Archive for the ‘Health Delivery System’ Category

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Ontario’s bureaucracies continue to fail the most vulnerable

Monday, October 15th, 2012

Oct 15, 201
Who among us hasn’t known someone forever changed by a head injury, or seen a relative transformed by the ravages of dementia. It’s a major problem in our healthcare system, and one that isn’t getting any better… If Ontario can afford to put Ms. Arthurs in the wrong facility, it surely can afford to keep her in the right one. Bureaucratic silos and institutional fiefdoms must not be allowed to deny patients and families the care they need.

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Canadians are ready for an adult conversation on Medicare

Monday, October 15th, 2012

October 14, 2012
… the good news is medicare doesn’t need much if any new money or for-profit care. Many examples across the country demonstrate we could almost eliminate waits for doctors and other services through process improvement and system redesign… Best practices across Canada demonstrate that we could see our family doctors within one day, see specialists within one week, and get elective surgery within three months. And we could get this much better care for little or no additional cost.

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Dissolve CCACs: Nurses association

Sunday, October 14th, 2012

October 6, 2012
… calling for 14 CCACs… to be dissolved because they are top-heavy with administration costing the system millions of dollars… The RNAO is proposing the 3,500 case managers working for CCACs — 3,000 registered nurses and 500 social workers and other health professionals — be transferred to the primary care system under the direction of the 14 Local Health Integration Networks in the province.

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Ontario pharmacists can now dispense flu shots, meds

Tuesday, October 9th, 2012

Oct. 09, 2012
Pharmacists can now give flu shots, renew most prescriptions, and prescribe drugs to help quit smoking… Pharmacists will be paid $7.50 per injection, which is provided to patients free of charge… pharmacists would also be able to provide up to six-month renewals of prescriptions for all non-narcotic medications. As well, they will be permitted for the first time to prescribe smoking cessation drugs.

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Health-care providers openly discriminate against the mentally ill

Saturday, September 22nd, 2012

September 20, 2012
The biggest surprise in the Ontario Human Rights Commission’s all-encompassing report on mental health is how deeply embedded discrimination against people with mental disabilities is in the health-care system… Health Minister Deb Matthews has to lay down the law: Any health-care worker found violating the rights of Ontarians with mental disabilities will be disciplined. Any institution that allows such behaviour will be penalized.

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New CMA President: A view shaped by best and worst of care

Sunday, August 26th, 2012

15 August 2012
Dr. Reid said that the health-care system has become so big and complex that “we sometimes stray from what it is to be a healer”… the patient voice and the patient experience and the patient perspective has been so far from people’s minds for such a long time that it will take time for things to change… physicians face big challenges, including crushing workloads, scarce resources and loss of autonomy, but they cannot allow themselves to lose their identity as physicians and their primordial duty to patients. “Patient-centred culture does not cost a penny more”

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Mental health nurse improving emerg outcomes

Sunday, August 26th, 2012

13 August 2012
Results of the pilot project include 31 cases where care in the community was organized thus avoiding hospital admission, 87 cases in which medication management issues were identified and corrected, and 68 cases where aggressive behaviour in the emergency department was reduced or eliminated. The presence of the liaison nurse also led to the reduction of the average length of stay in the emergency department for mental health care patients… the liaison nurse role has also helped shorten the inpatient length of stay

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Overcrowding and overwork compromise health care

Saturday, August 25th, 2012

12 August 2012
Nurses know changes are needed. Hospitals across the country are at overcapacity. A generally accepted standard of safe hospital occupancy is 85 per cent yet most hospitals are working at a 100 per cent or higher. The results of overcrowding include compromised care, high rates of hospital acquired infections and unnecessary rates of hospital readmission. Another result is dangerous levels of workload, and the resulting vicious circle of working short.

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Toronto home-care program keeps patients out of hospital

Wednesday, August 22nd, 2012

6 August 2012
The Integrated Client Care Program allows seniors at risk of hospitalization to stay in their own homes as long as possible with strong support from health-care professionals and community service providers…. [It] also provides help to the oft-overlooked caregiver… With a rapidly aging population and a $15-billion deficit, the provincial government wants to see more programs like this. The Liberals called for more home visits by doctors in the last election and they hiked spending for community health services by 4 per cent in the last provincial budget.

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Sick health care system made Canadians lose more than $3-billion in economic activity: Fraser Institute

Wednesday, August 15th, 2012

1 August 2012
the Fraser Institute, which estimated that last year Canada lost $1.08-billion in business-day economic activity due to excessive wait times at hospitals and time gaps between visits to specialists and receipt of treatment. Long waits in emergency rooms and forcing Canadians to take time out their work days to visit multiple doctors has a cumulative effect not only on the quality of their care but on the overall productivity of the workforce, says the report.

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