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Govind Rao

Decades of restructuring hurts morale of Alberta's health care professionals - Healthy ... - 0 views

healthydebate.ca/...rtas-health-care-restructuring

from heather Alberta privatization cuts

shared by Govind Rao on 31 Oct 13 - No Cached
  • by Karen Born, Joshua Tepper & Greta Cummings (Show all posts by Karen Born, Joshua Tepper & Greta Cummings) October 31, 2013
  • This is the second of a two-part series on Alberta’s health care restructuring. This article examines the impact of constant change at the highest levels of administration on those who work within the health care system.
  • Research suggests that health services restructuring impacts health care professionals on the front lines of patient care.
  • ...7 more annotations...
  • About a decade ago, a series of studies were published based on surveys of over 40,000 nurses from over 700 hospitals in the United States, Canada, England, Scotland and Germany. The study found nurses reported higher rates of burnout and dissatisfaction when they worked in hospitals that had undergone major restructuring and organizational change.
  • Around the same time, researchers in Alberta were asking similar questions about the impact of hospital restructuring on nurses. They noted that “a decade of restructuring and downsizing placed prolonged pressures on the nurses of Alberta.” Surveys of the province’s nurses found that in hospitals where restructuring had taken place, nurses reported higher rates of emotional exhaustion and unmet patient needs.
  • ‘Change fatigue’
  • Confusion about who’s in charge
  • Difficulties in planning for the future
  • Concerns about accountability
  • Health professionals are disengaged
Govind Rao

Restructuring Alberta's health system - Healthy Debate - 0 views

healthydebate.ca/...restructuring-alberta-health

from heather Alberta restructuring

shared by Govind Rao on 10 Oct 13 - No Cached
  • by Karen Born, Terrence Sullivan & Robert Bear (Show all posts by Karen Born, Terrence Sullivan & Robert Bear) October 10, 2013
  • Alberta Health Services has had a tumultuous summer. There have been major changes at the highest levels of administration and governance of the province’s health system. A review of the recent history of restructuring in Alberta’s health system might be helpful to understand the recent changes.
Govind Rao

DHA Restructuring: Unions working towards Health Care Union Bargaining Associations | N... - 0 views

nsgeu.ca/-union-bargaining-associations

from heather NS restructuring union

shared by Govind Rao on 26 Aug 14 - No Cached
  • August 25, 2014
  • Dear Health Care member, Nova Scotia’s health care system is undergoing radical change by the provincial government. These changes include the government’s decision to move from nine District Health Authorities to one provincial board and one board representing the IWK. As a part of this restructuring, the government plans to reduce the number of collective agreements it negotiates with health care unions by requiring bargaining in just four province-wide bargaining units.
Doug Allan

Patient care in jeopardy ; Union warns health will suffer with hospital layoffs - Infomart - 0 views

www.fpinfomart.ca/...160366425

cuts

shared by Doug Allan on 01 Feb 13 - No Cached
  • $31-million budget shortfall for 2013-14.
  • "They've been talking this up softly for a handful of months now,"
  • Premier-designate Kathleen Wynne said during a conference call Thursday the hospital cuts were part of a restructuring of the system to improve community-based access to health services.
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  • he government is "transforming the health-care system, so services that need to be delivered in a hospital setting are delivered in a hospital setting, but services that don't are delivered elsewhere," Wynne said.
  • "It means there will be alterations in the health institutions in our cities and our towns," she said.
  • "Some of the people I think we are ging to have a struggle to find a position for them to go into," said Bruce Waller, president of CUPE 4000.
  • Doug Allan on 01 Feb 13
     
