St. B CEO expenses symptom of provincial health-care bureaucracy By: Tom Brodbeck Posted: 7:00 PM CDT Tuesday, Jul. 16, 2019 Last Modified: 7:21 PM CDT Tuesday, Jul. 16, 2019 Updates

Opinion

Hey there, time traveller!
This article was published 15/07/2019 (1992 days ago), so information in it may no longer be current.

It didn’t take long for St. Boniface Hospital president and chief executive officer Martine Bouchard to start racking up her taxpayer-funded expense account.

Bouchard (who took the job in May 2018) ran up $19,171 in personal expenses on top of her $275,000 salary in 2018-19, according to expense reports released by the Winnipeg Regional Health Authority.

The vast majority of Bouchard’s expenses were for out-of-province travel — mostly accommodation, airfare, meals and transport — including conferences in Orlando, Fla., Chicago and Baltimore.

Bouchard, who lives in Montreal and commutes home on weekends, took seven work-related trips, including a three-day Lean Healthcare Transformation Summit in Chicago in June 2018, at a cost of $4,089 (including $1,869 in conference fees).

She also attended a December 2018 National Forum on Quality Improvement in Health Care in Orlando, a five-day summit that cost taxpayers $4,938 (including $2,460 in conference fees). She made two trips to Baltimore (one in December, one in February) at a cost of $7,208 (including $4,333 in conference fees), as part of a three-part training seminar called: Toward a Culture of Ethical Practice in Healthcare.

Bouchard also travelled to Ottawa (accreditation meeting), Montreal (Molson Foundation recognition event) and Vancouver (presenting at the Big Data Healthcare Summit), each of which cost taxpayers less than $400.

There were also $2,009 in miscellaneous expenses, including cellphone charges, transport, and meals during meetings. (Bouchard’s $7,150 vehicle expense is separate and is covered by the Catholic Health Corporation of Manitoba.)

St. Boniface Hospital director of corporate affairs and communications Micheline St-Hilaire said the summits and training allow the CEO to network at national and international levels.

“Taking part in such events ensures St. Boniface Hospital continues to be an innovative leader in quality patient care, compassion, and excellence in all that we do,” she said in a statement.

One would expect senior health officials to attend some out-of-province conferences for training purposes and to learn from other jurisdictions. However, Bouchard’s travels seem excessive — especially with the problems plaguing her hospital in recent months.

No other Winnipeg hospital CEO listed in the 2018-19 report had expenses above $10,000; none travelled as extensively as Bouchard did.

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The issue here isn’t so much the cost of one or two trips, it’s the multiple layers of bureaucracy in the provincial health-care system that continue to grow and sap front-line services of scarce resources.

Instead of getting simpler and more cost-effective, the administration of government health care in Manitoba has become increasingly bloated and confusing.

When regionalization was first introduced in the late 1990s under the then-Filmon government, all hospitals and health facilities were supposed to fall under one administrative umbrella.

The Winnipeg Hospital Authority was to take over from all hospital boards, and the Winnipeg Long-Term Care Authority would run long-term care facilities. (The WHA and WLTCA later combined to become the WRHA.)

However, for a number of faith-based and other reasons, that only partially occurred. Some facilities, such as Health Sciences Centre, handed over their keys, but others, including St. Boniface, maintained their independence.

It’s a rat’s nest– an expensive rat’s nest. It’s made up of so many administrative layers, it’s nearly impossible to operate efficiently and effectively.

Over time, the province’s regional health authorities grew substantially in size, and many health-care facilities kept their boards and corresponding bureaucracies.

To confuse matters further, the Pallister government has since added another layer of bureaucracy (with its own CEO) called Shared Health, to provide even more “governance” at the provincial level.

So we have some health-care facilities that fall under the authority of their respective RHAs, others that have maintained their board independence (but still get funding and marching orders from their RHA), and others still that fall under Shared Health.

Then, there’s Manitoba Health, the government department that oversees it all, providing funding and broad policy direction.

It’s a rat’s nest — an expensive rat’s nest. It’s made up of so many administrative layers, it’s nearly impossible to operate efficiently and effectively.

On the one hand, the Pallister government is consolidating acute care hospital services in Winnipeg to improve patient care, which appears to be a sound idea in theory. But on the other, they’re expanding the size of the health-care bureaucracy.

Few would question the value of a hospital CEO attending the odd conference outside the province. But when you consider the bureaucratic empire-building that’s been going on in recent years, it’s increasingly difficult to accept.

tom.brodbeck@freepress.mb.ca

Tom Brodbeck
Columnist

Tom has been covering Manitoba politics since the early 1990s and joined the Winnipeg Free Press news team in 2019.

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