hospitals with poor staff ratios had higher hospital standardised mortality ratios.
  • more doctors per bed
  • the Care Quality Commission made it clear that it does not want to see minimum staffing ratios
  • Mr Kark said that although he recognised that the number of patients on some wards often changed, making the setting of minimum staffing ratios a complex business, certain wards were less susceptible to such change and would benefit from some guidance, particularly elderly care wards and accident and emergency departments.
  • guidelines are merely that and one-off failure to comply would be unlikely to attract disproportionate attention from the regulator
Irene Jansen

Quebec doctors cashing in on long wait lists: minister - Montreal - CBC News - 0 views

www.cbc.ca/...ait-lists-private-clinics.html

private clinics qc two tier conflict of interest

shared by Irene Jansen on 21 Feb 12 - No Cached
  • The Health minister is accusing some specialist doctors of keeping wait lists long and pushing more patients towards private clinics.
  • "What we see is that a few doctors who have the longer lists, have a private practice," he said.
  • because they are paid more to treat patients in private clinics.
  • ...2 more annotations...
  • Gaétan Barrette, the head of the province's association of medical specialists, said he is considering legal action if the health minister can't prove his claims. "This is one step shy of defamation," he said.
  • Bolduc said he will work closely with Quebec's College of Physicians to comb through waiting lists for irregularities.
Irene Jansen

CUPE. 2005. Inside the Chaoulli ruling (Section One): What the Court did (and did not) ... - 0 views

cupe.ca/...insidechaoulli

privatization qc cupe important private clinics cha

shared by Irene Jansen on 06 Mar 12 - No Cached
  • What did the court say? A slim majority of judges ruled that Quebec’s ban on private health insurance for publicly-insured services violated Quebec’s Charter of human rights and freedoms. The decision, based on selective and at times flimsy evidence, is not a blanket overturning of the ban.
Irene Jansen

Clinics' user fees facing crackdown in Quebec - 1 views

www.montrealgazette.com/...story.html

private clinics qc user fees doctors cha

shared by Irene Jansen on 06 Mar 12 - No Cached
  • Quebec's medicare board is now taking an aggressive approach in cracking down on private clinics that charge patients illegal user fees.
  • Among the services charged to patients are "nursing accompaniment" during an operation, "teaching services" and a post-operative follow-up phone call.
  • RAMQ is seeking at least $73,000 in fees that Rockland MD charged patients, based on the findings of eight patients
  • ...3 more annotations...
  • Dr. Fernand Taras, medical director of Rockland MD and the majority shareholder
  • When informed the law does not allow doctors taking part in the public system to bill patients for nursing care, Taras grew increasingly agitated, shouting at the reporter over the phone, saying: "I will sue your guts."
  • Quebec also changed the law governing RAMQ to permit it to launch investigations on its own initiative - rather than act on complaints by patients - following a Gazette exposé on private health care in 2005.
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