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Govind Rao

Option to pay for MRIs coming - Infomart - 0 views

  • Yorkton This Week Wed May 20 2015
  • New legislation introduced will give patients the ability to choose to pay privately for a Magnetic Resonance Imaging (MRI) scan in Saskatchewan. "Reducing wait times and giving patients more choice over their own care decisions is a high priority for the people of Saskatchewan," Health Minister Dustin Duncan said. "Wait times for many services are still too long. Our government is committed to moving forward with new and innovative solutions to barriers that prevent the very best in patient access and satisfaction."
  • The new legislation will allow for the creation of regulations that will require private clinics to provide a second scan to a patient on the public wait list at no charge every time a scan is provided to someone who chooses to pay for their own MRI. A physician referral will still be required to obtain an MRI scan. This arrangement is similar to agreements that are in place that allow for the Saskatchewan Roughriders and the Worker's Compensation Board (WCB) to purchase MRI scans. In both agreements, the Roughriders and the WCB pay for an additional scan for a patient on the public wait list. "The requirement for a private clinic to cover a second scan on the public wait list will increase fairness and access," Duncan said. "We are once again leading the way with an innovative, made-in-Saskatchewan approach to reducing wait times." Following passage of the Act and the establishment of regulations, private-pay MRI services could be offered in existing private MRI facilities as early as the spring of 2016. This model will be evaluated after one year in order to ensure it is meeting the goals of improving access to safe, high quality care.
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  • As of March 31, 2015, there are an estimated 4,000 - 5,000 patients waiting for MRI services in Saskatchewan.
Irene Jansen

Healthcare Policy Vol. 7 No. 1 2011 Do Private Clinics or Expedited Fees Redu... - 0 views

  • Discussion: An overall difference of approximately three work weeks in disability duration may have meaningful clinical and quality-of-life implications for injured workers. However, minimal differences in expedited surgical wait times by private clinics versus public hospitals, and small differences in return-to-work outcomes favouring the public hospital group, suggest that a future economic evaluation of workers' compensation policies related to surgical setting is warranted.
  • In 2004, for example, WorkSafeBC (the workers' compensation system in British Columbia) paid almost 375% more ($3,222) for an expedited knee surgery performed in a private clinic than for a non-expedited knee procedure in a public hospital ($859) (both fees represent the aggregation of facility, surgical and anaesthetists' fees)
    • Irene Jansen
       
      ownership and quality (for-profit = worse quality)
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  • As a policy under the workers' compensation insurance system, expedited fees were effective in reducing wait time to surgery. While a difference of only two weeks may not improve longer-term clinical outcomes post-surgery, it represents a reduction in the total disability duration (i.e., pain, suffering, quality of life) for the injured worker and increases the worker's likelihood of successfully returning to work; the reduced disability duration also represents a cost saving to the workers' compensation system for time-loss benefits and to employers who pay compensation premiums based on the frequency and duration of their claims experience.
    • Irene Jansen
       
      See two paragraphs down, which suggests that expedited patients did not in fact return to work faster.
  • the provision of surgeries "after hours" or within private clinics may result in a redistribution of finite resources (e.g., surgeons, surgeon time, surgical staff) from one insurance provider to another, favouring those associated with higher fees, thus creating inequities. An evaluation of the effect of workers' compensation policies on inequity in the provincial healthcare system was not part of this study and warrants future investigation.
  • Despite surgery wait time differences, injured workers in the public hospital group tended to do slightly better in terms of time to return to work after surgery compared to workers in the private clinic group
  • . In this case, the improved outcomes were a shorter disability duration and earlier return to work for injured workers. Some might argue that the approximate one-week difference was not statistically significant and, as such, the provision of surgeries with private clinics "does no harm" within the context of the workers' compensation environment. Yet, as with expedited fees, it remains unclear whether the reliance on for-profit clinics increases capacity for surgeries with costs borne appropriately by employers and industries for work-related injuries, or whether they redistribute finite resources away from the provision of surgeries within the public healthcare system. Further, minimal differences in disability duration for patients treated by private clinics relative to those treated in public hospitals, given the added cost associated with surgeries performed in for-profit clinics, suggest that a future economic evaluation of this workers' compensation policy is warranted.
  • the time leading up to surgery may be confounded by co-morbidities and that individuals with complications may be directed to the public system
  • A difference of approximately two weeks in surgery wait time associated with the expedited fee policy may have meaningful clinical and quality-of-life implications for injured workers, in addition to being cost-effective policy for workers' compensation insurance systems, but did not affect the return-to-work time post-surgery as part of total disability duration. Minimal (and not statistically significant) differences in disability duration were observed for surgeries performed in private clinics versus public hospitals.
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    An overall difference of approximately three work weeks in disability duration may have meaningful clinical and quality-of-life implications for injured workers. However, minimal differences in expedited surgical wait times by private clinics versus public hospitals, and small differences in return-to-work outcomes favouring the public hospital group, suggest that a future economic evaluation of workers' compensation policies related to surgical setting is warranted.
Govind Rao

