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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 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

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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