Table of contents
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Search public engagements
- Alberta Pension Plan engagement
- Alberta Police Service transition study
- Budget 2024 consultation
- Early Learning and Child Care Funding Formula Approach Engagement
- Food Safety and Licensed Facility-Based Child Care Review Panel
- Gender-based violence engagement
- Institutions Regulation engagement
- K to 6 curriculum engagement
- Life leases review
- Local elections and councillor accountability engagement
- Prompt Payment and Construction Lien Act engagement
- Persons with Developmental Disabilities Safety Standards Consultation
- 2016 Forest and Prairie Protection Act amendments engagement
- Castle and Wildland provincial parks management plan engagement
- Caribou conservation agreement engagement
- Budget 2016 consultation
- Bow Basin water management options engagement
- 10-year tourism strategy engagement
- Physician-assisted death public engagement
- Agency and Human Services Procurement Advisory Table engagement
- Alberta Firearms Advisory Committee
- Child care engagement
- Commercial tenancy support feedback
- Curriculum advisory panel
- Local election rules engagement (2020)
- Mental health and addiction advisory council
- Choice in education engagement
- Skills for Jobs Task Force
- Municipal Government Act review
- Student Transportation Task Force
- Addiction and mental health services engagement
- Cut Red Tape engagement
- Advisory Panel on Coal Communities
- Advocate for Persons with Disabilities consultation
- Wapiti river water management plan engagement
- Bow Valley human-wildlife coexistence engagement
- Energy Efficiency Advisory Panel
- Budget 2020 consultation
- Infrastructure planning engagement
- Food regulation engagement
- Human Trafficking Task Force
- Talent Advisory Council on Technology
- Transportation regulation engagement
- Vision for student learning engagement
- Alberta Energy Regulator review
- Alberta Health Services review
- Arts Professions Act engagement
- Budget 2019 consultation (February)
- Castle region tourism strategy engagement
- Child safety seat consultation
- City Charters
- Condominium rules consultation
- Conversion Therapy Working Group
- Daylight saving time engagement
- Employment standards engagement
- Farm freedom and safety engagement
- FSCD Listening sessions
- MacKinnon Report on Alberta's Finances
- Mental Health Act engagement
- Minimum wage expert panel
- Road testing engagement
- Rural crime engagement
- Supervised consumption services review
- Technology Innovation and Emissions Reduction engagement
- Tobacco and smoking reduction review
- Youth employment rules engagement
- Agricultural policy framework engagement
- Commercial driver and road test engagement
- Local Authorities Election Act engagement (2018)
- Local food engagement
- OHS regulations consultation
- Sixties Scoop apology engagement
- Builder licensing engagement
- Consumer protection consultation
- Farm and Ranch workplace consultations
- Farm and ranch workplace legislation
- Glenora building – Former Royal Alberta Museum
- Indigenous off-reserve affordable housing engagement
- OHS system review
- Opioid emergency response commission
- Output Based Allocation System Engagement
- Resident and Family Councils Act - PDD consultation
- Driver medical exams engagement
- Farmer-led research engagement
- Clare’s Law phase 2 engagement
- Alberta Joint Working Group on Missing and Murdered Indigenous Women and Girls (MMIWG)
- Alberta 2030: Building Skills for Jobs engagement
- Red tape industry panels
- Occupational Health and Safety (OHS) Act review
- Radiation Protection Act review
- Affordable Housing Review Panel
- Highway 697 bridge financing engagement
- RAPID Response engagement
- Species at risk engagements
- Police Act review
- Victim services engagement
- Family and Community Support Services engagement
- Moose Lake 10 km management zone plan engagement
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Fisheries engagements
- Alberta fisheries management engagement
- Fisheries Action Plan communications preference survey
- Fisheries regulation changes 2019-20 engagement
- Eastern slopes fisheries regulations engagement
- Decontamination protocol engagement for industry and construction
- Barbless hooks engagement
- Bow River fisheries regulation changes engagement
- Lac Bellevue angler survey
- Lower Athabasca region fisheries management survey
- North central native trout recovery engagement
- North Saskatchewan region fisheries management survey
- Northern pike and walleye management frameworks engagement
- South Saskatchewan region fisheries management survey
- 2021-22 Sportfishing regulations engagement
- Fisheries regulations survey
- 2022-23 Sportfishing regulations engagement
- Lake Trout Working Group for Cold Lake
- Porsild’s bryum recovery plan engagement
- Ferruginous hawk draft recovery plan engagement
- Livingstone-Porcupine Hills footprint and recreation plans engagement
- Caribou range planning engagement
- Whitebark and limber pine recovery plan engagement
- Western grebe draft recovery plan engagement
- Bow River access plan engagement
- Peregrine falcon recovery plan engagement
- Bighorn Country proposal engagement
- Minerals strategy stakeholder engagement
- Budget 2021 consultation
