Transcript: Christine Elliott: An Ontario Health Care Checkup | Sep 04, 2019

Steve sits in the studio. He's slim, clean-shaven, in his fifties, with short curly brown hair. He's wearing a gray suit, white shirt, and spotted blue tie.

A caption on screen reads "An Ontario health care checkup."

Steve says HEALTH CARE GOBBLES UP
CLOSE TO HALF OF ONTARIO'S
ANNUAL BUDGET.
SO WHEN A NEW GOVERNMENT
PROMISES TO FIX THINGS - SAY,
END HALLWAY MEDICINE AND KEEP
COSTS DOWN - IT'S AKIN TO
TURNING AROUND AN AIRCRAFT
CARRIER: SLOW WORK, IN DEEP
WATER.
LAST WINTER, ONTARIO'S MINISTER
OF HEALTH, CHRISTINE ELLIOTT,
OUTLINED THE GOVERNMENT'S PLANS
FOR A MAJOR RE-STRUCTURING.
WE WANTED TO CHECK IN ON HER
PROGRESS WITH THAT, AND OTHER
EFFORTS IN HEALTH POLICY.
TO THAT END, WE'RE PLEASED TO
WELCOME THE MINISTER BACK TO OUR
STUDIO.
THERE'S CHRISTINE ELLIOTT, THE
PC MEMBER FOR NEWMARKET-AURORA,
AS WELL AS DEPUTY PREMIER OF ONTARIO.

Elliott is in her late fifties, with shoulder-length wavy blond hair. She's wearing a dark blue blouse with a silver brooch.

Steve continues WELCOME BACK TO TVO.

Elliott says THANK YOU.
IT'S GREAT TO BE HERE.

Steve says NICE TO SEE YOU AGAIN.
LET'S REMIND VIEWERS OF THE
CHANGES THAT YOU INTRODUCED BACK
IN MARCH, ENACTED IN JUNE, AND
HAVE BEEN DESCRIBED AS THE MOST
SIGNIFICANT TRANSFORMATIONAL
PLANS FOR OUR HEALTH CARE SYSTEM
IN 20 YEARS.
SHELDON, IF YOU WOULD, THE
GRAPHIC, PLEASE.

A slate appears on screen, with the title "Overhauling Ontario health care."

Steve reads data from the slate and says
YOU HAVE CREATED A NEW
CENTRALIZED AGENCY CALLED
ONTARIO HEALTH, WHICH AIMS TO
CONSOLIDATE THE MISSIONS OF MANY
OTHER AGENCIES IN GOVERNMENT,
FOR EXAMPLE, CANCER CARE
ONTARIO, THE TRILLIUM GIFT OF
LIFE, eHEALTH, LHINS,
ET CETERA, ALL UNDER ONE ROOF.
YOU HAVE CREATED ONTARIO HEALTH
TEAMS TO BE COMPRISED OF HEALTH
CARE PROVIDERS, FAMILY DOCS,
HOME CARE ORGANIZATIONS, THAT
THE AIM IS TO FUNCTION AS ONE
SEAMLESS CARE-GIVING TEAM.
THOSE TEAMS WILL BE EXPECTED TO
USE DIGITAL TECHNOLOGY, SO
PATIENTS CAN HAVE ACCESS TO
THEIR RECORDS, AND THAT
INFORMATION WILL FOLLOW PATIENTS
THROUGHOUT THEIR HEALTH CARE
JOURNEYS.
PEOPLE MAY ALSO BE ABLE TO BOOK
APPOINTMENTS ONLINE.
YOU PUT A NEW EMPHASIS ON
VIRTUAL CARE, SO PATIENTS MAY
NOT HAVE TO PHYSICALLY VISIT THE
DOCTOR OR SPECIALIST AND CAN BE
ASSESSED BY VIDEO, INTERFACE,
AND THE THEORY IS ANY SAVINGS
REALIZED FROM A MORE EFFICIENT
ADMINISTRATION OF THE HEALTH
CARE SYSTEM, YOU HAVE SAID, WILL
BE INVESTED BACK INTO CARE.
OKAY.
A TALL ORDER.
FIRST QUESTION IS OBVIOUS: HOW'S
IT GOING?

Elliott says IT'S GOING REALLY WELL.

Steve says HOW DO WE KNOW?

The caption changes to "Christine Elliott. Minister of Health."
Then, it changes again to "Taking stock."

