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Contents contributed and discussions participated by Irene Jansen

Irene Jansen

StevenLewis :: Longwoods collection Dec 2011 - 0 views

  • Randomly selected commentaries by Steven Lewis In no particular order and focused on no particular topic. Think of these as a test of your Ipad or Laptop or other form of technology. Where There's Smoke, There's Pfizer Categorical Nonsense, p < .05 Steven Lewis and Denise Kouri The Conference Board: Rank Amateurs with an Agenda? The Conference Board Answers Steven Lewis The Chosen Path  (with Jonathan Lomas) Pay for Performance: The Wrong Time, the Wrong Place? CMA Emerges Dazed from Cave, Writes Report Spare the Policy, Spoil the Profession The Ugly Australian
  • Steven Lewis is a health policy and research consultant and Adjunct Professor of Health Policy at Vancouver's Simon Fraser University.
Irene Jansen

Public health researcher from University of Edinburgh visits CHEPA in January - 0 views

  • Katherine Smith, a lecturer with the Global Public Health Unit at the University of Edinburgh, will be a visiting scholar with CHEPA in January 2012, and will give the CHEPA monthly seminar on Jan. 18.
  • Smith’s research interests include processes of knowledge transfer (particularly between research and policy), policies and interventions to tackle health inequalities, and the influence of corporations and advocacy organizations on public health and policies affecting public health.
Irene Jansen

CMAJ: Crowdfunding for medical expenses - 0 views

  • Most crowdfunding sites take a percentage of the money raised by each campaign, usually between 3% and 7%.
  • the majority of donations are in the area of medical expenses
  • Medical expenses are the leading cause of bankruptcy in the United States, according to a study that indicated about 62% of personal bankruptcies in 2007 were reportedly due to medical bills, even though most of those people had insurance — up from about 46% in 2001 (Am J Med 2009;122[8]:741-46).
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  • Many Americans are driven to fundraise on the Internet because they do not have, or have inadequate, health insurance
Irene Jansen

'Game changer' for health; Sask. ministry decides to go lean - 0 views

  • Saskatchewan
  • will be the first in Canada to introduce the so-called lean system of management to all of its 43,000-plus healthcare workers and managers
  • Pilot projects in that region reduced injuries and eliminated a backlog of jobs for maintenance workers, squeezed in more colonoscopies without increasing spending and juggled supply carts to cut down time professionals spent doing inventory counts.
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  • look at a product or service from a customer's perspective and identify waste, or aspects a customer wouldn't pay for by choice
  • "The old way of cost-cutting was absolutely wrong-headed," he said. "I realized for the first time why we were so mistaken in the '80s and '90s when we were cutting budgets and ending up with poor service at the end of the day."
  • high-level executives will run their proposed priorities before teams of lower-level managers and front-line workers, then consider their feedback before proceeding
  • Phase 2 will take several years and involves building up local expertise and getting more than 43,000 workers in the province's health regions, the Saskatchewan Cancer Agency, the Health Quality Council and the Health Ministry thinking like a synchronized lean machine: Identify waste, test a possible fix, evaluate the outcome and repeat.
  • one contract for about six months of lean leadership to do the first phase of planning - hoshin kanri - and a longer-term contract to help roll out the lean system
  • the first contract was awarded in October to American consultants John Black and Associates, and SAHO plans to award the second longer-term contract in January
  • how much taxpayers are spending on these senseis is not being made public
  • The most important aspect, Broten said, is that the perspectives and knowledge of front-line workers carry weight in any changes.
  • The Children's Hospital of Saskatchewan is the first capital project in the province where the lean approach is influencing design.
Irene Jansen

The Sky is Not Falling | Public Services Foundation of Canada - 0 views

  • This new publication uses facts and data to debunk the myth that public sector and health care spending are out of control.  
Irene Jansen

