Alberta
Wait times down. Better EMS response times. Province releases results of 90 day Health Care Action Plan
90-day HCAP update: Health care wait times dropping
Albertans are spending less time waiting for the medical care they need since the Health Care Action Plan (HCAP) was launched.
Alberta has the best front-line health care workers in the world, and Alberta’s government will work to have the right supports in place to ensure Albertans get the care they need when and where they need it. When Alberta’s HCAP was launched on Nov. 17, Alberta’s government identified four different areas on which it would work with Alberta Health Services to improve. After 90 days, Albertans are seeing improvements in all four areas.
“We are delivering on our promise to reduce wait times, add more front-line staff and keep Albertans updated on the progress we’re making. There is no one silver bullet to fixing our health care system, and change will take time. But positive change is happening, and Albertans are receiving better access to the level of care they need when and where they need it. We appointed Dr. John Cowell as official administrator to speed up improvements and make sure Albertans are getting high quality of care sooner and we are seeing some good, early results.”
Improving EMS response time
In an emergency, every minute counts and over the past three months, ambulances have been responding faster to emergency calls. Improved ambulance times means that Albertans are receiving the urgent care they need from highly skilled paramedics more quickly.
From November to the end of January, EMS response times for most urgent calls improved across the province in metro, urban, rural and remote areas. The decrease in EMS wait times across the province can be broken down to:
- 17 minutes in metro and urban areas, down from 21.8 minutes
- 19.2 minutes in communities with more than 3,000 residents, down from 21.5 minutes
- 34.9 minutes in rural communities with fewer than 3,000 residents, down from 36 minutes
- 57.5 minutes in remote communities, down from 63.9 minutes
In addition to improved EMS wait times, more ambulances have been available, meaning that red alerts, which indicate a lack of ambulance availability at a point in time, were substantially reduced in Edmonton and Calgary:
- Edmonton has seen a 92 per cent reduction in the number of alerts issued in January 2023 compared with January 2022.
- Calgary has seen a 60 per cent reduction over the same period.
The initiative to triage 911 calls to the most appropriate level of care has also played a role in ensuring paramedics are able to answer the most urgent calls. Since the program was launched in January, 1,600 callers with non-urgent conditions were transferred from 911 to Health Link registered nurses. Alberta’s government is pleased to see progress on its aim to reduce EMS wait times and will continue working to further decrease the amount of time an Albertan waits for an ambulance to arrive.
“The good news is wait times are trending in the right direction and Albertans are getting the care they need more quickly. More doctors, nurses and paramedics are available to help Albertans, and more help is on the way as Alberta continues to add front-line workers for ambulances, ERs and across the system.”
Reducing surgery wait times
Alberta’s government continues its work to reduce surgical wait times for Albertans. Part of a strong health care system is ensuring that Alberta patients are receiving their surgeries within clinically recommended times. Since November 2022, the number of patients waiting longer than the clinically recommended time has decreased by 9.4 per cent.
Alberta’s chartered surgical facilities are helping to reduce wait times and ensure Albertans are receiving the surgeries they need to improve their health and their quality of life. Nearly 7,000 more publicly funded surgeries were completed at chartered surgical facilities in January compared with November, a number that includes orthopedic and eye surgeries. As this work continues, AHS is focused on ensuring that those patients who have waited the longest for surgery are prioritized.
“I would like to thank our incredible front-line workers as well as our AHS leaders, who have worked extremely hard to identify and implement improvements to our health care system, with focus on our priority areas. We have emerged from an extremely challenging time, and I am optimistic that we will continue to see improvements that will benefit all Albertans whenever they need our care and support.”
Decreasing emergency room wait times and improving access to care
Alberta’s government is also encouraged to see that in January, more Albertans received care sooner when they visited emergency departments. Progress in lowering emergency department wait times has been seen in the two measures:
- Wait time to see a doctor in an emergency department decreased by almost 10 per cent provincially since November.
- Time spent in an emergency department for admitted patients has been reduced by about five per cent.
