<?xml version="1.0" encoding="UTF-8"?>
<item xmlns="http://omeka.org/schemas/omeka-xml/v5" itemId="5945" public="1" featured="1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://omeka.org/schemas/omeka-xml/v5 http://omeka.org/schemas/omeka-xml/v5/omeka-xml-5-0.xsd" uri="http://www.fepl.ca/localhistory/items/show/5945?output=omeka-xml" accessDate="2026-11-07T18:46:57-08:00">
  <fileContainer>
    <file fileId="6503">
      <src>http://www.fepl.ca/localhistory/files/original/502d99d1ca388c2a47de04c93ae78fee.pdf</src>
      <authentication>58e793313176891f3e0db7a8b001ba59</authentication>
      <elementSetContainer>
        <elementSet elementSetId="7">
          <name>PDF Text</name>
          <description/>
          <elementContainer>
            <element elementId="86">
              <name>Text</name>
              <description/>
              <elementTextContainer>
                <elementText elementTextId="30774">
                  <text>1

â€¢

CO:MMUNITY OPEN-HOUSE
RE: DRAFT VISION FOR THE FUTURE OF NIAGARA'S
HEALTH SYSTEM
WELCOME!
Thank you for taking time out of your busy schedule to attend this open-house
regarding a draft vision for the future of Niagara's health system .
It is no secret that Niagara is undergoing rapid and fundamental changes regarding
what and how our health services are being delivered. The main forces, or realities,
driving this change are lack of funds and consumer demand for quality care. To do
nothing is simply not an option .
We, in Niagara , have been provided with the unique opportunity to design a local
vision for change - a shared vision for the future of our health system. By
developing this vision, we have created an opportunity to influence the future ofour
health system, and in particular the types of changes that should occur.

â€¢

Developing a future vision for such a complex system is not an easy task. Under the
leadership of the Niagara District Health Council, many volunteers from across the
Niagara region have spent days meeting, discussing, listening and striving to mapout a draft future vision of a health system which is most suitable for the people of
Niagara. The vision that has been drafted focuses on well-being and the role of the
consumer, quality care and cost-effectiveness, system management, service coordination and integration , specialized care, and advanced communication and
information technology .
At this time, we are asking you , the people of Niagara, to let us know what you
think of this future vision - in particular, we want to know what parts of it you like
or don't like. Your input is very valuable to us and will form the basis for any final
changes to the draft vision.
We hope that you will use this opportunity to review our display boards, have your
questions answered by our resource staff and volunteers (people wearing blue name
tags), and leave us with your comments and ideas regarding the draft vision on the
comment form provided. For your convenience, we also have available a handout
which includes answers to commonly-asked questions .
In closing, I would like to encourage you to review the information we have
provided and share your views regarding the draft vision with us . Our staff and
volunteers would be happy to answer your questions.

â€¢

THANK YOU!

�1Â·

1

â€¢

DRAFT VISION STATE1"1ENT FOR THE FUTURE OF
NIAGARA'S HEALTH SYSTEM
Commonly-Asked Questions

1.

How were the volunteers who par1icipatecl in the development of the draft
vision selected?
These volunteers were selected by the District Health Council's Community
Visioning Steering Committee. Their selection criteria included health (e.g.,
hospitals, public health, physicians) and non-health (e.g., education, business,
social services) representation, urban-rural mix and geography. Primary
consideration, however, was given to whether or not they were considered to
be a Â· community/change leader (i.e., believed that Niagara's health care
system required change).
Volunteers were not selected to represent a particular sector or geographic
area, but instead were there to reflect a "regional" perspective. Special
attention was paid to ensuring a balance of health and non-health people.

â€¢

2.

Is this vision carved in stone? How much influence will the residents of
Niagara have on the content of the final vision statement?
'

1st Question - No, it is only draft at this time. It will not be finalized until we
have completed our consultation with the people of Niagara and received their
feedback . Consultation activities include a newspaper insert and questionnaire
that was distributed to 155 ,000 homes across Niagara and the five community
open-houses.
2nd Question - A lot. In order that this vision represent a shared vision for
Niagara, support for the vision and its contents by the residents of Niagara
(both providers and consumers) is critical. The Health Council's Community
Visioning Steering Committee is committed to revising the content of the
vision based on the feedback they receive.

3.

â€¢

The vision is very general and appears to lack specifics. For example, it
is not clear what structure the single management organization would
take.
This is intentional. A vision is designed to provide a general framework for
future change and aspirations, not provide the specifics regarding how it will
be implemented. It will be the collective task of the consumers and providers
of the Niagara regiqn to work through the specifics of the how the vision will

�'\

2
become reality by identifying implementation strategies
appropriately address the needs of the Niagara community.

which

most

We encourage you to share your ideas for how you would make this vision
a reality.

4.

When will the final vision be completed?
The anticipated completion date is April 1996. Before the final v1s1on
statement can be unveiled to the public, the Steering Committee will need to
review all of the feedback received through the newspaper insert
questionnaire, and the community open-houses and make final changes to the
vision statement.

5.

How will you make sure that the views of all residents of Niagara are
heard?
Given limited funding, we have not been able to undertake as extensive a
public consultation as we would have liked (e.g., 1-800 phone number,
random household telephone survey). However, we believe that our
newspaper insert and five community open-houses will inform the majority
of Niagara residents about the vision and provide them with the opportunity
Â·
to let their views be known.
We cannot make people participate in this process. They have to want to be
involved.

6.

