This is page numbers 5361 - 5398 of the Hansard for the 16th 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 health.

Topics

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

David Ramsay

David Ramsay Kam Lake

Thank you, Mr. Chairman. Maybe I could get the Minister to make reservations for dinner for him and I sometime. I’ve got a number of things that immediately come to mind when we’re talking about health and social services and ways that things could be improved upon. I would never say that we should be pulling millions of dollars out of the system. My belief is we have to be putting more money into the system. We have to be budgeting accordingly. That I believe fully in.

I also believe, like my colleagues, that I would stack our system up against any system in the country. That’s not really the problem. The problem that I see and the way that I think we could fix things immediately is if we take a look at the eight existing authorities. When you’re trying to manage anything,

the more moving parts you have it only stands to reason that it’s going to cost you more money, there’s going to be duplication. This is exactly where the government needs to start when it comes to managing and maximizing each and every dollar that we have earmarked for health care here in this Territory. We could still have boards out there that could be advisory boards rather than management boards. We could move them towards an advisory capacity and that would, in my mind, save us a tremendous amount of money on an annual basis. Start there.

The other thing is efficiencies. We really need to get a handle on missed medical appointments and the cost that missed medical appointments are having on our system, whether it’s for surgeries or for somebody who has the flu and misses an appointment downtown at one of our clinics or at the health centre. That costs money. Every time somebody misses an appointment it costs money. It got me thinking: Why don’t we have more of a concerted effort by staff at our health facilities to be calling people a day or two before their scheduled appointment just as a reminder? When I go to the dentist they’re making me appointments for months out and sure enough a couple days before I have that dentist appointment, they’re on the phone calling me and leaving me messages reminding me that I have an appointment. I think that in itself will save us a tremendous amount of money. Time is money, especially when you’re dealing with doctors and health care professionals. We can’t afford to be having hundreds of missed appointments on an annual basis at one clinic. We just can’t afford that.

The other thing too -- and I had a discussion with Ms. Lee about this the other day -- is on bulk purchasing. I know the Minister says we’re out in front of this, we’re spearheading our involvement with the western provinces, but the information that I have is that Alberta and British Columbia have already signed a deal. They’re already doing something together. There’s this New West Partnership between Alberta, British Columbia and Saskatchewan where they’re looking at bulk purchasing. The Minister says we’ve signed an MOU. I asked her the other day if we’re involved in this are we actually today making purchases under that arrangement, bulk purchases under that arrangement to help our escalating costs. The Minister was very evasive when it came to answering that question. She said, oh, we’re involved, we’re doing all these great things. The question was: Are we actually making a difference by bulk purchasing medical supplies and goods? She didn’t have an answer for that.

There are four ideas. The Minister wants some ideas, I’ve given him four. I can give him more when he books that reservation for dinner.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Yes, maybe if we could just remind Members we can get back to the discussion before us where we’re dealing with the supplementary appropriation and this particular area dealing with medical travel. We’re talking about something much broader than that. If we could keep our discussions to the item that’s before us. Mr. Miltenberger.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Mr. Minister.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. If the Member for Kam Lake tells me what his favourite restaurant is, we can have that dinner, but I would suggest based on the things I’m anticipating, he’s going to be breaking new ground.

The issue of board reform, hesitant as I am to use that word in this Assembly, is probably something that is going to carry on to the life of the next government.

One of the main points of the consolidated clinic here in Yellowknife was to deal with the 14 or 18 percent of missed appointments that are, as the Member has indicated, costly and very inefficient.

Bulk purchasing, the Minister has indicated that we signed on this month. I would imagine we’ll be seeing the benefit of that very shortly.

There are other things we could talk about. The other one that most immediately comes to mind is, of course, greater use of telehealth that we’ve seen, as well, that’s now underway in the communities.

I will buy the Member dinner if he can come up with things that we have not yet considered. Otherwise, we’ll probably have to arm wrestle for the bill.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Just to remind the Members that we’re on page 7, Department of Health and Social Services, operations expenditures, supplementary health programs, not previously authorized, $6.801 million.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Community health programs, not previously authorized, $250,000.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Total department, not previously authorized, $11.134 million.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Page 8, Justice, operations expenditures, community justice and corrections, not previously authorized, $161,000.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Total department, not previously authorized, $161,000.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Page 9, Education, Culture and Employment, operations expenditures,

education and culture, not previously authorized, $381,000.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Income security, not previously authorized, negative $34.213 million

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Total department, not previously authorized, negative $33.832 million.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Page 10, Transportation, operations expenditures, road licensing and safety, not previously authorized, $188,000.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Total department, not previously authorized, $188,000.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 15-16(5): Concurrence Of Td 99-16(5), Supplementary Estimates (Infrastructure Expenditures), No. 5, 2009-2010, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair David Krutko

Page 11, Environment and Natural Resources, operations expenditures, corporate management, not previously authorized, $305,000.