Dennis Kendel Profile picture
Jan 20 13 tweets 4 min read
As a responsible Saskatchewan citizen I cannot remain silent in the face of what I perceive to be a dangerously irresponsible COVID communication strategy I see being followed by @PremierScottMoe at this crucial point in the protracted pandemic 🧵(1/12)
It's understandable that many citizens are experiencing a growing sense of fatigue in our struggle with COVID. We all hunger for some hopeful news about an impeding end to this pandemic. We're like a patient with a serious cancer diagnosis hoping for an imminent cure (2/12)
In communication with a patient who has a serious cancer diagnosis, responsible physicians always include messages of hope but they do not shirk their professional obligations to be truthful even when that truth is hard to hear (3/12)
They strive to provide factual evidence-based information to their patients which includes accurate information about both the benefits & risks of all possible therapeutic interventions. They strive to avoid distorting such communications with personal biases. (4/12)
In this pandemic, we rely upon our elected leaders to emulate such responsible physician communication with patients at risk of suffering & death. Embody empathy & hope in your communication. But do not suppress information. Do not mislead. (5/12)
On January 17, 2022 world-class #SK modeler Dr. Nate Osgood generated evidence-based projections for potential future non-ICU hospitalizations in Saskatchewan based upon assumptions of no new public health interventions versus some interventions (6/17)
I assume @PremierScottMoe had access to this information on January 17th. If not, he should ensure that he gets prompt access to such info. I assume he read this modelling information. If not, he should read such information & seek to understand it (7/12)
On Jan 18, @PremierScottMoe posted this message :
"But Omicron is spreading across Canada & around the world, whether there are lockdown policies in place or not, so we are not going to impose new restrictions & lockdowns that cause significant harm for no clear benefit." (8/12)
It is deeply troubling to see this public communication from @PremierScottMoe when Dr. Osgood's modelling show compelling evidence that we could reduce future implementing by implementing some measures (9/12)
In his public communications, @PremierScottMoe consistently uses the very inflammatory term "lockdown" when no experts in Saskatchewan are actually calling for a "lockdown". They are calling for some gathering limits & other responsible measures (10/12)
I believe that the interests of all citizens are best served when citizens are empowered & engaged in discourse about public policy. Such empowerment & engagement requires truthful & unvarnished communication from our Premier. (11/12)
This morning @awong37 posted a very informative thread about the COVID modelling released by Dr. Osgood on January 17th. I want to thank him for doing so & would encourage you to access & read it. (12/12)
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More from @DennisKendel

Jan 22
Yesterday's explanation of why the Saskatchewan Ministry of Health failed to publicly report any COVID deaths from Jan 6 to Jan 21 raises a multitude of unaddressed concerns & questions. As the responsible Minister, Paul Merriman must address these 🧵(1/12)
To date the only proffered explanation for this serious error is that someone in the Ministry of Health failed to turn on a filter after an annual reset of the Ministry's Panorama data management system. This was a critical incident that warrants deeper analysis (2/12)
The ultimate purpose of critical incident analysis is too reduce risk of future errors by identifying & rectifying policy & procedure flaws & deficiencies. Where human error is identified as the cause of a critical incident, steps must be taken to bolster safety (3/12)
Read 13 tweets
Jan 21
We need clarification of the policies & process for identifying COVID deaths in Saskatchewan. I'll explain what I know about the process & will encourage others to fill the gaps in my knowledge base 🧵 (1/7)
Following every death that occurs in or out of hospitals, a physician must very promptly complete & sign a Medical Certificate of Death. Funeral homes cannot proceed with embalming or cremation of the body before they receive this Certificate (2/7)
Death causation may be multi-factorial. For this reason the Medical Certificate of Death captures this information:
1) Immediate cause of death
2) Antecedent causes
3) Other significant conditions contributing to the death
(3/7)
Read 8 tweets
Jan 19
Drawing upon my career experience in organizational management & provision of consulting services, I'd like to share some observations about important differences in these two functions & their complementarity
🧵 (1/14)
Management structures vary considerably based upon the size & complexity of organizations. Role titles include Chief Executive Officer (CEO), Chief Operating Officer (COO), Vice-President (VP), Director, Unit Manager, etc. (2/14)
Management involves decision-making. The granularity of decision-making authority varies with the most macro management decisions being vested in the CEO. There is usually a laddered approach to accountability for decision-making (3/14)
Read 15 tweets
Jan 18
Sask. minister says former political staffer is qualified for SHA leadership role | CBC News cbc.ca/news/canada/sa…
A memo distributed to SHA staff says Wilson will "provide executive leadership aimed at strengthening collaboration between the SHA, Ministry of Health and other key partners in support of achieving and reporting on priority enterprise initiatives." (1/3)
The Deputy Minister of Health is already an ex offico member of the SHA Board so its difficult to see how Wilson can add any value in the relationship between the Board and the Ministry of Health (2/3)
Read 4 tweets
Jan 18
As a Saskatchewan citizen I invested an enormous amount of time & energy into the process that culminated in the creation of the SHA. I am deeply concerned about some of the things that are currently happening at the SHA. I believe all citizens should be concerned (1/21)
Through evidence from high quality health services research & feedback from patients/families, in 2016 concern arose that delivery of health services through 13 autonomous geographically-defined RHAs was yielding fragmented patient care (2/21)
On August 18, 2016, the Government of Saskatchewan appointed a 3 member Advisory Panel on Health System Structure to review the Regional Health Authority structure. The Panel was given 4 well defined mandates & asked to submit its report in 3 months (3/21)
Read 21 tweets
Jan 17
Minister Merriman said about Raynelle Wilson, “What we needed was an individual who was able to help out with the logistical side of the SHA,” Merriman said. “We are in a challenging time with our health authority & we needed to have the right people in the right places.” (1/5)
That begs the question "What does the logistical side" really mean. The term "logistics" is generally understood to mean "the detailed coordination of a complex operation involving many people, facilities, or supplies."
(1/2)
"Logistics" within @SaskHealth is managed by the Chief Operating Officer (C00). That position is currently filled on an interim basis by Derek Miller, a very competent member of the SHAs Executive Leadership Team (ELT).
(1/3)
Read 5 tweets

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