{"id":15621,"date":"2020-12-18T17:14:19","date_gmt":"2020-12-18T22:14:19","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=15621"},"modified":"2021-01-04T17:18:13","modified_gmt":"2021-01-04T22:18:13","slug":"ontarios-long-term-care-interventions-came-perilously-late-report","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/ontarios-long-term-care-interventions-came-perilously-late-report\/","title":{"rendered":"Ontario\u2019s Long-Term Care Interventions Came \u2018Perilously Late\u2019: Report"},"content":{"rendered":"<p>(December 17, 2020)<\/p>\n<p>By: Sherina Harris, HuffPost<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/img.huffingtonpost.com\/asset\/5fdbb88e1e00005a0076ee22.jpeg?ops=scalefit_630_noupscale\" alt=\"Fifty crosses have appeared on the side lawn of the Camilla Care Community nursing home in Mississauga,...\" width=\"512\" height=\"341\" \/><\/p>\n<p>Fifty crosses have appeared on the side lawn of the Camilla Care Community nursing home in Mississauga, Ont. on May 10, 2020.<\/p>\n<p>The Ontario Ministry of Long-Term Care acted \u201cperilously late\u201d and \u201cunderused\u201d its powers to mandate takeovers of\u00a0<a href=\"https:\/\/r.search.yahoo.com\/_ylt=AwrJ7JkJiNtfBsMAXC_rFAx.;_ylu=Y29sbwNiZjEEcG9zAzEEdnRpZANDMTMwMl8xBHNlYwNzcg--\/RV=2\/RE=1608251529\/RO=10\/RU=https%3a%2f%2fwww.huffingtonpost.ca%2fnews%2flong-term-care%2f\/RK=2\/RS=QG_CvxjNmE0_ZE6.8rOjNoYodk0-\" target=\"_blank\" rel=\"noopener noreferrer\" data-rapid-elm=\"context_link\" data-ylk=\"elm:context_link;itc:0\" data-rapid-sec=\"{&quot;entry-text&quot;:&quot;entry-text&quot;}\" data-rapid-itc=\"0\" data-rapid_p=\"2\" data-v9y=\"1\">long-term care<\/a>\u00a0homes during the pandemic, according to a\u00a0<a href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/release-a-call-to-conscience-new-report-on-the-covid-19-crisis-in-long-term-care-in-wave-2-reveals-huge-gaps-in-ford-governments-response\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-rapid-elm=\"context_link\" data-ylk=\"elm:context_link;itc:0\" data-rapid-sec=\"{&quot;entry-text&quot;:&quot;entry-text&quot;}\" data-rapid-itc=\"0\" data-rapid_p=\"3\" data-v9y=\"1\">new report<\/a>.<\/p>\n<div id=\"entry_paragraph_1\" class=\"advertisement-holder entry-paragraph-ad entry-body--paragraph-ad\" data-label-height=\"50\">\n<div class=\"ad_spot \">\n<div id=\"teads-entry_paragraph_1\" class=\"hp-teads-adspot ad-entry_paragraph_1\"><\/div>\n<\/div>\n<\/div>\n<p>As of Dec. 3, the ministry had issued at least six mandatory management orders and 14 voluntary contracts to homes that needed more support managing a\u00a0<a href=\"https:\/\/www.huffingtonpost.ca\/news\/coronavirus\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-rapid-elm=\"context_link\" data-ylk=\"elm:context_link;itc:0\" data-rapid-sec=\"{&quot;entry-text&quot;:&quot;entry-text&quot;}\" data-rapid-itc=\"0\" data-rapid_p=\"4\" data-v9y=\"1\">COVID-19<\/a>\u00a0outbreak.<\/p>\n<p>A voluntary agreement \u2014 where a home makes a contract with a hospital \u2014 allows for the hospital to provide additional support, though at the control of the facility\u2019s potentially negligent management, Natalie Mehra, executive director of the Ontario Health Coalition (OHC) said at a Thursday press conference.<\/p>\n<p>Management orders, meanwhile, are issued when a home\u2019s management is \u201cdeemed incompetent\u201d and a hospital takes over. Mehra said the support provided through these orders varies, but typically it means hospital staff take over management functions at the home, and help with infection control and staffing.<\/p>\n<p>But many homes experiencing bad\u00a0COVID-19 outbreaks\u00a0have not received management orders \u2014 and other interventions have come \u201cinexplicably late,\u201d only after high infection rates and death tolls, the OHC said in its report.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/img.huffingtonpost.com\/asset\/5fdbb3e52700005800685f3b.jpeg?ops=scalefit_630_noupscale\" alt=\"Natalie Mehra, executive director of the Ontario Health Coalition, at Queens Park in Toronto January...\" \/><\/p>\n<p>Natalie Mehra, executive director of the Ontario Health Coalition, at Queens Park in Toronto January 21, 2019.<\/p>\n<p>\u201cThere\u2019s just massive scores of homes with large outbreaks with no interventions at all,\u201d Mehra said.