- Energy Diversification Advisory Committee
- Condominium dispute resolution engagement
- Climate Change Advisory Panel
- Oil Sands Emissions Limit engagement
- Automobile insurance reform committee
- Mooring standards engagement
- Utilities Consumer Advocate engagement
- Workers' Compensation Board (WCB) Review
- Workers’ compensation review
- Mobile home site issues engagement
- Labour union dues and financial disclosure engagement
- Family Support for Children with Disabilities engagement
- Alberta Crown Land Vision
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Flood study engagements
- Athabasca flood study engagement
- Bow and Elbow River flood study engagement
- Camrose flood study engagement
- Cardston flood study engagement
- Drumheller flood study engagement
- Fort Macleod flood study engagement
- Medicine Hat flood study engagement
- North Saskatchewan River flood study engagement
- Peace River flood study engagement
- Pincher Creek flood study engagement
- Priddis flood study engagement
- Red Deer River flood study engagement
- Sheep River flood study engagement
- Siksika Bow River flood study engagement
- Slave Lake flood study engagement
- St. Albert flood study engagement
- Upper Bow River flood study engagement
- Fort McMurray flood study engagement
- Upper Red Deer River flood study engagement
- Fort Vermilion flood study engagement
- Highwood River flood study engagement
- Sustainable outdoor recreation engagement
- Financing Highway 697 project engagement
- Kitaskino Nuwenëné Wildland Park engagement
- Persons with Developmental Disabilities Committee
- Reviewing Alberta's continuing care system
- Cold Lake Sub-regional Plan engagement
- Bull trout recovery plan engagement
- Roadside worker safety engagement
- Bistcho Lake Sub-regional Plan engagement
- Extended Producer Responsibility engagement
- Energy storage engagement
- OHS Code review
- Sub-regional planning engagements
- Coal policy engagement
- Updated draft K-6 curriculum engagement
- Feral Horse Advisory Committee
- Supporting Alberta Working Parents Advisory Group
- Fish Creek Provincial Park trails engagement
- Bow River Reservoir Options engagement
- Skilled trades and apprenticeship engagement
- Child and Youth Well-Being Review
- Agricultural Policy Framework engagement (2021-23)
- Elder abuse prevention engagement
- Local Food Council
- Surface water quality management framework engagements
- Privacy protection engagement
- Fair Deal Panel
- Strategic Aviation Advisory Council
- Education Services Agreement draft standards engagement
- Wildlife Management and the Vision for Recreational Hunting engagement
- Rural economic development engagement
- Wild turkey management engagement
- Drinking water standards engagement
- Provincial police service engagement
- Surveys Act engagement
- Modernizing cooperative legislation engagement
- Photo radar engagement
- Budget 2022 consultation
- Coordinated Community Response to Homelessness Task Force
- Research Commercialization Working Group
- Mine Financial Security Program engagement
- West Bragg Creek Trails Master Plan engagement
- Made in Alberta engagement
- Potable water regulation updates engagement
- Stormwater management engagement
- Alberta EMS Provincial Advisory Committee
- Edmonton Metro Region Economic Recovery Working Group
- Calgary Office Revitalization and Expansion Working Group
- Writing-on-Stone Provincial Park management plan engagement
- Regulated property assessment model engagement
- Personal Property Security engagement
- Big Island Provincial Park engagement
- Private sector pensions review engagement
- Technology Innovation and Emissions Reduction Regulation Review
- Career Education Task Force
- Parkdale Home stakeholder engagement
- Lower Athabasca Regional Plan review engagement
- Anti-racism engagement
- New teacher code of conduct engagement
- Modernizing Alberta's Primary Health Care System
- New homebuyer protection engagement
- Budget 2023 consultation
- Premier’s Advisory Task Force on Ukraine
- Public Security Indigenous Advisory Committee
- Digital Strategy engagement
- Edmonton Public Safety and Community Response Task Force
- Calgary Public Safety and Community Response Task Force
- Legislature grounds improvement engagement
- 2023-24 Sportfishing Regulation Engagement
- Public Health Emergencies Governance Review Panel
- Post-secondary gender-based violence stakeholder engagement
- Diabetes Working Group
- Tiny Cryptantha Recovery Plan engagement
- Small-Flowered Sand-Verbena Recovery Plan engagement
- Fort Chipewyan working group
- Recovery Expert Advisory Panel
- Improving the health system
- Public inquiry into anti-Alberta energy campaigns
- Glossary of terms
- Public engagements 2012 to 2015
Overview
Clinical care services are at the core of Alberta Health Services (AHS). The performance review examined clinical services across the continuum of care:
- acute hospital care
- post-acute and long-term care
- community-based and home care services
Improvements outlined in the report primarily focus on adjusting resources and operating rooms to allow patients to be cared for in the best place, at the right time. All of the recommendations together seek to improve care delivery across the province so Albertans can be confident they're receiving the best care available no matter where it's delivered.
