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Long Term Care Homes High-Level Briefing and One-Day Conference. Ontario Health Coalition Alliance of Seniors/Older Canadians Network . How We Got Here. Rae Government – three acts to formalize system

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long term care homes high level briefing and one day conference

Long Term Care HomesHigh-Level Briefing and One-Day Conference

Ontario Health Coalition

Alliance of Seniors/Older Canadians Network

how we got here
How We Got Here
  • Rae Government – three acts to formalize system
  • Harris Government – deregulation, 20,000 new beds most for-profit, “Red Tape Commission” recommended new Act
  • McGuinty Government – some reversals of Harris-era deregulation. Continuation of Harris tendering – more new beds, continuation of for-profit privatization. Process leading to new Act, regulations.
    • Monique Smith Report
    • Bill 140
    • Sharkey Report
    • Sharkey Process
    • Regulation Process – eliminate Manual, new regulations
coming up
Coming Up
  • Sharkey process
  • Regulations – 30 day consultation
  • Ombudsman’s report & recommendations
envelope funding system
Envelope Funding System
  • Nursing and Personal Care – no profit
  • Raw Food – no profit
  • Programs and Support Services – no profit
  • Accommodation – profit
  • Capital – separate, profit
large for profit chains operating in ontario
Large For-Profit Chains Operating in Ontario
  • Extendicare
  • Chartwell
  • Revera (was Central Care Corp.)
  • Leisure World
increasing acuity
Increasing Acuity
  • 1992 – 2007 – Acuity increase of 29.7%
  • In 2007 provincial CMM was 98.13 an increase in 1.87% since 2006 when the provincial CMM was 96.33
    • Result of redefinition of complex continuing care, closing of hospital beds, ageing, downloading of mental health patients/closing of beds
  • By 2007, 74% of Ontario’s ltc residents were classified as Category F (second highest level of acuity)
assessing acuity
Assessing Acuity
  • 2001 PriceWaterhouse Coopers Report:
  • Since then, government has never updated the study, but acuity has continued to increase.
ontario health coalition key recommendations in 2008
Ontario Health CoalitionKey Recommendations in 2008
  • A Minimum Care Standard
    • Attached to measured acuity
    • Average of 3.5 hours attached to average acuity
    • Cover RN, RPN, PSW (daily hands-on care)
    • Public reporting, compliance, enforcement
  • Note: there are existing minimum levels for Administrator, Director of Nursing, Food Services Supervisor, Therapy Services Coordinator, Registered Dietician, Recreation & Leisure Services
ontario health coalition key recommendations in 200822
Ontario Health CoalitionKey Recommendations in 2008
  • Appropriate care settings, special care units, review downloading
  • Development of a Human Resources strategy as a priority
  • Provide time and opportunities for staff to talk with residents for social and rehabilitation purposes, and recognize this activity as vital for quality of life for both residents and staff.
  • Update the findings of the 2001 PriceWaterhouse Cooper’s Report into staffing and acuity levels in Ontario’s nursing homes as per the Coroner’s Jury Recommendations in the Casa Verde homicide.
  • Other recommendations as per our 2006 key issues.
current mohltc initiatives
Current MOHLTC Initiatives
  • Sharkey Process
  • Regulations Process