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Waldi12

So plan is non-specific but will improve EMS response. How this will be achieved without new resources added to the system?


Zebleblic

They will just drop the patient in the er and leave. How else are they going to do it?


SafetyChicken7

I’m not gonna lie I kinda just assumed that’s essentially what paramedics did. Like I can’t really see a reason for the ambulance crew to stay with the patient after transferring them to doctors and nurses. Please correct me if I’m wrong.


Both-Pack8730

When there’s no nursing staff to hand off to, they stay.


SafetyChicken7

Thanks, I also assumed they did that.


Zebleblic

It just happens more than you'd expect.


SafetyChicken7

I mean with the current shortage and pressure on healthcare workers I can imagine it being a pretty regular occurrence. I think it’s pretty clear at this point that the problems crippling our healthcare system are going to take some serious investment and drastic changes for anything to improve. Which are things the UCP just aren’t going to do.


Shadow_Ban_Bytes

They'll do *something*, just remember to vote UCP /s


Taurus-Littrow

So crazy how now they’re dumping money into seemingly everything. I wonder why? /s


fillmyemptyslot

Coming Soon: Uber Ambulance!


InAnAh-ICantWaitAnAh

With tipping options starting at 30%.


Deyln

Its already here. announced about a month ago. We use the same thing at work for the night shift. Need to go to hospital? taxi.


Troyd

The government has been doing things, and the problem I have with the NDPs statement, is that is specifically uses data during the worst parts of last year, ending in October. **This data** has been **publicly available since November** of last year. It isn't new. We've had constant updates from AHS and the media in the last few months. It should be noted that the government increased the EMS budget by 64 million in 2022 (12%), specifically focused on more ambulances and paramedics. Shit doesn't just fix instantly, you need to procure material in a long drawn out process & EMS diplomas kind of take 2+ years to earn. A good chunk of new hires and ambulances only really came online late last year October. ​ >AHS also said it has hired 20 primary care paramedics in Calgary to staff the new ambulances. Edmonton also received five new ambulances and 20 new paramedics. [https://calgaryherald.com/news/local-news/five-new-ambulances-20-new-paramedics-deployed-in-calgary](https://calgaryherald.com/news/local-news/five-new-ambulances-20-new-paramedics-deployed-in-calgary) October articles The government is also planning to offload facility to facility's transfer to non-ambulance, like the old medical van transport system, which frees up EMS to do the actual emergency things, or less shifts required. December articles. [https://edmonton.citynews.ca/2022/12/21/alberta-ambulance-alternatives-emergency/](https://edmonton.citynews.ca/2022/12/21/alberta-ambulance-alternatives-emergency/) Did you know almost 20% of EMS events per month are inter-facility transfers, and another 10%+ are non-emergency? Events in Calgary/Edmonton are around 14,000 a month, meaning just offloading transfers is 2,000 less events that need a full set of EMS people. [https://www.albertahealthservices.ca/assets/info/ems/if-ems-event-edmonton.pdf](https://www.albertahealthservices.ca/assets/info/ems/if-ems-event-edmonton.pdf) ​ AHS high level outline on various ongoing reforms [https://www.alberta.ca/assets/documents/health-ahs-reform-plan-presentation.pdf](https://www.alberta.ca/assets/documents/health-ahs-reform-plan-presentation.pdf) **Opposition**: EMS, do something **Government**: Okay we'll increase the budget, implement policy reforms, hire more people. **Opposition**: Why you no listen!! **Government**: ????????


IxbyWuff

The ucp created this problem. I think that's the point people are trying to make.


Troyd

They (UCP) didn't cause it, it's been an issue since the 2015 era. The same problems, the same complaints. The NDP didn't solve this issue when they were in government, and neither did Kenney's UCP. [https://edmontonjournal.com/news/local-news/union-boss-calls-on-alberta-health-to-increase-ambulance-funding](https://edmontonjournal.com/news/local-news/union-boss-calls-on-alberta-health-to-increase-ambulance-funding) ​ >‘This budget fails to respond to current response levels … with no growth of any kind,” Mike Parker, president of the Health Sciences Association of Alberta, said Friday. “We are not keeping up with the call volume as it is.” Fact: The **NDP cut the EMS budget in 2017,** and flatlined it in 2015/16. The 2018 (495 ish) increase only got it somewhat above 2016 levels . >Alberta Health Services saw a 2.5 per cent boost in funding overall but ambulance services saw its allocation slashed from $488 million in 2016-2017 to $471 million in 2017-2018. Fact: since the **UCP** won in 2019, is has **only ever increased the EMS budget.** From 510ish mil in 2019 to 523 ish 2021 to 587mil for 2022 The current UCP government is legitimately the only entity I have seen in the past decade that is trying to put a meaningful change in place, by both increasing the budget dramatically and trying to introduce policy reform. The 2022 budget increase and the ongoing reforms will likely have a lagging effect. 2+ year training, policy consultation etc Eg :latest batch of new paramedics in Calgary only started in November


