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Alberta

Health Care Overhaul: AHS to be laser focused on Acute Care and Continuing Care outcomes

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1 year ago

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Refocusing on patient-centred care

A refocused health care system will improve health outcomes for Albertans and empower health care workers to deliver quality care across the province.

Alberta’s front-line health workers provide exceptional care to patients and families, and Alberta’s government is committed to supporting their work by providing a high-functioning health care system. Alberta’s government has been working to address wait times and health care service disruptions, but challenges still exist in the system, including accessing community care like family doctors and local health services. The current health care system’s structure limits the government’s ability to provide system-wide oversight, set system priorities, and to require accountability for those priorities on behalf of Albertans.

To overcome current challenges and deliver the right care for Albertans at the right time, Alberta is refocusing the health care system. These changes will focus on the priority sectors of primary care, acute care, continuing care and mental health and addiction to ensure Albertans receive the best care within a single, fully integrated, high-functioning system.

These changes will improve front-line service delivery, and front-line jobs will be protected during this transition. Albertans will continue to access health care services where they regularly receive their care during the system’s transition period and beyond.

“Albertans deserve access to the health care they need, when and where they need it. Health care workers move mountains for their patients every day. For too many years, Alberta’s health care system has been too complex and uncoordinated, leading to unacceptable wait times and poorer health outcomes for Albertans. It’s time to change that. It’s time to put Albertans first in every health care decision and give our front-line experts the right space to properly care for Albertans. This is why we are refocusing the health system to provide better care for generations of Albertans to come.”

Danielle Smith, Premier

“We are at a critical juncture when it comes to health care in Alberta. We need to refocus how the system is structured and create a path forward that will get us the outcomes Albertans deserve. This work will take time and it will not be easy. We will lean on the world-class talent and expertise that exists in our health care system every step of the way. I ask health care workers to join us on this important journey so they can work in a better system – for them and for their patients.”

Adriana LaGrange, Minister of Health

“Minister LaGrange has acknowledged that our health care system needs urgent reform. This work will only succeed with the involvement and leadership of physicians. The AMA looks forward to meaningful consultation and collaboration as these reforms are further elaborated.”

Dr. Paul Parks, president, Alberta Medical Association 
Alberta’s government will establish advisory boards to provide initial direction and support for the transition into the reorganized provincial system. The four provincial organizations dedicated to each sector will be in place by fall 2024.

A streamlined AHS role

Alberta Health Services (AHS) will continue to have a strong role as part of the refocused system. Under the new structure, AHS’ primary focus will be acute care and continuing care. Other AHS delivery functions will move to be accountable to the new organizations.

Acute care

The acute care provincial organization will oversee the delivery of hospital care, urgent care centres, cancer care, clinical operations, surgeries and emergency medical services. The organization will work directly with acute care providers including Alberta Health Services, Covenant Health and chartered surgical facilities to speed up access to quality care and make sure the patient’s journey through the acute care system is efficient and effective across the province. Key outcomes for the new organization include:

  • Shorter wait times for emergency departments and surgeries.
  • Lowering emergency medical services response time.
  • Higher quality care across the province and enhancing access to care in rural areas.

“I have been advocating for changes to ensure our health care system is sustainable and serves the current and future needs of Albertans, particularly those in the City of Grande Prairie and the surrounding region. I am encouraged by the elements within the plan, and I am extremely optimistic it will produce the outcomes we are looking for and that our residents need.”

Jackie Clayton, mayor, City of Grande Prairie

“The Alberta Professional Fire Fighters & Paramedics Association believes in order to achieve improved ambulance response times and a community-focused pre-hospital care system that prioritizes the well-being of its practitioners, a structural change to the provision of health is in order.”

Elliott Davis, vice-president, Alberta Professional Fire Fighters & Paramedics Association

Primary care

The new provincial primary care organization will coordinate primary health care services and provide transparent provincial oversight. Primary health care includes all the services Albertans access to support their day-to-day health needs through every stage of life. That includes visits with a family doctor or a nurse practitioner, visits to Primary Care Networks, consultation with a specialist, preventative care and chronic disease management.

