Connect with us

Anglais

Exercise caution on health-care super agency, Ontario warned

admin

Published

on


Before proceeding with the creation of a health-care “super agency,” Ontario would be wise to look closely at the experiences of other provinces that have gone down that bumpy road, health policy experts and leaders warn.

Nova Scotia, British Columbia and Alberta have undertaken similar reforms and found them to be more difficult, disruptive and distracting than anticipated, they caution.

“Everybody is thinking about the restructuring (while) the actual provision of services sort of gets ignored,” charged Katherine Fierlbeck, a political science professor at Dalhousie University, recounting Nova Scotia’s experience.

Nine regional health authorities were merged into the Nova Scotia Health Authority in 2015 with the aim of saving money and creating efficiencies.

But Fierlbeck argues there is no evidence to show that either goal was attained.

The Star reported in January that Ontario is eyeing the creation of a “super agency,” which would absorb more than 20 smaller agencies including Cancer Care Ontario, the Trillium Gift of Life, eHealth and 14 local health integration networks.

The provincial government has yet to confirm it intends to create a super agency, but the idea is being openly discussed in the broader public sector.

The provincial New Democrats have released numerous leaked government documents on health restructuring, including draft legislation to enable creation of a super agency.

Meantime, the Star has confirmed through a public record search with the Ministry of Government Services that the province incorporated, just over two weeks ago, an entity named Health Program Initiatives. The new entity and super agency are one in the same, said a source close to government who spoke on condition of anonymity in order to discuss the restructuring plan.

Asked if she had any advice for Ontario, Fierlbeck responded: “Don’t do it.”

Nova Scotia created a “huge monster agency” through the merger of smaller health agencies, she said, adding there was much inefficiency in decision making. Officials were unsure whether to get permission to make certain moves. There was a reluctance to make big decisions and a belief those should come down from on high.

An informal, blue-ribbon panel of Nova Scotia physicians, including a former deputy health minister, issued a report two years ago in which they wrote that merged organization “has quickly become a bureaucratic non-system which cannot respond quickly on behalf of dying or very ill people.”

Fierlbeck said primary care services in the province continue to be “a mess,” long-term care lacks planning and mental health services are improving but still not where they should be.

Thirteen years after health-care services in British Columbia were overhauled, the province’s cancer system continued to struggle, Dr. Don Carlow, former head of the B.C. Cancer Agency, wrote in a 2014 opinion piece in the Vancouver Sun.

The restructuring saw the board of the cancer agency disbanded. The agency was then taken over by the Provincial Health Services Authority, which had competing priorities.

Prior to the overhaul, the cancer agency reported directly to government. But after the changes, it reported to the authority, which in turn reported to government.

The cancer agency, which once had an international reputation for excellence and attracted top talent, had difficulty recruiting professionals and suffered from poor morale under the new structure, lamented Carlow, former president of the Ontario Cancer Institute/Princess Margaret Hospital and former executive director of the Canadian Association of Provincial Cancer Agencies.

Reached by phone, Carlow said Cancer Care Ontario is the envy of cancer systems around the world and he would hate to see it suffer a similar fate:

“This is an anachronism. You’ve got a good system and other people are looking at it and writing about it and praising it and copying it, and now they want to take it down? Oh no, I think that would be a mistake.”

Carlow pointed to a 2011 analysis by the Organization for Economic Co-operation and Development, which compared cancer systems in OECD countries. The best ones had good governance and leadership and took a systemic approach to cancer control through a lead organization like Cancer Care Ontario, he said.

Ontario’s former deputy minister of health, Dr. Bob Bell, said he is worried for the future of cancer care and organ donation in Ontario if both are moved under the umbrella of the super agency.

“Ontarians have enjoyed a system that continually improves without radical chaotic changes in structure,” said Bell, former president of the University Health Network and a former cancer surgeon.

“Incremental solutions are at hand to improve our current problems. Incremental change is not resisting innovation, it is introducing change in a responsible, safe manner that does not put patients at risk,” Bell added.