Compass retains hold on Island health contracts - 0 views

  • Compass Group Canada retains its monopoly over housekeeping and food services at Vancouver Island health facilities, despite the health authority's attempts to dump the contractor.
  • Vancouver Island Health Authority announced Thursday it has renewed its housekeeping contract, worth $10.61 million per year over five years, with Crothall Services Canada, a division of Compass.
  • "There have been some dreadful outbreaks, including C-Difficile and others, at Nanaimo Regional General Hospital and now the company that was responsible for cleaning is essentially getting rewarded with another contract," Krog said.
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  • VIHA says the new contract with Crothall raises cleaning standards, increases staffing levels, creates a specialist outbreak cleaning team, enhances monitoring processes and introduces more patient and staff satisfaction surveys.
  • Mike Old, spokesman for the Hospital Employees' Union, said the union supports the decision of the health authority to retain the experienced workers who currently clean the facilities."Our concerns about crushing workloads for cleaning staff have been recognized through a commitment to higher staffing levels in this contract," Old said.
  • Improper cleaning methods and insufficient cleaner strength had a significant effect in an 11-month C-Difficile outbreak at Nanaimo Regional General Hospital that infected 94 people and killed five which started in 2008.
  • Compass employees lacked proper training to use toxic chemicals that caused hair loss, nose inflammation, respiratory problems and skin irritation, according to two failed WorkSafe B.C. inspections issued in 2008 and 2009.
  • Workers used ineffective cleaners. Staff over-diluted bleach cleaner and later needed to switch to a soil-lifting detergent that would remove the virus from surfaces.
  • If the housekeeping fails on any of the new measures during monitoring, financial penalties will be applied.
  • In April last year, VIHA said it was getting rid of Compass and signing a new contract with Marquise to provide housekeeping and food services at residential care facilities on the south Island - Glengarry, Mount Tolmie, Aberdeen, Gorge Road and Priory Hospital - as well as Queen Alexandra Centre for Children's Health and Saanich Peninsula Hospital. But before the ink on the contract was dry, Marquise was bought by Compass.
  • Compass has three of its divisions working in VIHA's contracted sites: Crothall Services, providing housekeeping services; Morrison, providing food services; and Marquise Group, providing both food and housekeeping services in residential care facilities.
Irene Jansen

Medicare reform must result in 'patient-centred' system: CMA head - 0 views

  • Dr. John Haggie, president of the Canadian Medical Association (CMA)
  • What's needed now from the federal and provincial politicians is clear, said Haggie."Leadership and collaboration. And a will to look at the system so it's changed, it's transformed. Not tinkered with around the edges. So at the end of the day, it delivers what Canadians need."
  • In an interview with a Calgary radio station Thursday, Harper reiterated the message."We will continue to expand health-care funding significantly in this country," the prime minister told talk-show host Dave Rutherford."But all governments are going to have to come, and are frankly, coming to grips with the reality that health-care funding can't, over the long period, grow quicker than the economy because obviously it would bankrupt the system.""The provinces themselves, I think, are going to have to look seriously at what needs to be done to make the system more cost-effective. We have a great health-care system, and notwithstanding its problems, it provides people the care when they need it, but it's doing so at a cost that is continuing to rise far faster than provinces can afford."
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  • It could be a new accord, or a "gentleman's agreement," said Haggie.
Irene Jansen

Secure the Future of Medicare: A Call to Care « Canadian Health Coalition - 0 views

  • PANEL #1 – : “Threats to Medicare: Failed experiments and myths”, Panel moderated by André Picard, award-winning health reporter from The Globe and Mail Panelists: Natalie Mehra (Ontario Health Coalition), Diana Gibson (Parkland Institute, Alberta), Saideh Khadir (Médecins Québécois pour le Régime Public) and Allan Maslove (School of Public Policy and Administration, Carleton University)
  • PANEL #2 – “The Way Forward: Integrated and Continuing Care”, Panel moderated by André Picard, award-winning health reporter from The Globe and Mail Panelists: John Abbott (CEO, Health Council of Canada), Marc-André Gagnon (School of Public Policy and Administration, Carleton University), Michael Rachlis (health policy analyst) and Sharon Sholzberg-Gray (Past-President, Canadian Healthcare Association)
Irene Jansen

