Alberta
Pharmacist-led clinics improve access to health care: Lessons from Alberta
News release from the Montreal Economic Institute
In Canada, 35 per cent of avoidable emergency room visits could be handled by pharmacists.
Emulating Alberta’s pharmacist-led clinic model could enhance access to primary care and help avoid unnecessary emergency room visits, according to a new study from the Montreal Economic Institute.
“Pharmacists know medication better than anyone else in our health systems,” explains Krystle Wittevrongel, senior public policy analyst and Alberta project lead at the MEI. “By unlocking their full potential in prescribing and substituting medications, Alberta’s pharmacist-led clinics have helped avoid tens of thousands of unnecessary emergency room visits.”
Pharmacists in Alberta have the largest prescribing authority in the country, including the ability to prescribe schedule one drugs with special training.
Unlike in Ontario and Manitoba, Alberta pharmacists are authorized to substitute prescribed medications, which can help address issues such as adverse reactions caused by interaction with other treatments.
The study explains that this can help reduce pressure on hospitals, as prescription-related issues account for more than 10 per cent of emergency room visits.
Alberta’s first pharmacist-led clinic, in Lethbridge, sees between 14,600 and 21,900 patients per year since opening in 2022.
It is expected that there will be 103 such clinics active in the province by the end of 2024.
The researcher also links the success of the pharmacist-led clinic model in Alberta to pharmacists’ expanded scope of practice in the province.
Among other things, Alberta pharmacists are able to order and interpret lab tests, unlike their counterparts in British Columbia, Ontario, and Newfoundland and Labrador.
A 2019 peer-reviewed study found that pharmacists could handle 35 per cent of avoidable emergency room visits in Canada.
“By enabling pharmacists to play a larger role in its health system, Alberta is redirecting minor cases from emergency rooms to more appropriate facilities,” said Wittevrongel. “Just imagine how much faster things could be if pharmacists could take care of 35 per cent of the unnecessary load placed on Canada’s emergency rooms.”
The MEI study is available here.
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The MEI is an independent public policy think tank with offices in Montreal and Calgary. Through its publications, media appearances, and advisory services to policy-makers, the MEI stimulates public policy debate and reforms based on sound economics and entrepreneurship.
Alberta
Alberta government announces review of Trudeau’s euthanasia regime
From LifeSiteNews
Alberta announced it ‘is reviewing how MAID is regulated to ensure there is a consistent process as well as oversight that protects vulnerable Albertans, specifically those living with disabilities or suffering from mental health challenges.’
The Conservative provincial government of Alberta is pushing back against the Canadian federal government’s continued desire to expand euthanasia in the nation, saying it will launch a review of the legislation and policies surrounding the grim practice, including a period of public engagement.
The United Conservative Party (UCP) government under Premier Danielle Smith in a press release said the province needs to make sure that robust safeguards and procedures are in place to protect vulnerable people from being coerced into getting euthanatized under the MAiD (Medical Assistance in Dying) program.
“Alberta’s government is reviewing how MAID is regulated to ensure there is a consistent process as well as oversight that protects vulnerable Albertans, specifically those living with disabilities or suffering from mental health challenges,” said the government Monday.
The government said a online survey regarding MAiD open to all Albertans who have opinions about the deadly practice will be available until December 20.
“We recognize that medical assistance in dying is a very complex and often personal issue and is an important, sensitive and emotional matter for patients and their families,” said Alberta’s Minister of Justice and Attorney General Mickey Amery.
Amery said it is important to ensure this process has the “necessary supports to protect the most vulnerable.”
The government said that it will also be engaging with academics, medical associations, public bodies, as well as religious organizations and “regulatory bodies, advocacy groups” regarding MAiD
The government said all information gathered through this consultation will “help inform the Alberta government’s planning and policy decision making, including potential legislative changes regarding MAID in Alberta.”
When it comes to MAiD, Prime Minister Justin Trudeau’s Liberal government sought to expand it from the chronically and terminally ill to those suffering solely from mental illness.
However, in February, after pushback from pro-life, medical, and mental health groups as well as most of Canada’s provinces, the federal government delayed the mental illness expansion until 2027.
Alberta’s Minister of Mental Health and Addiction Dan Williams said that the UCP government has been “clear” that it does not “support the provision of medically assisted suicide for vulnerable Albertans facing mental illness as their primary purpose for seeking their own death.”
“Instead, our goal is to build a continuum of care where vulnerable Albertans can live in long-term health and fulfilment. We look forward to the feedback of Albertans as we proceed with this important issue,” he noted.