Establishing a primary care governance structure was one of the recommendations from the Modernizing Alberta’s Primary Health Care System (MAPS) report, which was released on Oct. 18.

The primary care organization will focus on achieving key outcomes, including:

  • Ensuring every Albertan will be attached to a family physician or a nurse practitioner.
  • Providing timely access to high-quality primary care services, including after-hours, no matter where they live.
  • Supporting an integrated team of health professionals to provide comprehensive primary care, including family physicians, nurse practitioners and pharmacists, that has appropriate access to patient health information.

“The Nurse Practitioner Association of Alberta supports the decision by the minister and Alberta Health to restructure health care oversight in the province. The health care system in Alberta is in crisis and new ideas and approaches are required to address current need and to support Albertans into the future. The proposed changes have the potential to position Alberta as a leader in primary care, continuing care, emergency, acute and surgical services and integrated mental health supports. These are bold enhancements that if done well will lead to improved access, improved health outcomes and improvements to the bottom line. We look forward to working with the government and stakeholders to ensure success.”

Susan Prendergast, president, Nurse Practitioners Association of Alberta

“The Alberta Paramedic Association supports the Minister’s refocusing of the current health model in Alberta. This re-visioning allows for opportunities to tackle current issues, and create system enhancements in the delivery of services for Albertan’s including those improvements linked directly to the profession of paramedics.”

Len Stelmaschuk, president, Alberta Paramedic Association

Continuing care

The continuing care system provides Albertans with the health, personal care and accommodation services they need to support their independence and quality of life, including rehabilitative or restorative care. These services and supports may be provided in different settings, including individuals’ homes, continuing care homes, supportive living accommodations and adult day programs.

In alignment with the Facility-Based Continuing Care Review, the new continuing care provincial organization will provide provincial oversight, coordination, service delivery, home care and community care. This will renew focus on residents and create equitable, consistent and timely access to continuing care supports and services through a single, coordinated intake approach. All current contracted operators will continue to deliver services under contract with the new organization.

The new organization will continue the work to add more continuing care spaces, attract and retain health care workers, advance innovative solutions and support Albertans as they choose where and how they’d like to live. The new organization will focus on achieving:

  • Equitable, consistent and timely access to continuing care services?.
  • An increased number and geographic distribution of beds to meet the needs of Albertans.?
  • Improved team-based cross-sector care leveraging other health and social services.

“Albertans deserve and expect the best system of care that will support their independence and quality of life. By refocusing Alberta’s health care system on patient-centred care, Albertans will now receive the highest quality of care, including seniors, vulnerable Albertans and children and adults with developmental disabilities.”

Jason Nixon, Minister of Seniors, Community and Social Services

“The Alberta Continuing Care Association applauds the recent health care reforms by the Alberta government and its commitment to advancing health care services for seniors. These reforms align with our mission of creating a sustainable and innovative continuing care sector. We’re eager to collaborate with Alberta Health, providing expertise, advocating best practices, and fostering innovation for seniors’ well-being.”

Feisal Keshavjee, chair, Alberta Continuing Care Association

Mental health and addiction

As part of the refocusing, Alberta’s Ministry of Mental Health and Addiction will begin to oversee the mental health and addiction system, including managing funding. To continue the delivery of public mental health and addiction services, Alberta’s government is establishing a new provincial mental health and addiction organization. This organization will be responsible for the delivery of services currently provided by AHS. It will continue to focus on recovery-oriented care for Albertans, delivering services that span prevention, intervention, treatment and recovery supports.

Oversight of the mental health and addiction system by the appropriate ministry will ensure Albertans are receiving high-quality recovery-oriented care in every corner of the province. This change will also allow for better coordination between services delivered by the public agency and the non-profit sector. Additionally, to support the ministry’s enhanced responsibilities, a new Centre of Recovery Excellence will be established to improve the quality of mental health and addiction service delivery in Alberta.

