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Doug Allan

Your Health System website reveals Canadian health care statistics by hospital, region,... - 0 views

  • A unique website from the Canadian Institute for Health Information (CIHI) will allow Canadian hospitals, health regions, provinces and territories to compare how they measure up on 37 indicators related to access, quality of care, patient safety and emerging health trends across the country.
  • “This website and its data should help health sector leaders make decisions about the delivery of health services based on comparisons with leading practices. Our experiences and those in other jurisdictions show that public reporting like this makes our health system function more effectively. In spring 2015, we will release similar comparative data for long-term care facilities across the country.”
  • Using data provided to CIHI over several years from Canadian hospitals, as well as other data sources, the website can measure a broad range of topics, including hospital readmission rates, rates of in-hospital infection from sepsis, avoidable deaths from treatable causes and hospital deaths following major surgery. Indicators of the health status of Canadians by province and region are also available, including average life expectancy at birth and at age 65, and the number of hospitalizations due to heart attacks and strokes.
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  • “Your Health System is a new resource health care managers can use to look at their own data and then compare outcomes with those of peer hospitals, regions, and other provinces and territories across the country,” says Jeremy Veillard, vice president of Research and Analysis at CIHI.
  • CIHI intends to expand the site in 2015 by adding comparable data for long-term care facilities. Indicators will be updated on an ongoing basis.
Govind Rao

Pictures of health; Through photographs and words, a website chronicles the human dimen... - 0 views

  • The Globe and Mail Thu Sep 3 2015
  • Parents of a four-year-old battling a rare form of cancer reflect on how polished their doctor was giving them heartbreaking news. A transgender male explains how he felt stigmatized by the health-care system when looking for help. A daughter brings her ailing mother home to die. And a nurse practitioner with a positive outlook visits inner-city patients.
  • These are some of the personal accounts profiled on the website Faces of Health Care, a recent initiative that seeks to bring the human face back into the health policy picture. Inspired by the work of photographer Brandon Stanton on his popular blog Humans of New York, the photojournalism project uses portraits and quotes of patients and practitioners to tell the stories of Canadians who interact with the health care system.
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  • "Health care is an industry about people," says Andreas Laupacis, the creator of the website, which launched in July. "But there's a strain on the ways patients interact with their health-care providers and the people that create the policies and manage the system are sometimes so removed from the reality of it."
  • Mr. Laupacis is in the health field, as the executive director of the Li Ka Shing Knowledge Institute of St. Michael's Hospital, board chair of Health Quality Ontario and a board member of Cancer Care Ontario. The new site is linked to HealthyDebate.ca, an online health policy magazine and another one of Mr. Laupacis's creations.
  • As technology is further integrated in the system, he says, there are fewer face-to-face interactions, and sometimes patients become a "drop-down menu" rather than a human being. With a group of writers and photojournalists, Mr. Laupacis aims to tell the stories of the people affected by health-care decisions, both positively and negatively, as well as all the murky in-betweens.
  • His collaborators are either in the health-care field or have a strong interest in it, such as Dr. Jeremy Petch, a photographer, and Wendy Glauser, the main writer for HealthyDebate.ca. "Even those of us that work in the health care system, we only work in a certain part of it, so we only have an idea of a certain side," he says. "I think it's really valuable for us to be able to hear and see those faces and stories."
  • Policy makers and managers of health care are often removed from the realities of giving and receiving care, they explain on their website. So they rarely see the human consequences, both good and bad of their decisions. The project is meant to give voice to those impacted by the decisions and spark a different way of thinking. For Cathie Hofstetter, a woman living with rheumatoid arthritis for the past 23 years, who was profiled by the site, it was a great opportunity. "They're doing a wonderful thing," she says.
  • "These voices really need to be heard. How else are you going to know if something is working or failing?" So far, it's been positively received. In a 30-day crowdfunding campaign to help pay for the website's operations, $15,000 was raised. The site has also been met by positive feedback from people reaching out to share their own experiences. The plan, Mr. Laupacis says, is to have two new faces up on the site every week and expand outward from Toronto, where the stories are based now, to other parts of Ontario, and then across Canada. Next month, he is travelling to Quebec to interview people in small towns, hoping to encompass a wider range of health issues.
  • "I'm looking for diversity on the site, different stories from people who haven't had the chance to share them," he says. IN THEIR WORDS When you go into someone's home, it is a different power relationship. I am a guest.
  • You have to win them over. A lot of the folks who are living at home in dire circumstances, or in supported circumstances, are there because they are fiercely independent. So, they don't like this bossy nurse telling them what to do. Lorna, a nurse practitioner I walked into the office of my old family doctor and told her I was trans and that I wanted surgery. She said she would look into it but I could tell she was not very comfortable with it. Within a couple weeks, she called me at my home. 'I'm really sorry but I just don't know what to do with you' were her words.
  • Lucas I just knew that I wanted my mom to be where she could be comfortable and have somebody with her all the time, and that I wouldn't have to hear from somebody 'Oh, your mom's died'. So that I would be there with her. Pat When we were initially told that our four year old had cancer, aside from being in shock, I remember how polished the doctor was in his presentation. I remember thinking how sad it was that a man could be so polished and deliver such devastating news. Kirby, father of Indira (pictured)
Govind Rao

