Healthcare in Saskatchewan:Getting ready for re-reengineering and shifting the blame |
|
|
By Mario deSantis, November 2, 1999 |
|
| 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 | |