Alberta Health Annual Report 2012/13
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Health Annual Report 2012/2013 For further information For additional copies of this document contact: Alberta Health Communications PO Box 1360, Station Main Edmonton, Alberta T5J 1S6 Phone: (780) 427-7164 Fax: (780) 427-1171 You can find this document on the Alberta Health website – www.health.alberta.ca ISBN 978-0-7785-8399-8 ISSN 1492-8892 Health Annual Report 2012/2013 CONTENTS Preface 1 Minister’s Accountability Statement 2 Message from the Minister 3 Management’s Responsibility for Reporting 6 Ministry Overview 7 Review Engagement Report (Auditor General’s Report) 9 Performance Measures Summary Table 10 Discussion and Analysis of Results 12 Ministry Expense by Function 42 Financial Information 47 Ministry Financial Statements 47 Department Financial Statements 75 Ministry Unaudited Information 109 Alberta Health Services and Health Quality Council of Alberta Financial Statement Highlights 111 Alberta Health Services Financial Statements 113 Health Quality Council of Alberta Financial Statements 179 Ministry Contacts 200 2012 – 2013 Health Annual Report 2012 – 2013 Health Annual Report Preface Public Accounts 2012/2013 The Public Accounts of Alberta are prepared in accordance with the Financial Administration Act and the Government Accountability Act. The Public Accounts consist of the annual report of the Government of Alberta and the annual reports of each of the 18 ministries. The annual report of the Government of Alberta contains ministers’ accountability statements, the consolidated financial statements of the province and Measuring Up report, which compares actual performance results to desired results set out in the government’s strategic plan. On May 8, 2012 the government announced new ministry structures. As a result, the Ministry of Seniors was disestablished and certain programs and services as prescribed by Order in Council 155/2012 were transferred to the Ministry of Health. The Ministry was renamed as “Ministry of Health”. The 2012/2013 ministry annual reports and financial statements have been prepared based on the new ministry structure. This annual report of the Ministry of Health contains the minister’s accountability statement, the audited consolidated financial statements of the ministry and a comparison of actual performance results to desired results set out in the ministry business plan. This ministry annual report also includes: ■ the financial statements of entities making up the ministry including the Department of Health, and provincial agencies for which the Minister is responsible, ■ other financial information as required by the Financial Administration Act and Government Accountability Act, either as separate reports or as a part of the financial statements, to the extent that the ministry has anything to report; and ■ financial information relating to trust funds. For financial information relating to Alberta Health Services, which is accountable to the Minister of Health, please visit the Alberta Health Services website at www.albertahealthservices.ca 2012 – 2013 Health Annual Report 1 Minister’s Accountability Statement The ministry’s annual report for the year ended March 31, 2013, was prepared under my direction in accordance with the Government Accountability Act and the government’s accounting policies. All of the government’s policy decisions as at June 19, 2013 with material economic or fiscal implications of which I am aware have been considered in the preparation of this report. [original signed by] Fred Horne Minister of Health 2 2012 – 2013 Health Annual Report Message from the Minister This past year signalled a shift in government as we welcomed a new Premier and a new direction for the province. I was honoured to be reappointed as the Minister of Health, and have the opportunity to work on the health priorities that matter to Albertans. Alberta Health is putting the Building Alberta Plan into action by continuing to improve access to services, placing a stronger focus on primary health care, finding new efficiencies, promoting better health, providing necessary supports and care for seniors and funding new and improved health facilities. Working with Alberta Health Services, we made significant progress towards achieving these goals. Primary Health Care Primary health care is about improving access to appropriate community- based health care services for Albertans. Several important initiatives were undertaken this year to improve Albertans’ access to primary health care services. In April 2012, three pilot Family Care Clinics were opened in Edmonton, Calgary, and Slave Lake. These clinics have shown promising results in their first year of operation, including seeing thousands of new patients and decreasing non-urgent visits to hospital emergency departments. More Family Care Clinics will open in the coming year. In January 2013, work began on further evolving the highly successful Primary Care Network model. Alberta Health began work with the Primary Care Alliance and Alberta Health Services to develop a plan for the future evolution of Primary Care Networks, to provide individuals with a more standard and broader range of services from Primary Care Networks. Family Care Clinics and Primary Care Networks are part of broader work to transform Alberta’s primary health care system, which will be guided by a Primary Health Care Strategy. Over the past year, stakeholders have been significantly involved in this work. The Minister’s Advisory Committee on Primary Health Care and the Primary Health Care Strategy Working Group have been very active; these groups include stakeholders and experts from within primary health care who provide advice on the major initiatives. Health promotion and disease prevention Several initiatives to prevent disease and keep Albertans healthy were undertaken over the past year. In July, the province launched the Healthy U Junior Chef app, the first ever Government of Alberta mobile application. The app makes it easier for families to get advice on healthy meals and snacks that they can make together. In November, the province announced a new Tobacco Reduction Strategy to further protect young Albertans from tobacco, take action to prevent tobacco use and provide more support to help Albertans quit using tobacco products. In 15 cancer facilities outside of Edmonton and Calgary, specially trained nurses are serving as cancer patient navigators, guiding patients through care. The province expanded student mental health services for post-secondary students at the University of Alberta, University of Calgary and University of Lethbridge. Funding was announced to support post- secondary institutions to expand campus addiction and mental health services and develop models of care that can be used on campuses across Alberta. 2012 – 2013 Health Annual Report 3 In July, the immunization program was expanded to include a second dose of the chickenpox vaccine for children between the ages of four and six. In December, Alberta Health contributed $5 million to enhance existing addiction and mental health services for homeless Albertans in Edmonton, Calgary and Lethbridge as part of the addiction and mental health strategy. Supports and care for seniors Alberta seniors benefited from more services and supports, greater coverage and care options in 2012/2013. Chiropractic services were added to Alberta Seniors’ health benefit coverage. Those enrolled in the Coverage for Seniors health benefit plan receive $25 per visit towards chiropractic services, to a maximum of $200 per annual benefit period. Income exemption and thresholds were adjusted in June 2012 for the Alberta Seniors Benefit program. As a result, qualifying income thresholds were raised to ensure seniors’ benefits are not negatively affected by increases to federal seniors’ benefits. Passed by the Alberta Legislature in March 2012, the Seniors Property Tax Deferral Program allows senior homeowners to apply for a low-interest loan through the Alberta government to defer all or part of their property taxes. The program will begin in May 2013. In March, the province improved bathing standards for continuing care residents, making two baths a week the minimum. Those living in long-term care facilities operated by Alberta Health Services now enjoy locally prepared meals that meet their dietary needs and preferences. This new policy has been adopted by 73 long- term care facilities operated by Alberta Health Services across the province. Government maintained its commitment to expand continuing care spaces, with 1,300 opening in the past 18 months. Investing in health infrastructure We continued to invest in health infrastructure, with improvements to regional hospitals and new facilities offering specialized services in Edmonton and Calgary. The South Health Campus, the largest hospital in Alberta’s history, has been opening in phases since mid 2012. The South Health Campus will include a broad range of inpatient and outpatient services, with a focus on wellness services and facilities. These wellness services will make illness prevention, management and community health education an important focus of the campus. This $1.2 billion facility represents the future of health care in this province. A new cancer care centre, to be located on the Foothills Medical Centre grounds, was announced in March. Targeted to begin construction in 2015-2016, the new centre will include inpatient beds, the latest advanced cancer diagnostic and treatment technologies, an outpatient facility, and dedicated research space