There is still work to be done to ensure Albertans have lower wait times in emergency rooms across the province, and Alberta’s government will continue to make policy and funding decisions to see those improvements. In January, the number of assessed patients waiting in the province’s top 14 hospitals for a continuing care space was 179, lower than the 218 patients in the 2018-2019 fiscal year, and also lower than the 253 patients waiting in November 2022. A number of changes have helped to spur progress on emergency department wait times from November to the end of January:
- AHS opened 255 new acute care beds (non-intensive care unit) across the province.
- More beds in continuing care facilities have been opened – freeing more hospital beds for urgent care: 55 new long-term care beds, 292 new designated supportive living beds and 38 new community addiction and mental health beds.
- Additionally, 36 new transition beds for people discharged from ERs in Edmonton who are experiencing homelessness will be opened this year.
Empowering health care workers to deliver health care
Alberta continues to hire more health care workers to support key areas. AHS is adding 420 more positions in emergency rooms, acute care, EMS and community care, on top of the nearly 400 front-line and support staff hired since November. If passed, Budget 2023 would provide $158 million for a new Health Workforce Strategy to make sure the province has the medical professionals needed and to improve the work environment.
Alberta is making good progress on increasing the number of highly skilled doctors, nurses, paramedics, nurse practitioners and other health allied professionals in the province:
- AHS added 800 registered nurses, licensed practical nurses and health care aides in 2022.
- Since 2019, AHS has added 5,800 front-line staff, including 1,800 registered nurses and 300 paramedics.
- AHS recruited 28 physicians to rural Alberta and added 278 more registered nurses, licensed practical nurses and health care aides since November.
- EMS added 39 front-line staff, including paramedics and emergency communications officers, over the last three months.
- 80 additional full-time paramedic positions are being recruited, and AHS is transitioning 70 current temporary full-time EMS positions to regular full-time.
- AHS is currently hiring 114 full-time nursing staff for emergency department teams to speed up EMS transfers and free up paramedics to respond to more calls.
Alberta
Passenger rail experts from across the world to inform Alberta’s Passenger Rail Master Plan
Alberta’s future runs on rails
Alberta’s government is bringing together passenger rail experts from across the world to share best practices and inform the province’s Passenger Rail Master Plan.
As Alberta experiences record growth and evolving transportation needs, passenger rail infrastructure and services will be vital for enhancing accessibility and connecting communities. To support this, Alberta’s government is developing a Passenger Rail Master Plan to build the optimal passenger rail system for the province.
As part of the development of the plan, Alberta’s government is hosting a one-day forum to provide an opportunity for Alberta communities, industry and experts to collaborate and share information on passenger rail opportunities and challenges. The forum includes experts from Ontario, Quebec, California, Italy, Spain and Japan who are involved in passenger rail procurement, governance and operations. The sessions will allow for the sharing of best practices and lessons learned on passenger rail planning and development.
“Alberta was built by innovators and visionaries who saw potential in our province and its people. They believed that if you could dream it, you could achieve it. We believe there is opportunity and demand for passenger rail services in Alberta. Today’s forum marks an important step forward in the development of our Passenger Rail Master Plan and in achieving our vision for passenger rail.”
In line with the province’s commitment to engaging Albertans throughout the development of the Passenger Rail Master Plan, a survey has been launched to seek public input on passenger rail. Albertans are invited to complete the online survey by Dec. 20 to help shape the future of passenger rail in Alberta. There will be additional opportunities for Albertans to have their say on passenger rail in the future, including regional open houses which will be held in early 2025.
“Feedback from Albertans, Alberta municipalities, Indigenous communities and industry will be critically important to developing passenger rail services in Alberta. I encourage all Albertans to complete the online survey to help inform a shared vision for passenger rail to enhance accessibility, efficiency, and connectivity across the province.”