8 steps toward addressing Indigenous health inequities - Healthy Debate - 0 views

  • by Wendy Glauser, Joshua Tepper & Jill Konkin (Show all posts by Wendy Glauser, Joshua Tepper & Jill Konkin) January 7, 2016
  • The health inequities between Indigenous and non-Indigenous Canadians have long been shamefully apparent – the various studies finding infant mortality rates in Indigenous populations to be 1.7 to four times that of non-Indigenous populations; the diabetes prevalence that’s nearly twice that of non-Indigenous people; the fact that Indigenous people are six times more likely to suffer alcohol-related deaths; and many more.
  • Better support for health workers in Indigenous communities
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  • Address prejudice among health workers
  • Provide benefits for Indigenous people not recognized by the Indian Act
  • Put less addictive pharmaceutical options on the formulary
  • Collaborate more across service providers
  • Make trauma-informed care the standard of care
  • Address smoking rates in Indigenous communities
  • Implement basic standards for supplies in nursing stations in remote, Indigenous communities
Govind Rao

Heartbleed Vulnerability at CIHI | CIHI - 0 views

  • Heartbleed Vulnerability at CIHI What is it? The Heartbleed vulnerability is a critical vulnerability affecting specific versions of OpenSSL, an extensively deployed open source library used in the products of many vendors. Has CIHI been compromised? No. Overall, the impact of this vulnerability for CIHI so far has been “low,” since none of the publicly available websites that we host internally were affected.  What is CIHI doing about it? Fortunately, we detected this issue early and immediately assessed our website and external systems and proactively applied any necessary remediation. We are continuing to audit our external systems and working with our vendors to ensure we proactively address any issues that may arise.
Irene Jansen

Hospitals to publish statistics on superbugs (New Brunswick Telegraph-Journal ) - 0 views

  • Statistics on infectious diseases in hospitals - including fast-spreading superbugs - will be published on Horizon Health Network's website as of May 1.
  • New Brunswick hospitals have been under pressure to publish the number of people suffering from ailments from so-called superbugs that are resistant to antibiotic treatment following a recent incident at the Dr. Georges-L-Dumont University Hospital in Moncton.
  • "no answer at this time" when asked if Vitalité would begin publicly reporting the number of cases of C. difficile or other superbugs.
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  • Many hospitals in other provinces publish their infection rates on their websites, and in Ontario it's required by law.
  • the accepted Canadian standard.
Cheryl Stadnichuk

More private day surgeries to be done in Regina and Saskatoon | Regina Leader-Post - 0 views