Elliott says BECAUSE OF THE ENTHUSIASM
THAT WE'VE HEARD FROM, FIRST OF
ALL, HEALTH CARE PROVIDERS, THAT
THIS IS THE CHANGE THAT THEY
WANTED TO HAVE BECAUSE THEY KNOW
THAT THERE ARE GAPS IN PATIENT
SERVICE.
THEY WANT TO CLOSE THOSE GAPS SO
THAT PATIENTS HAVE A GOOD
EXPERIENCE THROUGH THEIR HEALTH
CARE JOURNEY.
WE'VE HAD APPROVALS FROM THE
ONTARIO MEDICAL ASSOCIATION,
REGISTERED NURSES ASSOCIATION OF
ONTARIO, HOME CARE ASSOCIATION,
HOSPITAL ASSOCIATION... THEY'VE
BEEN ASKING FOR THESE CHANGES
FOR YEARS AND THEY'RE REALLY
HAPPY THAT WE'RE FINALLY ABLE TO
DO IT.
BUT I THINK THE MOST IMPORTANT
ISSUE IS WITH RESPECT TO PATIENT
CARE.
WE WANT TO CREATE A TRULY
PATIENT-CENTERED SYSTEM OF
HEALTH CARE.
I DID HEAR FOR TWO YEARS AS
PATIENT OMBUDSMAN THAT WE WERE
NOT PROVIDING THAT.
FINALLY WE HAVE AN OPPORTUNITY
TO GET TO THAT PLACE WHERE
PATIENTS WILL FEEL SUPPORTED,
REGARDLESS OF THEIR HEALTH CARE
ISSUE, THROUGHOUT THEIR ENTIRE
HEALTH CARE TIME.

Steve says IT IS THE NATURE OF
DEMOCRACY THAT NOT EVERYBODY IS
IN LOVE WITH EVERY PLAN THAT A
NEW GOVERNMENT BRINGS FORWARD,
AND THIS IS NO EXCEPTION AS
WELL.
YOU KNOW BOB BELL.
HE'S A FORMER DEPUTY MINISTER OF
HEALTH.
HE HAS DESCRIBED THE
TRANSFORMATION THAT YOU'RE
ATTEMPTING AS... AS TRIED IN
OTHER PROVINCES AND WHEN IT HAS
BEEN TRIED IN OTHER PROVINCES,
IT USUALLY RESULTS IN FIVE YEARS
OF CHAOS AS WATER FINDS ITS
LEVEL.
SO SHOULD WE BE READYING
OURSELVES FOR SOME CHAOS HERE AS
THINGS WORK THEMSELVES OUT?

The caption changes to "Christine Elliott. PC MPP, Newmarket-Aurora."

Elliott says NO.
WE HAVE A VERY ORGANIZED
APPROACH TO THIS.
THIS IS SOMETHING THAT WE'VE
HEARD FROM HEALTH CARE
PROFESSIONALS THAT THEY WANT.
WE'VE HEARD FROM PATIENTS THAT
THIS IS WHAT THEY WANT.
WE ARE TAKING MEASURED STEPS TO
DEAL WITH THIS.
I'M REALLY HAPPY TO SAY THAT
WHEN WE ASKED FOR EXPRESSIONS OF
READINESS BY LOCAL ONTARIO
HEALTH TEAMS IN EARLY APRIL, WE
RECEIVED OVER 150
APPLICATIONS...

Steve says HOW MANY HAVE YOU
APPROVED SO FAR?

Elliott says RIGHT NOW WE'VE APPROVED 31
OF THEM TO GO TO FULL
APPLICATION, BUT OTHERS ARE IN
DEVELOPMENT, THAT THEY ARE ONLY
ONE OR TWO STEPS AWAY, BUT THE
31 TEAMS ARE FAR MORE THAN WE
ACTUALLY INITIALLY EXPECTED THAT
WOULD GET TO THAT STAGE.
WE THOUGHT MAYBE SEVEN TO TEN AT
THE BEGINNING, BUT 31 IS A
REALLY GOOD INDICATION OF THE
ENTHUSIASM AND THE READINESS FOR THIS.

Steve says YOU, I THINK IF
MEMORY SERVES, YOU WANTED 30 TO
50 TEAMS IN PLACE, EACH DEALING
WITH A ROSTER OF 300,000
PATIENTS OR SO.
HAVE I GOT THAT RIGHT?

Elliott says YES.

Steve says AND OF COURSE IT IS
THEIR OBLIGATION TO VOLUNTARILY
FORM... YOU'RE NOT GOING TO
ORDER THEM TO FORM, RIGHT?
THAT'S THE WAY IT WORKS?

Elliott says THAT'S RIGHT.

Steve says OKAY.
YOU'VE GOT 31 IN THE PIPE.
WHEN DO YOU EXPECT THEM TO
ACTUALLY BE IN PLACE AND SEEING PEOPLE?

The caption changes to "Christine Elliott, @celliottability."

