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

2. 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

3. 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.

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

5. 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

6. 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

7. 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

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

9. Who delivers seniors care today…
BCCPA

10. 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

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

12. 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Outdated Care Aide Registry – needs significant reform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

13. Funding Lifts Vary by Region

14. 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

15. 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.

16. Seniors population outpacing growth in long-term care beds

17. Waitlists continue to grow…

18. 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

19. 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

20. Existing Capacity BCCPA Members

21. 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

22. Overlap and Increased Red Tape

23. 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

24. 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