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Contents contributed and discussions participated by Irene Jansen

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Irene Jansen

Shift Work Sleep Disorder in Hospitals: Reducing Risk and Improving Outcomes CME/CE - 0 views

www.medscape.org/...752753

health and safety hospitals hhr us

shared by Irene Jansen on 23 Jan 12 - No Cached
  • faculty will discuss policies and practical strategies that hospital employees and employers can implement to reduce the impact of sleepiness and shift work sleep disorder on their institutions.
  • provide hospital policy makers with information about the consequences of shift work and the management of those issues to enhance patient safety and quality improvement in their hospitals.
  • Irene Jansen on 23 Jan 12
     
    This CME activity is based on the slides and series of lectures by the same name and presented by the faculty at local hospitals throughout the United States.
Irene Jansen

Can't sustain current health transfers: Kenney - 0 views

www.timescolonist.com/...story.html

accord federal conservatives

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Immigration minister Jason Kenney says the renewal of the Health Accord with the provinces beyond 2016 would be fiscally unsustainable and mean less money for other programs.
  • Kenney, who chairs the cabinet committee on operations
Irene Jansen

In Ottawa, health-care funding hits the wall - The Globe and Mail - 0 views

www.theglobeandmail.com/...article2275615

accord equalization economics

shared by Irene Jansen on 23 Jan 12 - No Cached
  • The Economist Intelligence Unit recently lowered Canada’s growth projections for 2012 to 1.7 per cent, “to reflect the deteriorating external outlook.” The outlook includes a deepening recession in Europe that could drag down the United States, taking Canada with it.Growth of 1.7 per cent is not enough to lower unemployment or significantly increase government revenues, which is why the Tories will take an axe to every department in February, cutting them by 5 per cent or 10 per cent without exception.
  • The provinces can hardly expect Ottawa to boost transfers to them even as it slashes its own spending. They will have to fend for themselves.
  • The Prime Minister is no fan of equalization
  • ...3 more annotations...
  • The Conservatives are determined that all future health care or other social transfers must be funded on a strictly per-capita basis, with any existing equalization component stripped out.
  • Even worse for the Maritime provinces and Quebec, unless all sides can agree to a different formula, Ontario threatens to suck up much of whatever money is available
  • Ontario is already the second-largest recipient of equalization
Irene Jansen

Flaherty, finance ministers face big task in B.C. - Nova Scotia - CBC News - 0 views

www.cbc.ca/...finance-ministers-meet.html

accord provinces federal meetings

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Provincial sources said they have been told the objective is to link transfers to nominal, inflation-adjusted growth, which is estimated to be in the neighbourhood of 4.5 per cent.
  • The prime minister has been non-committal on the issue, only noting when asked Friday that health transfers have climbed to $27 billion a year from $19 billion under his watch. "We will honour the health accord and we will ensure that there are increases into the future that are sustainable and that work to sustain the health care system that we're all going to depend on," Stephen Harper said.
  • "If they go down to the rate of inflation, it means they'll be transferring about $28 billion less to the provinces over the life of a 10-year accord than they are presently," Duncan said, adding "$10 billion of that would hit Ontario directly." "It would mean direct cuts," Duncan said.
  • ...2 more annotations...
  • Nova Scotia Premier Darrell Dexter said a lot has changed in health care since the accord was signed in 2004. "Our health care costs over the years has outstripped the escalator itself. That means the percentage of funding from the federal government actually declined."
  • "My hope is that we can actually get the next accord done by this time next year," Duncan said.
Irene Jansen

Health Care Law to Allow States to Pick Benefits - NYTimes.com - 0 views

www.nytimes.com/...w-states-to-pick-benefits.html

insurance reforms us

shared by Irene Jansen on 23 Jan 12 - No Cached
  • In a major surprise on the politically charged new health care law, the Obama administration said Friday that it would not define a single uniform set of “essential health benefits” that must be provided by insurers
  • it will allow each state to specify the benefits within broad categories
  • Opponents say that the federal government is forcing a one-size-fits-all standard for health insurance and usurping state authority to regulate the industry.
  • ...8 more annotations...
  • The new law lists 10 categories of “essential health benefits” that must be provided by insurance offered in the individual and small-group markets, starting in January 2014. These include preventive care, emergency services, maternity care, hospital and doctors’ services, and prescription drugs.
  • The announcement by the administration follows its decision this year to jettison a program created in the law to provide long-term care insurance
  • This criticism has inspired legal challenges to the new law — with the Supreme Court set to decide next year whether the government can require Americans to buy health insurance — and helps explain why public opinion of the law remains deeply divided.
  • Under this approach, each state would designate an existing health insurance plan as a benchmark. The benefits provided by that plan would be deemed essential, and all insurers would have to provide benefits of the same or greater value.
  • Each state would choose one of the following health insurance plans as a benchmark: ¶ One of the three largest small-group plans in the state. ¶ One of the three largest health plans for state employees. ¶ One of the three largest national health insurance options for federal employees. ¶ The largest health maintenance organization operating in the state’s commercial insurance market.
  • the administration’s approach “builds off the experience of today’s marketplace and will minimize disruption to it.”
  • Several states have received temporary waivers from tough new federal standards that require insurers to spend more of each premium dollar for the benefit of consumers. Federal officials have also provided temporary exemptions from some provisions of the law for some employers and labor unions offering bare-bones coverage.
  • The law also says that the definition of essential benefits must not “discriminate against individuals because of their age, disability or expected length of life.” Sara Rosenbaum, a professor of health law and policy at George Washington University, said the new bulletin “does not offer any guidance on this crucial part of the law.”
Irene Jansen

