Annual report on activities and outcomes PDF
Preview Annual report on activities and outcomes
ftLI./tri C- X PROVINCE WIDE SERVICES Activities and Outcomes 2005 Annual Report /dlberfa Province Wide Services Working Group October 2006 Health and Wellness Preface This 2005 Annual Report on the Province Wide from Capital Health and the Calgary Health Services (PWS) program has been authored by Region. There is also additional information on the Health Authority Funding and Financial changes to the programs during the year, and key Accountability Branch of Alberta Health and decisions of the Province Wide Services Working Wellness. Group, the advisory committee that assists in overseeing these programs. For the 2006/2007 fiscal year, funding is established at $545 million, so it i s important to demonstrate the types of services being delivered The Special Features Report section for the 2005 and the outcomes achieved through this Annual Report highlights the Northern and investment. Southern Alberta Renal Programs (NARP and SARP), Calgary’s Prevention of End Stage Renal This publication includes activity data from the Disease Program, and the Northern Alberta 2004/2005 fiscal year, as well as the funding Neonatal Intensive Care Program (NANICP). We allocated for 2005/2006 and 2006/2007. The would like to express our thanks to those people primary sources for most information are the who have committed significant time and effort to Province Wide Services Annual Reports received produce these feature articles. For inquiries on the information in this report, contact: Alberta Health and Wellness Health Authority Funding and Financial Accountability 19th Floor, 10025 Jasper Avenue Edmonton, Alberta T5J 2N3 Phone: (780) 427-7040 You can find this document on Alberta Health and Wellness' Internet website - www.health.gov.ab.ca Table of Contents Overview of Province Wide Services 1 HIV Clinics 36 Province Wide Services Mission Statement 2 Poison and Drug Information Service 2005 Inventory of Province Wide Services 2 (PADIS) 37 Province Wide Services Working Group 3 Home Enteral Nutrition Programs Province Wide Services Highlights (HENP) 38 2004/2005 Results 4 Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit 2006/2007 Budget 4 (COMPRU) 38 Children with Complex Health Needs ACTIVITIES AND OUTCOMES 5 (CCHN) 39 Inpatient Services 6 Visudyne Therapy 40 Organ and Bone Marrow Transplants 8 Pediatric Transport 40 Heart and Lung Transplants 9 Kidney Transplants 10 HIGH COST DRUGS 41 Liver Transplants 11 Bone Marrow T ransplants 12 HIGH COST DEVICES 43 Trauma and Burns 13 Cochlear Implants 44 Neurosurgery 14 Cranioplasts 44 Cardiovascular Services 15 Implantable Cardioverter Defibrillators Cardiac Waitlists 16 (ICDs) 45 Neonatology 17 Oncology 18 OTHER PROVINCE WIDE SERVICES 46 Rosehaven 47 SPECIAL FEATURES REPORTS 19 Equipment 47 Feature Article 1 Alberta Provincial Project for Outcomes Northern and Southern Alberta Renal Programs Assessment in Coronary Heart Disease (APPROACH) 48 (joint submission) 20 Feature Article 2 Northern Alberta Neonatal Intensive Care APPENDICES 49 Program (Capital Health) 24 APpropveinndciex WAi de Services Working Group Feature Article 3 (2004/2005) 50 Prevention of End-Stage Renal Disease Program (Calgary Health Region) 26 APpropveinndciex WBi de Services Working Group Terms of Reference (Charter) 51 CLINICS AND HOME SERVICES 28 Renal (Kidney) Dialysis 29 APpropveinndciex WCi de Services 2006/2007 Budget 54 Dialysis Delay/Prevention 32 Pre and Post Transplant 32 Islet Cell T ransplant 33 Medical Genetics 34 Digitized by the Internet Archive in 2016 https://archive.org/details/annualreportonac2005albe Overview of Province Wide Services Province Wide Services refer to a g roup of key specialized services made available to them. medical life-saving interventions which are specialized in a l imited number of sites in the The Province Wide Services Working Group province but available to all Albertans. They (PWSWG) is the provincial advisory committee include organ transplants, major heart surgery, overseeing PWS. Committee members include kidney dialysis and many other important medical representatives from the Calgary and Capital services. The full list of specific Province Wide health regions who deliver these services, a rural Services is contained on page 2. health region, and Alberta