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Alberta

200 plus homeless people will find shelter in former Stony Plain Road hotel

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From the City of Edmonton

Temporary emergency shelter opens its doors

The new 24/7 temporary emergency shelter funded by the City of Edmonton and operated by Tallcree Tribal Government in partnership with Jasper Place Wellness Centre (JPWC) will open its doors today.
The shelter, located in a former hotel at 15540 Stony Plain Road in the city’s west end, will accommodate 209 individuals experiencing homelessness when fully operational. The first of 59 private rooms will open, with a phased opening of 150 congregate living spaces throughout the remainder of January and February. Until the congregate living spaces are available, the site will be referral based only.
“Every single Edmontonian deserves access to a safe and warm space and that is exactly why this City Council prioritized funding this shelter,” said Mayor Amarjeet Sohi. “We are grateful to Tallcree Tribal Government and Jasper Place Wellness Centre for working with us to provide Edmontonians with a safe place to stay during this winter as we continue to support individuals transitioning to long term solutions like permanent supportive housing.”
People accessing the shelter will have a safe, warm place to sleep, receive daily meals and have access to health services, harm reduction support, case management support and be connected with a housing support worker who will help them find longer term housing.
“Jasper Place Wellness Centre is excited to collaborate with Tallcree Tribal Government and the City of Edmonton on this important project,” said Taylor Soroka, JPWC’s co-founder and vice president of strategy. “This space will provide unhoused Edmontonians with safety, services and a pathway to permanent housing.”
“We know that many First Nation People are experiencing homelessness,” said Tallcree Tribal Government Chief Rupert Meneen. “Tallcree Tribal Government is pleased to work with Jasper Place Wellness Centre and the City of Edmonton to address this urgent need, connecting First Nation people, and others in need, to culturally appropriate interventions and services in a safe environment. By doing so, we’ll achieve better outcomes for all.”
The City of Edmonton is providing $7.5 million from the financial stabilization reserve to fund the emergency shelter.
Homeward Trust’s By Name List indicates that more than 2,750 Edmontonians are experiencing homelessness. About 1,250 of those individuals are primarily sleeping in emergency shelters or outdoors each night.
The Government of Alberta funds 622 permanent shelter spaces year round in Edmonton. For the winter months, the Government of Alberta is funding 450 additional shelter spaces for winter 2022/23 and winter 2023/24, increasing overnight shelter capacity in Edmonton to 1,072 spaces during the winter months. The additional spaces at the City-funded shelter will increase capacity to 1,281 spaces.
The City-funded shelter is expected to remain open until May 31, 2023

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Alberta

Alberta takes big step towards shorter wait times and higher quality health care

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From the Fraser Institute

By Nadeem Esmail

On Monday, the Smith government announced that beginning next year it will change the way it funds surgeries in Alberta. This is a big step towards unlocking the ability of Alberta’s health-care system to provide more, better and faster services for the same or possibly fewer dollars.

To understand the significance of this change, you must understand the consequences of the current (and outdated) approach.

Currently, the Alberta government pays a lump sum of money to hospitals each year. Consequently, hospitals perceive patients as a drain on their budgets. From the hospital’s perspective, there’s little financial incentive to serve more patients, operate more efficiently and provide superior quality services.

Consider what would happen if your local grocery store received a giant bag of money each year to feed people. The number of items would quickly decline to whatever was most convenient for the store to provide. (Have a favourite cereal? Too bad.) Store hours would become less convenient for customers, alongside a general decline in overall service. This type of grocery store, like an Alberta hospital, is actually financially better off (that is, it saves money) if you go elsewhere.

The Smith government plans to flip this entire system on its head, to the benefit of patients and taxpayers. Instead of handing out bags of money each year to providers, the new system—known as “activity-based funding”—will pay health-care providers for each patient they treat, based on the patient’s particular condition and important factors that may add complexity or cost to their care.

This turns patients from a drain on budgets into a source of additional revenue. The result, as has been demonstrated in other universal health-care systems worldwide, is more services delivered using existing health-care infrastructure, lower wait times, improved quality of care, improved access to medical technologies, and less waste.

In other words, Albertans will receive far better value from their health-care system, which is currently among the most expensive in the world. And relief can’t come soon enough—for example, last year in Alberta the median wait time for orthopedic surgeries including hip and knee replacements was 66.8 weeks.

The naysayers argue this approach will undermine the province’s universal system and hurt patients. But by allowing a spectrum of providers to compete for the delivery of quality care, Alberta will follow the lead of other more successful universal health-care systems in countries such as Australia, Germany, the Netherlands and Switzerland and create greater accountability for hospitals and other health-care providers. Taxpayers will get a much better picture of what they’re paying for and how much they pay.

Again, Alberta is not exploring an untested policy. Almost every other developed country with universal health care uses some form of “activity-based funding” for hospital and surgical care. And remember, we already spend more on health care than our counterparts in nearly all of these countries yet endure longer wait times and poorer access to services generally, in part because of how we pay for surgical care.

While the devil is always in the details, and while it’s still possible for the Alberta government to get this wrong, Monday’s announcement is a big step in the right direction. A funding model that puts patients first will get Albertans more of the high-quality health care they already pay for in a timelier fashion. And provide to other provinces an example of bold health-care reform.

Nadeem Esmail

Senior Fellow, Fraser Institute
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Alberta

Alberta’s embrace of activity-based funding is great news for patients

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From the Montreal Economic Institute

Alberta’s move to fund acute care services through activity-based funding follows best practices internationally, points out an MEI researcher following an announcement made by Premier Danielle Smith earlier today.

“For too long, the way hospitals were funded in Alberta incentivized treating fewer patients, contributing to our long wait times,” explains Krystle Wittevrongel, director of research at the MEI. “International experience has shown that, with the proper funding models in place, health systems become more efficient to the benefit of patients.”

Currently, Alberta’s hospitals are financed under a system called “global budgeting.” This involves allocating a pre-set amount of funding to pay for a specific number of services based on previous years’ budgets.

Under the government’s newly proposed funding system, hospitals receive a fixed payment for each treatment delivered.

An Economic Note published by the MEI last year showed that Quebec’s gradual adoption of activity-based funding led to higher productivity and lower costs in the province’s health system.

Notably, the province observed that the per-procedure cost of MRIs fell by four per cent as the number of procedures performed increased by 22 per cent.

In the radiology and oncology sector, it observed productivity increases of 26 per cent while procedure costs decreased by seven per cent.

“Being able to perform more surgeries, at lower costs, and within shorter timelines is exactly what Alberta’s patients need, and Premier Smith understands that,” continued Mrs. Wittevrongel. “Today’s announcement is a good first step, and we look forward to seeing a successful roll-out once appropriate funding levels per procedure are set.”

The governments expects to roll-out this new funding model for select procedures starting in 2026.

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The MEI is an independent public policy think tank with offices in Montreal, Ottawa, and Calgary. Through its publications, media appearances, and advisory services to policymakers, the MEI stimulates public policy debate and reforms based on sound economics and entrepreneurship.

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