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Annual Report 2013
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A t h abasc a H eal th Authori t y
Camsell Portage
Uranium City
Fond-Du-Lac
Stony Rapids
Athabasca
Athabasca
Health
Authority
Authority
Northern
Northern Communities
Communities
Black Lake
B
Lak
W
ollaston
on Lake
Wollaston
The Athabasca Health Authority serves a relatively
small population (4500), which is spread over a large
geographical area. Comprehensive services are
provided to the communities of Black Lake, Stony
Rapids, Fond du Lac, Uranium City and Camsell
Portage. In addition, Mental Health & Addiction
services are provided to Hatchet Lake First Nation.
An integrated primary health care model has been
incorporated by the Athabasca Health Authority,
providing primary health and community-care, acute,
emergency, palliative, respite and long term care to
the residents of the Athabasca Region.
Dedication
early 1980s and settling down with a
family of his own, with his curious
characteristic it didn’t take Edwin long
before he got involved in local politics,
he was first elected councillor in his
late 20s.
This was the beginning of a long storied career in
politics. Early on Edwin was a strong advocate for the
safety and protection of our environment, he has
served on the EQC board monitoring the
environment with the mine companies. Growing up
living off the land hunting and fishing, he
appreciated & respected the land & the wildlife and
always spoke up about the protection of our lands
and handing it down to generations to come.
Edwin was one of the planning committee members
who came up with the idea of bringing an annual
Dene traditional and religious pilgrimage to the
north. We call this annual gathering Pine Channel
Pilgrimage today.
Edwin Boneleye was born in 1957 to Edward
& Mary Madeline Boneleye, he had 9 siblings.
He and his brothers grew up hunting,
trapping & fishing along with their late dad
around Wapata Lake, Cree Lake and as far
down to Unknown Lake, Murphy Lake where
he had a cabin (& spent much of his time
with his boys – living off the land).
Edwin went to elementary school in Black
Lake, but most of his teachings came from
living off the land from his late father. Edwin
was an intelligent man who had a curious
characteristic about him, which is why he read
a lot of books and he always said that “he
was self-taught”. He liked reading books and
articles about true stories, true crime, current
events and politics involving First Nations
today.
Edwin worked in the Mining Industry in his
early 20s at the Rabbit Lake Mine as a Mill
Operator, back then the company was called
Gulf Minerals (now Cameco). After getting
married to Helen and having children in the
Edwin was elected Chief of Black Lake in the late
nineties, he served one term as Chief. During his
term, He helped negotiate a frame work agreement
for the development of a regional hospital in the
community. That hospital is now known as the
Athabasca Health Authority and is situated on the
Louis Chicken reserve by Stony Rapids. After his term
as Chief, Edwin continued his political career serving
as councillor.
Edwin was also a long time board member of the
Athabasca Health Authority; he lent his political
expertise and experience in developing and
implementing policies for the regional hospital.
Amidst all his accomplishments over the years he
remained humble, he can be proud of his family the
most. He can be proud of what we have today in our
community and what we can expect to see in the
near future. Edwin, along with his family can be
proud of the many lives he’s touched, the many
friends he has made young and old alike. Edwin’s
work, commitment and legacy to the people of Black
Lake and surrounding communities will remain
strong through his leadership by example.
For Edwin’s dedication, commitment and hard work
the Athabasca Health Authority Board of Directors
and staff will be forever grateful. Special thanks to
Chief Rick Robillard for his assistance in writing this
dedication.
Dedication
Toutsaint, Georgina(Late) Martha
Martha Toutsaint worked for NNADAPP
program and the AHA Addictions
program(Oct.,2005) for years serving her
home community of Black Lake Dene Nation.
