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Alberta

Health Care Update: Province will deliver health services regionally in seven “health corridors”

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Ensuring a successfully refocused health system

Alberta’s government continues to make progress refocusing the health care system to ensure all Albertans get the care they need.

Under Alberta’s refocused health care system, four fully integrated provincial health agencies are being created to oversee the priority sectors of primary care, acute care, continuing care, and mental health and addiction. Two of the provincial health agencies, Recovery Alberta and Primary Care Alberta, have been established with input from more than 30,000 health care professionals and Albertans.

Additionally, it was recently announced that Minister of Seniors, Community and Social Services Jason Nixon would become the sector minister for the new continuing care provincial health agency. He has now taken on this role and will oversee continuing care as the government works toward standing up the new continuing care agency.

“Refocusing the health care system is a complex process that needs to be done right. We’re committed to taking the time necessary to develop a better health care system for Albertans and the front-line workers who work tirelessly every day to serve their patients.”

Adriana LaGrange, Minister of Health

Acute Care Alberta transition

Acute Care Alberta

Acute care, which includes hospitals, emergency services and surgery care, is a significant part of the health care system, providing critical care to Albertans when they need it most. Alberta’s new acute care provincial health agency, Acute Care Alberta, will become a legal entity in early 2025 and begin operating in spring 2025. As work continues, Alberta’s government is committed to ensuring there are no interruptions to patient care while keeping front-line workers and all Albertans informed and supported.

The new acute care provincial health agency will work directly with service providers to speed up access to high-quality care, reduce wait times and ensure a patient’s journey through the acute care system is efficient and effective.

To support the standing up of Acute Care Alberta, the Acute Care Provincial Health Agency Executive Transition Team has been established. The team includes executive members from Alberta Health and an external special adviser, Dr. Chris Eagle. As a former CEO of Alberta Health Services, Dr. Eagle brings extensive experience in the delivery of acute care services in the province. He will provide valuable insight and expertise that will support the transition of Alberta Health Services from a health authority to a service delivery provider.

Throughout this work, Albertans will continue to access acute care services as they always have, and there will be no impact to front-line health care workers and their continued dedication to delivering health care to Albertans.

Primary Care Alberta now operational

Primary Care Alberta

As of Nov. 18, Primary Care Alberta is a legal entity under the leadership of Kim Simmonds, whose first task is to support the transition of operations by setting the agency’s vision and mission, implementing policies and processes, and developing plans. Simmonds and her leadership team will work closely with existing primary care teams at Alberta Health Services to establish the new agency.

“Every Albertan deserves to have a long-term, trusted connection with a family doctor or health care team. We are ready to work to ensure all Albertans have a primary health care home.”

Kim Simmonds, chief executive officer, Primary Care Alberta

Primary Care Alberta will coordinate and deliver primary health care services across the province, so all Albertans and their families are supported in their day-to-day health needs while avoiding visiting the emergency department and reducing pressures on acute care services.

Integrated approach to health system planning

As part of the refocusing work, Alberta’s government is also taking a new, regional approach to health system planning through seven integrated health corridors.

As a regional grouping within a health care system, a health corridor is designed to reflect how Albertans use health care services in the province based on factors such as travel patterns, access points and local population needs. The corridors consider data related to where Albertans access services and facilities, as well as feedback received during health care refocusing public engagement sessions.

As a result, these corridors will enable an evidence-based approach to planning that will inform decisions about services, workforce and infrastructure across the four new provincial health agencies. This new approach will connect care pathways and support seamless patient journeys throughout the health care system.

“New health care corridors present many opportunities within Alberta’s health care system. Further regionalization of services, in addition to a focus on rural needs and representation, will be essential to ensuring our communities get access to the care they need.”

Kara Westerlund, president, Rural Municipalities of Alberta

Health corridors will ensure Alberta’s government will be better able to determine current gaps in the health care system and inform investments in those areas, including operational dollars and funding for capital projects. Getting a better regional understanding of how the health care system is being used will ensure decision-making processes reflect the changing needs of Albertans.

Upcoming engagement opportunities

Alberta’s government remains committed to maintaining open lines of communication with Albertans as it stands up the new provincial health agencies that will form the backbone of Alberta’s refocused health care system.

The input, experiences and feedback Alberta’s government is gathering are helping to create a more effective and efficient health care system that meets the needs of Albertans today and for generations to come.

All Albertans are invited to participate in upcoming telephone town halls with Health Minister Adriana LaGrange to discuss the ongoing work to refocus the health system. Town halls will take place on:

  • Nov. 19, from 7:30 a.m. to 9 a.m.
  • Nov. 27, from 6:30 p.m. to 8 p.m.
  • Nov. 28, from 7:30 a.m. to 9 a.m.

Albertans can register to participate online.

In addition to telephone town halls, Albertans can provide feedback on the refocused health care system online until Dec. 5.

A second round of in-person public engagement is planned for winter/spring 2025 to share information and receive feedback about refocusing work. Those interested in keeping up to date on the health system refocusing work and new engagement opportunities can sign up for an e-newsletter.

Quick facts

  • Legislative amendments have been implemented to support the transition to the new health care system.
  • To support health service delivery, Alberta Health Services divided the province into five zones: Calgary, Edmonton, south, north and central. The new integrated health system plan will include seven regional health corridors:
    • North-West
    • North-East
    • Edmonton
    • Central
    • Calgary
    • South-West
    • South-East

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Alberta

Alberta Premier Danielle Smith Discusses Moving Energy Forward at the Global Energy Show in Calgary

Published on

From Energy Now

At the energy conference in Calgary, Alberta Premier Danielle Smith pressed the case for building infrastructure to move provincial products to international markets, via a transportation and energy corridor to British Columbia.

