MAHC CONTINUES TO CRITICIZE DOCTORS’ HOSPITALS PLAN; SAYS PROVINCE WON’T SEE IT. WHO WILL BE ON THE RIGHT SIDE OF HISTORY?

Mark Clairmont | MuskokaTODAY.com

MUSKOKA — A family feud fast devolving in to a Muskoka health crisis witnesses the critical divide both sides sneer at in U.S.

And increasingly around the world and now on campuses closer to home.

Muskoka hospitals are about healing, not hurting.

This is a family break-up that has parents, children, grand-kids, doctors, lawyers, professionals, middle-class and blue collar workers exhibiting systemic mistrust.

Each day is evidence with the pursuit of the moral high ground the pinnacle prize.

What’s next, sit-ins?

And it’s spilling onto the streets tomorrow in a “rally” that for all its intended sweetness won’t put a smile on everyone’s face except Tim Horton and SMMH Foundation.

Defiance being the operative word.

This is more heated than the Leafs not giving up last night and forcing Game 7 tomorrow night.

And not unlike a “wacko” week in the House of Commons.

So for light reading on the eve of destruction? ….

SSMH members, who are out plastering south Muskoka streets with signs of support, dropped by SMMH for a photo-op. Photo SSMH website.

MAHC says today: “It is aware that the community has been encouraged to participate in a gathering this coming Saturday in support of a health care model proposed by some south Muskoka physicians earlier this year.

“Some communications related to the gathering contain misinformation.”

That’s at least the second time in days Muskoka Algonquin Healthcare has accused its own doctors of lying.

MAHC again claimed Friday: “While (it) values the community’s engagement and the perspectives of those supporting the model proposed by some physicians, it is essential to note that this model would not lead to better quality of care and would be significantly more expensive.

“Additionally, the model proposes duplication in patient services, an inappropriate distribution of services across both sites, and does not consider ancillary services essential to the functioning of all hospitals.

“Furthermore, it does not support specialized units or a Level 3 Intensive Care Unit (ICU), crucial for managing complex and critical care cases locally.”

Adding salt in the wound, MAHC’s board says “as was communicated in early April to the physicians responsible for this proposed model, (their ‘Care Closer to Home’ model) will not be submitted to the Ministry of Health for consideration.

It plans to meet again with the Credentialed Staff Associated (CSA) next Wednesday, May 8, to continue ongoing dialogue related to the revised health system plan.

As if that’s necessary.

The release goes on.

Adherence to Redevelopment Standards

MAHC’s redevelopment plans adhere to fixed parameters common to all hospital projects, ensuring alignment with both regional and provincial healthcare priorities. These parameters include:

Spatial Standards: Ensuring that key parameters such as bed counts and space allocation from previous planning stages meet current space standards for room sizing, accessibility, and infection prevention and control.

Financial Compliance: Aligning with the approved project budget and local share requirements.

Regional Coordination: Ensuring that our plans align with regional healthcare systems and initiatives, including the potential siting of specialized units such as stroke, renal, cancer, critical care, and mental health programs.

Temporal Framework: Following a prescribed capital planning process, with projections set for specific timeframes to ensure that the project progresses on schedule.

Data-Driven and Community-Informed Healthcare Solutions

MAHC’s revised proposal, adapted following extensive community and physician engagement, utilizes robust data from sources such as:

  • Ontario Ministry of Finance Data (drawn from Statistics Canada)
  • Discharge Abstract Database
  • National Ambulatory Care Reporting System
  • Continuing Care Reporting System
  • Management Information System (MIS) Trial Balance
  • Ontario Ministry of Health Population Projections

These sources support a sustainable and efficient healthcare model, ensuring the proposed plan is financially viable and meets the evolving healthcare needs of the Muskoka region.

Key Features of MAHC’s Proposed Plan Include:

Modernization and Expansion: Significant expansions include both hospitals increasing in size by approximately 80%, allowing for enhanced emergency departments and specialized clinics.

Enhanced Care Capabilities: The introduction of a Level 3 ICU and allows for the facilitation of critical care and helps to significantly reduce out-of-region transfers.

Innovative Care Models: Development of Centers of Excellence, including an integrated stroke unit at the Huntsville site that features reactivation units with rehab facilities. This specialization enables the right mix of care providers, enhancing patient outcomes and reducing the need for transfers.

Cohorting of Long-Stay Patients: Longer stay patients, like those needing Alternate Level of Care (ALC), are cohorted at the Huntsville site, optimizing resource use and care quality without duplicating services.

Community and Physician Engagement Leads to Significant Plan Enhancements

Through extensive community consultation, MAHC has made significant modifications to its plan, including maintaining obstetric services at both sites and adjusting bed numbers to better meet local needs—36 inpatient beds at Bracebridge and 121 at Huntsville. These changes significantly reduce the need for patient transfers and ensure both sites operate as full-service hospitals.

MAHC emphasizes that more than 90 per cent of patients who enter the emergency department are not admitted to the hospital, further underscoring the adequacy of the proposed bed numbers for current and foreseeable needs.

The plan also supports sufficient workloads for all physicians, and enhances recruitment and retention by offering specialized, attractive units.

Time will tell, starting tomorrow. The clock is ticking.

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