Alberta’s health system experienced much publicized disruption after it was centralized in 2008. Alberta Health Services was created out of 12 smaller health entities.

Opposition politicians and unions denounced the merger and called for AHS to be dismantled, charging health services were suffering.

Its first CEO, Stephen Duckett, lasted only 18 months, eventually returning to his native Australia. At the same time, some board members resigned.

Reached by email, Duckett described the restructuring this way:

“In my view it was handled badly but I think the outcome was good. There was unhealthy competition between the predecessor authorities which was not in the public interest. I do not think though that the merger process impacted adversely on patient care.”

Theresa Boyle is a Toronto-based reporter covering health. Follow her on Twitter: @theresaboyle



Source link

قالب وردپرس

Anglais

A stunning Water Lantern Festival is coming to Montreal

admin

Published

on

By

What might just be the most magical night ever is coming up for Montreal this year.

The Water Lantern Festival has announced that it will be gracing Mississauga with thousands of floating lanterns later this year, as part of a celebration that spans the entire world.

According to the festival’s official website, the event is a celebration of life with proceeds going towards charities and non-profit organizations within the area.

“Water Lantern Festival brings together individuals from all ages, backgrounds, and walks of life to join in one emotional and memorable night. At the Water Lantern Festival, we cherish these moments and will do our best to help you have a memorable experience that you’ll never forget as you witness the beauty of thousands of lanterns reflecting upon the water,” the website states.

The festival takes place throughout multiple cities around the world, with the Canadian cities of Quebec, Regina, Vancouver, Hamilton, Calgary, Ottawa, Mississauga, and, of course, Montreal taking part.

For the Calgary event, a date has been confirmed and tickets are already rolling out. Montreal shan’t be far behind, and you can click the Notify Me tab on the event’s site to be kept in the loop.

Expect an evening filled with food trucks, music, lantern designing and finally, a magical launch of the lanterns into the water as the sun goes down.

For our pals over in Calgary, their event includes a floating lantern, a commemorative drawstring bag, a marker, and a wristband. Expect something similar, if not the same, when more details float through about Montreal’s event.

Continue Reading

Anglais

Euthanasia order on hold for Montreal dog that attacked children

admin

Published

on

By

A pit bull dog that attacked four children and two adults in August 2018 in Montreal North will not be euthanized in the immediate future.

The euthanasia order has been temporarily suspended pending the appeal of a Quebec Superior Court decision.

On Tuesday, Judge Lukasz Granosik rejected a request to halt the euthanasia order issued by the Montreal North borough, which declared the animal a “dangerous dog.”

The City of Montreal has not changed its mind. This is only a delay before it proceeds with euthanizing the dog, a source told the Canadian Press.

Shotta, the one-year-old dog, was in the care of its owner’s acquaintance in August 2018. The dog attacked four children and two adults, causing serious injuries in separate incidents on the same day.

After the attacks, the dog was taken from the home and entrusted to the SPCA.

WATCH: Dog found dead in Angrignon Park

The Road to Home Rescue Support, an American shelter, asked the court if it could take in the dog. Christa Frineau, the dog’s owner, had also asked that Shotta not be euthanized.

Granosik refused to grant the request.

—With files from Global’s Kalina Laframboise

Continue Reading

Anglais

9 Things To Do In Montreal This Friday, Saturday & Sunday

admin

Published

on

By

Today’s sunny skies have me itching to make weekend plans. I absolutely cannot wait to make the most of this warmer weather. This might be the time to inflate my bike tires and dust off my running shoes…

Whether you want to brush up on your cooking skills, let loose, or fill your stomach with amazing food, there’s an event out there for you. Read on for 9 fun things you can do with friends or a fling this weekend.

TL;DR Read on for 9 fun things you can do in Montreal this weekend.

Let Yourself Go At Dress Up

Where: 185 Avenue Van Horne, Montréal.

When: Friday, March 29, 9:00 p.m.

