I am both honoured and humbled that the people of Midland have elected me as Mayor for another four years. This was a challenging election. It presented citizens with a clear choice for their future and they chose to keep to the path that we started over four years ago. While I welcome my own victory, I am most pleased with the balance of veterans and new energetic individuals who will be making up the new Council. The next four years augur well for Midland.
While some assume that the Mayor did all of the work, this victory would not have been possible without an amazing group of volunteers, supporters, and citizens. I want to thank my wife, whose steadfast support and hard work was my foundation. I want to thank my hardworking election team, led by Burke Penny, who organized and motivated one of the best campaign teams I have ever had the privilege of knowing. My thanks to all the candidates, both successful and unsuccessful, who offered their services to the people of Midland. I want to recognize the Councillors who will not be returning in December for their four years of civic duty on behalf of the people. And finally, my thanks to the people of Midland for putting their trust in me and clearly stating where they see Midland heading in the coming years.
Tuesday, October 28, 2014
Saturday, October 25, 2014
Time to Vote
After many
weeks of knocking on doors, attending meetings, and communicating with residents both verbally and on social media, it is time to let the citizens of Midland decide
who they want to be their Mayor over the next four years. I have worked hard to present a positive
message for the future of our town - a future of more jobs, reasonable taxes,
and a waterfront developed for all the people of Midland. At the same time, I have tried not to be
distracted by stolen signs, reckless statements, and misinformation from
opponents. Unfortunately, these are things that seem to have become part of election
campaigning. Frankly, the people of
Midland deserve better.
Before you
mark your ballot on Monday, I am asking you to consider the following
questions:
- Who has the skills, experience, and leadership qualities to deal with the issues facing our town over the next four years?
- Who do you want to be speaking on behalf of Midland in discussions with business leaders, other municipalities, and government decision-makers?
Vote Gord McKay for Mayor of Midland.
Thursday, October 23, 2014
Thanks for Your Support
Over the
past weeks, I have thoroughly enjoyed meeting hundreds of people in our
community at their doors, at candidates meetings, and at other events around
town. I am impressed by the level of
engagement of Midland citizens in this election and, if the large numbers at the
advance polls are any indication, we could have a substantial increase in voter
turnout over 2010.
The amount
of support that I have received is truly gratifying. In addition to kind words at the door and hundreds of sign requests,
some people have been more public with their support and I offer a special
thanks to these people for going that extra step. It not only means a lot to me personally, but it can also have a
positive effect towards the outcome that we hope to achieve. So, it is with this in mind that I offer the
following as testimony to the support that I have in our community:
Jim Brown: "Gord has been so supportive of new ventures in Town
like mine. His business experience and contacts are very important in
developing new jobs and keeping Midland moving forward."
Glen Canning: "He understands economics, he
understands finance, he understands the role of policy in municipal government,
and he knows how they interact.”
Pat
File: "For his integrity, steadfastness,
grace under pressure, ideas, fairness - he gets the sustainability piece on all
levels - environmental, economic and social justice. I believe that we are on a
good track on so many fronts for the Town of Midland. I do support Gord McKay
for Mayor and hope that our residents will re-elect him on October 27.
Carol (Cee) Fisher: "He's just so down to earth."
Fred Hacker: "Midland needs a strong, decisive, forward-looking Mayor. Midland needs Gord McKay!"
Carol (Cee) Fisher: "He's just so down to earth."
Fred Hacker: "Midland needs a strong, decisive, forward-looking Mayor. Midland needs Gord McKay!"
Hudson
Leavens: "I've been very impressed by
Gord's ability to apply his business skills in encouraging committees to work
well and achieve results."
Stu
Leggett: "For the past 8 years - first as Councillor and then as Mayor - you
have worked diligently, honestly, passionately and with great integrity to
improve the economic and social conditions here in Midland. Your obvious skills
and proven leadership are critically needed in this complex community! I
support Gordon McKay for Mayor in 2014!!!"
Patrick
Murray: "I have found you to at least listen with an open mind and for that
you will continue to have my support."
Carol Nichols: "He has class... he's finding
solutions and that's why I want to work with him."
