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90+ hospital employees see their jobs disappear as Nova Scotia Health outsources its health records management services

Nan McFadgen, president of Nova Scotia CUPE. Photo Robert Devet

This article was updated on December 22 to reflect the response by Nova Scotia Health.

KJIPUKTUK (Halifax) –  91 well-paying union jobs, many in rural Nova Scotia, will disappear when the Nova Scotia Health Authority farms out its health records management to US-owned Iron Mountain.

The 91 workers whose jobs will disappear currently work in Health Information Services, scanning and archiving medical records. They are members of the NSGEU and CUPE. Eighty-four of the workers affected are women, a press release issued by the two unions states.

CUPE Nova Scotia President Nan McFadgen is concerned how this will impact the already depressed economy in rural Nova Scotia, now stressed even further because of the pandemic. 

51 CUPE members are seeing their jobs disappear. 14 of those are in New Glasgow, 17 in the Cape Breton Regional Municipality, 14 in New Glasgow, and others are throughout non-urban Nova Scotia, McFadgen says. 

“There will be some jobs with Iron Mountain, but I don’t know anybody who lives in rural Nova Scotia making $22 an hour who’s going to pick up and move to the city, where there’s no affordable housing, no sensible childcare, and where the cost of living is through the roof,” says McFadgen.

“The collective agreement provides opportunities to move into other jobs, and some will take early retirement. But the bottom line is that this work is no longer in the rural communities,” McFadgen says.

“There is already so much anxiety among our health care workers, or ‘our heroes’ as McNeil likes to call them. This amounts to just further erosion of the public service as we have seen all along under the McNeil Liberals,” she says.

Nova Scotia Health disputes that decision has been made

Nova Scotia Health says that the alarm raised by the two unions is premature.

“In an effort to continuously improve timely access to quality health information required for the delivery of the best patient care, we have been exploring leveraging an existing partnership with a company, with a local office, that specializes in managing patient health records and documentation, to manage this service on our behalf,” writes Carla Adams, a Nova Scotia Health spokesperson.

“Should the decision be made to proceed after the holiday season, this would mean changes for some of our employees; however, our goal would be to find equivalent or like positions within the organization,” the email states.  “It is expected that any reduction in the number of employee positions would be achieved through vacancies and normal attrition.”

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McFadgen is not impressed.

“The workers were told that the decision is made. They weren’t told that the decision is pending. The decision about what happens to these workers may be pending, but they’re done with this work,” McFadgen says. “The department may find other employment for the workers, but the records management jobs are gone.”

“We stand by what we said. They told us the decision has been made. Now, is it possible that the Department of Health might circle back and change how they do things? Who would really know? But what I’m telling you is accurate,” says McFadgen.

Unions raises doubts about outsourcing business case, tendering process

A formal response by CUPE and the NSGEU raises doubts about the money Nova Scotia Health believes it will save.

It also asks why Nova Scotia Health chose to use alternative procurement and directly went to Iron Mountain, bypassing the regular tendering process, where companies put in their bid and the best one wins. 

In this case the conditions for an alternative procurement aren’t met, the report argues, since there is at least one other company that could do the work, and the work being farmed out is very different from current services provided by Iron Mountain.

“Once you enter an agreement that requires you to rely upon only one vendor to maintain or deliver any future related services, you have become a captive market,” the report warns.

The report also suggests that entrusting personal health information with an American company is something that requires consultation with the public.

“Do we really want our medical records in the hands of a private American company? Why are we doing that,” McFadgen asks.

Read the full response from Nova Scotia Health here.

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  1. Seems like Macneil and the NS Liberal Party are selling us off little by little to the United States. Millions spent to fix up their ferry terminal not to mention their ferry and now sending more tax dollars to them to look after our health records. Why not just cede the whole province over to the U.S. we could take Maine’s place as the have nothing and have not state .

  2. Wow …after this past year …and dealing with the US,why the hell would the US company be given this ? We have to realize that Canada needs to be self sufficient and not depend on other countries for our needs PLUS why put canadians out of their jobs .doesnt make sense.

  3. I am appalled by such a stupid and heartless decision. Just business as usual in merry old Nova Scotia. The moment we have a new premiere, this deal should be dissolved and the jobs returned to Nova Scotia.

  4. Our health records going to a foreign country that is the stupid thing ever but seeing 👀 it is from the liberal party doesn’t surprise me, farewell to nova scotia

  5. The thing I wonder is…if I go to my emergency department one day and they do a load of tests, labs, x-rays etc., and then release me, my health chart is going to go somewhere else offsite because we will no longer have our local health records. So if I go back to Emerg two days later for the same issue how do they get my chart with the previous tests? It will not yet be scanned into the system therefore unavailable, I might even see a different doctor, so am I now going to be exposed to duplicate test and procedures? What if I need my chart in an emergency and it’s on a truck going god knows where and days till it’s scanned?

  6. How much is the corporation going to charge patients to see their reports? How much will they charge NSHA for every bit of data stored or retrieved? Will the US government have access and share it with police, military and border guards? Why would any Canadian province sell their citizens data to a foreign business and government and why is the Canadian government allowing this?

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