State plan to stabilize health system targets older people, won't solve crisis, critics say

Plans to stay open include increased surgeries in private clinics covered by OHIP, examination and registration fees for internationally trained nurses. , so-called alternative level of care, involving patient mobility. From hospitals by sending some to long-term care facilities that are not of their choice.

Workers proposed Ontario Health Minister Sylvia Jones Listen as State Health announces changes to its care system Thursday at Toronto's Sunnybrook Hospital. Photo by Chris Young /The Canadian Press

Says it will be pushed back to its worst record during the COVID-19 pandemic as new provincial plans to ease the care crisis in Ontario put further pressure on a thinly stretched long-term system to free hospitals It will force the occupants into the house where there was. space.

"Instead of making those homes more desirable, they're just trying to force people to go there," said an attorney at the Center for Elderly Advocacy. One Jane Midas said: “In the early days of COVID, I saw older people being sent to long-term care facilities [to make room in hospitals].

Jane Meadus, Attorney at Center for Aged Advocacy. Photo by Jane Sims /Postmedia

Changes to state long-term care laws mean hospitalized people wait for long-term care beds You can move to a temporary home that is not on your priority list. Meadus and colleagues note that homes with higher mortality and infection rates during pandemics typically have the shortest waiting lists because people don't want to go there.

" People without waitlists don't have waitlists for a reason," said Grace Welch, co-chair of the Champlain Area Family Council Network. She called the state's plans to remove options from long-term care residents and their families "downright appalling.

"They were the first victims (elderly). But now we're doing it again."

states also say they will open beds in long-term care facilities previously used for COVID isolation.

These were among the changes announced by Health Secretary Sylvia Jones and Long-Term Care Secretary Paul Calandra on Thursday, after many emergency departments closed and nurse shortages worsened over the summer. It was intended to stabilize the state's precarious health care system.

Critics point to state-sponsored policies, including an increase in OHIP-covered surgeries in private clinics, the burden of testing and registration fees for internationally trained nurses, and so-called alternative level mobility. describes the changes announced as part of the company's business continuity plan. Sending some patients out of the hospital to long-term care facilities they didn't choose does little to stop the crisis.

Dr. Alan Drummond, an emergency physician in Perth and public relations co-chair of the Canadian Association of Emergency Physicians, said the plan lacked the necessary urgency.

“There is no immediacy in terms of retaining and returning experienced nurses. I will be back soon," he said.

Ontario Health Minister Sylvia Jones. Photo by Chris Young /The Canadian Press

Drummond warns hospitals will be "in big trouble" as winter approaches did. Government approach. He and others argue that while plans to recruit more foreign-trained nurses and train more nurses will not solve the immediate crisis, they will repeal Bill 124 and eliminate violence in the workplace. Addressing mental health will acknowledge the work and sacrifices made by nurses and help them stay in place, they say.

Bill 124 limits the compensation of public sector workers, including nurses, to 1% of her.

Dr. Thierry Messana, president and CEO of the University of Ottawa Heart Institute, called for the bill to be repealed at a press conference this week with Kathryn Hoy, president of the Ontario Nurses Association. became one of the most prominent hospital officials.

Mesana said she was increasingly concerned about how difficult it would be to find and retain nurses. He was frustrated, shaken, and looked down upon by nurses over a bill that would cap wage increases well below inflation during a period of tireless work that put his health at risk. I hear you feel that

"For me, Building 124 has done an extraordinary level of damage. Nurses feel neglected and unfair," Methana said. I'm not saying we're not doing anything." But repealing Bill 124 will help stabilize the workforce, honor nurses, and provide a long-term solution.

Meanwhile, long-term care home staffing is at "crisis levels," said Lisa Levin, director of her AdvantAge Ontario, which represents nonprofit and municipal long-term care homes. increase.

"Pressing one part of the (health) sector, especially one that is already in crisis, cannot help another," she said.

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