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Province to change homecare funding rules for palliative care patients

Dan Duma, proven on this household photograph, died one month right into a three-month wait interval for residence care.

Courtesy of the Duma household / Windsor Star

Nearly two years after the demise of former Windsor autoworker Dan Duma, the provincial authorities is closing a niche in OHIP that denies house care to terminally ailing patients who transfer to Ontario from elsewhere in Canada.

“It’s a long time coming,” stated Laura Duma, a nurse practitioner who, together with her sister and mom, helped take care of her dying father at residence with out wanted medical gear, nurses or personal-support staff.

“I know how much he wanted to make sure other people didn’t go through what we did.”

The Ontario Ministry of Health introduced Wednesday it’s eliminating the three-month ready interval for OHIP for individuals who transfer right here from different provinces. Under present reciprocal billing agreements, provinces and territories can pay for hospital stays and docs for its residents for the primary three months after they transfer, however they won’t pay for hospice or residence care.

Dr. Darren Cargill, proven on this April 30, 2014, photograph, is a palliative care physician on the Hospice.

Jason Kryk /

Windsor Star

Under the brand new regulation, Ontario won’t solely pay for out-of-hospital care for individuals who transfer into the province from elsewhere in Canada, however it can cowl these providers for Ontario residents who transfer out of province.

Dan Duma and his spouse, Ana, moved to Alberta to discover work after GM’s Windsor transmission plant closed. There, Duma was recognized with liver most cancers and advised he had solely a short while left to reside. After the Alberta wildfires displaced the couple, Duma and his spouse determined to return to Windsor for palliative care.

Duma moved in together with his daughter, however acquired no homecare. Dr. Darren Cargill, medical director for The Hospice of Windsor and Essex County, made home calls till there was no means to hold Duma snug at residence. Duma would have had to be in hospital for his remaining days have been it not for Cargill pulling some strings to safe a hospice mattress in Leamington.

Duma, who was 48 when he died, by no means received his want to die at residence, surrounded by household.

After Duma’s demise, Cargill and Duma’s household started lobbying for modifications to the homecare rules.

In October 2016, Windsor West MPP Lisa Gretzky launched a personal member’s invoice she referred to as the Homecare and Community Service Amendment Act which turned often known as Dan’s Law. The invoice, endorsed by the Ontario Medical Association, the Ontario Nurses Association and different associations of healthcare staff, loved all-party help however was by no means referred to as to the committee stage to be debated.

While the invoice gained’t develop into regulation, the essence of it’s included within the regulatory modifications, Gretzky stated. “I’m taking this as a win… This is a win for Dan’s family.”


Cargill referred to as the regulatory change a partial victory. He stated he would have most popular the invoice to be made a regulation since legal guidelines are harder to change than laws.

“In the end, I’m pleased, but you look back and say, ‘Why couldn’t this have been done sooner?’”

The authorities estimates the regulatory change will have an effect on 300 households a yr. Cargill stated it’s a troublesome quantity to again up since he is aware of some patients didn’t transfer due to it, or ended up in hospital relatively than at residence or in hospice care.

“To me, one is too many.”




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