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Alberta

Province announces a new High School for Blackfalds and plans for a new Middle School in Red Deer

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Minister LaGrange, Minister Panda and Minister Sawhney announce provincial school capital funding at Nose Creek School in Calgary.

From the Province of Alberta

Building schools for the future

Following through on its commitment to continue building new schools, the province has announced 25 new school projects.

The Budget 2019 capital plan supports 15 new schools, including brand new high schools in Calgary, Edmonton, Leduc, Blackfalds and Langdon. Six schools are slated for replacement and four will receive modernization or additions. Together, the 25 projects will receive $397 million.

“We made a promise to Albertans that our government will continue to build new schools, and we are doing exactly that. Through our significant investment in new schools, replacements, modernizations and infrastructure upkeep, our children will continue to learn in up-to-date and safe spaces. This will result in better success in our classrooms. The future is bright for Alberta students.”

Adriana LaGrange, Minister of Education

“These 25 projects confirm our government’s commitment to continue to build schools across the province. Alberta Infrastructure will continue to deliver key infrastructure projects to build prosperity for Albertans.”

Prasad Panda, Minister of Infrastructure

Budget 2019 also includes $1.4 billion over four years to continue work on previously announced school projects across Alberta, which includes $123 million for about 250 new modular classrooms to address the most urgent needs for additional space across the province. There are more than 60 projects underway in the province. Twenty-seven are expected to be open for the 2020-21 school year, and the remaining projects are in various stages of planning and construction.

The province will also provide $527 million to school divisions for plant operations and maintenance to support the day-to-day upkeep of school facilities. Additionally, $194 million will support the capital maintenance and renewal of existing school buildings through the Infrastructure Maintenance and Renewal Program.

“I am pleased that the government chose to make this announcement here in Calgary-North East. Students and families in my community will be relieved to hear that they will be getting the new high school we have needed for a long time. I’m proud that this critical funding was included in Budget 2019, as this was one of my first and most important motivations for why I wanted to represent Calgary-North East at the legislature.”

Rajan Sawhney, Minister of Community and Social Services and MLA for Calgary-North East

“On behalf of our students and the Calgary Board of Education, we would like to thank Minister LaGrange and Minister Panda for this important investment in school capital. We are pleased they chose to come to Calgary to make this provincial announcement and look forward to new CBE schools that will benefit students in north Calgary and in the growing community of Auburn Bay.”

Marilyn Dennis, chair, Calgary Board of Education

The 25 capital projects are:

Community School Authority Project Type/Name
*Beaumont Conseil scolaire Centre Nord (Greater North Central Francophone Education Region) new school (K-12)
*Blackfalds Wolf Creek Public Schools new high school (9-12)
Buffalo Head Prairie Fort Vermilion School Division Blue Hills Community School addition & modernization
Calgary – Auburn Bay Calgary Board of Education new elementary school (K-4)
Calgary – Auburn Bay Calgary Board of Education new middle school (5-9)
Calgary – north Calgary Board of Education new high school (10-12)
Carstairs Chinook’s Edge School Division Carstairs Elementary School addition
Cochrane Calgary Catholic School District new elementary/junior high school (K-9)
Condor & Leslieville Wild Rose School Division David Thompson solution modernization/replacement
*Edmonton – south east Edmonton Public Schools new high school (10-12)
Edmonton – Windermere-Keswick Edmonton Public Schools new elementary/junior high (K-9)
*Edmonton – Heritage Valley Town Centre Edmonton Catholic Schools new high school (10-12)
Edmonton – Windermere/Keswick Edmonton Catholic Schools new elementary/junior high (K-9)
*Fort Chipewyan Northland School Division Athabasca Delta School modernization/replacement
*Grande Prairie Peace Wapiti School Division Harry Balfour School replacement
*Langdon Rocky View Schools new junior/senior high school (7-12)
*Leduc Black Gold School Division new high school (10-12)
Legal Conseil scolaire Centre Nord(Greater North Central Francophone Education Region) new elementary/junior high school (K-9)
Morinville Greater St. Albert Catholic Schools Morinville Community High School CTS modernization
Morrin Prairie Land School Division Morrin School replacement
Peace River Conseil Scolaire du Nord-Ouest(Northwest Francophone Education Region) École des Quatre-Vents replacement
*Red Deer Red Deer Catholic Regional Schools new middle school (6-9)
Smoky Lake Aspen View Public Schools H.A. Kostash replacement
*St. Albert St. Albert Public Schools Bellerose Composite High School addition & modernization
Whitecourt Living Waters Catholic Schools new elementary school (K-3)

*Design funding

After 15 years as a TV reporter with Global and CBC and as news director of RDTV in Red Deer, Duane set out on his own 2008 as a visual storyteller. During this period, he became fascinated with a burgeoning online world and how it could better serve local communities. This fascination led to Todayville, launched in 2016.

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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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