  • More day surgeries will be done at private clinics in Regina and Saskatoon after the Saskatchewan Surgical Initiative got a cash infusion in Wednesday’s provincial budget. To shorten surgical wait times, $70.5 million was allocated to the Surgical Initiative — a $20-million increase. “Over the last year, in large part due to a higher demand for surgeries than we had forecasted at the beginning of the last fiscal year, we started to see our surgical wait times start to creep up again,” Health Minister Dustin Duncan told the Leader-Post on budget day.
  • In 2010, the provincial government introduced the Saskatchewan Surgical Initiative — a plan to shorten surgical wait times. At the time, the government promised no patient would wait longer than three months for elective surgery by 2014. Although the initiative concluded in March 2014, wait time information continues to be updated on the website monthly. According to the latest data on the Surgical Initiative’s website, 1,934 patients in the Regina Qu’Appelle Health Region (RQHR) and 2,835 in the Saskatoon Health Region (SHR) had waited more than three months at the end of March. There were 317 RQHR patients and 1,000 SHR patients who had already waited longer than six months for surgery on March 31.  The SHR saw a 7.5-per-cent growth in demand for surgeries from April 2015 to April 2016
Heather Farrow

Health Canada orders mandatory reporting of drug shortages - Manitoba - CBC News - 0 views

  • 'I am hoping Health Canada will step up,' says mom whose son will run out of critical medication
  • May 20, 2016
  • So much depends on a little white pill in the Smith household.  Nicholas, 16, needs Clobazam three times a day to keep his epileptic seizures in check and his life on track.  Problem is, his supply is set to run out on Aug. 1 because of a countrywide shortage. "It is heartbreaking," said his mother, Tina Smith, who lives in Guelph, Ont.
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    Health Canada introduced mandatory reporting of drug shortages, which it plans to make public on its website and a new app. It will replace the current voluntary industry-run site.
Irene Jansen

Funding Models Summary Report CIHI CHSRF Nov 2010 - 0 views

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    This report highlights key points raised in plenary presentations and discussion periods at the invitational forum Funding Models to Support Quality and Sustainability: A Pan-Canadian Dialogue. The plenary presentations and audio recordings from the keynote presentations are available on the partner organizations' websites, as is background material. Summary points arising from the discussion periods are contained in this document.
Irene Jansen

Health Care Funding - Evidence and perspectives for funding health care in Canada. - 0 views

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    Health Care Funding is a website supported by the UBC Centre for Health Services and Policy Research, and the Canadian Institutes of Health Research which aims to be " A central, reliable and impartial resource for literature, news and discussion regardin
Govind Rao

Website designed to foster dialogue about pharmacare in Canada | Canadian Federation of... - 0 views

  • Topic: PharmacarePublication date: Thu, 2013-12-12
  • As you may know, every developed country with a universal health care system provides universal coverage of prescription drugs ... except Canada! This is gap in Canadian "medicare" is costing us dearly. One in ten Canadians cannot afford to fill prescriptions their doctors write for them. Millions of Canadian patients who do fill prescriptions do so at considerable cost to themselves and their families. Canadian physicians have fewer tools and incentives for optimal prescribing than doctors in comparable countries. And overall, the fragmented pharmacare systems found in Canada all lack the administrative efficiency and purchasing power of a single-payer system -- a power that could save Canadians as much as $14-billion per year! Many more (deliberately-short) facts and arguments can be found on pharmacare2020.ca. Please visit it and share it with your networks - - professional and personal!
Govind Rao

Raise the Alarm on March 31: Day of Action for a new Health Accord < Health care | CUPE - 0 views

  • Feb 19, 2014
  • WHY: &nbsp;The federal-provincial Health Accord expires March 31, 2014. Since 2011, Ottawa has refused to meet with the Premiers to sign a new Accord. Instead, the federal Conservative government plans to cut $36 billion from public health care.
  • Mary Catherine McCarthy 613-237-1590, ext 203, mmccarthy@cupe.ca. Please let her know what you are planning so we can add it to this website and let others know.
Govind Rao

End pain clinic infections secrecy, critics say as more cases revealed; 'The whole thin... - 0 views

