This is page numbers 957 - 1026 of the Hansard for the 17th Assembly, 3rd 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 going.

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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 Wendy Bisaro

Thank you, Mr. Dolynny. Mr. Beaulieu.

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

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Madam Chair. We haven’t done that yet. We set up accountability steering committees with the authorities to develop this.

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

Daryl Dolynny

Daryl Dolynny Range Lake

I would assume that the Minister and the deputy minister, who is here, are much in line that this is a very, very important part of delivering health care to the Northwest Territories. Giving authorities money without having any strings

attached really puts the delivery of patient care at risk, which leads me to my next question.

At the same time the Auditor General took an extensive look at how we deliver our services for diabetes and it was indicated at that time “that the department does not use administrative data to monitor diabetes programming, nor does it systematically collect data on diabetes prevention and treatment results.” With that comment, can we receive some assurances that disease states like diabetes, because this is an Auditor General report that has been in the hands of the department now for some time, have we made strides to deal with the comment that was just read? 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 Wendy Bisaro

Thank you, Mr. Dolynny. Ms. DeLancey.

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

Debbie Delancey

Thank you, Madam Chair. We are working on that. The department and the authorities had entered into pilot projects on chronic disease management with the Canadian Health Services Research Foundation providing expert support and an evaluation framework. There is a pilot project underway right now to address some of the concerns raised by the Auditor General, and it’s taking place in Yellowknife, in Behchoko and Norman Wells, with a view to then evaluating it by this September and applying the findings more broadly throughout the system.

The other tool that we are working on that will help to address the Auditor General’s recommendations is the implementation of the electronic medical record on a system-wide basis, because the electronic medical record then does provide one place to both put reminders and clinical practice guidelines for diabetes, and then to track that those things have been addressed on a timely basis.

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

Daryl Dolynny

Daryl Dolynny Range Lake

I do appreciate the response. However, I do have to make known that the department did agree with establishing a chronic disease model and having that first draft developed in the 2011-2012 budget year, and that there was going to be a primary community care draft and response back. It appears that the department made promises to the Auditor General back then and is being very slow on delivery.

Again, I appreciate what I’m hearing, but my question would be, if I picked another disease state, cardiovascular, or if I picked a myriad of cancer issues, would the department be in a similar position? Is the department making strides to make sure, as I heard earlier, we still don’t have performance agreements in place to deliver these programs, but can we get some assurances that we are working towards resolution, given that the Auditor General basically cleared a perfect path for us to follow? Thank you.

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

Debbie Delancey

The work that we’re doing on chronic disease management with the CHSRF

focuses on three areas. It focuses on diabetes, it focuses on renal care, it focuses on mental health, but the intent is that the mechanisms that are developed and tested and the best practices will then be applied to a number of chronic diseases such as the ones the Member has mentioned. It is a process that is rolling out, sometimes more slowly than we would like, but it’s work that’s being done by practitioners throughout the system that are doing this in addition to their day job. We think that’s important because when frontline staff are involved, they understand the process and we get buy in.

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

Daryl Dolynny

Daryl Dolynny Range Lake

I’ll be coming back to the Auditor General report here later on in this budget process.

My next question has to do with medical equipment. In the line entry here we have as medical equipment under $50,000. There seems to be a slight increase. However, it is well known that we have, especially at the territorial hospital, a number of large pieces of equipment that are nearing their lifecycles. A lot of this major equipment was purchases in the late ‘90s, early 2000’s. Some of this equipment is now entering 12 years of lifecycle and needs to be looked at. I’m speaking specifically to things like the CT scan. I’m thinking about things like the large mammography units that were purchased back then.

I don’t see much in the budget here to deal with those large ticket items above that $50,000 mark. Does the department have a plan of action? Is there an approved capital list of these products, and if so, can they share some of those top line items that could be plaguing the people of the Northwest Territories in either replacing or enhancing the current delivery of health care services across the Northwest Territories? 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 Wendy Bisaro

Thank you, Mr. Dolynny. Mr. Elkin.

