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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 Families and Communities Ministry of Health Consideration of Main Estimates Tuesday, April 11, 2017 3:30 p.m. Transcript No. 29-3-6 Legislative Assembly of Alberta The 29th Legislature Third Session Standing Committee on Families and Communities Goehring, Nicole, Edmonton-Castle Downs (ND), Chair Smith, Mark W., Drayton Valley-Devon (W), Deputy Chair Aheer, Leela Sharon, Chestermere-Rocky View (W) Drever, Deborah, Calgary-Bow (ND) Hinkley, Bruce, Wetaskiwin-Camrose (ND) Horne, Trevor A.R., Spruce Grove-St. Albert (ND) Jansen, Sandra, Calgary-North West (ND) Luff, Robyn, Calgary-East (ND) McKitrick, Annie, Sherwood Park (ND) Miller, Barb, Red Deer-South (ND) Pitt, Angela D., Airdrie (W) Rodney, Dave, Calgary-Lougheed (PC) Shepherd, David, Edmonton-Centre (ND) Starke, Dr. Richard, Vermilion-Lloydminster (PC)* Swann, Dr. David, Calgary-Mountain View (AL) Yao, Tany, Fort McMurray-Wood Buffalo (W) * substitution for Dave Rodney Also in Attendance Clark, Greg, Calgary-Elbow (AP) Dach, Lorne, Edmonton-McClung (ND) Loewen, Todd, Grande Prairie-Smoky (W) Strankman, Rick, Drumheller-Stettler (W) 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 Families and Communities Participants Ministry of Health Hon. Sarah Hoffman, Minister Hon. Brandy Payne, Associate Minister Carl Amrhein, Deputy Minister Jessica Ellison, Executive Director, Health and Wellness Promotion April 11, 2017 Families and Communities FC-647 3:30 p.m. Tuesday, April 11, 2017 The Chair: Thank you. I’d like to note the following substitution Title: Tuesday, April 11, 2017 fc for the record. Dr. Starke is here for Mr. Rodney. [Ms Goehring in the chair] Please note that the microphones are being operated by Hansard and the committee proceedings are being audio- and video streamed Ministry of Health live. Please set your cellphones and other devices to silent for the Consideration of Main Estimates duration of this meeting. A total of six hours has been scheduled for consideration of the The Chair: I would like to call the meeting to order and welcome estimates for the Ministry of Health. For the record I would like to everyone. The committee is continuing the consideration of note that the Standing Committee on Families and Communities has estimates for the Ministry of Health for the fiscal year ending March already completed three hours of debate in this respect. As we enter 31, 2018. our fourth hour of debate, I will remind everyone that the speaking I’d ask that we go around the table and have all MLAs introduce rotation for these meetings is provided for in Standing Order themselves for the record. Minister, please introduce the officials 59.01(6), and we are now at the point in the rotation where speaking that are joining you at the table. I’m Nicole Goehring, MLA for times are limited to a maximum of five minutes. Members have the Edmonton-Castle Downs and chair of this committee. We’ll option of combining their speaking time with the minister for a continue, starting at my right. maximum of 10 minutes. Please remember to advise the chair at the beginning of your rotation if you wish to combine your time with Mr. Smith: Mark Smith, Drayton Valley-Devon. the minister, and discussion should flow through the chair at all times, regardless of whether or not the speaking time has been Mrs. Pitt: Angela Pitt, MLA, Airdrie. combined. Mr. Strankman: Rick Strankman, MLA, Drumheller-Stettler. The speaking rotation is set out in the standing orders, and members wishing to participate must be present during the Mr. Yao: Tany Yao, Fort McMurray-Wood Buffalo, and my appropriate portion of this meeting. If members have any questions assistant, Laila Goodridge. regarding speaking times or the rotation, please feel free to send a note or speak directly to either myself or the committee clerk about Mr. Loewen: Todd Loewen, MLA, Grande Prairie-Smoky. the process. With the concurrence of the committee I will call a five-minute Mr. Clark: Good afternoon. Greg Clark, MLA, Calgary-Elbow, break near the midpoint of the meeting; however, the three-hour and my assistant, Barbara Currie. clock will continue to run. Is anyone opposed to having the break? Seeing no opposition, we will call the break at the midpoint. Dr. Starke: Good afternoon. Richard Starke, MLA for Vermilion- Committee members, ministers, and other members who are not Lloydminster. committee members may participate. A committee member or an official substitute for a committee member may introduce an Good afternoon. David Swann, Calgary-Mountain Dr. Swann: amendment, which must be in writing and approved by View. Parliamentary