Martha was always known for her kind and
caring ways, but most of all her big loving
heart. Martha was very outgoing and could
often been seen working at all the community
events when she wasn’t counseling in the
office or running the Matrix Program at the
Clinic in Black Lake. Martha was proud of her
family and worked hard to help anyone that
was in need. She was a good listener and
could often make people feel better just by
talking to her and having a good laugh
together. Helping the people in her
community was most important to her. We
lost (Late) Martha on August 22, 2012 at
Points North Landing, SK, along with her
husband Pierre Modest, at the age of 51
2
years. Pierre and Martha are survived by
their children: Johathan, Jason (Georgette
Boneleye), Julian, Joshua, Kristen and Tanille;
their grandchildren: Aaron, Faith, Anthony,
Alexis, Josh, Natashia, Mason, Taylor,
Kristian, Angelina, Sidney and Emma; Pierre's
brothers: Joseph (Eileen), John (June),
William and Noel (Doris); Pierre's sisters:
Helen (Napoleon), Anne (David), Dora
(Charlie), Rose, Bernadette (Ronald) and
Doreen (Johnny Laban) Toutsaint; Pierre's
mother: Marie Toutsaint; Pierre's uncles:
Joseph Bigeye and James Toutsaint; Martha's
sister: Emily (Mervin) Cook; Martha's
brothers: John Baptiste McDonald (Clara),
Joseph (Angelic) Kasagan, Donald (Lisa)
Kasagan, George Kasagan, Archie Kasagan,
Alec Kasagan, and Boniface (Coreen)
Kasagan; and Martha's parents: Bernard &
Celine Kasagan.
Pierre was predeceased by his father:
Benjamin Toutsaint; his sister: Theresa
(Alphonse) Throassie; his grandparents:
Salmon & Philimine Toutsaint and Helen
Dantouze; his aunt Meline Cook; his best
friend: Philip Bouvier; as well as numerous
aunts, uncles, nieces and nephews.
Martha was predeceased by her
grandparents: Isabelle (Joseph) Kasagan,
Margaret Marie & Jules Echodh; her brothers:
John Kasagan and Jules Kasagan; her sisters:
Rose Kasagan and Freda Kasagan; as well as
numerous aunts, uncles, nieces and nephews.
Martha left a very big hole in Black Lake after
her passing, and we all still mourn for her.
We miss her and still speak fondly of her
daily. She was an icon in the field of
Addictions in Black Lake and will always be
missed for years to come.
Victor Echodh Sr.
T A B L E O F CONTENTS
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07
08
10
12
13
14
16
18
19
20
22
23
25
25
26
27
28
29
29
29
31
31
31
32
36
40
42
43
44
44
46
47
48
49
50
80
Letters of Transmittal
Vision, Mission, & Principles
Governance
Message fromthe CEO
Board of Directors
Organizational Chart
Human Resources
Information Technology
Accreditation
Senior Medical Officer
AHA Regional Environmental Scan
Community Services
Addictions Services
Mental Health Therapy
Dental Services
Children’s Services
Therapy Services
Nursing Services
Pre & Post Natal Progr am
Immunization Program
Chronic Disease Program
Communicable Disease Control
Tuberculosis
Home and Community Care
Primary Health Care Services
Health Records
Emergency Medical Services
Pharmacy Services
Laboratory & Diagnostic Services
Partnerships
Northern Medical Services
Index to 2012/13 Audited Financial Statements
Management Letter
Audit
Auditor’s Report
Audited Financial Statements
Staff
3
Letters of Transmi
March 31, 2013
Chief Rick Robillard
Black Lake Denesuline First Nation
Black Lake, Saskatchewan
S0J 0H0
Chief Earl Lidguerre
Fond du Lac Denesuline First Nation
Fond du Lac, Saskatchewan
S0J 0H0
Mayor Daniel Powder
General Delivery
Stony Rapids, Saskatchewan
S0J 2R0
LAC Chair Dean Classen
General Delivery
Uranium City, Saskatchewan
S0J 2W0
LAC Chair Claire Larocque
General Delivery
Camsell Portage, Saskatchewan
S0J 2W0
Chief Bart Tsannie
Hatchet Lake Denesuline First Nation
Hatchet Lake, Saskatchewan
S0J 3C0
Dear Sirs and Mesdames:
The Athabasca Health Authority is pleased to provide the Ministry of Health, Health
Canada (FNIH) and our Members with our 2012-2013 Annual Report.
The report provides an overall summary of the comprehensive health services provided
to residents of the Athabasca region and the Audited Financial Statements for the year
ended March 31, 2013.