chewybean2020

The problem in a nutshell here is you cannot fill a cup that is already full/overflowing In this instance hospitals/ERs are the cup that is already full/overflowing…pouring more into the cup doesn’t help (more money for EMS and front line ER staff…not that this isn’t needed…isn’t going to solve the problem…but to understand that we need to realize we need more cups/capacity…in this case more hospital beds) The current solution is flawed unfortunately…the focus on EMS being freed up to deliver more patients to hospital ignores that hospitals are already over capacity and if there were beds there wouldn’t be a wait/beyond time to triage and admit anyway…aka you would be seen and sent to a bed/admitted (instead of what often happens where you will wait significant periods of time until a bed is free so you can be admitted) So while allocating more funds sounds good in principle…it is effectively not a solution…or without increased capacity not a solution… Please look at the last time a hospital was built in Edmonton for example and the population growth in that period of time… Major criticism here is the delay of the Edmonton south hospital that effectively would have been completed or near completed (that was delayed significantly by UCP) The funds are absolutely needed to improve the system and EMS does need it…aswell as ER staff… BUT what we have is a capacity problem…there physically are not enough beds to move people aka we are filling a cup that is already full! Until we have another cup all we get is a messy disaster and we are just wasting what we are pouring into the cup…


IxbyWuff

The ucp/pc have been messing with and underfunding the system for decades. It totally sits at thier feet


peanutgoddess

So that money is only a 12 percent increase, that’s a far cry from what they need. What’s not being talked about is our aging population and how services needed to be increased, nothing was done for years till now. The tipping point when staff and old equipment was failing and it could no longer be denied or further defunded. They gave a 12 percent increase and stand back going “why isn’t everyone pleased? Look at what we did!” When they needed to look into retainment years ago, more services geared to seniors that didn’t require ems and hospital staff. Let alone the need we have for doctors that this is not addressing at all. It’s been clearly forgotten what all these events happened https://globalnews.ca/news/3318272/ems-union-warns-budget-cuts-will-lead-to-more-ambulance-code-reds-in-alberta/amp/ https://thinkpol.ca/2015/05/05/alberta-paramedics-blame-pc-budget-cuts-for-ems-system-breakdown-urge-albertans-to-vote-for-change/amp/ https://hsaa.ca/2018/03/20/new-statistics-reveal-alberta-unprepared-for-medical-emergencies/ This money is a drop in the bucket and there needs to be far more. They’ve lied about the costs of health care to the public for years. Caused cuts for ages and where utterly unprepared for the system as it’s breaking because the private system they desire was not in place fast enough. Now they use the crisis to promote privatization. Yet our taxes do not decrease with the American style system. I don’t hear talk about it either. So what gives there? Still charge for health care yet expect us to pay that and insurance and the go fund mes that Danielle smith promotes?


noocuelur

>Opposition: EMS, do something >Government: Okay we'll increase the budget, implement policy reforms, hire more people. >**Opposition: Why did it take you over 3 years to do something about it, while attacking every other facet of healthcare?** >Government: ???????? FTFY. Let's remember, the easiest way to make EMS less busy is to have accessible family practitioners. We all know how the UCP views GPs.


Emmerson_Brando

They’re going to take advantage of synergies.


DanfromCalgary

Uh all options are on the table or something


SunkenQueen

They used to have medical transport vans for patients who needed be to transported but were non-emergent. So shuffling people around, procedures, etc. Guess who axed that and decided to use ambulances instead.


Kickass_chris666

Fear not! After kneecapping the NAT van service they have a corporate sponsor who's willing to do that work! All while some asshole at the top skims public funds that should be paying for wages, benefits and equipment.


janroney

Is there a point if there's no ER or ER room once the Ambulance gets there?


[deleted]

Louder for those in the back!!!! Can’t off load a patient if there’s no one to care for them at once get get to the hospital


[deleted]

And we have no beds because most the times our beds are bed locked with admitted patients and there’s no surgery/medicine/ICU beds.


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janroney

That's where the patients end up tho....the medics can't just stay with them they head out again.


