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Alberta vs British Columbia

Alberta vs British Columbia. Prioritizing Determinants of health. DETERMINANTS OF HEALTH. AB Health. BC Health. the Ministry that sets Policy, Legislation & Standards for the health system in AB Health services are delivered by Alberta health services $22.1 Billion budget for 2018

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Alberta vs British Columbia

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  1. Alberta vs British Columbia Prioritizing Determinants of health

  2. DETERMINANTS OF HEALTH

  3. AB Health BC Health • the Ministry that sets Policy, Legislation & Standards for the health system in AB • Health services are delivered by Alberta health services • $22.1 Billion budget for 2018 • New Democratic Party • MINISTRY OF HEALTH SETS HEALTH POLICY, LEGISLATION & STANDARDS FOR BC  • HEALTH SERVICES ARE DELIVERED BY SEVEN HEALTH AUTHORITIES • $19.8 BILLION BUDGET FOR 2018/19 •  LIBERAL PARTY

  4. Alberta health services • Canadas first and largest province-wide health system established in 2009 • Delivering care to >4 million Albertans • Serving also some residents of BC, Sask, & NWT • 106 acute care hospitals • 4 psychiatric facilities • 41 Primary care networks • 650 facilities province wide (Alberta Health Services, 2018)

  5. BC Health Authorities Interior health Northern health Island Health Serves >730,000 people 22 Hospitals & 24 Health Centres 19,000 staff and >1400 physicians $2.3 Billion Annual Budget Serves >300,00 people >24 hospitals >7,000 staff $816 Million Annual budget Serves 794,000 people (40,500 indigenous people) 150+ sites >21,000 staff and 1,900 physician partners $2.5 Billion Annual Budget

  6. BC Health Authorities Fraser Health VAncouver Coastal Health Serves >1.8 Million people (38,100 First Nations people) 12 Acute care hospitals >26,000 Staff & 6,000 physicians $??? Billion Annual Budget Serves >1.0Million people 13 hospitals >13,500 staff & 2,100 Physicians $3.4 Billion Annual budget

  7. BC Health Authorities Provincial Health Services First Nations Health Serves the province of BC >19,000 Staff & 2,400 researchers $2.7 Billion Annual Budget Serves the First Nations people of BC First of its kind in Canada Collaborates with regional Health Authorities

  8. Alberta HEALTH’S current initiatives • Improve Primary Care through primary care networks • access to physicians ACROSS ALBERTA • Strengthen addiction & Mental health systems • infection, prevention & control strategies • Tobacco reduction • cancer care • Collaborative practice & education • Health research (Alberta Health, 2018)

  9. BC Ministry of Health’ScurrentGoals • Effective health promotion, prevention and self-management to improve the health and wellness of British Columbians. • British Columbians have the majority of their health needs met by high quality primary and community-based health care and support services. •  Improved innovation, productivity and efficiency in the delivery of health services. (British Columbia Ministry of Health, 2013)

  10. Alberta Health care insurance plan - ahcip • Fully covered medically required services • physician services • Psychiatrist visits • Diagnostic services • Oral & maxillofacial surgery • Bariatric surgery with criteria • Hospital care • Inter-facility transfer by ambulance • Other health services required by the Canada health act (Alberta Health, 2018)

  11. Partial coverage by ahcip (Alberta Health, 2018)

  12. Ahcip does not cover • Travel vaccinations • Medicals to third party • Assisted reproductive technologies • Medical forms & notes • Clinical psychologists • Private & semi private hospital rooms • Experimental procedures • Private health services • Medical devices and equipment • Non-medically required surgeries • Medical advice by phone • Health service providers other than physicians • Vision care for age 19-64 age group • Prescription drugs outside hospital • Dental services • Ambulance services (Alberta Health, 2018)

  13. expense assistance programs • Drug coverage & supplementary health benefits based on low income • Alberta aids to daily living • Dental & optical assistance for seniors (Alberta Health, 2018)

  14. BC Medical Services plan - MSP • Fully covered medically required services • medically required services provided by a physician • maternity care • medically required eye examinations  • diagnostic services • dental and oral surgery • orthodontic services  (Ministry of Health, n.d.)