No hospitals will be closed and urban trauma centres will not be consolidated.
AHS review recommendations
The AHS performance review report made 21 recommendations (numbers 14-34 of 57) related to clinical care, including:
- the use of services, procedures and resources in clinics
- how care is delivered across the province
- support services such as diagnostic imaging, pharmacy and emergency medical services
Clinical utilization
- Prioritize the further provincial standardization of clinical care pathways and protocols to ensure all Albertans have access to evidence-based, outcomes-focused and cost-effective care.
- Continue to strengthen AHS’ integration with primary care through the expansion of community-based and home care programs to care for patients in the most appropriate setting.
- Expand a bed flow program, such as the CoACT Collaborative Care Framework, to standardize and manage beds effectively across the province, improve length of stay and allow for patient care in the right place, at the right time.
- Internally establish a provincewide performance monitoring and management framework for the governance, accountability and reporting of surgical services.
- Within a provincialized surgical framework, reassess the level of investment needed to achieve the Alberta Surgical Initiative volumes based on utilization improvements and potential for alternate treatment pathways for patients.
- Create a fit for purpose operating model for ambulatory care and outpatient clinics and develop a strategic vision and governance model to support AHS’ objectives in both the hospital and the community.
- Consider realigning bed resources within acute, long-term care (LTC), designated supportive living, and community care to support an immediate reduction in alternative level of care, ensuring patients are cared for in the most appropriate setting.
- *Reconsider long-term care (LTC) facility ownership in cases where private delivery may be more efficient and appropriate.
*Parameter: Sell Capital Care and Carewest only if there is an appropriate return on the assets and a high quality delivery partner assumes operations.
- Transition from volume-based and transactional home care oversight model to one where providers are held to account for patient outcomes and quality of care for those they serve.
Service configuration
- *Alberta Health and AHS should establish provincial clinical access guidelines and further develop clinical standards to enable an affordable and safe configuration of acute care facilities across the province.
- *Consider reconfiguration of small/medium community sites based on the validated and agreed access guidelines.
*Parameters (for 23 and 24) AHS should work closely with communities in configuring hospital and emergency departments appropriately, with no closures.
- Review existing virtual health initiatives and consider development of a provincial plan to leverage virtual health technology to provide care across remote populations.
- Ensure trauma is managed as a provincial service, with stronger adherence to trauma triage and referral protocols to avoid bypass of regional centres where not clinically appropriate.
- *Consider consolidating Edmonton’s two major trauma centres to a single site.
*This recommendation has been rejected. There will be no consolidation of urban trauma centres.
- AHS and Alberta Health should assess opportunities to expand the use of non-hospital surgical facilities across the province.
Clinical support services
- Expand and scale clinical appropriateness initiatives to reduce unnecessary tests to improve patient safety, experience and access across Alberta.
- Further leverage private contracts for the provision of laboratories services across Alberta. While an initial focus should be on community-based testing, subsequent consideration should be given to expanding to specialty test options.
- Optimize capacity across diagnostic imaging services by consolidating underutilized radiography facilities and increasing throughput of CT and MRI modalities to help manage wait lists where appropriate.
- Consider and assess options related to a Managed Equipment Service approach to major diagnostic imaging equipment to provide more timely equipment replacement and access to innovations that can drive further efficiencies.
- *Review and optimize AHS’ commercial business models for pharmacy including retail pharmacy options (for example: owned, lease, profit share) and LTC delivery models. Consideration should be given to co-pay options and expanding the Calgary private LTC model in order to maximize financial benefits provincewide.
*Parameter: Consider co-pay in long-term care only to the extent that it aligns with other provinces and does not affect low-income patients.
- *Rationalize EMS dispatch and air ambulance operations including the relocation and decommissioning of underutilized airbases and a review of service agreements where services can be more efficiently delivered by AHS.
*Parameter: Consider the consolidation of air ambulance bases closer to the termination of the existing contract.
More recommendations
See the other AHS performance review recommendations:
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