Health Care as an Economic Driver - Ke

Report
Health Care:
A Driver for Economic Development
Presentation to Keondaatiziying Conference
September 18, 2014
Hope and Consequences
Joe A. Summers, Ph.D., Economic & Community Development Institute,
Auburn University:
• Small community hopes, resources, and
energy for economic prosperity are often
pinned to recruitment of a large industry.
Hope and Consequences
• A consequence is undervaluing other
determinants for a strong local economy.
• More significantly local leaders can ignore
building community and civic infrastructure.
Strategies for Small Community
Success in Economic Development
1. Strong & diverse community leadership that
is inclusive, collaborative, and connected.
2. Identify local assets & create and carry out a
strategic plan based on identified assets.
3. Join with other jurisdictions to optimize
economic resources and benefits.
Asset Identification
• It may be possible that there is gold in them
thar hills, or resources in that ring of fire.
• But it is certain that there are people in our
communities and that they require health care
and other social services
– and that there are jobs associated with delivery of
all those services.
Sioux Lookout
as an Example
1985 and the Old Town is Dying
Railroad Town
Military Town
Forest Industry
Early to mid 1980’s Municipal Perspective
on Sioux Lookout Economy
Excerpt (1 of 2) from “At the Council Table –
Town of Sioux Lookout
Municipal History 1982 - 1998
Excerpt (2 of 2) from “At the Council Table –
Town of Sioux Lookout
Municipal History 1982 - 1998
Was it Really Dying?
Or Beginning a Transformation
Identifiable Assets
• Even as one perspective saw economic doom,
another perspective saw opportunities.
• The Royal Commission on the Northern
Environment provided a road map for
economic prosperity – not everyone could
read the map.
1984 – Royal Commission
on the Northern Environment
1984 Air Travel & Service Flow
1984 – Medical &
Secondary Schooling
Growth of Core Services
Government, Agencies, Policing,
Education, Social Services
Growth of Support Services
Airport, Hotels, Professional &
Financial Services, Housing
Health Care
• In the middle of all these changes something
was brewing in the world of health care.
• After 25 years of talks, in 1996 a decision is
made to finalize agreements to proceed with
one regional hospital in Sioux Lookout.
Four Party Agreement
The four signatories were: Government of Canada,
Government of Ontario, Nishnawbe Aski Nation, (on
behalf of the 28 FN communities), and the Municipality
of Sioux Lookout which represented the interests of the
Sioux Lookout District Health Centre, (the provincial
hospital).
Leadership, Assets, Collaboration
Sioux Lookout
District Health
Centre
Sioux Lookout Zone
Hospital
Development
• Sioux Lookout Meno Ya
Win Health Centre
• Sioux Lookout First
Nations Health
Authority
Health Care:
A Driver for Economic Development
• The decades long transformation of Sioux Lookout from a
railroad, military, resource based town to
• a centre for services to the northern communities took place
from the 1980’s through to the 2010’s, and
• it has health care as the big wheel.
Health Care –
The Big Wheel
Growing Health Care Services
Health Care Services
Projected Developments
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Interim Northern Clinic
Long Term Care
Youth Services – Speech & Language
Counseling Services Expansion
MRI Services
Enhanced Surgical Services
Meno Ya Win
20 Year Master Plan
Spin-Off Growth & Developments
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Administrative Services
Dietary, Laundry, Maintenance
Accommodations Expansion
Nurses & Doctors Residences
Transportation Services
Ancillaries – Sweatlodge, Childcare, Education
Post-Operative Residential Rehab Services
Growth Example
Long Term Care
Operations & Maintenance Costs
Item Description
Wages
New 96-Bed
Existing 20-Bed
$4,362,000
$1,038,000
Benefits
$916,000
$277,000
Utilities
$529,000
$127,000
Supplies
$772,000
$331,000
Maintenance Contracts
$75,000
$12,000
Insurance
$50,000
$23,000
$6,703,000
$1,808,000
$69,800
$90,400
Total O & M Cost
Cost per Bed
Impacts of Long Term Care
•
•
•
•
•
•
Access to LTC for Meno Ya Win catchment.
