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Wednesday, June 1, 1994
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Klopp told town
emergency
services needed
MPP says emergency room issue is
just the tip of the iceberg when
discussing problems with the health
care system in the province
By Catherine O'Brien
T -A staff
EXETER - The possible closing
of weekday emergency services at
South Huron Hospital was a key
concern of many people who met
with MPP Paul Klopp last Tuesday
night.
Klopp was at th(Lions Youth
Centre last week to meet with com-
munity members individually for
an informal chat.
But a number of people wanted
to sit down with the MPP as a
group to discuss the hospital issue
specifically.
"I want you to do something
about it," one man said. "I've paid
taxes all my life for this kind of
coverage. I feel like I'm being held
hostage now," he said.
The man told Klopp that he
moved to Exeter because there was
a hospital in town. "I don't want it
taken away from me," he said.
The man went on to say some
people will think twice about mov-
ing to a town, or staying in a town
that doesn't have adequate emer-
gency services.
Klopp told the dozen orso people
that the Ontario government re-
alizes there is a very real problem
regarding doctors and medical ser-
vices in rural areas throughout the
province.
"I've been told by many people
including doctors that the system is
failing," Klopp said. "But it's not
an easy issue."
He said the government is having
a tough time dealing with the issue
because the key players - being the
Ontario Hospital Association and
the Ontario Medical Association -
don't want to sit down and find a
long term solution to the problem.
Klopp said he has been told by
many rural doctors that they are un-
happy with their organization.
"The doctors association refuses
to look at a different fee structure
for rural and northern doctors,"
Klopp said. "The emergency care
problem is just the tip of the ice-
berg in problems with the system,"
Klopp said.
On the local level, Klopp said
hospital administration at South
Huron were doing a fine job trying
to get a deal with the issue.
"Hospital boards are entitled to
say they can't take money out of
budgets for doctors. It's only a
short term solution, he said. "We
have to come up with a long term
Ontario solution."
As well, Klopp said he has told
the minster of health his opinion on
the issue and he encouraged people
in the community to write Ruth
Grier and voice their concerns.
Pie in the eye
Lucky draw winners
at Our Lady of Mount
Carmel School got a
chance to have a bit
of fun with the
principal, a teacher
and the school
president Thursday as
part of fundraising
efforts to sponsor a
family in India.
Pictured above is
Greg Caslick
presenting school
president Darryl
Romphf with a pie.
Below, principal David
Sharpe recovers from
his hit. So far the
students have raised
more than $500.
Emergency gets another reprieve
But if a deal is reached with doctors, how will the hospital pay?
By Adrian Harte
T -A Editor
EXETER - South Huron Hospital's emer-
gency room got yet another reprie ie this Mon-
day, and will remain open 24 hours a day at
least for another two weeks. Administrator
Don Currell, however, is now confident an
agreement can be reached with local doctors to
keep emergency open permanently.
As of Friday morning, Currell said he had
been expecting the hospital board's deadline to
pass without an agreement, causing emer-
gency to close weekdays as of Monday. But
an offer made later that day by the seven local
doctors who staff emergency, convinced the
board to extend yet another two-week deadline
for negotiations.
Correll still wouldn't release details of what
the doctors were asking for, but said it was "a
formula we were more interested in pursuing".
Whatever the specific formula as to how the
doctors will be paid for staffing emergency,
Curren said the board is still interested in
keeping annual costs down to $100,000 - con-
siderably less than the $250,000 last fall's
agreement would cost.
"We're in business for another couple of
weeks," said Currell, but added he is hopeful
an agreement can be found. "i think we're get-
ting closer."
One question that will remain is how the
hospital can accommodate an extra $ I00,000
for doctors' fees into its budget. A letter from
health minister Ruth Grier insists that the
province will only pay doc-
tors from the $3.85 billion
set aside for OHIP fees.
Because the hospital is be-
ing asked to top -up OHIP
fees to an hourly wage dur-
ing slack emergency room
times, the board will have a
hard time getting the money
ince.
"That letter is very explicit that we shouldn't
be paying anything," said Currell, but noted
there are about 48 hospitals in Ontario with
contracts for emergency staffing and "more
coming every day".
Last fall's deal with the doctors to guarantee
them S60 an hour to be on call around the
clock for emergency has been ruled out as too
expensive for the hospital's budget. The
Goderich hospital reached an agreement with
its doctors to guarantee them a number of
emergency visits per day, paying S42 for each
visit short of that number.
In Wingham, doctors are paid $300 a day to
be on call, plus whatever OHIP killings they
receive. Both Goderich and Wingham's for-
mulas cost their hospitals about $100,000 per
year.