Elliott says WE EXPECT THAT THE FIRST
GROUP OF FULL ONTARIO HEALTH
TEAMS WILL BE READY TO START
THEIR WORK IN THE FALL.
IT'S GOING TO TAKE SEVERAL YEARS
TO IMPLEMENT THE TEAMS ACROSS
THE ENTIRE PROVINCE, BUT WE ARE
OFF TO A GREAT START.
THE ENTHUSIASM IS GREAT.
THE TEAMS ARE COMING UP WITH
GREAT IDEAS TO INTEGRATE PATIENT
CARE, TO KEEP PEOPLE OUT OF
EMERGENCY DEPARTMENTS, TO LET
THEM GET INTO HOME CARE, TO
PERHAPS NOT HAVE TO GO INTO
LONG-TERM CARE.
REALLY MAKING SURE THAT WE PUT
THE FOCUS ON THE PATIENT AND
THEIR NEEDS.

The caption changes to "Watch us anytime: tvo.org, Twitter: @theagenda, Facebook Live, YouTube."

Steve says THAT REQUIRES A
FOLLOW-UP, BECAUSE AS YOU KNOW
BETTER THAN ANYBODY, PEOPLE ARE
LIVING LONGER AND THEY ARE
LIVING LONGER WITH MORE CHRONIC
CONDITIONS, AND EVERY EXPERT
I'VE EVER TALKED TO SAYS, IF YOU
WANT TO DEAL WITH THE KINDS OF
DIFFICULT CIRCUMSTANCES THAT
THAT RAISES, YOU NEED TO TREAT
PEOPLE IN THEIR HOMES, YOU NEED
TO GET THEM OUT OF HOSPITALS,
YOU NEED TO GIVE THEM CARE WHERE
IT'S APPROPRIATE: IN THE
COMMUNITY.
THESE ONTARIO HEALTH TEAMS,
THOUGH, YOU TELL ME IF I'VE GOT
THIS WRONG, THEY SEEM VERY
FOCUSED ON HOSPITALS, AND
HOSPITALS SEEM TO BE THE KIND OF
LOCUS OF WHERE IT'S HAPPENING.
IS THERE A DISCONNECT THERE THEN?

Elliott says NO.
WHAT WE'RE FINDING IS GROUPS ARE
COMING TOGETHER... HOSPITALS,
HOME CARE GROUP, LONG-TERM CARE
GROUPS, MENTAL HEALTH GROUPS...
THEY ARE GOING TO BE RESPONSIBLE
AS A GROUP FOR MAKING DECISIONS
ABOUT HOW COMPLETE CARE IS GOING
TO BE DELIVERED IN THE
COMMUNITY, INCLUDING HOSPITAL
CARE, BUT HOSPITALS THAT I'VE
SPOKEN TO HAVE TOLD ME THAT THEY
WANT TO KEEP PEOPLE OUT OF
EMERGENCY DEPARTMENTS.
THAT MEANS MAKING SURE THAT
THERE ARE MORE COMMUNITY
RESOURCES.
SO HOSPITALS ARE VERY KEEN TO
WORK WITH THE COMMUNITY CARE
PARTNERS TO MAKE SURE THAT
PEOPLE CAN BE WELL IN THE
COMMUNITIES, NOT HAVE TO COME IN
TO HOSPITAL.
ONE GREAT EXAMPLE OF THAT IS
SOUTH LAKE AT HOME IS DOING A
GREAT JOB IN MY COMMUNITY OF
NEWMARKET-AURORA, SOUTH LAKE
HOSPITAL HAS A SOUTH LAKE AT
HOME PROJECT THAT THEY'RE
WORKING ON THAT HAS BEEN
APPROVED WHERE THEY ARE TRYING
TO MOVE PEOPLE WHO ARE
CONSIDERED TO BE POTENTIALLY
LONG-TERM CARE PATIENTS IN
HOSPITALS INTO HOME AND
COMMUNITY CARE SO THEY'RE ABLE
TO RELEASE PEOPLE FROM THE
HOSPITAL AND GET PEOPLE INTO
THEIR OWN HOMES, WHICH IS WHERE
THEY WANT TO BE.

The caption changes to "Ending hallway medicine."

Steve says FOR SURE.
WELL, OKAY.
SO HOME IS ONE OPTION.
LONG-TERM CARE IS ANOTHER OPTION.

Elliott says YES.

Steve says WHICH IS AGAIN
BETTER THAN A HOSPITAL EMERGENCY
DEPARTMENT OR A HALLWAY OR
WHATEVER ELSE.

Elliott says YES.

Steve says HOW MANY NEW SPACES
OR HOW MANY NEW BEDS DO WE HAVE
IN THE PROVINCE OF ONTARIO IN
OUR... IN OUR LONG-TERM CARE
FACILITIES NOW UNDER YOUR WATCH?

