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Govind Rao

International Day for the Elimination of Racial Discrimination - March 21 | Hospital Em... - 0 views

  • March 20, 2015
  • On March 21, 1960, white South African police fired more than 700 shots at peaceful black demonstrators, who were protesting discriminatory “pass laws” in the Sharpeville Township of South Africa. 
  • Sixty-nine people were killed and 180 wounded. Almost all were shot in the back. 
Govind Rao

No flu shot means health-care workers must wear masks - 0 views

  • December 1, 2015
  • People who have not been vaccinated and are visiting or working at a B.C. health- care facility are once again being asked to don masks. The mask policy goes into effect today, the official start of flu season, and continues until March 31. Flu is usually most prevalent between late December and early January. The B.C. Health Ministry said each year there are about 3,500 deaths from the flu and its complications in Canada. Provincial health officer Perry Kendall said the flu causes by far the most deaths among vaccine-preventable diseases, outpacing all others combined.
Govind Rao

Hospital, nursing home workers hold roadside vigil to protest privatization - Infomart - 1 views

  • Miramichi Leader Wed Aug 26 2015
  • Wearing their now-familiar red shirts and clutching makeshift candles made of Tim Hortons cups and whatever else they could find, nearly 200 unionized workers, mostly from the city's two nursing homes and the Miramichi Regional Hospital, lined up along Water Street in Chatham Head Monday night to rally against further privatization in the public sector. The candlelight vigil was organized by Kevin Driscoll, the president of the Canadian Union of Public Employees (CUPE) Local 865, which represents hospital staff in Miramichi.
  • A number of other locals joined in on the demonstration, including representation from CUPE 1277 and 1256 of the Miramichi Senior Citizens Home and Mount St. Joseph Nursing Home, respectively, CUPE 1190, which acts on behalf New Brunswick's highway workers, the New Brunswick Federation of Labour and staff from Hebert's Recycling. Driscoll, who works as a nursing unit clerk at the Miramichi Regional Hospital, said that workers are growing more disenchanted by the day as the provincial government continues to give the private sector a greater role in its health care and senior care system. He said CUPE staff felt they had to do something to draw attention to these issues and, with the hospital serving as the backdrop as night fell on the city Monday night, everyone agreed that gathering on the side of the road by candlelight would help convey their message.
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  • "It shows that people here really care about the Miramichi and it's too bad that politicians don't care about it as much," Driscoll said. "They want to privatize the nursing homes, they want to cut to the Education Department, their cutting the highway budgets and they're cutting to every service they can think of, so where are we going to go? They don't seem to think that matters." The Liberal government, come the fall, is expected to have a deal in place that will see all hospital food and cleaning services being outsourced to a private firm.
  • Government officials, including Health Minister Victor Boudreau have maintained that the changes are needed in order to help the province get its finances in order and will save the province millions of dollars through efficiencies that will be brought in under private management. Driscoll says those efficiencies, CUPE fears, are simply going to amount to job cuts at hospitals throughout the Horizon Health Network. The union learned from the province earlier in the summer that food and facilities management giants like Sodexo, Aramark and Compass Group are involved in the bidding process.
  • "If they privatize these services, then these corporations are going to come in and say 'you don't need all these people' ... we're going to cut because they're going to want to make at least a 20 per cent profit. Driscoll said the hospital is just one example of the trend toward the greater privatization of public services the union is seeing. Nursing home workers at Mount St. Joseph Nursing Home and the Miramichi Senior Citizens Home have been protesting at various points throughout the summer after learning the Department of Social Development would be using a private-public partnership (P3) model in building a new 280-bed nursing home that will replace both of the city's current facilities, which are run by a volunteer board of directors. Workers at both homes will have to reapply for positions at the new nursing home if that's what they choose to do and, with a private company running things, the membership has said it is concerned that those who do catch on at the new place could be subject to reduced pay and benefits.
  • The government is expected to open up a request for proposals (RFP) in the coming weeks to begin the process of determining which proponent will build and operate what will likely be New Brunswick's largest nursing home by the time it opens. Currently, each of the three privately run nursing homes in the province are owned by Shannex. The unions have also warned that the move to a P3 model would lead to a reduction in the level of community outreach programming offered to local seniors through things like Meals on Wheels and adult daycare. Tourism Minister Bill Fraser, the Liberal Miramichi MLA who advocated heavily for the new nursing home to be built and the man at the centre of much of the unions' ire, has shot down those concerns in previous interviews. Fraser has reiterated that regardless of whichever proponent emerges with the right to build and manage the structure, the initiative represents a major upgrade in terms of nursing home infrastructure.
  • He said the standards of care are dictated by the province and will remain, at the very least, on par with what has existed at the two current nursing homes over the last several years. Programs like Meals on Wheels, adult daycare and lifeline, would remain in place and potentially even enhanced and in terms of jobs, he said there will be provisions written into the RFP asking that priority be given to local applicants and that with an increase of 26 beds, even more staff will likely be required. As for pay and benefits, he said staff at two of the three Shannex properties have already unionized and the third was in the process of doing that.
  • Nursing home staff have called on the province to force the boards at the Mount and the senior citizens home to amalgamate together and operate the new facility using a model similar to what was undertaken in Edmundston when two nursing home boards melded into one in order to operate the new $48 million, 180-bed Residence Jodin. Danny Legere, the president of CUPE New Brunswick, was on hand for the vigil and urged the Miramichi workers to keep up the fight. "I want to congratulate the people of the Miramichi for taking a stand - the fight that you have started is a fight for all New Brunswickers," Legere said. "The militancy that you are showing is exemplary and it has to be carried on from one end of the province from one end to the other."
  • Andy Hardy, a Miramichi native and the president of CUPE 1190, said his sector is used to certain services being contracted out to private interests but when it comes to health and senior care, he said it was "flat out wrong." "You're looking after the most vulnerable people in that building right there," Hardy said. "When you privatize the food services and the cleaning services all it is is for profit - the service goes down and the profit goes up, and for nursing homes as well." Length: 1090 words
Heather Farrow