  15. Partial coverage by MSP (Ministry of Health, n.d.)

  16. BC does not cover • Counsellor or psychologist Visits • Routine eye examinations between the ages of 19 and 64 • Chiropractic, physiotherapy, naturopathy, massage therapy, acupuncture, and non-surgical podiatry services for persons not receiving premium assistance. • Routine physical examinations  • Medical examinations, certificates or tests required for life insurance, a driver’s licence, school, immigration, employment, etc. • Cosmetic surgery for the alteration of appearance • Restorative or other dental work • Eyeglasses, hearing aids, and other equipment or appliances; (Ministry of Health, n.d.)

  17. BC Premium assistance programs • Drug coverage & supplementary health benefits based on low income • Healthy Kids Programs Dental & Vision care (Ministry of Health, n.d.)

  18. AB 5 KEY strategies to impact determinants of health • Improving the health knowledge, skills and behaviours of individuals and families • Building communities that create wellness • Improving social and economic supports for wellness • Strengthening primary prevention with primary health care • Building healthy public policy (Alberta Health, 2014)

  19. BC  Core Public Health programs to impact determinants of health  • Healthy Families BC • Healthy Minds Healthy People • Immunize BC • STOP HIV/AIDS (British Columbia Ministry of Health, 2013)

  20. SELECT Alberta programs to target determinants of health LEARN MORE ABOUT THESE KEY INITIATIVES HERE

  21. SELECT British Columbia programs to target determinants of health LEARN MORE ABOUT THESE KEY INITIATIVES HERE

  22. Per capita Spending comparison (Alberta Health, 2017)

  23. references • Alberta health. (2018). Current initiatives. Retrieved from http://www.health.alberta.ca/initiatives/health-initiatives-current.html • Alberta health. (2018). Health care coverage in alberta. Retrieved from http://www.health.alberta.ca/AHCIP/what-is-covered.html • Alberta health. (2017). Interprovincial health sector comparisons. retrieved from http://www.health.alberta.ca/health-info/health-economics-dashboard3.html • Alberta health. (2014). Alberta’s strategic approach to wellness. Retrieved from https://open.alberta.ca/dataset/2638ad48-04b5-4bd6-b347-2a2a63a1cf03/resource/937b3839-be43-49d8-a2ce-4e1566b62534/download/6880410-2014-albertas-strategic-approach-wellness-2013-2014-03.pdf • Alberta health services. (2018). About ahs who we are. Retrieved from https://www.albertahealthservices.ca/about/about.aspx • GOVERNMENT OF ALBERTA. (2018). Priority Government of Alberta initiatives and action plans. RETRIEVED FROM https://www.alberta.ca/key-initiatives.aspx

  24. References • Ministry of Health. (n.d.). Ministry of Health - Province of British Columbia. Retrieved September 30, 2018, from https://www2.gov.bc.ca/gov/content/governments/organizational-structure/ministries-organizations/ministries/health • Ministry of Health. (n.d.). 2018/19 - 2020/21 Service Plan. • British Columbia Ministry of Health. (2013). Promote, Protect, Prevent: Our Health Begins Here. Retrieved from https://ezproxy.kpu.ca:2443/login?url=http://www.deslibris.ca/ID/10096658 • Ministry of Health. (n.d.). msp-brochure.pdf. Retrieved from https://www2.gov.bc.ca/assets/gov/health/health-drug-coverage/medical-services-plan/bc-residents/msp-brochure.pdf

  25. References • Vancouver Coastal Health. (n.d.). Who we Serve. Retrieved from http://www.vch.ca/about-us/who-we-serve • Fraser Health. (n.d.). About Fraser Health. Retrieved from https://www.fraserhealth.ca/about-us/about-fraser-health#.W8a2BPZReUk • Northern Health. (n.d.). Quick Facts. Retrieved from https://www.northernhealth.ca/about-us/quick-facts • Island Health. (n.d.). About Us. Retrieved from https://www.islandhealth.ca/about-us • Interior Health. (n.d.). Quick Facts.  Retrieved from https://www.interiorhealth.ca/AboutUs/QuickFacts/Pages/default.aspx • Provincial Health Services Authority. (2017). PHSA Fact Sheet Revised. Retrieved from http://www.phsa.ca/our-services-site/Documents/PHSA%20Fact%20Sheet_Revised.pdf • First Nations Health Authority. (n.d.). About Us. Retrieved from http://www.fnha.ca/about

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