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Coming of Age: The municipal role in caring for Ontario’s seniors

Coming of Age: The municipal role in caring for Ontario’s seniors NOMA Annual Meeting and Conference April 27, 2011 Petra Wolfbeiss, AMO. Municipalities and Long Term Care. 1947- The Homes for the Aged Act 1949 designated municipalities required to establish home for the aged

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Coming of Age: The municipal role in caring for Ontario’s seniors

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  1. Coming of Age: The municipal role in caring for Ontario’s seniors NOMA Annual Meeting and Conference April 27, 2011 Petra Wolfbeiss, AMO

  2. Municipalities and Long Term Care • 1947-The Homes for the Aged Act • 1949 designated municipalities required to establish home for the aged • 2007- Long Term Care Homes Act, requirement to “have a long term care home” NOMA Annual Meeting and Conference

  3. What AMO has heard • Growing concern with municipal requirement • Desire for greater flexibility • Principled consideration of municipal role in health services NOMA Annual Meeting and Conference

  4. AMO’s Interest in Long Term Care • Examine the municipal context-issues and pressures • Local diversity • Changing context of long term care NOMA Annual Meeting and Conference

  5. What we know • Demographics-aging population • Supply and demand-long term care as a growth industry • Municipal issues and cost drivers NOMA Annual Meeting and Conference

  6. Demographics • In Canada, 65 and older: • 3.9% in 1881 to 8% 1941 • January 2011-baby boomers turn 65 • 8.4% in 1956 and 13.6% in 2006 Ontarians over 65 • 13.7% in 2009 to 23.4% by 2036 NOMA Annual Meeting and Conference

  7. Demographics • Percent increase in seniors in next 20 years: • 86% • This shift will require a shift in municipal fiscal priorities NOMA Annual Meeting and Conference

  8. Supply and Demand • Current waitlist: over 25,000, 5.1% increase over the last year • Collateral Effects • More seniors means more beds NOMA Annual Meeting and Conference

  9. Municipal Issues and Cost Drivers • Municipal dollar share increasing • Provincial legislation and initiatives • Other factors: arbitration, pay equity, local challenges NOMA Annual Meeting and Conference

  10. Municipalities Lead • Innovation • Contribute over $300,000 million annually NOMA Annual Meeting and Conference

  11. What are our options? • Series of reports telling us we have to plan now • Some municipalities have explored options NOMA Annual Meeting and Conference

  12. Possible options for consideration • Fulfill legislative requirements • Change the requirement • Outsource operations but keep governance • Maintain ownership but outsource operations and governance • Sell the home and redirect contributions • Transfer beds to non-profit and/or for profit • Various forms of partnership NOMA Annual Meeting and Conference

  13. What we also know • Municipalities can no longer support the province • Municipalities must be supported by appropriate and sustained funding • Health care is a provincial responsibility NOMA Annual Meeting and Conference

  14. What is unclear Who will fill the void? NOMA Annual Meeting and Conference

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