The mental health and addiction organization will focus on:

  • Supporting every Albertan struggling with the deadly disease of addiction and/or mental health challenges in their pursuit of recovery.
  • Ensuring Albertans can access a full continuum of recovery-oriented supports that help them improve their overall well-being and sustain recovery.
  • Improving mental health and addiction care for Albertans by further expanding access to treatment and recovery supports across Alberta.

“Our government is making sure Albertans have more access to mental health supports and addiction treatment services than ever before. The direction we are taking Alberta is caring for Albertans and supporting them in their pursuit of recovery.”

Dan Williams, Minister of Mental Health and Addiction

“These steps from Alberta’s government create an opportunity to build on the strong foundation of existing mental health and addiction services and the exemplary work of our staff and clinicians. I am excited to lead the transition toward a new provincial mental health and addiction organization to ensure delivery of the best recovery oriented clinical care anywhere in the country”.

Kerry Bales, chief program officer, Provincial Addiction & Mental Health and Correctional Health Services, Alberta Health Services 

“To see a government this focused on recovery brings so much hope to those working at Oxford House and the individuals in treatment. I’m proud to support the government in their work to strengthen addiction services around the province.”

Earl Thiessen, executive director, Oxford House Foundation

“We are excited with the government’s refocusing of the health care system. It will achieve better system coordination and delivery for service providers, more support for front-line workers and improved access to addiction and mental health supports.”

Lorette Garrick, CEO, George Spady Society

Covenant Health

Covenant Health will continue to offer services in the areas of acute care and continuing care in communities across Alberta. Under the new structure, Covenant Health will no longer be contracted and funded through agreements with AHS. It will transition to have direct relationships with the new organizations.

“Our health system has been under considerable stress and we’re optimistic about the new bold and balanced direction set by Alberta’s government. We welcome the commitment in this announcement to engaging with patients, health care providers and the community. We look forward to working with the Government of Alberta and all our partners to build on this new outcome-focused approach as we recommit all our energy to improving the health of Albertans.”

Patrick Dumelie, CEO, Covenant Health

Engaging the health workforce and Albertans

Alberta’s health care workers deserve to work within a structure that will support their success and prioritize their well-being. Alberta’s government will begin engaging with the health care workforce in a thoughtful and thorough manner. As the province moves towards implementing this new structure, understanding job obstacles and exploring opportunities to reduce red tape and implement other practical solutions will be critical to achieving success.

Engagement sessions with front-line workers, AHS staff, health care unions, health associations and a wide range of health partners are scheduled throughout November and more will be added into the new year.

Alberta’s government is also committed to engaging with Albertans and listening to input from patients, families and caregivers. More information about public engagements will be provided in the coming months. Engagement session dates will be regularly updated online.

“I am excited to see that the government is ensuring patient care is at the centre of the health system. As a practitioner, I work to provide the best possible care for my patients, and I am glad that we are moving towards a system that is structured around that.”

Dr. Les Scheelar, anesthesiologist

“The Alberta Association of Nurses is highly supportive of the bold steps the Government of Alberta is taking to refocus the health care system. These changes will help create better work environments for nurses and enable them to better provide care that meets the needs of Albertans.”

Kathy Howe, CEO, Alberta Association of Nurses

Local decision-making, accountability and integration

Front-line health care workers and regional partners have a direct line of sight on what needs to change to improve quality of care in their community. All four health system sectors will be mandated to empower local decision-making and work closely with new regional advisory councils. Alberta Health will restructure the 12 regional advisory councils that currently exist and create a new Indigenous advisory council to better represent community perspectives, bring forward local priorities and give input on how to improve the system.

The Ministry of Health will also realign its structure to better match with the new organizations, support the refocusing of the health care system and provide appropriate oversight. This includes ensuring each organization has its own reporting structure within Alberta Health.

In addition, the role of the Health Quality Council of Alberta will be expanded to support Alberta Health to set performance standards and performance indicators and to support audit and compliance functions. The council will also collect insights from patients throughout the transition toward achieving a high-performing health system.

A separate integration council will be formed immediately to ensure system alignment, identify efficiencies, remove barriers and make sure the system is delivering better health outcomes.