  • Toronto Star Tue Sep 23 2014
  • Patients profiled by the Star said no one volunteered to them they were infected at the clinic - not the Rothbart clinic, not James, not Toronto Public Health (TPH), which investigated the outbreak, and not the College of Physicians and Surgeons of Ontario (CPSO), which has regulatory oversight of such clinics, known as "out-of-hospital" premises. The TPH investigation included an infection-control audit, done in conjunction with Public Health Ontario. It found 170 deficiencies, including improperly sterilized equipment. TPH has never made the results of its investigation public. The CPSO inspected the clinic a number of times after the outbreak. Its online register shows it gave the clinic "conditional" passes for three inspections, with conditions related to improving infection control. But there is no mention on the CPSO website there was an outbreak, infection-control breaches or people were made ill. Gelinas said she is "really, really worried" that the province is moving services out of hospitals and into clinics that do not have the same level of oversight and accountability.
  • Health Minister Eric Hoskins said in a written statement that improving transparency in the health system is a top priority. He noted that the CPSO last year amended a bylaw allowing details of inspection outcomes to be posted on its website. Kacho only learned on Saturday evening that her meningitis was linked to her treatment at the clinic. That's when she said she got a "shocking" phone call from a TPH official. TPH has been trying to reach the nine patients infected since Friday, the day before the Star article appeared. "We are in the process of contacting these individuals as a courtesy and to ensure transparency. Our goal is to ensure that patients were aware that an investigation that they were part of was likely going to be profiled by a media outlet," TPH spokesperson Lenore Bromley said. TPH earlier this month told the Star that the infected patients had been contacted during the outbreak, at which time they were informed of the investigation into the clinic and told there had been breaches in infection control.
Govind Rao

New web tool lets Canadians judge health care - Health - CBC News - 0 views

  • Find our how your city's or region's health care measures up CBC News Posted: Nov 07, 2013
  • A new website aims to provide Canadians with a user-friendly snapshot of how the health system is performing. The Canadian Institute for Health Information (CIHI) released its interactive tool,&nbsp;OurHealthSystem.ca, on Thursday.
Govind Rao

Why a health-care report was dead on arrival - Infomart - 0 views

  • The Globe and Mail Wed Jul 22 2015
  • When the Harper government has something to brag about, we hear about it, endlessly. When the government has something to hide, the information comes out without ministerial comment on a Friday afternoon. So it was last week that the Prime Minister's Office buried a long, detailed report about federal innovation in health care that the government itself had commissioned.
  • The Advisory Panel on Healthcare Innovation, chaired by former University of Toronto president and dean of medicine David Naylor, was to have been released at a news conference in Toronto on July 14. The day before the news conference, however, the PMO cancelled it and decided to release the report without notice on the Health Canada website on July 17. Just as the PMO hoped, the report received little attention. Health Minister Rona Ambrose, who was to have spoken about the report, was gagged. The posting on her department's website was timed so that it appeared only after the provincial premiers had finished their final news conference in St. John's, in case the report gave any or all of them ammunition to embarrass the federal government. Such is the way this government works.
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  • It's not hard to figure out why the Naylor report displeased the government. The panel was given a difficult, bordering on impossible, job: recommend innovations without Ottawa spending any more money. The panel's mandate read that recommendations "must not imply either an increase or a decrease in the overall level of federal funding for current initiatives supporting innovation in health care."
  • The Naylor panel ignored the mandate, explaining in its report that "although it was not an easy decision, we did not follow this guidance." Later, it warned that "absent federal action and investment, and absent political resolve on the part of provinces and territories, Canada's healthcare systems are headed for continued slow decline in performance relative to peers." To that end, the panel recommends creating a health innovation fund with a $1-billion yearly budget to invest in changes to the health-care system in conjunction with willing provinces and health-care institutions.
  • Such a fund would be just about the last thing the Harper government desires. This government is running on balancing the budget. Adding $1-billion a year in spending would not be what the government wants. Such an investment fund would have little political profile - nothing as sexy as, say, national pharmacare (which the panel cursorily debunked). It would also run the risk of provoking premiers who screamed in St. John's for more cash transferred from Ottawa to them, without strings attached.
  • For 2017-18, the federal government has announced it will reduce the increase in Ottawa's annual health-care transfer to the provinces from 6 per cent to something in the range of 3 per cent to 3.5 per cent, depending on economic growth. The provinces would likely not appreciate losing money from Ottawa with one hand, and then getting some, but only some, of it back through the innovation fund. The Harper government was hoping for change-on-the-cheap from the panel: innovation that would cost nothing but improve the system. It certainly has no interest in an expanded, direct federal role in health care, having made it abundantly clear that health care is for the provinces, except for Ottawa's responsibility for aboriginal and veterans' health, public health and drug approvals.
  • Moreover, provincial health budgets are rising on average now by only 2 per cent a year, compared with 7 per cent a decade ago, far below the 6-per-cent increases in transfers still coming from Ottawa. The premiers would love the transfer to return to 6 per cent, as would the federal New Democrats. That would be the single dumbest move any federal government could make, given the lamentable experience of the 2004-11 period, when money gushed out of Ottawa but bought little improvement in the healthcare system. The Naylor panel noted, as have many observers, that the money improved things for providers, but not for many patients.
  • The Naylor report covers all the ground about the manifold weaknesses and sturdy strengths of the Canadian system compared with other countries. It hails, quite rightly, some aspects of the U.S. system, especially the coordinated care of the best health organizations such as Kaiser Permanente.
  • Its broad recommendations, however, are dead on arrival in Mr. Harper's Ottawa, which is why the report slid into the public domain with such little notice.
Govind Rao

