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Coming of Age: The municipal role in caring for Ontario’s seniors NOMA Annual Meeting and Conference April 27, 2011 Petra Wolfbeiss, AMO. Municipalities and Long Term Care. 1947- The Homes for the Aged Act 1949 designated municipalities required to establish home for the aged

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Coming of Age: The municipal role in caring for Ontario’s seniors

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Coming of age the municipal role in caring for ontario s seniors

Coming of Age:

The municipal role in caring for Ontario’s seniors

NOMA Annual Meeting and Conference

April 27, 2011

Petra Wolfbeiss, AMO


Municipalities and long term care

Municipalities and Long Term Care

  • 1947-The Homes for the Aged Act

  • 1949 designated municipalities required to establish home for the aged

  • 2007- Long Term Care Homes Act, requirement to “have a long term care home”

NOMA Annual Meeting and Conference


What amo has heard

What AMO has heard

  • Growing concern with municipal requirement

  • Desire for greater flexibility

  • Principled consideration of municipal role in health services

NOMA Annual Meeting and Conference


Amo s interest in long term care

AMO’s Interest in Long Term Care

  • Examine the municipal context-issues and pressures

  • Local diversity

  • Changing context of long term care

NOMA Annual Meeting and Conference


What we know

What we know

  • Demographics-aging population

  • Supply and demand-long term care as a growth industry

  • Municipal issues and cost drivers

NOMA Annual Meeting and Conference


Demographics

Demographics

  • In Canada, 65 and older:

    • 3.9% in 1881 to 8% 1941

  • January 2011-baby boomers turn 65

    • 8.4% in 1956 and 13.6% in 2006 Ontarians over 65

    • 13.7% in 2009 to 23.4% by 2036

NOMA Annual Meeting and Conference


Demographics1

Demographics

  • Percent increase in seniors in next 20 years:

    • 86%

  • This shift will require a shift in municipal fiscal priorities

  • NOMA Annual Meeting and Conference


    Supply and demand

    Supply and Demand

    • Current waitlist: over 25,000, 5.1% increase over the last year

    • Collateral Effects

    • More seniors means more beds

    NOMA Annual Meeting and Conference


    Municipal issues and cost drivers

    Municipal Issues and Cost Drivers

    • Municipal dollar share increasing

    • Provincial legislation and initiatives

    • Other factors: arbitration, pay equity, local challenges

    NOMA Annual Meeting and Conference


    Municipalities lead

    Municipalities Lead

    • Innovation

    • Contribute over $300,000 million annually

    NOMA Annual Meeting and Conference


    What are our options

    What are our options?

    • Series of reports telling us we have to plan now

    • Some municipalities have explored options

    NOMA Annual Meeting and Conference


    Possible options for consideration

    Possible options for consideration

    • Fulfill legislative requirements

    • Change the requirement

    • Outsource operations but keep governance

    • Maintain ownership but outsource operations and governance

    • Sell the home and redirect contributions

    • Transfer beds to non-profit and/or for profit

    • Various forms of partnership

    NOMA Annual Meeting and Conference


    What we also know

    What we also know

    • Municipalities can no longer support the province

    • Municipalities must be supported by appropriate and sustained funding

    • Health care is a provincial responsibility

    NOMA Annual Meeting and Conference


    What is unclear

    What is unclear

    Who will fill the void?

    NOMA Annual Meeting and Conference


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