â€¢

How will the final vision statement be used?
We see a number of uses for the vision statement.
Firstly, the vision will be used by the Niagara District Health Council to
guide their planning and decision-makjng over the next several years. In
particular, it will be used as a framework for future restructuring of Niagara's
entire health system - the first phase of implementation being hospital
restructuring.
IT IS IMPORTANT TO NOTE THAT HOSPITAL
RESTRUCTURING IS ONLY ONE COMPONENT OF A MUCH
BROADER SYSTEM'S REVIEW WHlCH INCLUDES COMMUNITY
HEALTH AND RELATED SERVICES.
Secondly, we hope that the final vision will used by other health and nonhealth groups and organizations across Niagara to guide their work as they
chart a new course for the future.
Finally, we hope it can be used as a model for other jurisdictions who are
faced with the same challenges as Niagara.

â€¢

�3

â€¢

7.

The visioning exercise appears biased toward significant change to our
health system. What if the majority of the people of Niagara don't want
change?
This exercise is biased toward significant change since we know change is
inevitable given the current realities (in particular, economic realities and
public demand for quality care). There are going to be further changes to our
local system. We can either choose to be part of the solution and drivers of
change, or let others (i.e., Queen's Park), who do not fully appreciate the
unique health needs of the Niagara community, dictate what changes will be
made.
We do not believe that the majority of people are against change since most
people are aware of the realities driving change, and the need for change, in
our health system. Doing nothing is simply not an option.

8.

Will any of Niagara's hospitals be closing as a result of the visioning
exercise?
Although the hospital sector came up in discussion many times during
development of the draft vision, this exercise was not meant to, and did not,
identify any specifics regarding future hospital composition in Niagara.

â€¢

Given the provincial government's desire to find savings from the hospital
sector to reinvest in other sectors of the system, it is expected that there will
be fewer hospitals, as we know them, in Niagara's future health system.
Nothing, however, has been decided at this point. Details regarding this issue
will be studied this year as part of the District Health Council's Hospital
Restructuring Study. This study is expected to commence in March 1996.

9.

How does the Council's Community Visioning Exercise differ from the
Hospital Restructuring Study?
These two initiatives represent separate components of a larger, more
comprehensive project of the District Health Council. In April 1995, the
Health Council embarked on a "Visioning and Restructuring Project for
Niagara". This project is comprised of the following three components:

â€¢

0

Community Education - As part of an on-going public education
strategy, Council co-hosted a 3-part HEALTH MATTERS speakers
series with Brock University in April and May of 1995 as a way of
informing the public about the need for change in our local health care
system.

o

Community Visioning - Next the Council engaged in a 6-month (Sept.March 1995) community visioning exercise designed to set-out a future

�.
4
course for Niagara ' s health system into the next century. This vision
is intended to serve as the framework for future change.
o

Health System Reform - The final vision will be used to guide reform
of Niagara's health care system over the next several years. Council's
Hospital Restructuring Study will represent the first phase of
implementation of a much broader and much more comprehensive
system review which will occur over the next two or three years (and
beyond !) .

â€¢

The vision is meant to map out a course for the future of Niagara's entire
health system, with hospital restrncturing being only one component of the
implementation of this vision.

..

'

The Niagara Districr Health Council was formed in 1975 and is a local voice for
health planning. The role of the Health Council is ro provide advice directly to the
Ontario Minister &lt;?/' Health regarding the health and healrh care needs of the
residents &lt;?f Niagara.

â€¢

â€¢

�</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </file>
  </fileContainer>
  <collection collectionId="11">
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="41210">
                <text>Louis McDermott Collection  </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="41211">
                <text>Local history, Fort Erie and surrounding area. </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="41212">
                <text>A collection of historical documents, photos, news clippings, letters, and writings, assembled by local historian, Louis McDermott,  and donated to the Fort Erie Public Library.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="41213">
                <text>Louis McDermott</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="41214">
                <text>FEPL-LH -Louis McDermott</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="41215">
                <text>English</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="38">
            <name>Coverage</name>
            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
            <elementTextContainer>
              <elementText elementTextId="41216">
                <text>Included in this collection are writings, historical documents, news clippings, images, maps, and more. They were written and compiled by Louis McDermott into a series of binders. The digital collection has been scanned from these physical copies. </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="41223">
                <text>Fort Erie Public Library and Louis McDermott</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
  </collection>
  <itemType itemTypeId="1">
    <name>Document</name>
    <description>A resource containing textual data.  Note that facsimiles or images of texts are still of the genre text.</description>
  </itemType>
  <elementSetContainer>
    <elementSet elementSetId="1">
      <name>Dublin Core</name>
      <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
      <elementContainer>
        <element elementId="50">
          <name>Title</name>
          <description>A name given to the resource</description>
          <elementTextContainer>
            <elementText elementTextId="30775">
              <text>Draft Vision for the Future of Niagara Health: Community Open House</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="41">
          <name>Description</name>
          <description>An account of the resource</description>
          <elementTextContainer>
            <elementText elementTextId="30776">
              <text>Listed here is a copy of a vision draft used to field public questions regarding Niagara's health system reform. It includes a Q/A that helped air out lingering questions regarding the direction the region was to take in terms of healthcare. </text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="48">
          <name>Source</name>
          <description>A related resource from which the described resource is derived</description>
          <elementTextContainer>
            <elementText elementTextId="30777">
              <text>Louis McDermott Collection </text>
            </elementText>
          </elementTextContainer>
        </element>
      </elementContainer>
    </elementSet>
  </elementSetContainer>
  <tagContainer>
    <tag tagId="430">
      <name>1900s</name>
    </tag>
    <tag tagId="1">
      <name>Fort Erie</name>
    </tag>
    <tag tagId="3186">
      <name>Louis Mcdermott Collection</name>
    </tag>
    <tag tagId="2996">
      <name>niagara health system</name>
    </tag>
  </tagContainer>
</item>