Sask. weighs in on health funding plan - Saskatchewan - CBC News - 0 views

  • Premier Brad Wall says the federal government’s new health care funding plan is frustrating.
  • "I think the process is unfortunate," he said. "I think the finance ministers were hoping for a beginning of a round of consultations and at least on the transfer piece it does not appear to be what the federal government is doing."
  • Wall said he would like a chance to negotiate a separate stream of money coming from Ottawa that is based on results. "Our province has always said it can't just be about money, it's got to be about better outcomes for patients," Wall said. "That will be our message to the federal government." Wall said there could be other opportunities to get more money based on innovation, such as reducing wait times.
Irene Jansen

US healthcare executives hit pay jackpot | BMJ - 0 views

  • Healthcare and pharmaceutical executives were four of the top 10 best paid executives in the United States in 2010
  • Pay for chief executives increased by 27% in 2010, the firm said. No bankers were on the top 10 list.
  • Omnicare
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  • Aetna
  • The national average payment for hospital chief executives is $630 000.
  • In 2010 the median US household income was $49 445, a 2.3% decline from 2009.
  • The number of people without health insurance increased from 49 million to 49.9 million.
Irene Jansen

Minimum safe staffing levels may be set for emergency departments and elderly care ward... - 0 views

  • The public inquiry into the high number of deaths at Mid Staffordshire NHS Foundation Trust is expected to recommend that minimum staffing ratios be set for total numbers and the skills mix of doctors and nurses in accident and emergency and elderly care wards in England to ensure the safety of care.
  • counsel to the inquiry, Tom Kark QC, said “that consideration should be given to the production of model staffing guidelines for certain types of wards and departments against which the Care Quality Commission should assess the acceptability of staffing.”
  • Mr Kark pointed out that the real danger in accident and emergency services at Mid Staffordshire was understaffing, inadequate training, and poor governance.
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  • Brian Jarman, director of the Dr Foster Unit at Imperial College London, told the inquiry that hospitals with poor staff ratios had higher hospital standardised mortality ratios.
  • more doctors per bed
  • the Care Quality Commission made it clear that it does not want to see minimum staffing ratios
  • Mr Kark said that although he recognised that the number of patients on some wards often changed, making the setting of minimum staffing ratios a complex business, certain wards were less susceptible to such change and would benefit from some guidance, particularly elderly care wards and accident and emergency departments.
  • guidelines are merely that and one-off failure to comply would be unlikely to attract disproportionate attention from the regulator
Irene Jansen

MPs are urged to end inaction on social care reform | BMJ - 0 views

  • A coalition of experts has called on politicians of all parties to agree urgent reforms of adult social care in England
  • have written to the Daily Telegraph urging “fundamental and lasting reform” of a system that they say harms society, the economy, and the dignity of elderly and disabled people (http://tgr.ph/tIkRRk).
  • The signatories warn that an estimated 800 000 elderly people are being left without basic care and as a result are “lonely, isolated and at risk.” Others face losing their homes and savings because of soaring care bills, while disabled people are deprived of the support they need to live independently.
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  • Signatories to the letter include Hamish Meldrum, chairman of the British Medical Association, Brendan Barber, general secretary of the Trades Union Congress, and representatives of the British Red Cross and leading health insurers.
  • The current coalition government is expected to produce a white paper on social care by April in response to recommendations from the independent Dilnot commission into the funding of care and support, published in July 2011 (BMJ 2011;343:d4261, doi:10.1136/bmj.d4261).
  • Andrew Dilnot, an economist, recommended a new partnership model under which people would pay up to a maximum £35 000 (€42 000; $55 000) towards the cost of their care and be eligible for full state support beyond that.
  • He has since said that the country’s economic woes should not be an excuse for inaction and argued that it was “nonsense” for anyone to suggest that reform would be too expensive to implement (BMJ 2011;343:d7689, 28 Nov, doi:10.1136/bmj.d7689).
Irene Jansen

TheSpec - Hospital pay disclosure: What took so long? - 0 views

  • At last, compensation packages for executives at Ontario’s 150 hospitals have been made public.
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