On weekends,
gency is staffed
"Payment for physician
emergency service is
the responsibility of the
Ministry of Health, not
hospitals."
from the prov-
South Huron Hospital's emer-
by doctors from London who
aren't paid by the hos-
pital, but receive only
OHIP fees for the patients
they treat.
Monday, the Ontario
Hospital Association
made a plea to the min-
istry to end the "topping -
up" fees being paid to physicians by hospitals.
"Payment for physician emergency service
is the responsibility of the Ministry of Health,
not hospitals," said Dennis Timbrell, president
of the OHA. "Scarce hospital resources are
not fair game to be used as additional pay-
ments in order to provide a critical service to
the community."
Timhrell said last November's request the
minstry deal with the problem did not lead to
any meaningful solutions. "Now there are
even more hospitals being confronted by de-
mands from their physicians. The situation is
deteriorating."
The OHA say 14 Ontario hospitals have
been forced to cut back their emergency ser-
vices.
•
ABCA approves shoreline plan
The controversial document vyill be released today
By Catherine O'Brien
T -A staff
EXETER - After three years in the develop-
ment stage, the Ausable-Bayfield Conserva-
tion Authority has finally adopted a shoreline
management plan.
"Basically it's a Tong -range land use plan-
ning guide," said ABCA planning supervisor
Patrick Donnelly.
The document, which will be available to
the public starting today, attempts to explain
how and why flooding and erosion ocenr&
along the lakeshore and why it occurs at dif-
ferent rates.
it also discusses options to protect the shore,
environmental impacts and land development
guidelines.
The ABCA expects the new planning docu-
ment will be an excellent reference guide for
shoreline property owners and local govern-
ment officials living along the lake from Port
Franks to just north of Bayfield.
Donnelly said this plan, which was ap-
proved on April 21, will give local mu-
nicipalities along the shore greater control
in the future when it comes to lakeshore is-
sues.
"Shoreline management is being discussed
at many different levels of government," said
Donnelly. "1 think we've taken the bull by the
horns on this issue," he said.
He said the new plan reflects local needs and
this may not have been the case if the ABCA
waited until government agencies mandated
guidelines.
"I feel fortunate we have done something lo-
cally." Donnelly said.
Although the plan has only been in the
works since 1991, the ABCA and government
agencies realized some kind of pian was need-
ed after what Donnelly referred to as "a high
lake period in 1986."
He said at this time a lot of flooding and ero-
sion occurred along shorelines across the
Great Lakes.
"We realized the best way to make sure this
doesn't happen again is to make some changes
on our own," Donnelly said. "It's a proactive
approach."
That meant putting together a 23- member
steering committee of local municipal pol-
iticians, cottage owners as well as county plan-
ners.
'The committee held 10 meetings and re-
ceived comments from more than one thou-
sand people over the past three years before
the plan was finalized.
"The shoreline management plan reflects the
principles of good land use planning," Donnel-
ly said.
1
Children's
hospital
receiving
walkathon
cheque
EXETER - Proceeds from the an-
nual Skinner walkathon last month
will be presented on the Children's
Miracle Network Telethon this
coming Sunday. The telethon is
the main fundraiser for the Chil-
dren's Hospital of Western Ontario
in London.
Those who participated in the
April 17 walk may be interested in
tuning in to CFPL TV London on
Sunday afternoon between 4 and 5
p.m. That's when Audrey Skinner,
organizer of the walkathon, will be
presenting a cheque for 516, 847.41
to telethon officials.
This is the third year for the wal-
kathon which is in memory of Au-
drey and Steve Skinner's daughter
Stephanie Lynn.
Last year a cheque for just over
$18,000 was presented by the Skin-
ner's during the telethon.
Vandals
smash Exeter
business
window
EXETER - Several acts of van-
dalism were reported to the OPP
this week.
May 23 the window of Selah
Family Book Store, facing the
Main St. in Exeter, was smashed.
Last Tuesday the Exeter PUC re-
ported a "Road Closed" sign had
been removed from it's location at
McConnell Street in Exeter.
The following day a swimming
pool on William Street was vandal-
ized when bricks thrown in the pool
caused damage.
At the Dashwood Ambulance a
car was damaged when a sharp ob-
ject was used to put two scrapes
along the passenger door and the
right fender.
if you have any information
about these or other crimes please
call the Exeter OPP detachment at
235-1300.
Junior
Achievement
Young
entrepreneur
program
coming to Exeter
schools
Seepages
D -Day
Local veterans
recall the turning
point !al,
World War !1
See pages
6 and 7
Air
A., show
Grand Bend hosts
huge event, but
where were the
crowds
See pages
10and 11
Comedy
show
Laughs
raise funds
for public pool
See page 12 Fa.
