Some concerns from former AHS CEOs sworn affidavit 001🧵:
- from page 23
- Concern: govt did not budget HC for pop growth and inflation
- this is factual, and very important to understand
- the Premier even confirmed this during her budget announcement
1/10
Why is this important:
- our pop is BOOMING, and inflation is making it more expensive to provide HC
- govt isn't even doing its most basic duty = ensuring/insuring HC is adequately funded from yr to yr ("insuring" intentional as they are the health insurance provider!)
2/10
- so govt intentionally underfunded AHS (they are doing exact same thing with the Physician Services Budget = pot of money to pay docs to care for ALL pts in AB)
- dec funding to public delivered complex hosp care, and FORCE inc payments to private delivered community care
3/10
- and so as the hosp system CANNOT possibly provide adequate care being so underfunded, it becomes a feedback loop for govt to say "we need to move more funding away from hospitals as they suck"
The second key point raised in this one paragraph = Workforce Coordination:
4/10
- point is raised that there is no govt concern about coordinating workforce within the HC system
- this is another critical theme within our current HC system: there is NO WORKFORCE PLAN, and no coordination
5/10
- as govt chops the HC system up into many fragments - competing for the same workforce - anybody paying attn would guess that workforce coordination would become a problem
- as but ONE well known ex: we do not have enough anesthesiologists to work in both Hosp and CSFs
6/10
- I can personally confirm that despite >18mns of directly advocating for a workforce plan, dismantling and "refocusing" were govt's only priority and there is NO coordinated workforce plan for the entire HC system
7/10
- AHS used to try to do this planning... but it has been intentionally gutted by govt
- ACA can't yet functionally do this, and how would it even think about coordinating with the other Orgs who are also not functional and ready to do this? (HCWs work in multiple orgs)
8/10
The issues of intentional HC underfuding for pop growth and inflation, along with no workforce plan are two concerns that I and MANY of my HC expert colleagues share.
The former CEO appears to have also shared these concerns...
Why doesn't govt?
9/10
I'll highlight more of my thoughts from this document in the days to come.
But in the meantime I'd encourage everyone to have a read and become informed on this critical topic:
"Kyle Warner, press secretary to Hospital Services Minister Matt Jones, said only two hospitals saw one in five patients leaving the ER early"
Both hospitals are in Edmonton... and this is full on admission of UTTER FAILURE
🧵 1/6 buff.ly/L7rPhAJ
At times the RAH LWBS numbers are higher than 1 in every 4 patients seeking care... read that again: they are seeking care and RECEIVE NONE.
Aggregrating the top 16 EDs to dilute the provincial avg is mere distraction... Pts only ever present to ONE ED at a time.
2/6
And what is govt doing about this crisis as it worsens? Another TASK force, and a plan to plan to maybe build another tower in a CH site in 5-10 years!
3/6
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
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...
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- 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
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
- 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
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