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Alberta

Wait times down. Better EMS response times. Province releases results of 90 day Health Care Action Plan

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90-day HCAP update: Health care wait times dropping

Albertans are spending less time waiting for the medical care they need since the Health Care Action Plan (HCAP) was launched.

Alberta has the best front-line health care workers in the world, and Alberta’s government will work to have the right supports in place to ensure Albertans get the care they need when and where they need it. When Alberta’s HCAP was launched on Nov. 17, Alberta’s government identified four different areas on which it would work with Alberta Health Services to improve. After 90 days, Albertans are seeing improvements in all four areas.

“We are delivering on our promise to reduce wait times, add more front-line staff and keep Albertans updated on the progress we’re making. There is no one silver bullet to fixing our health care system, and change will take time. But positive change is happening, and Albertans are receiving better access to the level of care they need when and where they need it. We appointed Dr. John Cowell as official administrator to speed up improvements and make sure Albertans are getting high quality of care sooner and we are seeing some good, early results.”

Danielle Smith, Premier

Improving EMS response time

In an emergency, every minute counts and over the past three months, ambulances have been responding faster to emergency calls. Improved ambulance times means that Albertans are receiving the urgent care they need from highly skilled paramedics more quickly.

From November to the end of January, EMS response times for most urgent calls improved across the province in metro, urban, rural and remote areas. The decrease in EMS wait times across the province can be broken down to:

  • 17 minutes in metro and urban areas, down from 21.8 minutes
  • 19.2 minutes in communities with more than 3,000 residents, down from 21.5 minutes
  • 34.9 minutes in rural communities with fewer than 3,000 residents, down from 36 minutes
  • 57.5 minutes in remote communities, down from 63.9 minutes

In addition to improved EMS wait times, more ambulances have been available, meaning that red alerts, which indicate a lack of ambulance availability at a point in time, were substantially reduced in Edmonton and Calgary:

  • Edmonton has seen a 92 per cent reduction in the number of alerts issued in January 2023 compared with January 2022.
  • Calgary has seen a 60 per cent reduction over the same period.

The initiative to triage 911 calls to the most appropriate level of care has also played a role in ensuring paramedics are able to answer the most urgent calls. Since the program was launched in January, 1,600 callers with non-urgent conditions were transferred from 911 to Health Link registered nurses. Alberta’s government is pleased to see progress on its aim to reduce EMS wait times and will continue working to further decrease the amount of time an Albertan waits for an ambulance to arrive.

“The good news is wait times are trending in the right direction and Albertans are getting the care they need more quickly. More doctors, nurses and paramedics are available to help Albertans, and more help is on the way as Alberta continues to add front-line workers for ambulances, ERs and across the system.”

Jason Copping, Minister of Health

Reducing surgery wait times

Alberta’s government continues its work to reduce surgical wait times for Albertans. Part of a strong health care system is ensuring that Alberta patients are receiving their surgeries within clinically recommended times. Since November 2022, the number of patients waiting longer than the clinically recommended time has decreased by 9.4 per cent.

Alberta’s chartered surgical facilities are helping to reduce wait times and ensure Albertans are receiving the surgeries they need to improve their health and their quality of life. Nearly 7,000 more publicly funded surgeries were completed at chartered surgical facilities in January compared with November, a number that includes orthopedic and eye surgeries. As this work continues, AHS is focused on ensuring that those patients who have waited the longest for surgery are prioritized.

“I would like to thank our incredible front-line workers as well as our AHS leaders, who have worked extremely hard to identify and implement improvements to our health care system, with focus on our priority areas. We have emerged from an extremely challenging time, and I am optimistic that we will continue to see improvements that will benefit all Albertans whenever they need our care and support.”

Dr. John Cowell, official administrator, Alberta Health Services

Decreasing emergency room wait times and improving access to care

Alberta’s government is also encouraged to see that in January, more Albertans received care sooner when they visited emergency departments. Progress in lowering emergency department wait times has been seen in the two measures:

  • Wait time to see a doctor in an emergency department decreased by almost 10 per cent provincially since November.
  • Time spent in an emergency department for admitted patients has been reduced by about five per cent.

