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Contents contributed and discussions participated by Irene Jansen

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Irene Jansen

Retaining RPNs: Impact on Quality Care | NHSRU - 0 views

www.nhsru.com/...ng-rpns-impact-on-quality-care

from heather pn ontario nursing

shared by Irene Jansen on 14 Dec 12 - No Cached
  • A paucity of research on the work experiences of registered practical nurses (RPNs) in Ontario prompted the Registered Practical Nurses Association of Ontario (RPNAO) to conduct a province-wide study of RPNs in 2010
  •  View PDF of report
Irene Jansen

Warning flags about excessive wait times, privatization among issues identified by Audi... - 1 views

www.web.net/ohc

ltc waits private clinics coalition ag Ontario

shared by Irene Jansen on 13 Dec 12 - No Cached
  • The Auditor General found wait times for long-term care that are extraordinary. Crisis clients are waiting more than three months for placement and wait times have tripled.
  • In Ontario’s privatized clinics (Independent Health Facilities) the Auditor found inadequate monitoring, poor inspections, a lack of financial oversight and inequitable access to care.
Irene Jansen

Thousands protest austerity, proposed sell-offs of parts of Spain's national health car... - 0 views

www.washingtonpost.com/...2-8c8f-fbebf7ccab4e_story.html

spain cuts privatization campaign

shared by Irene Jansen on 11 Dec 12 - No Cached
  • Thousands of Spanish medical workers and residents angered by budget cuts and plans to partly privatize the cherished national health service marched through some of Madrid’s most famous squares on Sunday.
  • More than 5,000 people rallied
  • Organizers estimated attendance at 25,000 protesters, many dressed in white and blue hospital scrubs. The march, called “a white tide” by organizers, was the third such large-scale protest this year.
Irene Jansen

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

www.thestar.com/...illing-for-private-health-care

private clinics ontario union costs

shared by Irene Jansen on 11 Dec 12 - No Cached
  • 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.
Irene Jansen

How to pay for long-term care for seniors (IRPP study) - Winnipeg Free Press - 0 views

www.winnipegfreepress.com/...are-for-seniors-182236451.html

ltc federal insurance

shared by Irene Jansen on 11 Dec 12 - No Cached
  • Public long-term care insurance is the best option for two reasons. First, insurance is essential because private savings is not an efficient way for individuals to provide for their potential future care needs
  • Second, insurance must be public, and not a mixture of public and private, or private.
  • Less than one per cent of Canadians and less than 10 per cent of Americans have long-term care insurance contracts.
  • ...2 more annotations...
  • the best option is a public insurance scheme with a single payer that provides benefits based on a standardized evaluation of care needs
  • This would ensure that all Canadians have better care and that access to long-term care services is more equitable. With a universal public insurance plan transaction costs and loading fees would be lower, so it would also be less expensive than private insurance.
  • Irene Jansen on 11 Dec 12
     
    Author refers to this study: Financing Long-Term Care in Canada Michel Grignon and Nicole F. Bernier June 19, 2012
Irene Jansen

Health Council Canada - 0 views

www.healthcouncilcanada.ca/rpt_det.php

racism aboriginal cultural competence

shared by Irene Jansen on 11 Dec 12 - No Cached
  • This report highlights some of the barriers to Aboriginal people seeking health care services within mainstream health care settings and describes key practices that are contributing to positive change.
Irene Jansen

Are health services really shifting, or is the health minister being shifty? | OPSEU Di... - 0 views