CUPE Ontario | Injured Worker Pickets at the Ministry of Labour - 0 views

  • Workers injured on the job hold the Ontario government responsible for severe WSIB cuts.   The Ontario Network of Injured Workers Groups will picket the Ministry of Labour in the weeks leading up to June 1st, Injured Workers Day. Unions including the UFCW, CUPE, USWA, and OPSEU will also be present to join in the demand that the Wynne government take immediate action to stop the sweeping and harmful changes taking place at the WSIB. Come add your voice: 12:00 Noon to 1:00 PM Ministry of Labour 400 University Ave. Pickets on May 9th, May 16th and May 23rd
Govind Rao

New PTSD compensation bill in Manitoba | Canadian Union of Public Employees - 0 views

  • Sep 10, 2015
  • Troy Winters | CUPE Health & Safety On June 30, 2015, the Manitoba government passed Bill 35 which amends the Workers Compensation Act to recognize post-traumatic stress disorder (PTSD) as a work-related occupational disease. This law follows a similar change in Alberta that provides presumptive Workers Compensation coverage of PTSD for first responders.
Govind Rao

New PTSD compensation bill in Manitoba | Canadian Union of Public Employees - 0 views

  • Sep 10, 2015
  • On June 30, 2015, the Manitoba government passed Bill 35 which amends the Workers Compensation Act to recognize post-traumatic stress disorder (PTSD) as a work-related occupational disease. This law follows a similar change in Alberta that provides presumptive Workers Compensation coverage of PTSD for first responders.
Govind Rao

Evidence is in: privately funded health care doesn't reduce wait times | CCPA Policy Note - 0 views

  • June 14th, 2015 · Dr. Vanessa Brcic · 1 Comment · Health care, Privatization, P3s & public services
  • Koehoorn et al. studied cost of care and return-to-work time for 1380 WCB patients in BC who received privately funded and public services for knee surgery, and found that expedited, privately funded care was more expensive and did not improve return to work times – patients receiving care in the public system did marginally better for a fraction of the cost.[1]
Govind Rao

Health workplace safety a 'huge challenge,' B.C. health minister says - 0 views

  • Terry Lake says provincial government is open to ideas to stop attacks on nurses, doctors, health professionals  By Pamela Fayerman, Vancouver Sun April 7, 2015
  • Health minister Terry Lake said Tuesday that violence against health professionals should not be deemed “just part of the job” and the government is willing to listen to all suggestions on ways to make hospitals and other facilities safer for those who work in them.Lake made the comments in an interview after giving a short speech at the Summit to Prevent Workplace Violence in Health Care, held in Richmond and closed to the media and public. Among others, it was attended by those working in the health field, employers, government representatives, and health unions.
  • “We can’t accept that violence is part of the job,” he said. “It’s a huge challenge and we’ve got lots of work to do. So we’re listening to unions and all others.”
Govind Rao

CUPE Workers Overwhelmingly Ratify Tentative Agreement with Health PEI | CUPE PEI - 0 views

  • Charlottetown – “After 14 months of bargaining, conciliation and bargaining again, the CUPE Provincial Health Council and Health PEI were able to reach a tentative collective agreement on October 29, 2014, which our members today have overwhelming supported and ratified”, says Bill McKinnon, National Representative for the Canadian Union of Public Employees (CUPE).
  • This deal is a four year agreement expiring on March 31st, 2017 with wage adjustments over the four years totalling 8%. We were also able to obtain Maternity and Parental benefit top up, vacation improvements, as well as language surrounding wage continuation for members awaiting a decision on WCB claims, representing some of the more significant changes. Overall, it is a fair and reasonable settlement considering the economic realities in our world today”, concluded McKinnon.
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    Dec 9 2014
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