    Ottawa cuts -- Wynne confirms restructuring
Doug Allan

'A positive step' - Infomart - 0 views

www.fpinfomart.ca/...171951372

restructuring

shared by Doug Allan on 28 Jun 13 - No Cached
  • Unveiling a sign touting land in Niagara Falls for the site of a new south Niagara Hospital is meant to send a clear message to the Province, Mayor Jim Diodati says.
  • "This is a very clear message to the Minister of Health, to the Premier - we're ready," Diodati said just prior to joining with John and Anita Grassl to reveal the billboard-sized message board. "It's a positive step that says we're ready to move forward."
  • The unveiling has rubbed some in Niagara the wrong way. Members of Welland's Health Care Committee criticized Niagara Falls and its mayor, calling the unveiling nothing more than a political stunt. "The minister hasn't even said they are building a new hospital," said Campion, who has forwarded his concerns to Minister of Health Deb Matthews. Campion said Niagara Falls is trying to essentially force the issue, naming itself the future site.
  • Doug Allan on 28 Jun 13
     
    fights in Niagara get sharper as communities fights over hospital restructuring and where a proposed new hospital will be located
Heather Farrow

CEPR to Investigate Restructuring in the Health Industry and Implications for Less Skil... - 0 views

www.commondreams.org/...-and-implications-less-skilled

us medicare privatization research

shared by Heather Farrow on 16 Aug 16 - No Cached
  • Monday, August 15, 2016 -
  • WASHINGTON - The Center for Economic and Policy Research (CEPR) is launching a project to understand the impact of health care restructuring on the quality of jobs and economic security of low-paid health care workers. Of particular interest is how pay and working conditions change as jobs shift from hospitals to lower-cost outpatient facilities – and whether these changes differentially affect workers by gender, race, ethnicity, age, and education. The research will also address whether different management approaches lead to better or worse outcomes for these workers. 
  • This project is funded by a $250,000 grant from the W.K. Kellogg Foundation and will be completed by November 30, 2017. CEPR’s Senior Economist Eileen Appelbaum and Cornell University’s Rosemary Batt will lead the project. 
Heather Farrow

Have your say about Saskatchewan's health care restructuring plan | Canadian Union of P... - 0 views

cupe.ca/health-care-restructuring-plan

cupe Saskatchewan restructuring campaign

shared by Heather Farrow on 19 Sep 16 - No Cached
  • Heather Farrow on 19 Sep 16
     
    The government of Saskatchewan has announced a three person panel to develop recommendations for reorganization of health care. The committee has a mandate to "recommend a structure with fewer regional health authorities to achieve administrative efficiencies as well as improvements to frontline service delivery." The final report is due on October 31, 2016, and all public comments are due by September 26, 2016.
Govind Rao

CUPE Nova Scotia says new spending scandal at Alberta Superboard should be red flag for... - 0 views

cupe.ca/...cotia-spending-scandal-alberta

from heather NS restructuring cupe

shared by Govind Rao on 11 Apr 14 - No Cached
  • Apr 10, 2014
  • (Truro) – CUPE Nova Scotia President Danny Cavanagh says new figures out of Alberta that show the health care superboard there is spending more than $460,000 dollars a day on consultants should be a red flag for the McNeil government.  “The Opposition party in Alberta uncovered documents that show they billed taxpayers for consultants on everything from computer programming to art advice.  The superboard used more 500 consulting contracts over an 18-month period,” says Cavanagh. “This week we learned that senior staff in the Department of Health and Wellness still do not have a figure for how much the DHA restructuring will cost.  During the provincial election campaign, the Liberals and the Tories seemed to have wildly differing figures for what the cost-savings might be from such a move. The Liberals said their changes would save about $10 million in administrative costs per year, while the Conservatives said theirs would save up to $75 million. That’s a $65 million difference,” says Cavanagh. “We have absolutely no confidence that this government knows what they are getting themselves into with yet another, disruptive restructuring of our health care system,” says Cavanagh. For information: Danny Cavanagh     CUPE NS President    (902) 957-0822 (Cell)    John McCracken CUPE Atlantic Communications Representative  (902) 455-4180 (o)
Govind Rao

Perspectives on Restructuring Nova Scotia Healthcare - The Impact on Labour-Management ... - 0 views

halifax.mediacoop.ca/...33376

from heather NS restructuring

shared by Govind Rao on 15 Apr 15 - No Cached
  • Held at the Halifax Central Library in Halifax, on April 8th 2015
  • For the past year, the Nova Scotia government has been trying to re-organize the structure of collective bargaining in acute health care in the province. This has created tumult on the industrial relations scene.   Last October, with the agreement of the unions, the government appointed James Dorsey, a nationally-recognized dispute resolution expert to help sort it out. But before he could finish the task, the government “fired” him. 
  • Govind Rao on 15 Apr 15
     