Fraser Institute Waiting Your Turn: Wait Times for Health Care in Canada, 2011 report |... - 0 views

www.fraserinstitute.org/...display.aspx

health policy waits privatization canada

shared by Irene Jansen on 23 Jan 12 - No Cached
  • This edition of Waiting Your Turn indicates that waiting times for elective medical treatment have increased since last year.
  • At 104 percent longer than it was in 1993, this is the longest total wait time recorded since the Fraser Institute began measuring wait times in Canada.
Irene Jansen

2012 CAHSPR conference | The Canadian Association for Health Services and Policy Resear... - 0 views

cahspr.ca/...pr-conference-will-be-best-yet

health policy conference innovation canada

shared by Irene Jansen on 23 Jan 12 - No Cached
  • 2012 CAHSPR ConferenceMay 29-31 — Montreal, Quebec Innovations for Health System Improvement: Balancing Costs, Quality and Equity
  • Dan Florizone, Deputy Minister of Health, Saskatchewan Ministry of Health
  • Michael Decter, Senior Portfolio Manager, President and CEO, LDIC Inc
  • ...1 more annotation...
  • Amélie Quesnelle-Vallée, McGill University Adelstein Brown, University of Toronto Francois Champagne, University of Montreal Andreas Laupacis, Li Ka Shing Knowledge Institute of St. Michael’s Hospital
Irene Jansen

Flaherty's health spending limit is the easy first step - 0 views

www.ottawacitizen.com/...story.html

accord sustainability privatization europe

shared by Irene Jansen on 23 Jan 12 - No Cached
  • surely the provinces can't be surprised that the feds won't keep putting money into health care at more than double the rate of inflation. Most are already taking the same kinds of responsible steps themselves
  • The federal contribution will be capped at the rate of increase in the gross domestic product. Economic growth is a reasonable proxy for the increase in federal tax revenues, but Flaherty will need to explain what happens if the country enters another recession. It's one thing to limit the rate of increase in health-care spending, quite another to cut the actual dollar amount.
  • Flaherty's plan to limit health funding increases is a bit of a blunt tool, but it does create a pressure on government to be responsible with our money.
  • ...6 more annotations...
  • cataract surgery has become much quicker and more efficient, but the prices haven't gone down as a result because government has done nothing
    • Irene Jansen
      Irene Jansen on 23 Jan 12
       
      because provinces haven't reduced the fee-for-service rate to reflect physicians' reduced costs
  • Statistics from the Organization for Economic Co-operation and Development show that Canada is one of the highest health-care spenders, but has below average numbers of doctors, nurses, hospital beds, CT scanners and MRIs. Another study, the euro-Canada Health Consumer Index, found that Canada finished in the bottom third in a "bang for the buck" comparison with European countries.
  • choice and competition are what drives the more effective European systems
  • the act that governs medicare stifles innovation and competition, except in Quebec, where the federal government turns a blind eye to innovation and private sector involvement
  • Flaherty's plan to limit spending increases is sensible and necessary, but it requires no political courage. The much more important move would be to allow provinces to experiment with European ideas and introduce more innovation and competition
  • Randall Denley is a member of the Citizen's editorial board.
Irene Jansen

Audit of the Academic Ambulatory Care Centre Public Private Partnership: Vancouver Coas... - 0 views

www.bcauditor.com/...partnership-P3-audit-VCHA-AACC

hospitals bc p3

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Date: May 2011 This audit assessed whether the Academic Ambulatory Care Centre P3 project has achieved its value-for-money goals based on the first five years of the project agreement. It also makes recommendations for future public-private partnership projects.
Irene Jansen