An operating cost reduction of 34% per bed.
40 new direct full-time jobs in LTC.
Estimated 10 indirect new full-time jobs.
Plus local jobs during construction.
Local business benefits – hotels, restaurants,
retail, airlines, local transportation.
So, What About First Nation
Communities?
• Good for Sioux Lookout
• Good for Meno Ya Win
• Good for the health care of the people
• But what about the communities?
• How can they benefit from all this growth in
health care service in Sioux Lookout?
So, What About First Nation
Communities?
• Health benefits
• Social benefits
• Economic benefits
…to having more community based services and
more community based jobs
So how do we get there?
Strategies for Small Community
Success in Economic Development
1. Strong & diverse community leadership that
is inclusive, collaborative, and connected.
2. Identify local assets & create and carry out a
strategic plan based on identified assets.
3. Join with other jurisdictions to optimize
economic resources and benefits.
Leadership
•
•
•
•
•
•
Chief & Council
Health Care Services
Social Services
Education
Policing & Justice
Spiritual
Assets
•
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People
Facilities
Established Services & Agencies
Airports & Associated Services
Community
Combine Efforts with
Other Jurisdictions
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Sioux Lookout First Nations Health Authority
Sioux Lookout Meno Ya Win Health Centre
Nishnawbe Aski Nation
Health Canada
Ontario Ministry of Health & Long Term Care
LHIN’s
Municipality of Sioux Lookout
Four Party Planning Table
Tribal Councils
Neighbouring First Nations
Northwestern Health Unit
Airlines
Education Authorities
Indian and Northern Affairs
Opportunities
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Public Health
Home Care
Group Homes
Seniors Assisted Living Centres
Withdrawal & Treatment Programs
Telemedicine
Diagnostic Imaging
Pharmacy
Lab
Foot Care
Equipment Maintenance
Nursing Stations
Materials Management (procurement, warehousing, deliveries)
Transportation
Facility Development, Rental, O&M
Greenhouses
Population Estimates
Meno Ya Win Catchment Area
2011 to 2036
Population Project by 65+ and 75+ Age Cohorts
2011 - 2036
Total Population Growth Comparisons
Meno Ya Win Catchment and NW LHIN
2011 - 2013
Some Key Messages from
Population Characteristics
(Excerpt from LTC Bed Study)
Opportunities
Opportunity – Northwestern Health Unit &
Partners
• Delivery of Public Health Services on-Reserve
– Health Promotion
– Inoculations
– Smoking Cessation
– Dietary Programs
Opportunity – SLMHC
•
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Pharmacy
Lab
Nursing Pool
Telemedicine
Diagnostic Imaging
Certified Medical Escort Services
Opportunity – Home and Community Care
• Personal Support Workers
• Allowing Seniors to Remain Independent
• Community Supports – firewood, snow
shoveling, transportation, shopping
Opportunity – Group Homes
• Acquired Brain Injury
• Residents with Disabilities
• Physical Disabilities
Opportunity – Seniors Assisted Living
• Providing Safe Accommodation for Seniors in
Their Home Communities
• Supported Communal Living
• Post Independent and Pre-Long Term Care
Opportunity – Withdrawal
& Treatment Programs
• Addictions Issues
• Need for Locally Based Services
Potential Job Opportunities
Facility/Service
Possible Jobs
6 Resident Seniors Assisted Living Home
5
6 Resident Group Home
8
Home Care Community Workers
2
Certified Medical Escort Services
3
Nursing Stations (in association with MYW)
2
Public Health
2
Meno Ya Win Thunder Bay
We Need to Collaborate
To Realize Our Potential
Meno Ya Win - Northern Communities
We Need to Collaborate
To Realize Our Potential
Meegwetch !
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