Parksy Profile picture
Jun 22 14 tweets 3 min read Read on X
Let's talk HC "refocusing" and Premier's latest announcement 🧵 :
- no one is able to articulate the actual plan. NO ONE
- the Premier is being advised in backrooms on health, she comes out and makes an announcement... and then the legions of consultants and bureacrats scramble
- and all of these people making their living on implementing orders/plans? they know it WILL NOT WORK
- but no one can/will tell the Empress she has no clothes - that her HC destruction and disintegration will NOT work
- the "consulting" is how they feed their kids...
- and they see what happens to anyone who speaks truth to power - fired, and bannished from HC work in AB forever more
- Meanwhile all the skilled and experienced HC leaders still in the system remain paralyzed, handcuffed, and silenced
- they no longer know if they are coming or going... will they still have jobs in the shuffle? if they speak up for pt care will they suddenly find "there was no new position for you in the new org" like has happened so many times to others already?
- when govt releases a big shiny video on changing our zones to corridors will the current zone medical leads be the corridor leads?
- maybe this will be the opportunity to shuffle out the vocal skilled leaders with the audacity to point out pt care issues?
- meanwhile we have four new shiny orgs, with four CEOs... who don't have flushed out budgets or the ability to act on the needs of the system/pts in the NOW
- they have to "get their feet under them", have to "ascertain the view from the mezzainine level"
- chaos and paralysis
- and for those frontline leaders who try to provide input? endless meetings with bureacrats with endless answers of "we can't talk about specific concerns impacting the lives of pts, we have been told to focus on restructuring... give us time to get the new structure in place"
- Nov 8th 2023 govt announced it's restructuring and disintegration... June 22 2025 it is still chaos... no one can make decisions... no one knows if they will still have jobs or the ability to make any impact on pt care
- frontline HC dollars being funnelled to creating admin, orgs, and more bureaucracies... actual pt care dollars being robbed to create 4 times the HC admin we previously had... and none of it connected... and with NO OPERATIONAL CONTROL connecting any of it
- four new Ministers and CEOs in their new fiefdoms, struggling to learn what they are supposed to do in their own little care worlds, while NO ONE is coordinating the entire HC system
- But don't worry, by 2026 we'll reduce and disintegrate this even further...
- Premier has now given orders to the consultants/govt bureacrats: figure out how to add more chaos and disconnectedness by setting up hospitals to focus solely on their own issues, and ignore the system as a whole.
- "Call it Local Decision Making authority" so it sounds like a good idea to instill further fragmentation and disintegration before the four new orgs even remotely have thier acts togethor...

And meanwhile ABs will continue to suffer and many will die.
The Empress has no clothes.... but no one can tell her.

ABs should demand to hear directly from the HC Experts who are advising the Premier as to what the plan actually is... show us the road map...
Show us that if we suffer through many more years of chaos that they actually have a flushed out concrete destination in mind...

No more flashy 5min videos from the Premier...

What's the plan? And what HC experts are guiding this?

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More from @PfParks

Jun 19
It would be really interesting to learn who is advising the Premier on her HC "restructuring"?🧵

Current state:
1: Four new silos, with NO operational control between them (none, nada... )
buff.ly/ufR6u6j
2: FOUR Ministers who won't want to take on the headaches of the other silos even when connected.
Ex - continuing care doing something about ALC pts to help ACA (mostly seniors stranded in hospitals requiring continuing care for safe discharge)
3: Public Health disconnected from all 4 silos, moved into AH, muzzled and govt writes its comms
4: A new ACA Org that will have oversight of 100s of Hospitals and Clinical Service Providers (CSPs), with no real operational control or power to coordinate them...
Read 8 tweets
Jun 16
This is honestly too much. The Premier talking about 135M HC dollars just wasted and acting like she has NOTHING to do with why we are here. Everything she and her govt has done has brought us to this point, a 🧵to recap:

1/10buff.ly/HuESfWk
1- She has actively dismantled Public Health in AB
2- She was directly involved in the firing of our previous CMOH, not once but TWICE - sending a chill in PH to the point where AB cannot recruit expert leadership to the position
3- Blew up and disintegrated HC system
2/10
4- Moved PH into Alberta Health (recall that = bureaucrats and GOVT), and muzzled any active leadership or public presence of PH
5- AH oversees all PH comms, and her govt directly ordered the supression of vaccine education/info:
3/10buff.ly/l8I9PMd
Read 10 tweets
Jun 12
CIHI Surgery Wait Times 🧵
First note what we track: hip/knee replacement + cataracts (not life threatening) and Hip Fracture Repair (life threatening)
- so the only surrogate for in HOSP life threatening surgery care we report = hip # repair
- and this metric is worsening
1/10 Image
Image
- you might think that for hip # repair going from 87-80% and 91-88% is minor, and that the gains in eye and joint surgery in the community makes up for this
- but this is the only surogate we have for all in-hospital surgeries and they ALL are getting worse
2/10
- pts w a hip # cannot walk or get out of bed, are in severe pain, and the longer they wait in hospital the more complications they have (including death)
- we used to do these surgeries in hours, now it has become days!
- and the same has happened for all HOSP surgeries
3/10
Read 10 tweets
May 27
Albertans voting "conservative", a 🧵 on thinking vrs reality:
Most ABs will state they vote conservative for values like: small govt, less bureaucracy, balanced budgets, and govt spending taxpayer money wisely (fiscally conservative)
But in reality our govt is the opposite
1/15
1 - largest govt in AB hx with the most Ministeries and govt bloat
2 - moves in HC to make it more bureaucratic and bloated - 4-5x the admin now, and w admin being govt bureacrats over health experts or HCWs, and with WORSENING HC ACCESS and OUTCOMES
2/15
3 - Profligate financial waste - spending over a MILLIION DOLLARS A DAY on "consultants", wasting millions and millions without any justification or blinking an eye: 2M on covid essay, 70M on tyelnol it didn't get, 100s of M on sole source HC deals for supporters
3/15
Read 15 tweets
May 10
Albertans should be paying attention and be VERY concerned:
Govt is marching forward with privatizing all of our HC system.
Many many concerns w selling off hospitals to private for-profits:
🧵 1/12
buff.ly/NHDveGp
1 - lack of transparency and accountability: these "deals" get done in back rooms and public doesn't see any details - costs, no public reporting of outcomes and access metrics, no accountability... nada. (look at CSFs - they do NOT have to report like hospitals)
2/12
2 - Lack of Integration/Coordination - there's no operational control for all of these for-profits. Govt will say that it will hold these private owners to account and will make them maintain same standards as the public hospitals, but this already doesn't happen
3/13
Read 12 tweets
Apr 9
Real Human EDOC Cases in AB continued, Case 6🧵 :
Elderly Calgarian brought in by EMS w cough + severe abdominal pain,
- offload to ED hallway for hours with pneumonia
- CT abdomen pending because of unexplained abdo pain - takes hours to get done as other cases go first
1/5 Image
- Slowly getting worse while alone in the hallway
- Sadly, the pt decompensates further and abdomen becomes rigid with severe pain
- Very difficult to examine and give pain meds in the hallway. Impossible to properly montior.
2/5
- CT scan ultimately shows ischemic bowel - a very painful and very time sensitive condition
- Ultimately the team manages to find a curtained room to administer end of life care in a chaotic and noisy and busy ED
3/5
Read 5 tweets

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