Client-Centred Care: Future Directions for Policy and Practice in Home and Community Ca... - 0 views

clientcentredcare.caretoknow.org/...1

culture change home care

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Client-centred Care is “…an approach to the planning, delivery and evaluation of home and community care that is grounded in mutually beneficial partnerships among people using the healthcare system, their family and healthcare providers”
  • a project titled ‘Client-centred Care: Future Directions for Policy and Practice in Home and Community Care’
  • literature review of Client-Centred Care in the Home and Community Sector
  • ...3 more annotations...
  • Eight facts sheets that provide a quick reference to key information from the literature review
  • An online, searchable inventory of resources, programs and publications related to client-centred care in the home and community healthcare sector
  • Three "promising practices" case studies
  • Irene Jansen on 23 Jan 12
     
    Common components identified through the literature review: sharing power between healthcare providers and clients; respecting clients, their views and preferences; providing information and education which is tailored to the client's needs and desire for information; communication with both clients and between healthcare providers; continuity of care, including across transition points; and involving the client in all aspects of healthcare barriers to implementation of client centered care: professional practice concerns, personal characteristics of the healthcare provider, structural impediments, client barriers, the important role the organization plays and importance of leadership
Irene Jansen

The truth about health care : Public Medicare is sustainable < Health care, Privatizati... - 0 views

cupe.ca/...a4e9edef1e97af

sustainability union us medicare

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Oct 19, 2011
  • First in a series of short videos on some of the myths we hear too often on the public health care system. (1/4) Myth: Medicare is unsustainable, costs are completely out of control. Facts : Overall public health care spending in Canada has been pretty much stable for the last 35 years.
Irene Jansen

Health care: 94% of Canadians - including Conservatives - choose public over for-profit... - 0 views

cupe.ca/...th-care-94-canadians-including

polls union coalition

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Nov 24, 2011
  • An overwhelming 94-percent of Canadians support public - not private, for-profit - solutions to making the country's healthcare system stronger - with an equal number of Conservatives flying the banner for public health care.
Irene Jansen

Securing Our Health System for the Future | The Canada We Want in 2020 - 0 views

canada2020.ca/...r-health-system-for-the-future

innovation privatization canada

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Canada’s universal healthcare system is putting enormous pressure on provincial and federal treasuries at a time of fiscal deficits. Healthcare costs are rising as a percentage of GDP due to our aging society and healthcare inflation. Our existing health coverage is both unsuited to our country’s current health needs (focused on acute rather than chronic care) and uneven across the country.
Irene Jansen

Strengthening Health Systems Through Innovation: Lessons Learned Dec 2011 Anne Snowdon ... - 0 views

sites.ivey.ca/...althSystemsWhitePaperFINAL.pdf

health policy innovation international comparisons privatization canada

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Irene Jansen on 23 Jan 12
     
    Leveraging the power of consumer choice, which drives competition for health system actors to redesign and transform services to actively engage consumers in managing their personal health and wellness, will offer transformational change for the culture of health care systems in Canada.
Irene Jansen

Harper Government Announces Major New Investment in Health Care - 0 views

www.fin.gc.ca/11-141-eng.asp

accord federal diktat

shared by Irene Jansen on 23 Jan 12 - No Cached
  • The Honourable Jim Flaherty, Minister of Finance, today announced a major new investment in health care. The new investment in health care will see funding grow to record levels from $30 billion per year in 2013-14 to $38 billion per year in 2018-19, for a total investment of $178 billion in health care over the five-year period.
  • The Government also confirmed the Canada Social Transfer (CST) will continue to grow at its current rate of 3 per cent annually in 2014-15 and beyond, Equalization will continue to grow in line with gross domestic product, and Territorial Formula Financing (TFF) will continue to grow based on its current formula.
  • Federal-provincial-territorial officials will continue to review the technical aspects of Equalization and TFF to ensure the proper functioning of these programs. Upon renewal, both programs will be legislated out to 2018-19.
  • ...2 more annotations...
  • The CHT and CST will be reviewed again in 2024.
  • The Government has extended temporary total transfer protection another year to assist provinces and territories in transitioning through current economic challenges.
    • Irene Jansen
      Irene Jansen on 20 Feb 12
       
      Total Transfer Protection was introduced in December 2009. Quebec is the main beneficiary. This is over and above CHT and equalization.
Irene Jansen

Liberal voters support Ontario government raising taxes on corporations and the wealthy... - 0 views

cupe.ca/...liberal-voters-support-ontario

polls taxes

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Ontarians are worried about the economy, but a majority would not support the Liberal government’s plans to make deep cuts to public services
  • the public overwhelmingly support increasing taxes on corporations and the wealthy
  • 90% of Ontarians support a new tax on individuals earning over $500,000 annually, 83% support increasing taxes on banks and the financial industry, 81% support increased corporate taxes, and a plurality of 47% support a new “Robin Hood” tax on financial transactions
Irene Jansen

