This is page numbers 3403 - 3440 of the Hansard for the 16th Assembly, 4th 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 health.

Topics

Consideration In Committee Of The Whole Of Bills And Other Matters
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Some Hon. Members

Agreed

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The Chair

The Chair David Krutko

On to Page 6-10 Mr. Bromley

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Bob Bromley

Bob Bromley Weledeh

Thank you Mr. Chairman. I believe the NWT TeleSpeech project falls under this activity, Mr. Chairman. I see we have three phases to it and I believe we are not proposing to enter phase three. I am wondering what the status of it is, if we are on target for phase one and two in terms of deploying the activities we had planned and on budget. Thank you.

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The Chair

The Chair David Krutko

Ms. Meade.

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Meade

Thank you for that question. This is rolling out. I am going to speak first to the actual physical rollout.

Phase one and two are complete. There may be some minor adjustments at some sites, but in general this is moved out. The bigger piece is the change management and maximizing the use of these tools, so we are also working with Education. I will tell you that on the change management, we still have some training and transition to do to maximize the use. This is a tool with great potential, but as far as the capital and physical, we are on target. Thank you.

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Bob Bromley

Bob Bromley Weledeh

The deputy minister has foreseen my next question. I note in the materials provided, that training is recognized as essential. I understand we are in the phase of getting the equipment out there and some of it updated and so on. Is the budget on target as well? Have the costs been what we expected? On the training question, it would be good to know where we are at. Obviously we would like it to be somewhat keeping pace with the equipment we are putting out there. Thank you.

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Meade

Thank you very much. First of all, I can update that, yes, we are on target with the budget. This continues to be one we have to monitor closely. So phase one for 2008-2009 was the 14 health units and that is completed. Just this October we have started the evaluation of that target, just so we ensure that if we did pick up any issues in training on deployment, so that will guide the next two phases.

In November we are beginning the 16 additional health units and then as you see in this budget, for phase three, on the training, that is not a capital cost. That is operational and we are absorbing those costs and managing. We are using both the regional authority as well as our own and there are two components. There is formal training and then the ongoing site visitation as well as the department looking at how we can push out the use further. We are in close conversations with Education because we do think this is a tool we can use in many other areas, both in the health education and clearly in the counselling area. Thank you Mr. Chairman.

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Bob Bromley

Bob Bromley Weledeh

My last question, again the deputy minister anticipated, is on evaluation and use of the system, which of course is related to all of the former subjects we have been talking about, but I am wondering if we are monitoring the number of cases, and I don't know what the parameters would be, but do we have a plan for evaluation and is that in place as we go along? Thank you.

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Meade

We have just started this October the evaluation of the uptake or adoption of use, but the evaluation is actually one that is a work in progress. We will evaluate, but as we look and see growth, there will be areas that we can evaluate for future use, so we are going to be continually evaluating how we can push out and maximize these tools. Thank you Mr. Chairman.

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Bob Bromley

Bob Bromley Weledeh

Again, thank you for those comments. Is it pretty even across the Territories or are there areas that we need to focus? Have we got that far in our assessment or monitoring of things? Is there an area where we need to put extra focus in, a geographic area? Thank you.

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Meade

First of all, I think that we need to look at the whole system, because this is a system that can be utilized far greater than I think we originally envisioned and it continues to evolve across North America how you can use these tools and how you can build on, so it is evolving. As far as areas where we may have some need to go back in, our technical units are going in, continually working and back and forth, and we discuss these even when I talk to CEOs about how we can maximize and where they need support. So can I tell you a region? No. This continues to evolve as we look at the use of the tools. Thank you.

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The Chair

The Chair David Krutko

Thank you. Again, I have been reminded that we are dealing with capital here. Mr. Yakeleya.

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Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Chairman. The information that we have here is that in terms of the communities that I represent, are all the telehealth services in place now and it can be used for the communities in terms of what it is intended for in terms of health care?

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The Chair

The Chair David Krutko

Ms. Meade.