    April 11 2015
Govind Rao

Ontario to announce health-care reforms; Move comes amid scathing reports into home car... - 0 views

www.fpinfomart.ca/doc/doc_display.php?key=pr|246199|ntgm|20151217|236040887

from heather Ontario home care restructuring

shared by Govind Rao on 17 Dec 15 - No Cached
  • The Globe and Mail Thu Dec 17 2015
  • Ontario is releasing its longawaited plans to overhaul health care, restructuring its troubled home-care system and proposing changes to the way primary care is organized to make it easier for people to find family doctors and get an appointment when they are sick. The move, to be made public Thursday in a discussion paper, comes as the Liberal government faces mounting pressure to make changes to home care following a string of scathing reports and questions about its failure to act sooner. The timing of this move also raises questions, coming so close to the holidays when the legislature is not in session and opposition critics are in their ridings or out of the country on vacation.
  • At the centre of the proposal, as reported by The Globe and Mail last month, will be the expansion of the role played by the province's Local Health Integration Networks (LHINs) and the elimination of Ontario's 14 Community Care Access Centres (CCACs), the public agencies responsible for overseeing the delivery of services such as nursing, physiotherapy and help with personal care for the sick and the elderly in their homes. The CCACs have long been criticized, and were the focus of a Globe and Mail investigation that found inconsistent standards of care and a lack of transparency that left patients and their families struggling to access services.
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  • Even so, the policy paper introduces the idea of a smaller, local organization to co-ordinate the delivery of home care and primary care - something those familiar with the plans have been calling a "sub-LHIN." Several sources stressed that unlike the discredited CCAC model, these organizations would not mean the creation of another layer of bureaucracy. The job could be given to existing organizations such as community health centres, some speculated, and will allow for better planning. There will be no change in the relationship between the government and doctors, who will not report to the new organizations, one source said. "Our goal is to make it easier for patients to find a primary health-care provider when they need one, see that person quickly when they are sick, and find the care they need, closer to home," the Health Minister said in a statement.
  • Two reports this fall from Ontario Auditor-General Bonnie Lysyk found as little as 61 cents out of every dollar spent by the agencies went to face-to-face client services, and few improvements had been made to correct problems identified years before. Health Minister Eric Hoskins, in a statement Wednesday, said the government "wants to reduce bureaucracy and administration in home and community care."
  • There has been widespread speculation about how far the reforms would go and how the province can restructure primary care at a time when it is waging an increasingly bitter battle with doctors, who have been without a fee agreement for more than a year. After the government imposed two across-the-board fee cuts this year, the Ontario Medical Association, which represents the province's doctors, began a public campaign criticizing the measures that it argues are hurting patient care. Senior government officials stressed that the plans mapped out in the paper would be the basis of consultations in the new year, and that no changes would be "imposed" on doctors. An OMA spokeswoman said the organization would not comment until it saw the paper.
Doug Allan

Bruyère Continuing Care cuts 140 positions - Ottawa - CBC News - 0 views

www.cbc.ca/...o-bruyere-continuing-care.html

cuts Ottawa

shared by Doug Allan on 03 Apr 13 - No Cached
  • Bruyère Continuing Care, which includes the Élisabeth Bruyère Hospital, has eliminated 140 positions that could lead to 87 people losing their jobs, the organization has announced.
  • In a news release, Bruyère said it would implement a two-year plan to save $4.2-million —
  • $3 million in the clinical area and $1.2 million in administration and support.
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  • Blais said the staff mix in the continuing care program would be redesigned to include more regulated clinical staff caring for patients to deal with the "increased complexity of conditions in the patient population."
  • Doug Allan on 03 Apr 13
     