Counsel prior to the meeting. Twenty copies of Ms Hoffman: Sarah Hoffman, Edmonton-Glenora and Minister of amendments, including the original, must be provided at the meeting for committee members and staff. Ministry officials may Health and Deputy Premier. be present and at the discretion of the minister may address the Ms Payne: Brandy Payne, Associate Minister of Health and MLA committee. Ministry officials seated in the gallery, if called upon for Calgary-Acadia, and also I’ll introduce our officials at the table. by the minister, have access to a microphone in the gallery area. At the far end we have Charlene Wong, who is our ADM of finance. Ministry officials are reminded to introduce themselves prior to Beside her we have Andre Tremblay, who is our associate deputy responding to a question. Members’ staff may be present and seated along the committee minister, and then to my right is Carl Amrhein, who is our deputy room wall, space permitting. Opposition caucus staff may sit at the minister. table; however, members have priority for seating at the table at all Ms Miller: Good afternoon. Barb Miller, MLA, Red Deer-South. times. If debate is exhausted prior to six hours, the ministry’s estimates Ms Luff: Robyn Luff, MLA for Calgary-East. are deemed to have been considered for the time allotted in the schedule, and we will adjourn. Drever: Good afternoon. Deborah Drever, MLA for Calgary- Pages are available to make deliveries of notes or other materials Bow. between staff in the gallery and the table. The vote on estimates is deferred until consideration of all ministry estimates has concluded Mr. Hinkley: Good afternoon. Bruce Hinkley, MLA, Wetaskiwin- and will occur in Committee of Supply on April 19, 2017. Camrose. When we adjourned on April 10, 2017, we were five minutes into the exchange between Mr. Yao and the minister. I will now invite Mr. Horne: Good afternoon. Trevor Horne, MLA for Spruce Mr. Yao or other members from the Official Opposition to complete Grove-St. Albert. the remaining time of the rotation. You have five minutes. Ms Jansen: Sandra Jansen, Calgary-North West. Mr. Yao: Thank you. Thanks for being here again. Under Ms McKitrick: Bon après-midi. Annie McKitrick, Sherwood Park. diagnostic, therapeutic, and other patient services on page 86 of your business plan, under expense, for 2016-17 it was $2.49 billion. Mr. Dach: Lorne Dach, Edmonton-McClung. This year it’s $2.38 billion, $110 million less than the year before. How are you achieving this goal of savings? Congratulations, by Mr. Shepherd: David Shepherd, Edmonton-Centre. the way. FC-648 Families and Communities April 11, 2017 Ms Hoffman: Always happy to receive some congratulations. the primary care network medical doctors would be employees of While we just flip to the right page, I’ll just tell you that in every the government of Alberta. The per capitation funding, the $62 per part of Alberta Health Services as well as within the ministry we year, that the PCNs receive for each of the patients that they have are looking to find efficiencies wherever we can without impacting listed, would be paid to corporations that are physician-managed front-line patient care, so that’s essentially the driving value that’s corporations. Those corporations are separate legal entities, and leading to this. those corporations hire various health professionals as the so-called Would you mind just saying the page number again? team bundle. As far as I know, none of the employees of the PCN corporations are directly employees of the government of Alberta. Mr. Yao: Page 86. In the case of PCNs if the definition of outsourcing is that they are not employees of the government of Alberta, then the answer would Ms Hoffman: Thank you very much. be that 100 per cent of the activity is done by payment from the Mr. Yao: I can go on with some other questions related to this. government of Alberta either through the Alberta medical agreement or through the PCN contracts. Ms Hoffman: I think so, and we’ll answer them both together. In the case of ambulances these are approximate numbers, but roughly just under 400 ambulances are owned by Alberta Health Mr. Yao: I’m just kind of curious: how does this department’s Services, and something over 120, maybe 130 ambulances are compensation model work? How many salaries are under this contractors to Alberta Health Services. Some of those ambulances heading? Are there additional expenses besides salaries? Do we are private, for-profit, and more than not are private, not for profit, include equipment under this heading as well? including ambulances provided by companies like Covenant Health.
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