Sunday, October 2, 2016

Part 2: Spotlight on the Elephant in the Room


In Part 1. I was talking about media reports of Charlotte County residents wanting to take back Charlotte County Hospital from Horizon Health Network and having a local health board. Minister Boudreau feels it would be taking a step backwards. I disagree.

When a health authority (HHN) has made no progress, operates in the red each and every single year since coming to New Brunswick, it’s time for New Brunswicker’s to look at different options. I am #NBPROUD that Charlotte County has stood up and said, this is not working, this hasn’t been working. Our resident deserve better. Charlotte County Hospital is capable of a lot more than what the health authority deems.

WHO IS TRULY HOLDING NEW BRUNSWICK BACK?

Below are excerpts from Horizon’s Corporate Message for each physical year. I have provided the page number of the PDF’s.


2008-2009 Horizon Health Network Corporate Message Excerpt, Page 9: On September 1, 2008 the new Brunswick healthcare system went through a number of important structural changes that will go a long way to improve healthcare delivery within the province. the eight former Regional Health authorities became two new organizations – Regional Health authority a (RHa a) and Regional Health authority B (RHa B).

Strong from the onset, the new structure of RHa B was created and staffed with a highly qualified group of professionals dedicated to ensuring that all new Brunswickers receive safe and high quality health care.

2009-2010 Horizon Health Network Corporate Message Excerpt, Page 11: Several major accomplishments achieved include the introduction of a new corporate name and brand and the development of a four year strategic framework. Horizon also played a major role in research, education, innovation and health and wellness initiatives in the Province of New Brunswick.

These accomplishments were achieved while remaining within the financial projections provided to the department of Health. Horizon, which operates a $1.1 billion budget with 14,000 employees and 1,000 physicians, will continue to exercise fiscal prudence while endeavouring to provide the best possible care to the citizens of New Brunswick.

The strategic planning framework, developed in consultation with the public, community stakeholders, staff and physicians will guide Horizon from 2010 to 2013. This will be accomplished through guiding principles that are focused on progressive patient-oriented care while leading in research and innovation.

2010-2011 Horizon Health Network Corporate Message Excerpt, Page 12: Horizon’s vision is “Leading for a Healthy tomorrow,” and we are pleased to report that the organization is focused to support the provision of safe, effective and efficient services through the Health services.

2011-2012 Horizon Health Network Corporate message Excerpt, Page 10: Horizon Health Network (Horizon) continues to be guided by its vision of “Leading for a Healthy tomorrow,” and our broad range of accomplishments and achievements exemplify our dedication to achieving this vision.

as Horizon continues to grow, it also continues to seek out the best and most efficient ways to provide health-care services to New Brunswickers. this is one of the reasons we are excited to be one of five critical partners chosen by the Provincial Government to participate in the Performance excellence Process. this government-wide strategic management process is a results-oriented, long-term approach that is expected to improve patient services, increase efficiencies, and reduce costs.

2012-2013 Horizon Health Network Corporate Message, Excerpt, Page 10: Horizon has made significant strides in research, innovation, quality, and health and wellness initiatives in New Brunswick. These accomplishments were achieved while remaining within the funding provided by the Department of Health. Horizon will end the 2012-2013 fiscal year with essentially a balanced budget, and we continue to exercise fiscal prudence, while striving to provide the best possible care to our patients.

Although Horizon has essentially balanced its budget, there are greater fiscal challenges ahead. The Minister of Health has committed that we will reduce health-care spending to bring our province in line with the nation's average cost per capita by 2017.

2013-2014 Horizon Health Network Corporate Message, Excerpt Page 13 & 14: Thanks to our staff, physicians and volunteers, Horizon has shown that in tough economic times we could still meet the demands of our health-care system. Horizon’s volume of service in many areas has increased, but with diligent effort from our staff, our costs have decreased. Last spring we began the process of benchmarking Horizon’s services and developing more than 100 initiatives that would allow Horizon to provide better services in an effective and cost-efficient way. Almost half of these initiatives have now been completed.

Patient and family centred care is our primary focus. Putting this philosophy into practice will take time but ultimately we want all patients to feel that we are there for them, first and foremost. Horizon and its Board support this philosophy and have begun to develop a new strategic plan that will guide the establishment of service priorities. We have held consultations with major stakeholders, including our staff and patients, so that this plan will paint the picture for health care in 20 years and provide a clear path for the next five years. Our Board continues to work with Horizon leadership and the strategic plan should be completed this fall.

