Alberta
Second presumptive COVID-19 case reported in Alberta
Alberta’s chief medical officer of health has confirmed the province’s second presumptive case of novel coronavirus, officially known as COVID-19.
The individual is a male in his forties who lives in the Edmonton zone. The case is travel-related and he is recovering in isolation at home with support from public health officials.
“While I know some Albertans may be concerned by a second case, this is not unexpected. The risk to Albertans is still considered low. We have already isolated this individual and are taking swift action to implement immediate precautions to prevent the infection from spreading.”
“I have full confidence that our front-line health-care workers are ready and able to handle this challenge. Thanks to Alberta’s focused preparations, this case has been quickly identified and all the immediate first steps required to protect the public and our front-line health-care staff are being taken.”
The affected individual recently returned from travel in the United States. He had visited Michigan, Illinois, and Ohio, before returning to Alberta on Feb 28. He is currently in isolation at home.
The case was detected on March 6. Health officials are currently identifying close contacts of this individual and will be asking them to self-isolate at home, away from the public. They will be closely monitored by public health officials. If they do develop symptoms, health officials will coordinate getting them into care immediately while ensuring that the public and health-care workers are not exposed.
Effective immediately, Alberta will be expanding its testing protocols. All travellers returning from outside of Canada are advised to monitor their symptoms. If they experience flu-related symptoms, such as a fever or a cough, they should self-isolate and call Health Link at 811 to arrange followup testing. Returning travellers should not visit emergency departments or urgent care centres for testing. Calling 811 is the best way to get quick assessment and testing.
This applies only to returning travellers who are symptomatic with fever, or cough.
The risk of exposure is still considered low in Alberta, however this may change over the coming weeks, and if it does, we will communicate this to Albertans.
Alberta Health and Alberta Health Services will continue to closely monitor the situation, conduct surveillance and appropriate laboratory testing, and provide public health and infection control guidance.
Quick facts
- The most important measures that Albertans can take to prevent respiratory illnesses, including COVID-19, is to practise good hygiene.
- This includes cleaning your hands regularly, avoiding touching your face, coughing or sneezing into your elbow or sleeve, disposing of tissues appropriately, and staying home and away from others if you are sick.
- Anyone who has health concerns or is experiencing symptoms of COVID-19 should contact Health Link 811 to see if followup testing is required.
- For recommendations on protecting yourself and your community, visit alberta.ca/COVID19.
From the Fraser Institute
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
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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