Colin Pape: "Gord
gets the importance of innovation, and knows how to leverage technology better
than anyone else running... Gord has been instrumental in helping us cut
through red tape and move our company forward. We now employ 15 people in
Downtown Midland, and with an experienced leader like Mayor McKay, who's
already grown a company from a handful of people to hundreds, I know we can
employ many more. A vote for Gord is a vote for real economic development."
Mike Ross: "He's a true leader. He's the man I want representing Midland."
Wednesday, October 22, 2014
Leaf Pick-Up
The leaves
are now falling and I know that some Midlanders are having a tough time adjusting to the
County “bag your leaves” collection system.
This is
the first year that we have not been allowed to use Town services to help homeowners.
Last year, I personally petitioned the County to give Midland residents one
more year with curbside vacuuming. The
County agreed, but was clear that last year was the only extension. No other municipality in the County of Simcoe
got that extra year exemption.
This year, all 16 County municipalities are bagging their leaves. The good news at the County level is that we
are saving well over $2 million per year by using a standardized waste
collection. Some of those savings reduce the taxes that you pay to the County.
In Midland, many private sector companies are now offering leaf vacuuming services.
The Town is also helping out by reimbursing residents for the cost of leaf bags
(receipt and proof of residency required).
I recognize
that this is a change that residents are unhappy about. I will continue to listen and, if the County collection
system continues to cause problems for Midland residents, I will work with my
fellow mayors and take your issues/concerns to the County.
Tuesday, October 21, 2014
A Fiscal Picture of Midland
The Town of Midland is a
$25 million a year “corporation” providing a variety of services to the people
of Midland. And while the Town must be responsive to its citizens, it also must
heed the basic financial rules that apply to all corporations.
The population of Midland, from which the Town receives its tax revenues, is characterized by two factors:
Inflation aside, there has been almost no increase in the ability of the people of Midland to pay more taxes in almost a decade. Keeping taxes down to help low-income homeowners keep their homes is essential.
The first step (which has already started) is to implement operational changes identified in the KPMG report that will save money while preserving our service levels. 60 such items were identified that can save us $1-2 million per year. Opportunities include consolidating internal works operations or consolidated billing with MPUC. This can be done without laying off staff.
The second step (which has already started) is to grow our local economy and, with it, the tax base. We have:
We have started to turn the fiscal corner. There are many more opportunities ahead that, if implemented, will allow taxes to actually be reduced and services maintained. But it is not just about getting the budget right. I am committed to a balance between fiscal restraint and providing needed community services (e.g. library, recreation, affordable housing, social services) so that all citizens of Midland can enjoy being part of our great community.
The population of Midland, from which the Town receives its tax revenues, is characterized by two factors:
- Low average household income, and
- Flat population growth
Inflation aside, there has been almost no increase in the ability of the people of Midland to pay more taxes in almost a decade. Keeping taxes down to help low-income homeowners keep their homes is essential.
Flying in the face of
that fact is that our tax bills have increased over 100% since 2000. The tax
growth stems from past Councils not managing wage growth and adding new
services without a financial plan. One example is the NSSRC - an excellent
facility providing needed services to many in our area. Its fiscal reality is that it requires a $1.4
million annual subsidy from taxpayers for its operations and capital. Midland,
like every householder, has to balance its income
with its costs.
So, how do we get to a
better financial place? It is first important to recognize that we have spent
decades getting into this situation. It
will take time
to get us out. Also, Midland is not in
“dire straits” - we do not need knee jerk solutions. We need to build on our
reasonably healthy local economy and take advantage of the opportunities to
realign municipal services to decrease our costs and taxes.The first step (which has already started) is to implement operational changes identified in the KPMG report that will save money while preserving our service levels. 60 such items were identified that can save us $1-2 million per year. Opportunities include consolidating internal works operations or consolidated billing with MPUC. This can be done without laying off staff.