Caring For Our Aging Population and Addressing Alternate Level of Care - Ministry Repor... - 0 views

www.health.gov.on.ca/...walker_2011.aspx

seniors alc ltc ontario

shared by Irene Jansen on 23 Jan 12 - No Cached
  • August 31, 2011
  • The report acknowledges that our current health system challenge is not limited to those hospital patients whose needs could be better served in other care settings, but that the system needs to undergo a broader transformation in order to meet the care needs of an aging population.
Irene Jansen

Members lobby with Canadian Health Coalition to strengthen public health system < Canad... - 0 views

cupe.ca/...obby-canadian-health-coalition

union coalition accord

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Dec 6, 2011
  • CUPE frontline health sector members and staff joined the Canadian Health coalition Thursday on Parliament Hill for a series of meetings with MPs about Canada’s Health Accord. CUPE is urging MP’s to support the Canadian public health care system, and to join CUPE members in finding ways to improve public health care.
Irene Jansen

Flaherty's 10-year health-care plan divides provinces - The Globe and Mail - 0 views

www.theglobeandmail.com/...article2277221

accord diktat

shared by Irene Jansen on 23 Jan 12 - No Cached
  • Mr. Flaherty said the plan is not open to negotiation, but some provincial ministers said there is still time to get Ottawa to change position.
  • the increase in nominal GDP from 2011 to 2015 is expected to average 4.6 per cent during a period of low growth and low inflation
  • Ontario Finance Minister Dwight Duncan called the offer a “a frontal attack on public health care” from Ottawa, insisting federal Conservatives were breaking a campaign pledge to stick to six per cent increases for the duration of any new accord
  • ...3 more annotations...
  • no process. This was Ottawa’s position
  • When asked why Saskatchewan, Alberta and New Brunswick were not with them, Mr. Sheridan said there was a “quick decision” by some to form a front and speak. “We’ll see how it breaks down in the next few days,” he said. “We have plenty of time. There is no rush. We have to get it right for the sake of the country.”
  • New Brunswick Finance Minister Blaine Higgs is more concerned about the equalization program than the Canada Health Transfer, the source said.
Irene Jansen

Shrewd tactics not same as good health policy - The Globe and Mail - 0 views

www.theglobeandmail.com/...article2277226

accord diktat

shared by Irene Jansen on 23 Jan 12 - No Cached
  • The gradual levelling off in growth ofhealth transfers is probably the best possible deal the provinces and territories – and Ottawa for that matter – could hope for. At least in base political terms.
  • But shrewd tactics and political palatability are not the same thing as good public policy. At a time when medicare needs leadership and vision, the new accord continues the lamentable tradition of thoughtlessly shovelling money at the status quo.
  • Jim Flaherty’s offer was this: Continuing the 6-per-cent annual increase in the Canada Health Transfer and 3-per-cent per annum hike in the Canada Social Transfer until the 2016-17 fiscal year; after that, until at least 2024, increases in the CHT will be tied to economic growth, while the CST will continue at 3 per cent.
  • ...13 more annotations...
  • the deal offered by Mr. Harper’s government is reasonable. It is fiscally responsible, tying spending increases to inflation
  • It is also politically astute, for a host of reasons:
  • * It avoids the sordid scene we saw in 2004 when provincial premiers ganged up on prime minister Paul Martin and extorted $41-billion in additional health dollars and a spendthrift 6-per-cent escalator clause on transfers.
  • * It is a 10-year deal, just as the provinces demanded, allowing some certainty in budgeting.
  • * It respects Mr. Harper’s election promise to maintain 6-per-cent increases beyond 2014 – at least nominally. (Those who wanted 6 per cent per annum were dreaming in Technicolor.)
  • * It puts the onus on the provinces to justify why health-care spending should exceed inflation, something they have never been able to do.
  • * It places no restrictions on how the provinces spend the $40-billion a year they receive in federal health transfers (along with another $20-billion in social transfers for education and welfare programs.)
  • It should be an instrument for improving health-care delivery, and in that regard, Mr. Flaherty’s offer fails miserably
  • What the public should expect from Ottawa is that federal funds be used to exercise leadership and foster innovation
  • The reason Ottawa transfers money to the provinces in the first place (because health is a provincial responsibility constitutionally) is to ensure some semblance of equity coast-to-coast-to-coast. But there are areas, such as catastrophic drug coverage and homecare, where there are gross regional disparities.
  • This accord will force the provinces to rein in health spending, which is not a bad thing in itself. But one of the consequences will likely be greater disparities in the quality of care and breadth of coverage between the have and have-not provinces.
  • The great failure here is not refusing to increase transfers by 6 per cent, it is failing to attach strings to the monies.
  • With this deal, Mr. Harper has shown himself to be politically astute and fiscally prudent, but he has failed to show a commitment to strengthening health care, and medicare more specifically.
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