    More RNs in this restructuring 
Doug Allan

Newsroom : More Physiotherapy, Exercise and Falls Prevention for Seniors - 0 views

news.ontario.ca/...ls-prevention-for-seniors.html

physiotherapy homecare

shared by Doug Allan on 19 Apr 13 - No Cached
  • Starting on August 1, 2013, community-based physiotherapy, exercise classes and falls prevention services will be offered in more locations across Ontario. In total, 218,000 more people, mostly seniors, will benefit from the additional services.
  • Each Local Health Integration Network (LHIN) will receive funding to provide falls prevention and exercise classes for 68,000 more seniors across the province, benefitting 130,000 seniors in total.
  • Long-term care homes will receive $68.5 million in funding for physiotherapy and exercise directly.  All residents who have an assessed need for physiotherapy in their care plan will receive appropriate one-on-one physiotherapy to help them restore their mobility.
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  • Over the coming months, the Ministry of Health and Long-term Care and the LHINs will engage physiotherapy providers and community partners interested in delivering these services in communities across Ontario.
  • Community Care Access Centres will receive $33 million in additional funding to reduce the waitlist for in-home physiotherapy services, which will help to keep more seniors and eligible patients healthy and at home longer. Up to 60,000 more people, mostly seniors, will receive physiotherapy in the comfort of their own homes, benefitting 150,000 people in total.
  • Until now, a small number of for-profit companies have had almost exclusive control over the delivery of publicly-funded physiotherapy.
  • Doug Allan on 19 Apr 13
     
    Physiotherapy restructuring  -- more home care?
Govind Rao

Merging health boards disruptive, expensive, says report < Health care, Nova Scotia | CUPE - 1 views

cupe.ca/...rging-health-boards-disruptive

from heather NS cupe admin

shared by Govind Rao on 06 Sep 13 - No Cached
  • Sep 5, 2013
  • The cost of merging district health boards is likely to outweigh any savings according to a research report commissioned by CUPE hospital workers in Nova Scotia. “Healthcare Restructuring in Nova Scotia” by Barbara Clow, PhD was unveiled at a meeting of CUPE hospital workers in New Glasgow yesterday. The report, which looks at healthcare restructuring across the country, concludes that merging health boards could also lead to reduced services and loss of decision-making in communities.
Heather Farrow

Rally for health care next Saturday in Cobourg | Northumberland Today - 1 views

www.northumberlandtoday.com/...-care-next-saturday-in-cobourg

Ontario coalition campaign cuts

shared by Heather Farrow on 15 Apr 16 - No Cached
  • April 14, 2016
  • COBOURG&nbsp;-&nbsp;Cobourg resident Judy Sherwin is so concerned about changes at Northumberland Hills Hospital adversely impacting people under its newest restructuring plan that she spent over $100 to order to have a pair of banners made.
  • The hospital recently announced that the equivalent of 13.17 full-time equivalent positions are being cut in the most recent restructuring plan to meet restricted provincial funding flowed through the Central East Local Health Integrated Network (LHIN), plus the amalgamation of various departments including palliative care, reduced cleaning, lab operations and other services.
Irene Jansen

Public Health Care in the Public Interest Ontario Health Coalition Sept 6 2011 - 0 views

www.web.net/...platformfinal2011.pdf

ontario us medicare fromdelicious

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Irene Jansen on 23 Jan 12
     
    Access to Care: Hospital Cuts and Downloading of Patients Has Led to a Serious Erosion in Access to Acute, Longer-Term, and Rehabilitative Care After two decades of health care restructuring, access to public health care services in Ontario is suffering.
Irene Jansen

Public's appetite for efficient health care only goes so far - The Globe and Mail - 0 views

www.theglobeandmail.com/...article2280082

shared services restructuring hospitals ontario

shared by Irene Jansen on 23 Jan 12 - No Cached
  • By the account of a new Environics poll, a majority of Canadians now believe inefficiency, rather than underfunding, is the biggest threat to health care. Perhaps all those dire warnings from politicians and think-tanks and media outlets about costs growing unsustainably are starting to penetrate.
  • Among the most inescapably necessary reforms is hospital restructuring. In Ontario, governments dating back to Bob Rae’s New Democrats have recognized that it’s no longer practical for hospitals, particularly in rural areas, to function as one-stop shops. Much more cost-efficient, and often better for patient outcomes, is to centralize difficult and expensive procedures in fewer places.
  • for policy-makers, a certain cold-bloodedness is required
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  • The hard truth about health policy, acknowledged by anyone who works in the field, is that it’s largely about rationing care.
  • To spend on a rare procedure that could save a single life, for instance, might mean quietly not spending on something else that could spare a dozen.
Govind Rao