Country
stars
Cassandra Vasik
and Jim Witter
entertain
in Exeter
See Crossroads,
Second front
'
WOSSA , i`
South Huron hosts
senior soccer
tournament
See page 16
Classifieds`
pages 19-21
nouncemonts
pages 22-23
Experts
.;'024
us, ome
Locator
By Catherine O'Brien
T -A staff
EXETER - The possible closing
of weekday emergency services at
South Huron Hospital was a key
concern of many people who met
with MPP Paul Klopp last Tuesday
night.
Klopp was at th(Lions Youth
Centre last week to meet with com-
munity members individually for
an informal chat.
But a number of people wanted
to sit down with the MPP as a
group to discuss the hospital issue
specifically.
"I want you to do something
about it," one man said. "I've paid
taxes all my life for this kind of
coverage. I feel like I'm being held
hostage now," he said.
The man told Klopp that he
moved to Exeter because there was
a hospital in town. "I don't want it
taken away from me," he said.
The man went on to say some
people will think twice about mov-
ing to a town, or staying in a town
that doesn't have adequate emer-
gency services.
Klopp told the dozen orso people
that the Ontario government re-
alizes there is a very real problem
regarding doctors and medical ser-
vices in rural areas throughout the
province.
"I've been told by many people
including doctors that the system is
failing," Klopp said. "But it's not
an easy issue."
He said the government is having
a tough time dealing with the issue
because the key players - being the
Ontario Hospital Association and
the Ontario Medical Association -
don't want to sit down and find a
long term solution to the problem.
Klopp said he has been told by
many rural doctors that they are un-
happy with their organization.
"The doctors association refuses
to look at a different fee structure
for rural and northern doctors,"
Klopp said. "The emergency care
problem is just the tip of the ice-
berg in problems with the system,"
Klopp said.
On the local level, Klopp said
hospital administration at South
Huron were doing a fine job trying
to get a deal with the issue.
"Hospital boards are entitled to
say they can't take money out of
budgets for doctors. It's only a
short term solution, he said. "We
have to come up with a long term
Ontario solution."
As well, Klopp said he has told
the minster of health his opinion on
the issue and he encouraged people
in the community to write Ruth
Grier and voice their concerns.
Pie in the eye
Lucky draw winners
at Our Lady of Mount
Carmel School got a
chance to have a bit
of fun with the
principal, a teacher
and the school
president Thursday as
part of fundraising
efforts to sponsor a
family in India.
Pictured above is
Greg Caslick
presenting school
president Darryl
Romphf with a pie.
Below, principal David
Sharpe recovers from
his hit. So far the
students have raised
more than $500.
Emergency gets another reprieve
But if a deal is reached with doctors, how will the hospital pay?
By Adrian Harte
T -A Editor
EXETER - South Huron Hospital's emer-
gency room got yet another reprie ie this Mon-
day, and will remain open 24 hours a day at
least for another two weeks. Administrator
Don Currell, however, is now confident an
agreement can be reached with local doctors to
keep emergency open permanently.
As of Friday morning, Currell said he had
been expecting the hospital board's deadline to
pass without an agreement, causing emer-
gency to close weekdays as of Monday. But
an offer made later that day by the seven local
doctors who staff emergency, convinced the
board to extend yet another two-week deadline
for negotiations.
Correll still wouldn't release details of what
the doctors were asking for, but said it was "a
formula we were more interested in pursuing".
Whatever the specific formula as to how the
doctors will be paid for staffing emergency,
Curren said the board is still interested in
keeping annual costs down to $100,000 - con-
siderably less than the $250,000 last fall's
agreement would cost.
"We're in business for another couple of
weeks," said Currell, but added he is hopeful
an agreement can be found. "i think we're get-
ting closer."
One question that will remain is how the
hospital can accommodate an extra $ I00,000
for doctors' fees into its budget. A letter from
health minister Ruth Grier insists that the
province will only pay doc-
tors from the $3.85 billion
set aside for OHIP fees.
Because the hospital is be-
ing asked to top -up OHIP
fees to an hourly wage dur-
ing slack emergency room
times, the board will have a
hard time getting the money
ince.
"That letter is very explicit that we shouldn't
be paying anything," said Currell, but noted
there are about 48 hospitals in Ontario with
contracts for emergency staffing and "more
coming every day".
Last fall's deal with the doctors to guarantee
them S60 an hour to be on call around the
clock for emergency has been ruled out as too
expensive for the hospital's budget. The
Goderich hospital reached an agreement with
its doctors to guarantee them a number of
emergency visits per day, paying S42 for each
visit short of that number.