Hurry up and wait - Infomart - 0 views

  • The Timmins Daily Press Wed Aug 24 2016
  • How did it ever come to this? How did supposedly intelligent men and women, given the responsibility for running our health-care system, allow things to deteriorate so badly? More importantly, how did we-the public-allow ourselves to be duped all these years by spineless, self-serving politicians?
  • Earlier this year, an Ontario teenager, Laura Hillier, died while waiting for a stem-cell transplant. She was only 18 years old, and had her whole life ahead of her. Unfortunately for Laura, she made the mistake of getting sick in Ontario, a province where-like most of the rest of Canada- we've had our heads buried in the sand for far too long when it comes to how we fund our health-care system. This young girl died, not because they couldn't find a donor-there actually was one-but because those in charge couldn't find a way to fund the procedure that would have saved her life.
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  • Then there's little Meghan Arnott, age 12, who's waiting for surgery in British Columbia to correct a complication brought on by Crohn's disease. Unfortunately for Meghan, she's been told her surgery may have to be postponed eight or nine months due to a severe shortage of nurses in B.C., caused by-you guessed it-chronic underfunding of our health-care system by the government. Meanwhile, this young girl waits in excruciating pain and discomfort, yet another invisible victim of Medicare.
  • Or how about 16-year-old Walid Khalfallah, who hails from Kelowna, British Columbia? Walid is now a paraplegic thanks to his encounter with our health-care system. All because those running the show felt it was a reasonable risk for a young boy of 13 to wait 27 months-that's right, folks, I said 27 months-for surgery on his spine. By the time Walid had the surgery in 2012, at Shriners Hospital in Spokane, Washington, it was too late.
  • Still think we have the best health-care system in the world? Not by a long shot. Despite statements by elected officials to the contrary, Canada's health-care system is no longer something we Canadians can-or should-be proud of. Stories like those of Laura, Meghan and Walid, while admittedly anecdotal, point to inadequacies in how Medicare is funded and how decisions are made when it comes to deciding on what programs receive funding and which don't.
  • It's sort of like winning the lottery. If you belong to a demographic that is older and more inclined to vote-baby boomers, for example, in need of cataract surgery or hip replacements-then you might very well be in luck. If you happen to be a child, however, or suffering from some less-than-"sexy" disease, then good luck, you're on your own.
  • No one's life should have to depend on the roll of the dice. That's crazy. Fortunately, after years of delays and legal maneuvering by the B.C. Government, Dr. Brian Day's charter challenge is finally about to get under way this coming September in Vancouver. The case, which will be argued before the Supreme Court of British Columbia, will include six other plaintiffs, including Walid Khalfallah, in addition to Dr. Day. Sadly, two of the six plaintiffs have died as a result of delayed access to care. The irony of that should be lost on no one.
  • In 2005, the Supreme Court of Canada ruled that those living in the province of Quebec should have the right to purchase private health-care insurance under the Quebec Charter. This was known as the Chaoulli case. Dr. Jacques Chaoulli successfully convinced all seven judges hearing the case that patients were suffering and, in some cases, dying while waiting to access care. Dr. Day and his fellow plaintiffs will be arguing that those living outside Quebec should have similar protection under the Canadian Charter of Rights and Freedoms.
  • Not surprisingly, the B.C. Government and Government of Canada will be arguing the opposite, as will a number of special interest groups, including representatives of the B.C. Health Coalition and Canadian Doctors for Medicare, who have applied for and been granted intervener status. While I have no doubt that Dr. Day will ultimately win his charter challenge-after all, Dr. Day and those representing the more than two million Canadians currently suffering on waiting lists, including Walid and the other five plaintiffs, are on the side of the angels. As for all those bureaucrats, lawyers and elected officials-armed with an endless supply of "lies, damn lies, and statistics," desperately trying to justify maintaining the status quo-I'm not really sure whose side they're on.
  • Certainly not yours or mine. Because if they were, they'd come clean and admit the truth. Canada's health-care system is not sustainable and on the verge of complete and total collapse. Spending millions of dollars to defend the indefensible is not only wrong, it's obscene. Just ask Laura, Meghan, Walid and the friends and relatives of the two plaintiffs who died after waiting for both care and justice. Access to a waiting list is not access to care, as the judges in the Chaoulli case so rightly pointed out 11 years ago. Hopefully, when the decision is handed down, once all the arguments have been heard this fall in British Columbia, we'll finally be able to have that "adult" conversation we've been avoiding for the past 20 years and actually do something to fix the mess we find ourselves in. One can only hope. Stephen Skyvington
Heather Farrow

