FOR IMMEDIATE RELEASE
OANHSS RESPONDS TO GOVERNMENT
LONG TERM CARE REPORT

TORONTO (June 18, 2004) – The Ontario government’s report on long term care contains many excellent proposals for reforming the system – including a recognition that the province needs to work with stakeholders in overhauling standards in order to restore public confidence.

“Current standards are confusing, complex and open to interpretation,” said Donna Rubin, CEO of the Ontario Association of Non-Profit Homes and Services for Seniors.

Speaking today at OANHSS’ annual conference, whose members operate some 26,000 not-for-profit beds in the province, Rubin said the highest priority now is to establish standards that are clear, consistent, outcome-based, and achievable.

“Only then can meaningful and relevant information be generated – information that truly reflects the status of each facility – information that ministry staff, administrators, residents, and the general public can rely upon,” Rubin noted.

“We are absolutely supportive of greater openness and transparency. But until clear standards are established and reliable data is produced, releasing comparative information at this point could be dangerously misleading, causing the public to make erroneous choices about the care of their loved ones.”

The government report was written by Monique Smith, Parliamentary Assistant, Ministry of Health and Long-Term Care, who also addressed the OANHSS conference today. Her report contains dozens of recommendations that OANHSS welcomes, including:

·        Identifying key risks to residents, and addressing these risks through graduated sanctions.

·        Reporting abuse. OANHSS notes that long term care facilities are already required by law to do so. It agrees with recommendations to strength this provision through whistleblower protection and penalties for non-reporting.

·        Separating the inspection and compliance functions within the ministry, and having ministry staff conduct unannounced annual inspections of homes.

·        More community integration. Not-for-profit homes have been leaders in reaching out to their communities. OANHSS notes, however, that new and re-developed homes are impeded in these efforts because the existing capital funding formula prevents facilities from dedicating space for these programs.

·        Enhanced resident, family and volunteer involvement. Most of not-for-profit homes already have residents’ councils, and many have family councils or equivalent community advisory groups. As well, these homes enjoy strong volunteer support.

·        Limiting resident co-payment increases to no more than an annual cost-of-living adjustment.

·        Establishing an Ombudsman. In addition to acting as an advocate for the public, the Ombudsman should also provide an appeals mechanism for facilities to address perceived unfairness or issues with Ministry inspections.

There are three areas of concern. First, the report takes an overly prescriptive approach to human resource issues, recommending that government get involved in determining staffing levels, staffing mix, and staff qualifications.

“We maintain that it is management’s responsibility to put in place the care team that can best meet the needs of residents,” Rubin stated. “From facility to facility, there are enormous variances in the clients we serve, the communities and cultures we reflect, and the cost structures we have. Imposing a staffing formula across the board will not produce the desired results.”

Second, the report touches on the issue of funding equity but does not address it. Currently, for-profit nursing homes receive more in operating funding from the province than not-for-profit homes. OANHSS is confident, however, that the province will correct this unfair situation.

Third, the report suggests reviewing current redevelopment projects. Given that most of these projects are being undertaken by OANHSS members, there is concern that any pullback would further reduce the size of the not-for-profit sector relative to the for-profit sector (especially since the for-profit nursing homes received most of the new bed allocations).

“Our members’ redevelopment projects are vital to ensuring that not-for-profits have a continued strong presence in Ontario ... and that consumers continue to have choice in the kind of long term care they want,” Rubin said.

On balance, OANHSS is very much in accord with the report and delighted with the government’s previously-announced increase in operating funding for the sector.

“After many long years of voicing our concerns, advocating for change, and championing the rights of the frail elderly, it is rewarding to know that someone is finally listening – and finally acting on these issues,” Rubin stated. 

“We look forward to working in partnership with the government as we build upon our many strengths in delivering the highest quality of life and care to our elderly.”

 

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For further information or to arrange an interview, contact:

 

Debbie Humphreys                                                                 Steve Williams
905-851-8821 ext. 233                                                          416-777-0368

 


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OANHSS members include not-for-profit providers of long term care, services and housing for seniors in Ontario.
Members include municipal and charitable long term care homes, non-profit nursing homes,
seniors' housing projects and community service agencies.