Elliott says RIGHT NOW WE PROMISED THE
PEOPLE OF ONTARIO DURING THE
ELECTION CAMPAIGN THAT WE WOULD
CREATE 15,000 NEW SPACES WITHIN
FIVE YEARS.
WE ARE OVER HALF OF THAT AMOUNT NOW...

Steve says NOT CREATED BUT APPROVED?

Elliott says BUT APPROVED, YES.

Steve says THEY DON'T EXIST YET THEN?

Elliott says SOME OF THEM DO.
SOME OF THEM DO NOT.
SOME OF THEM ARE NEW SPACES THAT
HAVE TO BE BUILT.
BECAUSE THERE ARE PARTS OF
ONTARIO WHERE WE DO NEED MORE
PHYSICAL LOCATIONS AND BEDS.
SOME OF THEM ARE REACTIVATION
CARE CENTRES WHERE PEOPLE ARE
GOING, FROM HOSPITAL INTO THIS
REACTIVATION CARE CENTRE.
WE HAVE ONE... SEVERAL FROM THE
OLD HUMBER RIVER HOSPITAL WHERE
PEOPLE WHO ARE DEEMED TO BE IN
LONG-TERM CARE CAN GO TO THESE
CARE CENTRES WHERE THEY ARE
GIVEN BOTH SOCIAL ACTIVITIES AS
WELL AS PHYSICAL ACTIVITIES, AND
THEY'RE FINDING THAT ABOUT 50 percent
OF THE PATIENTS THAT GO THERE
DON'T NEED TO GO INTO LONG-TERM
CARE.
THEY CAN GO HOME FROM WHERE THEY
ARE, WHICH IS WHERE PEOPLE WANT
TO BE.
IT'S LESS EXPENSIVE FOR THE
SYSTEM, BUT MOST IMPORTANTLY,
PEOPLE WANT TO GO TO THEIR OWN HOMES.

Steve says AGAIN, IF I
UNDERSTAND THIS RIGHT, IF WE'RE
GOING TO MAKE THE KIND OF
PROGRESS THAT SO MANY PEOPLE
WANT TO SEE AND GET PEOPLE OUT
OF HOSPITALS...

Elliott says YES.

Steve says AND OUT OF
HALLWAYS AND OUT OF ERs AND
INTO LONG-TERM CARE FACILITIES
OR HOMES, YOU'VE GOT TO BUILD
THOSE LONG-TERM CARE BEDS, AND
IT'S TAKING, I GATHER, LONGER
THAN IT SHOULD.
DO WE KNOW WHY?

Elliott says NO, WE'RE MOVING FORWARD WITH
IT.
WE HAVE, IN THE FIRST YEAR, MADE
ARRANGEMENTS FOR 8,000 MORE
SPACES TO BE CREATED.
SOME OF THEM HAVE TO BE BUILT,
YES.
IN THE MEANTIME, WE HAVE TO FIND
SOME OTHER SOLUTIONS BECAUSE
HOSPITALS ARE CROWDED, PEOPLE
HAVE NOWHERE TO GO, FAMILIES ARE
EXPECTING... THAT'S WHAT WE'RE
WORKING ON, IN FINDING SPACES IN
PERHAPS RETIREMENT HOMES THAT
DON'T HAVE A FULL COMPLEMENT OF
PEOPLE AND SENDING HOME CARE
PROFESSIONALS IN TO CARE FOR
THEM.
SOME OF THEM LIKE SOUTH LAKE AT
HOME ARE DOING THAT FROM
HOSPITAL TO HOME.
THERE ARE DIFFERENT VERSIONS AND
DIFFERENT SOLUTIONS FOR
DIFFERENT COMMUNITIES.
THAT'S WHY WE'RE LISTENING TO
WHAT THE COMMUNITIES HAVE TO
SAY.
WHAT WORKS IN NORTHWESTERN
ONTARIO IS PROBABLY NOT GOING TO
BE THE SAME SOLUTION AS WHAT'S
GOING TO WORK IN TORONTO.
THAT'S WHY THE LOCAL ONTARIO
HEALTH TEAMS WILL BE SO
IMPORTANT IN DELIVERING THE HOW
OF THE SITUATION.
WE WILL DETERMINE WHAT NEEDS TO
BE DONE WITH OUR VISION AND
MISSION AT THE PROVINCIAL LEVEL,
BUT THE LOCAL ONTARIO HEALTH
TEAMS WILL BE HELD TO CERTAIN
STANDARDS AND THEY WILL TELL US
HOW THEY INTEND TO DO THAT
WITHIN THE PRESCRIBED PARAMETERS
THAT WE WILL SET FORWARD.

