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Community congratulates
Ont. Scholarship winners
THE CITIZEN, WEDNESDAY, JULY 12, 1995. PAGE 7.
Wingham Hospital seeks public input for goals
By Cameron J. Wood
The Advance-Times
As Wingham and District
Hospital's strategic planning
process moved to the public input
session last week, those in
attendance at the presentation heard
how plans were progressing to lead
WDH into the next century - and a
very real report on why doctor
recruitment will continue to be
difficult.
Pat Pietrek, who delivered the
strategic plan to the public
members, said the process is a way
to formulate a practical method of
examining how decisions are made.
"It's a process we use to align
hospital goals with what is
happening in the environment," she
said.
The process of strategic planning
involves seven focus groups: the
hospital board, staff, admini-
stration, the medical staff, patients,
community groups/agencies and
the public. Each group participates
in the four sector analysis. Input is
given on the hospital's strengths,
weaknesses, opportunities and
threats in terms of overall service.
Overall, the biggest concern
identified by the seven groups is
the lack of physicians in the area
and access to those who currently
do serve WDH. Several are no
longer taking on new patients.
Dr. B. Hanlon, Medical Chief of
Staff at WDH delivered the most
disturbing news of the evening,
much to the chagrin of others
involved in the strategic planning
process. Dr. Hanlon said the
demands of the public will soon
outweigh the ability of service at
WDH.
Of biggest note was the trend of
graduating physicians to shy away
from emergency room coverage
and obstetrics. He said the majority
of claims against practicing doctors
come from those two areas and
have forced doctors to make harsh
decisions about service.
Insurance rates for doctors
providing ER coverage have also
skyrocketted in light of the
litigation trends, making it more
financially restraini,ig for doctors
to provide that service.
Dr. Hanlon said the trend of the
past 10 years of growing
government intervention into the
medical practice has left Ontario in
dire straits. Add to that the
reputation the media has built,
physicians no longer want to
practice in the province and are
leaving for more fertile and
friendly grounds.
Ontario, unlike other provinces
and states, will not provide a billing
number to offshore physicians,
meaning those who earned a
medical degree overseas, in the
United States, or even our own
nation are not allowed to practice
here.
The WDH Chief of Staff was
solicited to come to Canada from
his native Ireland several years ago.
That practice changed two years
ago under the NDP.
Dr. Hanlon struck a few nerves
when he went on to say that with
the greater number of women
graduating from medical school in
Ontario, the worse the situation will
get. He said the new physicians no
longer want to maintain a rural
lifestyle and seek the bright lights
of the cities. In addition, women,
he said, often will follow their
spouse in their careers and do not
want to work full time.
The Chief of Staff made it clear
that communities like Wingham
will continue to struggle to attract
physicians. Communities as such
have little to offer, he said, and are
too far inland to use the lake as a
drawing feature.
"Eighty communities in Ontario
are looking for doctors, the
resources in Wingham are limited
as compared to Goderich or
Collingwood," he said. Physicians
in Listowel, he added, live in
Waterloo and travel to work.
"There are no easy solutions,"
Dr. Hanlon said. "Radical changes
are coming in the future. I don't
think there will be a hospital every
20 miles."
Dr. Hanlon said the time has
come for hospitals to examine how
to deliver ER coverage and educate
patients on the purpose behind the
service. Drop-in clinics may relieve
some of the pressure felt in the ER.
When consulting with the
physicians under the strategic
planning process, Pietrek said the
concern from them was the need to
educate the government on rural
physicians issues and medical
associations.
In the region, people are
beginning to move to other
hospitals due to the lack of doctors
in Wingham. Brussels residents,
she said, have started towards
Seaforth for example.
WDH Chief Executive Officer
Lloyd Koch said the board and
hospital have identified five areas
where the strategic plan will focus;
improving communication,
physician recruitment, improving
obstetrics, establishing a medical
clinic (tied in with recruitment) and
developing relationships with
tertiary care facilities.
In terms of recruitment, he said,
the search committee is aiming at
two doctors. In addition, they are
examining the potential incentive
possibilities to aid in that process.
Despite the bleak picture
presented at the session, Pictrek
pointed out that 90 per cent of the
patients treated and surveyed had
responded they were pleased with
the care they received at WDH.
Ninety-three per cent reported the
hospital's services met their needs
and 93 per cent couldn't make any
recommendations on service.
However, 97 per cent of the
surveyed patients felt the need was
greatest to keep 24 hour emergency
service.
The idea of developing Wingham
as a regional centre was discussed
as well. Part of the difficulty in that
concept, as stated at the session,
was the narrow approach of the
District Health Councils' approach
to preserving their own areas.
Wingham is on the fringe under the
Huron-Perth DHC and too far
removed for the Bruce-Grey DHC,
despite the obvious geography
between Owen Sound and London.
The strategic plan will be
finalized over the summer and
presented at the September board
meeting.
The news from
thel
There were 10 tables of euchre at
the Ethel Hall, Monday evening,
hosted by Helen Cullen and Grace
Smith.
Winners were: 50/50, Richard
Elliott; most lone hands, Mar-
guerite Beirnes and Scott McLean;
high lady, Hilda Holmes; high man,
Richard Elliott; ladies' high, Linda
Stevens; ladies' low, Velma
Sleightholm; tally card, Iola Sub-
Continued from page 1
told council that the new govern-
ment will now allow incineration
and that with recycling and com-
posting of household wastes, 80 per
cent of the waste stream could be
removed before incineration was
necessary. A tour of Victoria Hos-
pital's energy from waste plant in
London showed that 95 per cent of
the energy in that 20 per cent of
garbage left is converted to steam
for the hospital's needs or to create
electricity. Only five per cent of the
garbage fed into the incinerator
comes out in ash and residue after
burning, McNay said.
While an incinerator costs more
than a landfill initially, McNay
said, "how much will it cost to
decomission a landfill later? Would
it not be immoral, irresponsible and
incompetent to pass that burden on
to our descendants?"
Robert McQueen appealed to the
integrity of councillors: "I'd like
you to think about living beside a
landfill site. Would you like it? If
the answer is no, how can you pos-
sibly ask others to live beside the
dump if you don't?"
ject, Adrian Verstoep, Gertie Lam-
bkin, John Subject, Shirley
Verstoep, Harold McNaughton,
Eva Harrison, Betty Krotz, Mel
Jacklin, Ruby Armstrong and Frank
McKenzie.
The next euchre will be July 17.
Congratulations to Ontario
Scholars, Molly Morton, Jennifer
Stratton and Rachel Van Veen, who
were students at LDSS.
No one can give 100 per cent
assurance there will be no contami-
nation of ground water from the
leachate from a landfill, McQueen
said. He warned about the cumula-
tive effects of small things like
thousands of bottles of nail-polish
that, in each one, give little danger.
"Green garbage bags hide a lot of
things," he warned.
Richard Payne said that it's seven
years since the Waste Management
Master Plan study process began.
Rejection of incineration as being
too inefficient for Huron's small
size happened early in the process,
he said. Since then there have been
huge changes in energy from waste
technology, he argued.
Craig Metzger, project co-ordina-
tor for the master plan study, said
the consultants have been asked to
review their earlier data on inciner-
ation, with the change in govern-
ment policy, to see if the
economics might have changed.
The county had turned down the
idea of energy from waste initially
because Huron does not have
enough garbage to make it econom-
ical and because a landfill site
would still be required for the ash.
Council talks incineration