The State of BC’s Continuing Care Sector Feb 15, 2016

About Us Leading industry association for B.C.’s continuing care sector. Non-profit society serving non-government care providers for 40 years. Growing membership base includes 280+ members residential care assisted living home support/home care commercial members

Scope and Size Membership in our association is voluntary. We represent over 60%+ of B.C.’s contracted continuing care sector. Our members care for 16,000+ seniors annually in residential care and assisted living, and 10,000+ each year through home care and support.

Private Sector Care Providers BCCPA Membership Private Sector Care Providers For-Profit 74%

What we do The BCCPA focuses its efforts in five key areas:   Foster Standards and Quality of Care: Advocate & enhance quality of life for seniors Sustainability of Services: Ensure adequate funding to enhance quality care Relationship Building: Focus on government, health authorities and key stakeholders Membership Services: Provide services to members to foster quality of care Human Resources/Labour Relations: Provide support and effective responses to meet staffing and training needs

Key Events and Training Annual Conference (500 participants) Minister of Health Luncheon (450 attendees) Care to Chat Speaker Series (700+ attendees each season) B.C. Care Awards (150 attendees in Victoria) Member-only workshops

Policy, Research and Projects Quality-Innovation- Collaboration Paper SafeCare BC Anti-Psychotic Best Practice Guide BC Cares Initiative Seniors Care for a Change Report Recreational Therapy Best Practice Guide Policy templates Affinity Program

Acute Care is Largest Expenditure 2013/14 figures: 9% - community 16% - residential

Who delivers seniors care today… BCCPA

About our seniors Average senior is 85+ years old and female Approx 70% are living with Alzheimer's or Dementia Average length of stay is 18 months to 2 years 75% of seniors have their care subsidized, while 25% are private pay

Seniors Funding Varies by Region Adapted from Ombudsperson Report "Best of Care: Getting it Right for Seniors in British Columbia (Part 2) (2012)

Challenges Facing BC’s Continuing Care Sector Lack of funding lifts from Health Authorities No transparent & standardized rationale/methodology – results in cuts Wheelchair policy - unfunded BC Continuing Care Collaborative – no formal dialogue/table for discussion Outdated Care Aide Registry – needs significant reform Managing Changing Need – Burquitlam settlement Rising costs of WorkSafe BC Public expectations increase – funding limited

Funding Lifts Vary by Region

Quality | Innovation | Collaboration Proposal to transfer 1% of acute care budget to community 4,400 new permanent long-term care beds 12.8M care aid hours 8M million home support hours Need for a National Dementia Strategy Care homes to deliver more sub-acute services in Care Hubs Reduce unnecessary ER visits Lower ALC from 13% to single digits Provide care closer to home

Seniors Advocate Report Home support hours decreased in 3 out of 5 health authorities, while the number of clients increased in 4 out of 5. The number of residential care beds in the province has increased by 3.5% since 2012, but the population over 75 has increased 10% during that same time. The number of seniors placed in residential care within the 30-day target window has decreased from 67% to 63% in the past year.

Seniors population outpacing growth in long-term care beds

Waitlists continue to grow…

People waiting for alternate level of care in the community 13% of every bed night in British Columbia hospitals is taken up by someone who should in an alternate level of care. That could include a residential care home, assisted living or home care. $200 per day $1,800 per day

Waitlist Increase Despite Empty Beds BCCPA surveyed our members in late 2015 Over 1000 unfunded beds across BC 170 vacant residential care 290 vacant assisted living Vacancy rate is estimated at 16% for RC and 15% for AL (private pay) Significantly more beds outside our member survey

Existing Capacity BCCPA Members

Overlap and Increased Red Tape BC Care Aide Registry Duplication and inefficient Licensing Infractions for non-expiry dates on Ketchup bottles Accreditation Health Authorities WorkSafeBC

Overlap and Increased Red Tape

Expectations of service levels Co-payment leads to higher demand for services Families expect more Not funded to cover costs Increased complaints Contracted providers must do more with less Generational issues

Opportunity to Collaborate Hospice Commitment – double space by 2020 Reduce unnecessary ER visits Reduce length of stay in acute care facilities Reduce costs to health care system Provide care closer to home in the community Address rural needs not “one-size-fits-all” approach