This is page numbers 3911 - 3944 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

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Mr. Chairman, does the Minister know how many of the 14 units are used and how often these 14 telehealth units are used? Furthermore, whom are they used by? Are they used just by Health or are they used by other departments in some conjunction agreement?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Hawkins. Minister Lee.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Mr. Chairman, as we indicated before, this is relatively new and it is being used in different ways by different authorities. It all depends on the service requirements, the interest even on the part of the people on the ground. I have visited different centres where, for Inuvik for example, they couldn’t say enough about this machine and how much it has helped them. The picture is quite buried all across. It is like any time you introduce a new technology into your service delivery, the uptake and the use is different depending on the regions and the places. I don’t have updated information on exactly what the use is on that, but we will obviously be monitoring and evaluate to make sure that device and that tool is used as much as possible. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Mr. Chairman, I am wondering if the Minister knows which two units have been in use the longest. I am referring to outside the Stanton Territorial Hospital. What type of services have primarily been focused in on and how many hours were they in use? Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Hawkins. Ms. Meade.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Meade

I think, first of all, it would be fair to say that I don’t believe that the Health Net that we have so far begun to roll out is used to its maximum. The potential for its use is only just being recognized by our providers and collectively at the CEO table. The providers, in particular some of our physicians, nurse practitioners and community nurses, are very keen on being able to explore this. So the general thing that you see with most telehealth rollouts across Canada are telespeech, some tele-psychiatry where it is done on a consult basis of a case, child welfare case management. Those are the types of things early.

Where you start to move is when you start to do actual treatment. So group therapy, individual therapy, we are starting to explore that in a few areas.

Uses are just beginning. What we do is actually look at uptake. It is quite a drilling down and it is technical spot checks to see. Trying to get the information to be able to make it translated beyond the technology is a bit of a stretch. I think that is fair

to say that we are moving it out as quickly as we can and we are moving to change management, but we think we have only just begun to see how much more we can use this equipment.

My recent discussions with emergency physicians at Stanton, we think that actually the on-call physician and start to do consults to some of our community nurses. This was an application not envisioned when we started to roll this out and how the on-call physician system can be linked.

I think it is better to say this will become more and more a critical component of our future delivery, so I am not answering the Member’s questions as far as how many hours so far because we haven’t even begun to envision how many hours we actually could start to use this as we get our culture and our providers trained up and understanding the potential.

Where we have locum physicians coming from other jurisdictions that have full eHealth systems, they are very excited and they are actually helping us introduce the other applications that we can use this for. A big one in Hay River where the Minister was there to announce eHealth was right there and then we had the first time where the labs and the X-rays were read with the specialist on one end in Stanton and the consult happening through Edmonton and right back to Hay River. The patient got good, immediate, in time, quality care without any transport. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Mr. Chairman, I didn’t really hear much about how they have been used and how many hours they have been used. I would also like to reiterate that question in that context as well as what specific services have we noticed a trend emerging from our usage on this type of product. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Hawkins. Minister Lee.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Mr. Chairman, I understand his question. I don’t think we can get him that level of detail, in that I don’t think that right now we are keeping, okay, how many hours are we using this. The tools are out there. We are trying to provide the support and training so that more people will use it. As I stated earlier, we will be evaluating and monitoring this program and we will give an update and promise that to MLA Yakeleya too. I will give him a profile of where the machines are right now, where we are going to get more out of and what kind of services are being provided through these tools. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

I thank the Minister for that answer. Would that also include some updates as to where the status of training of individuals would be on that particular list? In other words, if all 14 units are farmed out, are all regions that have received this equipment that they have someone

trained and qualified in order to be able to run the unit? Furthermore, would information be available to cite that we have people on board to help deal with problems so they can work with our informatics teams to make sure these things are up and running, that type of information? In other words, do we have qualified people to run these things? Would that be part of your information package?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Yes, Mr. Chairman. I can say we have qualified people running this. I will make a commitment to give him more information on how the services are delivered, where they are, what they are being used for and how the training needs are met. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Minister. Thank you, Mr. Hawkins. I have next on the list Mr. Krutko.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

David Krutko

David Krutko Mackenzie Delta

Thank you, Mr. Chairman. If I can, I wanted to talk about the orthodontist physician in Inuvik. I am wondering if it is okay to do it under this page or should we go back to page 8-16?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Krutko. I think it would be appropriate to go back to page 8-17 for that. For that, I will need unanimous consent of committee. Do I have unanimous consent to go back to page 8-17?

---Unanimous consent granted.

So be it, Mr. Krutko. Page 8-17.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

David Krutko

David Krutko Mackenzie Delta

Thank you, Mr. Chairman. Thank you, colleagues. An issue that has come to my attention, especially for residents out of Inuvik and the Beaufort-Delta region, apparently they won’t have an orthodontist in Inuvik. Apparently there are a lot of children who require dental care, braces and whatnot. Without having an orthodontist in the region, a lot of them are having to expend a lot of their own dollars to fly their children to Yellowknife so that they can be seen by an orthodontist here in Yellowknife. As a department which is responsible for primary care, especially in the different regions, especially dental, it is important especially for younger people. I ran into a lady at Wal-Mart, in which her son was with her. Apparently his jaw is locked up because he didn’t see an orthodontist for so long that he has problems eating now. When it comes to that situation, I think that we do have to do everything we can to ensure that the orthodontists and those types of providers are provided in those regions so the parents don’t have to bear that extra cost of having to go elsewhere. So I’d just like to ask the Minister in regard to the orthodontist position in Inuvik: what’s the department doing to try and ensure that they make sure these programs are being delivered, especially when it comes to oral health and dealing with the orthodontist position for Inuvik? Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Krutko. Minister Lee.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Chairman. I know the Member is good, but I don’t know how he got dental care into primary care, but, anyway, I’d be happy to answer him with the information. This dental issue in general comes up everywhere I travel. It is a big issue for our community people, but it’s important for people to know that dental care is not a responsibility of the GNWT. It is not an insured service. It is the federal government that provides dental care to our aboriginal peoples. The non-aboriginal people in the Territories, they get dental coverage by their own insurance. Dental care is not part of health care.

Now, the GNWT does provide support to dental services in our regions. The problem we’ve been having is almost every authority, and that includes Inuvik, have had difficulties getting a contractor to provide dental service in Inuvik and the Member is right that there have been some parents with young children who need orthodontic services and other dental services and they’ve not been able to get them for the last little bit. I’m happy to note that a new contract has been signed and we do have new dental services being provided in Inuvik. So hopefully the lady that he was talking to at Wal-Mart and some other people that have been contacting us will be able to be processed as soon as possible. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Minister Lee. I think the window we had into this was through the oral health provision under this directorate division. Anything further, Mr. Krutko?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

David Krutko

David Krutko Mackenzie Delta

I’d just like to thank the Minister for that and I think that news maybe should go out by way of a press release, because I think there’s a lot of other people out there that would like to hear that announcement and know that action is being taken in this area. So maybe you’ve got a good news story tomorrow. Thank you.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Krutko. Committee, we started on page 8-17. I find that we’re still there. Activity summary, program delivery support, operations expenditure summary, $31.936 million. Does committee agree?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, committee. Page 8-18, activity summary, program delivery support, grants and contributions, contributions, $15.039 million. Agreed?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you. Page 8-19, information item, program delivery support, active positions. Agreed?

Committee Motion 19-16(4): Establishment Of A Full-Time Nursing Position In Tsiigehtchic, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.