MINISTRY HOSPITAL REVIEW COMPLETED
LGH president ‘optimistic’ more funds forthcoming

A RECENTLY-completed opera-
tional review of Lions Gate Hospi-
tal by the provincial health
ministry will be an important fac-
tor in determining the hospital’s
future operating funds, according
to hospital president Robert Smith.

Faced with a $2.5 million budget
shortfall in the 1989-90 fiscal year,
LGH requested the review to
ascertain whether it was eligible for
additional operating funds.

The hospital has already cut
Staff, closed hospital beds and, in
an Oct. 29 News story, announced
that it would begin Nov. | charg-
ing user fees ranging up to $100

for some of its medical day pro-
grams as part of its overall plan to
offset the shortfall.

**We sought the review several
menths ago as part of our efforts
to bring funding into line with our
workload,’"’ LGH president Bob
Smith said. ‘‘We have been dealing
with a very difficult financial situ-
ation during the past year and felt
that it would be helpful if the
ministry had a fuller picture of the
operation at LGH.”’

The hospital, he added, was run
“efficiently and effectively. We are
optimistic we made a good case for
additional funding.”’

$1m barge launched

NORTH VANCOUVER-based
Seaspan International Ltd. laun-
ched a new $1 million wood chip
barge last week.

Cotumissioned by Shirley
Shufelt, the Seaspan 503 barge was
built at Vancouver Shipyards Co.
Ltd., the company’s shipbuilding
division. *

The barge, which is the fourth
such vessel to be constructed over
a 12-month period, is 200 feet
long, 50 feet wide, and has a carry-
ing capacity of 2,500 short tons.

The company’s construction
Program is part of its ongoing pol-

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icy to keep Seaspan’s tug and
barge fleet modern and efficient
and is in response to a growing
need for higher capacity barges.

Seaspan’s chip barges carry
more than 6,000 full cargoes a
year, totalling over 10 million
short tons.

Seventy-five per cent of the
company’s entire 240-barge fleet is
dirzcted te the forest industry in
ony way or another.

Seaspan International Ltd.,
with the largest fleet of tugs and
multi-purpose barges in Canada,
operates 45 tugs, two trainships
and 240 special-purpose barges.

The four-member team spent
four days at LGH making a
thorough study of the facility.

The team's objectives were to
assess the financial system at LGH
along with the appropriateness of
the services the hospital provides
and how these services balance
with those offered by other Lower
Mainland hospitals.

The LGH review is part of a
three-year ministry program that
will include similar reviews in all
B.C. hospitals in an attempt to
establish an equitable foundation
for the base funding of each hospi-
tal’s operations.

The unique nature of each hos-
pital and the community it serves is
taken into account by a new
system known as demographic
marginal funding which ‘‘tops’’ up
a hospital's base funding.

Smith said the system is very
sophisticated and will be adjusted
annually for each hospital to pro-
vide the necessary funds above the
base level that a hospital needs for
its services and programs.

Demographic data affecting

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LGH includes the North Shore’s
aging population, the case mix (i.e.
surgical vs. medica!) treated at the
hospital, and the number of pa-
tients referred for tertiary care
from other hospital districts.

Smith said the balance of ser-
vices among Lower Mainland hos-
pitals is an important assessment

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factor.

“Because of our tertiary care
facilities, we receive a lot of pa-
tients from the Whistler, Pember-
ton, Howe Sound area,’’ he said.

Smith said the health ministry’s
operational reviews are vital to
generating more equitable funding
for B.C.’s hospitals.

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