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Parksy Profile picture
@PfParks
Sep 13 • 6 tweets • 1 min read • Read on X
It's been over 8 months since govt fired the AHS CEO and the entire AHS Board... ostensibly to make things better, and to give govt more direct control over the HC system.

An acting CEO and no Board, and things are demonstably worse on all acute care fronts.
1/6
No oversight.
No arms length from govt - it's all govt all the time...
Endless firings, and basically any of those with HC expertise and clinical experience that are still around are just waiting to get fired (why quit and get no severence for your lifelong service?)
2/6
By every metric, EDM Zone has just had the WORST summer of overcapacity and overcrowding it has ever had since we started tracking the stats... and we haven't even started into our increased fall volumes and respiratory admission spikes.
3/6
Access Block is worsening on all fronts, and patients across the province are suffering, and sadly many are paying with their lives.

Meanwhile govt continues on with the direct interference, direct meddling, endless firings, and ceasless chaos creation.
4/6
Soon the bureaucrats will be moved on to new roles out of health, the consultants will move on to new highly paid projects, and the only one who will be accountable for the disaster that is our HC system is the Premier and her govt.
5/6
And the only ones paying the price will be Albertans requiring safe and timely acute life saving HC.

The Premier will dismiss this as hyperbole. But pay attention ABs, the HC system is truly struggling... no guarantees as to who will get timely Access this fall/winter
6/6

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More from @PfParks

Parksy Profile picture
Sep 11
Let's talk about AB's HC workforce, a 🧵 :
The graph is for all of Canada, but this trend continues and is getting worse in AB.
Many reasons but key ones:
- "refocusing" has eliminated any ability for our province to do workforce planning. NO COORDINATED work being done
1/7 Image
- there are so many orgs now, and all with "acting" appointed temporary leads, that one hand has no idea what the other is doing
- HCWs can work in mulitple orgs in our siloed HC "system", and so the orgs are finding themselves competing against each other for same supply!
2/7
- there are 4 ministries, w 4 ministers, and numerous "acting" CEOs within the orgs and within the service providers within the orgs... it's a gongshow... pure choas
- as each org struggles to recruit it will be less inclined to coordinate w the other orgs!
3/7
Read 7 tweets
Parksy Profile picture
Jul 23
Some concerns from former AHS CEOs sworn affidavit 005 - Some issues re CSFs🧵:
- Let's break down some specific concerns raised by the former AHS CEO around CSFs in AB.
- I will talk about CSFs in general... details about specific CSFs are opaque and hidden
1/12
One important note: there is nothing innately wrong with the idea of doing select surgeries in chartered facilities. The key issue is ensuring proper coordination, oversight, safety reporting, transparency, and accountability.
Ensuring they work for the public!
2/12
Point 21 - Concerns about the ability to coodinate workforce.
- one of the biggest rate limited resources is our anesthesiologist workforce, we simply do not have enough to cover hospitals AND CSFs
- NO ONE is coordinating this workforce in any way whatsoever
3/12 Image
Read 13 tweets
Parksy Profile picture
Jul 20
Some concerns from former AHS CEOs sworn affidavit 004 - HCW Intimidation and Silencing🧵:
- pg 16
- concerns raised of govt being punitive and silencing "critics"
- this should be very alarming when a former AHS CEO raises this concern.
1/10 Image
Image
- if it proves to be true that actual screen shots of this behaviour exist, and from people still in positions of power over HCWs, all ABs should be very worried.

What I can speak to from firsthand knowledge:
- almost daily HCWs tell me they are terrified to advocate
2/10
- we do NOT have a JUST culture in our HC environments, and this will have very negative outcomes for pts and the system.
- a well functioning HC system relies on HCWs being about to advocate and whistle blow when things are not working for pts
3/10
Read 10 tweets
Parksy Profile picture
Jul 18
Regarding "refocusing' - which should be nominated for the euphemism of the year award - ABs should pause and reflect on what is happening w the disintegration of our HC system 🧵:
- first off "disintergration" is used intentionally w respect to what's happening
1/8 Image
- govt is both blowing up the system and breaking down any and all INTEGRATION
- they are creating silos, redundant bureaucratic orgs, and moving clinical HC dollars to support more admin and bureaucrats

But what is really important is the HOW they are doing it:
2/8
- without a plan, roadmap or any change mgt processes
- Premier said destroy AHS, and first step was to gut its leadership, announce a bunch of new orgs, and then to pay consultants to figure out how to build the plane into a helicopter while we are flying it
3/8
Read 8 tweets
Parksy Profile picture
Jul 17
Some concerns from former AHS CEOs sworn affidavit 003 - Refocusing🧵:
- pg 19
- Some concerns about the chaos of "refocusing"...
- There really was no plan, Premier said blow-up AHS, so they blew it up and then set consultants and bureaucrats to create "anything"...
1/6 Image
Image
Some key concerns:
- NDAs have been used wantonly by this govt - the right hand can't even talk to the left hand...
- people could be on multiple refocusing committees and not be able to share info between the groups!
- AHS couldn't inform HCWs
- everyone flying BLIND
2/6
- there were no BUDGETS for the work, or for the new orgs created out of the rubble...
- no process mapping, no change management... just destroy and then pay consultants MILLIONS/day to try to come up with something
- non-expert consultants leading the disintegration...
3/6
Read 7 tweets
Parksy Profile picture
Jul 15
Some concerns from former AHS CEOs sworn affidavit 002 - Surgical Coordination🧵:
- from page 12
- It is critical to understand that payments for surgery in AB all come out of the EXACT SAME POT.
1/9 Image
Image
- doing more low acuity surgeries in community, w same or less funding = something has to give
- we know from objective data what gave: life and limb saving surgeries, bowel and transplant surgeries, and cancer surgeries... all wait times went up for them.
2/9
- also critical to understand: the workforce to do these surgeries comes out of the same pool
- we have limited nurses and anesthesia = something has to give
- without very thoughtful coordination of a complex system there can be extensive consequences spread throughout
3/9
Read 10 tweets

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