There is still work to be done to ensure Albertans have lower wait times in emergency rooms across the province, and Alberta’s government will continue to make policy and funding decisions to see those improvements. In January, the number of assessed patients waiting in the province’s top 14 hospitals for a continuing care space was 179, lower than the 218 patients in the 2018-2019 fiscal year, and also lower than the 253 patients waiting in November 2022. A number of changes have helped to spur progress on emergency department wait times from November to the end of January:

  • AHS opened 255 new acute care beds (non-intensive care unit) across the province.
  • More beds in continuing care facilities have been opened – freeing more hospital beds for urgent care: 55 new long-term care beds, 292 new designated supportive living beds and 38 new community addiction and mental health beds.
  • Additionally, 36 new transition beds for people discharged from ERs in Edmonton who are experiencing homelessness will be opened this year.

Empowering health care workers to deliver health care

Alberta continues to hire more health care workers to support key areas. AHS is adding 420 more positions in emergency rooms, acute care, EMS and community care, on top of the nearly 400 front-line and support staff hired since November. If passed, Budget 2023 would provide $158 million for a new Health Workforce Strategy to make sure the province has the medical professionals needed and to improve the work environment.

Alberta is making good progress on increasing the number of highly skilled doctors, nurses, paramedics, nurse practitioners and other health allied professionals in the province:

  • AHS added 800 registered nurses, licensed practical nurses and health care aides in 2022.
  • Since 2019, AHS has added 5,800 front-line staff, including 1,800 registered nurses and 300 paramedics.
  • AHS recruited 28 physicians to rural Alberta and added 278 more registered nurses, licensed practical nurses and health care aides since November.
  • EMS added 39 front-line staff, including paramedics and emergency communications officers, over the last three months.
  • 80 additional full-time paramedic positions are being recruited, and AHS is transitioning 70 current temporary full-time EMS positions to regular full-time.
  • AHS is currently hiring 114 full-time nursing staff for emergency department teams to speed up EMS transfers and free up paramedics to respond to more calls.

2025 Federal Election

Next federal government should recognize Alberta’s important role in the federation

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From the Fraser Institute

By Tegan Hill

With the tariff war continuing and the federal election underway, Canadians should understand what the last federal government seemingly did not—a strong Alberta makes for a stronger Canada.

And yet, current federal policies disproportionately and negatively impact the province. The list includes Bill C-69 (which imposes complex, uncertain and onerous review requirements on major energy projects), Bill C-48 (which bans large oil tankers off British Columbia’s northern coast and limits access to Asian markets), an arbitrary cap on oil and gas emissions, numerous other “net-zero” targets, and so on.

Meanwhile, Albertans contribute significantly more to federal revenues and national programs than they receive back in spending on transfers and programs including the Canada Pension Plan (CPP) because Alberta has relatively high rates of employment, higher average incomes and a younger population.

For instance, since 1976 Alberta’s employment rate (the number of employed people as a share of the population 15 years of age and over) has averaged 67.4 per cent compared to 59.7 per cent in the rest of Canada, and annual market income (including employment and investment income) has exceeded that in the other provinces by $10,918 (on average).

As a result, Alberta’s total net contribution to federal finances (total federal taxes and payments paid by Albertans minus federal money spent or transferred to Albertans) was $244.6 billion from 2007 to 2022—more than five times as much as the net contribution from British Columbians or Ontarians. That’s a massive outsized contribution given Alberta’s population, which is smaller than B.C. and much smaller than Ontario.

Albertans’ net contribution to the CPP is particularly significant. From 1981 to 2022, Alberta workers contributed 14.4 per cent (on average) of total CPP payments paid to retirees in Canada while retirees in the province received only 10.0 per cent of the payments. Albertans made a cumulative net contribution to the CPP (the difference between total CPP contributions made by Albertans and CPP benefits paid to retirees in Alberta) of $53.6 billion over the period—approximately six times greater than the net contribution of B.C., the only other net contributing province to the CPP. Indeed, only two of the nine provinces that participate in the CPP contribute more in payroll taxes to the program than their residents receive back in benefits.

So what would happen if Alberta withdrew from the CPP?

For starters, the basic CPP contribution rate of 9.9 per cent (typically deducted from our paycheques) for Canadians outside Alberta (excluding Quebec) would have to increase for the program to remain sustainable. For a new standalone plan in Alberta, the rate would likely be lower, with estimates ranging from 5.85 per cent to 8.2 per cent. In other words, based on these estimates, if Alberta withdrew from the CPP, Alberta workers could receive the same retirement benefits but at a lower cost (i.e. lower payroll tax) than other Canadians while the payroll tax would have to increase for the rest of the country while the benefits remained the same.

