WHEREAS the Province has traditionally provided the capital funding for long term care beds other than Extended Care services; AND WHEREAS the Province is now requesting some percentage towards capital costs for these facilities from Regional Hospital Districts: THEREFORE BE IT RESOLVED that the Province be requested to revert to the funding process for capital costs for long-term care services, where the Province fully funds all capital costs, except for those services traditionally funded on a shared basis with Regional Hospital Districts and which were previously known as Extended Care.
Ministry of Health Since 2001, much of the renewal of residential care facilities has been undertaken through public-private partnership agreements between health authorities and individual care providers. Those agreements typically involve a care provider constructing and operating a facility, with the health authority reimbursing the care provider for the operating cost of the beds contracted by the health authority at that facility. This procurement method has been used in the long-term care sector since the 1980s, and is being adopted in the assisted living sector as well. Health authorities are responsible for managing relationships with their respective regional hospital districts. In some instances, a health authority may request a local regional hospital district to cost share in a residential care project. In those cases, it would be a matter between the health authority and the regional hospital district to negotiate the specifics of the request and to clarify any community benefits of regional hospital district cost-sharing. Regional hospital districts have commonly cost shared in residential care facilities administered by health authorities or similar non-profit organizations. In general, it has always been the case that if a facility was considered eligible for regional hospital district cost sharing under the Hospital District Act, the regional hospital district has been asked to cost share.