The second step (which has already started) is to grow our local economy and, with it, the tax base. We have:
- Launched the Economic Development Corporation of North Simcoe, our arms length agency devoted to building our North Simcoe economy
- Started to streamline services at our Town Hall under our new CAO, Carolyn Tripp
- Frozen Development Charges, signaling to companies and developers that we are open for business
- Maintained tax control, holding the rate of increase to less than inflation - in essence, reducing real taxes
We have started to turn the fiscal corner. There are many more opportunities ahead that, if implemented, will allow taxes to actually be reduced and services maintained. But it is not just about getting the budget right. I am committed to a balance between fiscal restraint and providing needed community services (e.g. library, recreation, affordable housing, social services) so that all citizens of Midland can enjoy being part of our great community.
Monday, October 20, 2014
Leadership and Entrepreneurism
I have been fortunate to receive many supportive messages from people throughout our community. I appreciate them all - some make me smile, others are very humbling, and some offer me great hope for the future of our town. Such was the case when I read the following words from Colin Pape (ShopCity, ShopMidland). Colin is a young entrepreneur who was born and raised in Midland, left for a while, and then came back to start a business in his hometown.
"I've had many discussions with Gord McKay about ways to grow our business and bring more jobs to the area. Gord has been instrumental in helping us cut through red tape and move our company forward. We now employ 15 people in Downtown Midland, and with an experienced leader like Mayor McKay, who's already grown a company from a handful of people to hundreds, I know we can employ many more. A vote for Gord is a vote for real economic development.
In today's day and age, with smartphones, the internet, and Facebook at the core of our communications, it's imperative that we have a leader who understands and uses these powerful mediums to engage the community, seize opportunities, and communicate the potential of our community to the world. Gord gets the importance of innovation and knows how to leverage technology better than anyone else running."Colin's enthusiasm and his entrepreneurial spirit are indicative of the potential that we have in our community. And fortunately, he is not alone. I have met with many other ambitious people with similar aspirations including: John P. Cipressi (manufacturing), Christine Taylor (retail), Jim Brown (computer technology), Bob Kafato (communications), and Barb Rowlandson (event management). With people like this committed to economic development in our town, I am confident that we can move Midland forward over the next four years and beyond.
Friday, October 17, 2014
Public Engagement
It
was a pretty typical morning in the Mayor’s office. I drafted a response to the grade six students
at Sacred Heart School, thanking them for their ideas about what young people would
like to see in our new Midland Bay Landing property. I also received a call from
a gentleman who had heard of my office’s involvement in our area’s healthcare and
wanted to be part of our new healthcare steering committee. I made a call to the
school board to help another group who are planning a new outdoor skating rink
in our Town.
Wherever you turn, the people of Midland are looking for ways to be meaningfully involved in helping our Town. The reality from the municipal side is that we absolutely need that help. Without the expertise and energy of our engaged citizens, the Town of Midland could not go forward.
Through my first term I have taken every opportunity to get people informed and meaningfully engaged. It started right at Town Hall. I invested the first year in trying to get Council to work together and I am pleased to say that your Councillors are now generally listening to each other as they discuss the issues. I also reached out the public with my weekly blog, News from the Town, which keeps hundreds of citizens up to date on what is happening in Midland (see News from the Town).
I worked with staff to change the processes of Town Hall to allow more citizen involvement:
Each of these initiatives would not be possible without active and meaningful participation by the public. In the days ahead there will be even greater need for citizens to be involved in moving their Town forward. The good news is that we have the people who can make it happen.
If I am re-elected, these types of discussions and consultations will continue to be the way we do business at the Town of Midland.
Wherever you turn, the people of Midland are looking for ways to be meaningfully involved in helping our Town. The reality from the municipal side is that we absolutely need that help. Without the expertise and energy of our engaged citizens, the Town of Midland could not go forward.
Through my first term I have taken every opportunity to get people informed and meaningfully engaged. It started right at Town Hall. I invested the first year in trying to get Council to work together and I am pleased to say that your Councillors are now generally listening to each other as they discuss the issues. I also reached out the public with my weekly blog, News from the Town, which keeps hundreds of citizens up to date on what is happening in Midland (see News from the Town).