Loblaw bids for health records provider - Infomart - 0 views

  • National Post Tue Aug 23 2016
  • Loblaw Cos. Ltd. is planning to expand its growing presence in the health care industry, proposing a $170 million, all-cash friendly bid to buy a B.C.-based company that develops electronic medical record technology. The country's largest food retailer offered $3.10 cash per share for Kelowna-based QHR Corp. - or 22 per cent over the stock's price on the TSX Venture Exchange at Friday's close - saying it will be a "natural complement" to its Shoppers Drug Mart division. Loblaw purchased Shoppers, Canada's largest retail network of pharmacies, in 2014 for $12.4 billion. A shareholder vote on the QHR deal will require two-thirds approval, and is expected to take place at a QHR special shareholder meeting in October. It already has the approval of QHR's board of directors.
  • QHR chief executive Mike Checkley said exclusive negotiations began two weeks ago following an unsolicited offer from Loblaw. "We weren't out to sell the company," he said on an investor conference call. "What came across the table we felt was very fair and we feel this is absolutely the right arrangement for us and our customers." The deal does allow QHR to consider other offers, and comes with a $6-million break fee if one is accepted. If approved, the acquisition would give Loblaw a foothold with the 7,700 health care providers QHR currently supports with its suite of electronic medical records technology - that business accounts for 20 per cent of the Canadian electronic health record market, which is worth approximately $350 million per year, according to Cantor Fitzgerald analyst Ralph Garcea.
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  • We recognize that the future of health care is digital and this strategic investment will make us a better health and wellness partner to patients and providers," said Loblaw spokesperson Tammy Smitham. "QHR brings complementary talent and technology to our organization, providing opportunities to establish new business partnerships and drive improved care co-ordination for Canadians." Smitham said that Loblaw has no short-term plans to change the way its pharmacy business operates - but that the company is hopeful the acquisition will in the long term make its patient care more efficient, and allow it to work with more health care providers beyond the pharmacy niche. In recent years, retailers including Shoppers have added medical services, notably dispensing flu shots and prescription renewal services, as governments have sought to regulate the professional allowances pharmacies receive from drugmakers. RBC Dominion Securities analyst Irene Nattel said in a note that the QHR acquisition will have negligible impact on Loblaw's results but should fit alongside the company's existing pharmacy and health care operations.
  • QHR's shares climbed 22 per cent to close at $3.10 on the TSX Venture Exchange Monday. Loblaw shares were up one per cent, closing at $71.81 in Toronto. Loblaw has looked to its Shoppers division to deliver new avenues for earnings growth, as competition for sales volume in its grocery business has expanded beyond traditional competitors like Metro Inc. and Sobey's to include big-box retailers Costco Wholesale Corp. and Walmart Canada.
  • The Shoppers acquisition in 2014 gave Loblaw access to smaller sized stores in high-density urban neighbourhoods. Following the introduction of increased food and grocery offerings at its drugstores, revenue growth at Shoppers Drug Mart outpaced other parts of the company's business in the second quarter.
Govind Rao

The evidence and politics of mandatory health care worker vaccination - Healthy Debate - 0 views

  • by Sophia Ikura, Christopher Doig & Andreas Laupacis (Show all posts by Sophia Ikura, Christopher Doig & Andreas Laupacis) February 6, 2014
  • Unions oppose mandatory vaccination policies
  • ONA representative Vicki McKenna
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  • However, the BC government and New York State have instituted policies that require workers to either be vaccinated or wear a mask.
  • Michael Gardam, Medical Director of Infection Prevention and Control at University Health Network says that the debate has galvanized a growing group of experts, including the authors of the Cochrane review, who believe the limited efficacy of the flu shot generally does not warrant a policy of mandatory vaccination for workers.
Govind Rao

Toronto doctor gives Washington a lesson on Canadian health care - World - CBC News - 0 views

  • Dr. Danielle Martin touts benefits of Canada's system in Washington
  • Mar 13, 2014
  • As the debate about Obamacare rages on in the United States, a Toronto doctor calmly defended her country’s health-care system before a partisan U.S. Senate committee in Washington this week and explained that the single-payer model is not to blame for wait times — and that Prime Minister Stephen Harper is not a socialist.
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  • “I do not presume to claim today that the Canadian system is perfect or that we do not face significant challenges,” Martin told the committee on Tuesday. “The evidence is clear that those challenges do not stem from the single-payer nature of our system. Quite the contrary.”
  • Moving away from a single-payer system and introducing more private health care is not a solution and would likely exacerbate wait times in the public system by drawing health-care resources away from it, she told the senators.
  • Sitting next to Martin was another Canadian, Sally Pipes, who is now an American citizen and leads a think-tank in San Francisco that advocates for the free market. Pipes gave a decidedly different view of Canada’s health-care system.
  • “On average, how many Canadian patients on a waiting list die each year, do you know?” he pressed her. “I don’t sir, but I know there are 45,000 in America who die waiting because they don’t have insurance at all,” Martin shot back.
  • What about Williams going to Florida for surgery, he asked her, what does that signify? Martin noted that the doctors who pioneered the surgery he had done actually work in Toronto.
  • Though the committee meeting was partisan at times, she said it is a positive sign that the U.S. is looking at international examples.
Govind Rao

Nurses strike back - Infomart - 0 views

  • Nurses strike back The Sarnia Observer Thu Dec 12 2013
  • Ontario's nurses union has declared war on hospitals that require nurses to get a flu shot or wear a mask. The Ontario Nurses' Association (ONA) is running radio ads in cities whose hospitals stepped up efforts to get staff vaccinated before the flu season peaks, something that could happen as soon as the holidays. The campaign stunned public health officials and hospital leaders who say the nurses' union is distorting the truth and threatening people's health across the province.
Govind Rao

MERS virus outbreak raising SARS-like concern - Health - CBC News - 0 views

  • Confirmed cases hit 290, according to World Health Organization
  • Apr 19, 2014
  • It's beginning to feel like SARS revisited. For some of the scientists and doctors who helped the world battle the 2003 SARS outbreak, the recent rapid rise in human infections in several Middle Eastern countries caused by a cousin virus is creating a sense of sharp unease. Cases of Middle Eastern respiratory syndrome — MERS — have shot up markedly in the past month, driven it appears by outbreaks in hospitals or among health-care workers in Jeddah, Saudi Arabia, and in Abu Dhabi, in the United Arab Emirates.
Doug Allan

B.C. flu season marked first firing of hospital worker for refusing vaccine or mask - 0 views

  • A health care worker in Grand Forks is the first person fired under a new B.C. policy that forces health workers to get a flu shot or wear a protective mask around patients.
  • The 49-year-old had held a permanent part-time position as an adult day program worker in Grand Forks, but said he refused instructions from his bosses at the Interior Health Authority to either get vaccinated for influenza or wear a mask at work.
  • “I don’t believe you should do things just because somebody tells you,” Hoekstra said in an interview Wednesday. “We should be able to think for ourselves, we should be able to make those decisions. I’ve worked in health care since the early 80s. You’d think we should be a little bit more enlightened but we’re not.”
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  • The remaining workers chose to wear masks, but Hoekstra said he rejected that option because wearing a mask all day makes him feel like he’s suffocating.
Govind Rao