Steve says OKAY.
LET'S TALK ABOUT HALLWAY
MEDICINE, HALLWAY HEALTH CARE,
BECAUSE THIS WAS A BIG DEAL IN
THE LAST ELECTION CAMPAIGN, AS
YOU WELL KNOW.
THE PREMIER DID SAY,
WHEN HE FOUND OUT THAT THERE ARE
A THOUSAND ONTARIANS TREATED IN
HOSPITAL HALLWAYS EVERY DAY IN
THE PROVINCE, HE DID SAY THAT HE
WANTED THIS ELIMINATED IN 12
MONTHS' TIME AND THAT HE THOUGHT
THAT WAS DOABLE.
I NOTED WITH INTEREST THAT HIS
HEALTH MINISTER CAME OUT AND
SAID, WE APPRECIATE THE
PREMIER'S AFFECTION FOR THAT
IDEA, BUT IT CAN'T BE DONE.
WHERE'S THAT AT RIGHT NOW?

Elliott says WELL, WE KNOW THAT THERE ARE
GOING TO BE FLUCTUATIONS.
WE KNOW THERE ARE GOING TO BE
SITUATIONS WHERE IT'S GOING TO
INCREASE, THE NEED IN HOSPITAL
HALLWAYS BECAUSE FLU SEASON
COMING UP, FOR EXAMPLE.
THAT PUTS EXTRA STRAIN ON THE
HOSPITAL HEALTH CARE SYSTEM.
BUT WHAT WE'RE SEEING RIGHT NOW
IS AN UNPRECEDENTED
COLLABORATION BETWEEN THE
HOSPITAL ASSOCIATION, THE HOME
CARE ASSOCIATION, AND COMMUNITY
CARE ASSOCIATION TO SEE HOW THEY
CAN WORK TOGETHER TO PERHAPS
TRIAGE PATIENTS OUT OF THE
EMERGENCY DEPARTMENT THAT MAY
NOT NEED TO BE ADMITTED TO
HOSPITAL BUT MAKE SURE THAT THEY
CAN RECEIVE THE HOME CARE THAT
THEY NEED.
SO WE'RE WORKING ON MANY
DIFFERENT LEVELS.
THERE'S NO ONE SIMPLE SOLUTION
TO ENDING HALLWAY HEALTH CARE...

Steve says YOU WOULD AGREE, IT
CAN'T BE DONE IN A YEAR, THOUGH,
AS THE PREMIER SUGGESTED?

Elliott says I THINK IT'S GOING TO TAKE
LONGER THAN THAT.
BUT THAT DOESN'T MEAN THAT WE
AREN'T MAKING PROGRESS.
WE ARE IN COMMUNITIES ACROSS THE
PROVINCE.
SOUTH LAKE IS A GREAT EXAMPLE.
ST. JOE'S IN HAMILTON IS ALSO
DOING A GREAT JOB.

Steve says OKAY.
TO THAT END, YOU'VE CREATED THIS
NEW OVERARCHING ORGANIZATION
CALLED ONTARIO HEALTH INTO WHICH
A LOT OF THE MISSIONS... I'VE
MENTIONED THEM EARLIER, CANCER
CARE ONTARIO, ET CETERA, IT ALL
LIVES IN THERE NOW.
THEORETICALLY, IT'S A MORE
EFFICIENT WAY TO TACKLE THINGS
WHICH MEANS YOU DON'T NEED AS
MANY BODIES THERE TO DO A LOT OF
THE BUREAUCRATIC WORK THAT WAS
BEING DONE IN THE PAST.

Elliott says THAT'S RIGHT.

Steve says CAN YOU TELL US HOW
MANY FEWER BODIES ARE THERE NOW
AS A RESULT OF THIS
TRANSFORMATION?

The caption changes to "tvo.org/theagenda; agendaconnect@tvo.org."

Elliott says THERE HAVE BEEN SEVERAL
THOUSAND CHANGES IN TERMS OF
NUMBER OF PEOPLE IN TERMS OF THE
BACK OFFICE ADMINISTRATION.
SO THAT'S THE PAYROLL AND THE...
ALL THE... THE BACK OFFICE STUFF
THAT THEY WOULD NORMALLY DO...

Steve says THE PLUMBING.

Elliott says THE PLUMBING, ORIGINALLY.
SO IT'S MORE EFFICIENT TO HAVE
THAT DONE BY ONE BACK OFFICE
ORGANIZATION, ONTARIO HEALTH,
THAT CAN DO THAT, AND CAN HELP
THOSE ORGANIZATIONS COLLABORATE
TOGETHER.

Steve says DO YOU KNOW HOW MANY
FEWER THOUSANDS... ARE WE
TALKING 3,000 OR 20,000 OR WHAT?

Elliott says I WOULD SAY MORE LIKE 2,000
AT THE MOMENT.