I worked with staff to change the processes of Town Hall to allow more citizen involvement:
- Adding a public input session to our annual budget process
- Adding “rise and report” so that citizens could hear the results of closed meetings
- Re-designing the Town website and putting more information on it
- Hosting new public meetings on topics of interest: casino, taxi fares, Hanson lands development
- Making public consultation central to planning: Midland Bay Landing Plan, Down Town Master Plan
- Making citizen membership part of most committees: Waterfront Steering Committee, Development Charges Ad-Hoc, Economic Development Corporation of North Simcoe
- Downtown Safety – I organized and led the formative meetings that brought many stakeholders together to implement long-term solutions to improve downtown safety
- Healthcare – I worked with our Seniors Council to create public meetings to develop our healthcare objectives for North Simcoe
- Job Creation – I brought together a group of entrepreneurs who meet regularly at the ShopMidland location to discuss opportunities for job growth in the healthcare sector
- Affordable Housing – Under the general guidance of the County, I organized the North Simcoe Housing Working Group. The group is made up of stakeholders and the public, looking for solutions to our affordable housing deficit
Each of these initiatives would not be possible without active and meaningful participation by the public. In the days ahead there will be even greater need for citizens to be involved in moving their Town forward. The good news is that we have the people who can make it happen.
If I am re-elected, these types of discussions and consultations will continue to be the way we do business at the Town of Midland.
Wednesday, October 15, 2014
Town Council
“Council
is split 5-4.” – “Council is
dysfunctional.” – “Why can't these
guys work together?”
It seems that everyone likes to criticize Council. While there have been problems, I want to give you a different perspective and tell you about the many good things that this “dysfunctional” Council has accomplished.
My first job when I became Mayor was to get Council to work together. I know from past leadership roles that working together does not mean everyone agrees and there will often be passionate discussion on issues. But being a Councillor is about more than talking about your favourite position. It is about doing your homework, coming to the Council table prepared to listen, and then voting for what you feel is best for Midland.
Despite best intentions, Council's first year was chaotic. Divisions from the previous Council were in play and many votes were split 5-4. Over the next three years we learned how to work together. While there were still some 5-4 votes, there were far more that were 9-0 or instances where the 5-4 split was made up of different Councillors. We were listening to each other and making good independent decisions for Midland. And we accomplished a lot:
In the coming term, Council will face some big challenges. This election you will vote for the members of Council who will be making those tough decisions. Take time to get to know who is running and vote for those candidates whose first priority is “Moving Midland Forward”.
It seems that everyone likes to criticize Council. While there have been problems, I want to give you a different perspective and tell you about the many good things that this “dysfunctional” Council has accomplished.
My first job when I became Mayor was to get Council to work together. I know from past leadership roles that working together does not mean everyone agrees and there will often be passionate discussion on issues. But being a Councillor is about more than talking about your favourite position. It is about doing your homework, coming to the Council table prepared to listen, and then voting for what you feel is best for Midland.
Despite best intentions, Council's first year was chaotic. Divisions from the previous Council were in play and many votes were split 5-4. Over the next three years we learned how to work together. While there were still some 5-4 votes, there were far more that were 9-0 or instances where the 5-4 split was made up of different Councillors. We were listening to each other and making good independent decisions for Midland. And we accomplished a lot:
- A four year budget discipline to keep taxes below the rate of inflation
- Agreement on our first ever operational review by KPMG
- Purchase of the Unimin lands (7-1)
- Support for our Downtown Master Plan (unanimous)
- Creation of the Economic Development Corporation of North Simcoe (unanimous)
- Launch of the Tourism Action Plan and the Cultural Plan (large majorities)
In the coming term, Council will face some big challenges. This election you will vote for the members of Council who will be making those tough decisions. Take time to get to know who is running and vote for those candidates whose first priority is “Moving Midland Forward”.
Wednesday, October 08, 2014
Fred Hacker Endorses Gord McKay for Mayor
I was deeply honoured to have Fred Hacker introduce me at my recent campaign rally. Being endorsed by Fred is a significant boost for my bid for re-election. Below is a copy of the media release, including some of Fred's remarks, as well as video of his speech in its entirety.
-----
When long time Midland resident, lawyer, and community leader Fred Hacker speaks, people listen. And what the large crowd attending Mayor Gord McKay's re-election campaign rally on Thursday heard was a strong endorsement of their candidate. "The candidate in whom I’m placing my trust for guiding the community over the next four years is Gord McKay," stated Mr. Hacker.
