Archive for the ‘Health Delivery System’ Category

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Trend points to belt tightening in health-care system

Thursday, October 29th, 2015

… to control labour costs, which make up an estimated 60 to 70 per cent of overall costs… three goals… must be pursued simultaneously to ensure that we are delivering care effectively and efficiently: improve the patient experience, including quality and satisfaction; improve the health of the population; reduce per-capita costs of health care… we also need better data to tell us how we are doing now, and to chart how we improve.

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MD earnings up 29 per cent in seven years: new data

Wednesday, September 30th, 2015

Newly released data show Ontario physicians continue to be the highest paid in Canada with earnings jumping 29 per cent in seven years to an average of $368,000… Hoskins has been attacked by physicians on social media over the numbers he has been using to argue that physicians are fairly paid. But the number he has been citing for average annual compensation — $350,000 — is lower than the new CIHI earnings figure.

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Urgent need for Ontario home-care task force

Sunday, September 27th, 2015

As a first step, Hoskins should immediately create a powerful task force that can review the CCACs and look for a better way of co-ordinating home-care in Ontario. Ultimately, that could mean scrapping the CCAC system, which as Lysyk’s report finds, is simply not working… One specific mandate that Hoskins should give the task force is to determine if all planning and monitoring roles for home care now performed by CCACs can be transferred to beefed-up LHINs.

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Put home-care focus back on sick and elderly

Friday, September 25th, 2015

It is unconscionable that ill and elderly patients are on waiting lists or deprived of necessary health treatments while CEOs of the agencies have seen their salaries rise as much as 50 to 144 per cent – with some top executives earning nearly $300,000 a year. It is unconscionable that, by contrast, most personal support workers make less than $20,000 a year. It is unconscionable that ill patients are forced out of hospitals “sicker and quicker” when the community agencies that are supposed to care for them don’t have the health-care staffing to do so.

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Patients the losers in doctor dispute

Tuesday, September 22nd, 2015

Rather than setting random targets for spending cuts, the real question that needs to be asked is: Are we getting value for money for the money spent on 33,600 family doctors, specialists and residents? Nobody really knows. We don’t know if the services individual physicians provide are useful or cost-effective… While doctors earn a good income, there is little evidence they are overpaid. But that doesn’t mean they are paid sensibly either. Fee-for-service payment, which is commonplace, encourages volume, not quality.

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Step up scrutiny, funding for nursing homes

Saturday, September 19th, 2015

… Ontario nursing home residents are among the most depressed in the country. That antipsychotic drugs are over-prescribed, increasing the risk of falls, strokes, pneumonia and death. That nursing home staff are ill-trained to cope with violent residents. And that some homes use restraints because they are understaffed. Indeed the system is generally underfunded, understaffed and overworked… Ontario needs to address that funding gap, and provide residents with the protection they deserve.

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We can’t afford to make cuts to drug court

Monday, September 14th, 2015

The Toronto Drug Treatment Court may be the best thing we do…. [It’s] an alternative to jail for those who get nailed on drug or drug-related charges; instead of going to the slammer, men and women get a chance to choose treatment… it helps men and women break the cycle of drugs, crime and the law; it saves money by cutting the cost of enforcement; it keeps the city safer by reducing certain kinds of crime; oh, and it saves lives. We should be doubling and redoubling our efforts. And yet we are forced to cut back.

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Ontario expands bundled healthcare project

Thursday, September 3rd, 2015

A health care initiative that saves up to $4,000 per patient and cuts down on emergency room visits is being rolled out at dozens of hospitals and home care providers across the province. The ‘bundled care’ program connects patients with a single team of clinicians who meet and care for them before, during and after surgeries, even providing services once the patient has gone home. It cuts out the confusion often associated with healthcare visits…

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Make health care an election issue

Thursday, August 27th, 2015

When provinces deliver good health care, they take the credit; when they are unable to do so, they blame Ottawa for not transferring them enough money. Promises not only come with a price tag, but siphon money from other priorities, all without delivering political payback… this crisis will take 20 years to fully hit us. Like a tsunami, it still looks small while it’s on the horizon…

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Medicare needs a culture change, not more money

Tuesday, July 28th, 2015

“Canada has no shortage of innovative healthcare thinkers, world-class health researchers, capable executives, or dynamic entrepreneurs who see opportunity in the health sphere.” But innovation is stifled by the structure and administration of the health system, and a dearth of leadership… For decades, we have produced reports about the need to transform health-care delivery and funding while, simultaneously, clinging to the same old way of doing things.

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