Harper and the abortion debate - 0 views

  • 15 May 2014
  • NEW MARYLAND, N.B. - The prime minister says he has no plans to reopen the abortion debate after the Liberals asked Ottawa to intervene to determine whether New Brunswick's regulations governing access to the procedure violate the Canada Health Act.Stephen Harper says the administration of health care is within provincial jurisdiction.Harper made the remarks after an announcement in New Brunswick, where the issue of abortion access has flared up in recent weeks.The Morgentaler Clinic in Fredericton is planning to close at the end of July, and three Liberal MPs say the province's refusal to fund the facility may not be in line with the Health Act's accessibility principle.The source of contention is a provincial regulation that requires women who want publicly funded abortions to have them done at two approved hospitals and only after they get approval from two doctors certifying it is medically necessary.Harper also said the Conservatives understand that Canadians have different views on abortion.The remarks were a shot at Liberal Leader Justin Trudeau, who has taken a strong stance in favour of abortion rights, requiring potential candidates to support the party's position in any vote on the issue in the House of Commons.
Govind Rao

Treating patients in the comfort of their homes; Community-care nurses help people heal... - 0 views

  • Toronto Star Sat May 9 2015
  • Roushad Omar-Ali is relaxing on his comfy sectional watching a cooking show as the doorbell rings and Lesley Rodway lets herself in. "How are you feeling today?" the registered nurse asks cheerily as she studies the chart with his health data. "She's pretty good at what she does," Omar-Ali offers when Rodway disappears to set up his dialysis machine in the bedroom. The Ajax resident has had his share of hospital stays for a stroke, a bad fall and a pacemaker implant. And there's no doubt where he'd rather be for his daily dialysis treatment.
  • The good thing about this is you get to hook yourself up whenever you want," he says. "At the hospital, you sit there and wait and wait whereas at home, as soon as it's done, I disconnect myself." It's thanks to nurses like Rodway that Omar-Ali can be treated in the comfort and convenience of his own home. Arranged through Community Care Access Centres (CCAC), government-funded visits by registered nurses and registered practical nurses provide a range of services including post-surgical, wound and palliative care, IV antibiotics, dressing changes and cancer treatment. (University-educated RNs care for patients with more complex needs while RPNs, who have attended community college, take on less complex cases.) "Patients don't really want to be in hospital," says Dianne Martin, executive director of the Registered Practical Nurses' Association of Ontario (RPNAO). "At home it feels good, they feel in control and more like they're in the driver's seat." They tend to heal faster and are safer from infections, Martin adds. It is also far cheaper to treat someone at home: an average of $42 per visit compared to $842 per day for a hospital bed.
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  • And the cooking's good here," jokes Donna Fox as Rodway stops in at the well-kept bungalow she shares with Bob, her husband of 62 years. Rodway, who's worked for ParaMed Home Health Care for 17 years, manages his symptoms and keeps him comfortable during his terminal illness. "It's very important because I couldn't exist without someone looking after me," Bob, a former marathon runner, says from the raised bed where he watches sports on TV or the awakening of spring outside his window. Suzanne, a Whitby breast cancer patient, credits a home-care nurse for possibly saving her life by sending her to hospital for a swollen hand caused by a blood clot. Now she gets shots of blood thinner at home.
  • "You're near the end, that's awesome," Rodway tells her after administering the day's needle, the 90th in a series of 100 prescribed injections. "You've been a trooper," she adds as Suzanne says, through tears, that her last chemo treatment is just days away. "There are many times I've cried with a client," Rodway says later. "People are appreciative because you're helping them feel better." Rodway, a mother of two young children, sees five or six patients a day in Whitby and Ajax. She says working 25 or 30 hours a week gives her a good balance of career, volunteer work and home life. "I get a lot of satisfaction." For RPN Max Hamlyn, it's all about the personal touch. "You've got the ability to spend time with the person and develop a closer bond," unlike hospitals where staff are too rushed, he says. "It's more than just running in and changing a dressing. I'll ask, 'How are you doing, are you eating OK?' And I say, 'What's the most important thing I can do for you today?' "
  • Hamlyn, who works in Ottawa for the government branch of Bayshore Home Health, covers up to 100 kilometres a day, seeing eight to 10 patients in private homes, retirement residences, detention centres and halfway houses. After 38 years in the profession - doing community care for the last 13 - he maintains "people do much better in their home" than in hospital. "I love it. I think home care is an amazing place for RPNs to work," says Hamlyn, whose youngest client is 23 and oldest, 102. He recalls the year he spent caring for a woman with colon cancer, meeting all her children and grandchildren and always staying for coffee and cake. "You become part of the family," Hamlyn says of many of his clients. "I get along really well with my people. I have a lot of fun with them - we laugh, we joke. They're such lovely people."
Govind Rao

Abortion an issue too hot for PEI politicians; Neither party with a shot at government ... - 0 views

  • The Globe and Mail Mon Apr 27 2015
  • t was Feb. 20, 2014, and the medical director of Prince Edward Island's largest hospital was preparing to present a business case for abortion services to an independent medical advisory body for PEI, the only province in Canada where women still cannot get a surgical abortion. Then, Rosemary Henderson's phone rang: a call from Health PEI CEO Richard Wedge, telling her the health authority had been "explicitly told to cease work on the abortion project," Dr. Henderson wrote in an e-mail less than two weeks later. "I ignored that and took it to PMAC [the Provincial Medical Advisory Committee] anyway and have finished off my part of it and sent it up the chain. ... So it may die there." Dr. Henderson's prediction proved correct. The Liberal government of former premier Robert Ghiz killed the plan that she and a Health PEI-led working group had crafted for a twicemonthly abortion clinic at the Queen Elizabeth Hospital in Charlottetown, according to documents obtained under Freedom of Information laws.
Govind Rao

Turkey: Health care workers stage one-day strike over shooting of doctor - Daily Sabah - 0 views

  • octors are staging a one-day strike to highlight violence against physicians after a gunman shot a medic dead on Friday.
Govind Rao

