Skip to main content

Hospital planned new beds -- in for-profit retirement home

In May, Hotel Dieu Hospital in Windsor was seeking to establish 18 hospital beds in a private nursing home in Amherstburg. 


The beds are so-called "assess and restore" hospital beds, designed to help patients transition from hospital back to home (or, failing that, a nursing home).   Assess and restore hospital beds are supposed to relieve pressure on more expensive to operate acute care beds, while also providing the special services needed to help patients make the return to home. The hospital itself already operates 15 such transitional beds.

In early May, the Ministry of Health and Long Term Care told the Windsor Star, that they were reviewing the proposal, as such a change needs approval under the Public Hospitals Act.  


The private nursing home is operated by Seasons Retirement Communities, headquartered in Oakville. Seasons Retirement Communities is a privately held partnership created in 2009 which owns and operates over 1,000 independent and assisted living units in Ontario.   Fengate Capital Management says it and another private company, TriAmico Development Affiliates, founded and manage Seasons Retirement Communities. (Fengate is a player in the public private partnership market.)


Reportedly, the hospital would rent a wing from the retirement home as a tenant.  The hospital started hiring registered nurses, registered practical nurses and personal support workers to work in the retirement home. The retirement home renovated its facilities for the beds, to some extent.

The plan was to have the beds operating by the end of May.


As it turns out, however, the hospital beds have not been opened in the retirement home.

The government has not explained the situation publicly and it would be wrong to conclude that such plans have been ruled out elsewhere, I reckon. The Hospital's supervisor is a recent assistant deputy minister of health.

Ironically, it was the failure of a nursing home public private partnership (P3) project in Windsor that drove the hospital  bed crisis in Windsor to new levels.  The failure of the P3 home at the old Grace hospital site has forced many hospital patients ready for a nursing home to remain in a hospital bed.

Comments

Popular posts from this blog

Health care funding falls, again

Real provincial government health care funding per-person has fallen again this year in Ontario, the third year in a row.  Since 2009 real funding per-person has fallen 2.6% -- $63 per person. 

Across Canada real per person funding is in its fourth consecutive year of increase. Since 2009, real provincial funding across Canada is up $89 -- 3.6%.
In fact the funding gap between Ontario and Canada as a whole has gown consistently for years (as set out below in current dollars).

Ontario funds health care less than any other province -- indeed, the province that funds health care the second least (B.C.) provides $185 more per person per year, 4.7% more.  
Provincial health care spending in the rest of Canada (excluding Ontario) is now  $574 higher per person annually than in Ontario. 

 Ontario has not always provided lower than average health care funding increases-- but that has been the general pattern since 2005.
Private expenditures on health care have exceeded Ontario government increases …

Ontario long-term care staffing falls far short of other provinces

CUPE and others are campaigning for a legislated minimum average of four worked hours of nursing and personal care per resident per day in long-term care (LTC) facilities.  New research indicates that not only is LTC underfunded in Ontario, it is also understaffed compared to the other provinces. 
LTC staffing falls short:  The latest data published by the Canadian Institute for Health Information (and based on a mandatory survey undertaken by Statistics Canada) indicates that staffing at long-term care (LTC) facilities falls far short of other provinces. 
Part of this is driven by a low level of provincial funding for LTC.





Ontario has 0.575 health care full-time equivalent employees (FTEs) per bed staffed and in operation.[1]  The rest of Canada reports 0.665 health care FTEs.[2] The rest of Canada has 15.7% more health care staff per bed staffed and in operation than Ontario.[3] 


No other province reports fewer LTC health care staff per resident (or per bed) than Ontario.[4]

Occupancy r…

Six more problems with Public Private Partnerships (P3s)

The Auditor General (AG) has again identified issues in her annual reportwhich reflect problems with Ontario health care capacity and privatization.   First, here are six key problems with the maintenance of the 16 privatized P3 ("public private partnership") hospitals in Ontario:
There are long-term ongoing disputes with privatized P3 contractors over the P3 agreements, including about what is covered by the P3  (or “AFP” as the government likes to call them) contract.The hospitals are required to pay higher than reasonable rates tothe P3 contractor for  maintenance work the contractor has deemed to be outside of the P3 contract. Hospitals are almost forced to use P3 contractors to do maintenance work the contractors deem outside of the P3 contract or face the prospect of transferring the risk associated with maintaining the related hospital assets from the private-sector company back to the hospitalP3 companies with poor perf…