A16- The Terrace Standard, Wednesday, October 18, 2000

Eye money under spotlight
as Shaver aligns with docs !

STEVEN SHAVER is
meeting with health council
officials this week to gauge
the impact of a $40,000 in-
crease in cye surgery SUp-
plies.

The ophthalmologist had
threatened to leave unless
the council increased the
supply budget by just over

$100,000. for .a.total.: of

$175,000.

The new money is to last
from December, when the
current budget runs oul,

until the end of the fiscal:

year, March 31, 2001.

It means Dr. Shaver can
perform eight cases - an-in-
crease of one — for the one
operating room day he has
each week.

The $40,000 was just
one of (wo service increases
announced by the Terrace
and Area Health Council
last week as part of its new
budget.

Another $56,000 will be
spent to increase the CT
scanning service from four
days a week to five days a
week,

Shaver and others have
argued that since people
from outside Mills Memor-
ial Hospital’s coverage area
come here for eye surgery,
the provincial government
should treat it as a regional
service and allocate monies
separate from the budget for
Mills alone.

The province does pro-
vide some money for oph-
thalmology but it isn’t
nearly enough to cover the
cost of the service here.

Last year the health
council spent $220,000 on
eye surgery supplies and

operating room wages, the
majority of which came
from the council’s budget
for Mills, tt had committed
itself to spending the same
amount this year.

So this year’s increase of

$40,000 brings the total to
$260,000, ~

The problem dates back
to..1995 when.a smali eye

clinic was moved: from

Wrinch Memorial Hospital
in Hazelton to Mills. A
small amount of money
‘from.-the province came
along, but not enough to
cover a fully- fledged surgical
service.

Health council officials
note that the $220,000
spent on ophthalmology
last’ year was the highest
since the service began in
1995,

~ And it-was handled with-
out incurring a deficit .

One of he issues facing
the health council is that
éven if it found yet more
money for eye surgery sup-
plies, tt has no more opera-
ling room time to allocate
to the service.

Any increase in eye surg-
ery time would have: to
come from other surgeons at
the hospital and they’ ve al-
ready rejected that option..

Surgeon Warwick Evans,
who spoke at the health
council budget meeting last
week when ophthalmology
was discussed, warned
against increasing eye surg:
ery time.

“You'd see other services
disappear,” said Evans in
calling the situation “very
complex and very sensi-
tive.”

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P

ICarnt of Fine

Steven Shaver

Health council chair Bob
Kelly said any increase in
ophthalmology surgery in
the northwest would have to

_take place at other hospitals.
The chances of that are.

regarded as slim given the
requirement not anly for
supplies and for operating
room nurses, but to buy the

expensive equipment for eye.
surgery.

Shaver had also been cri-
tical of his fellow surgeons,
saying they met and par-
celled out operating room
time without him and that
he was getting less than
they were,

But he met with the
other surgeons last week and
has now made his peace
with them.

“T do understand their
point of view far better,”
said Shaver.

Ag it is, Shaver said sur-
geons here gave up some of
their time in 1995 to allow
the crealion of the ophthal-
mology service here in the
first place.

He said the real issue is
getling more operating
room time for-all surgeons
and finding. the nurses to
handle the work,

When Shaver meets with
health council officials next
week, he also hopes to get a
better understanding of the
cost of supplies.

He had worked out his
request -for -an- additional
$100,000 based on a $291
supply cost for each cataract
surgery.

He now believes the cost
is lower and estimates the
increase he wants is now
about $64,000.

“If it is $64,000, we're
not far off,” said Shaver of
the difference between that
number and the $40,000
more allocated this year.

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