The Alberta government said that as MAiD is “federally legislated and regulated” it is main job will be to try and make sure that it protects “vulnerable individuals” as much as possible.
Alberta’s Minister of Health Adriana LaGrange reaffirmed that the Alberta government “does not support expanding MAID eligibility to include those facing depression or mental illness and continues to call on the federal government to end this policy altogether.”
The number of Canadians killed by lethal injection under the nation’s MAiD program since 2016 stands at close to 65,000, with an estimated 16,000 deaths in 2023 alone. Many fear that because the official statistics are manipulated the number may be even higher.
To combat Canadians being coerced into MAiD, which LifeSiteNews has covered, the combat pro-life Delta Hospice Society (DHS) is offering a free “Do Not Euthanize Defense Kit” to help vulnerable people “protect themselves” from any healthcare workers who might push euthanasia on the defenseless.
Alberta
Early Success: 33 Nurse Practitioners already working independently across Alberta
Nurse practitioners expand primary care access |
The Alberta government’s Nurse Practitioner Primary Care program is showing early signs of success, with 33 nurse practitioners already practising independently in communities across the province.
Alberta’s government is committed to strengthening Alberta’s primary health care system, recognizing that innovative approaches are essential to improving access. To further this commitment, the Nurse Practitioner Primary Care Program was launched in April, allowing nurse practitioners to practise comprehensive patient care autonomously, either by operating their own practices or working independently within existing primary care settings.
Since being announced, the program has garnered a promising response. A total of 67 applications have been submitted, with 56 approved. Of those, 33 nurse practitioners are now practising autonomously in communities throughout Alberta, including in rural locations such as Beaverlodge, Coaldale, Cold Lake, Consort, Morley, Picture Butte, Three Hills, Two Hills, Vegreville and Vermilion.
“I am thrilled about the interest in this program, as nurse practitioners are a key part of the solution to provide Albertans with greater access to the primary health care services they need.”
To participate in the program, nurse practitioners are required to commit to providing a set number of hours of medically necessary primary care services, maintain a panel size of at least 900 patients, offer after-hours access on weekends, evenings or holidays, and accept walk-in appointments until a panel size reaches 900 patients.
With 33 nurse practitioners practising independently, about 30,000 more Albertans will have access to the primary health care they need. Once the remaining 23 approved applicants begin practising, primary health care access will expand to almost 21,000 more Albertans.
“Enabling nurse practitioners to practise independently is great news for rural Alberta. This is one more way our government is ensuring communities will have access to the care they need, closer to home.”
“Nurse practitioners are highly skilled health care professionals and an invaluable part of our health care system. The Nurse Practitioner Primary Care Program is the right step to ensuring all Albertans can receive care where and when they need it.”
“The NPAA wishes to thank the Alberta government for recognizing the vital role NPs play in the health care system. Nurse practitioners have long advocated to operate their own practices and are ready to meet the growing health care needs of Albertans. This initiative will ensure that more people receive the timely and comprehensive care they deserve.”
The Nurse Practitioner Primary Care program not only expands access to primary care services across the province but also enables nurse practitioners to practise to their full scope, providing another vital access point for Albertans to receive timely, high-quality care when and where they need it most.
Quick facts
- Through the Nurse Practitioner Primary Care Program, nurse practitioners receive about 80 per cent of the compensation that fee-for-service family physicians earn for providing comprehensive primary care.
- Compensation for nurse practitioners is determined based on panel size (the number of patients under their care) and the number of patient care hours provided.
- Nurse practitioners have completed graduate studies and are regulated by the College of Registered Nurses of Alberta.
- For the second consecutive year, a record number of registrants renewed their permits with the College of Registered Nurses of Alberta (CRNA) to continue practising nursing in Alberta.
- There were more than 44,798 registrants and a 15 per cent increase in nurse practitioners.
- Data from the Nurse Practitioner Primary Care Program show:
- Nine applicants plan to work on First Nations reserves or Metis Settlements.
- Parts of the province where nurse practitioners are practising: Calgary (12), Edmonton (five), central (six), north (three) and south (seven).
- Participating nurse practitioners who practise in eligible communities for the Rural, Remote and Northern Program will be provided funding as an incentive to practise in rural or remote areas.
- Participating nurse practitioners are also eligible for the Panel Management Support Program, which helps offset costs for physicians and nurse practitioners to provide comprehensive care as their patient panels grow.
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