Finally, a procurement and system optimization secretariat within Alberta Health will negotiate standard offers for goods and services to drive efficiencies through economies of scale. This will allow the refocused system to continue to benefit from centralization of these services when appropriate.

“Across hundreds of hours of engagement with community leaders and health care providers in rural Alberta, I have repeatedly heard concerns with the health care system and the need for local perspectives in decision-making. I know this will be welcome news, and that the work being undertaken by the government of Alberta is going to lead to much-needed change in our system.”

Martin Long, parliamentary secretary for rural health

“We need to bring high-quality health care service back to rural Alberta. As a small-town Alberta mayor, I think this is a significant step in that direction, and we need to get started now.”

Kevin Ferguson, mayor, Town of Ponoka

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This is a news release from the Government of Alberta.

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Alberta

Premier Smith says Auto Insurance reforms may still result in a publicly owned system

Published on November 21, 2024

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Better, faster, more affordable auto insurance

Alberta’s government is introducing a new auto insurance system that will provide better and faster services to Albertans while reducing auto insurance premiums.

After hearing from more than 16,000 Albertans through an online survey about their priorities for auto insurance policies, Alberta’s government is introducing a new privately delivered, care-focused auto insurance system.

Right now, insurance in the province is not affordable or care focused. Despite high premiums, Albertans injured in collisions do not get the timely medical care and income support they need in a system that is complex to navigate. When fully implemented, Alberta’s new auto insurance system will deliver better and faster care for those involved in collisions, and Albertans will see cost savings up to $400 per year.

“Albertans have been clear they need an auto insurance system that provides better, faster care and is more affordable. When it’s implemented, our new privately delivered, care-centred insurance system will put the focus on Albertans’ recovery, providing more effective support and will deliver lower rates.”

Danielle Smith, Premier

“High auto insurance rates put strain on Albertans. By shifting to a system that offers improved benefits and support, we are providing better and faster care to Albertans, with lower costs.”

Nate Horner, President of Treasury Board and Minister of Finance

Albertans who suffer injuries due to a collision currently wait months for a simple claim to be resolved and can wait years for claims related to more serious and life-changing injuries to addressed. Additionally, the medical and financial benefits they receive often expire before they’re fully recovered.

Under the new system, Albertans who suffer catastrophic injuries will receive treatment and care for the rest of their lives. Those who sustain serious injuries will receive treatment until they are fully recovered. These changes mirror and build upon the Saskatchewan insurance model, where at-fault drivers can be sued for pain and suffering damages if they are convicted of a criminal offence, such as impaired driving or dangerous driving, or conviction of certain offenses under the Traffic Safety Act.

Work on this new auto insurance system will require legislation in the spring of 2025. In order to reconfigure auto insurance policies for 3.4 million Albertans, auto insurance companies need time to create and implement the new system. Alberta’s government expects the new system to be fully implemented by January 2027.

In the interim, starting in January 2025, the good driver rate cap will be adjusted to a 7.5% increase due to high legal costs, increasing vehicle damage repair costs and natural disaster costs. This protects good drivers from significant rate increases while ensuring that auto insurance providers remain financially viable in Alberta.

Albertans have been clear that they still want premiums to be based on risk. Bad drivers will continue to pay higher premiums than good drivers.

By providing significantly enhanced medical, rehabilitation and income support benefits, this system supports Albertans injured in collisions while reducing the impact of litigation costs on the amount that Albertans pay for their insurance.

“Keeping more money in Albertans’ pockets is one of the best ways to address the rising cost of living. This shift to a care-first automobile insurance system will do just that by helping lower premiums for people across the province.”

Nathan Neudorf, Minister of Affordability and Utilities

Quick facts

  • Alberta’s government commissioned two auto insurance reports, which showed that legal fees and litigation costs tied to the province’s current system significantly increase premiums.
  • A 2023 report by MNP shows
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Alberta

Alberta fiscal update: second quarter is outstanding, challenges ahead

Published on November 21, 2024

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Alberta maintains a balanced budget while ensuring pressures from population growth are being addressed.