Hospital, nursing home workers protest privatization - Infomart - 0 views

  • New Brunswick Telegraph-Journal Wed Aug 26 2015
  • miramichi * Wearing their now-familiar red shirts and clutching makeshift candles made of Tim Hortons cups and whatever else they could find, nearly 200 unionized workers, mostly from the city's two nursing homes and the Miramichi Regional Hospital, lined up along Water Street in Chatham Head Monday night to rally against further privatization in the public sector. The candlelight vigil was organized by Kevin Driscoll, the president of the Canadian Union of Public Employees (CUPE) Local 865, which represents hospital staff in Miramichi.
  • Driscoll, who works as a nursing unit clerk at the Miramichi Regional Hospital, said that workers are growing more disenchanted by the day as the provincial government continues to give the private sector a greater role in its health care and senior care system. He said CUPE staff felt they had to do something to draw attention to these issues and, with the hospital serving as the backdrop as night fell on the city Monday night, everyone agreed that gathering on the side of the road by candlelight would help convey their message. "It shows that people here really care about the Miramichi and it's too bad that politicians don't care about it as much," Driscoll said. "They want to privatize the nursing homes, they want to cut to the Education Department, their cutting the highway budgets and they're cutting to every service they can think of, so where are we going to go? They don't seem to think that matters."
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  • A number of other locals joined in on the demonstration, including representation from CUPE 1277 and 1256 of the Miramichi Senior Citizens Home and Mount St. Joseph Nursing Home, respectively, CUPE 1190, which acts on behalf New Brunswick's highway workers, the New Brunswick Federation of Labour and staff from Hebert's Recycling.
  • The Liberal government, come the fall, is expected to have a deal in place that will see all hospital food and cleaning services being outsourced to a private firm. Government officials, including Health Minister Victor Boudreau have maintained that the changes are needed in order to help the province get its finances in order and will save the province millions of dollars through efficiencies that will be brought in under private management. Driscoll says those efficiencies, CUPE fears, are simply going to amount to job cuts at hospitals throughout the Horizon Health Network. The union learned from the province earlier in the summer that food and facilities management giants like Sodexo, Aramark and Compass Group are involved in the bidding process.
  • "If they privatize these services, then these corporations are going to come in and say 'you don't need all these people' ... we're going to cut because they're going to want to make at least a 20 per cent profit. Driscoll said the hospital is just one example of the trend toward the greater privatization of public services the union is seeing. Nursing home workers at Mount St. Joseph Nursing Home and the Miramichi Senior Citizens Home have been protesting at various points throughout the summer after learning the Department of Social Development would be using a private-public partnership (P3) model in building a new 280-bed nursing home that will replace both of the city's current facilities, which are run by a volunteer board of directors. Workers at both homes will have to reapply for positions at the new nursing home if that's what they choose to do and, with a private company running things, the membership has said it is concerned that those who do catch on at the new place could be subject to reduced pay and benefits.
  • The government is expected to open up a request for proposals (RFP) in the coming weeks to begin the process of determining which proponent will build and operate what will likely be New Brunswick's largest nursing home by the time it opens. Currently, each of the three privately run nursing homes in the province are owned by Shannex. The unions have also warned that the move to a P3 model would lead to a reduction in the level of community outreach programming offered to local seniors through things like Meals on Wheels and adult daycare. Tourism Minister Bill Fraser, the Liberal Miramichi MLA who advocated heavily for the new nursing home to be built and the man at the centre of much of the unions' ire, has shot down those concerns in previous interviews. Fraser has reiterated that regardless of whichever proponent emerges with the right to build and manage the structure, the initiative represents a major upgrade in terms of nursing home infrastructure.
  • He said the standards of care are dictated by the province and will remain, at the very least, on par with what has existed at the two current nursing homes over the last several years. Programs like Meals on Wheels, adult daycare and lifeline, would remain in place and potentially even enhanced and in terms of jobs, he said there will be provisions written into the RFP asking that priority be given to local applicants and that with an increase of 26 beds, even more staff will likely be required. As for pay and benefits, he said staff at two of the three Shannex properties have already unionized and the third was in the process of doing that.
  • Nursing home staff have called on the province to force the boards at the Mount and the senior citizens home to amalgamate together and operate the new facility using a model similar to what was undertaken in Edmundston when two nursing home boards melded into one in order to operate the new $48 million, 180-bed Residence Jodin. Danny Legere, the president of CUPE New Brunswick, was on hand for the vigil and urged the Miramichi workers to keep up the fight. "I want to congratulate the people of the Miramichi for taking a stand - the fight that you have started is a fight for all New Brunswickers," Legere said. "The militancy that you are showing is exemplary and it has to be carried on from one end of the province from one end to the other."
  • Andy Hardy, a Miramichi native and the president of CUPE 1190, said his sector is used to certain services being contracted out to private interests but when it comes to health and senior care, he said it was "flat out wrong." "You're looking after the most vulnerable people in that building right there," Hardy said. "When you privatize the food services and the cleaning services all it is is for profit - the service goes down and the profit goes up, and for nursing homes as well." © 2015 Telegraph-Journal (New Brunswick)
Govind Rao