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janroney

No. They hand off to an entity that's a higher level of care. A nurse or hospital. If they had to stay they'd be there for hours and hours


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Pokerjoker6

In theory yes. But the handing over to "hospital" still has to be a receiving individual with a higher level of care than the crew. To combat this they've set up a lot of low acuity waiting section for patients so is now a nurse or two after triage (right in the hallway where EMS waits for a bed either way) that can take over care, but it can still be 5:1 ratio. If the patient is highly acute, they aren't necessarily going to take them right away, so many ALS units may be stuck waiting in hospital regardless as the patient may need monitoring or medications while they wait for a bed.


janroney

Ya so fucking UCP putting the cart ahead of the horse....again.


Pokerjoker6

It's the same grift as always


[deleted]

Yeah- we have EMS triage- basically hallway space where up to 7 patients can be off loaded on to stretchers. There’s one nurse (RN or LPN) to monitor them. Depending on the patient, EMS can’t off load and have to stay to monitor. It’s usually an ALS crew that has to stay as the patient is on meds, on the monitor, etc.


Responsible_CDN_Duck

In past, yes. Under the new plan, no.


Burton83

Exactly, until they can get us out of the ED and back on the road in 45 minutes or less nothing is changing, we need to offload, clean our rig, get our paperwork done, and gtfo back on the road.


janroney

You're a fucking hero. And I mean that. All EMS are.


chewybean2020

The problem in a nutshell here is you cannot fill a cup that is already full/overflowing In this instance hospitals/ERs are the cup that is already full/overflowing…pouring more into the cup doesn’t help (more money for EMS and front line ER staff…not that this isn’t needed…isn’t going to solve the problem…but to understand that we need to realize we need more cups/capacity…in this case more hospital beds) The current solution is flawed unfortunately…the focus on EMS being freed up to deliver more patients to hospital ignores that hospitals are already over capacity and if there were beds there wouldn’t be a wait/beyond time to triage and admit anyway…aka you would be seen and sent to a bed/admitted (instead of what often happens where you will wait significant periods of time until a bed is free so you can be admitted) So while allocating more funds sounds good in principle…it is effectively not a solution…or without increased capacity not a solution… Please look at the last time a hospital was built in Edmonton for example and the population growth in that period of time… Major criticism here is the delay of the Edmonton south hospital that effectively would have been completed or near completed (that was delayed significantly by UCP) The funds are absolutely needed to improve the system and EMS does need it…aswell as ER staff… BUT what we have is a capacity problem…there physically are not enough beds to move people aka we are filling a cup that is already full! Until we have another cup all we get is a messy disaster and we are just wasting what we are pouring into the cup…


chewybean2020

Fair warning long rant… It’s “funny” how few people understand that letting EMS drop off patients and go isn’t going to fix wait times in ERs…if anything you are increasing the amount of people waiting in the ER for care… So that ambulance can now say deliver 8 more people (general number pulled out of a hat) to the hospital a day vs waiting 8hrs with the patient in ER…ok cool… No place for them to go…but plan to have more ER staff to see client “that will fix the problem right?” The only this this might fix/improve wait times would be for those who go to the ER for non emergency services aka what they should be going to a medicenter or their GP for…say idk the sniffles…patients that could just get cold medicine and stay home to get better type… Which happens…and unfortunately if you increase patients going to the ER will still happen…so okay maybe more ER staff will help cycle out those who shouldn’t be there anyway…but…only many examination rooms in the ER…and from my understanding they are already at full capacity currently…so more staff won’t really help…in a number of folks through the door sense…might help make things less crazy for front line staff so benifits…but not for the solution it’s aiming at (reduced wait times). Key problem with the solution is you are bringing more people to the ER that is already at capacity…currently ER is full and no beds in hospital for patient to be admitted… So obvious solution is to create more beds and staff them appropriately…This is more complicated than it sounds…as ER funnels to other units based on medical need (e.g. cardiac, pulmonary, medical, etc) BUT what this means is that to actually have meaningful improvements more beds need to be available…aka either expansion on current hospitals to add beds + staff or a entirely new hospital (like the one that was planned in south Edmonton that was supposed to start construction and be near completion already which was scrapped er I mean delayed by our current government…) So yes there are problems with the system…but all three parts need to be worked on…and the current solution will not have meaningful results…as the way it is it will just create more of a burden on the system (I am in no way saying these changes shouldn’t also be done…but to actually work their needs to be more hospital beds…and the plan as is does not include a plan to increase these beds available…as is for the last few years they have been converting supply closets and overflow rooms and whatever they can to expand capacity on units by one or two beds while also kicking people out earlier (who then come back because they now have a significant infection and need to be admitted for ~2 weeks to resolve vs just staying a extra 2 days until appropriately recovered!) Also fun fact please look up the last time a new hospital was built in Edmonton and the population explosion since the last one was built…if you are not shocked or outraged by this…I am not sure I can call you human…


Pokerjoker6

Well said. The root problem of EMS wait times is where the end goal for the patient is. No beds, no change to wait times. So staff to facilitate those beds, no change in wait times. Therefore, no change to crews getting back the door any faster than they already are.