He encouraged the citizens of Midland to ask themselves four questions as they make their decision on who to vote for:
-----
When long time Midland resident, lawyer, and community leader Fred Hacker speaks, people listen. And what the large crowd attending Mayor Gord McKay's re-election campaign rally on Thursday heard was a strong endorsement of their candidate. "The candidate in whom I’m placing my trust for guiding the community over the next four years is Gord McKay," stated Mr. Hacker.
He encouraged the citizens of Midland to ask themselves four questions as they make their decision on who to vote for:
- Which of the candidates for mayor is best equipped to provide solid, intelligent, consistent and reliable leadership?
- Which of the candidates for mayor would I want to have at the table when serious negotiations were ongoing with respect to the future of this community?
- Which of the candidates for mayor would I want to be speaking on behalf of our community?
- Which of the candidates for mayor is best suited to deal with the issues that we haven't even thought about yet?
For
each of these questions, he responded, "Gord McKay".
" Having
the support of such an influential community leader is a distinct honour," said
Mayor McKay, commenting that he and Fred Hacker have been friends for many
years. In his speech to supporters at
the rally, he emphasized the importance of listening and collaboration, not
only on Town Council, but with members of the community as well. "If I'm
re-elected, ongoing interaction and exchange of ideas will be the way the town
does business," noted the mayor.
Saturday, October 04, 2014
Hanson Development Moving Forward
Hanson Developments presented to the Midland Planning and Development Committee this past Wednesday. If you think that you have heard the name before, you are right. Hanson has had a Plan of Subdivision with the Town for almost 20 years. But with recent improvements to Midland's economic outlook, Hanson feels it is now time to start building.
The Hanson Lands are a large parcel that is bounded by the Wal-Mart plaza, Highway 12, Old Penetanguishene Road, and Little Lake. Over the next ten years, they are planning to build an entirely new neighbourhood of some 1,200 to 1,700 homes. The development will not be the "typical suburb", but rather a community that provides all the urban amenities while encouraging healthy living and a green environment.
I am particularly pleased because Hanson has done their homework. We have seen too many developments that start off with great fanfare but end up as an empty field with a few scattered homes. Hanson has researched both our local residents and those who may want to live in Midland. They are responding by building homes that are attractive (e.g. front porches), have low maintenance costs, and will priced in the low $200,000 range.
Hanson also intends to make its Little Lake shoreline a public area with parks and connections to our exiting trail system - this will not be an isolated neighbourhood. Hanson also indicated that one of the reasons they are deciding to invest now is the proposed Midland Bay Landing development, something they regard as a great benefit for our future.
Look for marketing activity to start in the spring of next year.
The Hanson Lands are a large parcel that is bounded by the Wal-Mart plaza, Highway 12, Old Penetanguishene Road, and Little Lake. Over the next ten years, they are planning to build an entirely new neighbourhood of some 1,200 to 1,700 homes. The development will not be the "typical suburb", but rather a community that provides all the urban amenities while encouraging healthy living and a green environment.
I am particularly pleased because Hanson has done their homework. We have seen too many developments that start off with great fanfare but end up as an empty field with a few scattered homes. Hanson has researched both our local residents and those who may want to live in Midland. They are responding by building homes that are attractive (e.g. front porches), have low maintenance costs, and will priced in the low $200,000 range.
Hanson also intends to make its Little Lake shoreline a public area with parks and connections to our exiting trail system - this will not be an isolated neighbourhood. Hanson also indicated that one of the reasons they are deciding to invest now is the proposed Midland Bay Landing development, something they regard as a great benefit for our future.
Look for marketing activity to start in the spring of next year.
Thursday, October 02, 2014
Healthcare Progress
Positive developments on the healthcare front.
Over the last six months there has been concern about the loss of ophthalmological services from our area hospital. This would include cataract surgeries. Our North Simcoe Muskoka LHIN has been looking at different models of service delivery that likely would have seen the service end up in Barrie or Orillia.
Last week, I assisted as our seniors held a second healthcare meeting at the NSSRC. Jill Tettmann (CEO of the NSMLHIN) attended and indicated that she understood our concerns and would help.