Big pharma's relationship with your doctor needs some U.S.-style sunshine - The Globe a... - 0 views

  • Mar. 26 2014
  • By the end of this year, President Barack Obama’s Sunshine Act will have drug companies report virtually every transfer of value to doctors and academic hospitals. With payments of as little as $10 dollars to be listed on a public website, this marks a serious undertaking in the world’s most sophisticated pharmaceutical market.
  • To be sure, it will take strong provincial leadership to hold pharmaceutical companies to account. We are calling on the Ontario Ministry of Health to make disclosures of payments to doctors compulsory for any pharma companies with drugs listed on the Ontario Drug Benefit Program. By making this information publicly available on a website, it will no longer fall on the patient to ask whether their physician has been paid by drug makers. This is efficient from a taxpayer’s perspective as it would not involve spending much public money, while it also leverages the bulk buying of drugs to put patients directly in the centre of care.
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  • In Canada, it’s time we start betting on patients over pharma.
Govind Rao

Hospital pest woes blamed on renovations; Official says rodents do not pose imminent he... - 0 views

  • Calgary Herald Mon Jan 19 2015
  • Rats scurrying down hospital hallways, chewing through wires and nibbling on food scraps near the cafeteria. These are a few of the recent rodent sightings reported by public health inspectors, nurses and staff members at B.C. Women's and Children's Hospital in Vancouver.
  • Inspectors issued verbal and written directives after the Dec. 22 visit, according to the environmental health inspection report, which notes: "Minimal pest proofing has been completed to date which is contributing to the difficulty in controlling and abating the rodent activity with the food services." The report also mentions: "A number of food products have been chewed through resulting in products being discarded," and "wiring of equipment chewed on in the retail side which also raises a safety concern." The most recent inspection report lists a "Target Completion Date" for rodent control recommendations as Jan. 27. Taki said the hospital has an action plan in place with the help of the pest control company. "We've asked them to almost quadruple-up on the service until everything gets under control," said Taki.
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  • A surging rat population in the hospital's cafeteria and food preparation area has prompted management to step up rodent control efforts in recent weeks. Inspectors believe that despite the increase, the rodents do not pose an imminent health risk to the hospital's patients, visitors or staff, said Richard Taki, regional director of health protection for Vancouver Coastal Health. But the results of last month's inspection highlight the hospital's ongoing challenges dealing with vermin, a situation hospital management and health inspectors say has been exacerbated by demolition and construction work in recent months. Inspection reports from 2013 show Vancouver Coastal Health had previously identified issues with rats and mice in the hospital cafeteria and more recently, last month's inspection found signs the problem had worsened.
  • "I don't think it's any different from any restaurant that has a rodent problem. They have rodents, they're under control, they've got a company looking after it. They're working toward resolving a problem, but you know, we live in a city that has rats everywhere." Nurses have seen the pest problem worsen, along with general cleanliness, said Claudette Jut, regional chair of the B.C. Nurses Union council. The Hospital Employees Union has identified the issue of short staffed cleaning and food service in the hospital and raised it "on several occasions" with the private contractor who employs the workers, said HEU spokesman Mike Old. "It's hard for us to tell what exactly has contributed to the rat infestation," said Old. "But it's a problem, I think, that the delivery of services is so badly fragmented because of privatization."
  • Frank Levenheck, director of facilities management for B.C. Women's and Children's Hospital, said demolition and construction on the hospital campus has contributed to the cafeteria's rodent issue. Over the past three weeks, hospital management has increased its efforts, Levenheck said, which includes working to seal holes in the building that act as entry points for vermin, more frequent cleaning and more frequent visits from the pest control company. Demolition for the hospital redevelopment began last May. Excavation began in August and is scheduled to be complete in February. Eight months before demolition began, hospital management had been directed to improve rodent control, records show. A VCH inspection on Sept. 3, 2013 found issues with "Inadequate Insect/Rodent Control," noting: "Areas have not been cleaned and Manager not aware if Pest Control has been in to specifically address these new sightings. Communication between services found to be poor and lacking in followup."
