Thank you. I'm going to go to the Minister.
Debates of May 30th, 2024
This is page numbers 605 - 670 of the Hansard for the 20th Assembly, 1st 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 know.
Topics
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 30th
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Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 30th
Page 634

Lesa Semmler Inuvik Twin Lakes
Yes, I would encourage -- like I said, there is -- it is a set dollar in the budget, and it is now open for first come first serve. So that's why I'm saying, like, I encourage people to reach out to -- if they want to run on-the-land programs and they want to do these types of things in their communities, speak with their Indigenous governments in their communities so that they can access -- work with our department to access those dollars and do their -- you know, I think they're proposal-based, but there's a set amount per community. Thank you.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 30th
Page 634
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 30th
Page 634

Sheryl Yakeleya Deh Cho
Thank you. That's all the questions I have for the Minister for that. Thank you.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
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The Chair Richard Edjericon
Thank you. I have one more, then I will go to the Member from Range Lake.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634

Kieron Testart Range Lake
Thank you, Mr. Chair. So the electronic medical records system is now deployed in all communities in the Northwest Territories, which is good, but unfortunately it needs to be replaced, which is not so good. And I understand that the replacement cost is somewhere between 20 to $30 million. I know this is an issue because I was seeing my doctor recently and the terminal in the examine room wasn't working, and the system was down. So we had to actually go to his office and figure things out there. So this -- and it's causing an inability for services to be shared with other -- with Alberta and a whole bunch of other hosts. So this is a thing that, like, needs to be replaced urgently. What is the Minister's plan to deal with this problem? Thank you.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634

Lesa Semmler Inuvik Twin Lakes
Thank you, Mr. Chair. Mr. Chair, again, this is one of the things that's in our business plan. I know it -- you know, I've had asked questions because the timeline is long. We started rolling out the EMR before, way back when I was still practising. And we finally just got it into the last community in the Northwest Territories. So now that we have to replace the -- it is a multi -- I guess to explain it, there's multiple systems. And so I think what the Member's referring to is like right now, what we want to do is looking into -- when we designed the system, I think the goal is -- you know, we've heard many times that our system doesn't speak to other systems. There's things in our system that it doesn't do because it's old. And so it's taking an account of all of the things. You know, we'll be working with our -- like, the frontline staff, like, as the needs, the doctors, what their needs are, what we need to transfer -- you know, if there's a possibility that we can access, you know, blood work. You know, we've heard all of those kinds of things that when we're going into Alberta as one of our service providers. So it is a huge task. It will be a large -- you know, there will be a large cost to that. So the RFP will go out in September for phase one, and we're hoping that we'll be able to begin that process. Thank you.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634

Kieron Testart Range Lake
Okay, thank you. That's more imminent than I expected, so that's good. That's good that we're moving towards that.
So we spend an awful lot of money on the authorities, which is to be expected given the cost of health care. But often I think there's a disconnect between what is accountable -- what the Minister is accountable for and what the authority's accountable for. And certainly when it comes to some of these workplace issues we're hearing about, some of the performance of health care services, there seems to be that disconnect. And I think that the Minister needs to be empowered to be more -- to have more direct -- ability to direct the authorities and to change things if they're not working instead of working through the board and all that. I think we see a health care system that's not performing optimally and where -- and it's not performing efficiently or effectively as well with the resources it's being provided. We keep giving it more money, and the results aren't changing that significantly. And I don't think the answer is just more money.
So how does the Minister propose to create more accountability and transparency around NTHSSA management so the public can be assured that there's value for money in health care programs and services? Thank you.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634