This week, there was increased concern in our community about a sub-committee meeting to choose a service model that would leave Midland out. I contacted Jill to ensure that we got a Midland solution back into the discussion. Jill personally intervened in that meeting and asked them to consider other models. That is now being done. (See e-mail from Dr. McNamara below.)
Coming together as a respectful community and engaging the LHIN has worked. We, as a community, still have much work on this front in the days ahead. I intend to be actively engaged in the critical discussion of Midland's healthcare future.
-----
Over the last six months there has been concern about the loss of ophthalmological services from our area hospital. This would include cataract surgeries. Our North Simcoe Muskoka LHIN has been looking at different models of service delivery that likely would have seen the service end up in Barrie or Orillia.
Last week, I assisted as our seniors held a second healthcare meeting at the NSSRC. Jill Tettmann (CEO of the NSMLHIN) attended and indicated that she understood our concerns and would help.
This week, there was increased concern in our community about a sub-committee meeting to choose a service model that would leave Midland out. I contacted Jill to ensure that we got a Midland solution back into the discussion. Jill personally intervened in that meeting and asked them to consider other models. That is now being done. (See e-mail from Dr. McNamara below.)
Coming together as a respectful community and engaging the LHIN has worked. We, as a community, still have much work on this front in the days ahead. I intend to be actively engaged in the critical discussion of Midland's healthcare future.
-----
From: Martin McNamara [mailto:drm@csolve.net]
Sent: Thursday, October 02, 2014 1:21 PM
Sent: Thursday, October 02, 2014 1:21 PM
Subject: Good News
To the citizens of North
Simcoe:
Hello All;
Great news from last
night. Dr. Dan Scanlan has been in communication and has informed me that
the “cataract committee” has, due to the influence of Ms. Jill Tettman (LHIN
CEO), changed its mandate and is now committed to finding efficiencies within
the existing system. They are dropping the idea of having all cataracts
done at one or two centres and will allow us to continue providing this service
locally. Your work and letters have surely been one of the factors that
prompted this. Thank you for your support.
This also means that the
LHIN are committing to working at improving other areas of eye care such as the
regional ophthalmology on call coverage for emergencies and exploring other
options to cut costs and improve care with input from those who know best, our
patients and ophthalmologists. We will continue to track their
work. Dr. Scanlan advises me that he is interested in re-joining the
committee (he left when he found that he could not support their options for
one/two site regional care). I will keep you posted as events
unfold. I have sent Ms. Jill Tettman a note of thanks for her support in
changing the mandate of the committee.
I would ask for your help
in another issue and that is our hospital funding.
There have been many
instances, in the past few years, where we have been short changed by the
MOHLTC on issues such as our ER redevelopment, our complex chronic care floor,
our base funding, our ER performance funding and a number of other areas. This has resulted in the current financial shortfall facing our
hospital.
Recently, the MOHLTC and
the LHIN have determined that better performing hospitals will benefit from
increases in funding and worse performing hospitals will undergo cuts until
they improve. In spite of the fact that we have performed well in our ER
metrics, we have fallen short of some of their in hospital targets this year and
will suffer another cut from our budget. (The actual number is still
confidential.)
The MOHLTC’s new funding formula rewards
efficient hospitals and penalizes less efficient hospitals and is a new
paradigm for the MOHLTC as it is for us. It is geared to encourage all
hospitals to become more efficient and proficient at standardized care. Who wouldn’t want this? There is, however, a major difficulty in that not
all hospitals are starting the race from the same set of blocks.
We have analyzed our performance with that of other hospitals in the LHIN and conclude the following: adjusting for acuity, (patient illness severity) our hospital’s staffing levels would have to increase by 35 hours of nursing care per day per floor to even equal that of the next lowest funded hospital, Alliston. To equal RVH, we calculate that we would have to increase our nursing by 65 hours per day per floor. Our ER numbers are even more telling. Patients drive from Collingwood and Barrie to be seen in our ER, knowing that they face a >6 hour wait in their own ERs.
We see half of the number of patients seen in RVH’s ER, yet have about 1/3 of the funding for ER nursing that they do. We have been constantly one of the top performers in indicators such as patient satisfaction, yet, because of our poor staffing ratios and bed shortages, we find ourselves struggling every year with indicators such as “time to admission from ER” and others. We are falling behind in the race, resulting in decreased funding, resulting in decreases in staffing and in performance, resulting in decreased funding, etc. We are not starting from a level playing field with the other participants. How to win this race?