Ontario Council of Hospital Unions - defending healthcare in every community - 0 views

www.ochu.on.ca

from heather cupe Ontario private clinics privatization

shared by Govind Rao on 17 Sep 13 - No Cached
  • Request for an inquest was denied; Family sues hospital for son's death, Sept. 12 Toronto Star - Mon Sep 16 2013 Family sues hospital for son's death, Sept. 12
  • the Ontario Council of Hospital Unions (OCHU), which represents front-line staff at St. Joseph's in Hamilton where the death occurred, publicly called for an inquest.
  • Mandatory flu shot for health staff misdirected November 2, 2012To save lives, prevent thousands of needless deaths stop provincial policies that cause medical errors, bed sores and superbug ... [Read More]infections
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  • To target health care workers and take away their right to choose by making the flu shot mandatory, is misdirected in the face of recent evidence that 41 per cent of people who get a flu vaccine receive no protection against the flu,” says Michael Hurley the president of the Ontario Council of Hospital Unions (OCHU).
  • Mandatory Flu Vaccinations for Health Care Workers CUPE encourages health care workers to get an influenza vaccination if they can safely do so. But making flu shots mandatory for health care workers is a serious intrusion on the freedom and personal autonomy of health care workers that may sometimes have detrimental effects on their own health.Forcing people to take flu shots against their will may well undermine public confidence in vaccination programs, even vaccination programs with an excellent results and high safety standards.
  • Govind Rao on 16 Oct 13
     
    Union calls for halt to move procedures from hospitals to private clinics Submission by the Ontario Council of Hospital Unions / CUPE on the Proposed amendment to O. Reg. 264/07 made under the Local Health System Integration Act, 2006 and A Regulation under the Independent Health Facilities Act - Prescribed Persons .  The Ontario Council of Hospital Unions / CUPE represents 30,000 workers in hospitals across the province, including Registered Practical Nurses, service workers, and administrative workers. We are opposed to the government’s plan to move surgical, diagnostic, and other work from public hospitals to private clinics. Our objections can be summarized as falling within seven distinct areas: 1] Quality • Even minor operations can go wrong. We believe that, in contrast with hospitals, it is unlikely private clinics will be able to handle emergencies and that they will likely simply call EMS. Will ambulances be able to move patients to hospitals when things go wrong? (We say “when” advisably, as sooner or later there will be problems.) Indeed, private surgical clinics first came to public attention when a patient died and the paramedics arrived to find a patient with no vital signs. Is it appropriate to establish a system that inherently requires extra time to effectively treat patients who fall into emergency situations? This is particularly troubling as underfunding and restructuring have challenged EMS response times. The government and government officials must be prepared to accept responsibility for such deaths if this plan is approved. 
Govind Rao

