{"id":49574,"date":"2018-05-31T05:01:36","date_gmt":"2018-05-31T09:01:36","guid":{"rendered":"https:\/\/huntsville.dopperonline.ca\/?p=49574"},"modified":"2018-05-30T07:26:39","modified_gmt":"2018-05-30T11:26:39","slug":"community-support-downgraded-in-new-criteria-for-determining-hospital-location","status":"publish","type":"post","link":"https:\/\/doppleronline.ca\/huntsville\/community-support-downgraded-in-new-criteria-for-determining-hospital-location\/","title":{"rendered":"Community Support has been downgraded in new criteria for determining hospital location"},"content":{"rendered":"<p><strong>How will the future hospital option be chosen?<br \/>\nBy Ross Maund and David Wilkin<\/strong><\/p>\n<div style=\"float: left; margin-right: 14px;\"><strong><broadstreet-zone zone-id=\"45658\" keywords=\"\" soft-keywords=\"true\" zone-alias=\"\"><\/broadstreet-zone><\/strong><\/div>\n<p>Planning the future of hospital delivery in Muskoka has been a very long journey, going back to 2012, yet it remains far from being concluded, given ongoing issues.  Since the summer of 2017 we have authored numerous articles to provide important information to the broader community. This article focuses on \u2018how\u2019 the preferred hospital option decision is to be made.<\/p>\n<p>The current (model and services) decision process, underway since last August, is similar to what was used before (it used defined criteria along with supporting advantages and disadvantages). Before comparing, it is important to understand how the three hospital models have evolved. What is clear through this journey, is the constant shifting of model names and definitions has confused and at times misled the people. The table below shows the changes:<\/p>\n<p style=\"text-align: right;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-49575\" src=\"https:\/\/media-doppleronline-ca.s3-accelerate.amazonaws.com\/2018\/05\/Screen-Shot-2018-05-29-at-4.26.46-PM.png\" alt=\"\" width=\"508\" height=\"175\" srcset=\"https:\/\/media-doppleronline-ca.s3-accelerate.amazonaws.com\/2018\/05\/Screen-Shot-2018-05-29-at-4.26.46-PM-300x103.png 300w, https:\/\/media-doppleronline-ca.s3-accelerate.amazonaws.com\/2018\/05\/Screen-Shot-2018-05-29-at-4.26.46-PM.png 508w\" sizes=\"auto, (max-width: 508px) 100vw, 508px\" \/><strong>Data sourced: MAHC website<\/strong><\/p>\n<p>So, it took three years and sustained community pressure to finally drop the \u201cNot Status Quo\u201d label, restoring the original two acute-care site option, giving the people what they have always wanted.<\/p>\n<p>Importantly, how has the \u2018community support\u2019 criteria weighting changed in MAHC\u2019s hospital model decision process?  In 2015 there were seven equally weighted Criteria (Patient &amp; Family Centered Care, Design, Construction, Financial, Fundraising, Approvals, and Community support).  Community support therefore had an overall weight factor of <strong>14 per cent<\/strong>.  Now the Task Force\u2019 has a <strong>new<\/strong> <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.muskokaregion.com\/news-story\/8401233-muskoka-hospital-task-force-urges-district-we-need-to-work-as-a-team-\/\">5 equally weighted evaluation criteria<\/a><\/span> (Patient &amp; Family Centered, Financial, Alignment, Municipal Impact, and Community Support).  On the surface it appears that the Community Support criteria has become more important to MAHC &#8211; moving from a 14 per cent weighting to 20 per cent.  However, the new Community Support criteria now also includes the community\u2019s capability of contributing to the development with an adequate local financial share. Obviously, this additional criteria should have been included in the Financial criteria, not Community.  <strong>So now<\/strong> in fact, \u2018Community Support\u2019 really accounts for only a <strong>10 per cent <\/strong>weighting factor in MAHC\u2019s hospital model decision criteria which demonstrates its smallest regard for community in the seven years of the MAHC\u2019s planning process thus far.  One wonders how any public institution planning process could be so callous in their disregard for the need of community support &#8211; it is bewildering.