  • A week later, a followup reinspection report dated Sept. 10, 2013, noted: "Rat droppings still to be THOROUGHLY cleaned from underneath the heater vents in the production area. Noted mouse droppings in warehouse areas have not been cleaned up." The next Inspection Report, from July 2014, does not specify whether the rodent situation had improved or worsened since the problems noted in the report from the September before. The July 2014 report was the most recent posted to the Vancouver Coastal Health website until Postmedia News contacted the health authority this month to ask about inspections. Taki acknowledged the Dec. 22 inspection and provided Postmedia with a copy of the report, which was subsequently uploaded to the health authority's website.
  • Kristy Anderson, a spokeswoman from the provincial Ministry of Health, said if an inspector finds a food service establishment is not responsive to food safety notices or orders, the establishment "could be fined or ultimately be required to shut down until the situation is remedied. To our knowledge this has never occurred in a hospital or health authority-run facility."
  • Eight months before demolition, management at B.C. Women's and Children's Hospital had been directed to improve rodent control, records show.
Govind Rao

New legislation restricts access to services; The change in the federal government will... - 0 views

  • The StarPhoenix (Saskatoon) Mon Nov 23 2015
  • There is nothing novel about providing some medical services in a private practice setting in Saskatchewan. Imaging services, such as X-rays and ultrasound, are already provided that way. What is novel is to legislate that these services will be privately paid for.
  • The Canada Health Act requires that medicare finance all "medically necessary" physician services. The intent of the act is that services be distributed on the basis of medical necessity rather than ability to pay. There is no doubt that the new Saskatchewan legislation will restrict access to services if private MRIs are not covered by medicare. Of course, enforcement of the federal Health Act is subject to ministerial discretion. The Saskatchewan government, when it drafted its legislation, was probably confident that the former federal minister would be discreet. It is highly doubtful that the new federal Liberal government will take the same view
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  • But Saskatchewan's Health Minister Dustin Duncan seems to believe that a novel feature in their "model" will make it palatable: MRI providers will be required to provide a "public" MRI for each private MRI sold. There is great fog around this stipulation. MRI clinics in Alberta and British Columbia provide a menu of services, just like an auto repair shop. Of course, it is difficult to identify prices for Canadian MRIs because their websites, while advertising "competitive" prices, ask you to contact them. The United States is more "competitive." For example, Ohio law requires hospitals to publish their prices. The website for medcentral.org lists more than 40 items in its MRI price list.
  • Here is my question: If a Saskatchewan MRI provider does a foot scan for a private patient, does it then have to do a foot scan for a public patient? How will this be monitored? Also, when does the public patient get her foot scan? If a paying patient is standing in the door, does the MRI provider say, "Sorry, you have to wait till we provide the public foot scan that we owe?" How is this monitored? Does the government pay for the patient from the public list? If so, at what price?
  • Is this simply a revenue guarantee in disguise? Undoubtedly Bill 179 provides for wide ministerial discretion. Can we bank on the minister being discreet? This model is bizarre. If the provincial government is seeking ways to provide more MRIs without having to incur the upfront capital costs and to remove the operating costs from its budget, then just negotiate MRI fees in the physician fee schedule, as currently occurs with other imaging services.
  • However, it might quickly become obvious that the private modality cannot compete with cost effective public provision. Glen Beck is emeritus professor of health economics at the University of Saskatchewan.
Irene Jansen

