This is page numbers 1311 - 1352 of the Hansard for the 15th Assembly, 3rd Session. The original version can be accessed on the Legislative Assembly's website or by contacting the Legislative Assembly Library. The word of the day was chairman.

Topics

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Minister. Mr. Yakeleya.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Norman Yakeleya

Norman Yakeleya Sahtu

I have two more questions. The other question I have is regarding FASD. Is the department looking at working with community Members, especially the mothers, in terms of testing for FASD? There is an article here from the doctor's office on screening methods in terms of early prevention.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 1350

The Chair

The Chair David Ramsay

Thank you, Mr. Yakeleya. Mr. Minister.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. Mr. Chairman, we have programs and staff in the field who are geared to work with pregnant mothers first to convince them not to drink, that one drink when you are pregnant is too much and having the babies born healthy. Then we have a number of other services that we are constantly dealing with with those children, youth and adults who are afflicted with FASD, which is a whole other area. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 1350

The Chair

The Chair David Ramsay

Thank you, Mr. Minister. Mr. Yakeleya.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Norman Yakeleya

Norman Yakeleya Sahtu

My last point, Mr. Chairman, is the dollars that are being transferred over from the federal government to the territorial government were expansion dollars that were for the regional health authorities and boards, capital infrastructures, similar to the one we are looking at setting up in the Sahtu for assistance in putting together their health boards. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 1350

The Chair

The Chair David Ramsay

Thank you, Mr. Yakeleya. Mr. Minister.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. The money voted by the Assembly for the Sahtu board is territorial money. It doesn't come from any specific program or fund. We made the political decision to proceed with that and we voted the funds to do that. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Minister. I have Ms. Lee.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Chairman. I want to bring up something I feel really strongly about and that is the health informatics system that is being introduced all over the country and something the Minister and the department has started a pilot project on. I would like to see a day in the not-too-distant future where patients could go anywhere where they are getting health care where there will be a virtually paperless environment. If anybody goes to the Adam Dental Clinic in Yellowknife, their office has really taken on this system where all the X-rays is on their computer system, all their appointments, they have files on everybody and it's amazing how they work. I think we should hire them. They should at least be used as a model. They have a TV screen where you can see the inside of your mouth while just laying on the dentist chair. Anyhow, I don't see why we can't do that for health clinics. I know that a pilot project is being done in the Great Slave Medical Clinic. I would like to get an update from the Minister as to where this is at. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 1350

The Chair

The Chair David Ramsay

Thank you, Ms. Lee. Mr. Minister.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. I share the Member's intense interest in this area and see it as a very critical piece of support for the health and social services system. We are investing money in this. We have Infoway working with us and helping to fund our effort in electronic health records. We are looking at a pilot project, but we are looking at trying to make it system-wide. We have $459,000 dedicated to the electronic medical and patient records project. There is a preliminary analysis fee, which will be a system-wide review. It will embrace patient referral patterns both in and out of the Territories. We are going to be looking at using the whole $459,000 to get set up to do that and once that's clear, working with Infoway, we want to move on the actual implementation. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Minister. Ms. Lee.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Chairman. I understand that the pilot project started at Great Slave Clinic a few months back, within the last six months, I can't keep track of time. I think there are some projects being done in other parts of the NWT. Can I get an update on how the pilot project went and what's the time frame? Is the department going to try it for three months or six months? Could I get an idea of what we are to expect? Is there only one going on in Yellowknife or am I right in thinking there might be something going on in Hay River as well? I appreciate the dollar amounts the Minister gave me, although I don't think that's big enough. I would like to know the project, the scope and the rollout plan of the project, please.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 1350

The Chair

The Chair David Ramsay

Thank you, Ms. Lee. Mr. Murray.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Murray

Thank you, Mr. Chairman. The pilot project is actually still continuing at the Great Slave Medical Clinic. I believe it's going on for another couple of months. I don't know if it's two months or three months. I would have to check that out.

The funding for 2005-06 is not only to continue with that pilot, but also to do additional pilots with another clinic, as well as trying to get one of our community health centres. This kind of a system allows for the sharing of information between health practices across the system. Ideally eventually not only within the Territories but with Capital Health, we will be able to do things like carding of patients. They will be on the system, so if you have a different doctor, you don't have to give your information over again to a new doctor when you see him. You allow for things like X-rays and lab results to be sent electronically. There will be aspects of this that will allow for electronic prescribing of medications and tracking of medications for patients.

So it's quite an extensive system. For us to roll it out across the Territories, we will need help from Infoway, which is a national body that provides money to jurisdictions to implement health technology projects. So the pilot is still underway. We will be giving additional pilots in 2005-06 and our intention is to access a piece of Infoway's billions of dollars, so we can expand their system across our health centres. It's particularly important that we get the small community health centers involved in this as well to make sure the technology will work in the communities. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Murray. Ms. Lee.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Chairman. I am aware of some of the things Mr. Murray had outlined about the kinds of things that informatics can do and I also think that the potential for this is the way the system could link up all of the communities in the North eventually and have the patients be accessible to health care professionals in a more efficient way and in a way that's not possible now, as well as making things paperless. I am still not getting a clear picture about what the department has planned. I understand the department wants to tap into some of the resources that the federal government is offering, but what is the plan after this pilot project in Great Slave Medical Clinic is done? Are they supposed to get together and look at how it went? Is there another series of communities that are waiting for this to be coming to them? What is the terms of reference of this project? Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 1351

The Chair

The Chair David Ramsay

Thank you, Ms. Lee. Mr. Murray.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Murray

Thank you, Mr. Chairman. Once we have the results of this pilot project, we have to complete an extensive analysis to submit this project and to secure funding across the system. We have to put that into the government's IT technology planning process, which will require the results of the pilot project. Before we can come up with a plan that actually allows us to say we'll have all the communities on a period of two years, five years, 10 years, will require getting negotiations with Infoway's sorted out to the point whether we know whether we are going to get $1 million or $2 million because this is an expensive technology.

The other thing I would mention is why we are doing this as a pilot project. There are a number of packages available in the marketplace that do similar things. Part of this pilot project was an extensive RFP process they underwent to pick a package for testing. The results of whether that's the right package need to be known before we could commit to wanting to use that across our system. That's why this pilot and the results of that are going to be important for our planning and for rolling out a plan to do this across the system.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 1351

The Chair

The Chair David Ramsay

Thank you, Mr. Murray. Ms. Lee.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Chairman. Am I to understand that the future and the viability of this project and the possibility of implementing the informatics system to more parts of the NWT other than Yellowknife, or even Yellowknife, does all that depend on the funding from elsewhere? Is there any plan on the part of the government to put some money into this?

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 1351

The Chair

The Chair David Ramsay

Thank you, Ms. Lee. Mr. Murray.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Murray

Thank you, Mr. Chairman. At the present time, in our three-year plan in the mains that you are going to be looking at in the detail in the capital, there is $459,000 of GNWT money set aside for 2005-06 and we have also targeted $662,000 for the year after and $736,000 for 2007-08 for a total of over $1.8 million. If we can get Infoway's money, we could do it faster or do more communities. This by no means will necessarily hook the entire system together.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Murray.