Friday, May 26, 2017

Edward Redshaw 4 hrs · This is a sad day for me: The following is a communication I received from Alberta Health Services (AHS) regarding my expression of concerns regarding the deterioration of quality of care in Long-Term Care facilities. I tried to motivate, without success, those in power in Long-Term Care to respond to this with a litany of failings in funding and other concerns as to why the quality of care is on a down ward spiral. Without their support it suggests that my, and others, concerns are a figment of our imagination and therefore meaningless. With their attitude I must express my sympathy to the overworked and overwhelmed care staff and especially to the residents who are now in charge of bureaucrats who have failed them in this time of need by not speaking out on their behalf.


When they are blind -how then will they see? When they are deaf-how then will they hear? When they are fixed in concrete-how will they be responsive? When they are fired--I guess this is when change will happen.
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We are paying for a system that is not able to meet the needs of citizens or even to be compliant with the standards of care in some cases as evidenced by the situation in the Lacombe long term care facility that is run by the health authority.
There are no problems for the health authority --there are just families who see problems where they see none.
It's troubling but I guess this is the way it is.

We keep going regardless.

System change doesn't happen inside government and institutions.
It happens outside these entities.

This is a sad day for me:
The following is a communication I received from Alberta Health Services (AHS) regarding my expression of concerns regarding the deterioration of quality of care in Long-Term Care facilities.
I tried to motivate, without success, those in power in Long-Term Care to respond to this with a litany of failings in funding and other concerns as to why the quality of care is on a down ward spiral.
Without their support it suggests that my, and others, concerns are a figment of our imagination and therefore meaningless.
With their attitude I must express my sympathy to the overworked and overwhelmed care staff and especially to the residents who are now in charge of bureaucrats who have failed them in this time of need by not speaking out on their behalf.
May 23, 2017
Dr. Edward S. Redshaw 2034-108 Street Edmonton, Alberta T6J 5T7
Dear Dr. Redshaw,
Alberta Health Services (AHS) has received a copy of your letter outlining concerns with Long-Term Care (LTC) services in the provinces as distributed to some LTC providers on May 2, 2017.
As we strive to work collaboratively with all relevant stakeholders to refine and improve our Continuing Care system in Alberta, we appreciate the transparency in your cited concerns, and thought it necessary to clarify and correct some misconceptions.
It is true that AHS is ultimately responsible for the provision of Continuing Care services to Albertans. However, each operator enjoys considerable operational flexibility in constructing staffing rotations. This is a deliberate approach to encourage innovative service delivery and allow operators authority over their facilities. Each LTC site in the province is funded for 4.08 paid staff hours/weighted resident day, higher than most sites were previously funded prior to AHS formation and PCBF implementation, with the most increases in Edmonton Zone. When considering AHS Long-Term Care per bed spending per adjusted capita, Alberta’s is the highest in the country, and over 30% higher than the national average. It is important to note that when assessing Alberta’s spend on Long-Term care and/or Continuing Care, it is necessary to adjust for the fact that Alberta has the youngest population and a significant lower % of Seniors per population. The introduction of PCBF introduced provincially- consistent funded hours per resident, something that was previously nonexistent and was cited in reports of the Office of the Auditor General as an area of concern. PCBF eliminates inequity in the system and ensures appropriate allocation of available resources based on individual Residents’ needs. AHS understands that LTC delivery requires competent skillset from nursing staff, and continues to monitor and enforce the requirement for Registered Nurses on site, in compliance with Nursing Home Regulations. Further, the use of this funding formula adjusts funding for sites serving more complex resident populations, enhancing funding equity for Alberta’s 174 LTC facilities.
AHS has always taken concerns regarding our healthcare system very seriously and responded promptly to your letters in April and September of 2015. In addition to this, AHS has implemented most of the 27 recommendations resulting from the Patient/Care-Based Funding (PCBF) review. PCBF has evolved and been refined since its implementation, always with input and approval from the Ministry of Health, and in consultation with operator representatives, the Alberta Continuing Care Association (ACCA), and the
Alberta Senior Communities & Housing Association (ASCHA). John Pray, CEO and President of Shepherd’s Care Foundation, as well as Jim Sneddon, Finance Director for Shepherd’s Care Foundation, are both members of various committees and working groups established to gather input and provide advice. You may not have been aware that, in addition to the ACCA and ASCHA’s support and involvement with the current PCBF model for LTC, the associations have been extensively involved and supportive with recommending the introduction of PCBF to Designated Supportive Living (DSL) spaces as well.
Given AHS has continued to correspond with you over the last few years, I would like to invite you to meet in person to further discuss your concerns; please reach out at your convenience to schedule time.
Sincerely,
David O’Brien CPA CMA
Senior Program Officer
Community Seniors Addiction & Mental Health Alberta Health Services
David.Obrien@ahs,ca

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Julie Ali I know how you feel Edward. It's very discouraging that bureaucrats and politicians can ignore the problems in the system that we have been pointing out to them but see only sunny skies in Alberta. Maybe it's time for a change in the political parties yet again.

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