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Alberta

Health Minister Adriana LaGrange charged with extensive to do list

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Minister of Health mandate letter

Premier Danielle Smith has issued a mandate letter to Minister of Health Adriana LaGrange calling on her to ensure Albertans have improved access to world-class health care.

In her letter, the Premier outlines her expectations that Alberta fosters an environment within AHS and the entire health community that welcomes innovation and incentivizes the best patient care within the pillars of the Canada Health Act so that no Albertan will ever have to pay out-of-pocket to see their doctor or receive a needed medical treatment. The Premier asks Minister LaGrange to deliver on platform commitments including:

  • Investing $6 million to add five more conditions to the Alberta Newborn Screening Program: congenital cytomegalovirus, argininosuccinic aciduria, guanidinoacetate methyltransferase deficiency, mucopolysaccharidosis type 1, and 3-hydroxy-3-methylglutaryl-CoA lyase.
  • Adding more obstetrics doctors for communities in need, including Lethbridge and Fort McMurray.
  • Investing approximately $10 million to develop and implement a province-wide midwifery  strategy.
  • Providing the Alberta Women’s Health Foundation Legacy Grant – a one-time $10-million investment to support women-focused research, advocacy, and care.

The Premier also tasks Minister LaGrange with:

  • Resolving the unacceptable lab services delay challenge so that lab service access is timely across all areas of the province.
  • Continuing to improve emergency medical services response times, decrease surgical backlogs, and cut emergency room wait times.
  • Continuing to implement the recommendations from the Alberta EMS Provincial Advisory Committee and the PricewaterhouseCoopers EMS Dispatch Review to ensure EMS dispatch is being conducted in a way that provides the highest levels of service to Albertans in every part of the province, with special consideration for addressing local resources, challenges and concerns.
  • Supporting primary care as the foundation of our health care system by assessing alternative models of care and leveraging all health care professionals. This includes continuing the work of the Modernizing Alberta’s Primary Health Care System initiative, assessing alternative compensation models for family physicians and nurse practitioners, improving the management of chronic disease, and increasing the number of Albertans attached to a medical home.
  • Providing better care to seniors by implementing recommendations from the Facility-Based Continuing Care Review and the Advancing Palliative and End-of-life Care in Alberta report. This includes ongoing work to add continuing care congregate spaces and to help seniors stay in their homes longer with additional supports and appropriate home care.
  • Developing a series of reforms to the health care system that enhance local decision-making authority, improve health care services for all Albertans, and create a more collaborative working environment for our health care workers by incentivizing regional innovation and increasing our ability to attract and retain the health care workers we need.
  • Working to address rural health challenges such as access to health care professionals.
  • Working with municipalities, post-secondary institutions, doctors, and allied health providers to identify strategies to attract and retain health care workers to rural Alberta.
  • Collaborating with the Minister of Technology and Innovation to perform an independent review of the effectiveness of the information technology systems used throughout Alberta’s health system and provide recommendations on how to strengthen Alberta’s health-care system through the use of technology.
  • Working with the Minister of Advanced Education, who is the lead, to develop streamlined automated credentialing for front-line health care workers, doctors, nurses, and paramedics.
  • Addressing health care staffing challenges, particularly in rural areas, by:
    • Improving health workforce planning.
    • Evaluating retention policies.
    • Leveraging the scope of allied health professionals.
    • Working with the Minister of Immigration and Multiculturalism, who is lead, to streamline immigration and certification processes.
    • Increasing the number of training seats for health care professionals in Alberta.
    • Fully implementing the recently negotiated Alberta Medical Association agreement.
  • Working closely with the Minister of Mental Health and Addiction, who is the lead, to ensure that recovery from mental health and addiction and increasing the recovery capital of Albertans is a guiding policy in modernizing Alberta’s primary health care system.
  • Working with the Minister of Technology and Innovation, who is lead, to explore the feasibility of creating an Alberta health spending account to support improved health outcomes for Albertans.
  • Working with the Minister of Justice, who is the lead, to assess the proposed federal medical assistance in dying legislation amendments that would include those with mental health conditions and recommend Alberta’s regulation of the profession regarding this proposed legislation.
  • Designing a health ministry-specific job-attraction strategy that raises awareness for young Albertans (aged 16 to 24) and adults changing careers about the skilled trades and professions available in each economic sector, including pathways for education, apprenticeship, and training.

“Health care touches the lives of every Albertan. I look forward to working with our partners in health care delivery towards new and innovative solutions to address the commitments in my mandate letter. I truly believe by working together with our healthcare professionals to find solutions, we can ensure Alberta will have the best health care system in the country and indeed the world.”

Adriana LaGrange, Minister of Health

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.

* * *

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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Alberta

Medical regulator stops short of revoking license of Alberta doctor skeptic of COVID vaccine

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From LifeSiteNews

By Anthony Murdoch

The Democracy Fund has announced that COVID-skeptic Dr. Roger Hodkinson will retain his medical license after a successful appeal against allegations of ‘unprofessional conduct’ by the College of Physicians and Surgeons of Alberta.

A doctor who called for officials to be jailed for being complicit in the “big kill” caused by COVID measures will get to keep his medical license thanks to a ruling by a Canadian medical regulator.

The Democracy Fund (TDF) announced in an April 4 press release that one of its clients, Dr. Roger Hodkinson, will retain his medical license after filing an appeal with the College of Physicians and Surgeons of Alberta (CPSA) over allegations of “unprofessional conduct regarding 17 public statements made in November 2020 and April 2021.”

Hodkinson had routinely argued against the dictates of public health and elected officials and “presented an alternative perspective on COVID-19, including the efficacy of masking and vaccines,” TDF noted.

In 2021, Hodkinson and Dr. Dennis Modry publicly blasted the then-provincial government of Alberta under Premier Jason Kenney for “intimidating” people “into compliance” with COVID-19 lockdowns.

In 2022, Hodkinson said that leaders in Canada and throughout the world have perpetrated the “biggest kill ever in medicine’s history” by coercing people into taking the experimental COVID injections and subjecting them to lengthy lockdowns.

These statements, among others, led the CPSA to claim that Hodkinson had promoted inaccurate or misleading information. “However, following negotiations with lawyers for The Democracy Fund, the CPSA limited its claims to arguing that Dr. Hodkinson’s comments violated the ethical code and extended beyond the scope of a general pathologist.”

Thus, Hodkinson did not “concede that any of his statements were false,” but “acknowledged that his criticisms of other physicians technically breached the Code of Ethics and Professionalism,” the group explained. “He also admitted that he should have clarified that his views were outside the scope of a general pathologist.”

Instead of having his license revoked, TDF stated that Dr. Hodkinson received a “caution” and will have to “complete an online course on influence and advocacy.”

“However, he did not concede that any of his statements were misinformation, nor did the tribunal make such a determination,” noted lawyer Alan Honner.

Some of Hodkinson’s warnings seem to have been vindicated by the current Alberta government under Premier Danielle Smith, who commissioned Dr. Gary Davidson to investigate the previous administration’s handling of COVID-19.

Davidson’s report, which was made public earlier this year, recommended the immediately halt of the experimental jabs for healthy children and teenagers, citing the risks the shots pose.

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