Steve says 2,000.
SO THAT'S MILLIONS IN PAYROLL.

Elliott says YES.

Steve says WHERE IS THAT MONEY
GOING?

Elliott says THAT MONEY IS GOING BACK INTO
FRONT LINE CARE.

Steve says DO WE KNOW THAT?

Elliott says WE ABSOLUTELY KNOW THAT.
WE'RE MAKING INVESTMENTS.
WE'RE PUTTING 422 MILLION DOLLARS MORE
INTO HOSPITAL CARE THIS YEAR.
WE'VE INVESTED 174 MILLION DOLLARS MORE
INTO MENTAL HEALTH AND
ADDICTIONS, WITH MORE TO COME,
WITH OUR COMPREHENSIVE PLAN.
WE'RE PUTTING 124 MILLION DOLLARS INTO
HOME CARE, 20 MILLION DOLLARS INTO
COMMUNITY CARE.
RIGHT BACK INTO THE POSITIONS
THAT ARE PROVIDING THE FRONT
LINE CARE THAT PEOPLE HAVE TOLD
US THAT THEY NEED, AND HEALTH
CARE PROVIDERS HAVE TOLD US THAT
THEY NEED TO HAVE.

Steve says OKAY.
ANOTHER PLUMBING QUESTION HERE.

Elliott says YES.

Steve says I THINK THE LAST
TIME YOU WERE HERE, YOU SAID
PART OF YOUR PLAN WAS TO
ELIMINATE THIS ADMINISTRATIVE
LEVEL THAT THE LIBERALS, THE
PREVIOUS LIBERAL GOVERNMENT, SET
UP, THE LOCAL HEALTH INTEGRATION
NETWORKS, LHINs, BECAUSE THEY
REPRESENTED TOO MUCH EXPENSE,
TOO EXPENSIVE, THAT MONEY YOU
THOUGHT OUGHT TO BE GOING INTO
PATIENT CARE AND NOT MORE
BUREAUCRACY AND SO ON.
LAST I CHECKED, THE LHINs ARE
STILL AROUND.
THEY'RE LEADING THE REFORM
EFFORTS THAT YOU WANT TO SEE
DONE.
HOW DOES THAT MAKE SENSE?

The caption changes to "Leading the charge."

Elliott says WELL, THE LHINs ARE GOING
TO BE PHASED OUT AS THE LOCAL
ONTARIO HEALTH TEAMS ARE PHASED
IN.
SO THERE IS A TRANSITION PERIOD
THAT NEEDS TO HAPPEN, BUT
EVENTUALLY, THE WORK,
PARTICULARLY THE HOME CARE WORK
THAT THE LHINs ARE DEALING
WITH, THE OLD COMMUNITY CARE
ACCESS CENTRES, THE OLD HOME
CARE SERVICES, WILL EVENTUALLY
BE TRANSITIONED INTO THE LOCAL
ONTARIO HEALTH TEAMS.
SO IT IS A TIME OF TRANSITION.
I KNOW IT'S BEEN DIFFICULT FOR
THE PEOPLE AT THE LHINs AS
WELL AS FOR SOME OF THE PEOPLE
AT ONTARIO HEALTH IN TRYING TO
NEGOTIATE AND DEAL WITH THAT,
BUT THIS IS A CHANGE THAT NEEDS
TO HAPPEN.
OUR SYSTEM THAT WE HAD BEFORE IS
NOT SUSTAINABLE EITHER
FINANCIALLY OR IN TERMS OF THE
CARE THAT WAS BEING PROVIDED TO
PATIENTS.
PATIENTS WANT BETTER
COORDINATED, INTEGRATED CARE.
THAT'S WHAT WE ARE CONCENTRATING
OUR EFFORTS...

The caption changes to "Connect with us: Twitter: @theagenda; Facebook, agendaconnect@tvo.org, Instagram."

Steve says I AM NOT A CYNIC,
BUT I AM A SKEPTIC, AND IF AN
ORGANIZATION IS IN CHARGE OF
PHASING ITSELF OUT, IT HAS BEEN
MY EXPERIENCE, WATCHING POLITICS
FOR THREE AND A HALF DECADES,
THAT THEY DON'T NECESSARILY DO
THAT JOB WITH ENTHUSIASM.
HOW WATCHFUL DO YOU HAVE TO BE
TO MAKE SURE THAT THIS ACTUALLY
HAPPENS AND THAT THESE FOLKS
DON'T, AT THE END OF THE DAY,
JUST TRY TO PROTECT THEIR TURF
AND SAVE THAT YOU ARE JOBS?

Elliott says THE LHIN Ds AREN'T IN
CHARGE OF PHASING THEMSELVES OUT.
WE ARE WORKING WITH THE LHINs
TO MAKE SURE PATIENT CARE ISN'T
INTERRUPTED.