<\/p>\n<p>We have other concerns as well:<\/p>\n<ol>\n<li>MAHC\u2019s 2015 <span style=\"text-decoration: underline;\"><a href=\"http:\/\/www.mahc.ca\/en\/about\/resources\/FinalModelsonaPage-March2015.pdf\">Advantages &amp; Disadvantages<\/a> <\/span>for each model option shows the top three advantages of the One Site option and seven of 11 disadvantages of the two Acute Site option were <strong>Financial <\/strong>(costs) related. Because we now know the two Acute Site option was <span style=\"text-decoration: underline;\"><a href=\"http:\/\/cahhma.com\/2-full-hospital-acute-care-sites-finally-considered\/\">highly over-sized<\/a><\/span> and mostly new build, it suspiciously drove the two-site model costs way up, heavily <strong>disadvantaging <\/strong>it. We believe financial was <em>the<\/em> primary driver of the 2015 decision. This is a problem because model costing won\u2019t be revisited\/defined until a later (B) step, so we can\u2019t see how the local share, (previously sized at $85 to $114 million), and more broadly the entire financial category, can be properly scored.<\/li>\n<li>The site <strong>locations<\/strong> have yet to be determined (and it\u2019s unclear where in the process they will be). Until they are, properly scoring sub-criteria like \u201caccess to service\u201d, \u201ctravel times\u201d, or \u201cmunicipal\/regional planning\u201d is impossible.<\/li>\n<li>The criteria \u201cAligns with MOHLTC\/LHIN priorities\u201d seems overstated at this point in redevelopment planning. To help understand how it was interpreted in 2015, the scoring was three times higher for the one-site model versus the two-site model, (despite the latter being 87 per cent new build). Such a huge discrepancy is hard to fathom. Our conclusion is that it was interrupted as alignment to MOHLTC cost-savings and related integration\/consolidations objectives. Similar thinking appeared to be on display by the MAHC Chair during the April 23 Huntsville Town Council MAHC deputation, when it was stated the 2015 single-site decision had to remain officially on MAHC\u2019s books. The Chair refused to rescind it, outrageously tying it to MAHC\u2019s on-going deficit challenges. We know it is due to a MOHLTC flawed funding formula.<\/li>\n<\/ol>\n<blockquote class=\"modern-quote full\"><p>It appears the MAHC board has again failed to fully grasp the community accountable point, and the importance of backing the people they are supposed to serve. This implies standing up to the LHIN\/MOHLTC, when necessary. Sadly, if it wasn\u2019t clear before where MAHC stood with the Ministry, it certainly is now. MAHC received only a 1.4 per cent funding bump this year versus the 4.6 per cent provincial hospital average.<\/p><\/blockquote>\n<p>Many have pointed out the MAHC board failures to adequately listen to the people, their failure to effectively partner with elected representatives, local stakeholders and physicians, and their reluctance for full transparency (<span style=\"text-decoration: underline;\"><a href=\"https:\/\/doppleronline.ca\/huntsville\/mahc-is-a-self-appointing-board-sven-miglin\/\">among other governance issues<\/a><\/span>). It\u2019s no surprise then the community and its leaders have responded with council motions, petitions, protests, municipal deputations, letters, media commentary, and viral social media posts.<\/p>\n<p><em>Submitted by Ross Maund, (former) MAHC director, retired healthcare services senior exec., CAHHMA member and Dave Wilkin, (former) MAHC director, retired senior IT &amp; banking executive, CAHHMA member.<\/em><\/p>\n<p>Go to: <span style=\"text-decoration: underline;\"><a href=\"http:\/\/www.CAHHMA.com\">www.CAHHMA.com<\/a><\/span> for past articles and details.<\/p>\n<p style=\"text-align: center;\"><strong>Don\u2019t miss out on Doppler! Sign up for our free newsletter <\/strong><a href=\"https:\/\/doppleronline.ca\/huntsville\/dont-miss-out-on-doppler\/\"><strong>here<\/strong><\/a><strong>.<\/strong><\/p>\n<p style=\"text-align: center;\"><strong><broadstreet-zone zone-id=\"45657\" keywords=\"\" soft-keywords=\"true\" zone-alias=\"\"><\/broadstreet-zone><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>How will the future hospital option be chosen? By Ross Maund and David Wilkin Planning the future of hospital delivery in Muskoka has been a very long journey, going back [&#8230;]<\/p>\n","protected":false},"author":13,"featured_media":36402,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5],"tags":[26,205],"class_list":["post-49574","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-commentary","tag-breaking","tag-mahc"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Community Support has been downgraded in new criteria for determining hospital location<\/title>\n<meta name=\"description\" content=\"How will the future hospital option be chosen? 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