CorruptCare Scandal simplified (got feedback its too complicated for ABs to understand)🧵 :
Surgery: all cases can be done in hospitals, select lower risk cases can be done in for-profit centers
Govt: thinks endless workforce, so they can add for-profits and not affect hosp care
Govt: hand picks CEO to push their for-profit mandate
CEO: we have to follow procurement processes (checks and balances for contracts)
G: just sign the secret deals we already agreed to
CEO: but some seem to be inflated and cost too much
G: just sign
CEO: but we can't get anesthetists to do life-saving surgery in ALL hospitals if we do
G: just sign
CEO: but we have empty ORs already
G: just sign, AND fire some of these competent doctors because they've been critical of govt
CEO: but some ownership links have major conflicts
G: just sign
CEO: doing internal audit and forensic audit
G: just sign and wrap up any audits, hand over evidence, we already made the secret deals
CEO: but the Board thinks there may be criminal activity and I should report to the RCMP
G: STOP all reviews, we will sign ourselves
CEO: ok here's the stuff I've found so far, meeting w the Auditor General in a couple of days to discuss concerns
G: your fired, we'll take it from here
AHS BOARD: we didn't agree w the firing of the CEO, and we have a duty to protect taxpayers, so want to see the forensic audit
G: AHS Board, all our handpicked people AND a bunch of active deputy ministers, "YOU'RE Fired". We will appoint our own DM of health as AHS CEO and BOARD!
Fired CEO: tells lawyer of concerns and thinks she's been fired for doing her job and finding corruption
Lawyer: sends concerns to the govt, and that letter gets leaked to the public
Govt: nothing to see her public, own team will take a look see. had to fire the CEO and Board because everyone knows "AHS SUCKS", their minds musta been poisoned by AHS to have any concerns w govt
Public: wow this looks serious
Govt: don't worry we're looking into it, AHS SUCKS
Public: we really should learn all the facts, can we get someone independent do a public inquiry?
Govt: nothing to see, we will appoint an independent review (3 wks later still haven't)
Public: what up with for-profit surgery and pressure to sign top-secret backroom contracts?
G: everyone knows AHS didn't want to care for ABs, these for-profits are cheaper and faster and better
Reporters: but here's a bunch of your OWN HC data to say that isn't true
G: nope for-profits are cheaper and better
R: but when you compare apples to apples (cost of same day low risk same type surgeries in hospital versus for-profits) it looks like some of these are REALLY EXPENSIVE and they seem to have added costs for services not provided
G:nope. everyone knows AHS sucks. It's true we've had our own handpicked people running AHS for the last 2yrs, but you can't trust their findings, their minds have been poisoned
R:looks like there are major conflicts w some of the owners, and they got other huge deals w govt
G: nope
R: looks like the same people investing in the for-profit surgery centers got paid up front 70M for some medicine and delivered less than 20M in product. Also they might have got nice land deals? Also they might have done more than 615M is other deals?
G: everyone KNOWS AHS sucks
R: there's allegations that the top contract people you were using might have had major conflicts, and maybe some of the most senior govt staff members got involved inappropriately... shouldn't we have a public inquiry
G: look we will look into it
UCP MLA: wait, there might be major issues with many secret govt for-profit deals in other places too, if there's corruption we should weed it out, we should remove anyone potentially conflicted and investigate this
G: nope, we've put MORE of our own people in again
HCWs: we don't feel safe in this environment anymore, AND worse, people are suffering and dying from really long waits for surgery, cancer care, hospital care, and emergency care
Govt: you're just being resistant to change, we will name an IND investigator some day
Reporters: looks like there's evidence that the fired-CEOs was right that these for-profit deals might impare ability to care for pts in hospitals, why are there empty ORs, and why are ED waits so long
G: look, EVERYTHING AHS sucks, we will continue firings/"refocus"
Public,HCWS,Reporters,MLAs: what about a public inquiry?