In Wingham, doctors are paid $300 a day to
be on call, plus whatever OHIP killings they
receive. Both Goderich and Wingham's for-
mulas cost their hospitals about $100,000 per
year.
On weekends,
gency is staffed
"Payment for physician
emergency service is
the responsibility of the
Ministry of Health, not
hospitals."
from the prov-
South Huron Hospital's emer-
by doctors from London who
aren't paid by the hos-
pital, but receive only
OHIP fees for the patients
they treat.
Monday, the Ontario
Hospital Association
made a plea to the min-
istry to end the "topping -
up" fees being paid to physicians by hospitals.
"Payment for physician emergency service
is the responsibility of the Ministry of Health,
not hospitals," said Dennis Timbrell, president
of the OHA. "Scarce hospital resources are
not fair game to be used as additional pay-
ments in order to provide a critical service to
the community."
Timhrell said last November's request the
minstry deal with the problem did not lead to
any meaningful solutions. "Now there are
even more hospitals being confronted by de-
mands from their physicians. The situation is
deteriorating."
The OHA say 14 Ontario hospitals have
been forced to cut back their emergency ser-
vices.
•
ABCA approves shoreline plan
The controversial document vyill be released today
By Catherine O'Brien
T -A staff
EXETER - After three years in the develop-
ment stage, the Ausable-Bayfield Conserva-
tion Authority has finally adopted a shoreline
management plan.
"Basically it's a Tong -range land use plan-
ning guide," said ABCA planning supervisor
Patrick Donnelly.
The document, which will be available to
the public starting today, attempts to explain
how and why flooding and erosion ocenr&
along the lakeshore and why it occurs at dif-
ferent rates.
it also discusses options to protect the shore,
environmental impacts and land development
guidelines.
The ABCA expects the new planning docu-
ment will be an excellent reference guide for
shoreline property owners and local govern-
ment officials living along the lake from Port
Franks to just north of Bayfield.
Donnelly said this plan, which was ap-
proved on April 21, will give local mu-
nicipalities along the shore greater control
in the future when it comes to lakeshore is-
sues.
"Shoreline management is being discussed
at many different levels of government," said
Donnelly. "1 think we've taken the bull by the
horns on this issue," he said.
He said the new plan reflects local needs and
this may not have been the case if the ABCA
waited until government agencies mandated
guidelines.
"I feel fortunate we have done something lo-
cally." Donnelly said.
Although the plan has only been in the
works since 1991, the ABCA and government
agencies realized some kind of pian was need-
ed after what Donnelly referred to as "a high
lake period in 1986."
He said at this time a lot of flooding and ero-
sion occurred along shorelines across the
Great Lakes.
"We realized the best way to make sure this
doesn't happen again is to make some changes
on our own," Donnelly said. "It's a proactive
approach."
That meant putting together a 23- member
steering committee of local municipal pol-
iticians, cottage owners as well as county plan-
ners.
'The committee held 10 meetings and re-
ceived comments from more than one thou-
sand people over the past three years before
the plan was finalized.
"The shoreline management plan reflects the
principles of good land use planning," Donnel-
ly said.
1
Children's
hospital
receiving
walkathon
cheque
EXETER - Proceeds from the an-
nual Skinner walkathon last month
will be presented on the Children's
Miracle Network Telethon this
coming Sunday. The telethon is
the main fundraiser for the Chil-
dren's Hospital of Western Ontario
in London.
Those who participated in the
April 17 walk may be interested in
tuning in to CFPL TV London on
Sunday afternoon between 4 and 5
p.m. That's when Audrey Skinner,
organizer of the walkathon, will be
presenting a cheque for 516, 847.41
to telethon officials.
This is the third year for the wal-
kathon which is in memory of Au-
drey and Steve Skinner's daughter
Stephanie Lynn.
Last year a cheque for just over
$18,000 was presented by the Skin-
ner's during the telethon.
Vandals
smash Exeter
business
window
EXETER - Several acts of van-
dalism were reported to the OPP
this week.
May 23 the window of Selah
Family Book Store, facing the
Main St. in Exeter, was smashed.
Last Tuesday the Exeter PUC re-
ported a "Road Closed" sign had
been removed from it's location at
McConnell Street in Exeter.
The following day a swimming
pool on William Street was vandal-
ized when bricks thrown in the pool
caused damage.
At the Dashwood Ambulance a
car was damaged when a sharp ob-
ject was used to put two scrapes
along the passenger door and the
right fender.
if you have any information
about these or other crimes please
call the Exeter OPP detachment at
235-1300.