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

Elkin

: Thank you. First, the item in the budget here, items under $50,000, is a slight increase. We have a comprehensive medical equipment evergreening plan that’s managed by the biomedical department at Stanton. Every five years we update our evergreening plan. This increase reflects our forecast for the next five years of what our annual costs of evergreening minor medical equipment.

Last fall, as part of the ’12-13 capital plan, we have approved about $3.2 million of a five-year evergreening plan for our major medical equipment. We did a comprehensive review of forecasting what our annual costs would be to evergreen all of our major equipment. Items that are planned for the ’12-13 year across the health system include endoscopy, physiological monitoring, anesthesia equipment, operating microscopes and clinical chemistry analyzers. We, again, do bulk purchasing between all the major facilities, Stanton, Inuvik, Fort

Smith and Hay River, to get economies of scale when we’re purchasing. Then we have a list, again, going for the next five years of all our major pieces of equipment, and then we’ll renew that evergreening plan every five years to make sure we have enough funding in the system.

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

Daryl Dolynny

Daryl Dolynny Range Lake

I appreciate the details. Would the Minister or the department consider sharing the findings of this evergreen plan, sharing their approved capital list for outdated or near lifecycle of major capital equipment, and if this could be submitted to the Social Programs committee so we can keep a monitoring of this as these large ticket items appear over the life of the 17

th Assembly?

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 Wendy Bisaro

Thank you, Mr. Dolynny. Minister Beaulieu.

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

June 6th, 2012

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Yes, we can share that information with the Standing Committee on Social Programs.

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 Wendy Bisaro

Thank you, Mr. Beaulieu. Thank you, Mr. Dolynny. Mr. Moses.

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

Alfred Moses

Alfred Moses Inuvik Boot Lake

Thank you, Madam Chair. I just wanted to get a little bit more clarification on questions I had asked yesterday in regard to the seven positions. There were four positions that were allocated through the THSSI funding, and I believe that Ms. DeLancey mentioned that three were being staffed right now. I did have a question as to the plans that the department has after two years, 2014, when those jobs do expire. I know she mentioned, I think, there were some in the shared services and administration, and the work that they do, and that we just didn’t want to leave that onto the wayside. Can she clarify? What’s the plan the department has in regard to this funding and if they’d be willing to look at funding this position within their own department should the funding not come, when the funding expires? 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 Wendy Bisaro

Thank you, Mr. Moses. Ms. DeLancey.

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

Debbie Delancey

Thank you, Madam Chair. There are four THSSI positions that we are in the process of filling. Three of them are deemed new positions because one was replacing a position that was an existing position. They all relate to implementing change in the system, the shared services, the Medical Travel Policy, the Medical Travel Program redesign, the territorial support network. We are looking at having the bulk of that work completed within two years. So as I said yesterday, if THSSI funding is continued, if we’re successful in negotiating an extension and the work’s not done, those terms might be extended, but they are not positions that are deemed indeterminate, so they’re not positions that we would be funding from within.

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 Wendy Bisaro

Mr. Moses has no further questions. Committee, we are on page 8-21,

activity summary, Health and Social Services, health services programs, operations expenditure summary, $192.989 million. Are we 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 Wendy Bisaro

Thank you. Page 8-22, activity summary, Health and Social Services, health services programs, grants and contributions, grants, total grants $40,000. Are we 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 Wendy Bisaro

Contributions, total contributions, $149.419 million. Total grants and contributions, $149.459 million.

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 Wendy Bisaro

We are agreed. Thank you, committee. Page 8-25, activity summary, Health and Social Services, supplementary health programs, operations expenditure summary, $26.243 million. Mr. Dolynny.

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

Daryl Dolynny

Daryl Dolynny Range Lake

Madam Chair, probably a clarification in order. We know that the details of other expenses both come to the same total from the revised estimates of 2011-12 to $10.471 million. Could the department indicate why the insertions of the numbers and the mannerisms that we see here before us? Thank you.