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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.

This is a news release from the Government of Alberta.

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Alberta

Alberta mother accuses health agency of trying to vaccinate son against her wishes

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From LifeSiteNews

By Clare Marie Merkowsky

 

Alberta Health Services has been accused of attempting to vaccinate a child in school against his parent’s wishes.  

On November 6, Alberta Health Services staffers visited Edmonton Hardisty School where they reportedly attempted to vaccinate a grade 6 student despite his parents signing a form stating that they did not wish for him to receive the vaccines.  

 

“It is clear they do not prioritize parental rights, and in not doing so, they traumatize students,” the boy’s mother Kerri Findling told the Counter Signal. 

During the school visit, AHS planned to vaccinate sixth graders with the HPV and hepatitis B vaccines. Notably, both HPV and hepatitis B are vaccines given to prevent diseases normally transmitted sexually.  

Among the chief concerns about the HPV vaccine has been the high number of adverse reactions reported after taking it, including a case where a 16 year-old Australian girl was made infertile due to the vaccine.  

Additionally, in 2008, the U.S. Food and Drug Administration received reports of 28 deaths associated with the HPV vaccine. Among the 6,723 adverse reactions reported that year, 142 were deemed life-threatening and 1,061 were considered serious.   

Children whose parents had written “refused” on their forms were supposed to return to the classroom when the rest of the class was called into the vaccination area.  

However, in this case, Findling alleged that AHS staffers told her son to proceed to the vaccination area, despite seeing that she had written “refused” on his form. 

When the boy asked if he could return to the classroom, as he was certain his parents did not intend for him to receive the shots, the staff reportedly said “no.” However, he chose to return to the classroom anyway.    

Following his parents’ arrival at the school, AHS claimed the incident was a misunderstanding due to a “new hire,” attesting that the mistake would have been caught before their son was vaccinated.   

“If a student leaves the vaccination center without receiving the vaccine, it should be up to the parents to get the vaccine at a different time, if they so desire, not the school to enforce vaccination on behalf of AHS,” Findling declared.  

Findling’s story comes just a few months after Alberta Premier Danielle Smith promised a new Bill of Rights affirming “God-given” parental authority over children. 

A draft version of a forthcoming Alberta Bill of Rights provided to LifeSiteNews includes a provision beefing up parental rights, declaring the “freedom of parents to make informed decisions concerning the health, education, welfare and upbringing of their children.” 

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Alberta

Alberta’s fiscal update projects budget surplus, but fiscal fortunes could quickly turn

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From the Fraser Institute

By Tegan Hill

According to the recent mid-year update tabled Thursday, the Smith government projects a $4.6 billion surplus in 2024/25, up from the $2.9 billion surplus projected just a few months ago. Despite the good news, Premier Smith must reduce spending to avoid budget deficits.

The fiscal update projects resource revenue of $20.3 billion in 2024/25. Today’s relatively high—but very volatile—resource revenue (including oil and gas royalties) is helping finance today’s spending and maintain a balanced budget. But it will not last forever.

For perspective, in just the last decade the Alberta government’s annual resource revenue has been as low as $2.8 billion (2015/16) and as high as $25.2 billion (2022/23).

And while the resource revenue rollercoaster is currently in Alberta’s favor, Finance Minister Nate Horner acknowledges that “risks are on the rise” as oil prices have dropped considerably and forecasters are projecting downward pressure on prices—all of which impacts resource revenue.

In fact, the government’s own estimates show a $1 change in oil prices results in an estimated $630 million revenue swing. So while the Smith government plans to maintain a surplus in 2024/25, a small change in oil prices could quickly plunge Alberta back into deficit. Premier Smith has warned that her government may fall into a budget deficit this fiscal year.

This should come as no surprise. Alberta’s been on the resource revenue rollercoaster for decades. Successive governments have increased spending during the good times of high resource revenue, but failed to rein in spending when resource revenues fell.

Previous research has shown that, in Alberta, a $1 increase in resource revenue is associated with an estimated 56-cent increase in program spending the following fiscal year (on a per-person, inflation-adjusted basis). However, a decline in resource revenue is not similarly associated with a reduction in program spending. This pattern has led to historically high levels of government spending—and budget deficits—even in more recent years.

Consider this: If this fiscal year the Smith government received an average level of resource revenue (based on levels over the last 10 years), it would receive approximately $13,000 per Albertan. Yet the government plans to spend nearly $15,000 per Albertan this fiscal year (after adjusting for inflation). That’s a huge gap of roughly $2,000—and it means the government is continuing to take big risks with the provincial budget.

Of course, if the government falls back into deficit there are implications for everyday Albertans.

When the government runs a deficit, it accumulates debt, which Albertans must pay to service. In 2024/25, the government’s debt interest payments will cost each Albertan nearly $650. That’s largely because, despite running surpluses over the last few years, Albertans are still paying for debt accumulated during the most recent string of deficits from 2008/09 to 2020/21 (excluding 2014/15), which only ended when the government enjoyed an unexpected windfall in resource revenue in 2021/22.

According to Thursday’s mid-year fiscal update, Alberta’s finances continue to be at risk. To avoid deficits, the Smith government should meaningfully reduce spending so that it’s aligned with more reliable, stable levels of revenue.

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