What will the "sharing economy" mean for health care? - Healthy Debate - 0 views

  • by Will Falk (Show all posts by Will Falk) May 27, 2015
  • This is the “sharing economy”.
  • An under-appreciated feature of the return of sharing, however, is the impact on government— not only as regulator, but also as a deliverer of public services. Though a strict definition of the sharing economy does not translate perfectly into publicly provided programming, its key principles— creating trust through feedback, community collaboration, scheduling efficiency, asset optimization, and payment settlement— are well-suited to entrepreneurialism in public sector delivery models, including in healthcare.
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  • One early indicator is the resurrection of the house call.
  • Now, there is a mass of mobile app developers swarming to revitalize this home-based care model. Pager, for example, is the brainchild of sharing economy pioneer and Uber co-founder Oscar Salazar. It markets itself as allowing users to see a doctor within two hours in the patient’s home, office, or hotel room. Companies like @mendathome, @HealApp, @medicast, and firstlineapp.com deliver similar services and are creating access and price competition.
  • In 2014, Uber delivered free nurse-administered flu shots to customers in Boston, New York, and Washington. Another company is seeking to enable hospitals to easily rent-out their bulky and unused medical equipment or, conversely, temporality access specialized equipment quickly and without the sizeable expense of purchasing.
  • As decentralization takes hold and more care moves from institutions and medical offices into the home, how will we deal with our overbuilt capacity? 
  • Sharing economy models of diagnostics are emerging both for clinicians and for their patients.  Figure1 is a Toronto mobile health start-up and peer to peer network that has created an “Instagram for doctors”, allowing medical professionals to seek input on complex cases by posting relevant images and information. And well established websites like CureTogether.com and PatientsLikeMe.com have fostered a peer coaching culture that lets patients share stories of treatment regimes and generate real-time research networks.
  • More recently, @Crowdmed has launched a crowd-sourced diagnostic service that uses “medical detectives” to better characterize rare and complex conditions.
  • How long will it take before hospitals start leveraging their idle operating room and facility hours to generate revenues and improve the timeliness and quality of procedures (AirOR)? We can already request a personal support worker or registered nurse through start-up services like eAdvocate and myPSW. We should expect established providers to emulate these start-ups, just as the traditional taxicab companies have started to emulate Uber. CCACs, for example, may use sharing economy-like services to match patient needs with clinicians and patient support workers.
  • allows for the home to become the site of much more care.
  • Can we trust clinical professionals to self-organize within their scopes of practice?
  • Will Falk is the Managing Partner – Health Industries at PwC Canada, an Executive Fellow at the Mowat Centre and an Adjunct Professor at the Rotman School of Management at the University of Toronto. Follow Will on Twitter @willfalk
Govind Rao

Harper, Mulcair share views ; In wake of Statistics Canada data, NDP and Conservative l... - 0 views

  • The Pembroke Observer Thu Sep 3 2015
  • OTTAWA -- Stephen Harper and Tom Mulcair found themselves in unfamiliar economic territory Wednesday -- sharing the same page on when they think it is acceptable to plunge the country into a deficit. The Conservative and New Democrat leaders, along with their Liberal counterpart Justin Trudeau, still expressed sharp differences on the economic way forward following Statistics Canada's recession pronouncement a day earlier.
  • The three federal leaders attempted to put a bit more flesh on the bones of their respective economic positions after the agency reported on Tuesday that the economy had contracted for a second straight quarter--the technical definition of a recession. But as they dealt with the fallout from the data, it was Harper and Mulcair who found themselves occupying the same position on an important, related question: When is it OK to run a deficit?
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  • Both leaders are opposed to them, and are promising balanced budgets if elected. But when asked about deficits, separately, on the campaign trail Wednesday, they gave strikingly similar answers. Harper and Mulcair both agreed on the need for stimulus following the Great Recession of 2008-09.
  • "Back in 2008-2009, we faced two circumstances we do not face today, both of them are important," Harper said in North Bay, Ont., citing the drop in global output and the breakdown in the financial system. "We are nowhere near those kinds of circumstances today," he added. "I do not believe you would run a deficit on purpose if the economy is actually showing growth. Our economy will grow this year and that is why we will keep the budget in balance."
  • Speaking in Kamloops, B.C., Mulcair said: "We might recall back in 2008 when the worst financial crisis since the 1920s hit, it was obvious then that it was such a true head-on hit to the economy that spending was required and that's what was done." As for the current situation, Mulcair said: "Right now, we are in a recession that's been measured according to the definition accepted here, which is two consecutive quarters of negative growth." Trudeau, meanwhile, said Harper and Mulcair share the same future decision if they have any chance of honouring their balanced budget promises -- budget cuts.
  • "They want to cut programs and they hope in vain that the same plan that has been in place for the last 10 years will still work and will kick-start the economy," he said in Trois-Rivieres, Que. But the Liberal leader was also forced the defend the budget-cutting that his party undertook in the 1990s when Paul Martin served as former prime minister Jean Chretien's finance minister. Martin made the right decision when he cut provincial transfer payments back then because the Conservatives left the country's books in bad shape, Trudeau said.
  • "Right now, we have a very different situation where for 10 years, even though we have a very good debt-to-GDP ratio, we can't seem to create growth," Trudeau said. Trudeau said only his plan to run deficits to 2019 and increase infrastructure spending will spur real growth in a slackening economy. "Mr. Harper doesn't understand that in order to grow the economy in the 21st century we need to invest in people and give them the tools they need to succeed," he said.
  • "Confident, optimistic countries are always willing to invest in their own future rather than believe that cutting is somehow the path to growth and success." Harper and Mulcair disagreed, while still taking shots at each other.
  • "Proposing a deficit right now with economic growth is a recipe for permanent deficits," Harper said. "It's why we're not going to do it and why I think the country will reject that proposal from the other parties." Mulcair reiterated that the NDP will be able to deliver on its various spending promises by cutting some Conservative initiatives. "We have a plan for investing in infrastructure and housing, but it's all done within the framework of a balanced budget," he said. "Tommy Douglas balanced the budget 17 times in Saskatchewan and still brought in medicare in Canada for the first time."
  • NDP Leader Tom Mulcair plays street hockey during a federal election campaign stop in Kamloops, B.C.
Govind Rao

National Pharmacare no pipe dream; Green Party: Citing a UBC study, it says that Canada... - 0 views

