{"id":10453,"date":"2020-04-11T17:09:07","date_gmt":"2020-04-11T21:09:07","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=10453"},"modified":"2020-06-15T01:03:47","modified_gmt":"2020-06-15T05:03:47","slug":"could-b-c-s-approach-to-long-term-care-covid-19-outbreaks-work-in-ontario","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/could-b-c-s-approach-to-long-term-care-covid-19-outbreaks-work-in-ontario\/","title":{"rendered":"Could B.C.\u2019s approach to long-term care COVID-19 outbreaks work in Ontario?"},"content":{"rendered":"

(April 10, 2020)<\/p>\n

By: Katrina Clarke, The\u00a0Hamilton Spectator<\/span><\/span><\/p>\n

\"After<\/p>\n

After the deadly outbreak<\/span> at the Lynn Valley Centre care<\/span> home in<\/span> North Vancouver, British Columbia is tackling COVID<\/span>–19<\/span> outbreaks<\/span> in<\/span> long<\/span>–term<\/span> care<\/span> homes by mandating workers only work<\/span> at one home, designating them public service workers, hiring them full-time and paying them standardized wages.<\/p>\n

British Columbia is tackling COVID<\/span>–19<\/span> outbreaks<\/span><\/a><\/span> in<\/span> long<\/span>–term<\/span> care<\/span> homes by mandating workers only work<\/span> at one home, designating them public service workers, hiring them full-time and paying them standardized wages.<\/p>\n

Could<\/span> that happen in<\/span> Ontario<\/span>? Should it? Not everyone agrees.<\/p>\n

In<\/span> B.C., the directive from provincial health officer Dr. Bonnie Henry came following the province\u2019s experience with Canada\u2019s first deadly COVID<\/span>–19<\/span> outbreak<\/span> beginning in<\/span> early March. A least 17 residents have died at Lynn Valley Care<\/span> Centre in<\/span> North Vancouver, and dozens more staff and residents are infected.<\/p>\n

The B.C. seniors\u2019 advocate says valuable lessons learned from Lynn Valley are now preventing or slowing outbreaks<\/span> in<\/span> other care<\/span> homes.<\/p>\n

One lesson learned: when care<\/span> home staff work<\/span> in<\/span> different facilities, their risk of spreading the virus in<\/span> vulnerable populations increases, said B.C. seniors advocate Isobel Mackenzie.<\/p>\n

Now, \u201cwe have been actively eliminating that,\u201d Mackenzie said of inter-home movement.<\/p>\n

The province believes a worker employed at more than one care<\/span> home unwittingly brought the virus into Lynn Valley in<\/span> the early days of COVID<\/span>–19<\/span> spread in<\/span> Canada.<\/p>\n

Last week, the province deemed care<\/span> aides \u2014 or personal support workers (PSW) \u2014 to<\/span> be provincial employees, in<\/span> turn ensuring they have full-time work<\/span> within one home and are all paid a fair wage, as opposed to<\/span> different wages depending on their employer. Mackenzie expects the mandate, which is still being rolled out, to<\/span> come fully into effect within days.<\/p>\n

Mackenzie believes her province\u2019s measures \u2014 including ramped up testing and lower thresholds for declaring outbreaks<\/span> \u2014 are working. So does Henry.<\/p>\n

\u201cAll of those enhanced measures have led to<\/span> very few cases in<\/span> most of the other outbreaks<\/span> that were detected very early,\u201d the provincial health officer said Wednesday.<\/p>\n

While more than 220 of B.C<\/span>.\u2019s<\/span> more than 1,300 cases \u2014 or 17 per cent of all cases \u2014 involve long<\/span>–term<\/span> care<\/span> home residents or staff, most of those cases are concentrated in<\/span> two homes, including Lynn Valley.<\/p>\n

In<\/span> Ontario<\/span>, more than 850 of the province\u2019s more than 5,200 cases \u2014 or 16 per cent of all cases \u2014 involve long<\/span>–term<\/span> care<\/span> home residents or staff. However, unlike in<\/span> B.C., the cases here are spread more evenly across more nursing homes, with a few outliers including Pinecrest Nursing Home in<\/span> Bobcaygeon where nearly 30 residents have died.<\/p>\n