Respectfully submitted
Per Athabasca Health Authority
Board of Directors
Claire Larocque
Board Chair
4
ttal
March 31, 2013
The Honourable Leona Aglukkaq, PC, MP
Minister of Health
Health Canada
Brooke Claxton Building
16th Floor Tunney’s Pasture
PL 0906C
Ottawa, Ontario
K1A 0K9
Dear Minister Aglukkaq:
The Athabasca Health Authority is pleased to provide the Ministry of Health,
Health Canada (FNIH) and our Members with our 2012-2013 Annual Report.
The report provides an overall summary of the comprehensive health services
provided to residents of the Athabasca region and the Audited Financial
Statements for the year ended March 31, 2013.
Respectfully submitted
Per Athabasca Health Authority
Board of Directors
Claire Larocque
Board Chair
5
Letters of Transmi
March 31, 2013
The Honourable Dustin Duncan
Minister of Health
Sask Health
Room 204
Legislative Building
2405 Legislative Drive
Regina, Saskatchewan
S4S 0B3
The Honourable Randy Weekes
Minister responsible for
Rural and Remote Health
Room 214
Legislative Building
2405 Legislative Drive
Regina Saskatchewan
S4S 0B3
Dear Sirs:
The Athabasca Health Authority is pleased to provide the Ministry of Health, Health Canada (FNIH)
and our Members with our 2012-2013 Annual Report.
The report provides an overall summary of the comprehensive health services provided to residents
of the Athabasca region and the Audited Financial Statements for the year ended March 31, 2013.
Respectfully submitted
Per Athabasca Health Authority
Board of Directors
Claire Larocque
Board Chair
6
ttal
Vision
Healthy People - Healthy Land
AHA believes in a future where people and the land are healthy
Communities, families and individuals live in peace and harmony. Traditional values, concepts and health practices are maintained,
respected and understood in partnership with contemporary care.
There is a hope and confidence that being healthy is achievable.
The communities, families and individuals of the region take responsibility for their health through personal and
collective practices and through ownership of the governance, management and delivery of health services in the region.
Mission
“ to create a place to heal northern people ”
Where comprehensive health services will be provided in an integrated and holistic manner to support, nurture and restore physical,
mental, spiritual and emotional health
Where all residents and communities will enjoy equal access to quality services that are comparable to provincial and
Federal standards, while being culturally appropriate
Where the Authority is an effective community based organization accountable to the community, staffed wherever possible by
people from the region
Where the partnership between the people and the Authority is the foundation for the pursuit of excellence and the
sustainable in health care and will guide other partnerships essential to the realization of our vision
Principles
Comprehensive, quality services
Equal access
Culturally appropriate
AHA is accountable
Employ People from the region
Support local people in health careers
Partnership is between AHA and the people
Membership legislation and government mandates are followed
7
AHA Board Members
Claire Larocque
Portage
Chairperson – Camsell
Edwin Boneleye
Vice-Chair – Black Lake
Modest Bigeye
Georgie MacDonald
Tammy Lidguerre
Raymond MacDonald
Allen Augier
Sandra Hansen
Black Lake
Fond du Lac
Fond du Lac
Black Lake
Uranium City
Stony Rapids
Hatchet Lake
Jeanette Tsannie
George Tsannie
Joseph Besskkaystare
Governance
The Board of Directors is a Policy Governance
Board and has one employee, the Chief
Executive Officer. The Authority is managed
by the Senior Management Teams composed
of the Chief Executive Officer, Director of
Community Services, Director of Primary Care,
Finance Manager and Human Resource
Manager. The Directors and Program
Managers are responsible for their respective
program areas. Board meetings are held
monthly and rotate between the
communities. In order to be more financially
responsible, the Board also decided to
convene meetings via conference call every
other month. Board minutes are available for
the residents of the region and Board
members have the responsibility to share
information and to keep their leadership
informed on the Authority. Board meetings
are open to the public.
The Athabasca Health Authority Inc. is
responsible for the delivery of health services
to the residents of the Athabasca Region. The
Authority is comprised of five members: the
8
Black Lake Denesuline First Nation, the Fond
du Lac Denesuline First Nation, the Northern
Hamlet of Stony rapids and the Northern
Settlements of Camsell Portage and Uranium
City. The governance structure was
established by the Unanimous Members
Agreement (UMA) which forms the
foundation for the Board’s operation. Each
member is entitled to appoint a number of
Directors to sit on the board for a three year
term. The Board is comprised of nine
Directors selected by the member
communities’ based on the formula set out in
the UMA.
