Kenora hospital bed squeeze tightens. On transitional beds and home care.

Patients who no longer need medical or surgical beds (ALC patients) now occupy about half of the medical and surgical beds at the Lake of the Woods Hospital in Kenora, according to the Miner and News.

Despite a rapidly aging population, the provincial government is slowing the development of new nursing home beds across the province. Some new transitional beds are being established in nursing homes, retirement homes, hospitals, and other facilities around the province, but not in sufficient numbers to stop the back up of patients in hospitals.

As a result, high bed occupancy constantly threatens the ability of the hospitals to treat new patients and provide adequate care.

"We've been fortunate that there hasn't been as much (admittance) as we had last fall and winter," said Mark Balcaen, the hospital CEO. "We're coping but at any moment, things could change. All you need is a four or five person surge to be admitted tonight and we're back to the crisis we were in last spring."

The government's official strategy emphasizes moving ALC patients to home or community care. Vice-president of nursing, Leslie Brown, however, questioned provincial assumptions over these alternative forms of care, suggesting that such services are under-resourced in Kenora.

"There's a new strategy called the Wait At Home Strategy that has a number of options in it," she said. "One of the problems in communities like ours and many communities in the Northwest is currently the resources in the community don't exist that support the Wait At Home strategy....A longer term strategy, waiting for that to happen in Kenora as more and more of our beds get filled with long term care patients is not going to work. What are we doing in the short term?"

dallan@cupe.ca

Comments

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.

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

The hospital crisis: No capacity, no plan, no end

While Canada has achieved universal public healthcare coverage, that does not mean conservative forces have given up trying to erode that coverage and expand corporate care where it does not currently exist. The battle has become particularly intense in Ontario under the Ford Progressive Conservative government, which is implementing serious cuts to the level of care and moving to bring in for-profit mini-hospitals. Inadequate Staﬃng. Less and less of hospital spending is on staff. Employee compensation as a share of hospital expenditures has consistently shrunk in Ontario. This is not some immutable law of hospital development. It is in stark contrast with the rest of Canada, where compensation has become a larger share and now accounts for 67.1%. Hospitals in provinces other than Ontario now have 18 percent more staﬀ per capita than hospitals in Ontario. Overall, if Ontario had the same staﬃng capacity as the other provinces and territories, there would be another 33,778 full t

Defend Public Healthcare

Search This Blog