In April 2024, Alberta’s government shared its vision for passenger rail and announced the development of the Passenger Rail Master Plan for Alberta. The province’s vision is for an Alberta passenger rail system that includes public, private or hybrid passenger rail, including:
- a commuter rail system for the Calgary area that connects surrounding communities and the Calgary International Airport to downtown
- a commuter rail system for the Edmonton area that connects surrounding communities and the Edmonton International Airport to downtown
- passenger rail that runs between Calgary and Edmonton and the Rocky Mountain parks
- a regional rail line between Calgary and Edmonton, with a local transit hub in Red Deer
- municipal-led LRT systems in Calgary and Edmonton that integrate with the provincial passenger rail system
- rail hubs serving the major cities that would provide linkages between a commuter rail system, regional rail routes and municipal-led mass transit systems
The vision includes a province-led “Metrolinx-like” Crown corporation with a mandate to develop the infrastructure and oversee daily operations, fare collection/booking systems, system maintenance, and planning for future system expansion.
Quick facts
- The Passenger Rail Survey will be open until Dec. 20.
- Alberta’s Passenger Rail Master Plan is expected to be completed by summer 2025 and will include:
- a comprehensive feasibility assessment
- financial and delivery model options
- governance and operations recommendations
- a 15-year delivery plan
- public engagement
Related information
Alberta
REPORT: Alberta municipalities hit with $37 million carbon tax tab in 2023
Grande Prairie. Getty Images photo
From the Canadian Energy Centre
Federal cash grab driving costs for local governments, driving up property taxes
New data shows the painful economic impact of the federal carbon tax on municipalities.
Municipalities in Alberta paid out more than $37 million in federal carbon taxes in 2023, based on a recent survey commissioned by Alberta Municipal Affairs, with data provided to the Canadian Energy Centre.
About $760,000 of that came from the City of Grande Prairie. In a statement, Mayor Jackie Clayton said “if the carbon tax were removed, City property taxes could be reduced by 0.6 per cent, providing direct financial relief to residents and businesses in Grande Prairie.”
Conducted in October, the survey asked municipal districts, towns and cities in Alberta to disclose the amount of carbon tax paid out for the heating and electrifying of municipal assets and fuel for fleet vehicles.
With these funds, Alberta municipalities could have hired 7,789 high school students at $15 per hour last year with the amount paid to Ottawa.
The cost on municipalities includes:
Lloydminster: $422,248
Calgary: $1,230,300 (estimate)
Medicine Hat: $876,237
Lethbridge: $1,398,000 (estimate)
Grande Prairie: $757,562
Crowsnest Pass: $71,100
Red Deer: $1,495,945
Bonnyville: $19,484
Hinton: $66,829
Several municipalities also noted substantial indirect costs from the carbon tax, including higher rates from vendors that serve the municipality – like gravel truck drivers and road repair providers – passing increased fuel prices onto local governments.
The rising price for materials and goods like traffic lights, steel, lumber and cement, due to higher transportation costs are also hitting the bottom line for local governments.
The City of Grande Prairie paid out $89 million in goods and services in 2023, and the indirect costs of the carbon tax “have had an inflationary impact on those expenses” in addition to the direct costs of the tax.
In her press conference announcing Alberta’s challenge to the federal carbon tax on Oct. 29, 2024, Premier Danielle Smith addressed the pressures the carbon tax places on municipal bottom lines.
“In 2023 alone, the City of Calgary could have hired an additional 112 police officers or firefighters for the amount they sent to Ottawa for the carbon tax,” she said.
In a statement issued on Oct. 7, 2024, Ontario Conservative MP Ryan Williams, shadow minister for international trade, said this issue is nationwide.
“In Belleville, Ontario, the impact of the carbon tax is particularly notable. The city faces an extra $410,000 annually in costs – a burden that directly translates to an increase of 0.37 per cent on residents’ property tax bills.”
There is no rebate yet provided on retail carbon pricing for towns, cities and counties.
In October, the council in Belleville passed a motion asking the federal government to return in full all carbon taxes paid by municipalities in Canada.
The unaltered reproduction of this content is free of charge with attribution to the Canadian Energy Centre.
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