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Legislative Assembly of Alberta the 29Th Legislature Third Session

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Legislative Assembly of Alberta the 29Th Legislature Third Session Legislative Assembly of Alberta The 29th Legislature Third Session Standing Committee on Public Accounts Health, Alberta Health Services, Alberta Medical Association, College of Physicians & Surgeons of Alberta, Energy Thursday, September 7, 2017 9:01 a.m. Transcript No. 29-3-10 Legislative Assembly of Alberta The 29th Legislature Third Session Standing Committee on Public Accounts Cyr, Scott J., Bonnyville-Cold Lake (UCP), Chair Dach, Lorne, Edmonton-McClung (NDP), Deputy Chair Babcock, Erin D., Stony Plain (NDP)* Barnes, Drew, Cypress-Medicine Hat (UCP) Carson, Jonathon, Edmonton-Meadowlark (NDP)** Fildebrandt, Derek Gerhard, Strathmore-Brooks (Ind) Fraser, Rick, Calgary-South East (UCP) Goehring, Nicole, Edmonton-Castle Downs (NDP) Gotfried, Richard, Calgary-Fish Creek (UCP) Hunter, Grant R., Cardston-Taber-Warner (UCP)*** Littlewood, Jessica, Fort Saskatchewan-Vegreville (NDP) Luff, Robyn, Calgary-East (NDP) Malkinson, Brian, Calgary-Currie (NDP) Miller, Barb, Red Deer-South (NDP) Panda, Prasad, Calgary-Foothills (UCP) Renaud, Marie F., St. Albert (NDP) Turner, Dr. A. Robert, Edmonton-Whitemud (NDP) Westhead, Cameron, Banff-Cochrane (NDP) * substitution for Nicole Goehring ** substitution for Cameron Westhead *** substitution for Derek Fildebrandt Also in Attendance Yao, Tany, Fort McMurray-Wood Buffalo (UCP) Office of the Auditor General Participants Merwan Saher Auditor General Eric Leonty Assistant Auditor General Doug Wylie Assistant Auditor General Sergei Pekh Principal Doug Zurbrigg Principal Support Staff Robert H. Reynolds, QC Clerk Shannon Dean Law Clerk and Director of House Services Trafton Koenig Parliamentary Counsel Stephanie LeBlanc Parliamentary Counsel Philip Massolin Manager of Research and Committee Services Sarah Amato Research Officer Nancy Robert Research Officer Corinne Dacyshyn Committee Clerk Jody Rempel Committee Clerk Aaron Roth Committee Clerk Karen Sawchuk Committee Clerk Rhonda Sorensen Manager of Corporate Communications Jeanette Dotimas Communications Consultant Tracey Sales Communications Consultant Janet Schwegel Managing Editor of Alberta Hansard Transcript produced by Alberta Hansard Standing Committee on Public Accounts Participants Ministry of Health........................................................................................................................................................... PA-483 Carl Amrhein, Deputy Minister of Health Kate Hamilton, Chief of Staff, Office of the Deputy Minister Andre Tremblay, Associate Deputy Minister Kim Wieringa, Assistant Deputy Minister, Health Information Systems Alberta Health Services .................................................................................................................................................. PA-483 Verna Yiu, President and Chief Executive Officer Alberta Medical Association .......................................................................................................................................... PA-484 Michael Gormley, Executive Director College of Physicians & Surgeons of Alberta ................................................................................................................ PA-485 Karen Mazurek, Deputy Registrar Ministry of Energy .......................................................................................................................................................... PA-502 Douglas Borland, Assistant Deputy Minister, Ministry Services Michael Ekelund, Chief Executive Officer, Alberta Petroleum Marketing Commission David James, Assistant Deputy Minister, Electricity and Sustainable Energy Coleen Volk, Deputy Minister September 7, 2017 Public Accounts PA-481 9:01 a.m. Thursday, September 7, 2017 I would note for the record the following substitutions: Ms Title: Thursday, September 7, 2017 pa Babcock for Ms Goehring, Mr. Carson for Mr. Westhead, Mr. [Mr. Cyr in the chair] Hunter for Mr. Fildebrandt. If Ms Renaud would . The Chair: Good morning, everyone. I’d like to call this meeting to order for the Public Accounts Committee and welcome everyone Ms Renaud: Marie Renaud, St. Albert. in attendance. My name is Scott Cyr, the MLA for Bonnyville-Cold Lake, and The Chair: A few housekeeping items to address before the I am the committee chair. I’d like to ask the members, staff, and business at hand. I would ask that all members at the table speak guests joining the committee at the table to introduce themselves clearly and close to their microphones. I would also ask that the for the record, and I will then go on to the members on the phones. microphone consoles – they’re only operated by the Hansard staff, To my right. so there’s no need to