  • Vancouver Sun Thu Jul 30 2015
  • The Green Party didn't attract much attention Tuesday with its call for a national Pharmacare program. Pity. Because, despite the conventional view that Canada can't afford to subsidize medications for all its citizens, growing evidence suggests it may be the other way round - that we can't afford not to. The first hint is that everybody else - well, almost everybody - does it. Among the 33 developed countries that make up the OECD, only the U.S. provides a lower percentage of its citizens with a public drug plan. And only Mexico is close to Canada's second-worst, 50-per-cent level. Every other country covers at least 80 per cent, and two-thirds cover 100 per cent. If small economies like Slovenia and Portugal - not to mention big ones like the U.K. and Germany - find this worthwhile and affordable, maybe Canada would too.
  • Secondly, past studies have found that 10 per cent of Canadians can't afford to take their medications as prescribed, and a new survey suggests the number may be higher still, especially in B.C. An Angus Reid Institute poll released this month found 19 per cent of British Columbians get no help from private or public insurance plans to pay for prescriptions, and nearly half are stuck with at least half the cost. As well, 29 per cent - six percentage points higher than the national average, and 10 points higher than in Quebec, which has the most comprehensive provincial Pharmacare program - have at least one family member who didn't fill a prescription, or skipped doses, or cut pills in half to save money.
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  • It is hard to estimate the economic cost - lost productivity, costly treatments if illnesses are allowed to get worse, or even premature death - of such a high level of non-compliance. But studies show the highest compliance rates are for drugs for erectile dysfunction, contraception, and pain relief that have nothing do with saving lives. But if these drag down the average non-compliance rate, then prescriptions for other ailments, including serious ones, must be dragging it back up. A third reason to consider universal Pharmacare is a more easier-to-measure economic loss. Green leader Elizabeth May's plan sounded too good to be true as she outlined it - annual cost of $300 million a year for the feds to set up a national Pharmacare agency in return for savings to the health-care system of up to $11 billion a year.
  • But these estimated savings aren't something dreamed up in the party's backrooms - they are drawn from a recent scholarly analysis by UBC health economist Steven Morgan, a leading researcher in the field. The issue, Morgan told me in an interview, is that the whole system is fundamentally flawed and inefficient. Despite recent agreements by the provinces to co-operate on drug purchases - an approach Morgan thinks is worthwhile, but not nearly enough - neither the governments nor the dozens of private insurers have enough clout with drug companies to negotiate best prices. Not to mention the millions of uninsured who have no negotiating power at all.
  • As well, governments spend $3 billion a year on employees' health insurance premiums, Morgan said, and businesses pay several times that - money that would be saved if we had universal Pharmacare. May didn't pitch her plan simply as something a Green government would implement if her party is elected - a long-shot by any measure. Rather, she called on other parties to work together on this. This isn't likely to happen in the toxic partisan environment of federal politics, especially during an election. But given the Angus Reid poll's finding that 39 per cent of Canadians strongly support and 48 per cent moderately support adding prescription drugs to the universal medicare program (B.C.'s numbers are 44 per cent and 47 per cent), it's an issue other parties ignore at their peril.
Govind Rao

Retired judge hired as "fairness advisor" for long-term care expansion - Local - The Te... - 0 views

  • July 10, 2015
  • Riche was a provincial Supreme Court judge, appointed to the bench in 1982. He retired in 1999. In April, he was appointed to report on the RCMP’s investigation into the death of Don Dunphy, who was shot and killed in his home by a member of the Royal Newfoundland Constabulary.
  • The 67-page RFP was issued by government June 30, indicating contractors/operators will be sought to add 120 beds in Corner Brook at a site to be purchased from the Western Regional Health Authority at fair market value — 70 beds in Gander, 50 beds in Grand Falls-Windsor and 120 beds somewhere on the Northeast Avalon.
Govind Rao

St. Michael's probes executive after role in fraud revealed; Hospital unaware of kickba... - 0 views

