This is page numbers 907 - 944 of the Hansard for the 15th Assembly, 5th 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 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Ms. Lee. Mr. Minister.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Floyd Roland

Floyd Roland Inuvik Boot Lake

Thank you, Mr. Chairman. Mr. Chairman, the Member is asking a fair bit of detail and I'll pass this one on to Mr. Parker so that he can give a more accurate account of how things have flowed and where the money has gone. This one, in fact, is one of our better working relationships with the federal government, by the way. Thank you.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 942

The Chair

The Chair David Ramsay

Thank you, Mr. Minister. Mr. Parker.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Parker

Thank you, Mr. Chair. With the electronic medical record, the starting point for this was at the Great Slave Clinic here in Yellowknife. One of our clinicians in the community was very proactive in bringing this forward, and also in the Hay River Health Centre, in the clinic in Hay River. Two years ago we implemented an electronic health record. As the Member indicated, it does provide an electronic method of collecting all of the information related to a patient into one location in the clinicians' computer so they have access to recent lab reports, charts, all the history of charts, all the visits with the physician, visits to another practitioner, to a rehab office. All of that information is readily available to the physician or the nurse practitioner, whoever is drawing the information. That is a project that we're underway with Canada Health Infoway. This one where they've agreed to work with us to cover a large portion of the cost.

The plan is, and right now I should point out that just very recently the group decided to go on a broader basis with our support, with the department's support, to broaden this out to the rest of the Territories. So there's been a call for proposals. I don't know if Members have seen this recently and there's a review process going on now to select a system that would be the base system that would be used across the territory. The intention would be to not just do it in the two locations that are currently there, but in all clinics. In fact, the eye clinic is one of the next ones on the list to be taken on next, then also across the rest of the territory in other physician clinics and on to the health centres would be the approach. Thank you.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 942

The Chair

The Chair David Ramsay

Thank you, Mr. Parker. Ms. Lee.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Sandy Lee

Sandy Lee Range Lake

Thank you. I think there's no question that we need to connect this to all the communities for all practices for everybody, because not only the remoteness of our locations of where the people are located and where the professionals are located, with a lot of people not having family doctors and we're using locum doctors, I mean these health care providers come and go, but the person or the patient who is getting all sorts of care from different people it just makes sense if we could have all the information in one place where all the professionals could access them provided that they are secure and confidentiality and that security could be protected. I mean there's no question about this project. My question, though is, is the dollar amount allocated here for the next three years, would that be sufficient to get to where we need to get to? Like you say, three years down the road what will we have achieved in terms of acceptability, and I understand that Infoway and I went to the presentation when the Alberta people were up here explaining the project and I understand that they have a better system than anywhere in Canada, but the federal government has not shown interest in funding that further. So Health Canada Infoway is one body, but we will need continued funding from the federal government to keep moving. So I have two questions there. I need to know that the Minister keeps this on the agenda with his federal counterparts to make sure that the money is placed there to finish the project. Thank you.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 942

The Chair

The Chair David Ramsay

Thank you, Ms. Lee. Mr. Parker.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Parker

Thank you, Mr. Chairman. Just with respect to Canada Health Infoway, they are an important partner. In these projects, they have agreed to carry 100 percent of the eligible costs and we would have to carry the ineligible costs. Canada Health Infoway is funded by the federal government and the Minister has been advocating, along with all the colleagues across the country, in that their capitalization is ending very soon. So all the provinces and territories are pressing the federal government to continue on funding Canada Health Infoway. We think they are a very good partner. They are very helpful in this particular area, as was pointed out yesterday. We were having some struggles on the telehealth front, but in this particular area, they have been very helpful. So we do need them to carry on funding Canada Health Infoway which, in turn, will help us carry out the balance of our plan. Thank you.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 942

The Chair

The Chair David Ramsay

Thank you, Mr. Parker. Ms. Lee.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Sandy Lee

Sandy Lee Range Lake

There was another part of that question which is where will we get to? When we are done with the money allocated here, what kind of services will be available to our residents? Thank you.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Ms. Lee. Mr. Parker.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Parker

Thank you, Mr. Chairman. The full plan, as the Member indicated, would have full access for all practitioners in all facilities across the Territories. So that's the intention of the full plan. That's the way it's structured and that's our intention. Thank you.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 942

The Chair

The Chair David Ramsay

Thank you, Mr. Parker. Ms. Lee.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: 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. That's all.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Ms. Lee. I have Mr. Pokiak next.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Calvin Pokiak

Calvin Pokiak Nunakput

Thank you, Mr. Chairman. Earlier I listened to an explanation by the deputy minister regarding the primary care clinic in Yellowknife with regard to the upgrades and stuff. I listened also to what Mr. Lafferty and Mr. Yakeleya were saying with regard to much needed upgrades to their health centres in Behchoko and Colville. The Minister also indicated that under the federal funding long-term reformed workspace shortfall that they may get some funding out of that additional upgrades for some of these clinics. I don't know how much work is required in terms of keeping...I understand they have the Great Slave health clinic for Frame Lake. I don't know what the other two are, but I think there are four of them in Yellowknife here. Then we are talking about one primary care clinic in Yellowknife, which Mr. Hawkins brought up earlier. I don't know if it's

possible, but I would like to make a suggestion to the Minister at this present time, Mr. Chairman, that with the $1 million identified for the primary care clinic in Yellowknife, maybe he could consider using that money to address some of the health centres in the smaller communities. Thank you, Mr. Chairman.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 943

The Chair

The Chair David Ramsay

Thank you, Mr. Pokiak. Mr. Minister.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Floyd Roland

Floyd Roland Inuvik Boot Lake

Thank you, Mr. Chairman. Mr. Chairman, the budget as presented has gone through quite a process to get to the point where it's at, and at this point to move money to another project we'd have to establish that project first and bring it through to the system unless we find some sources of funding to deal with the emergency level areas that need to be fixed and at that point we would find it again through a supplementary process when we come to that point.

Again, through our integrated service delivery model and our work with authorities and our needs assessment when we look at our facilities, the age of facilities and when work was done on that, that helps us in how we proceed and do some of the work that's required. So at this point, the $1 million identified in that facility is not able to be moved. It's gone through the process, highlighted here. As I made commitment to Mr. Yakeleya and Mr. Lafferty about the process, we've worked with the authorities in coming up with the planning that's needed and renovations and repairs. We will continue to work with communities in trying to address the shortfall. Thank you.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 943

The Chair

The Chair David Ramsay

Thank you, Mr. Minister. Mr. Pokiak.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Calvin Pokiak

Calvin Pokiak Nunakput

Thank you, Mr. Chairman. That's the answer I expected anyway, but I thought I would throw that to the Minister for consideration. Thank you for the information.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Pokiak. Thank you, committee. We are on page 5-7, infrastructure acquisition plan, Health and Social Services, health services programs, tangible capital assets, total tangible capital assets, $9.873 million.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Some Hon. Members

Agreed.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Total activity, $9.873 million.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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Some Hon. Members

Agreed.

Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 17: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Go now to 5-9, infrastructure acquisition plan, community health programs, tangible capital assets, total tangible capital assets, $236,000.