Steve says AND IT WILL HAPPEN.

Elliott says IT WILL ABSOLUTELY HAPPEN.
I HAD A MEETING WITH THE DEPUTY
MINISTER THIS MORNING.
SHE IS WORKING ON IT.
MY TEAM IS WORKING ON IT FULL
TIME.
WE ARE TAKING A WHOLE SERIES OF
STEPS, BECAUSE IT SOUNDS LIKE A
SIMPLE CONCEPT, I KNOW.
YOU'RE GOING TO TRANSFORM THE
SYSTEM INTO A PATIENT-CENTERED
SYSTEM OF HEALTH CARE.
EASY TO SAY.
BUT ON THE OTHER SIDE OF IT,
THERE IS HUNDREDS OF DIFFERENT
ACTIONS THAT NEED TO BE TAKEN.
WE HAVE A SCHEDULE THAT WE ARE
FOLLOWING TO MAKE SURE THAT WE
DO THINGS IN THE RIGHT ORDER
BECAUSE THERE'S SOME LEGISLATIVE
CHANGES THAT WILL NEED TO BE
MADE AS WELL, COMMITTEE
APPEARANCES, TREASURY BOARD
APPROVALS, CABINET APPROVALS AND
SO ON.

Steve says IT'S COMPLICATED.

Elliott says THIS IS NOT A SIMPLE
EXERCISE.
BUT WE ARE DOING IT IN A VERY
STRATEGIC, THOUGHTFUL WAY.

Steve says WELL, LET ME
CHALLENGE THAT FOR A SECOND.
SHELDON, I'M ON PAGE 4 HERE.
GO TO THE TOP.
LET'S DO THIS RANDALL DENLEY.
HE'S A WRITER.
HE'S BEEN IN THE NATIONAL POST.
HE'S A FORMER PC CANDIDATE, WHO WROTE...

A quote appears on screen, under the title "Kicking the habit." The quote reads "The PCs have been locked in a pattern of announcing big plans without sufficient consultation, defending those plans with a combination of bluster and hyperbole, then ultimately backing down part way. It's not a style of governing that engenders much confidence."
Quoted from Randall Denley, National Post. August 22, 2019.

Steve says THAT'S ONE OF YOUR
FORMER CANDIDATES TALKING.
DO YOU WANT TO CHALLENGE HIM ON THAT?

The caption changes to "Turning over a new leaf?"

Elliott says I DO.
I CAN TELL YOU THAT IN HEALTH
CARE, WE HAVE HAD A SERIES OF
CONSULTATIONS WITH BOTH PATIENT
CARE GROUPS.
I WAS THE PATIENT OMBUDSMAN FOR
TWO YEARS.
I KNOW WHAT PEOPLE WERE
COMPLAINING ABOUT.
WE'VE TALKED TO THE PROFESSIONAL
HEALTH CARE PROVIDERS.
THEY ARE VERY ENTHUSIASTIC ABOUT
THIS.
WE ARE DEALING WITH THEM AS WELL
AS WITH PEOPLE WITH LIVED
EXPERIENCE THROUGHOUT THIS
PROCESS AND WITH THE CREATION OF
THE LOCAL ONTARIO HEALTH TEAMS,
CONTINUED PATIENT AND FAMILY
INVOLVEMENT IS GOING TO BE
ESSENTIAL BECAUSE WE NEED TO
KNOW WHAT IS GOING WELL, IF
THERE ARE STILL SOME PROBLEMS OR
ISSUES THAT WE NEED TO DEAL
WITH, WE WANT TO DEAL WITH THEM.
SO WE WANT TO MAKE SURE THAT WE
CONTINUE THAT CONSULTATION.
IT'S NOT JUST A ONE-TIME
SITUATION.
IT CONTINUES THROUGHOUT THE
FUTURE.
SO I WOULD TELL YOU THAT IN
HEALTH, WE ARE DOING SIGNIFICANT
CONSULTATIONS, HAVE DONE AND ARE
CONTINUING TO CONSULT.

Steve says I HAVE A COUPLE OF
MINUTES LEFT AND I DO WANT TO
GET YOUR VIEW ON SOMETHING THAT
COINCIDENTALLY JUST CAME OUT YESTERDAY.
YOU'VE NO DOUBT SEEN IT.
ONE HUNDRED EMERGENCY ROOM
WORKERS FROM EIGHT TORONTO AREA
HOSPITALS WRITING AN OPEN LETTER
TO YOU SAYING THEY'RE EXTREMELY
CRITICAL OF THE TORONTO PUBLIC
HEALTH FUNDING CUTS.
THE CUTS TO HARM REDUCTION, TO
SUPERVISED INJECTION SITES ARE
GOING TO MAKE THE OPIOID CRISIS
EVEN WORSE.
I SHOULD GIVE YOU AN OPPORTUNITY
TO RESPOND TO THAT LETTER.