G: nope, lets focus on how NOBODY that has ever been put in any position in AHS could ever be trusted. Once we move everyone into govt, and have bureaucrats run 4 seperate unconnected Agencies, everything will be better
Public: did this kind of stuff happen in Recovery Alberta?
G: asked other Ministers, they are confident it didn't and there's no need to look... so we aren't going to look into any of that
.... and I guess to be continued
still no Independent reviewer named btw
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Why DISASTROUS Acces Block is NOT simply an Emerg problem🧵 :
The same overcrowding and dangerous environment is happening on the wards.
In EDM Zone:
- FM hospital units at 151% funded capacity = for every 100 pts they have staff funded for, they have 151pts in hospitals
1/6
- GIM (sicker pts under INT Med) is at 139% capacity = for every 100 pts they have funded staff for they have 139pts
not only are pt's in HALLWAYS, but there simply are NOT enough funded staff for the volumes in our hospitals right now, care suffers
2/6
RIGHT NOW in EDM Zone = 50% of all acute care capacity is ALC
ALC = acute care done, but waiting for resources (16% for LTC, 34% for some form of continuing care)
HALF of our hospital's space is being occupied for people who need resources in Cont Care Org...
3/6
RED ALERT! this is the new every day status of our Emerg Departments in Edm Zone.
UofA - 58 EIPs out of 64 beds (58 admitted pts stuck in the ED as no beds in hospital)
Some more context🧵 :
- 13 CTAS 1 pts in the ED - sickest of the sickest taking tons of resources 1/6
- 58 out 64 beds blocked, means funcitonally one of Canada's largest EDs is functionally working out of 6 beds... but those beds have sick pts in them that may need admission too
- right now "12 pending consults" (likely 80-90% admission rate on those)
2/6
- 40 in the WR, and 13 have waited MORE THAN 8hrs already - may have MANY more hours still to wait as sicker keep arriving
- at least 8 pts in "ED Park" - came in by EMS and in hallway - 5 have been admitted but no beds to go to. some sitting in ED park for a couple of DAYS
3/6
If these numbers aren't enough to make EVERY ALBERTAN pause, look them over, and immediately say we need a PUBLIC INQUIRY to understand what's going on here, I don't know what will.
Some points to consider a 🧵 : 1/7
For some reason our Premier stood in front of Albertan's on Wednesday and intentionally decided NOT to quote the AHS costs for the same surgeries - comparing apples to apples - but chose to confuse with CIHI numbers that are NOT comparable
2/7buff.ly/435N8iW
The CEO had an internal review and an independent FORENSIC REVIEW of these numbers done - Board was supposed to get the forensic review, but got fired days before... what happened to that review.
Why was the AHS Board fired? does anyone buy "resistant to change" excuse?
3/7
I'd encourage everyone to read the whole Statement
Meanwhile here is my PERSONAL interpretation of the allegations in SoC and the events around it:
1-Athana aggressively recruited to CEO role by govt: they know she's highly competent and can be trusted buff.ly/3QmG6ie
2-Given 4yr contract - to guide FULL "refocusing" and possibly promoted from there
3-AHS has duty to do due diligence on procurement of contracts for HC service delivery - CEO and team take job seriously
4-AHS team becomes aware of irregularities in various procurement processes and contracts + starts investigations
I was working directly w Athana when the Premier handpicked her to take over the CEO role at AHS (taking her from her new job at the AMA). I met directly with the Minister of Health who told me "they had to have Athana... 1/4
"as the plan was that she would guide the refocusing and then ultimately head the new Acute Care Org"!
The Minister offered this long term plan as an apology for taking Athana from the AMA while we were trying to develop a working relationship with govt...
2/4
Pretending the firing was for a "smooth transition" is ridiculous, especially given the acting CEO of the Acute Care Org wasn't even working yet!
And of course no replacement AHS CEO was found...
3/4
“The October Directive also set out specific rates for CSFs that ... would lead to significantly increased costs to AHS – and potentially hundreds of millions in profits for the CSFs owners,” the letter alleges. 1/6