Lorian Hardcastle @Lorian_H
Associate Professor @UCalgaryLaw @UCalgaryMed @OBrien_IPH. Health law and policy. @[email protected]. Calgary, Alberta Joined May 2014-
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This is actively harmful.
Alberta Health Services has confirmed a case of measles in Edmonton. This case was acquired through travel. The measles vaccine is proven, safe, and effective. I want to encourage all Albertans with children who have not received the MMR vaccine to do so. Myself, and all seven…
Alberta Health Services has confirmed a case of measles in Edmonton. This case was acquired through travel. The measles vaccine is proven, safe, and effective. I want to encourage all Albertans with children who have not received the MMR vaccine to do so. Myself, and all seven…
Everyone is raising the alarm. FM is the foundation of our healthcare system and we are losing it. It is government who needs to not only listen, but act. Now.
Everyone is raising the alarm. FM is the foundation of our healthcare system and we are losing it. It is government who needs to not only listen, but act. Now.
Provincial audit turns up more than 40 medical clinics advertising membership fees cbc.ca/news/canada/ca…
This is a perfect example of a capacity and workforce shortage issue that has been brewing for years. Internal advocacy has repeatedly fallen short… These are neonates! Tiny vulnerable future Albertans… we should be able to do so much better.
This is a perfect example of a capacity and workforce shortage issue that has been brewing for years. Internal advocacy has repeatedly fallen short… These are neonates! Tiny vulnerable future Albertans… we should be able to do so much better.
Ubaka Ogbogu @UbakaOgbogu
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𝙹𝚘𝚎 𝚅𝚒.. @jvipondmd
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164 Followers 819 Following Cat lady Hurtin' Albertan-Get me out of here!
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64 Followers 399 Following
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642 Followers 1K Following Living with Bilateral Hip Osteoarthritis, Anxiety, and Depression. COVID is still with us. Stay safe. #MentalHealthMaters #Yeg #SickNotWeak
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𝙹𝚘𝚎 𝚅𝚒.. @jvipondmd
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@John1MD @ABDanielleSmith @AdrianaLaGrange @DShepYEG @Lorian_H NPs in AHS: -$70/hr = $150,000/yr (before new negotiations) - $140/hr for > 37.5 hrs - shift premiums $2-$5/hr - 4-6 weeks pd vacay - 18 sick days/yr - benefits - pension - team input/decisions - paid training So u gotta why NPs want RISK & STRESS of private practice anyway!
@John1MD @ABDanielleSmith @AdrianaLaGrange @DShepYEG @Lorian_H That pay structure is > my pay structure for FFS by 20-30% at least. If the NPs say they "can't make it work", perhaps there is a good reason why family doctors want to be appropriately compensated. My "per patient" yearly billings are around $220-250.
2...and yet, many nurse practitioners are already rejecting the Program as not good enough for them. So Albertans, are you getting value for your money? Is the govt ACTUALLY trying to solve the family medicine crisis?...3
@ABDanielleSmith @AdrianaLaGrange @DShepYEG @Lorian_H A number of my colleagues have reviewed the Nurse Practitioner Primary Care Program and have noted, in many ways that this is a Plan far superior to what family docs are getting in the province, and yet...2
@Lorian_H I'm watching two things: 1. NP clinic starts (the funding is better than some FM docs make - but is the financial risk/reward justifiable)? 2. NP clinics staying in the private system (market rate $1000-2400/pt/yr vs $273/pt/yr in public system)?
@Lorian_H @LindySmithMD TBH it's so hard to keep a family clinic open with the current FFS codes that I can't blame any clinic looking at alternative sources of funding At one point we joked about putting up a tip jar at the front desk to help fund clinic costs 😅
@Lorian_H This is legitimately insane
@Lorian_H Owing to that <100% capable of doing what family docs do, NP consult rates will be easily double what fam docs do (because greater skill/experience). Yet, the specialist capacity won't change. So, you think waiting a year for a specialist is tough, try tripling that.
@Lorian_H NPs belong in team based PCNs & can rely on highly trained fam docs, if needed, for 1/5 pts too complex. Otherwise, pts end in ER or w/specialists. PCN fam docs must be in negotiations & properly remunerated Siloed care by 80% paid NPs will fail, just as UCP made fam docs fail
Nice overview.
Catching up on this morning's press conference on the new nurse practitioner agreement... As noted yesterday, NPs will be paid 80% of what family MDs make. This is apparently based on a rough estimate by the gov that they have 80% of the scope of practice of MDs. /1
@Lorian_H @vettergreenart Yes, I'd agree that giving the same people who elected someone the power to remove them before an election is a lot more democratic than what this bill proposes.
@Lorian_H The old “I’m special” argument
@Lorian_H @vettergreenart And changing/cancelling by-laws? I guess the fact that municipalities are created by provinces is why the province can not pay property tax and cancel municipal taxes for sectors but it all makes the operation of municipalities impossible
@Lorian_H Hey you had me fooled, I just thought it was some Latin based legal term.
@Lorian_H @CailinasEirinn The arguments from McIver justifying this is insane … no gov should justify this kind of overreach by saying “well it’ll be rarely used” 🤯 Not a resounding endorsement or explanation for why it’s needed but a caveat that it won’t be used.
Didn’t Smith say something about levels of government staying in their lane, or does that only apply to those everyone but her?
AB gov introduced Bill 20 today. Yet another expansion of provincial power into municipal politics. Gives prov the (undemocratic) power to remove municipal councillors (using vague public intereet criteria) & repeal municipal bylaws. Allows political parties to run municipally.
Conservatives: the party of "less government" Just not in Canada. #AbLeg #abpoli #UCPcorruption #MarlainaSmithLies
AB gov introduced Bill 20 today. Yet another expansion of provincial power into municipal politics. Gives prov the (undemocratic) power to remove municipal councillors (using vague public intereet criteria) & repeal municipal bylaws. Allows political parties to run municipally.
@Lorian_H Conservatives constantly scream about government overreach, except they are always the ones doing it. I hope there is a way to stop them from doing this...
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