Sunday, March 16, 2014

Home Care costs –how do we measure them?

Investing wisely in homecare critical to delivering quality care and effectively managing the system says SEIU Healthcare in its Ontario pre-budget submission
Homecare: Fulfilling the promise
Action Plan
1.Cut waiting lists for homecare
With more than 10,000 people on waiting lists for homecare, and delays of up to 260 days, families
need a new homecare guarantee that care will be there when they need it.
2.Provide relief to family caregivers
Take some of the pressure off families who are caring for an ailing relative while at the same time
trying to juggle a full-time job and raise a family with supports like flexible respite care so that
caregivers get a break.
3.Guarantee security and peace of mind
When a family needs homecare they should be guaranteed every health professional coming into
their home is trained, qualified and has passed a criminal background check.
4.Insist investments go to the frontline not the bottom line
Put a hard cap on the salaries of healthcare CEOs who have been pocketing millions and close tax
loopholes so the wealthiest 1% pay their fair share towards public healthcare.
5.Demand transparency and accountability
Today out of every public dollar invested in homecare, only 35 cents goes to actual frontline care.
The public needs full disclosure of where every homecare penny goes, in order to be reassured
that homecare services are being delivered efficiently to meet the rising demand.
6.Protect the heart of healthcare
Frontline staff are the heart of healthcare. To attract healthcare professionals required to care for
an aging population, we need a plan that offers personal support workers fair and reasonable
compensation and incentives like retirement benefits.
From a system wide perspective, SEIU Healthcare recommended fully utilizing the knowledge and skills of healthcare professionals such as Registered Practical Nurses (RPNs) and Personal Support Workers (PSWs) in the acute and community sectors to increase both the efficiency and quality of Ontario's healthcare system. For example, using a RPN to his/her full scope of practice will result in a net savings to the system since an RPN hour costs 30% less than a Registered Nurse hour while providing the same quality of care. Similarly, using trained PSWs in tasks for which they possess the skills and knowledge to practice will result in net savings to the system since a PSW hour costs approximately 30% less than an RPN hour.  If implemented, it is estimated that this measure could result in a net savings of over a Billion dollars per year.

For every $1 spent on Homecare, $.35 reaches the worker/patient. $.65 eaten up by the system,profits

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