Lesa Semmler Inuvik Twin Lakes
Thank you, Mr. Chair. Mr. Chair, I hear what the Member says, to keep putting more money in here but, you know, Members keep asking for more stuff we keep needing more money. But no, you know, and I think one of the things that I will say is that, you know, within the department, it is -- there are many things that haven't been budgeted, you know, and they -- I guess for health, knowing in the health authorities, this is all the frontline workers. So when we think about health centres, when we think about, you know, staffing the units, making sure that there's always -- like, it's not a place where you can just close -- the nurse just doesn't show up that day because they're sick or they have a sick kid. There's always areas where we have to make sure that that is filled and overtime over years and years and years has never been budgeted. So that's always been -- you know, and I mean, I had my own system when I was a manager to make sure that we kind of limited how much overtime was happening and making sure that, you know, people weren't working into third weekends and things like that because those things drive up the costs that are not budgeted and that's what's driving up the deficit. The thing when we talk about -- you know, there's more programs, there's new ways of doing things, there's -- everything costs more. Salaries are going up every year and yet trying to expand programming into 33 communities. And it is expensive. So when we talk about how do we -- you know, I work with the leadership council. The budgeting process, you know, things that we are budgeting, making sure that those things are being spent on those things that are budgeted for and that's why when we have things that aren't -- you know, for years and years, if we have O and Ms that aren't being spent, or if we have positions that are vacant that are not -- you know, we have to really, really look at all of those things and say, you know, where do we repurpose this money and so that it's not just being spent into the department and we don't know where it's going. So I think those are the things that we've been working on. I know Minister of Finance has been -- is making sure that I'm making sure that I'm following that. So there is a lot of work, though, that still needs to be done and I have -- I kind of -- my department and finance have been working more together to kind of take more control and see where -- not necessarily control but where the money is being spent and how is it being spent. And the big part is is that there's so many things that we are -- as an insured service that we are to provide and then there's the other things. So those are the things that have been built into our health care system that we provide that have been political, that have been -- over the years that have been, you know, there's no -- you know, we keep saying there's gaps here, there's gaps there. So where do they fit in? They usually end up fitting in in health. And then it's not something that it's in our core job to provide but we end up providing it because if we don't, then there's a gap in service. But those all cost dollars. So thank you, Mr. Chair.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634

Kieron Testart Range Lake
Thank you, Mr. Chair. Is there -- I appreciate where the Minister's coming from, and there's always going to be a push and pull between the -- or the demand for services versus what the government can realistically provide. But when we have our auditors telling us that take a look at how we're spending health dollars because it's unsustainable and it's, you know, causing the government -- the government's public accounts to teeter on a knife's edge, that's a problem that we need to solve.
So is the Minister willing to look at different models of governance for the authorities that would allow more closer scrutiny -- or sorry, more control and accountability and transparency and more action directly from the Minister over the operation of the system? Thank you.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 634
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635

Lesa Semmler Inuvik Twin Lakes
Thank you. Thank you, Mr. Chair. And I hear the Member. And, you know, I'll echo what I've said is, you know, what we are funded for and our core programs and services and what we provide to the Northwest Territories, the things that are not covered in other territories and provinces that we provide over the years that we have just -- you know, we have decided as a government, and many governments up until now, that this is something that we need to provide to our residents is why we are in the shape where we are. And every new thing that we ask for and we want to do that's not a core service of health and social services that's a funded insured service that we can be billing for or, you know, from Canada becomes out of our pocket and so then it comes out of whatever the government's -- like, whatever we have as a territory left. So, you know, we've been working on a lot of things. Like I said, the NHIB agreement, trying to get that fully federal funding so that way that frees up those dollars. But even though we -- you know, we freed up $24 million this year, it's still -- it goes to our operating costs that we normally would need to spend for our health care program. Thank you, Mr. Chair.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635

Robert Hawkins Yellowknife Centre
Thank you, Mr. Chairman. Maybe just the -- if it's been asked, maybe just a quick snap answer which is how much money do we spend in aftercare? Thank you.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635

Lesa Semmler Inuvik Twin Lakes
Thank you, Mr. Chair. I think as of right now for aftercare, what we have is the budgeted for THARP. Up until now, I don't believe we -- you know, we provided wellness, you know, for homeless and things like that but we haven't had fund up until this budget for aftercare, and that is where the THARP program falls into that. Thank you, Mr. Chair.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635

Robert Hawkins Yellowknife Centre
Thank you, Mr. Chairman. And exactly how much would that specifically be? So in other words, what's the specific number dedicated to aftercare? Thank you.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635

Lesa Semmler Inuvik Twin Lakes
Thank you. This budget has $1.417 million, and that would be for the two THARP programs. Thank you.
Committee Motion 8-20(1): Tabled Document 93-20(1): Main Estimates 2024-2025, Deferral of Administrative and Support Services - Health and Social Services, Carried
Consideration In Committee Of The Whole Of Bills And Other Matters
May 31st
Page 635