This is page numbers 5623 - 5662 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

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Wendy Bisaro

Wendy Bisaro Frame Lake

I appreciate the breakdown. I’m struggling to understand. We’ve got, I don’t know, one review for sure which was itemized and then at the end it was a number of reviews. I know that this funding is sunsetting at the end of March of 2012 and I appreciate that federal funding has to end sometime, but I am sort of struggling with what some of this funding is being used for and I wondered two things: what is the territorial support network, and which reviews. Mr. Elkin mentioned a number of reviews. I wonder if he could tell me what those reviews are. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Ms. Bisaro. Ms. Meade.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Meade

Thank you. The Territorial Service Support Network is the work that was presented through the health dialogues and also to standing

committee. This is the work with Dr. Affleck and a couple of other physicians, myself, two CEOs, around how we can best use physician and nurse practitioner resources virtually to support both the physicians in small communities, but more importantly, the nurse in charge. So it’s moving out our resources for a 24-hour on-call hook up through technology. We were calling it many things, we’ve landed on a support network because we’re also going to connect a lot of our medevac coordination and dispatch through that. So that’s work being done now with that group.

On the other types of reviews or works in progress there was an issue to further scale down medical travel, medical travel really being clinical decision-making and how we do a better handoff with clinical decisions that relate to travel. Governance and accountability has several components. That’s really around their accountabilities on money to standards both within the authorities as well as some of the key providers and the beginnings of the pharma strategy because of the capacity in the department and to be able to link up with some of the other jurisdictions, larger jurisdictions on generic pricing and other issues that would be in a pharma strategy. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Deputy Minister Meade. I believe one of the earlier names we covered that under was the Community Call Coverage System. Thank you for that clarification. Ms. Bisaro.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Wendy Bisaro

Wendy Bisaro Frame Lake

Thank you, Mr. Chair, and thanks for that clarification as well. I did wonder in terms of the medical travel review and I certainly support an evaluation of sort of the clinical decisions and how we do that, but it’s my understanding that the Program Review Office is also undertaking to look at medical travel and efficiencies there. I wondered if these two reviews are being done in conjunction. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Ms. Bisaro. Deputy Minister Meade.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Meade

Thank you. We did work with the Program Review Office. There was an initial review done that actually started to identify where some of the key points are. It’s a very complex area and the first review actually looked at it as a travel issue. We quickly realized that it’s much more about clinical handoff in case management, coordinated case management. So we have several pieces doing that review with the Program Review Office being an initial part of it and now we’re going further. We’re also connecting this with referrals, standards around referrals. So the medical directors have come up with a process around specialist referrals and all of that connects. So we’ve built on the first part of the review with the program office, and this will take us to those next levels. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Ms. Meade. Committee, once again, we’re on page 8-13, Health and Social Services, activity summary, directorate, operations expenditure summary, $7.678 million. Agreed.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you. Page 8-14, Health and Social Services, activity summary, directorate, contributions, $35,000. Agreed?

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Page 8-15, Health and Social Services, information item, directorate, active positions. Agreed?

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Page 8-17. Mr. Abernethy.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chairman. I see this is the division that has health human resources. Could the Minister please tell me how much of the $34.32 million is allocated to the health human resources division?

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Abernethy. Ms. Meade.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Meade

Thank you, Mr. Chairman. We don’t have a division in the department. With the transfer to Human Resources, both department and health authority resources went into the corporate service. We do have a small budget that is jointly maintained; things like the Bursary Program. Of that $34.2 million, the actual resources for that is just over $4,000. Four million. Sorry; $4 million. My apologies.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

So that $4 million is, I guess, co-managed by HR and Health and Social Services and is responsible for programs such as CHN development, our med school bursaries, our nursing bursaries. Could the Minister tell me: have we eliminated any of our bursaries in this division over the last year? For instance, do we still provide physician bursaries? Do we still have a community health nurse development bursary? Are we still providing all of the nursing bursaries? Have any of the bursaries that we provide or have provided in that section been eliminated?

