Healthcare Motion Plan | Alberta Well being Providers

Healthcare Motion Plan | Alberta Well being Providers

90-Day Report from Dr. John Cowell, Official Administrator

The Authorities of Alberta launched the Healthcare Motion Plan on Nov. 17, 2022, to make sure speedy enhancements in key areas of healthcare supply. Dr. John Cowell was appointed by the Authorities of Alberta as Official Administrator (OA) of Alberta Well being Providers (AHS) to supervise and speed up these enhancements.

AHS is aligned with the federal government’s Healthcare Motion Plan, and dealing to aggressively ship on all priorities.

Working carefully with AHS’ valued companions, the OA has been targeted on guaranteeing entry to high-quality, protected healthcare for all Albertans within the following strategic areas:

  • Enhancing EMS Response Instances
  • Reducing Emergency Division Wait Instances
  • Enhancing Affected person Stream All through the Healthcare Continuum
  • Lowering Wait Instances for Surgical procedures

AHS can be working diligently to draw and retain healthcare professionals, and assist native decision-making and innovation by means of improved decision-making tradition and streamlined processes.

The healthcare system is a provincial asset. It’s well-resourced and requires fixed consideration and continuous enchancment to make sure it serves all Albertans.

Further Info: Backgrounder – February 27, 2023

By means of the targeted efforts of many healthcare groups, physicians, companions and stakeholders, tangible enhancements have been made to healthcare supply over this 90-day interval. This part lists every precedence’s successes and ongoing actions.

The healthcare system is advanced. One achievement incessantly impacts two or extra precedence areas. For example, good affected person movement by means of an emergency division will get ambulances again on the highway sooner, and higher accessibility of acute care and persevering with care reduces emergency division waits.

EMS response instances are impacted by a number of components, corresponding to quantity and density of calls at any given time, in addition to a group’s measurement, inhabitants and geography. EMS goals to make sure immediate response to all calls triaged as most emergent and life-threatening. When time is of the essence from a scientific perspective, the objective is to soundly arrive in as little time as attainable. Minutes actually matter when responding to calls looking for assist for life-threatening conditions. EMS operations are subtle and data-driven – paramedics arrive on scene and transport sufferers whereas counting on the work of emergency communications officers and dispatch, 24 hours of on daily basis. Insights and outcomes from a number of latest stories are guiding work on reforms and improvements in EMS.



  • EMS response instances are enhancing, regardless of a sustained 30 per cent improve in name quantity throughout the province. Evaluating November 2022 with January 2023, EMS response instances for probably the most pressing calls are shorter:

    • 17 minutes in metro and concrete areas, down from 21.8 minutes.
    • 19.2 minutes in communities with over 3,000 residents, down from 21.5 minutes.
    • 34.9 minutes in rural communities with underneath 3,000 residents, down from 36 minutes.
    • 57.5 minutes in distant communities, down from 63.9 minutes.

(AHS is focusing its measures on the ninetieth percentile, that means these are the response instances for 90 per cent of exercise.)


  • Between November 2022 and January 2023, EMS added 39 front-line workers, together with paramedics, emergency communications officers, and front-line supervisors. General, EMS employed 457 new workers members in 2022, together with 341 paramedics.
  • Between November 2022 and January 2023, a brand new ambulance was added in Purple Deer; 19 new ambulances had been added earlier in 2022 provincewide.
  • Within the coming days, AHS EMS will transition 70 present momentary full-time (TFT) positions to common everlasting full-time (RFT). AHS EMS will work with the Well being Sciences Affiliation of Alberta (HSAA) to make sure this can be a swift and easy transition, together with collaborating with the union on potential processes that might expedite the connection of momentary and informal workers to those positions. These 70 positions will proceed to be allotted to all 5 working zones, with 20 positions in every metro space, and 10 positions in every of the three rural zones. EMS may even have interaction with the HSAA to debate environment friendly mechanisms to fill 80 new RFT positions which can be being added to ranks in April 2023. Work is ongoing with HSAA to discover the utilization of the Rural Capability Funding Fund to assist paramedic recruitment, relocation, and retention initiatives in rural and distant communities. Worldwide recruitment choices are additionally being actively explored.
  • A pink alert or Code Purple is a time period used to point that, at a sure time limit, all ambulances inside a sure geographical space are busy serving to sufferers. A pink alert doesn’t imply that sufferers who urgently require an ambulance should not cared for; when further sources are required, items are repositioned from different communities, non-urgent transfers are deferred, supervisors are deployed to help in liberating up groups from EDs, and single paramedic response items are used to offer pressing care. Purple alerts are usually very brief in length and are solely utilized in Calgary and Edmonton. In January 2022, within the Edmonton Zone, there have been 1,092 pink alerts for a complete of 39.7 hours, in comparison with 81 alerts for a complete of 1.8 hours in January 2023. In Calgary Zone, in January 2022, there have been 328 pink alerts for a complete of 8.1 hours in comparison with 134 pink alerts for a complete of three.2 hours in January 2023.
  • AHS launched EMS/811 Shared Response in January 2023. Low-acuity EMS callers are being transferred to Well being Hyperlink 811 the place registered nurses – backed up by medical doctors when wanted – present callers with additional evaluation to find out what sort of care and assist is required. Within the first three weeks of Shared Response, EMS assessed greater than 1,600 callers as low acuity and linked them to 811. In different jurisdictions with comparable processes, as much as 20 per cent of EMS calls are transferred to nursing traces over time. This system will assist Albertans obtain the care they want, and hold ambulances and paramedics in a position to reply to emergency calls. To this point, roughly 30 ambulances per day are being freed up for emergencies.

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