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transcript
Reflections on 20 eventful months
Alberta Health Services’ senior leadersDecember 6, 2010
Presented byDr. Stephen Duckett
Foundation President and Chief Executive Officer Alberta Health Services
2www.albertahealthservices.ca
Relative to other provinces, Alberta sits in the comparatively higher health expenditure per capita, lower health-adjusted life expectancy (both males and females) quadrant
1 Source: Statistics Canada. Table 102-0121 - Health-adjusted life expectancy, at birth, by sex, for all income groups, Canada and provinces, 2001, CANSIM.2 Adjusted for inflation using Alberta-specific CPI for Alberta and Canadian CPI applied across remaining provinces. Statistics Canada, CANSIM, table 326-0021. 3 Source: Canadian Institute for Health Information, National Health Expenditure Trends, 1975 – 2008 (Ottawa, Ont.: CIHI, 2008).4 Adjusted for Age and Gender differences in expenditure using the Indirect Method and weighting by All-Sector Expenditure in Alberta (2007/2008 Population-Based Funding Weights). Alberta’s weights were applied across all provinces.
Alberta(69.7, 2,563)
Newfoundland(70.2, 2,573)
Manitoba(70.4, 2,219)
Saskatchewan(70.2, 1,973)
Nova Scotia(70.1, 1,859)
British Columbia(71.2, 2,370)
Prince Edward Island(71.7, 2,041)
New Brunswick(70.9, 1,994)
Quebec(72.0, 2,061)
Ontario(70.1, 2,120)
Canada(70.8, 2,170)
1,600
1,800
2,000
2,200
2,400
2,600
2,800
69.0 69.5 70.0 70.5 71.0 71.5 72.0 72.5
Health-Adjusted Life Expectancy (HALE)1 vs. Constant (2002)2
Provincial Government Health Expenditure3 per Adjusted Capita4
for Females, by Province, for 2001
HALE
Exp
end
itu
re
Canada(68.3, 2,170)
Ontario(68.2, 2,120)
Quebec(69.0, 2,061)
New Brunswick(67.4, 1,994)
Prince Edward Island(67.3, 2,041)
British Columbia(68.9, 2,370)
Nova Scotia(66.5, 1,859)
Saskatchewan(67.3, 1,973)
Manitoba(66.7 2,219)
Newfoundland(68.4, 2,573)
Alberta(67.6, 2,563)
1,600
1,800
2,000
2,200
2,400
2,600
2,800
66.0 66.5 67.0 67.5 68.0 68.5 69.0 69.5 70.0 70.5
Health-Adjusted Life Expectancy (HALE)1 vs. Constant (2002)2
Provincial Government Health Expenditure3 per Adjusted Capita4
for Males by Province, for 2001
HALE
Exp
end
itu
re
3www.albertahealthservices.ca
Alberta cancer survival is marginally behind all-Canada for 3 of 4 most common cancers
91 88
60
12
9487
62
15
0
20
40
60
80
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Prostate Breast Colorectal Lung
Su
rviv
al
Ra
tio
(%
)
Alberta Canada
Relative 5-Year Relative Age Standardized Survival Ratio for Cancer1
by Jurisdiction, for 2002 to 2004
1 Source: Canadian Cancer Registry database at Statistics
4www.albertahealthservices.ca
Alberta disinvested in Seniors Accommodation and Other Institutions relative to other provinces over last decade
1 Source: Statistics Canada, CANSIM, table 326-0021 and Catalogue nos. 62-001-X and 62-010-X.2 Source: Canadian Institute for Health Information, National Health Expenditure Trends, 1975 – 2008 (Ottawa, Ont.: CIHI, 2008).3 Adjusted Population is Weighted by All-Sector Expenditure by Age and Gender (2007/2008 Population-Based Funding Weights for Alberta). Alberta’s weights were applied across all provinces.
5www.albertahealthservices.ca
Emergency admission performance, Edmonton hospitals, 2000-2010 (3 month moving average)
6www.albertahealthservices.ca
Emergency admission performance, Calgary hospitals, 2000-2010 (3
month moving average)
7www.albertahealthservices.ca
Achievements
• Cooperation and sharing– Workplace engagement– Emergency access
• Procurement savings• ERM framework• Medical staff by-laws• Interprovincial equity
– Cervical screening example
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Pap Test Coverage Rate in Screening Program Areas and Comparable Non-Program Areas (2006 - 2008)
Calgary Capital Palliser Chinook
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Achievements - continued
• Security coverage• Electronic provincial drug formulary• Workforce• Activity based funding in long term care
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Distribution of weighted cost per day, Alberta long term care facilities, 2009
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Achievements - continued
• Contracting for services– Cataract example
• Intra-provincial coordination/cooperation• Reform of mental health services in Edmonton
– AHE• Five Year Funding Agreement
12www.albertahealthservices.ca
Life expectancy at birth* is shorter in lower socio-economic status neighbourhoods in the City of Edmonton compared to high status ones*2004-2006 combined mortality data
Source Alberta Municipal Affairs (Vital Statistics), Death Data 2004-2006
Exp
ecte
d Y
ears
of
Lif
e
13www.albertahealthservices.ca
Death rates* also differ between high and low socio-economic status neighbourhoods in Edmonton
*2002-2006 five year average age standardized all-cause, showing confidence intervals
Source Alberta Municipal Affairs (Vital Statistics), Death Data 2002-2006
Ra
te p
er
10
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00
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The multiple roles of the CEO
• Managing budget challenge• Getting the merger underway• Foundations• Transformation
• Teaching• Thinking about the long term
15www.albertahealthservices.ca
Making Medicare sustainable
The right person
enables
the right care
in the right setting
on time
every time
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The last polarity slide
+vs
-vs
•Being part of really exciting transformation•Showing Canada the way on making Medicare sustainable•Working with really great people
•Stress ++++•External environment•Work-life balance
StayGo•Manner of going +++•Regrets about unfinished business (more needs to be done)
•Research and write•Consultancy (short trips only!)•Family time
Johnson, B Polarity management: identifying and managing unsolvable problems HRD Press 1996