In<\/span> late March, Ontario<\/span> directed long<\/span>–term<\/span> care<\/span> employers to<\/span> limit the number of homes staff work<\/span> at to<\/span> stop the spread of COVID<\/span>–19<\/span>.<\/p>\n

But Ontario<\/span> health-care<\/span> advocacy groups are calling on the province to<\/span> do more to<\/span> keep workers safe, fairly compensated and employed within one home.<\/p>\n

Miranda Ferrier, president of the Ontario<\/span> Personal Support Workers Association (OPSWA), said she agrees long<\/span>–term<\/span> care<\/span>workers should work<\/span> only at one home during a pandemic.<\/p>\n

\u201cIn<\/span> terms of mandating the PSW as public workers and standardizing their pay, the OPSWA would welcome this insofar as it would work<\/span> within our professional mandate of self-regulation and title protection,\u201d she said.<\/p>\n

She said the OPSWA \u201cwelcomes any support to<\/span> be recognized as equal members of the interprofessional health team.\u201d<\/p>\n

Meanwhile, inter-home movement is still happening, say front-line workers. Hamilton-area PSW Cindy Hasler told The Spectator earlier this week that some workers don\u2019t have time to<\/span> even shower between jobs.<\/p>\n

Still, unions and advocacy groups worry workers will lose out on pay \u2014 and homes could<\/span> lose out on staff \u2014 if they have to<\/span>choose one job.<\/p>\n

\u201cWe\u2019re very aware of how many long<\/span>–term<\/span> care<\/span> workers work<\/span> multiple jobs,\u201d said Natalie Mehra, director of the Ontario<\/span> Health Coalition. \u201cEven if they could<\/span> increase the workers\u2019 hours, that would leave a number of homes completely devastated of staff.\u201d<\/p>\n

In<\/span> principle, Mehra agrees with B.C<\/span>.\u2019s<\/span> model. She\u2019s just not sure how it would work<\/span> here.<\/p>\n

\u201cAt this point, the staffing shortages are indescribable, unspeakable,\u201d she said, calling \u201ccrisis\u201d too weak a word. \u201cThe problem is, where are they going to<\/span> find the staff for all the homes? If the idea is not to<\/span> cause harm, in<\/span> some cases would that not cause more harm than good?\u201d<\/p>\n

In<\/span> any case, the province won\u2019t say if it\u2019s considering a B.C.-type approach<\/span>.<\/p>\n

\u201cAll options for protecting staff and resident safety continue to<\/span> be on the table as we address this serious, evolving situation,\u201d said Ministry of Long<\/span>–Term<\/span> Care<\/span> spokesperson Gillian Sloggett, when asked if Ontario<\/span> is looking to<\/span> replicate B.C<\/span>.\u2019s<\/span> model.<\/p>\n

Sloggett said the province is giving long<\/span>–term<\/span> care<\/span> homes \u201cmuch-needed flexibility and funds\u201d by amending regulations and producing $243 million in<\/span> emergency COVID<\/span>–19<\/span> funding, allowing homes to<\/span> \u201crapidly hire personal support workers and other front-line staff they need, when they need them.\u201d<\/p>\n

\u201cFunds are directly available to<\/span> help homes cover the incremental costs of increasing hours for part-time staff to<\/span> help those staff to<\/span> limit their work<\/span> locations,\u201d she said. \u201cThis comes hand in<\/span> hand with clear direction from Dr. David Williams, Ontario\u2019s<\/span> chief medical officer of health, for homes to<\/span> work<\/span> with employees to<\/span> limit their number of work<\/span> locations wherever possible.\u201d<\/p>\n

Click here for original article<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

(April 10, 2020) By: Katrina Clarke, The\u00a0Hamilton Spectator After the deadly outbreak at the Lynn Valley Centre care home in North Vancouver, British Columbia is tackling COVID–19 outbreaks in long–term care homes by mandating workers only work at one home, designating them public service workers, hiring them full-time and paying them standardized wages. British Columbia […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-10453","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"\nCould B.C.\u2019s approach to long-term care COVID-19 outbreaks work in Ontario? - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(April 10, 2020) By: Katrina Clarke, The\u00a0Hamilton Spectator After the deadly outbreak at the Lynn Valley Centre care home in North Vancouver, British\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/could-b-c-s-approach-to-long-term-care-covid-19-outbreaks-work-in-ontario\/\" \/>\n<meta property=\"og:locale\" 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