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His health system transformation team made ‘title changes’ to hundreds of full-time jobs, converting the hours of work to part-time. At least 500 nurses received ‘job deletion notices’ that fall, along with more than 700 hospital support staff,” reads CUPE NL’s media release. Unions were at the table from the ‘get go’: Haggie Health Minister John Haggie said he is surprised to hear CUPE take issue with the contract. “The unions were there from the get-go.… I don’t understand where they are coming from,” he told CBC News on Tuesday. “You have a company that is incentivized to produce the best results because they share in our success. And I think over the term of the contract they get somewhere around 10 or 15 per cent of the value of the savings. The health authorities, the health-care system, the province keep the rest, if there are savings.” Personalized Freemasonry face mask
After Haggie’s interview, CUPE said it was not informed that the contract had already been signed when members were invited to a presentation about it last fall. Health Minister John Haggie, seen here in a Skype interview with CBC, said the contract with Change Healthcare Canada also aims to reduce worker burnout, too. (CBC/Skype) Haggie said the project originated in 2016 and came out of discussions at the time with the Registered Nurses’ Union. He said former president Debbie Forward was “enthusiastic” about the approach. Haggie said the approach and contract may be new to the province, but Vancouver Coastal Health has used the approach and “their reports were very favourable.” “It’s not new, it’s simply just not paper-based, it’s electronic. Where it stemmed from was from our desire to help avoid burnout among staff. So they’re not being mandated back or they’re not doing extra shifts and overtime, since you can match the needs for staff and the right mix and right numbers, with the number of patients, and the level of illness you see on the floor.” “All scheduling on health care and front lines is done on paper and this was a way of getting that all sorted out, so that it was electronic,and you could match the staffing in a two-week period to the expected demand on the unit.” CBC News asked the Registered Nurses’ Union if, in fact, Forward did support the contract. A spokesperson said the union “did not see or have any input on a contract. Personalized Freemasonry face mask
What we have been doing is pushing for government to move to acuity-based staffing.” A statement from the union went on to say: “The current staffing model for nursing is not meeting the needs of patients and results in chronic understaffing, excessive overtime and burnout among registered nurses.” It also said the union supports “staffing based on the real time needs of patients, not the number of beds or allocated budget,” and added its executive will be “monitoring the rollout of the new system and remain hopeful that it will improve workloads, better align staffing to meet patient needs, and improve scheduling and patient flow.” Haggie, meanwhile, challenged those who see this as a roundabout way of making cuts. “They are mistaken,” he said. “The motivation behind this was to match better the needs of patients and meet them, also with the needs of our workforce. We have heard how hard people have worked during the pandemic, this tool will help make their life easier.” PCs, NDP slam the contract Opposition House leader David Brazil says the financial incentives in the deal are a non-starter for him. “I have a real problem with that. I would think the people in Newfoundland and Labrador would have a problem with that. And I would think the health-care professionals would first be asking, ‘Why not engage with us?'” he told CBC News on Tuesday. “Taking a company that looks at a software package to decide how we better access health care, and the particular needs, to me is not the best solution.” While the contract was part of a competitive public tender process, NDP Leader Alison Coffin asked why there has been no information about it, until now. “If this was good news for our hospitals, clinics, and long-term care homes, you can bet the Liberals wouldn’t have kept this a secret,” said Coffin in a statement. Dire need for savings It’s no secret Newfoundland and Labrador has a money problem. With a net debt of $16 billion, the province is close to insolvency, and the prospect of cuts to many sectors looms as a distinct possibility. Health-care spending, comprising more than 37 per cent of the last provincial budget, is a target. The economic task force was scheduled to deliver an interim report on Sunday with potential recommendations for change, before announcing on Saturday it would miss that deadline by up to six weeks. Under those harsh realities — complicated further by the pandemic and the provincial election — Hillier said hiring Change Healthcare still isn’t the right move. While overtime and sick leave may be a spending issue, she said a larger problem is not having enough staff in the first place, particularly in long-term care, causing people to rack up overtime to get the job done. She said the province needs to instead train and hire more workers to drive overtime costs down. “To increase the workload on our members is just crazy. It can’t be done,” she said.
The contract states the Health Sciences Centre in St. John’s will be the pilot site for the new system before it expands to the rest of the province.(CBC) She also said any cuts will have a clear impact on patients, causing service reductions and longer wait times. The deal hasn’t been brought to union members’ attention yet, she said, in part because it took six weeks after CUPE-NL found out about it to even get a copy of the contract to peruse. With the contract signed months ago, the project is now well into the first of three phases. The goal is to begin implementing the plan by September, starting at the Health Sciences Centre in St. John’s. The program will then roll out through the rest of the health authorities’ acute-care facilities, including hospitals and long-term care homes throughout the province, with the contract set to conclude in September 2026, with an option to renew the contract after that point. Read more from CBC Newfoundland and Labrador
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