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Meade

Thank you Mr. Chairman. I am sorry; I don't have the information with me as to where the 14 and the additional ones that we have ruled out currently and continuing, but I can tell you that in two of the areas that the Minister recently visited in the Sahtu, both Fort Good Hope and Norman Wells, you had equipment in those health centres that was set up and starting to be used. Fully used, I don't think that any of us are fully using this tool, but they are up and ready to go in at least two of your health centres. Thank you.

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Norman Yakeleya

Norman Yakeleya Sahtu

We've certainly had some great debates in regard to improving our health care system through this information technology services available to us. I'm going to just ask the Minister of Finance in terms of worthwhile investment for us such as this here in terms of having this system available to us in the Sahtu because of the number of factors that make it quite difficult to have other services like the larger centres. I know and appreciate what the deputy minister said in terms of two centres that possibly could be used in this. I think it would be very beneficial to have the other centres also involved in terms of using this type of service. We invest a lot of money and continue to invest and I think that's a way we can also cut down on our medical travel, if need be, and look at how we keep people back in our communities rather than fly them out to larger centres. I'll ask the Minister.

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The Chair

The Chair David Krutko

Ms. Lee.

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Sandy Lee

Sandy Lee Range Lake

Yes, I just want to say the deputy minister came with me to Fort Good Hope, but I was in Tulita, Deline and Colville with the Member before that; before her time. We saw telehealth equipment in all of the facilities. The Sahtu was one of the first ones for a rollout. The staff there were excited and preparing to use that. I should caution that the whole plan is in process in all three stages, but right now a lot of staff are dealing with H1N1 issues that might delay the rollout a little bit. I hope the Member is willing to stand up. The Sahtu is all fully equipped in all four communities. Nice TV, with wheels.

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The Chair

The Chair David Krutko

Can't argue with TV on wheels. Mr. Yakeleya.

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Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Chairman. It's good to know that the Sahtu is fully equipped and we're ready to go here. I wanted to ask the Minister, I know there's an issue here we need to deal with in all the Northwest Territories and this may cause some delays in terms of getting this information up and going for us. This is something that we can look forward to. I certainly know that this is very important for our people here. They have seen it. They like it. I hope we're not, that we can, for our region have this available here for our centres, like any of the small communities that do not have nurses or have limited access to physicians. Could this be something the Minister could pay a little closer attention to in terms of having this up and going in light of having to deal with the flu that is coming around the corner here?

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Sandy Lee

Sandy Lee Range Lake

Yes, we fully intend to maximize the use of that equipment. It is more suitable for our small communities. Not only the telehealth, but also DI/PAC equipment will be in all of the small communities too. I just want to know that, and I do need to tell the Members that H1N1 right now is the number one priority and we have had to employ human resources who would not normally be dealing with public health issues in the department and in the regional health centres to address it. Everybody is fully geared up to deal with H1N1, but the telehealth machines and DI/PAC and electronic health records system is rolling out really nicely and we will do everything we can to fully maximize that, because it would really benefit and help us to deliver our care.

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Norman Yakeleya

Norman Yakeleya Sahtu

I certainly look forward to the day when I can walk to any health centre station in the Sahtu and see that this operation is fully in place and implemented and the people know how to use it. That will be a plus for this government here to look at improving our health care centres in our smaller communities.

I would ask also if part of this whole information investment here that we're using is also our health centres on line with the new system on medical records. Is this something that is also in place in our health centres? Thank you.

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Sandy Lee

Sandy Lee Range Lake

Mr. Chairman, the plan is to roll it out to all of the communities, but right now we are doing a pilot project to iron out the use of the program and make sure the confidentiality issues and all of the data gathering and keeping are safe. So we still are in the process of finalizing that, but certainly the plan is to have it out to the communities. Thank you.

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Norman Yakeleya

Norman Yakeleya Sahtu

Mr. Chair, again, I would ask if the Minister sometime would -- maybe it's already been provided -- provide kind of a plan as to which communities and regions are going to be on the list for the rollout of this project here.

The last point I had, Mr. Chair, in terms of this information here...It's been a long day, so I just can't remember. I lost it there. So I will have to leave it. I am having a senior's moment, Mr. Chair. I will leave it at that for now.

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The Chair

The Chair David Krutko

I believe Mr. Yakeleya was asking if you could provide the information so that he could have that in his hands. Minister of Finance.