Skip to main content

$24.7 million in cuts to Hamilton area hospitals

Health Minister Deb Matthews is sticking to her  line to explain the $24.7 million in cuts planned for Hamilton area hospitals this year.

"We have to rebalance our health care system so we've got more money invested in home care and community based care. Too many people are in hospital when they don't need to be in hospital and they could be cared for at home if the resources were there," Matthews told the Hamilton Spectator.
  
Hamilton Health Sciences is shaving $15 million while St. Joe's is looking to cut $7.5 million.  Joseph Brant hospital in Burlington is looking to save $2.2 million.  The Spec lays out the following cuts planned for Hamilton Health Sciences:

"$1 million in service cuts to operating rooms, the west-end urgent care centre and to musculoskeletal outpatient physiotherapy;
$1 million to delay robotic dispensing of medications;
$2.9 million shaved from administration and support such as reducing costs of contracts;
$0.8 million from pharmacy, lab and allied health, including reducing social work hours;
$4.9 million by becoming more efficient, through reducing sick time and overtime, for example;
$0.2 million in improving how hospital beds are used;
$0.1 million in amalgamating services such as the library;
$1.8 million in finding ways to generate more revenue in services such as retail pharmacy;
$2.3 million in other strategies that don't impact front-line care."


Despite Matthews protestations, most home health care services have been reduced or flatlined in recent years, and the government plans to slow the growth in home support services.  In any case, how some of the cuts noted above could ever be made up by better home care is far from clear (operations in the home, perhaps?).

The "good" news is the $15 million in cuts planned for Hamilton Health Sciences is at the low end of the estimates suggested in January, when the hospital forecast $15 to $22 million in cuts based on a funding increase of either 0% or 1%.

Hospitals were supposed to have finalized their funding accountability agreements by the end of June. So more information about hospital budget cuts may be available for your local hospital.

Comments

  1. Operations in your home? Thats one way to get a Doctor to make a house call!

    ReplyDelete

Post a Comment

Popular posts from this blog

More spending on new hospitals and new beds? Nope

Hospital funding:  There is something off about the provincial government's Budget claims on hospital capital funding (funding to build and renovate hospital beds and facilities).    For what it is worth (which is not that much, given the long time frame the government cites), the province claims it will increase hospital capital spending over the next 10 years from $11 billion to $20 billion – or on average to about $2 billion per year.   But, this is just a notional increase from the previous announcement of future hospital capital spending.  Moreover, even if we did take this as a serious promise and not just a wisp of smoke, the government's own reports shows they have actually funded hospital infrastructure about $3 billion a year over the 2011/12-2015/16 period. So this “increase” is really a decrease from past actual spending. Even last year's (2016-17) hospital capital funding increase was reported in this Budget at $2.3 billion - i.e. about 15% more th

Ford government fails to respond to 72% increase in COVID inpatient days, deepening the capacity crisis

COVID infections continue to drive up hospital costs and inpatient hospitalizations in Ontario. For the most recent fiscal year (April 1, 2022- March 31, 2023) hospital stays related to COVID cost $1.221 billion, according to new CIHI data.   This is about 4% of total hospital spending, creating a very significant new cost pressure beyond the usual pressures of population growth, aging, inflation, and rising utilization.   Costs for COVID related hospitalizations increased 22.2% in Ontario in 2022/23 from the previous fiscal year, rising from $999 million to $1.221 billion.  That rise is particularly notable as the OMICRON spike of late 2021 and early 2022 had passed by the the 2022/23 fiscal year.   The $222 million increase in COVID hospitalization costs came in the same year as the Ford government cut special COVID funding and, in fact, cut total hospital funding by $156 million.     In total, there were 60,653 COVID hospitalizations in Ontario in 2022/3, up from 47,543 in 2021/2. 

Paramedic Services in Canada: Structure, Privatization, Unionization and other issues

Governance and Funding :  While police and fire services are usually municipal services, Emergency Medical Services (EMS) are typically controlled by provincial governments.  In Ontario, regional municipal governments have responsibility for delivering and funding EMS.  But even in Ontario the province plays a key role, strictly regulating EMS, providing funding for 50% of the approved land ambulance costs, and paying 100% of the approved costs for air ambulance, dispatch, base hospitals, First Nation EMS, and for territories without municipal government. Delivery :  Like police and fire services, EMS is predominantly a publicly provided service in Canada.   But businesses have now made some significant in-roads into EMS, primarily  Medavie,  a private corporation based in the Maritimes that describes itself as not-for-profit.  Medavie goes back over 70 years, with its roots in health insurance.  It still operates Medavie Blue Cross with 1,900 employees.  It now a