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Q: Capital Funding for Canadian Nursing Homes ( Answered,   0 Comments )
Question  
Subject: Capital Funding for Canadian Nursing Homes
Category: Health > Seniors
Asked by: brudenell-ga
List Price: $150.00
Posted: 08 Apr 2003 07:06 PDT
Expires: 08 May 2003 07:06 PDT
Question ID: 187628
Which provincial governments in Canada provide clearly defined capital
funding to non-government licensed nursing homes? This funding would
be for capital repairs, renovations and new construction. A tip of
$10, per province, will be provided for details on the policy and
criteria of the respective capital funding. This answer may take a
while to complete properly. Please take all of the time that you
require. Simple updates would be appreciated. Thank you.

Request for Question Clarification by jbf777-ga on 17 Apr 2003 11:51 PDT
Hello -

I've put in calls to a few of the provinces, as well as awaiting
return calls from others.  The vibe I get is that you're not going to
see funding on a provincial level for non-government licensed nursing
homes.  A rep from Ontario said she would imagine, that even on a
government-licensed level, it would be the  responsibility of the home
itself.  I don't know if an answer of "none" would be sufficing. 
Please let me know how you would want me to proceed.  I can furnish
you with a list of the provinces, contact numbers, etc. that you could
verify this information with [as an answer].

Thanks,

jbf777-ga
GA Researcher

Clarification of Question by brudenell-ga on 18 Apr 2003 06:41 PDT
Hello jbf777-ga

Thank you for making the enquiries.

My preference is that we wait to hear from some of the other
provinces. It is my understanding that Nova Scotia takes into account
capital costs when establishing its annual per diem funding. I am
looking to see how many and which of the other provinces also provide
(or  recognize in annual per diems) the capital needs of
non-government homes.

Regards

Bridenell

Clarification of Question by brudenell-ga on 18 Apr 2003 06:42 PDT
that should be:

Regards

Brudenell

Request for Question Clarification by jbf777-ga on 18 Apr 2003 10:10 PDT
Ok, I just want to make sure... if one or none of the provinces offer
what you're looking for, is this an acceptable answer?

Thanks,

jbf777-ga
GA Researcher

Request for Question Clarification by jbf777-ga on 18 Apr 2003 19:34 PDT
Hi -

Because of the way this system works, I'll need to hear back from you
before I continue.  Thanks...

jbf777-ga
GA Researcher

Clarification of Question by brudenell-ga on 20 Apr 2003 18:32 PDT
Sorry for the lengthy time to get back. Was away from any computers.

As I already have indicated that at least Nova Scotia does take
capital costs into account in the calculation of their per diems, we
basically start this questions with 'none' being not acceptable as an
answer. I really am looking forward to finding out which other
provinces take capital funding requirements into consideration.

Thanks

Brudenell

Request for Question Clarification by jbf777-ga on 20 Apr 2003 19:51 PDT
Hello -

Thanks for responding.

I shouldn't have said "none."  Here's the situation from my
standpoint.  The provinces I have researched have said they don't do
this, and have indicated that they wouldn't think a province would do
this.  I'm taking your word that Nova Scotia does this, so we have one
as a starting point.  I'm not entirely convinced there are others,
until I do the remaining research.

Because I have to cover my tracks before putting the work in, I have
to know from you whether or not you will accept 1 or 2 provinces as an
answer, if this is indeed the case.  It may not be the case.  But if I
do the research and find only Nova Scotia does this, I need to have
recourse in knowing that you will accept that as an answer, if it
happens to be the case.  This system works in such a way that you
don't pay, and I don't get paid, until I furnish an answer, so I have
to know what your precise parameters are for your requirements.  I
hope this makes sense.

Thanks for your understanding.

jbf777-ga
GA Reseacher

Clarification of Question by brudenell-ga on 21 Apr 2003 06:40 PDT
Good Morning jbf777-ga 

Yes, I will accept your answer of the capital funding process of 1 or
2 provinces, if that's all that do. My precise parameters are a survey
of the funding processes of the provinces. I appreciate that civil
servants don't often respond quickly. I also recognize that the best
answers (not necessarily lengthy answers) sometimes take a great deal
of waiting time and will standby patiently.

Best Regards

Brudenell

Request for Question Clarification by jbf777-ga on 21 Apr 2003 08:30 PDT
Hello again -

Thank you very much for the clarification.  I will finish the work on this.

jbf777-ga
GA Researcher

Request for Question Clarification by jbf777-ga on 22 Apr 2003 11:14 PDT
Hi -

I just had a discussion with a rep from the dept. of health in Nova
Scotia. The rep said they offer funding, but ONLY to
government-licensed homes.  The rep made this very clear.  They offer
per-diem funding to clients of homes as well, but again, only for
government-licensed homes.  The rep said the dept. of health would be
the only provincial funding source.

May I ask where you obtained the information regarding provincial
funding in Nova Scotia?  Perhaps there is some other department
somewhere, but I'm not aware of it.

