This is page numbers 2121 - 2162 of the Hansard for the 19th Assembly, 2nd 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.

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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

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Julie Green

Julie Green Yellowknife Centre

Thanks for that explanation. I don't know the answer to that, so I'll see if the deputy minister knows. Thank you.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Mr. Cooper.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Cooper

Thank you, Mr. Chair. We have two primary ways of supporting interpretation services. We've got interpretation available at and through the Stanton Territorial Hospital for seven official languages. We also have, for after-hours -- while Stanton will provide an outreach and I believe they're on call, as well, there's also after-hours translation available through CanTalk, which is a specialized service that is available 24 hours a day by phone or by email or by Internet, and they offer services throughout the territory. Of course, through the relationship between the provider and the family, there's also work that can be done to ensure that family members may be able to participate in and be part of that group that help with the translation, if necessary. Thank you.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Member.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Jackie Jacobson

Jackie Jacobson Nunakput

Thank you. Just in regards to that, thank you for that. Are all dialects covered in regards to Inuinnaqtun, Siglit? Are those covered in this CanTalk? Thank you, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Minister.

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Julie Green

Julie Green Yellowknife Centre

Thank you, Mr. Chair. I'll turn again to Mr. Cooper.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Mr. Cooper.

Consideration In Committee Of The Whole Of Bills And Other Matters
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Cooper

Thank you, Mr. Chair. Inuktitut and Inuinnaqtun, forgive me if I've mispronounced that, but those are two through CanTalk, and we have Inuvialuktun in addition through the Stanton service.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Member.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Jackie Jacobson

Jackie Jacobson Nunakput

Thank you, Mr. Chair. I thank the Minister for that. I've got a little bit of issues that I have, to get to a point like with prevention with the nursing station into the hospitals, that interaction with the health centre in the hospital, say, of Inuvik. How does it work in regards to making sure -- I'm having a lot of people with cancer that are too late, stage 4. I have a couple of individuals that I heard of in my riding. How does that work in regards to follow-up to making sure that they're being seen. I know that when they're in the system with Alberta, when they go down, come here, they get assessed, or in Inuvik, and then they get sent out. Some of them are, the wait time is too long. Is there any way to start shortening that up in regards to services for them because the cancer, when they're coming back, it's stage 4. You can't come back from that. I just need, could we try to work on time in regards to service for the communities? Thank you, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you, Member. Minister.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Julie Green

Julie Green Yellowknife Centre

Thank you. I recognize that that's a terrible diagnosis. It's frightening. In terms of the service that is provided in Alberta, I don't know what ability we have to influence that. It was my understanding that, once the patient was connected with an oncologist at a place like the Cross Cancer Institute, that they took on the case, then, and the timing and the follow-up. I don't know if we have, as a health system, a way to speed that up. I'll look to the deputy minister. He may be more familiar with this. Thank you.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

February 25th, 2021

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The Chair

The Chair Rocky Simpson

Thank you. Deputy Minister.

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Cooper

Thank you, Mr. Chair. We do have two cancer care navigators that support when a person has been diagnosed with cancer, they are there to support, helping the person navigate the clinical pathway. Offering virtual appointments where possible, and they work with the patient, with their family, and the healthcare team, including bridging between here and, of course, the Cross so that they can support them throughout their journey. That's the intention of those two positions. I would add we also have a medical oncology social worker who also can play a role in helping.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you. Member.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Jackie Jacobson

Jackie Jacobson Nunakput

Thank you, Mr. Chair. Just regarding that, has any thought been given, Madam Minister, in regards to the healthcare advocates in regards to helping patients who can't really speak out for themselves, the healthcare advocate that we brought up two weeks ago in the House here? Is there any thought given to that, trying to promote that? One or two in the Delta, five here in Yellowknife, but is there any way to do that? Thank you, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you, Member. Minister.

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Consideration In Committee Of The Whole Of Bills And Other Matters

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Julie Green

Julie Green Yellowknife Centre

Thank you. It's my understanding that the cancer-care navigators have an advocacy function, but I think what you're talking about is more about the general patient navigator, not only those with a cancer diagnosis. Yes, that's an interesting question, and I understand that some work is going on to look at the possibility of instituting that kind of a service. It would be part of our providing culturally safe and confidence-building service to Indigenous people, and it may also help with the request that we get for escorts, non-medical escorts, that if people got off the plane and saw someone they recognize from their community, that would be very reassuring to help them get connected with the services they need. I don't think there's a specific date on which this is going to come into place. For more about this process, I'd ask once again the deputy minister to expand. Thank you.

Consideration In Committee Of The Whole Of Bills And Other Matters
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The Chair

The Chair Rocky Simpson

Thank you. Mr. Cooper.

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Cooper

Thank you, Mr. Chair. In addition to the patient navigation services through CancerCare, we are making changes to the way primary healthcare is delivered, creating interdisciplinary teams. The hope of that is that individuals will have support to be able to navigate. We're sort of early day with that. We've got 10 teams rolled out here. We've got two demonstration projects, Fort Smith and Fort Good Hope, beginning. We certainly are looking at this question of how to support people with advocacy, with navigation services, and the authority is taking a look as they are standing up more services and improving the patient experience. They have established an office that is looking at this through their quality division, and so I do expect that we will see more thinking on this question in future business planning. Thank you.

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The Chair

The Chair Rocky Simpson

Thank you. Member.

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Jackie Jacobson

Jackie Jacobson Nunakput

Thank you, Mr. Chair. Just in regard to that, teams, again, that's what we need in regard to community health and wellness. That's what we need to be doing, especially small communities, remote communities. My last question is about the escorts. Is there a way to let our community health centres know how an escort is approved? If the doctor approves it, it's approved. Correct? If not, they need clarity on that, and it should be brought into our health centres across the territory in regard to that. Thank you, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Rocky Simpson

Thank you, Member. Minister.

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Julie Green

Julie Green Yellowknife Centre

Yes. I understand the Member's question. As the Member may know, we are currently doing a mini-review of medical travel that will be done by the end of March, and it is looking at the question of escorts. It's looking at why escorts are sometimes approved and sometimes they are not approved until the appeal. It's also looking at things such as the knowledge base that medical staff have for recommending escorts. That is an issue that we are aware that we need to provide more clarity on, and we hope to be able to do that by the end of March. That's the intention. Thank you.