2014-2015 Horizon Health Network Corporate Message, Excerpt, Page 13 & 14: The status quo was not working to provide the best care for our patients. By consulting with the public, our health partners, staff and physicians, we are confident that the strategic priorities we identified provide real solutions to improve the overall patient experience and health outcomes for New Brunswickers.

Our first priority remains to provide a patient and family centred care environment which is fundamental to all activities and initiatives undertaken at Horizon. The second priority is to create five new Horizon Centres of Expertise in the areas of: Aging and Eldercare, Neurosciences, Maternal/Child, Oncology and Nephrology, and reaffirm their commitment to the quality services already provided at the NB Heart Centre in Saint John and the Stan Cassidy Centre for Rehabilitation in Fredericton.

2015-2016 Horizon Health Network Corporate Message, Excerpt, Page 13: It has been a year since the launch of Horizon’s Strategic Plan and we are making great strides to improve the health of our population. Exceptional care is what the people of New Brunswick expect and deserve from us. We continue to engage community stakeholders and our staff in order to fully understand what people want from Horizon Health Network, and how we can serve the varied needs of our populations.

Our five-year plan outlines our four priorities of patient-focused care, developing advanced models in selected areas, redirecting resources, and advocating firmly. This is not something that can be done overnight or in silos.

These are their words verbatim. Not mine. More questions. Has health care gotten better or worse with Horizon in New Brunswick?

Victor Boudreau’s opinion is it would be taking a step back-wards in health care, having a local board for Charlotte County Hospital.

He also said in 2010  "Atcon is not a one trick pony; they don't just have one contract that they're working on. So we're hopeful that once this facility is complete they'll be able to produce these types of beams and continue that work for other projects." http://www.cbc.ca/news/canada/new-brunswick/don-t-worry-about-atcon-loan-guarantees-minister-1.923297Boudreau could not cite any example of future projects, but said he has faith in Atcon.Boudreau could not cite any example of future projects, but said he has faith in Atcon. (he was not able to provide other projects ATCON had.) Why? Because they were a one trick pony.

FYI before working in health care, I also worked for a grading company.

From the looks of it, the Atcon disaster was predicted by numerous people, in New Brunswick. “ASININE” was quoted.

New Brunswick, you have the exact same person, well actually you have others who are Ministers in the New Brunswick government today.

If Gallant had disclosed during his election campaign that people who were involved with the Atcon debacle, were his pick for Minister’s, would New Brunswick have elected him Premier? That’s like letting a fox guard your chicken coup.

Economy Plan 2016, Excerpt, page 4

Deeper Dive: Taking Control of our Destiny:


We have to realize that no one else is coming to our rescue.

We must take control of our collective destiny. If we are to achieve the vision for our province in the long term, it will be our decisions – as individuals, families, business owners, community leaders and government – that will make it happen.

Charlotte County wants to take control of their destiny. Having Charlotte County Hospital back with a local board, is viable.  Charlotte County Hospital and the services it provides is vital for Charlotte County’s economy. It’s apparent that the people in charge in Fredericton, do not grasp that concept.

Again there are questions that need to be asked in respect to going this route as well.

What will be the roles and responsibilities of the community health board and each of its members?

How long will a board member be allowed to serve on the board?

Since Horizon came into the Province, what roles have staff been a part of at each facility, or in this case Charlotte County Hospital? What roles have been taken away at Charlotte County Hospital (and other facilities) since Horizon came to the Province, or before Horizon started?

Will there be transparency?

Having a local board, does not mean that the community will always agree with the decisions made.

Services cost money. There would be a budget CCH would have to keep within. The goal is to provide better services for Charlotte County residents. Board members, CCH and the community would have to do it wisely, and work together.  Otherwise, the hospital and the community could very well be in the exact same boat it is now with Horizon.

If anyone can do it, Charlotte County can.

4 comments:

  1. your point about the community proceeding wisely and work together hits home...we all have various viewpoints...politics of people are necessary for freedom in society. WE can all get along in this one effort to stay the course and find a strong leader who folks in Charlotte County believe and trust...a person from the grassroots of our community who is chosen for good communication skills and fairness to all ... who will delegate authority and who doesn't feel the need to be right all the time. Some one with objectivity such as you would be a great person for this ... truly...Charlotte County needs the views of everyone to be in the light of day and folks will decide if they will follow this leader.
    You enlighten and brighten my sense of community.
    Peaceful blessings.
    Kim Atkinson

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