Bill 1 essentially an attack on women's rights - Infomart - 0 views

www.fpinfomart.ca/doc/doc_display.php?key=pr|245142|cbpo|20141122|208809234

from heather NS cupe restructuring gender

shared by Govind Rao on 25 Nov 14 - No Cached
  • Cape Breton Post Sat Nov 22 2014
  • To the editor, Almost completely lost in the coverage of and debate over the McNeil government's Bill 1 is the fact that it is an attack on women's rights in Nova Scotia. It is an attack on women's equality because unions have long demonstrated their ability to lessen the gap between men's and women's wages. Women in unions have fought for pay equity, for removing discriminatory barriers, for universal child care and early learning, for ensuring women's safety in the workplace, for gaining pensions so that women don't retire in poverty, and for decent benefits so women can better ensure health care for their families. And these gains were not handed to us. They all required a fight. And still do. Unions give women more than a voice; they give them power. The unions in this province were among the pioneers in centralized forms of bargaining in this country. They're more effective and efficient. Ironically, the provincial bargaining association model that the four unions fought for is something we've gained elsewhere in Canada. A quick political "fix" such as Bill 1 purports to be isn't fooling anyone. But politics can be a blood sport.
  • Our fight against Bill 1 cannot be reduced to a fight between two women. Both are strong, capable leaders caught in a quasi-legislative quagmire. Let's be clear: Bill 1 is about power, intimidation and control. It is troubling in its intent and incoherent in its applicability. And this is why mediation failed. It is simply easier for this government to restructure health care and have unions fighting each other than exploring what makes Nova Scotia a good place to live and raise a family. The Canadian Union of Public Employees, Unifor, the Nova Scotia Government and General Employees Union, and the Nova Scotia Nurses' Union represent predominantly women workers. Weakening one union's strength at the cost of another's may, in the short term, improve recruitment and retention (read wage increases) for one group, but will have long-lasting, damaging effects on our province's economic well-being. Where, one wonders, can women in Nova Scotia go with their lives? Michelle Cohen, CUPE equality representative, Halifax
Govind Rao

Huge reorg of Nova Scotia's health system - 0 views

www.cmaj.ca/...E663

from heather cma NS restructuring

shared by Govind Rao on 18 Dec 14 - No Cached
  • CMAJ December 9, 2014 vol. 186 no. 18 First published November 3, 2014, doi: 10.1503/cmaj.109-4928
  • Nova Scotia is cutting the number of district health authorities in the province from 10 to 2, with the aim of reducing administration and saving $5 million annually in senior management salaries. The new Health Authorities Act passed through the legislature in just five days.
  • Nova Scotia, a relatively small province with a population of 940 000, has “10 health authorities and 10 different ways of doing things,” says Dr. Lynne Harrigan, vice president of medicine at Annapolis Valley Health and co-lead of the transition team responsible for recommending how physicians will operate in the new system. But the focus of the merger will be on the patient. “We will streamline processes to improve care.”
  • ...8 more annotations...
  • Doctors have already made it clear that they don’t want centralization of services to detract from the needs of local communities. “Physicians want administrative feet on the ground. They want local support,” says Harrigan. “Any model we come up with will have to reflect this.”
  • The government has made four commitments, including developing a multi-year health plan for the province that will set targets for improvement. There is also a legal requirement for the IWK Health Centre in Halifax and the provincial health board — the two authorities created by the new legislation — to prepare annual public-engagement plans to ensure community voices are heard.
  • Physicians’ response to the merger, which was a prominent 2013 election promise from the Liberal government, has been cautious but supportive. “We’re looking at it as an opportunity to work with government so patients are better served,” says Kevin Chapman, director of Health Policy and Economics with Doctors Nova Scotia.
  • The new physician bylaws, now being developed by the health department and Doctors Nova Scotia, are also expected to change credentialing and privileging in the province. “We want to streamline this,” says Patrick Lee, CEO of the Pictou County Health Authority who is currently serving as co-lead of the provincial consolidation project.
  • Privileging is not now required in Nova Scotia, and physicians who want to be credentialed to work in more than one health facility must repeatedly go through the administrative process. Under the consolidated system, all physicians will likely have to be privileged, and credentialing will be simplified. Doctors Nova Scotia applauds both approaches but expressed concerns these systems could be used to restrict physicians to specific geographical locations.
  • That worry is unfounded, says Lee. “We have no plans to make any of those changes.”
  • One of the major — and controversial — changes the government has made is to reorganize the way health care workers are unionized. Four existing unions will continue to represent health workers, but they will represent only one group each. The Nova Scotia Nurses’ Union, for example, will represent all nurses in the province. The move is intended to reduce the rounds of bargaining from 50 to 4, according to the government.
  • The implications are already significant for the health care system, says Joan Jessome, president of the Nova Scotia Government and General Employees Union, which stands to lose 10 000 members under the restructuring. “It’s affected patient care today. [Staff] are all distracted.”
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