A Tale of Two Sites
AP_May9,2007.jpg Cent_May9,2007.jpg
    Ajax Pickering site. Access road construction. May 9, 2007   Centenary site. Birthing Centre construction. May 9, 2007. (click to enlarge)
Call to Ontario Politicians to Legislate More Accountability of Hospital Boards 

June 6   In a letter to today's the Star, Lai Chu, Co-Chair of the newly-formed Ontario Alliance for Accountability of Hospital Boards, called on hospital Boards in the province to recognize they represent the people of Ontario & not the Government of Ontario.

Politicians also need to be reminded that "it is their responsibility to update legislation to make hospital governance accountable to and representative of the people", Chu states.

Citing greater accountability rules for public and private corporations, Chu also pinpoints the stress, illness and waste  hospital professionals sometimes face as they deal with despotic and insensitive administrators as well as their acquiescent boards. Star article

The O.A.A.H.B. was formed on May 14 by representatives of citizen organizations from five widely-dispersed hospital boards in Southern Ontario. The Friends were founding members. 

Speaking at that time, Bill Parish, co-chair of the Friends, stated that it's "clear that citizens in many regions of Ontario face similar situations. We hope there will eventually be 156 such groups covering every hospital board in the province".


Star Calls on Province To Change Board Election Method

Hospital Boards need a transfusion according to an editorial piece appearing in Saturday's Toronto Star (June 2).

Calling for a legislative change so some residents who are not hand-picked by the current Board can be elected, editorial editor Bob Hepburn echoed similar calls the Friends are making.

"A Board can not be truly effective when it loses the confidence of the community it is supposed to serve", Hepburn writes. "And that, sadly, is exactly what is happening in Ajax."

See the article at the Star site.

'Satellite' Status For Ajax-Pickering?

The future direction and operation of Ontario’s hospitals has been brought into question by recent remarks made by Hy Eliasoph, CEO of the Central Local Health Integrated Network.   

Speaking on the announcement of a new hospital for Vaughan, Eliasoph stated: “We don’t believe the future delivery of health care is supported by single big, huge hospital structures.”   

“Health care trends have gravitated towards satellite facilities linked to existing hospitals’ reported the Toronto Star in an interview with Eliasoph.   

The degree to which Mr. Eliasoph’s musings reflects present Ministry of Health thinking is a matter of speculation.   

The Friends have consistently held that the Ajax-Pickering Hospital should be developed as a ‘full service’ facility to serve the present and future health care needs of the rapidly-growing West Durham community.   

Currently, the Ajax-Pickering Hospital is slowly undergoing the construction of expanded emergency laboratory & diagnostic facilities. Plans for a second phase expansion including additional patient beds is on hold.   

Ombudsman Calls For More Hospital Accountability

"Right now we have zero oversight of hospitals" according to Ontario Ombudsman Andre Marin.

Speaking to the Toronto Star recently, Marin stated "The fact that there is no oversight in an area that takes a huge amount of public funds is shocking to me...Ontario is the poor cousin in Canada." 

"Giving the Ombudsman's office power to act as independent investigation is all about accountability. If an institution is getting public funds to perform a public duty, they should be subject to checks and balances", the report quotes.

The Friends agree. Hospitals should be accountable in all aspects of their activities- patient care and governance.  Public institutions, like school boards, which also spend large amounts of tax money, are elected by a wide electorate.  Therefore, they  can be held accountable to the taxpayer for their actions.

This organization has raised questions about R.V.H.S. governance.  Increasing use of 'in camera' sessions at Board meetings, limits placed on who can be nominated for Board positions and prohibitions against participation of community organizations are but three of several concerning local trends. These moves restricting accountability and openness can undermine local support for the system in the long term  the group fears.

 

Members plan to attend

R.V.H.S. Annual Meeting

June 26, 2007   Centenary site

Meeting with Board Reps 'Disappointing'

Governance Issues Remain Unresolved

A Friends committee met recently with R.V.H.S. representatives Janet Ecker and Ed Fleury to discuss  concerns raised about the lack of openness at Board meetings. The citizen's group has been critical of an increasing use of 'in camera ' sessions at Board meetings.   

A frank discussion of issues was held but no agreement was reached.

Committee members  feel 'disappointed' that their concerns were not adequately addressed.

The full text of the Friends presentation can be found here text

To see the perceptions of the parties to the meeting go here.

The Friends were represented by Yvonne Bosch, Bill Parish, Morgan Diver, Pentti Lassila, Walter Donaldson,  and Angelo Dielemente.

In a follow-up letter of May 15, Ecker,chair of the Hospital Board Governance Committee, continues to support 'in camera' meetings and a nomination process restricted to those approved by a Board Committee.

"We respect your perspective but we do not share it', Ecker stated.  See full contents here

 

 

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