“The anchor tenant for this corridor must be a 42-inch pipeline, moving one million incremental barrels of oil to those global markets. And we can’t stop there,” she told the audience.

The premier reiterated her support for new pipelines north to Grays Bay in Nunavut, east to Churchill, Man., and potentially a new version of Energy East.

The discussion comes as Prime Minister Mark Carney and his government are assembling a list of major projects of national interest to fast-track for approval.

Carney has also pledged to establish a major project review office that would issue decisions within two years, instead of five.

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Alberta

Punishing Alberta Oil Production: The Divisive Effect of Policies For Carney’s “Decarbonized Oil”

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From Energy Now

By Ron Wallace

The federal government has doubled down on its commitment to “responsibly produced oil and gas”. These terms are apparently carefully crafted to maintain federal policies for Net Zero. These policies include a Canadian emissions cap, tanker bans and a clean electricity mandate.

Following meetings in Saskatoon in early June between Prime Minister Mark Carney and Canadian provincial and territorial leaders, the federal government expressed renewed interest in the completion of new oil pipelines to reduce reliance on oil exports to the USA while providing better access to foreign markets.  However Carney, while suggesting that there is “real potential” for such projects nonetheless qualified that support as being limited to projects that would “decarbonize” Canadian oil, apparently those that would employ carbon capture technologies.  While the meeting did not result in a final list of potential projects, Alberta Premier Danielle Smith said that this approach would constitute a “grand bargain” whereby new pipelines to increase oil exports could help fund decarbonization efforts. But is that true and what are the implications for the Albertan and Canadian economies?


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The federal government has doubled down on its commitment to “responsibly produced oil and gas”. These terms are apparently carefully crafted to maintain federal policies for Net Zero. These policies include a Canadian emissions cap, tanker bans and a clean electricity mandate. Many would consider that Canadians, especially Albertans, should be wary of these largely undefined announcements in which Ottawa proposes solely to determine projects that are “in the national interest.”

The federal government has tabled legislation designed to address these challenges with Bill C-5: An Act to enact the Free Trade and Labour Mobility Act and the Building Canada Act (the One Canadian Economy Act).  Rather than replacing controversial, and challenged, legislation like the Impact Assessment Act, the Carney government proposes to add more legislation designed to accelerate and streamline regulatory approvals for energy and infrastructure projects. However, only those projects that Ottawa designates as being in the national interest would be approved. While clearer, shorter regulatory timelines and the restoration of the Major Projects Office are also proposed, Bill C-5 is to be superimposed over a crippling regulatory base.

It remains to be seen if this attempt will restore a much-diminished Canadian Can-Do spirit for economic development by encouraging much-needed, indeed essential interprovincial teamwork across shared jurisdictions.  While the Act’s proposed single approval process could provide for expedited review timelines, a complex web of regulatory processes will remain in place requiring much enhanced interagency and interprovincial coordination. Given Canada’s much-diminished record for regulatory and policy clarity will this legislation be enough to persuade the corporate and international capital community to consider Canada as a prime investment destination?

As with all complex matters the devil always lurks in the details. Notably, these federal initiatives arrive at a time when the Carney government is facing ever-more pressing geopolitical, energy security and economic concerns.  The Organization for Economic Co-operation and Development predicts that Canada’s economy will grow by a dismal one per cent in 2025 and 1.1 per cent in 2026 – this at a time when the global economy is predicted to grow by 2.9 per cent.

It should come as no surprise that Carney’s recent musing about the “real potential” for decarbonized oil pipelines have sparked debate. The undefined term “decarbonized”, is clearly aimed directly at western Canadian oil production as part of Ottawa’s broader strategy to achieve national emissions commitments using costly carbon capture and storage (CCS) projects whose economic viability at scale has been questioned. What might this mean for western Canadian oil producers?

The Alberta Oil sands presently account for about 58% of Canada’s total oil output. Data from December 2023 show Alberta producing a record 4.53 million barrels per day (MMb/d) as major oil export pipelines including Trans Mountain, Keystone and the Enbridge Mainline operate at high levels of capacity.  Meanwhile, in 2023 eastern Canada imported on average about 490,000 barrels of crude oil per day (bpd) at a cost estimated at CAD $19.5 billion.  These seaborne shipments to major refineries (like New Brunswick’s Irving Refinery in Saint John) rely on imported oil by tanker with crude oil deliveries to New Brunswick averaging around 263,000 barrels per day.  In 2023 the estimated total cost to Canada for imported crude oil was $19.5 billion with oil imports arriving from the United States (72.4%), Nigeria (12.9%), and Saudi Arabia (10.7%).  Since 1988, marine terminals along the St. Lawrence have seen imports of foreign oil valued at more than $228 billion while the Irving Oil refinery imported $136 billion from 1988 to 2020.

What are the policy and cost implication of Carney’s call for the “decarbonization” of western Canadian produced, oil?  It implies that western Canadian “decarbonized” oil would have to be produced and transported to competitive world markets under a material regulatory and financial burden.  Meanwhile, eastern Canadian refiners would be allowed to import oil from the USA and offshore jurisdictions free from any comparable regulatory burdens. This policy would penalize, and makes less competitive, Canadian producers while rewarding offshore sources. A federal regulatory requirement to decarbonize western Canadian crude oil production without imposing similar restrictions on imported oil would render the One Canadian Economy Act moot and create two market realities in Canada – one that favours imports and that discourages, or at very least threatens the competitiveness of, Canadian oil export production.


Ron Wallace is a former Member of the National Energy Board.

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