Thanks,

jbf777-ga
GA Researcher

Clarification of Question by brudenell-ga on 22 Apr 2003 17:28 PDT
Good Evening jbf777-ga

The rep from the Nova Scotia Dept. of Health is correct.

The wording of my question, upon rereading it, needs clarification.

The term "non-government licensed nursing homes" refers to homes that
do not belong to the crown or a crown owned authority, ie: government/
taxpayers. I should have worded the question in a different manner and
used the term: private or not for profit licensed nursing homes.

What I am looking for is the capital funding consideration that is
given to the per diem structure (or for clients which government is
responsible) of licensed nursing homes that are not government owned.
As you had confirmed by the Health Department representative, Nova
Scotia is such a province.

My clarified question would read as follows:

*************************
  Which provincial governments in Canada provide clearly defined
capital
  funding to private or not for profit licensed nursing homes? This
funding would
  be for capital repairs, renovations and new construction. A tip of
  $10, per province, will be provided for details on the policy and
  criteria of the respective capital funding. This answer may take a
  while to complete properly. Please take all of the time that you
  require. Simple updates would be appreciated. Thank you.

*************************

I appreciate the effort that you are making- especially going beyond
online communication.

Sincere Regards

Brudenell

Request for Question Clarification by jbf777-ga on 25 Apr 2003 13:26 PDT
Hello brudenell,

I've heard back from all but one of the provinces.  Are you interested
in the territories as well?  I should hopefully have a full answer by
tomorrow or the next day.

Thanks,

jbf777-ga
GA Researcher

Clarification of Question by brudenell-ga on 28 Apr 2003 12:38 PDT
Good afternoon jbf777

Just the provinces will be fine. I doubt that there are many, if any,
private or not for profit homes in the territories.

Best regards

Brudenell
Answer  
Subject: Re: Capital Funding for Canadian Nursing Homes
Answered By: jbf777-ga on 28 Apr 2003 12:45 PDT
 
Hello Brudenell -

Thanks for being patient while I researched this information.  This
answer is not finished until you're satisfied with it.  If you choose
to rate this answer, I ask that you do so after asking for any
necessary clarification/information.  Thanks for your understanding.

There is a total of 4 provinces within Canada that offer
provincial-level capital funding for privately held nursing homes. 
They are as follows:


MANITOBA
============================
Capital Health
204-786-7182 - Dave Arduthnott [main contact]

Criteria:
Has to meet all standards for construction in Manitoba [hallway size,
room size], accessibility, levels of care, etc. Has to be a solid
organizational entity.

The need has to be identified, and then a decision as to be made by
the department as whether or not they are going to fund a
not-for-profit or for-profit entity.

Very much need-based, and per-location.  Use tendering process to keep
costs down.

Time frame:
Feasibility study - 6 months
Architect drawings - 1 year
Beds built - 1 year

2-3 year period total... but projects can extend 5-7 years


NOVA SCOTIA
============================
N.S. Department of Health: Phone (902)424-5701 
902-424-4476 - Nursing Homes
www.gov.ns.ca

902-424-2635 Alan Horsborough [main contact]


ALBERTA
============================
780-427-2711  - Inquiry Center

Department of Health And Wellness
Bob Thomas - 780-427-3424
Perry 780-427-8029

http://health.gov.ab.ca

Provincial funding is available by region, which goes through Dept. of
Health
and Wellness, which then goes to a provincial level.  Rating criteria
is a 12-principle system.


NEW BRUNSWICK
============================
506-453-2834 - Inquiry Center

Nursing Home Services Branch: 506-453-3030 

506-453-3821 - Barbara Bernette [main contact]

Department of Family and Community Services Annual Report.  "Report
describes our Long Term Care Services, Nursing Homes Services are
included."
http://www.gnb.ca/0017/publications/ar0102.pdf

The link to the Nursing Homes Act.  Note that the definition of a
nursing home is: a residential facility operated, whether for profit
or not, for the purpose of supervisory, personal or nursing care for
seven or more persons who are not related by blood or marriage to the
operator of the home and who by reason of age, infirmity or mental or
physical disability are not fully able to care for themselves but does
not include an institution operated under the Mental Health Act, the
Hospital Services Act, the Hospital Act or the Family Services Act;
http://www.gnb.ca/acts/acts/n-11.htm

The definition of a special care home or other home but not a nursing
home:
"community placement resource" means a social service facility
providing services to children or adults, and includes a foster home,
a group home, a community residence, an institution for the care of
children or adults, a special care home, a sheltered workshop, a home
in which family day care services are provided, a day care center, and
any facility designated under paragraph 24(2)(e), but does not include
a facility whose primary objective is medical care or educational or
correctional services;



Search Strategy:
Contacted federal assistance line at 800-OCANADA
to obtain general provincial inquiry centers.  These
centers offered direct phone numbers to health-oriented
authorities for the parent provinces, where I then made 
direct contact with the appropriate individuals.
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