Administration, program and service delivery
are the responsibility of the Chief Executive
Officer, Senior Management Team and the
staff. The Board is responsible for strategic
planning; fiscal management and reporting;
community relationships; quality assurance
and risk management; hiring the CEO and
monitoring her performance.
The Board holds monthly board meetings
across the Athabasca Basin as well as hosts an
Annual General meeting for the members
annually. The board continues in its efforts to
be transparent and accountable to the people
of the Athabasca Basin. Though this year has
been one of change and sometimes
challenging, the board remains committed to
their mission, vision and principles and has
developed a strong and supportive working
relationship with the CEO, Senior
Management Team and staff.
This year the Board was focused on
strengthening the Governance structure and
ensuring that effective policies and
procedures are in place to ensure that the
Authority is strong and sustainable for many
years to come. The Board is committed to its
goals and objectives in order to achieve
better health outcomes for all residents of
the Athabasca Region. Although there have
been challenges for the Authority over the
past year, there are also many successes that
need to be shared and celebrated throughout
the region. This year is especially worth
celebrating in that it is our tenth year
anniversary of the Authority. The Board is
proud of this achievement as the Authority
continues to grow and prosper due to the
hard work and commitment of the board and
staff in establishing a strong foundation of
health care programs and services. This is
evident through the achievement of
Accreditation with Commendation from
Accreditation Canada.
The board completed a significant amount of
work this year which focused on the
development of policies aimed at further
strengthening governance of the Authority.
The Directors also participated in the Health
Director Education and Certification Program
that was developed by Brown Governance,
Inc. and the Johnson-Shoyama Graduate
School of Public Policy, in collaboration with
the Saskatchewan Ministry of Health. The
objectives of the Health Director Education &
Certification Program was to improve the
confidence and capabilities of directors in
their governance practices; to ensure a solid
understanding of the fiduciary duties of
directors; to ensure directors are both
knowledgeable of and well positioned in an
effective and appropriate governance system;
and to provide education in all aspects of
governance.
At the Board retreat held in Prince Albert in
December 2012, the Board also received
media training from Creative Fire, reviewed
the Unanimous Member Agreement and
bylaws. The overall goal of this was to ensure
that the Board Members are keeping with the
original intent of the Authority which is to
provide first class health services to all
residents of the Athabasca Region as well to
receive ongoing education and training to
ensure that the Board members have the
tools necessary to guide the Authority
successfully into the future.
9
Message fromthe
10
CEO
On behalf of the Athabasca Health Authority, I am
pleased to present the 2013 Annual Report .This
report provides an overview of all programs and
services provided to the residents of the Athabasca
Basin for the period of April 1, 2012 to March 21,
2013.
This year is very significant as it has been ten years
since the Athabasca Health Authority opened its
doors. The Board of Directors, Senior Management
Team and staff are proud of this accomplishment.
This is evident when you tour the facility and see
the pride of ownership of all our staff and how well
the facility has been maintained, it is hard to
believe that it has been ten years. All residents of
the Athabasca Region share in our pride in having
a health facility of this caliber in the North.
This has been year of challenges but also one of
many successes. Some of the highlights include;
achieving Accreditation with Commendation from
Accreditation Canada, implementing Tele-health
in the Authority and that we are celebrating our
Tenth Anniversary of providing leading edge
health care programs and services to the residents
of the Athabasca Region.
Strengthening governance and financial controls
has been our primary focus this year through the
development of a new financial policy manual,
whistleblower policy, revision of the Board of
Directors policy manual and development of a new
code of ethics. These policies were identified as
being needed by the KPMG audit done last year. I
am pleased to announce that we have met and
exceeded the requirements of this audit due to the
diligence of the Board, Senior Management Team
and staff. Our focus will continue to be one of
transparency, accountability and in putting our
patients first.
The Board of Directors continues to support the
Senior Management Team in our focus on
implementing effective risk management
processes, quality assurance and improvement and
accreditation initiatives. Together we will continue
to work on building the capacity of the residents
of the Athabasca Basin to meet the growing health
professional employment needs of the Athabasca
Health Authority. Other priority areas include:
improving equitable access to health services, renegotiating air medevac services, primary health
care redesign to meet the needs of our clients in
the region. Our desire is to have a health service
that is Patient Centered, Community Designed,
and Team Delivered.