Health and Wellness. The committee utilizes its clinical and financial Unlike the majority of hospital and community expertise to recommend on service levels and regional health services, a special provincial budget. The committee also reviews emerging governance structure has been put in place for technologies and proposals for new Province Province Wide Services. This helps ensure these Wide Services. key life-saving interventions are provincially planned, employ the best proven technologies, Given the mandate of Province Wide Services to and are adequately funded so they will be there ensure equitable service access to all Albertans, for all Albertans when they need them. Albertans this Annual Report presents extensive information can be proud of the quality of these highly on region of residence for patients receiving these services. Figure 1: Hospital Discharges - P WS Cases vs. All Other Cases, 2004/2005 Province Wide Services 10,945 Total Inpatient Cases 3.1% of total Inpatient Cases $23,862 Average Cost / C ase All Other Cases 345,789 Total Inpatient Cases 96.9% of total Inpatient Cases $5,359 Average Cost / C ase Figure 1 shows how the average cost of the specialized PWS inpatient services are nearly 4 t imes higher than the cost of other hospital-based care. (Note: the costs shown are those incurred by the regional health authorities and exclude any physician fee-for-service claims). PWS Activities and Outcomes - 2 005 Annual Report 1 Province Wide Services Mission Statement Province Wide Services (PWS) is intended to fund a narrow band of high cost services that, because of their nature, can only be effectively provided at one or two sites in Alberta. PWS activities are planned collaboratively between Alberta Health and Wellness, the Calgary and Capital health authorities, and all health regions to ensure these highly specialized services are provided in the best interests of the province as a whole, with proper medical and financial accountability. PWS is p atient-focused and equitably accessed by all Albertans. 2005 Inventory of Province Wide Services Inpatient Services High-Cost Drugs • Organ and Bone Marrow Transplants • Immunosuppressants (Cyclosporine, Tacrolimus, Sirolimus, Mycophenolate, • Selected Tertiary Services for: Basiliximab, Daclizumab, IKT-3, ATGAM, — Trauma and Burns Ondansetron and Filgrastim) - Neurosurgery • HIV Antiretrovirals - Cardiovascular Procedures • Human Growth Hormone for Chronic Renal - Neonatology (low birthweight infants) Failure and Growth Hormone Deficiency - Oncology • Pulmozyme for Cystic Fibrosis Clinics and Home Services • * P ediatric Crohn’s Medication (Remicade) • Dialysis and Renal Program • * P ediatric Multiple Sclerosis Medications (Copaxone, Avonex, Rebif, Betaseron) • Dialysis Prevention • Flolan and Tracleer for Primary Pulmonary • Pre-and-Post T r ansplant Activities • Medical Genetics Hypertension • Islet Cell Transplantation • - d enotes new additions to PWS for 2006/2007 • HIV Clinics High-Cost Devices • STD/TB Clinics • Cochlear Implants • 1-800 AIDS Hotline • Implanted Cardiac Defibrillators • Poison and Drug Information Services • Cranioplasty (PADIS) • Home Enteral Nutritional Therapy Rosehaven Provincial Program • Craniofacial Osseointegration (COMPRU) • Located in Camrose, this program provides special behavioural care within the continuing • Children with Complex Healthcare Needs care system throughout Alberta • Education Resource Centre • Pediatric Transport Ocular Photodynamic (Visudyne) Therapy • Laser-activated drug (Visudyne) treatment of classic wet age-related macular degeneration Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) 2 PWS Activities and Outcomes - 2 005 Annual Report Province Wide Services Working Group (PWSWG) Originally created as the Province Wide Services • Chair appointed by the Minister of Health and Advisory Committee in 1997, this group is tasked Wellness with advising the Ministry on all aspects of the • Chief Medical Officers for Calgary Health delivery of services. This included developing Region and Capital Health annual budget recommendations, screening proposals for new or expanded programs, and • Chief Financial Officers for Calgary Health monitoring the performance and outcomes of Region, Capital Health, and one non-urban health region existing programs. • A ssistant Deputy Minister of Finance