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Contents contributed and discussions participated by Irene Jansen

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Irene Jansen

Deb Matthews' dirty little secret in health care: Hepburn | Toronto Star - 0 views

www.thestar.com/...et_in_health_care_hepburn.html

Ontario hospital cuts privatization rehab

shared by Irene Jansen on 16 Apr 13 - No Cached
  • tens of thousands of Ontario patients are going without the treatments or services they need to function as best they can at home or in their communities.
  • Matthews, who has been health minister since 2009, has watched over her ministry as it quietly allowed vital services and funding in rehabilitation services — physiotherapy, occupational therapy, speech-language therapy, dietitians and social work — to be slashed across the province.
  • In recent years, hospitals from Ottawa to Toronto and Windsor have closed or drastically reduced their in-patient and outpatient therapy departments
  • ...2 more annotations...
  • At the same time, public funds allocated for at-home and community-based therapy services have been cut. This means more and more patients are being forced to pay for private therapists, whose fees start at about $60 an hour.
  • Between 2007 and 2012, the number of community-based visits to patients by physiotherapists plunged by 22 per cent, or 130,000 visits, according to the government’s own most recently published figures. Visits by occupational therapists fell by 30 per cent, speech-language pathologists 47 per cent, social workers 22 per cent and dietitians 20 per cent.
Irene Jansen

Tories deliver a hollow boast on health-care spending - The Globe and Mail - 1 views

www.theglobeandmail.com/...article11024546

federal budget CHT

shared by Irene Jansen on 16 Apr 13 - No Cached
  • The government of Stephen Harper has taken a wash-my-hands-of-it approach to health care for years.
  • in recent years, Ottawa’s only health-care interventions have been hostile ones: The ill-considered cuts in access to health-care services for refugees, the muzzling of scientists and researchers, and the slashing of jobs and budgets at Health Canada and the Public Health Agency of Canada.
  • The only health-related measure in which Ottawa seems to take an interest any more is transferring money to the provinces, something it has a legal obligation to do.
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  • Medicare became a national program in 1957
  • the new funding deal the ministers are praising was imposed on the provinces by Ottawa
  • 50-50 was the norm well into the 1970s, when the federal government began to weasel its way out of its commitment by replacing the straightforward promise to pay for half of provincial health spending by introducing complex funding formulas.
  • The upshot is that the federal government now covers less than one-quarter of publicly funded health spending – $30-billion of the $135-billion that comes out of the public treasury. So, actually, federal funding is at a historic low.
  • The agreement was that Ottawa would provide 50 per cent of costs.
  • And let’s not forget that the money is being transferred with no strings attached.
  • Ottawa changed how the money is distributed among the provinces so that it will now be allocated strictly on a per capita basis, with no provision for the fact that delivering health care is more expensive where the population is older and living in remote or rural areas; that means young, fast-growing provinces such as Alberta will get a lot more money, and aging, struggling provinces such as Nova Scotia will get a lot less.
  • The Conservative government takes the position that health care is uniquely a provincial responsibility. In doing so, it rejects the traditional role of the federal government to level the playing field, to ensure that health services are reasonably comparable for all Canadians, regardless of where they live. In recent years, the disparities in access to care have grown substantially because Ottawa has abdicated that role.
Irene Jansen

CUPE Ontario | EMS employers' "interference unwelcome" say paramedics opposed to a regu... - 0 views

cupe.on.ca/...ployers-interference-unwelcome

from heather CUPE Ontario ems regulation

shared by Irene Jansen on 16 Apr 13 - No Cached
  • is inappropriate for emergency service (EMS) employers to weigh-in to support college regulation for paramedics "when it is an issue for paramedics themselves to settle.
  • This is in addition to the oversight of the ministry of health, base hospitals and EMS employers.
  • The Canadian Union of Public Employees (CUPE) and the Ontario Public Service Employees Union (OPSEU) collectively represent 6500 certified Ontario paramedics already extensively regulated under the Ambulance Act
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  • OPSEU and CUPE paramedic members have directed the unions to oppose a regulatory college as it would mean a fourth level of regulatory oversight for the profession.
  • Despite the existing regulatory regime and widespread opposition from paramedics to a regulatory college, an association that does not legally represent paramedics (in collective bargaining) has filed an application with the Health Professions Regulatory Advisory Council (HPRAC) for a new fee-based college covering paramedics.
Irene Jansen