Finally, despite any claims to the contrary, according to Statistics Canada, Alberta’s demographic advantage, which fuels its outsized contribution to the CPP, will only widen in the years ahead. Alberta will likely maintain relatively high employment rates and continue to welcome workers from across Canada and around the world. And considering Alberta recorded the highest average inflation-adjusted economic growth in Canada since 1981, with Albertans’ inflation-adjusted market income exceeding the average of the other provinces every year since 1971, Albertans will likely continue to pay an outsized portion for the CPP. Of course, the idea for Alberta to withdraw from the CPP and create its own provincial plan isn’t new. In 2001, several notable public figures, including Stephen Harper, wrote the famous Alberta “firewall” letter suggesting the province should take control of its future after being marginalized by the federal government.

The next federal government—whoever that may be—should understand Alberta’s crucial role in the federation. For a stronger Canada, especially during uncertain times, Ottawa should support a strong Alberta including its energy industry.

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Alberta

Province announces plans for nine new ‘urgent care centres’ – redirecting 200,000 hospital visits

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Expanding urgent care across Alberta

If passed, Budget 2025 includes $17 million in planning funds to support the development of urgent care facilities across the province.

As Alberta’s population grows, so does the demand for health care. In response, the government is making significant investments to ensure every Albertan has access to high-quality care close to home. Currently, more than 35 per cent of emergency department visits are for non-life-threatening conditions that could be treated at urgent care centres. By expanding these centres, Alberta’s government is enhancing the health care system and improving access to timely care.

If passed, Budget 2025 includes $15 million to support plans for eight new urgent care centres and an additional $2 million in planning funds for an integrated primary and urgent care facility in Airdrie. These investments will help redirect up to 200,000 lower-acuity emergency department visits annually, freeing up capacity for life-threatening cases, reducing wait times and improving access to care for Albertans.

 

 

“More people are choosing to call Alberta home, which is why we are taking action to build capacity across the health care system. Urgent care centres help bridge the gap between primary care and emergency departments, providing timely care for non-life-threatening conditions.”

Adriana LaGrange, Minister of Health

“Our team at Infrastructure is fully committed to leading the important task of planning these eight new urgent care facilities across the province. Investments into facilities like these help strengthen our communities by alleviating strains on emergency departments and enhance access to care. I am looking forward to the important work ahead.”

Martin Long, Minister of Infrastructure

The locations for the eight new urgent care centres were selected based on current and projected increases in demand for lower-acuity care at emergency departments. The new facilities will be in west Edmonton, south Edmonton, Westview (Stony Plain/Spruce Grove), east Calgary, Lethbridge, Medicine Hat, Cold Lake and Fort McMurray.

“Too many Albertans, especially those living in rural communities, are travelling significant distances to receive care. Advancing plans for new urgent care centres will build capacity across the health care system.”

Justin Wright, parliamentary secretary for rural health (south)

“Additional urgent care centres across Alberta will give Albertans more options for accessing the right level of care when it’s needed. This is a necessary and substantial investment that will eventually ease some of the pressures on our emergency departments.”

Dr. Chris Eagle, chief executive officer, Acute Care Alberta

The remaining $2 million will support planning for One Health Airdrie’s integrated primary and urgent care facility. The operating model, approved last fall, will see One Health Airdrie as the primary care operator, while urgent care services will be publicly funded and operated by a provider selected through a competitive process.

“Our new Airdrie facility, offering integrated primary and urgent care, will provide same-day access to approximately 30,000 primary care patients and increase urgent care capacity by around 200 per cent, benefiting the entire community and surrounding areas. We are very excited.”

Dr. Julian Kyne, physician, One Health Airdrie

Alberta’s government will continue to make smart, strategic investments in health facilities to support the delivery of publicly funded health programs and services to ensure Albertans have access to the care they need, when and where they need it.

Budget 2025 is meeting the challenge faced by Alberta with continued investments in education and health, lower taxes for families and a focus on the economy.

Quick facts

  • The $2 million in planning funds for One Health Airdrie are part of a total $24-million investment to advance planning on several health capital initiatives across the province through Budget 2025.
  • Alberta’s population is growing, and visits to emergency departments are projected to increase by 27 per cent by 2038.
  • Last year, Alberta’s government provided $8.4 million for renovations to the existing Airdrie Community Health Centre.

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