Shilling for private health care - thestar.com - 0 views

  • Some hospital procedures are paid by OHIP. Most are paid out of global budgets. Each and every procedure is paid for by OHIP in a private clinic — an incentive to do more than medically necessary.
  • government pays about 50 per cent more to have tests done in the private sector than in a hospital according to a 2008 consultants report.
  • Last year Ontario hospitals were being allocated $260 per hour to perform MRIs. Hospitals do an average of 1.5 MRIs per hour. Canada Diagnostics, a private for-profit MRI company that operates clinics in British Columbia, Alberta and Quebec, states on its website that it charges between $900 and $1,600 for an MRI.
Doug Allan

Panels on future of Scarborough hospitals expected to be named soon - Infomart - 0 views

  • Robert Biron stepped into the CEO job at The Scarborough Hospital last week as the hospital prepared to plunge into work that will determine its future in a short length of time. The hospital's senior administrators were surprised on March 27 when the Central East LHIN, the region's health care overseer, froze their controversial plans to divide all surgical services between the Birchmount and General campuses and to merge their separate birthing centres into one centre at the Birchmount.
  • It also ordered other teams to do a six-month study - starting with a "directional report" in 60 days - on possible service mergers between the hospital and the Rouge Valley Health System, plus a 90-day review of how maternal and pediatric care could be shared within Scarborough.
  • During a hospital board meeting last Tuesday, he said one community member from each hospital's catchment area will be appointed by the LHIN to the panel studying integrations between the hospitals.
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  • As for an integration with Scarborough's other hospital, TSH Chairperson Stephen Smith said the board five years ago looked at the Centenary campus as a potential partner and broached discussions with RVHS, so the LHIN directive "to us, makes sense."
  • Though the LHIN's intervention kept TSH from finalizing its budget in April, the hospital's board did approve 186 cost-cutting initiatives in teleconferences on April 10 and April 25, including elimination of 198 jobs, closure of 20 beds and two operating rooms, and a "summer slowdown" in certain medical services.
  • The outline of the hospital's 2013-14 Operating Plan, intended to close a shortfall that had grown to $19.6 million, has been released and posted on its website
  • Scarborough-Agincourt MPP Soo Wong said hearing about members leaving the board has made her more concerned about the hospital than ever, and that she still supported a provincial appointment of a supervisor to run TSH, despite Ontario Health Minister Deb Matthews decision to give Biron a chance to address community concerns.
  • Wong also said the short timeline remaining for the LHIN-ordered consultations is worrisome.
Irene Jansen

Private medical clinics offering pricey care perks - 0 views

  • increasing numbers of Albertans are choosing to pay for memberships at private clinics
  • In the four years since it opened, Copeman has seen its roster of clients willing to pay the annual charge of up to $3,900 to become patients at its Beltline facility swell from a few hundred into the thousands.
  • Last summer, it opened a second clinic in Edmonton.
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  • In recent years, at least four other companies — Helios Wellness Centres, Inliv, Provital Health and Wellness, and Preventous Collaborative Health — have also opened clinics in Calgary
  • an inquiry into preferential access to health services heard testimony that Helios clients who paid annual fees of up to $10,000 got screening for colon cancer at a public facility within months, while other routine patients waited up to three years.
  • At a website where consumers can rate their physicians, anonymous comments indicate some doctors have dumped existing patients in the public system so they can take on paying clients at private clinics.
  • Dr. Trevor Theman, registrar of the College of Physicians and Surgeons of Alberta, said he’s warned doctors joining these clinics that they risk breaking the disciplinary body’s standards of practice if they terminate their relationship with patients based on their socio-economic status.
  • he’s ready to investigate.
  • Health Minister Fred Horne urged patients who may have been dumped by doctors joining private clinics to contact his office.
  • William Lahey, a law professor at Dalhousie University who prepared a report for the public inquiry, says he’s concerned the private clinics may be violating the spirit if not the letter of federal health legislation.
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