and Although scaled down to a smaller group in 2002, Corporate Services for Alberta Health and the newly named Province Wide Services Wellness Working Group maintained much of the same • Secretariat and staff support by Alberta Health mandate as its predecessor, consisting of the and Wellness following membership: A f ull listing of the members of the Province Wide Services Working Group (PWSWG) can be found in Appendix A. PWS Activities and Outcomes - 2 005 Annual Report 3 Highlights 2004/2005 Results CAPITAL HEALTH - a t otal of 5,979 PWS inpatient cases provided to Albertans in Inpatient Services: 2004/2005, a d rop of 67 total procedures from the CALGARY HEALTH REGION - D uring previous year and 92 procedures less than 2004/2005 fiscal year, the Calgary Health Region projected for 2004/2005. As with Calgary, a provided 4,975 PWS-funded inpatient surgeries, significant decrease was seen in cardiac bypass which is slightly less than the 4,994 procedures surgery volumes and neurosurgery, but these performed in 2003/2004. Estimates prior to the decreases were offset by higher than expected year had predicted a t otal of 5,444 surgeries, coronary angioplasty procedures. Organ which is j ust over 9 p ercent higher that what was transplants performed in Edmonton, however, actually provided. Some of the most significant had somewhat mixed results, with higher volumes areas where volumes dropped off below of kidney transplants than the previous few years, expectations are in cardiac bypass surgery and but lower heart, lung, and liver transplants than neurosurgery. Kidney and bone marrow expected. transplants also experienced lower volumes than anticipated. Calgary did, however, see a sharp rise in the number of extremely small infants born 2006/2007 Budget with birthweights less than 750 grams (1.65 pounds), who can tend to be among the most A P WS budget totaling $545 million for complex patients served by the health system 2006/2007 was announced in March 2006, today. representing a 7 p er cent increase from the previous year. 4 PWS Activities and Outcomes - 2 005 Annual Report PROVINCE WIDE SERVICES Activities and Outcomes PWS Activities and Outcomes - 2 005 Annual Report Activities and Outcomes Inpatient Services In relation to the broad range of procedures that many of these cases, these specialized sites also can be performed in a h ospital, the PWS Inpatient serve many other Canadians from neighbouring Services are a relatively small, but specialized provinces and territories who do not have sufficient population to establish an effective list. The word “inpatient”, for the purposes of this report, refers to someone who must stay program, especially in areas like transplants and overnight in a h ospital for the duration of their neonatology (high-risk newborn babies). In such care. Generally, what makes the PWS inpatient circumstances, it i s the responsibility of the services unique from other hospital-based care is person’s home province or territory to cover the the heavy reliance on specialized staffing, cost of caring for their resident in Alberta. expensive equipment, or usually both. There is also a requirement that centralized, provincial Attention is g iven to ensuring equitable access to planning of these services is beneficial for clinical these services by all residents of Alberta, and financial reasons when compared to regardless of their geographic proximity to the regionally planned hospital care. specialized program. The list of PWS-funded Inpatient Services Figure 2 i llustrates the percent of PWS-funded includes: bone marrow transplants, organ inpatient services received by residents of each transplants, heart surgeries, selected health region in Alberta, compared to the percent neurosurgical procedures, neonatology (low of the provincial population that region comprises. birthweight infants), and selected oncology This is only for illustration purposes, as there are services. many factors like average age and social These key services are funded under the premise determinants that would impact on one region that only one or two sites in Alberta should requiring more services than another. conceivably be offering them, for reasons of safety, provider proficiency, and efficiency. In 6 PWS Activities and Outcomes - 2 005 Annual Report
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