<\/p>\n<p>She said although some hospitals continue to support long-term care homes, they face\u00a0<a href=\"https:\/\/www.huffingtonpost.ca\/entry\/ontario-covid-19-icu-cancel-surgeries_ca_5fb71927c5b625a2ae65f5ae\" data-rapid-elm=\"context_link\" data-ylk=\"elm:context_link;itc:0\" data-rapid-sec=\"{&quot;entry-text&quot;:&quot;entry-text&quot;}\" data-rapid-itc=\"0\" data-rapid_p=\"6\" data-v9y=\"1\">capacity issues<\/a>\u00a0that prevent them from helping in the same way they did during the first wave.<\/p>\n<p>\u201cThe problem is they don\u2019t have the capacity to do that, and there was no plan in the summer made to build that capacity,\u201d Mehra said.<\/p>\n<p>The province should have brought back retired nurses and done massive recruitment for teams that could support homes, she added.<\/p>\n<p>More than 2,500 long-term care residents have died of COVID-19 during the pandemic, according to provincial data. And the numbers are growing through the second wave. By the OHC\u2019s count, 18 residents have died in the last 24 hours and there have been 115 new COVID-19 infections in the last day in long-term care homes across the province.<\/p>\n<p><span class=\"share-bar-image-wrapper\"><img decoding=\"async\" class=\"image__src\" src=\"https:\/\/img.huffingtonpost.com\/asset\/5fdbb1e02b00004e00c36f20.jpeg?cache=o08Pm2GfV3&amp;ops=scalefit_630_noupscale\" alt=\"Military personnel are seen changing shifts behind the Eatonville Care Centre in Toronto on May 26,\" aria-label=\"Military personnel are seen changing shifts behind the Eatonville Care Centre in Toronto on May 26,\" \/><\/span><\/p>\n<div class=\"image__meta-wrapper\"><span class=\"image__credit\">RICHARD LAUTENS VIA GETTY IMAGES <\/span><\/div>\n<div class=\"image__meta-wrapper\">Military personnel are seen changing shifts behind the Eatonville Care Centre in Toronto on May 26, 2020.<\/div>\n<div>\n<div class=\"content-list-component text\">\n<p>Many of Ontario\u2019s long-term care homes\u00a0<a href=\"https:\/\/www.huffingtonpost.ca\/entry\/revera-coronavirus-staff-fear_ca_5fce8a5ac5b626e08a2c3cce\" target=\"_blank\" rel=\"noopener noreferrer\" data-rapid-elm=\"context_link\" data-ylk=\"elm:context_link;itc:0\" data-rapid-sec=\"{&quot;entry-text&quot;:&quot;entry-text&quot;}\" data-rapid-itc=\"0\" data-rapid_p=\"8\" data-v9y=\"1\">have \u201ccrumbling\u201d staffing levels<\/a>\u00a0that are worse than in the spring when the pandemic first took hold, and there are also \u201ccritical\u201d problems in cohorting residents, Mehra said. Staff at more than a dozen homes say they are short on personal protective equipment (PPE), such as gowns, gloves, disinfecting wipes and N95 masks, she said.<\/p>\n<p>The ministry has given\u00a0<a href=\"https:\/\/news.ontario.ca\/en\/release\/58590\/ontario-providing-over-half-a-billion-dollars-to-protect-vulnerable-seniors-against-second-wave-of-c\" target=\"_blank\" rel=\"noopener noreferrer\" data-rapid-elm=\"context_link\" data-ylk=\"elm:context_link;itc:0\" data-rapid-sec=\"{&quot;entry-text&quot;:&quot;entry-text&quot;}\" data-rapid-itc=\"0\" data-rapid_p=\"9\" data-v9y=\"1\">$540 million<\/a>\u00a0for homes to deal with the pandemic\u2019s second wave, including funding for staffing support.<\/p>\n<\/div>\n<h4 class=\"content-list-component pull-quote\">&#8220;Because we\u2019re at the point where we were in the first wave when the military was called in.&#8221;<\/h4>\n<blockquote class=\"content-list-component pull-quote\"><p><span class=\"attribution\">&#8211; Natalie Mehra<\/span><\/p><\/blockquote>\n<div class=\"content-list-component text\">\n<p>But with the number of new infections and deaths continuing to grow, Mehra is left wondering why there isn\u2019t more help for homes dealing with outbreaks.<\/p>\n<p>\u201cBecause we\u2019re at the point where we were in the first wave when the military was called in.\u201d<\/p>\n<p>The Ministry of Long-Term Care is \u201ccommitted to doing everything we can\u201d to support long-term care homes during the pandemic, Mark Nesbitt, a ministry spokesperson, said in a statement to HuffPost Canada.<\/p>\n<p>Measures taken by the ministry during the pandemic include \u201crigorous\u201d inspections for the province\u2019s long-term care homes, emergency funding, staffing support and increased testing, as well as appointing temporary management to some homes.<\/p>\n<p>He said some homes and hospitals will continue with \u201cinformal partnerships\u201d after a mandatory management order or voluntary management contract ends.