diablogue.org/...e-health-minister-being-shifty

ontario hospital home care cuts union

shared by Irene Jansen on 07 Dec 12 - No Cached
  • 22 beds cut at the Chatham Kent Health Alliance
  • Erie-St.Clair Community Care Access Centre, which is itself cutting $8-$10 million
  • Hamilton Health Sciences says $25 million in cuts are planned and expects 140 jobs will be impacted.
  • ...10 more annotations...
  • 69 beds the Niagara Health System cut in the fall of 2011 and spring of 2012
  • the hospital, which had to cancel or postpone 758 surgeries due to “bed pressures.”
  • after-hours clinic, pain clinic, audiology clinic and cardiac rehabilitation program closed by Toronto’s St. Joseph’s Health Centre
  • The Coalition released its first “Austerity Index” December 5th to let Ontarians know just what is happening with their health services. The index will be an ongoing document as news of specific health care cuts emerge over the coming months.
  • Base funding for Ontario hospitals has been set at zero this year. The OHC estimates that between inflation (1.6%), population growth (1.1%) and aging (1%) the funding gap represents about a 3.7 per cent gap.
  • within the last two years (2010-11) 50 per cent of hospitals have reduced or cut outpatient physiotherapy services
  • We’re witnessing even more this year, such as the 3.1 physiotherapy positions just cut at the Perth and Smiths Falls District Hospital or the 24 combined therapist positions lost at the Ottawa Hospital.
  • the province hasn’t designated a new community-based OHIP physiotherapy clinic in the entire province since 1964
  • significant out-of-pocket payment even for those who qualify for OHIP coverage
  • Think the Champlain CCAC will be able to pick up the slack in Eastern Ontario? Not likely. The LHIN covered last year’s CCAC deficit under the proviso that it balance its budget this year, which includes a freeze on hiring and cuts to home visits for wound care and IV therapy.
Irene Jansen

Patients' advocacy group says Ontario hospitals closing beds, clinics - Need to know - ... - 0 views

www2.macleans.ca/...hospitals-closing-beds-clinics

ontario hospital cuts home care

shared by Irene Jansen on 07 Dec 12 - No Cached
  • A patients’ advocacy group that says Ontario hospitals are being forced to close beds, shut clinics and cut services that cannot be replaced by community-based agencies
  • The Ontario Health Coalition said a zero per cent budget increase has forced hospitals to cut services, with out-patient clinics for everything from physiotherapy and pain management to cardiac rehab and audiology being closed across the province.
  • “The services being cut in hospitals aren’t even provided by home care
  • ...4 more annotations...
  • The coalition said home care is being more strictly rationed and a recent increase in funding for home care is nowhere near enough to deal with lengthy waiting lists.
  • “They’re seeing much more complex patients, who cost more to provide for, but home care funding per client is shrinking because there are so many more patients being dumped into home care.”
  • Some patients are forced to pay $50 to $70 for every physiotherapy treatment when hospital clinics close and they are sent to private facilities
  • Ontario ranks eighth out of 10 in provincial health care funding, and dead last when it comes to per capita funding of hospitals.
Irene Jansen

Montreal health agency must cut, cut, cut - 0 views

www.canada.com/...story.html

quebec budget cuts

shared by Irene Jansen on 07 Dec 12 - No Cached
  • Montreal’s health and social services are facing a major budget squeeze of $80 million this year and $80 million next year — on top of the already announced $35 million from Montreal-area hospital surgeries that must be slashed before the end of March.
  • The agency has to find $80 million in 2012-13 and another $80 million the following year from Montreal’s health budget of $6.4 billion.
  • Quebec Health Minister Réjean Hébert is not cutting the health budget, Lemoyne noted: “We are reducing the growth from 5.8 per cent annually to 4.8 per cent over the next two years.”
  • ...10 more annotations...
  • The agency believes it can find a good portion of these savings by reducing administration costs, $18.7 million, through consolidating treatment centres, $4.7 million, and targeting bulk buying for hospital supplies, from pencils and Band-Aids to medication and surgical supplies, for another $11 million.
  • Jewish General Hospital and Hôpital du Sacré-Cœur are champions at keeping their administrative costs low
  • Reducing overtime and the use of private agency nurses, plus improving work attendance, will save another $6 million
  • Montreal hospitals used the equivalent of 720 full-time nurses from private agencies during the fiscal year of 2011-2012
  • It’s more cost-efficient for a hospital to open a dozen new nursing positions than to maintain a skeletal team and then call on private agencies to fill gaps in staffing
  • “Hospitals have to offer flex hours. We have to make it attractive for them,” Turgeon said, so it isn’t more attractive for nurses to work in the private system.
  • It’s not clear, however, how the agency plans to cut $35 million from surgeries.
  • The optimization methods have provoked protests in unions representing social workers, nurses, auxiliary nurses and therapists, who say the private firm hired by community health centres to streamline home care activities is “obsessed by productivity,” and while tasks are timed to optimize the work, patient care suffers.
  • the Association québécoise d’établissements de santé et de services sociaux, which represents 126 hospitals, health centres and nursing homes.
  • Physician’s salaries, which the government has agreed to increase by nine per cent, should also be maintained at 4.8-per-cent growth, she said.
Irene Jansen