Alberta faces rising risks, including ongoing resource volatility, geopolitical instability and rising pressures at home. With more than 450,000 people moving to Alberta in the last three years, the province has allocated hundreds of millions of dollars to address these pressures and ensure Albertans continue to be supported. Alberta’s government is determined to make every dollar go further with targeted and responsible spending on the priorities of Albertans.

The province is forecasting a $4.6 billion surplus at the end of 2024-25, up from the $2.9 billion first quarter forecast and $355 million from budget, due mainly to higher revenue from personal income taxes and non-renewable resources.

Given the current significant uncertainty in global geopolitics and energy markets, Alberta’s government must continue to make prudent choices to meet its responsibilities, including ongoing bargaining for thousands of public sector workers, fast-tracking school construction, cutting personal income taxes and ensuring Alberta’s surging population has access to high-quality health care, education and other public services.

“These are challenging times, but I believe Alberta is up to the challenge. By being intentional with every dollar, we can boost our prosperity and quality of life now and in the future.”

Nate Horner, President of Treasury Board and Minister of Finance

Midway through 2024-25, the province has stepped up to boost support to Albertans this fiscal year through key investments, including:

  • $716 million to Health for physician compensation incentives and to help Alberta Health Services provide services to a growing and aging population.
  • $125 million to address enrollment growth pressures in Alberta schools.
  • $847 million for disaster and emergency assistance, including:
    • $647 million to fight the Jasper wildfires
    • $163 million for the Wildfire Disaster Recovery Program
    • $5 million to support the municipality of Jasper (half to help with tourism recovery)
    • $12 million to match donations to the Canadian Red Cross
    • $20 million for emergency evacuation payments to evacuees in communities impacted by wildfires
  • $240 million more for Seniors, Community and Social Services to support social support programs.

Looking forward, the province has adjusted its forecast for the price of oil to US$74 per barrel of West Texas Intermediate. It expects to earn more for its crude oil, with a narrowing of the light-heavy differential around US$14 per barrel, higher demand for heavier crude grades and a growing export capacity through the Trans Mountain pipeline. Despite these changes, Alberta still risks running a deficit in the coming fiscal year should oil prices continue to drop below $70 per barrel.

After a 4.4 per cent surge in the 2024 census year, Alberta’s population growth is expected to slow to 2.5 per cent in 2025, lower than the first quarter forecast of 3.2 per cent growth because of reduced immigration and non-permanent residents targets by the federal government.

Revenue

Revenue for 2024-25 is forecast at $77.9 billion, an increase of $4.4 billion from Budget 2024, including:

  • $16.6 billion forecast from personal income taxes, up from $15.6 billion at budget.
  • $20.3 billion forecast from non-renewable resource revenue, up from $17.3 billion at budget.

Expense

Expense for 2024-25 is forecast at $73.3 billion, an increase of $143 million from Budget 2024.

Surplus cash

After calculations and adjustments, $2.9 billion in surplus cash is forecast.

  • $1.4 billion or half will pay debt coming due.
  • The other half, or $1.4 billion, will be put into the Alberta Fund, which can be spent on further debt repayment, deposited into the Alberta Heritage Savings Trust Fund and/or spent on one-time initiatives.

Contingency

Of the $2 billion contingency included in Budget 2024, a preliminary allocation of $1.7 billion is forecast.

Alberta Heritage Savings Trust Fund

The Alberta Heritage Savings Trust Fund grew in the second quarter to a market value of $24.3 billion as of Sept. 30, 2024, up from $23.4 billion at the end of the first quarter.

  • The fund earned a 3.7 per cent return from July to September with a net investment income of $616 million, up from the 2.1 per cent return during the first quarter.

Debt

Taxpayer-supported debt is forecast at $84 billion as of March 31, 2025, $3.8 billion less than estimated in the budget because the higher surplus has lowered borrowing requirements.

  • Debt servicing costs are forecast at $3.2 billion, down $216 million from budget.

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