Thursday, July 27, 2017

Friends of Medicare July 21 at 7:00am · In case you missed it: We attended this session Tuesday night dealing with access to reproductive health. This is a strong commitment from Alberta Health Minister Sarah Hoffman.---------Julie Ali Now what about the seniors and handicapped folks in Alberta? Should they not have good quality care access in the continuing care system in Alberta? What about the non-compliances found at an AHS long term care facility at Lacombe? What is being done to address these failures in oversight? How will the government harangue private continuing care providers for non-compliances (if indeed the GOA does any sort of disciplining of non-compliant care providers) --if the facilities run in the public sector have an abysmal record of non-compliances? No one has explained why the facility had a clean 2016 audit that found none of the non-compliances detected in the 2017 audit by a different crew. And how will have a province wide AHS team mitigate the risks of self auditing that are clearly evident in the Lacombe long term care facility case? -

So trendy issues like birth control get action but not the non-compliances in the continuing care system?
We've already seen the midwives get paid by the GOA despite the fact that midwife delivery of babies cost more than doctor deliveries; apparently there is money for mummies when they go on social media and make an emerging issue of the right to birth in luxury.
There is even money to give women who don't want babies an abortion.
But where the attention on the continuing care system in Alberta? I guess seniors aren't sexy.They have no voice. And their families are powerless.
Too bad.
My feeling is we have to keep changing political parties until seniors' issues are sexy and we have the oversight required to ensure patient health, safety and rights in the continuing care system in Alberta.
It did not happen with the PCs.
It won't happen with the NDPCs.
We're going to have to do it ourselves as families.
https://www.facebook.com/friendsofmedicare/?hc_ref=ARSCrItuIRdW3dkddvZp7h3OS0Remq2WDMsfwxuxEUeQf04KomLxp6YfrTXbThu1RDs&fref=nf

In case you missed it: We attended this session Tuesday night dealing with access to reproductive health. This is a strong commitment from Alberta Health Minister Sarah Hoffman.

Every woman living in Alberta will have universal access to a new medical abortion therapy regardless of whether she has provincial health insurance, Alberta’s health…
EDMONTONJOURNAL.COM

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Julie Ali Now what about the seniors and handicapped folks in Alberta? Should they not have good quality care access in the continuing care system in Alberta? What about the non-compliances found at an AHS long term care facility at Lacombe? What is being done to address these failures in oversight? How will the government harangue private continuing care providers for non-compliances (if indeed the GOA does any sort of disciplining of non-compliant care providers) --if the facilities run in the public sector have an abysmal record of non-compliances? No one has explained why the facility had a clean 2016 audit that found none of the non-compliances detected in the 2017 audit by a different crew. And how will have a province wide AHS team mitigate the risks of self auditing that are clearly evident in the Lacombe long term care facility case? http://www.reddeeradvocate.com/.../lacombe-continuing.../ Huband said an audit done later in 2016 did not show the concerns found in the April 2017.

The new audit process for continuing care health service standards should be ready for the first part of September, she said.

“The audit would be exactly the same in terms of what we’re auditing and the tools that we are using. But instead of an audit being done by, like the Central Zone, it will now be done by a team that does all of the audits across the province. They won’t be done by a geographic area.

“It’s the tool we’ve used in the past, but it’s the people and how it will be done, and where those people report, that gives its independence and takes away any perception of bias or conflict of interest.”

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http://www.reddeeradvocate.com/news/lacombe-continuing-care-reviews-complete/

Lacombe continuing care reviews complete

Four staff members were placed on leave while Alberta Health Services investigated issues with infection prevention, cleanliness and medication handling

A more rigorous audit process will be implemented province-wide for publicly-funded continuing care facilities as a result of the serious health care concerns identified at Lacombe Hospital and Care Centre in March.
Four staff members, called leaders, were placed on leave while Alberta Health Services investigated issues with infection prevention, cleanliness, medication handling and training in the long-term care wing of the facility.
Effective June 27, those four staff were no longer working for AHS.
Reviews undertaken by AHS looked at clinical and administrative practices and found a general lack of respect for residents, a culture of dependency on the use of wheelchairs, inappropriate incontinence care, and competency concerns regarding professional practice and care delivery.
Frequent and ongoing audits will continue until AHS and Alberta Health are satisfied the site is meeting standards.
Brenda Huband, vice-president and chief health operations officer for AHS Central and Southern Alberta, said a lot has been learned.
“We really are trying to look at this as an opportunity for improvement. We’ve been able to develop a more robust relationship with families and residents so out of a not so good situation we’ve had some good things happening,” Huband said on Thursday.
In March, Wildrose leaked documents about the Lacombe investigation that showed serious breaches including: expired aseptic sterile supplies like catheters; soiled linen and garbage overflowing into hallways; slings being used communally without a clear, consistent cleaning process; medication left unsecured, unlabelled, unattended; and lack of proper training in medication management and assistance, dementia care, risk management, fall prevention, CPR, palliative/end-of-life care, safe lifts, restraints, and bathing.
The 40-page audit detailed 80 standards breached.
Concerns were initially identified by Red Deer College licensed practical nursing students while training at the facility in March.
An investigation led to thorough health assessments done on all 75 long-term care residents, along with a thorough cleaning of the wing, education sessions for staff, and improved communication between caregivers, residents and families.
Huband said an audit done later in 2016 did not show the concerns found in the April 2017.
The new audit process for continuing care health service standards should be ready for the first part of September, she said.
“The audit would be exactly the same in terms of what we’re auditing and the tools that we are using. But instead of an audit being done by, like the Central Zone, it will now be done by a team that does all of the audits across the province. They won’t be done by a geographic area.
“It’s the tool we’ve used in the past, but it’s the people and how it will be done, and where those people report, that gives its independence and takes away any perception of bias or conflict of interest.”

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