Skip to main content

LHINs to decide which surgeries should be moved from hospitals

Health Minister Deb Matthews signalled that the LHINs would decide which surgeries and tests should be shifted from hospitals to clinics, the Ottawa Citizen reports.  "We will expect the LHINs to do the work to determine what, if any, procedures there are that could be better delivered in the community," Matthews said.


Moving work out of hospitals is a major policy direction for the Ontario Liberal government.


LHINs are, of course, supposed to integrate health care (their full name is Local Health Integration Network) so it is amusing that they are now supposed to fragment health care by moving work to new providers.  (Oh what a tangled web we weave...)


The Citizen also reports Matthews hinted that she would be open to having the Ottawa Hospital's cataract clinic spun off as a stand-alone corporation, if health officials can demonstrate that such a move "would provide high-quality care at a lower price."  Currently, the Ottawa Hospital clinic provides all cataract surgeries in the area. 




Comments

  1. This makes sense, hospitals should be used for things that you require the conditions only available in a hospital. If something can be done outside of that setting, it makes sense to do so given the costs to run a facility as complex as a hospital. We no longer need surgery to cure ulcers, or days of recovery after most surgeries. Centralize some services so that the primary services of a hospital are better utilized, while putting services that can be completed in the community in environments lest costly to run and maintain. The liberals do need to stop using the LHINs as a PR tool and let them function as a crown corporation independent of political manipulation (or at least as much as one can expect)

    ReplyDelete

Post a Comment

Popular posts from this blog

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...

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...

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 Medav...