Provincial panel to shine a spotlight on the role of the RPN | RPNAO - 1 views

www.rpnao.org/...panel-shine-spotlight-role-rpn

from heather Ontario pn scope utilization

shared by Irene Jansen on 16 Apr 13 - No Cached
  • The Registered Practical Nurses Association of Ontario (RPNAO) is pleased to announce the launch of a new provincial project titled: ‘It’s All about Synergies: Understanding the Role of the RPN in Ontario’s Health Care System’.
  • This research and consultation project, which is expected to be completed by December, 2013
  • In addition to producing a final report outlining the findings, the working panel will also lead the development of a set of resources that nurses, nurse employers and educators will be able to utilize to help enhance their understanding of the scope and appropriate engagement of the RPN role in Ontario’s health care system
Irene Jansen

Improving Value at Hospitals Through Process Management Conference Board of Canada Marc... - 1 views

www.conferenceboard.ca/...abstract.aspx

from heather lean hospital

shared by Irene Jansen on 16 Apr 13 - No Cached
  • Using five case studies, the report demonstrates how process management techniques, which have been used successfully in other sectors, can improve health care outcomes and reduce costs in Canada.
  • Lean and Six Sigma
  • Hurley Medical Center
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  • Massachusetts General Hospital
  • Royal Victoria Hospital, Cardiac Surgery Unit
  • Royal Victoria Hospital’s Intensive Care Unit
  • Virginia Mason Medical Center
Irene Jansen

P3 hospital poll results unveiled | Local | News | The Kingston Whig-Standard - 0 views

www.thewhig.com/...hospital-poll-results-unveiled

Ontario coalition P3 poll

shared by Irene Jansen on 16 Apr 13 - No Cached
  • A total of 9,885 people voted in the 55 polls and 96% were in favour of the publicly-operated option, the option that the Kingston Health Coalition is espousing.
  • Providence Care got the go-ahead from the province for the proposed 270-bed facility in March 2011. Infrastructure Ontario is now reviewing the requests for proposal from three private companies. Construction may begin later this year with an opening date in 2016 or 2017. The private aspects of the project are the financing, design and construction of the hospital plus a 30-year contract to cover maintenance responsibilities.
Irene Jansen

Groups call for blanket coverage for medical imaging (Montreal Gazette) - 1 views

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

diagnostics private clinics Quebec doctors

shared by Irene Jansen on 12 Apr 13 - No Cached
  • However, Quebec radiologists are against universal coverage for the tests.
    • Irene Jansen
      Irene Jansen on 12 Apr 13
       
      Interesting, MQRP (CDM partner) is calling for public subsidies for medical imaging in private clinics while Quebec radiologists want more investment in hospitals. Explanation?
  • Patients should have access based on their health needs, not their financial means, Alain Vadeboncoeur, head of Quebec Doctors for Medicare (Médecins québécois pour le régime public)
  • the wait times for ultrasounds, magnetic resonance imaging (MRI) and CT scans can be as long as two years in hospitals, while the same services are available in less than 24 hours in private clinics. For patients without private insurance, MRIs done outside of a hospital can cost between $700 and $1,000.
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  • Four health associations representing Quebec doctors and medical students are demanding the province cover medical imaging done in private clinics.
  • “We propose (the government) invest this money in the public network to make it more productive so more tests are done with existing resources. Start by maximizing the use of equipment in hospitals, which are often limited due to chronic underfunding,” association president Frédéric Desjardins said in a statement.
  • Quebec Health Minister Réjean Hébert said he is open to extending coverage, in particular for ultrasounds.
Irene Jansen

PQ wants new hospital for Quebec City - 0 views

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

Quebec p3

shared by Irene Jansen on 02 Apr 13 - No Cached
  • Premier Pauline Marois announced plans for a new hospital, scrapping a Liberal plan to refurbish Quebec City’s Hôtel-Dieu, the oldest hospital in Canada.
  • The previous Liberal government was committed to a $1-billion refurbishing of the Hôtel-Dieu Hospital in Old Quebec, at first considering, then abandoning, the idea of building it as a public-private partnership, as is the case for the Montreal’s two new teaching hospitals, affiliated with McGill University and the Université de Montréal.
  • the hospital’s administrators have asked the government to consider a new hospital on vacant land adjacent to the city’s Enfant Jésus hospital.
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  • “If the former government and its health ministers used common sense and put their egos aside, the CHUM (Centre hospitalier de l’Université de Montréal) would be finished years ago,” the premier said.“The MUHC (McGill University Health Centre) would not be caught up in corruption scandals,” she added. “The former government ran into a wall and took Quebec with it.”
Irene Jansen