In the last 7 years, we have gone from being run by a Ministry Supervisor to forming a new board, new Director of Nursing, new CEO, new Director of Human Resources, Finances, etc. We have improved our care and the quality of that care. We are committed to continuing this improvement and our staff have worked very hard to meet the needs of the community. Are we perfect? Certainly not. Are we improving? Significantly.
We continue to struggle with admitting patients in a timely manner because of poor bed availability. Research has shown that rapid admissions are directly affected by bed availability. If you have more beds, people get to the floors more quickly. Research has also shown that patients housed in hallways and ER beds don’t do as well.
In 1980, GBGH was a 160 bed hospital. Our population has doubled in that time, yet we now have only 68 acute care beds. How did this happen? Why does it continue?
The lack of bed availability also means no surge capacity in the event of another flu epidemic or SARS. We have no capacity for ebbs and flows in patient numbers.
Our Homecare services also runs behind that of other jurisdictions. We have difficulty discharging patients on weekends because home care (while taking emergency referrals for IV antibiotics and other care issues) isn’t available on weekends to arrange for care for discharged patients. Patients perforce must wait until Monday to go home. RVH has 24/7 home care, as do smaller hospitals such as St. Thomas and Lindsay to name two. Why don’t we?
These are just a few of the areas where we are being short changed. We need your help.
I encourage you all to become informed and to advocate on your behalf. We are your hospital. The LHIN and the MOHLTC need to hear your concerns as does your MPP.
Sincerely,
Dr. M. McNamara
We have analyzed our performance with that of other hospitals in the LHIN and conclude the following: adjusting for acuity, (patient illness severity) our hospital’s staffing levels would have to increase by 35 hours of nursing care per day per floor to even equal that of the next lowest funded hospital, Alliston. To equal RVH, we calculate that we would have to increase our nursing by 65 hours per day per floor. Our ER numbers are even more telling. Patients drive from Collingwood and Barrie to be seen in our ER, knowing that they face a >6 hour wait in their own ERs.
We see half of the number of patients seen in RVH’s ER, yet have about 1/3 of the funding for ER nursing that they do. We have been constantly one of the top performers in indicators such as patient satisfaction, yet, because of our poor staffing ratios and bed shortages, we find ourselves struggling every year with indicators such as “time to admission from ER” and others. We are falling behind in the race, resulting in decreased funding, resulting in decreases in staffing and in performance, resulting in decreased funding, etc. We are not starting from a level playing field with the other participants. How to win this race?
In the last 7 years, we have gone from being run by a Ministry Supervisor to forming a new board, new Director of Nursing, new CEO, new Director of Human Resources, Finances, etc. We have improved our care and the quality of that care. We are committed to continuing this improvement and our staff have worked very hard to meet the needs of the community. Are we perfect? Certainly not. Are we improving? Significantly.
We continue to struggle with admitting patients in a timely manner because of poor bed availability. Research has shown that rapid admissions are directly affected by bed availability. If you have more beds, people get to the floors more quickly. Research has also shown that patients housed in hallways and ER beds don’t do as well.
In 1980, GBGH was a 160 bed hospital. Our population has doubled in that time, yet we now have only 68 acute care beds. How did this happen? Why does it continue?
The lack of bed availability also means no surge capacity in the event of another flu epidemic or SARS. We have no capacity for ebbs and flows in patient numbers.
Our Homecare services also runs behind that of other jurisdictions. We have difficulty discharging patients on weekends because home care (while taking emergency referrals for IV antibiotics and other care issues) isn’t available on weekends to arrange for care for discharged patients. Patients perforce must wait until Monday to go home. RVH has 24/7 home care, as do smaller hospitals such as St. Thomas and Lindsay to name two. Why don’t we?
These are just a few of the areas where we are being short changed. We need your help.
I encourage you all to become informed and to advocate on your behalf. We are your hospital. The LHIN and the MOHLTC need to hear your concerns as does your MPP.
Sincerely,
Dr. M. McNamara
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