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Alberta

Schools to offer on-site vaccination, August 16 measures extended to September 27

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Health guide, tool kit and on-site vaccination ensure safe school year ahead

New health guidance will ensure students’ safety and help school officials prepare for the new school year.

The Guidance for Respiratory Illness Prevention and Management in Schools document will help schools to reduce respiratory illness and infection in schools. A back-to-school tool kitprovides information for parents and school staff on what to expect when students head to their classrooms.

Consistent with the extended timelines for easing COVID-19 measures, students and school staff should screen daily for symptoms using the Alberta Health Daily Checklist, and must isolate if they test positive or have the core COVID-19 symptoms.  A detailed 2021-22 School Year Plan contains two contingency scenarios for continuing student learning if there is a significant change in the COVID-19 situation in the fall.

To further promote a safe school year, all eligible Albertans, including students, teaching staff, parents and guardians, are strongly encouraged to get vaccinated with both doses before the school year begins.

With these measures in place and climbing vaccination rates, students and parents can look forward to in-person classes, with no restrictions on in-person learning or extracurricular activities. However, masking will be required on school buses.

“Thanks to the power of vaccines, I’m pleased that students can return to a normal school year in September. The safety of students and staff remains our number one priority, and we have a detailed plan that includes contingency scenarios for continuing student learning if there is a significant change in the COVID-19 situation. We will continue to follow the expert advice of Alberta’s chief medical officer of health and are ready to make changes if needed.”

Adriana LaGrange, Minister of Education

“Making sure Alberta’s schools are safe is one of our government’s top priorities. I am confident that this guidance will help keep students and staff safe, and our province’s children and youth can go on to thrive in the upcoming school year.”

Tyler Shandro, Minister of Health

Vaccines in schools

To increase accessibility to COVID-19 vaccines, immunizations will be available through temporary clinics in schools for students in grades 7 to 12 as well as teachers and staff. Starting on September 7 students, teachers and staff can receive whichever dose they are eligible for in school.

Parent or guardian consent for students will be required through consent forms.

Students in grades 7 to 12 do not need to wait for an in-school clinic to be vaccinated. Bookings for first and second doses are available provincewide. Albertans can book appointmentsthrough AHS online, by calling 811 or through participating pharmacies. First-dose walk-in clinics are available at multiple locations.

“Vaccines are the most important protective measure for students, teachers, parents and guardians as we prepare for back to school. I encourage parents and guardians to arrange vaccine appointments for themselves and their children as soon as possible. This will help further strengthen protection in schools and benefit all youth, whether or not they can be immunized yet.”

Dr. Deena Hinshaw, chief medical officer of health

AHS will continue to support schools to manage outbreaks of respiratory illnesses.

Alberta’s government has contingency scenarios to continue student learning if there is a significant change in the COVID-19 situation — similar to those implemented in the previous school year.

2021-22 school year plan and health guidance highlights

  • Students, families and school staff should continue to screen daily for symptoms using the Alberta Health Daily Checklist and get tested if they are symptomatic.
  • The Guidance for Respiratory Illness Prevention and Management in Schools builds on public health practices used to reduce the spread of respiratory viruses, such as COVID-19, influenza and other infections in school settings.
  • Best practices to reduce the risk of transmission of COVID-19 and other respiratory illnesses will continue, including:
    • Students and staff who have any new signs of illness should stay home and not attend school until they are feeling well.
      • If a student or staff member has any of the following core COVID-19 symptoms (new, or worsening and not related to other known causes), they are required to isolate for 10 days from onset of symptoms, or until they receive a negative COVID-19 test result, as per provincial guidelines:
        • Fever
        • Cough
        • Shortness of breath or difficulty breathing
        • Loss of sense of smell or taste
        • Sore throat (adults only)
        • Runny nose (adults only)
    • Cleaning and disinfecting high touch surfaces.
    • Promoting frequent hand hygiene and good respiratory etiquette.
    • Schools are encouraged to have a plan for students and staff who develop symptoms to wait in a separate area until they can go home.
  • Masking is not provincially required in school settings for any age group, except on school buses.
    • AHS, through a zone Medical Officer of Health or their designate, may recommend masking to manage an outbreak and prevent more widespread transmission of a respiratory illness.
    • Zone Medical Officers of Health and their designates may also recommend additional measures if a school experiences a respiratory illness outbreak including screening for symptoms and cohorting.
  • School authorities have the ability and the corresponding accountability to put in place local measures, such as physical distancing, cohorting, and masking requirements, that may exceed provincial guidance.

Quick facts

  • As of August 12, 65 per cent of 12 to 14 year olds have received one dose in Alberta and 54 per cent are fully protected with two doses.
  • As of August 12, 67 per cent of 15 to 19 year olds have been partially vaccinated in Alberta with one dose and 56 per cent are fully protected with two doses.

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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