This is page numbers 2093 – 2142 of the Hansard for the 17th 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 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Debbie Delancey

Thank you, Mr. Chair. There are a number of reasons for the difficulties in getting data from authorities. One reason is capacity. Sometimes authorities are challenged with staff

vacancies and turnover. Another reason, as I have mentioned, is that authorities are using different information systems. They have different financial systems. They have different risk management systems. So when we try to roll out data on a territorial basis, we get lots of information but quite often the information is apples and oranges: it’s not comparable, we can’t use it to analyze trends, so it becomes like reams of useless information.

I talked about the back office. One of the priorities that was identified in the back office is for information management and information systems. Part of that is because we recognize that we can’t do proper trend analysis without getting everybody on common systems, using the same systems, the same definitions.

Another thing we are doing to try to respond to that is the accountability framework that we talked about in the House last week where we will come up with an agreement that everybody measures the same things and reports on them in the same way. We are putting some steps in place to try to address this deficiency. Thank you.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Wendy Bisaro

Wendy Bisaro Frame Lake

Thanks to the deputy minister. I have one last question in regard to this. If it is a capacity issue, which is what it sounds like, and it is a fairly large change, I gather there’s no funding in this budget to effect the changes. I think the DM said earlier that any changes will be done from within. Is it reasonable for Members to expect a request in the 2014-15 budget for funding to increase capacity to get these sorts of things done? Thank you.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Debbie Delancey

Mr. Chair, the only funding that’s in this budget is under directorate where we do have two additional positions being funded through THSSI funding. That is, our project manager for the back office project was working with authorities on this. There will be one-time costs that we would likely bring forward through the business planning process to bring all the authorities on to the TSC. Just as when the TSC was created, there were one-time costs to bring every department up to a standard, because right now the authorities have different standards. That is one cost that we can anticipate for sure. Thank you, Mr. Chair.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daryl Dolynny

Thank you, Ms. DeLancey. Committee, we’ve been at this for a number of hours here. Does committee agree that we need a short recess?

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Some Hon. Members

Agreed.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daryl Dolynny

Thank you. We will just take a short recess and come right back. Thank you.

---SHORT RECESS

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Jane Groenewegen

Okay. I’d like to call Committee of the Whole back to order.

We left off on page 8-23, health services programs, operations expenditure summary, $198,000. Is that $198,000 or $1.98 million? Sorry; $198.582 million. Mr. Hawkins.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Thank you, Madam Chair. I know I’d like to read a motion on this page, but I think I’ll start with a question or two first. That said, the question I have is under grants and contributions to the hospital services that we provide. One of the primary funding problems that we have, and I highlighted it the other day in the opening comments, which was how we fund medical travel and physician services. I’m just wondering, would the Minister speak to that as to what type of funding model he would consider, in the context I’ve asked, the department to think about or consider or even go so far as I think they should implement funding doctors and medical travel out of the department and not at the health authority.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Hawkins. Minister Beaulieu.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Madam Chair. In our medical travel review we are looking at medical travel being probably brought back to Health and Social Services and would be one of the projects under the back office functions.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

I’m terribly sorry to say this. I actually couldn’t hear the answer. Could the Minister repeat a quick summary of that? Thank you.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Hawkins. Ms. DeLancey.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Debbie Delancey

Thank you, Madam Chair. With respect to medical travel, we have the program redesign going on right now in partnership with Stanton, and one of the things we’re looking at is where that medical travel budget and program administration should be placed. We’re really leaning towards seeing it not just in Stanton, as the Member said, but more of a back office function. Where that budget would show up would probably be in the department.

With respect to physician services, the Stanton physician budget is specifically for their pool of specialists. It makes sense to have that budget stay with Stanton, but we do recognize that it is structurally underfunded, that they are now relying annually on THSSI funding to make that up, and that is part of our work with the authorities to right size the budget, is to make up that deficit.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

I was able to hear all of that this time around. Thank you very much for repeating it. I apologize for that.

As far as the specialist money, that doctors money tends to be oversubscribed and underfunded, as the deputy minister knows, as well as the Minister, obviously. Does the Minister see that maybe there’s

a possibility of paying actuals until we get a new program in place? That’s always treated as a deficit. Sorry. That is one of the causes for Stanton, in particular, to be recognized as always carrying a deficit. That too, as I’ve heard, sounds like a good plan to solve some of the medical travel funding problems, but it would further work to solve some of the problems if actuals were paid on the specialists’ fees.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daryl Dolynny

Thank you, Mr. Hawkins. Minister Beaulieu.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Tom Beaulieu

Tom Beaulieu Tu Nedhe

We will provide a detailed response. I will ask the director of finance to do that.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Beaulieu. Ms. Mathison.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Mathison

Thank you, Madam Chair. Yes, the Stanton physician budget is over-expended annually. It is offset by the THSSI funding, $612,000 a year. It does offset Stanton’s deficit but they do carry additional deficit related to physician programs on their books and it contributes to their accumulated deficit.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daryl Dolynny

Thank you, Ms. Mathison. Mr. Hawkins.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

When does the Minister see a restructuring of this actually taking place to account for the oversubscribed physician funding column that can’t keep up to the pace of the demands?

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Daryl Dolynny

Thank you, Mr. Hawkins. Minister Beaulieu.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Tom Beaulieu

Tom Beaulieu Tu Nedhe

The department would have to go through this process, the business planning process, to make a case to cover the shortfalls at the Stanton so there is no deficit accumulating as a result of specialists.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Hawkins. Mr. Moses.

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

Alfred Moses

Alfred Moses Inuvik Boot Lake

Thank you, Madam Chair. Just a quick question here in terms of health services and emergency care in the Northwest Territories, and this is specific to infants. I’m pretty sure that in Inuvik, for babies that are born with jaundice, one type of therapy is to wrap them in a BiliBlanket as opposed to phototherapy, because it’s a little bit more safe. I believe there’s only one BiliBlanket available in the Inuvik Regional Hospital. Should there ever be more than one baby that was born with jaundice, the other one would get medevacced to here to get wrapped up in a BiliBlanket or go under phototherapy.

Is the department looking at the possibility of possibly getting a second BiliBlanket to the regional hospital in Inuvik?

Committee Motion 6-17(4): Establishment Of Midwifery Services In Hay River, Carried
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Moses. Mr. Minister.