  • The Globe and Mail Tue Sep 15 2015
  • One of Canada's most prominent hospitals has launched a probe into the conduct of a top executive after a Globe and Mail investigation uncovered his involvement in a scheme to defraud a Toronto university. Toronto's St. Michael's Hospital said it is reviewing the tenure of Vas Georgiou - a senior executive hired in 2013 to oversee construction of the hospital's planned $300-million patient centre. The hospital said it was unaware when it hired Mr. Georgiou that, when he was working for Infrastructure Ontario, he had issued false invoices that were used in a kickback scheme at York University.
  • As a result of The Globe's inquiries, Infrastructure Ontario will also conduct an examination of Mr. Georgiou's six years at the provincial government procurement agency. One reason St. Michael's was unaware of Mr. Georgiou's involvement in the York fraud, The Globe's investigation has determined, is that, although at least one Infrastructure Ontario official knew about it, that information apparently was not shared with anyone. The hiring of Mr. Georgiou raises questions about whether former executives of Ontario's procurement agency withheld this vital information from officials who ought to have known - including Infrastructure Ontario's own board of directors.
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  • Mr. Georgiou, 51, is a long-time senior public servant. Between 2006 and 2012, he held various executive positions at Infrastructure Ontario, the procurement agency that was set up to administer the McGuinty government's ambitious plans to restore the province's outdated infrastructure through public-private partnerships. He was a project manager on the construction of several major projects, including some of the facilities for this summer's Pan Am and Parapan Games, eventually rising to the role of chief administrative officer. How he ended up admitting he issued false invoices - and why that information was not passed on by at least one of his former colleagues at Infrastructure Ontario - dates back to 2009, after a whistleblower complained to management at York about questionable invoices.
  • Court records show the scheme required Mr. Georgiou to invoice the university, through two family-owned companies, for work that those companies never performed. After cashing York's cheques, he passed on about $40,000 of the total $65,000 paid by York to an intermediary who was connected to a facilities official at the university. Mr. Georgiou said he kept $25,000 to declare for income tax purposes. "Once these events came to light, I fully co-operated with the authorities and counsel for York University, and I assisted them with their investigation. In addition, I ensured that the party who requested the invoices, repaid the entire amount to York University," he said in the statement. He did not address questions about what he told St. Michael's, if anything, about his role in the scheme.
  • St. Michael's and Infrastructure Ontario have ordered forensic audits. "These swift and prudent actions have been taken by the Board of Directors and Management to preserve and protect the public trust invested in St. Michael's Hospital," a statement from St. Michael's said. In its own statement, Infrastructure Ontario said it was "very troubled" by some of the facts The Globe presented to four of its officials in an interview. "The activity in question goes against everything [Infrastructure Ontario] stands for," said Bert Clark, the agency's chief executive, and Linda Robinson, vice-chair of Infrastructure Ontario's board. Mr. Georgiou, who has been placed on a leave of absence from the hospital, said in an e-mail that The Globe had not provided him enough time to give proper answers to about 40 questions it e-mailed to him last Wednesday. In a statement, he said he never profited from the "exercise" at York and stressed that he was never charged criminally for his role in the false invoice scheme.
  • York investigated and concluded it had been the victim of a $1.2-million kickback scheme involving false invoices for nonexistent construction and maintenance work. A forensic audit determined that between 2007 and 2010, the university cut cheques to eight different companies for services that were never rendered. The York investigation found that two of those companies, Arsenal Facilities Consultants Inc. and Toronto Engineering Company, were connected to Mr. Georgiou. (He was the listed officer and director of AFC, and the other company was owned by his wife and her parents.) Mr. Georgiou and his lawyer, Gary Clewley, agreed to meet with auditors in February of 2011, and Mr. Georgiou admitted writing three false invoices totalling $64,800 between the two companies. The Globe has obtained a transcript of this meeting, which was marked "confidential" but included in court filings. Mr. Georgiou created paperwork showing that AFC did $22,000 worth of door lock repairs in November, 2007. In February, and then again in April, 2008, he drew up documents claiming that TECO completed a total of $42,800 worth of watermain work.
  • He wrote these invoices, he told investigators, at the request of a friend who had nothing to do with the university, a parking industry executive named Luigi Lato. According to Mr. Georgiou, Mr. Lato told him maintenance work had been performed and he was hoping Mr. Georgiou could create invoices for that work. But for reasons Mr. Lato never explained, Mr. Georgiou said, whoever did the work did not issue their own invoices. Mr. Georgiou said he believed Mr. Lato was doing a "favour" for a friend at York who needed to pay for the work. A lawyer and an auditor for York pressed Mr. Georgiou on why the companies that actually did this work would not, or could not, issue invoices, and Mr. Georgiou said he did not know.
  • "There were no details provided to me," he explained at one point. Pressed further, he said, "I didn't ask any questions." York paid AFC and TECO, but Mr. Georgiou told investigators he did not keep the money. He withheld about $25,000 to declare as income tax for both companies, which he said he paid. As for the rest of the money, he made two trips to see Mr. Lato in which he paid him a total of about $40,000 in cash. Mr. Lato could not be reached for comment.
  • William McDowell, a lawyer acting for York, asked Mr. Georgiou how the teller at his bank reacted when he withdrew $14,500 in cash for Mr. Lato's first instalment: "Doesn't your banker kind of squint when you go in and ask for $14,500 in cash?" Mr. Georgiou replied: "I didn't go into the bank and ask for $14,500 in cash, you know, like in one shot. I had, you know, some cash at home, went to the bank for some cash..." About a year later, on Jan. 26, 2012, York filed a statement of claim against all of the people and companies it believed had defrauded the university, including Mr. Georgiou. The same day, the university's general counsel, Harriet Lewis, met with a senior executive at Infrastructure Ontario, Bill Ralph, who at the time was the procurement agency's chief risk officer, both York and IO said in separate statements. Ms. Lewis informed Mr. Ralph that York had launched a lawsuit against Mr. Georgiou and others because of what the internal investigation uncovered.
  • Mr. Ralph did not respond to requests for comment. Two weeks after the meeting, Mr. Georgiou suddenly resigned. A few days later, the CEO of Infrastructure Ontario, David Livingston, announced in a company-wide e-mail that Mr. Georgiou was "leaving." The departure e-mail made reference to "various personal and family matters" Mr. Georgiou needed to address. "I know it was a tough decision for him, but I admire him for making it." Mr. Livingston did not respond to repeated requests for comment e-mailed to him and to his lawyer. After leaving IO, Mr. Livingston was appointed chief of staff in May, 2012, to Dalton McGuinty, then premier of Ontario. Mr. Livingston has been accused by Ontario Provincial Police of orchestrating a plan to purge government records after the controversial cancellation of two power plants. He has denied through his lawyer that he did anything wrong.
  • Employment lawyer Natalie MacDonald said a chief risk officer should give the board of directors any information that could damage the organization's reputation. A risk officer has a "duty to inform the board so it can make an informed decision," Ms. MacDonald said, speaking generally. But according to Infrastructure Ontario's organization chart, the chief risk officer reports directly to the CEO rather than to the board. In an interview last Wednesday, Ms. Robinson, the board vicechair, said the news that Mr. Georgiou had, at one time, been named a defendant in the lawsuit and admitted writing false invoices never made its way to the agency's board.
  • In April of 2012, Mr. Georgiou and Mr. Lato signed a settlement agreement with York that required them to pay restitution - the amount has not been disclosed in public documents - which Mr. Georgiou said in his statement to The Globe was covered by the "party" who requested the invoices. One of the conditions of the settlement is that York "shall not make any statements to the media" about the agreement or about allegations levelled in York's claim, except to say that Mr. Georgiou co-operated.
  • Seven months later, St. Michael's board meeting minutes show that it had identified a preferred candidate to replace its chief administrative officer, and in the New Year, Mr. Georgiou officially started his new job. In its statement, St. Michael's said an external search firm was enlisted to identify Mr. Georgiou, and a separate firm conducted reference interviews. The issues at York were "never disclosed by Mr. Georgiou," St. Michael's statement said.
  • In his statement to The Globe, Mr. Georgiou said he has led the hospital in securing government funding, as well as capital redevelopment funding. "During my tenure at St. Michael's we have achieved tremendous results for the hospital both in the excellence of our hospital's performance as well in the success of our redevelopment project."
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