Sustainability news: Home care staffing, Imaging and GIM

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Sustainability news: Home care staffing, Imaging and GIM

21-Jun-2016

Home Care program

The RQHR Home Care program is currently in the process of developing a new model of care to improve quality and safety. This work will include assigning work based on the scope of practice of a RN and LPN.

Over the next few weeks, we will be meeting with both SUN and CUPE to keep them informed of this work and will ensure that work assignments are within the scope of practice of providers.

Diagnostic Imaging in the RQHR

The Region continues to work through a new relationship agreement with its in‐hospital radiologists, including those associated with Radiology Associates of Regina (RAR). This was a very public issue during last session, and has the potential to flare up as is expected with change initiatives of this kind.

The recent lawsuit filed by RAR against the Region was dismissed by the judge. In‐hospital radiologists now have the option to pursue individual contracts with the Region, or continue to be employed with an alternate business entity if they choose. The current fee structure is also being reviewed to bring RQHR radiologists in line with other Canadian jurisdictions. Recruitment is currently underway for vacancies, with strong applicants already identified.

Patients needing cardiac imaging will be directly referred out to Saskatoon till the new MR Radiologist with a subspecialty interest in Cardiac Imaging has been recruited

Shortage of GIM physicians

 

There is a significant issue with burnout and clinical service provision given a shortage of GIM physicians. There are funding issues, staff allocation issues and poor organisation of the service across both sites. An external review of the service provided a report that is the process of implementation and recruitment is underway. Two physicians Dr Tom Perron and Dr Alyssa Sharif have been recruited to RQHR and will commence practice in July.

There is a continuing trend in which our family medicine physicians are withdrawing from active staff privileges. The reasons are two-fold; one is economic the cost of practice is steadily increasing and the payments for time spent do not offset the expense for ongoing in-patient care.

The region is conducting a pilot of the Accountable Care Unit, which if current trends are sustained, the need for a complete redesign of inpatient care practice will become obvious. If the pilot is successful an examination of the economics and implementation plan will follow.