Healthcare in Saskatchewan:Getting ready for re-reengineering and shifting the blame |
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By Mario deSantis, November 2, 1999 |
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The recent resignation of Gord Nystuen(1), president of the Saskatchewan Health Information | |
Minister of Health, is beginning to understand the incompetence of her own ministry | Network (SHIN), was the initial tangible signal of a governmental campaign to cover up the |
financial flop of the SHIN project. The covering up of the financial disasters caused by health | |
reform is not stopping with the SHIN project. In fact, Pat Atkinson, Minister of Health, is | |
beginning to understand the incompetence of her own ministry, of the Saskatchewan Association of | |
Health Organizations (SAHO), of the Health Services Utilization and Research Commission | |
(HSURC)(2), and in an unprecedented move has called for an outside review of the Regina Health | |
district's $22.5 million operating deficit(3). Atkinson said that the review will be conducted by Bert | |
Boyd of British Columbia, a competent health management consultant who has served as CEO for | |
both health regions and hospitals. Also, Atkinson said that the review will investigate how to make | |
the boards more accountable and will explore whether the government should have more direct | |
involvement in the affairs of health boards. | |
Health reform have failed in Saskatchewan, and the Atkinson's solution for failure is more | |
her board was able to afford the $40 million overrun caused by the closure of the Plains Health Centre | management by confusion(4) and more re-engineering by outside consultants. This government |
would have had more accountable boards if these boards would have been allowed to assert their | |
own authorities and responsibilities as per the District Health Act and away from behaving as | |
puppets of both the government and SAHO. Further, in response to Atkinson's review, Regina | |
board chair Anita Bergman has stated "...We welcome the opportunity to demonstrate to a third | |
party the service demands that are placed on us by the public and the government, and the | |
underfunding which forces us to operate in a deficit position..." I wonder why Anita Bergman | |
doesn't demonstrate how her board was able to afford the $40 million overrun caused by the | |
closure of the Plains Health Centre(5). | |
major causes of the health crisis is due to the corrupted policy | Healthcare expenditures were approximately 33% of the governmental expenditures in 1993 |
and today, while we are experiencing a health care crisis, they have increased to approximately | |
40%. Therefore, the major cause of the health care crisis is not necessarily underfunding as | |
stated by Anita Bergman and most other health care leaders and governmental politicians. One | |
of the major causes of the health crisis is due to the corrupted policy directions of this | |
government(6) and of the Saskatchewan Association of Health Organizations(7)(8). | |
------------Endnotes: | |
Saskatchewan Health Information Network: Gord Nystuen leaves his post to cover his assets, by Mario deSantis, October 23, 1999 | |
Fragmented Research comes to the help of Saskatchewan Reform, by Mario deSantis, September 28, 1999 | |
Deficit review of health district makes SAHO nervous, by Bonny Braden, The StarPhoenix, October 30, 1999 | |
The Saga of Health Reform: Pat Atkinson Wants Fewer Health Boards and Fully Appointed Boards, by Mario deSantis and reviewed by James deSantis, October 16, 1999 | |
Premier Romanow: playing the number game. Publicizing the 22% salary increase and covering up the $40 million overrun, by Mario deSantis, April 19, 1999 | |
One example of corrupted governmental source: Neil Gardner has been a long time fixture of Saskatchewan Health, first as Associate Deputy Minister and later as Chief of Information Technologies. In 1993 I met with Neil Gardner and he explained to me how busy he was in designing the so called Healthcare Computer Architecture, today's SHIN. | |
Letter dated April 28, 1997 from Mario deSantis directed to all Chairpersons and Chief Executive Officers of Saskatchewan District Health Boards. Re: Computerization of Health Care Payroll and Economic Policies. http://www3.sk.sympatico.ca/desam/paper-letterToChairsCEOs-Apr28-97.htm | |
Letter dated May 7, 1997 from McKercher McKercher & Whitmore and response by Mario deSantis http://www3.sk.sympatico.ca/desam/paper-letters-McKercher-deSantis-May97.htm |