EDITORIAL: Hospital revamp wants higher planning

Well being Minister Cameron Friesen says authorities has already made substantial progress in bettering its strategic planning for the second part of its hospital reorganization plan.

We certain hope so as a result of the implementation of that a part of the well being care revamp has not gone properly. A report launched Monday recognized all types of issues with how the modifications have been carried out, together with poor group round staffing, compromised affected person care and longer ready lists in some instances.

The report was penned by Nova Scotia advisor Dr. David Peachey, who advisable the hospital consolidation plan 4 years in the past. He was referred to as again to carry out a top quality evaluation of how the plan was advancing.

He had two fundamental conclusions: the plan itself, to consolidate six acute care hospitals down to 3, was nonetheless a very good one. However authorities and the Winnipeg Regional Well being Authority didn’t do the strategic planning and affected person danger assessments required to hold out the plan successfully, nor with affected person care in thoughts.

Consequently, acute care providers have been transferred to the three hospitals in query – St. Boniface Hospital, Well being Sciences Centre and Grace Hospital – however the vital staffing, sources and infrastructure haven’t adopted. That has left these hospitals short-staffed and under-resourced as they grapple with increased volumes of sufferers and better ranges of care.

Nursing enhances have been particularly laborious hit, inflicting increased than regular stress ranges amongst workers, a lot of whom have been compelled to carry out extra necessary additional time than up to now.

There have additionally been issues with remodeling emergency departments to pressing care centres, together with at Concordia Hospital. Medical doctors and nurses are leaving these services for employment elsewhere and contingencies had not been made for his or her departures, leaving the hospitals brief staffed.

Even the sustainability of staffing at Victoria Hospital, whose emergency division was transformed to an pressing care in 2017, stays a difficulty as much less workers wrestle to take care of a rising variety of sufferers, in accordance with Peachey’s report.

Friesen mentioned Monday a lot of these points have been addressed since Peachey accomplished his report final month. He mentioned authorities, Shared Companies and the WRHA are properly on their manner in the direction of fixing the planning and danger evaluation issues that have been recognized.

We hope so. The Pallister authorities’s hospital consolidation plan should still be the best one, however it can fail if it’s not carried out correctly.