<\/p>\n<p>The ministry has approved temporary management of 25 long-term care homes, Nesbitt said. The province has also announced $1.9 billion in funding to create more than 27,000 new jobs in long-term care.<\/p>\n<p><strong>Interventions came \u2018too late\u2019<\/strong><\/p>\n<p>The province\u2019s emergency interventions \u2014 including sending in military teams, rapid response teams from hospitals or support from the Red Cross \u2014 have been \u201cimprovements,\u201d the OHC said.<\/p>\n<p>But it added these measures have been inconsistent and often implemented too slowly.<\/p>\n<p>Dr. Amit Arya, a palliative care physician and OHC board member, emphasized the need for a low threshold for intervention in care homes.<\/p>\n<p>When there are more than 100 cases in a home and people are crying out for help, the response is often \u201ctoo late,\u201d he said.<\/p>\n<\/div>\n<div class=\"related-entries related-entries--thumbs related-entries--recirc yr-related-entries\" data-rapid-subsec=\"related-articles\">\n<div class=\"content-list-component text\">\n<h4>Lack of accountability a \u2018huge failing\u2019<\/h4>\n<p>Arya has been in homes during the pandemic where his team would say, \u201cImagine if we were here two weeks ago &#8230; we would have saved lives and we would have saved so many people from suffering.\u201d<\/p>\n<p>He pointed to Quebec, which appointed an infection control manager to every long-term care home over the summer.<\/p>\n<p>If that had happened in Ontario, he said, \u201cthe outcome would have been likely very different.\u201d<\/p>\n<\/div>\n<h4 class=\"content-list-component pull-quote\">&#8220;There is no accountability&#8230;&#8221;<\/h4>\n<blockquote class=\"content-list-component pull-quote\"><p><span class=\"attribution\">&#8211; Natalie Mehra<\/span><\/p><\/blockquote>\n<div class=\"content-list-component text\">\n<p>\u201cIt\u2019s very appalling that even at this stage, we don\u2019t have accountability around infection control, we don\u2019t have government oversight in each of the homes about what is going on on a day-to-day basis, how they\u2019re cohorting patients, how they\u2019re testing, how they\u2019re donning and doffing PPE,\u201d Arya said.<\/p>\n<p>Nesbitt, the ministry spokesperson, said the ministry works with the local public health unit and health integration network, along with other partners, when a long-term care home is experiencing an outbreak. This includes working to improve infection prevention and control measures, shoring up staffing and ensuring homes have adequate PPE supplies, as well as daily calls, he said.<\/p>\n<p>However, OHC\u2019s Mehra said the ministry hasn\u2019t used its powers to issue fines or revoke home\u2019s licenses during the pandemic.<\/p>\n<p>\u201cThere is no accountability, no real accountability, for the homes that fail to provide the basics of life and the basics of safety,\u201d she said. \u201cThat is a huge, huge failing.\u201d<\/p>\n<p><a href=\"https:\/\/www.huffingtonpost.ca\/entry\/ontario-covid-long-term-care-interventions_ca_5fdbaf74c5b650b99adaeeab\"><span style=\"color: #3366ff;\">Click here for original article<\/span><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>(December 17, 2020) By: Sherina Harris, HuffPost Fifty crosses have appeared on the side lawn of the Camilla Care Community nursing home in Mississauga, Ont. on May 10, 2020. The Ontario Ministry of Long-Term Care acted \u201cperilously late\u201d and \u201cunderused\u201d its powers to mandate takeovers of\u00a0long-term care\u00a0homes during the pandemic, according to a\u00a0new report. As [&hellip;]<\/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-15621","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ontario\u2019s Long-Term Care Interventions Came \u2018Perilously Late\u2019: Report - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(December 17, 2020) By: Sherina Harris, HuffPost Fifty crosses have appeared on the side lawn of the Camilla Care Community nursing home in Mississauga,\" \/>\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\/ontarios-long-term-care-interventions-came-perilously-late-report\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ontario\u2019s Long-Term Care Interventions Came \u2018Perilously Late\u2019: Report - 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