NHS reforms: From today the Coalition has put the NHS up for grabs - Telegraph - 0 views

www.telegraph.co.uk/...-put-the-NHS-up-for-grabs.html

shared by Irene Jansen on 02 Apr 13 - No Cached
  • Today the Health And Social Care Act – in other words, the Coalition’s highly controversial NHS reforms – comes into effect.
  • For the first time in NHS history, the majority of treatments will be put out to tender: private organisations will be competing to win contracts to provide NHS healthcare.
  • It wasn’t until a few weeks before the law came into effect that those missing pieces became available, when the Health Secretary, Jeremy Hunt, quietly announced the new regulations and attempts were made to push them through parliament. What was now clear was that the regulations effectively forced CCGs to put all services out to tender to the private sector and forbade them to favour the NHS as the provider.
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  • After a public outcry and criticism from the House of Lords at the way the Government had slipped in the Section 75 regulations at the eleventh hour, Hunt had them hastily rewritten. But most experts agree that there was no meaningful change. GPs are allowed to keep some services within the NHS, but only in particular circumstances, such as when no private sector provider comes forward to bid. Everything else is up for grabs.
Irene Jansen

Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Inc... - 1 views

www.plosmedicine.org/...10.1371%2Fjournal.pmed.1001244

privatization quality costs excellent

shared by Irene Jansen on 31 Mar 13 - No Cached
  • Studies evaluated in this systematic review do not support the claim that the private sector is usually more efficient, accountable, or medically effective than the public sector
  • Irene Jansen on 31 Mar 13
     
    Summary by Anna Marriott, Oxfam Access and responsiveness * Studies that measured utilization by income levels tended to find the private sector predominately serves the more affluent. In Colombo, Sri Lanka, where a universal public health service exists, the private sector provided 72% of childhood immunisations for the wealthiest, but only 3% for the poorest. * Waiting times are consistently reported to be shorter in private facilities and a number of studies found better hospitality, cleanliness and courtesy and availability of staff in the private sector. Quality * Available studies find diagnostic accuracy, adherence to medical management standards and prescription practices are worse in the private sector. * Prescribing subtherapeutic doses, failure to provide oral rehydration salts, and prescribing of unnecessary antibiotics were more likely in the private sector, although there were exceptions. * Higher rates of potentially unnecessary procedures, particularly C-sections, were reported at private facilities. In South Africa for example, 62% of women delivering in the private sector had C-sections, compared with 18% in the public sector. * Two country studies found a lack of drug availability and service provision at public facilities, while surveys of patients' perceptions on care quality in the public and private sector provided mixed results. Patient outcomes * Public sector provision was associated with higher rates of treatment success for tuberculosis and HIV as well as vaccination. In South Korea for example, TB treatment success rates were 52% in private and 80% in public clinics. Similar figures were found for HIV treatment in Botswana. Accountability, transparency and regulation * While national statistics collected from public sector clinics vary considerably in quality, private healthcare systems tended to lack published data on outcomes altogether. Public-private partnerships also lacked data. * Several reports ob
Irene Jansen

Lucian Leape Institute at NPSF Releases Report Urging Emphasis on Joy, Meaning, and Wor... - 0 views

www.npsf.org/...orkforce-safety-in-health-care

health and safety quality injuries violence harassment US

shared by Irene Jansen on 21 Mar 13 - No Cached
  • The Lucian Leape Institute at the National Patient Safety Foundation today released a report focusing on the health and safety of the health care workforce
  • Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care contends that patient safety is inextricably linked to health care workers’ safety and well-being because caregivers who suffer disrespect, humiliation, or physical harm are more likely to make errors or fail to follow safety practices.
  • “Most health care organizations have done little to support the common contention that ‘people are our most important asset.’”
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  • The report details vulnerabilities in the system and the costs of inaction: Emotional abuse, bullying, and even physical threats are often accepted as “normal” conditions of the health care workplace.  Production and cost pressures in health care have reduced intimate, personal caregiving to a series of demanding tasks performed under severe time constraints, detracting from what should be joyful and meaningful work. More full-time employee workdays are lost in health care each year (due to illness or injury) than in industries such as mining, machinery manufacturing, and construction.
Irene Jansen

Les libéraux reprochent au gouvernement son inaction - 0 views

tvanouvelles.ca/...20130320-175310.html

Quebec CHT

shared by Irene Jansen on 21 Mar 13 - No Cached
  • Le gouvernement Marois n'en fait pas assez pour défendre les intérêts du Québec dans le dossier des transferts fédéraux en santé
  • Le leader parlementaire du PLQ, Jean-Marc Fournier, a reproché à Pauline Marois de ne pas avoir abordé le sujet lors des deux rencontres qu'elle a eues avec Stephen Harper depuis son élection.
  • Pauline Marois s'est défendue en mentionnant que son ministre des Finances, Nicolas Marceau, avait demandé que les transferts en santé soient maintenus lors d'une conférence interprovinciale. Elle a ajouté que M. Marceau avait «fait des représentations à trois reprises à cet égard».
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  • Les libéraux ont également critiqué le gouvernement pour ne pas avoir cherché à conclure des alliances avec les autres provinces.
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