Elliott says FIRST OF ALL, I WOULD SAY
THAT I REALLY RESPECT THE WORK
THAT FRONT LINE HEALTH CARE
PROVIDERS ARE PROVIDING AT A
TIME OF SIGNIFICANT OPIOID
ISSUES.
WE TAKE THAT OPIOID CRISIS VERY
SERIOUSLY.
I THINK THERE'S A MIXTURE OF
THINGS THAT WERE CONTAINED IN
THAT LETTER, NOT ALL OF WHICH
WAS FACTUALLY CORRECT.
BUT IN TERMS OF, FIRST OF ALL,
PUBLIC HEALTH.
WE LISTENED TO THE CONCERNS THAT
WERE EXPRESSED BY
MUNICIPALITIES, INCLUDING THE
CITY OF TORONTO, INCLUDING
MR. CRESSY, WHO HAS BEEN ONE OF
THE...

Steve says JOE CRESSY, THE CITY
COUNCILLOR.

Elliott says BUT WE LISTENED TO WHAT
MUNICIPALITIES ARE SAYING AND WE
TOOK ACTION.

Steve says NOT THE ACTION THEY
WANTED.
YOU WENT FROM 50-50 TO 70-30
FUNDING, WHICH IS A STEP...

Elliott says WE TOOK SIGNIFICANT ACTION.
BECAUSE WHAT THEY SAID THEY
WANTED WAS MORE TIME.
THEY DIDN'T WANT THE CHANGES TO
BE RETROACTIVE.
SO THE CHANGES ARE NOT
RETROACTIVE.
I'M NOT SAYING IT'S HAPPENING...
NO CHANGE IN PUBLIC HEALTH UNTIL
JANUARY 1ST.
THEN THE FUNDING IS GOING TO
70-30, 70 PROVINCE, 30
MUNICIPALITY, WHEREAS IT WAS
50-50 BEFORE IN THE CITY OF
TORONTO, AND WE ARE PROVIDING A
MITIGATION FUND TO MAKE SURE
THAT NO PUBLIC HEALTH UNIT WILL
HAVE AN INCREASE OF MORE THAN
10 percent OF THEIR BUDGET IN THE FIRST
YEAR.
SO IN THE CITY OF TORONTO'S
CASE, FOR EXAMPLE, THAT MEANS
THAT THEY NEED TO FIND
4.3 MILLION DOLLARS WORTH OF SAVINGS IN
A BUDGET OF 13 BILLION DOLLARS.

Steve says YOU THINK IT'S DOABLE.

Elliott says I AM CONFIDENT THAT THEY WILL
BE ABLE TO FIND THAT MONEY.

Steve says OKAY.
I'VE GOT TEN SECONDS LEFT.
I WANT TO ASK YOU ONE MORE
QUESTION: CAN ONTARIANS STILL
USE THEIR OLD TATTERED RED HEALTH CARDS?

Elliott says THEY CAN, BUT WE ARE BRINGING
A PROCESS FORWARD WHERE THEY
WON'T BE ABLE TO OVER TIME.
SO PEOPLE WILL BE RECEIVING
NOTICES THAT THEY WILL NEED TO
TRANSFER TO THE NEW ONTARIO
HEALTH CARD, TO HAVE THEIR PHOTO
TAKEN, TO HAVE THE NEW CARD,
WHICH WE NEED TO HAVE TO REDUCE
FRAUD, AMONG OTHER THINGS.
WE NEED TO DO THAT TO FIND THAT
MONEY, TO PUT IT INTO FRONT LINE
HEALTH CARE.
AT THE END OF THE DAY, IF
SOMEONE NEEDS TO GO INTO A
HOSPITAL OR THEY NEED HEALTH
CARE, THEY WILL RECEIVE THAT
HEALTH CARE EVEN IF THEY HAVE
THE OLD CARD, BUT IT WILL BE
CHARGED TO THEM PERSONALLY UNTIL
THEY GET THE NEW CARD.

The caption changes to "Producer: Harrison Lowman, @harrisonlowman."

Steve says THAT'S CHRISTINE
ELLIOTT, DEPUTY PREMIER,
MINISTER OF HEALTH, MPP
NEWMARKET-AURORA.
AS ALWAYS, WE THANK YOU FOR
COMING IN TO TVO TONIGHT AND
SHARING YOUR VIEWS.

The caption changes to "Subscribe to The Agenda Podcast: tvo.org/theagenda."

Elliott says A PLEASURE, AS ALWAYS.
THANK YOU.

Watch: Christine Elliott: An Ontario Health Care Checkup