2017-2018 Operating Plan

October 19, 2016

Ontario Shores Centre for Mental Health Sciences (Ontario Shores) creates an annual Operating Plan for the year ahead that outlines clinical advancements to meet patient needs, opportunities for efficiencies and our commitment to maintain a balanced budget.

I have spoken at various forums and meetings about the significant financial pressures the health care system is experiencing and the direct impact it is having on hospitals. 

While we did receive a 2% increase for 2016-2017 which helped manage some of the rising costs associated with running an organization this size, it is still not enough to cover all of our additional costs which increase at an inflationary rate of about 3%.

As a public hospital, we have a legislated responsibility to maintain a balanced budget. While we were happy to receive a 2% increase this year, we are planning for a zero percent increase to our annual base budget in 2017-2018, which means a deficit of about $1.6 million.

As a result, we are making some changes to support our patients’ clinical needs and to manage our anticipated deficit:

  • We are eliminating the Recreation Assistant classification and realigning those resources to create an additional 1.0 full-time Recreation Therapist position so the resources can be used to full scope and better meet the needs of our patients.
  • We are reducing 1 part-time RN in Forensic Outpatient Services (FOS). After reviewing the workload in FOS we have concluded that the addition of the PT RN is not needed and the work can be covered by full-time FOS staff.
  • Earlier this year we eliminated a non-union role and have reallocated those resources to ECT and created a registered nurse position to address the long wait list.

Lastly, we will be making some changes in Adolescent Services as a result of the findings from an Operations Review.  Ontario Shores worked with KPMG to conduct an objective Operations Review of Adolescent Services.  The review included analyzing the data associated with our program, collected input from a variety of staff across inpatient and outpatient services, reviewed our intake, admission and discharge processes as well as reviewed other Adolescent Programs across Ontario. 

As we realign key functions within the clinical team and strengthen the service delivery model through innovative and enhanced programming, and evening and weekend structured programming, we will be changing the staffing numbers to support these activities.  The reductions in this program impact seven Child and Youth Counsellors and two Registered Practical Nurses.  Adolescent Services will continue to have a strong interprofessional team and both disciplines will remain a key component of that team.

As a result of all of these collective changes, 11 staff (2 full-time and 6 part-time and 3 casual) will receive a layoff notice and 1 vacant position has been eliminated.  Staff in these positions will be presented with a number of options including vacancies, early retirement, and voluntary exits. We will follow the process outlined in the Collective Agreement and share information with impacted staff as we work through these steps.

I know these changes will be difficult, especially for those directly impacted, and we have a number of supports in place to help staff during this transition.  Impacted staff will have access to career counselling, job coaching and resume writing services.  Support will also be available through the Employee Assistance Program, Human Resources, Occupational Health and the management team.

I am confident that the support and teamwork you display towards each other all year will be particularly present as we go through this challenging time and I thank you in advance for supporting your colleagues during this transition.

We will continue to keep you updated as we work through the implementation of this year’s Operating Plan.

Karim Mamdani, President and CEO