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Alberta

Junior and Senior High Students at home for 2 weeks in Red Deer and other large Alberta Cities

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Targeted regional measures to bend the curve

New mandatory measures will address growing COVID-19 cases in hot spot communities across Alberta.

Targeted restrictions will apply to municipalities or regions where there are at least 350 cases per 100,000 people and 250 currently active cases.

New measures will apply to junior and senior high schools, and sports and fitness activities in these communities.

These targeted restrictions will remain in place for at least two weeks for any community or area that reaches this trigger. After 14 days, the enhanced measures will be lifted once the municipality falls back below the threshold.

Expanded public health measures

The following mandatory public health measures will come into effect for hot spot municipalities and regions:

Schools – Starting May 3

  • While schools remain a safe place and are not a main driver of community spread, in order to limit in-person interactions, all junior and senior high school students (Grades 7 and above) will shift to online learning.
  • K-6 students will continue in-classroom learning unless otherwise approved by Alberta Education to shift to online-learning.

Indoor fitness – effective April 30

  • All indoor fitness activities are prohibited. This includes:
    • all group physical activities, such as team sports, fitness classes and  training sessions
    • all one-on-one lessons and training activities
    • all practices, training and games
  • Outdoor fitness activities may continue under provincewide restrictions currently in place, including individual or household one-on-one training with a trainer.

Indoor sport and recreation – effective April 30

  • All youth and adult indoor group physical activities, including team sports and one-on-one training sessions, are prohibited.
  • Outdoor sport and recreation activities may continue under provincewide restrictions currently in place:
    • Outdoor team sports where two-metre distancing cannot be maintained at all times (such as basketball, volleyball, soccer, football, slo-pitch and road hockey) remain prohibited.
    • Outdoor fitness training is allowed, as are physically distanced group fitness classes with a maximum of 10 participants.
    • Outdoor group physical activity with different households must be limited to 10 people or fewer and two-metre distancing must be maintained at all times.
  • All indoor recreation facilities must close. Outdoor recreation amenities can be open to public access unless specifically closed by public health order.

Curfew

The government will implement a curfew where case rates are significantly high, specifically case rates above 1,000 per 100,000, and if a municipality or region requests it. Details will be announced prior to any curfew being implemented.

All other current public health restrictions, including masking, physical distancing, prohibitions on social gatherings and working from home requirements remain in place provincewide.

Alberta’s government is responding to the COVID-19 pandemic by protecting lives and livelihoods with precise measures to bend the curve, sustain small businesses and protect Alberta’s health-care system.

Quick facts

  • Current communities with a case rate above 350 per 100,000 people and at least 250 active cases:
    • Fort McMurray
    • City of Red Deer
    • City of Grande Prairie
    • City of Calgary
    • City of Airdrie
    • Strathcona County
    • City of Lethbridge
    • City of Edmonton
  • Future updates for active case rates for municipalities and a map of those under enhanced restrictions will be available at alberta.ca.
  • Moving forward, targeted restrictions will be applied to any communities or regions with a case rate above 350 per 100,000 people and 250 active cases, and remain in place for at least two weeks.
  • If, after two weeks, the case rate falls below the threshold of 350 cases per 100,000 people, these targeted measures will be removed and only current provincewide restrictions will apply.
  • If a municipality goes below the threshold measure of 350 cases per 100,000 people before the two weeks are finished, the enhanced restrictions will still apply until the two-week period is over.
  • To prevent rural areas with small populations from being unfairly impacted, municipalities with fewer than 250 active cases will be excluded from the threshold.
  • Health officials will continue to closely monitor the spread of COVID-19 to assess whether additional action is needed to reduce transmission and when these restrictions are no longer required.

     

    “We have no choice but to implement these targeted measures to slow growth and bend the curve and protect our health system over the next few weeks. These measures are layered on top of Alberta’s robust public health restrictions and will buy a little more time for our vaccination program to protect more Albertans and win the race against the variants. We must respond with a firm stand against COVID-19 now so that we can enjoy a great Alberta summer.”

    Jason Kenney, Premier

    “The highly transmissible variants of concern are a game-changer and in turn, we have to change our approach to be successful. No one person or community is to blame, but the evidence is showing that certain areas are experiencing significantly higher spread. To get cases in these municipalities under control, we must take additional action. By following these new restrictions and ramping up our vaccination program, we will be successful in winning this fight.”

    Tyler Shandro, Minister of Health

    “I know Albertans, even those who have faithfully followed the health guidance and worked to keep not only themselves but their fellow citizens safe, are tired. But if we can muster the strength to make it through these next few weeks, we will allow our vaccination program a chance to protect more Albertans, and in end, we will get COVID-19 under control in Alberta.”

    Dr. Deena Hinshaw, chief medical officer of health

 

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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