Quote:
Originally Posted by Danny D Oh
There's absolutely a new layer. Now if you look at any reporting structure for a program or hospital there's a Shared Health manager added to the chart with really no one else gone. There's also a Shared Health executive added to everything, CEO, CFO, Comms staff, chief medical, chief nursing, whole HR department (fastest growing cost in all these organizations with really no results). Each RHA still has these roles. All of these jobs are in the top 100 by pay in the province. There's huge redundancy and constant confusion of who is responsible for what month by month. The "transformation" jobs have seemingly become permanent.
At one point they did promise to cut managers by 15% but that didn't even last into their second term, it kind of happened and then everyone was replaced with additional directors added.
The money is coming out of the frontline, there's no doubt about it. The way they post many jobs ensures they won't be filled for budgetary reasons. It's a massive shell game. They'd rather blow their budgets with OT and agency staff because there's less long-term financial liability by staffing that way even though it costs the taxpayer more and produces worse outcomes (the real long-term costs). Most people don't pay attention to how the budget is actually spent, just how it's announced. Most of the managers and execs with any medical ethics flew the coop because they couldn't stand the directives. Shared Health has been developed to be kind of a gatekeeper on management in duplicate of MB Health but even more distanced from cabinet.
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Shared Health did not come about out of nothing, it is the rebranding of Diagnostic Services Manitoba(DSM), essentially a provincial organization that ran all Diagnostic Imagining(DI) and Lab services in the Manitoba. The main theme of the Peachy report was to consolidate all programs and departments in the province to be centralized and provincial in scope.
WRHA's budget since 2018 has actually plummeted while DSM/Shared Health's grew rapidly. Supply Chain, DI, Lab, Cahdam Lab, AFM, HR, Digital Health(IT), Legal Services and others have all been amalgamated into Shared Health so that those services could be provided equitably across the Province and to eliminate the siloed approach that was going on. For example, Northern Health would be paying 3 times as much for certain supplies because their volumes were low and they are so remote. Under Shared Health the hope is that the economies of scale will save them money.
HSC was also transferred to Shared Health as it is considered a Provincial hospital since more then half of the patients it sees are from outside the city.
DSM already had a CEO, CFO, Comms and everything else, it has also eaten up other RHA's departments and budgets. Obviously the idea being that there can be some savings and equitable allocation if it is all managed under one authority.