touch them. Audio and video of the committee proceedings is streamed live on the Internet and recorded by Mr. Dach: Lorne Dach, deputy chair, MLA for Edmonton- Hansard. Meeting transcripts are obtained via the Legislative McClung. Assembly website. Please turn your phones to silent for the duration of the meeting. Mr. Yao: Tany Yao, Fort McMurray-Wood Buffalo. Let’s move on to approval of the agenda. Are there any changes or additions to the agenda? Seeing none, would a member like to Mr. Hunter: Grant Hunter, MLA, Cardston-Taber-Warner. Thank move that the agenda for the September 7, 2017, meeting of the you for coming this morning. Standing Committee on Public Accounts be approved as dis- Mr. Gotfried: Richard Gotfried, MLA, Calgary-Fish Creek. Good tributed? Mr. Hunter. All in favour? Any opposed? Carried. morning. The report by the office of the Auditor General, Better Healthcare for Albertans. We have the Ministry of Health, Alberta Health Dr. Mazurek: Karen Mazurek, deputy registrar, College of Services, the Alberta Medical Association, and the College of Physicians & Surgeons of Alberta. Physicians & Surgeons of Alberta for the meeting from 9 till 12. I’d like to welcome our guests who are here to speak on the special Ms Hamilton: Kate Hamilton, chief of staff, Alberta Health. report issued by the office of the Auditor General. This report differs in many respects from the usual reports issued by the Mr. Tremblay: Andre Tremblay with Alberta Health. Auditor General, which generally include recommendations Dr. Amrhein: Carl Amrhein, Alberta Health. specific to the ministries and the agencies, the boards, and commis- sions that report to the ministries. The intent today is to have a Dr. Yiu: Verna Yiu, president and CEO for Alberta Health productive discussion on this important issue. Research services Services. provided a briefing document in preparation for this meeting, and the Auditor General will also play a guiding role in the discussions Mr. Gormley: Mike Gormley. I’m the executive director of the that we are about to pursue. Alberta Medical Association. With the consent of the committee we will depart from our usual time allotment format for this session. We will be following a Mr. Wylie: Good morning. Doug Wylie, Assistant Auditor General. general rotation recognizing members of the Official Opposition, Mr. Saher: Merwan Saher, Auditor General. government members, independent members, including any members of the Alberta Party, Alberta Liberals, and the Progressive Mr. Pekh: Sergei Pekh, audit principal. Conservatives who may attend and wish to participate. All mem- bers are asked to limit their questions to one plus one supplemental Dr. Turner: Bob Turner, MLA, Edmonton-Whitemud. each turn. Members, please ensure that your questions are brief and to the point. I will ask our guests to do the same with their Ms Luff: Robyn Luff, MLA for Calgary-East. responses. We’ll also organize our questions as much as possible into four categories; namely, the case for integrated health care, the Ms Miller: Good morning. Barb Miller, MLA, Red Deer-South. current structure of public health care in Alberta, integration of Ms Babcock: Good morning. Erin Babcock, Stony Plain. physician services, and transforming care through the information systems. Mr. Carson: Good morning. Jon Carson, MLA, Edmonton- The Auditor General will make opening remarks, and then we Meadowlark. will spend half an hour on each category. In the time that remains, I will give our guests two minutes each to make additional Mrs. Littlewood: Good morning. Jessica Littlewood, MLA for the comments, and then they will continue with our rotation until our beautiful rural constituency of Fort Saskatchewan-Vegreville. time is concluded. I will now ask the Auditor General to provide an overview of his report, following which each of the invitees will Mr. Malkinson: Brian Malkinson, MLA for the sunny constitu- have the opportunity to provide their comments and perspectives on ency of Calgary-Currie. the report. Once these opening remarks are complete, I will open Dr. Massolin: Good morning. Philip Massolin, manager of research the floor to committee members. and committee services. I will now ask the Auditor General for his overview report. Mr. Saher, you have 10 minutes. Ms Rempel: Good morning. Jody Rempel, committee clerk. Mr. Saher: Thank you, Mr. Chair. Good morning, everyone. With The Chair: Thank you. At the moment we have no members on the me today is Assistant Auditor General Doug Wylie, who has over- teleconference. sight of audits related to Alberta Health and Alberta Health Services PA-482 Public Accounts September 7, 2017 and the work that led to the report and the topic of our discussion others in the system accountable for results around the quality of this morning, Better Healthcare for Albertans. I’d also like to intro- care and
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