Continue Reading

Chat

Santé Et Nutrition2 mois ago

Une boisson frappée végétalienne pour tous les amateurs de desserts

Santé Et Nutrition2 mois ago

Cet été, ajoutez de la saveur à vos pâtes

Santé Et Nutrition2 mois ago

Une nouvelle technologie donne plus de libertés aux personnes atteintes de diabète

Santé Et Nutrition2 mois ago

Une nouvelle façon de percevoir le diabète de type 1

Santé Et Nutrition2 mois ago

Comment freiner la crise des opioïdes dans les petites villes

Styles De Vie2 mois ago

Les jeunes et les opioïdes : Ce que les parents doivent savoir

Styles De Vie2 mois ago

Prenez soin de vous cet été

Styles De Vie2 mois ago

Survivre à un voyage en famille

Styles De Vie2 mois ago

Magasiner pour un véhicule en 2019

Styles De Vie2 mois ago

5 bonnes raisons de louer un bateau de plaisance

Affaires3 mois ago

Le stress financier affecte-t-il votre santé physique et mentale ?

Affaires3 mois ago

Les plans de location avec option d’achat vous conviennent-ils?

Affaires3 mois ago

Utiliser votre auto comme garantie pour un prêt : ce qu’il faut savoir

Affaires3 mois ago

Les fraudes par carte de crédit sont de plus en plus fréquentes – quoi faire si vous en êtes victime

Affaires3 mois ago

Vous achetez une maison? Attention à la fraude hypothécaire

Affaires3 mois ago

Cinq arnaques susceptibles de tromper même les personnes les plus avisées – comment vous protéger

Affaires3 mois ago

Les inconvénients financiers d’être trop aimable

Affaires3 mois ago

Voici une astuce simple pour s’enrichir

Affaires3 mois ago

Faites fructifier vos placements en un clic

Affaires3 mois ago

Utiliser pour la première fois des services bancaires au Canada

Anglais1 année ago

Body found after downtown Lethbridge apartment building fire, police investigating – Lethbridge

Styles De Vie1 année ago

Salon du chocolat 2018: les 5 temps forts

Anglais11 mois ago

27 CP Rail cars derail near Lake Louise, Alta.

Anglais11 mois ago

Man facing eviction from family home on Toronto Islands gets reprieve — for now

Santé Et Nutrition1 année ago

Gluten-Free Muffins

Santé Et Nutrition1 année ago

We Try Kin Euphorics and How to REALLY Get the Glow | Healthyish

Anglais11 mois ago

This B.C. woman’s recipe is one of the most popular of all time — and the story behind it is bananas

Anglais10 mois ago

Ontario’s Tories hope Ryan Gosling video will keep supporters from breaking up with the party

Anglais10 mois ago

A photo taken on Toronto’s Corso Italia 49 years ago became a family legend. No one saw it — until now

Styles De Vie1 année ago

Renaud Capuçon, rédacteur en chef du Figaroscope

Mode11 mois ago

Paris : chez Cécile Roederer co-fondatrice de Smallable

Anglais1 année ago

Ontario Tories argue Trudeau’s carbon plan is ‘unconstitutional’

Anglais10 mois ago

This couple shares a 335-square-foot micro condo on Queen St. — and loves it

Anglais1 année ago

Condo developer Thomas Liu — who collected millions but hasn’t built anything — loses court fight with Town of Ajax

Anglais1 année ago

Trudeau government would reject Jason Kenney, taxpayers group in carbon tax court fight

Anglais1 année ago

100 years later, Montreal’s Black Watch regiment returns to Wallers, France

Technologie10 mois ago

YouTube recommande de la pornographie juvénile, allègue un internaute

Anglais11 mois ago

Province’s push for private funding, additional stops puts Scarborough subway at risk of delays

Styles De Vie11 mois ago

Ford Ranger Raptor, le pick-up roule des mécaniques

Affaires11 mois ago

Le Forex devient de plus en plus accessible aux débutants

Trending