Agreed.
Debates of March 9th, 2005
This is page numbers 1899 - 1944 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
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1935
Some Hon. Members
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Some Hon. Members
Agreed.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
The Chair Jane Groenewegen
Page 11, not previously authorized, supplementary health programs, $1.883 million. Mr. Braden.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Bill Braden Great Slave
Sorry, Madam Chair. I was following the pages here and didn't quite get the break. I wanted to see if I could inquire into the additional costs for provision of hospital services from Alberta. This would be on page 10, Madam Chair.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
The Chair Jane Groenewegen
Okay, thank you. Does the committee agree to let Mr. Braden ask a question from page 10? Nay? Oh, I'm sorry, Mr. Braden. Alright, go ahead. At the chair's discretion...
---Interjection
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
March 9th, 2005
Page 1936
Bill Braden Great Slave
Thank you. Yes. Well, let's see if we can...okay. Madam Chair, we spent, according to the supplementary here, about 33 percent more than forecast with the Capital Health Authority of Alberta due to increased utilization and an increase in rates. This is a considerable jump from forecast. The information says that the approved budget was $12 million, the total projected costs for this year are $16 million, so we have a shortfall of $4 million. I'm wondering if the Minister could give a bit of detail on the increased utilization, as well as the jump in rates. Thank you very much.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Floyd Roland Inuvik Boot Lake
Thank you, Madam Chair. Maybe I'll have the Minister of Health and Social Services make that response in this area. As I explained earlier, the increased actual usage of what services are provided out of territory and some of those increases in the claims that were processed. For further detail, Mr. Miltenberger can give that detail. Thank you.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Michael Miltenberger Thebacha
Thank you, Madam Chair. Madam Chair, as the Minister previously indicated, the utilization rates increased to the tune of about $2.8 million. There's a four percent rate increase of about $331,000. Then there was some claims processed from 2003-04 for $865,000. I could share with the Members, if they're interested, the summary of costs by diagnosis, by summary of claims by diagnosis, and by summary of average costs by diagnosis, if that's of interest. I'd also point out that we've also been looking at our costs. Alberta has been looking at our use of their facilities and I've indicated to committee previously that one of the things we're doing, it's been pointed out to us in our review, that we were shipping people south that could have been serviced in Yellowknife first, at Stanton, to the tune of anywhere between 1,000 and 1,800 bed days. We've taken steps in the last number of months to make sure that we have a referral process that goes through and is coordinated out of Stanton to make sure that we use our northern services first, which we hope and anticipate will reduce some of our southern costs. All these programs are demand driven, so if there's increased usage and there's a requirement to send them south, we do that and then we come back. When we can demonstrate the cost then we come back looking for the extra money. Thank you.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Bill Braden Great Slave
Okay, thank you, Madam Chair. I appreciate the information and, yes, we have had a fairly good exchange about this as committee. From what I picked up on this, the department has recognized and taken action to make better utilization of our own facilities here at Stanton and see if we can do something, and I hope something quite significant, about reducing what the Minister said is potentially as many as 1,800 bed days that we did not need to send to Capital Health but, of course, ended up paying for. The Minister mentioned that this has been in effect for some months now. I'm wondering if Mr. Miltenberger would have some indication for committee if we are indeed making a difference on that. Are we better coordinating among our different health authorities? Are we reducing the cost incurred at Capital Health? Thank you.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Michael Miltenberger Thebacha
Thank you, Madam Chair. Madam Chair, it's too early for us to determine the success but, yes, the instruction has been issued already. The processes are in place with the authorities in terms of referrals. We have it set up where they work through Stanton. So the medevacs and medical travel are coordinated. We've taken the steps and we're monitoring, of course, the usage and the cost. I'll be able to report to committee, probably in the fall when we come back to start reviewing business plans, where we are and what the numbers are telling us.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Bill Braden Great Slave
Thank you, Madam Chair. The Minister also agreed that we've entered into a new agreement now with the Capital Health Authority at a 4.8 percent rate increase. What kind of term is there on this agreement, Madam Chair?
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Michael Miltenberger Thebacha
Thank you, Madam Chair. We've had a contract with Capital Health now for many years. We did a major renewal a couple years ago and there are extension clauses built in, but we've had an arrangement now for many years with Capital Health as our nearest source of that kind of tertiary level service and specialized service. Thank you.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1936
Bill Braden Great Slave
So there is no fixed term and renewal contract on this. Is it sort of at pleasure then? How does that work? Thank you, Madam Chair.
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1937
Committee Motion 40-15(3) To Amend Bill 17 To Come Into Force On The Earlier Of The Prorogation Of The First Session Of The 38th Parliament And The Coming Into Force Of The Civil Marriage Act (canada), Defeated
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Page 1937
Michael Miltenberger Thebacha
Madam Chair, we do have a contract and we do have in there clauses that allow for cost increases for things like the forced growth items that we experience as well. We negotiate a cost and we've changed how we negotiate. I believe it's a five-year term, but I'll have to double-check that. I know it has clauses built in that reflect the increased cost of business. Thank you.