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Meade

They haven’t been eliminated but that budget was significantly over budget two years ago and we had to reassess how the alignment was. We did have to manage the budget down to within the actual operating budget. So they haven’t been eliminated, but it was a budget that was significantly overspent the last few years and we’re trying to manage within the fiscal allotment. We are having ongoing discussions around the priorities and how we can make sure that the programs like the CHN, that are so valuable out in the communities, continue to be fully funded and prescribed.

On the medical bursaries for physicians, we’re having conversations with the medical directors not to reduce the amount but to manage it so that if you go on for a specialist, then -- if in fact it’s a specialty that could be used in the NWT; a thoracic surgeon isn’t someone that the NWT is going to recruit back -- how do we align the bursary to the types of physicians that we need to recruit and retain in the North.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

So just for clarity, I heard that none of the bursaries have been eliminated but they may not be utilized particularly due to budget reasons. If the deputy minister could confirm that.

The other thing that I’m curious about or, rather, I would like the department to provide, is: I’d like the department to provide a list or summary over the last or probably since the duration of the bursaries -- they haven’t been around that long -- showing how much we’ve paid out, how much return of service was owed to the GNWT in all categories: nurses, social workers, physicians. How much return of services owed, how much has been collected, how much has not been returned? I know that a significant number of people have graduated and gone to work and didn’t necessarily come back to the Northwest Territories. I’d like a bit of an assessment as to how much return we got.

Also for confirmation, could the Minister and/or deputy minister confirm that the Community Health Nurse Program will definitely have intake in the 2011-2012 year?

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Abernethy. Ms. Lee.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Thank you. We will undertake to provide the Member with all the answers to the questions he raised.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

Another section, division, whatnot, responsibility under the program delivery support is information services division. There’s been a lot of talk about e-health and EMRs, DI/PACS and all the great programs that are out there, all the great technology that’s out there to help us provide health services in a more streamlined manner. I understand that bandwidth has been a significant issue in getting these fantastic technologies into our small communities. These things, in my opinion, could help us reduce potential medical travel if we have ability for physicians to use this technology to help treat in the communities. What is this department doing with respect to lobbying or encouraging Public Works and Services to help create bandwidth or expand bandwidth throughout the Territories, for communities in particular, as it relates to these types of technologies?

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

As the Member stated, this is a very important area and it will become more important as we move forward. NWT actually is at

the forefront of rolling out programs and using the information technology. We are sort of a model student under Canada Infoway funding and being able to tap into those.

As the Member stated, bandwidth is a problem, it is a challenge in the NWT, as it is for the rest of the country. We do appreciate the support of the standing committee and the enthusiasm they’ve shown. Our department works with other departments and DPW and Education as we plan as a government on how we cope with what will, you know, most certainly be more and more increased demand for bandwidth. My deputy minister and staff are part of the working group that works on that issue.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Glen Abernethy

Glen Abernethy Great Slave

Thanks to the Minister for that. We obviously share the same desire to get these particular systems up and running, but as the Minister you have a unique seat at a table in this government where you can really put pressure on your colleagues, the Ministers, to put some greater attention to expanding bandwidth up the valley into our communities so that we can really utilize these technologies that exist. There are so many advantages here to help us reduce medical travel costs, to increase services to the communities, to overall, you know, I mean, if we’re talking Foundation for Change -- and there has been a lot of Foundation for Change -- I think this is something that should fit as a critical aspect to Foundation for Change for helping to improve services in the communities. So as the Minister sitting at that unique table with six of your ministerial colleagues, what are you doing, what can you do to create a greater awareness in your ministerial colleagues so that we can get some movement on this and get some extended or increased bandwidth? Which isn’t just good for Health and Social Services, it’s good for education, it’s good for anybody providing services in the community, but there’s definite benefit for health. What are you doing? What are you doing to make sure that bandwidth is a priority?