Skip to main content

Closing hospital beds, laying off staff, shutting operating rooms?

The Ottawa Citizen reports that fee for service funding (sometimes called "pay for performance") will increase from 6% of funding in 2012-3 for Ontario's 50 largest hospitals to 20% by 2014-15.  Traditional global funding will fall from 54% to 40%.  


Dr. Richard Reznick, dean of health sciences at Queen's University told the Citizen, "It (the new funding system) takes away any degree of freedom that an executive management team has over a budget and lets the government dive deep into the micromanagement of specific funding lines".  The Citizen adds, "a key concern about the funding changes is that hospitals will lose the ability to predict annual budgets, making it difficult for them to balance ledgers without perpetually putting beds and jobs at risk."


Critics of this funding system note it will open a large door for privatization.

Citizen reporter Pauline Tam notes that the the government has provided little information to the hospitals about the specifics of the new funding model.    "We're blind," Tom Schonberg, chief executive of the Queensway Carleton Hospital, told the Citizen. "We don't have enough details to be able to plan properly."

Tam adds that Hospital officials say their budgets won't be finalized until late summer, well past the first quarter of the new fiscal year. As a result of the lack of information, hospital officials are drawing up contingency plans "to close beds, lay off staff and temporarily shut down some operating rooms."

The full Citizen story can be found by clicking here.  


Comments

  1. Hasn't the 'end game' been to open a door, large or small, for privitization? The Conservatives are active in this regard (and Federal Finance Min. Flaherty will get to finish what he started as a Harris neo-con by starving the system country wide); the Liberals let policy drift pave the way for a parallel private system. Once the door is opened a mm, litigation under NAFTA, & CETA will blow it open the rest of the way.

    ReplyDelete
  2. The Liberals have pursued P3 privatization and now they are opening the door to moving work out of hospitals to private clinics. So yeah, I think you are correct, Bruce.

    ReplyDelete

Post a Comment

Popular posts from this blog

Huge cuts in public sector wages predicted

The Ontario Financial Accountability Office (FAO)   says  that, with inflation, real wages in the public sector will decline 11.3% over the three year period  2021/2 - 2023/4 .  This would radically deepen the trend towards lower wages during the last ten years.   The FAO reports that since 2011, the average annual salary for the Ontario public sector employees (defined here as employees of schools, colleges, provincial government, provincial agencies, and hospitals) has increased by $10,385   -- or 1.6 per cent on average annually.  This is the lowest increase of all the sectors and lower than inflation, which averaged 1.8 per cent per year. Over the ten years that would be about a 2% pay cut.   The FAO reports that wage settlements were the lowest in the provincial public sector over the last decade:   Hospital Wages Especially Challenged: The FAO predicts hospital wages will increase even less than in the public sector  -- just ...

Too many public sector workers in Ontario?

Opponents of public services often try to portray the public sector as having grown disproportionately.  In fact, since 1976, the number of public sector employees has not quite kept pace with the population. In 1976, the number of public sector employees in Ontario  as reported by Statistics Canada averaged 830,800.  By 2012, the number had increased to 1,330,700 -- a 60.2% increase.  That sounds like significant growth -- true. But the population has increased  from 8,413,779 in 1976 to 13,505,900 in 2012, a 60.5% increase.   In other words, population growth has run slightly ahead of the growth in public sector employment.     In 1976, close to 10% of the population worked in the public sector.  It stayed pretty much this way until the Mike Harris government came to power when it dipped below 9%.  It returned close to the historical range in the last six years or so, declining in 2012 to below the 1976 averag...

Are health care administrative expenses out of control in Ontario?

The Progressive Conservative government has justified its health restructuring plans with the claim that administrative expenses are much higher in Ontario than in Canada.  When introducing the reforms, health minister Christine Elliott  claimed , “Over the last five years, Ontario has spent 30% more than the Canadian average in administrative expenses on its health care system.”   Elliott did not indicate her source of information. Presumably, however, the Progressive Conservatives are referring to the CIHI simplified and user friendly “ Your Health System ” graphs. Those graphs show “administrative expenses” in Ontario at 5.8% in Ontario while it is 4.5% in Canada.   This CIHI measure is actually fairly narrowly defined. It is the percentage of “the legal entity’s” total expenses associated with the administrative, finance, human resources and communications functional centres. However “the legal entity” used for this estimate is [1] only...