Alberta Health Services Annual Report 2012-2013 For more information about our programs and services, please visit www.albertahealthservices.ca or call HEALTHLink at 1-866-408-LINK (5465) b www.albertahealthservices.ca Alberta Health Services Annual Report 2012-2013 Welcome to the 2012-2013 Annual Report Letter of Accountability ......................................................................................... ii Welcome to the 2012–2013 Annual Report ......................................................... iii About Alberta Health Services .............................................................................. 1 Who We Are ............................................................................................................................... 1 Mission, Values and Strategic Direction .................................................................................... 2 Alberta Health Services Map ..................................................................................................... 3 Quick Facts ................................................................................................................................ 4 CIHI Interesting Facts ................................................................................................................ 5 Bed Numbers ............................................................................................................................ 6 Board Governance .................................................................................................................... 7 Advisory Councils ...................................................................................................................... 8 2012-2013 Organizational Structure .......................................................................................... 10 Our Stories .............................................................................................................. 11 Summary of 2012-13 Performance Results ......................................................... 32 Financial Statements ............................................................................................. 36 Financial Statement Discussion and Analysis ........................................................................... 37 Consolidated Financial Statements ........................................................................................... 62 Appendix ................................................................................................................. 126 2012-13 Performance Results ................................................................................................... 127 HQCA Year End Report ............................................................................................................. 163 Surgical Contracts ..................................................................................................................... 164 List of AHS Funded Facilities .................................................................................................... 165 Bed Numbers by Zones ............................................................................................................. 182 Partner Foundations and Health Trusts ..................................................................................... 183 www.albertahealthservices.ca i Alberta Health Services Annual Report 2012-2013 OUR STORIES “We will move forward unwavering in our commitment to build the sustainable, patient-focused and responsive health system Albertans want.” Stephen Lockwood, AHS Board Chair Letter of Accountability We are pleased to present the annual report for Alberta Health Services for the fiscal year ended March 31, 2013. Since our inception as a provincial health delivery system, Alberta Health Services has met every challenge head on. The 2012-13 fiscal year was no exception. We concentrated on fostering a culture of safe, compassionate and quality health care, and continued to drive down decision-making closest to where care is provided to better meet the needs of Albertans. The efforts we have made this year are part of our overall plan to improve the health and wellness of the people of this province – this is, unequivocally, our first and highest priority. Building on what was accomplished over the past year, we will move forward unwavering in our commitment to build the sustainable, patient-focused and responsive health system Albertans want. This annual report was prepared under the Board’s direction, in accordance with the Government Accountability Act, Regional Health Authorities Act and instructions as provided by Alberta Health. All material economic and fiscal implications known as of June 6, 2013, have been considered in preparing the Annual Report. Respectfully submitted on behalf of Alberta Health Services Board, “Original Signed by Stephen Lockwood” Stephen Lockwood AHS Board Chair ii www.albertahealthservices.ca Alberta Health Services Annual Report 2012-2013 OUR STORIES “Our reason for being is to take care of people” Dr. Chris Eagle, President & CEO Welcome to the 2012-2013 Annual Report The history of Alberta Health Services (AHS) is one of resilience and determination. The past year marked another milestone of progress and improvement, thanks to the commitment and compassion of the over 104,000 men and women who serve in our health system. Each and every day, they do great work caring for Albertans in a rapidly changing and always challenging environment. During the last 12 months, we have laid the groundwork for growth and transformation, intensifying our efforts in building a progressive, patient-focused and sustainable health system. Wait times for many surgeries are down. There are more continuing care spaces for seniors and adults with disabilities. We have greater access to home care for seniors. That isn’t the whole story. Throughout Alberta, our health care providers, physicians, volunteers, foundations, community partners and, of course, our patients and their families, are a constant source of inspiration. Throughout this report, you’ll read stories that illustrate the accomplishments and achievements of the past year - stories about junior high students sharing music to help dementia patients in Grande Prairie, technology that is giving Albertans the facts on cancer and how residents in our long-term care centres throughout the province helped us add some of their favourite meals to our menus. These are just a few of the stories about the people who have been helped by new AHS programs, services and innovations this year. Providing high-quality, sustainable health care is a challenge. It is a challenge everyone at Alberta Health Services takes seriously with the health, wellness and care of our patients as their highest priority. Our reason for being is to take care of people, and year-over-year, we continue to improve the quality of health services we deliver for the 3.9 million Albertans who rely on us. “Original Signed by Dr. Chris Eagle” Dr. Chris Eagle President & CEO www.albertahealthservices.ca iii1 Alberta Health Services Annual Report 2012-2013 Who We Are We are skilled and dedicated health professionals, Workforce as of March 31, 2013 support staff, volunteers and physicians who Excluding Wholly-Owned Subsidiaries Staff promote wellness and provide health care everyday to approximately 3.9 million adults and children living in Alberta, as well as to many residents of southwestern Saskatchewan, southeastern British Columbia and the Northwest Territories. Alberta Health Services (AHS) has over 104,000 employees, including approximately 96,100 direct AHS employees and almost 8,000 staff working in AHS wholly-owned subsidiaries such as Carewest, CapitalCare Group and Calgary Laboratory Services (excluding Covenant Health staff), 17,600 volunteers and almost 8,400 physicians (total physician count for Alberta both employed and independent physicians). Students from Alberta’s universities and colleges, as well as from universities and colleges outside of Alberta, receive clinical education in AHS facilities. We offer health care programs and services at over 450 facilities across the province including hospitals, clinics, continuing care facilities, mental health facilities and community health sites. This province also has an extensive network of community-based services designed to assist Albertans maintain and/or improve health status. The roles, responsibilities and accountabilities of AHS are outlined in the Alberta Health Services Mandate and Roles Document. AHS is required to prepare and submit to the Minister of Health an Annual Report in compliance with legislation, reporting how AHS has discharged its legislated responsibilities and any other responsibility delegated by the Minister. The Annual Report is approved by the AHS Board and then submitted to the Minister who then tables the report in the Legislative Assembly. All programs and facilities, whether owned and operated by AHS, non-profit organizations or private groups are operated in compliance with specific sections of program legislation. The legislative responsibilities of AHS are outlined in Section 5 of the Regional Health Authorities Act. AHS is accountable to: • Assess on an ongoing basis the health needs of Albertans • Determine priorities in the provision of health services in Alberta and allocate resources accordingly • Ensure that reasonable access to quality health services is provided in and through Alberta