Health-care initiatives in today’s speech from the throne build on the input from the Conversation on Health and will improve care for the long term with a new emphasis on patient choice, enhanced access, quality, professional opportunities, prevention.
Feb. 12, 2008
VICTORIA – Health-care initiatives in today’s speech from the throne build on the input from the Conversation on Health and will improve care for the long term with a new emphasis on patient choice, enhanced access, quality, professional opportunities, prevention and accountability.
“Our goal is an efficient, effective, integrated health system that promotes the health of all citizens, and provides high-quality patient care consistent with the Canada Health Act,” said Premier Gordon Campbell. “This obliges us to adopt new effective strategies that at once improve the health of our citizens, improve access, quality and choice, and protect our public health system for the long term.”
Amendments to the Medicare Protection Act will define and enshrine the five principles of the Canada Health Act – accessibility, universality, portability, comprehensiveness and public administration – and also enshrine a sixth principle of sustainability.
“The Medical Services Plan will be required to be administered in a manner that is fiscally sustainable and provides for British Columbians’ current health needs without compromising future generations’ entitlement to similar MSP benefits,” said Premier Campbell. “There will be one public – not private – payer for services under the Canada Health Act that will continue to deliver services through public and private service providers.”
Initiatives to ensure quality health care:
- A new Health Profession Review Board will ensure that all qualified health workers can fully and appropriately utilize their training and skills and not be denied that right by unnecessary credentialing and licensure restrictions.
- Creating a new BC Patient Safety Council to enhance patient safety and promote transparency.
- Creating new Patient Care Quality Review Boards for every health region.
- Improvements to the Public Health Act will help deal with public health risks such infectious diseases and emergency health hazards.
Initiatives to improve access to health care:
- Committing to the upgrading and expansion of BC Children’s Hospital.
- Major new investments in eHealth and expansions to BC NurseLine, including a new “specialist referral service.”
- As of today, British Columbia will waive the MSP wait period for all Canadian soldiers and their families who move to B.C. from elsewhere in Canada.
- Authorizing and training nurses to deliver a broader range of health services, such as suturing, ultrasounds, allergy testing, local anesthesia and cardiac stress testing. Nurses will be able to give medications for minor pain at triage while patients are waiting to see a doctor, order lab work, blood tests and X-rays.
- Pharmacists will be permitted to authorize routine prescription renewals, making it easier for patients with chronic illnesses to manage their conditions.
- Ambulance paramedics will be authorized to treat and release when appropriate.
- Naturopaths will be permitted to prescribe medicinal therapies as appropriate and restrictions on their access to medical labs for prescribed tests for patients will be removed.
- Midwives will be authorized to deliver a broader range of services without a physician present.
- Teams of health professionals working together for patients will be available 24 hours a day to provide clinically appropriate care that is now only available in emergency rooms.
Initiatives to improve choice for patients:
- New tools and support services will be created to help home caregivers and family members who are providing in-home care.
- New access for citizens to their health records and medical information.
- Government will study the possibility of establishing a new Independent Living Savings Account framework to allow citizens to invest each year, up to age 75, in a tax-sheltered savings account for home care support, assisted independent housing and supportive housing options.
Initiatives to support prevention, research and sustainability in the health-care system for future generations:
- Banning the use of trans fats in the preparation of foods in schools, restaurants and food-service establishments by 2010.
- Enacting new legislation to ban smoking in vehicles when children are present.
- Establishing a new Centre for Brain Health to help people avoid brain diseases and provide new treatment and rehabilitation options.
- New investments in the Centre for Hip Health and Musculoskeletal Research.
- The Hip Centre will work to prevent falls and hip fractures through the development of early intervention programs for youth and seniors. It will enhance the detection of osteoarthritis at an early stage and the education of highly skilled scientists and clinicians.
- Establishing ActNow seniors’ community parks throughout B.C.
- Creating new “Walking School Bus” and “Bicycle Train” programs to encourage children to walk or bicycle to school with adult supervision.
- New legislative authority will be sought to ensure health professionals certified to practice in other Canadian jurisdictions can practise in B.C., including foreign-trained doctors.
- Creating a new restricted licence that will allow internationally trained physicians to practise in their specific areas of qualification.
- Significantly expanding residency positions, and introducing a new framework to allow Canadian citizens trained outside Canada to find residencies and practise in B.C.
- Creating a three-year Bachelor of Nursing Science program that will allow nurses to gain their degree a year sooner, with ‘on-the-job’ training.
- Better co-ordination of patient services across the Lower Mainland will reduce administration costs. Those revenues will be redirected to patient services.
- Launching an innovation and integration fund for the Vancouver Coastal and Fraser Health Authorities to help move beyond “block funding” toward a new provincewide patient-centered funding model. Health dollars will follow patients, wherever they are treated. It will tie funding to performance and increased service levels in specific priority areas, like emergency care and surgical backlogs.
- Amendments to the Medicare Protection Act will also codify a commitment to building a public health-care system that is founded on the values of individual choice, personal responsibility, innovation, transparency and accountability.
- Integrated approaches to health human resources training and recruitment, data collection, procurement and services will be implemented.
- New investments will standardize information technology platforms and provide new tools for better managing and optimizing health expenditures.
- Expanded pediatric oncology research will offer new hope for cancer prevention and treatment specifically focused on children.
“These measures will improve the health of our citizens. They will improve access, choice, quality, transparency and accountability in public health delivery. They will make health care more sustainable,” said Premier Campbell.