Medical tests at private clinics raise 'concern' for equal access, inquiry told - 1 views

www2.canada.com/...story.html

alberta private clinics two tier inquiry

shared by Irene Jansen on 05 Dec 12 - No Cached
  • A public inquiry looking into the issue of queue-jumping in Alberta's health-care system got underway Monday with testimony from a health law expert, who suggested the availability of diagnostic tests at private clinics poses a concern to the principle of equality of access.William Lahey, a professor at Dalhousie University in Halifax
  • Section 3 of the Alberta Health Care Protection Act deals with queue-jumping by making it illegal to accept money or a service to provide priority access to an insured medical service.
  • The commission's lead counsel, Michele Hollins, described the testimony from Lahey and health consultant Jim Saunders as a way to "set the scene" before actual witness testimony begins Tuesday.
  • ...1 more annotation...
  • "Alberta's private clinics do not offer as extensive a range of user-pay surgical interventions as the private clinics in some other provinces, particularly British Columbia and Ontario," said a report prepared by Saunders
Irene Jansen

A Study of Home Help Finds Low Worker Pay and Few Benefits - NYTimes.com - 0 views

www.nytimes.com/...rker-pay-and-few-benefits.html

us home care wages migration immigration racism

shared by Irene Jansen on 05 Dec 12 - No Cached
  • With the exception of caregivers who provide “companionship care” for the aged and infirm, domestic workers like nannies and house cleaners are covered by federal minimum wage laws
    • Irene Jansen
      Irene Jansen on 05 Dec 12
       
      2.5 million home care aides are excluded from federal minimum wage and overtime protections in the Federal Labor Standards Act, a regulation Obama promised last December to revise
Irene Jansen

Few nursing homes getting tough inspections - thestar.com - 0 views

www.thestar.com/...omes-getting-tough-inspections

ontario retirement homes regulation inspections union

shared by Irene Jansen on 26 Nov 12 - No Cached
  • Fewer than 50 Ontario nursing homes a year have faced the tough new inspections that were supposed to stop abuse and neglect.
  • residents in the province’s 630 long-term-care homes remain vulnerable
  • supposed to have been done annually, but now homes will face them once every five years. Of the 5,500 ministry inspections done between July 1, 2010, and Nov. 10, 2012, only 95 were the in-depth kind.
  • ...8 more annotations...
  • Jane Meadus, a lawyer with the Advocacy Centre for the Elderly. “We are worse off now than we were before because now we no longer have annual inspections.”
  • the ministry stopped using the term “annual” for these inspections after the Ontario Long Term Care Act became law on July 1, 2010
  • Now, a ministry visit for any type of complaint is considered an “annual” inspection.
  • if a ministry inspector walks through the doors of a nursing home once a year, that is good enough, even if the complaint is about soggy green beans at lunch or a broken television in the lounge.
  • “The inspectors are so busy they are being told not to look at anything else when they go into a home to investigate a complaint,” said Janson, of the Ontario Public Service Employees Union.
  • “The backlog is so huge, more than a year for some
  • the worst homes often have fewest complaints because residents there usually have no family
  • those homes now have the least oversight
Irene Jansen

Tentative agreement reached for 46,000 B.C. health care workers in the facilities sub-s... - 0 views

www.heu.org/...are-workers-facilities-sub-sec

bc bargaining cupe

shared by Irene Jansen on 26 Nov 12 - No Cached
  • A tentative agreement has been reached between the multi-union Facilities Bargaining Association and B.C.’s health employers covering more than 46,000 health care workers
  • includes: a moratorium on layoffs due to contracting out for the life of the agreement the continuation of  benefits across-the-board wage increases totaling three per cent over the life of the agreement the continuation, as appendices, of the two existing contracts covering members of the Canadian Union of Public Employees (CUPE) Local 873 and the B.C. Government and Service Employees’ Union (BCGEU) working for the provincial ambulance service.
  • the HEU Provincial Executive is also recommending the agreement to its membership
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