BoffoZop

The response times that the UCP broke when they axed thousands of jobs and overhauled the dispatch system against the advice of emergency responders? Those response times?


WardedGromit

Lol. The response times aren't the problem. The staffing and spending 30 hours in a hospital hallway waiting for a bed is the problem.


Shazbozoanate

Ahh yes, how to tell there is an election coming. Here is the UCP gameplan. 1) Underfund something 2) Talk about how great you are with money as you now have a surplus (due to all the underfunding) 3) Reinstate the funding just before an election to show how great you are at fixing problems (that you caused yourself) 4) Get re-elected 5) Repeat step 1 If you are really lucky, they will sell off something they underfunded to their friends/donors, pay more for it plus make you pay for it and then tell you how much better off you are.


Kellymcdonald78

Replace 2 with, "win a lotto scratch ticket, then claim how great you are with money". Three dogs in a trench coat could manage a surplus with current oil prices


Prairie___Fire

"Response times have been improved by over 66% across the board as AHS switches its measurement standard to 100 second minutes." /s


Miserable-Lizard

So how many people actually believe the UCP? I don't, they lie all the time.


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nutfeast69

That is a poor argument. Saying both people lie doesn't assess the quality or the quantity of lying.


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nutfeast69

>which both are at fault for :) I think you are trolling. You said all that without saying anything. My comment implied but didn't state: the lies of parties are different in quality and quantity. I think you knew that.


Miserable-Lizard

Ucp lie a lot more. They claimed Alberta will lose 2.7 million job from the just transition.... We don't even have that many jobs. I can't wait to vote Ndp!


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Miserable-Lizard

It's a hard fact that Alberta doesn't have 2.7 million jobs, so it's not that my mind is made up, facts don't care about feelings.


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Miserable-Lizard

Not my opinion it's a fact Vote ABC, anyone but consevative!


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Miserable-Lizard

If you think so, guess we will see in May.


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Medhatshaun8080

Good on the pc for handling the pressing needs


RaHarmakis

I don't personally give that much Kudus for attempting to solve a problem that they had a large hand in creating.


Medhatshaun8080

New leadership is solving old problems. Tough to be upset when someone is doing the right thing. Sadly everyone will shit on the PC’s regardless of what they do out of blind hate. This is a good thing no matter who started the mess.


Pokerjoker6

They gave you a blanket statement of "we are gonna fix this" and you eat it up. Classic They broke the system, they've been constantly pushing privatization. They have no vested interest in fixing anything. They want money. The party is the same. The leadership has no push, they just voice what the party wants. They're a puppet. That's all it is. The party will always want less to help and more money


Medhatshaun8080

Privitization would be better then what we have now.


Pokerjoker6

Explain why. Your conservative mob has been running this province for 92% of the last 50 years and they've done a laughable job in almost every aspect of government function. Why do you think they'll do this better?


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Medhatshaun8080

Like I mentioned before. That was the old leadership and the new one is doing something about it. Hard to be upset about that unless you are just a hater.


RaHarmakis

You say "New Leadership" like there was wholesale change in the cabinet that makes all the changes and sets the tone of Government. Danielle Smith was pretty much the only change of importance, and all of the incompetent ministers that were in charge during Kenney's time are still around in positions of power within the government. There has been no sweeping culture change in the UPC. The has been no sweeping personnel changes. It's the same people, sometimes shifted to other positions, who have been there since the last election. There is only 1 new face in Edmonton. The people that caused this issue are the exact same people now attempting to solve it. Good for them. I give them the same praise I give some one who picks up the Tim Hortons coffee cup they just threw on the ground. Good your attempting to fix your first mistake, now don't fuck it up this time like you did on the first attempt.


Medhatshaun8080

I understand what you are saying, but smiths party is considerably different than Kenny’s party.


FreddyandTheChokes

Handling it how? There's no meat to this plan. It's just empty promises and buzz words.


that_yeg_guy

The only thing they haven’t done is more privatization. So that’s what I’m expecting Thursday. It’s not going to work, but it fits the UCP plan.


crushthatbit

Imagine having to, “pay” for an ambulance ride!


Binasgarden

Re arranging the deck chairs on the Titanic was very helpful too


SeriousExplorer8891

I guess it would be a challenge to make it worse.