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Annual Report

Welcome to the Ottawa Hospital
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Nursing Reorganization Update

Recently, TOH provided notice of changes designed to maintain our current levels of patient care, while overcoming our funding shortfall and balancing our budget. As a result, 48 registered nurses (RN) will be affected by a reorganization of our staff. We are confident that through incentives, redeployment and attrition, very few if any nurses at TOH will leave involuntarily, although there may be those nurses who do not want any of the positions we have available.

Under the Collective Agreement between the Hospital and Ontario Nurses Association (ONA), we are in the process of offering early retirement incentives to those nurses on affected units who are retirement eligible. Depending on the results of that canvas we may offer early retirement incentives to eligible nurses on other units.

We have almost 200 open nursing vacancies that can accommodate the 48 nurses affected by the upcoming change. Our usual turnover is about 300 RNs per year. We anticipate that in 2010-11 we will need to hire approximately 300 RNs to keep our beds open and services running and enabling people to take their vacation.

In 2010 we will have 656 RNs who will be 55 and older including 211 who are 60 and older. More than 60 % of our external nursing hires over the last three years have been new grads as the pool of experienced RNs available for hire has diminished.

 

New Nursing Graduates

The Nursing Graduate Guarantee is an initiative of the Ontario Ministry of Health and Long-Term Care aimed at ensuring that every new nursing graduate (RN and RPN) who wishes to work full time in Ontario will have that opportunity. The Ministry developed this program to keep our nursing graduates in Ontario and prepare us for the eventual shortage of nurses as our senior nurses retire. This year, The Ottawa Hospital will participate in the program again as we have every year since it began in 2007.

The New Grad initiative is a provincial program that reimburses us for six months of cost of supernumerary new grad nurses. Supernumerary means these new grads are above a unit's regular staff complement. This enables us to hire them and orient them to the Hospital and the unit. They are then ready and available when a position becomes vacant as it invariably will over the course of the year.

In order to be eligible for Ministry reimbursement we have to make offers before March 31 even though these new grad nurses will not start until June, July or August. While we are unsure what the Ministry support for this program will be next year, it is essential that we have offers made before March 31 of this year. We will therefore have to recruit almost 200 new grads in 2010-2011 in order to maintain our workforce, manage retirements, keep beds open and patient care intact.

For more information on the Ontario government's New Grad Guarantee Program, please visit: www.healthforceontario.ca/Work/InsideOntario/OntarioNurses/NursingGradGuarantee.aspx

 


The Ottawa Hospital CEO’s Statement on Nursing Jobs

On February 27, 2010, media reported the Ontario Nurses' Association (ONA) announcement that The Ottawa Hospital (TOH) would lay off 190 nurses. Fortunately, this is not the case. There will be important changes at TOH over the next few months. While some changes will affect nurses, it is important to recognize their true impact.

In fact, The Ottawa Hospital is making changes that will:

  • increase the number of beds available to our acute care patients;
  • maintain current levels of patient service for the next year (assuming a 2% hospital budget increase);
  • preserve our capacity to care for the same volume of patients as usual; and
  • deliver quality care through multidisciplinary teams of health professionals.

These changes will not result in the layoff of a high number of nurses.

TOH has almost 200 nursing vacancies to accommodate the 48 nurses affected by upcoming changes. In fact, we are confident that through incentives, redeployment and attrition, very few if any nurses at TOH will leave involuntarily.

In spite of the severity of the economic downturn, we will continue to provide patients with quality care. We will focus on our patients' needs, and attend to them through inter-professional health care teams. These teams will build upon the skills and competencies of all health professionals working to their full scope of practice.

Our nurses are the backbone of these teams. As a frontline physician and medical leader with over 25 years experience caring for patients in hospitals, I admire and respect the important role they play. They are helping us lead the way to a more sustainable health system, with better quality of care delivered in a safe, efficient manner.

Moving forward, the only way for hospitals to succeed is through strong collaboration between all our partners. I am confident we can work together. We owe it to our patients.

Dr. Kitts, CEO.


Important Information about Reorganization at The Ottawa Hospital

The Ottawa Hospital recently provided notice to the Ontario Nurses Association (ONA), the Canadian Union of Public Employees (CUPE) and the Ontario Public Service Employees Union (OPSEU) of a reorganization it will undertake in the coming fiscal year. For the benefit of our staff, patients and community, here are the facts about this reorganization.

It is important to note that these staffing changes have been carefully planned to ensure that there is no reduction in the volume or quality of patient service. TOH patients will continue to benefit from the same standard of care.

That said, we regularly provide unions with notice of organizational restructuring. It is a well entrenched labour relations practice, and a core requirement of collective bargaining. In this case, we advised unions of staffing changes we are planning for 2010/2011.

Overall, 133 employees will be affected by the reorganization. Of these 133 employees, 79 are from CUPE, 48 are from ONA, and 6 are from OPSEU. In addition, TOH will close 42 vacant positions, i.e. positions that are not currently filled. Under the current economic circumstances, hospitals, like every other sector, must provide responsible stewardship of scarce public resources. That is why certain vacancies have been closed.

As of now, no employee has lost their job. Most, in fact, will continue working at TOH even after the reorganization. We have simply provided our unions with appropriate notice, at the beginning of the restructuring process, as required by collective bargaining.

Our collective bargaining offers strong protections for all employees affected by the reorganization. Some will be reassigned to positions for which they are qualified, elsewhere at TOH. Others will fill one of the 400 internally posted vacancies TOH has at any given time throughout the year. Some will remain in their current – or similar – jobs as a result of eligible colleagues accepting early retirement. For those who opt to leave, we will provide a severance package.

Given current job vacancies and the numerous options available to affected employees, we are in an excellent position to keep job losses to a minimal level. In the meantime, we wish to thank our staff, our unions, our patients and our community for their patience and ongoing support.

The Ottawa Hospital


 

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