Healthcare Motion Plan | Alberta Well being Companies

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 Companies (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:

  • Bettering EMS Response Occasions
  • Lowering Emergency Division Wait Occasions
  • Bettering Affected person Move All through the Healthcare Continuum
  • Decreasing Wait Occasions for Surgical procedures

AHS can also 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

Via 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 complicated. One achievement steadily impacts two or extra precedence areas. As an example, good affected person circulate 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 occasions are impacted by a number of elements, reminiscent of 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 aim is to securely arrive in as little time as doable. Minutes actually matter when responding to calls in search of 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 daily. Insights and outcomes from a number of current reviews are guiding work on reforms and improvements in EMS.



  • EMS response occasions are bettering, regardless of a sustained 30 per cent improve in name quantity throughout the province. Evaluating November 2022 with January 2023, EMS response occasions 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 beneath 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, which means these are the response occasions for 90 per cent of exercise.)


  • Between November 2022 and January 2023, EMS added 39 front-line employees, together with paramedics, emergency communications officers, and front-line supervisors. General, EMS employed 457 new employees 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 short-term 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 it is a swift and clean transition, together with collaborating with the union on potential processes that might expedite the connection of short-term and informal staff 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 also have interaction with the HSAA to debate environment friendly mechanisms to fill 80 new RFT positions which are 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 aren’t cared for; when extra 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 period 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 docs when wanted – present callers with additional evaluation to find out what kind 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 related 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. Thus far, roughly 30 ambulances per day are being freed up for emergencies.

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