The financial situation of the Athabasca Health
Authority remains strong as we continue to focus
on providing effective but efficient health services.
I would also like to take this opportunity to thank
the long term staff and Board members who have
been with AHA since it was established. The
Authority could not exist without the hard work
and commitment of all our staff.
Merci Cho
Jennifer Conley
Chief Executive Officer
11
Board of Directors
12
AHA Board Members: (Top to Bottom, Left Side)Claire Larocque, Modest Bigeye,
Caroline Isadore, Allen Augier, (Middle) Sandra Hansen, Raymond MacDonald, Georgie
MacDonald, (Right Side) Tammy Lidguerre, Edwin Boneleye
13
A u t is m S p e c t r u m D is o r d e r
T h e r a p ie s ( O /T ,P /T ,S L P )
E m e r e n c y P r e p ./P a n d e m ic P la n n in
D e n t a l S e r v ic e s
S u ic id e In t e r v e n t io n
C o m m u n it y W e lln e s s
A d d ic t io n s , O /P In t e r v e n t io n
M e n t a l H e a lt h , C r is is In t e r v e n t io n
M e n t a l H e a lt h /A d d ic t io n s M a n a e r
A c q u ir e d B r a in In ju r y
In d ia n R e s id e n t ia l S c h o o l
re e m e n t O v e rsi h t
C P N P
T r a d it io n a l H e a lt h
S e r v ic e A
M a t e r n a l C h ild H e a lt h
C H R E d u c a t io n & S u p p o r t
H o m e S u p p o r t S e r v ic e s
K id s F ir s t N o r t h
r.
C h r o n ic C a r e & S e lf M a n a e m e n t
C h i l d r e n ’s S e r v i c e s M
F A S D
r.
E m e r e n c y P re p a re d n e ss
F a c ilit ie s / P r o je c t M a n a e m e n t
In fo r m a t io n M a n a e m e n t / IT
M e m b e rs
B o a rd
A n n u a l R e p o r t
C o m m u n ic a t io n
C a s u a l S t a ff R e c r u it m e n t
S u p p o r t S t a ff/O r ie n t a t io n /R e c r u it m e n t
E m p lo y e e B e n e fit s
O H & S
H u m a n R e so u rc e s M a n a e r
E m e r e n c y M e d ic a l S e r v ic e s
T e r m / P a llia t iv e C a r e / R e s p it e
M a n a e r
M e d ic a l R e c o r d s M
m t
R e io n a l T r a n s p o r t a t io n M
m t
M a in t e n a n c e S t a ff
M a in t e n a n c e
P h a rm a c y
R e c e p t io n / C le r ic a l / A d m in
D ie t a r y
H o u s e k e e p in
F a c ilit ie s S e r v ic e C o o r d in a t o r
H o m e & C o m m u n it y C a r e
P u b lic H e a lt h N u r s in
C o m m u n it y C lin ic N u r s in
C o m m u n it y N u r s in
A H F M e d ic a l R e c o r d s
R e io n a l D ia n o s t ic S e r v ic e s
L o n
A c u te C a re
D ir e c t o r o f P r im a r y H e a lt h C a r e
E x e c u t iv e A s s is t a n t
S t o r e s / P u r c h a s in
F in a n c e M a n a e r
C h ie f E x e c u t iv e O ffic e r
S e x u a l W e lln e s s /H IV A id s /S T Is
H e a lt h P r o m o t io n s M
D ir e c t o r o f C o m m u n it y S e r v ic e s
P h y s ic ia n s
S e n io r M e d ic a l O ffic e r
B o a r d o f D ir e c t o r s
The Human Resources Department performs
several functions that aid in the daily
operation of the Athabasca Health Authority.
The main areas include payroll, training and
development, administration of the benefit
and pension plans, recruitment, and
employee relations.
During the 2013 fiscal year , the department
experienced some turnover and underwent
restructuring. The Human Resources
eliminated the position of a Clerk for the
recruitment of a Human Resources Manager,
which was vacant as of the end of March.
Being understaffed, the department had
difficulty developing new initiatives, mainly
concentrating on daily tasks. Tasks include:
• Creating job postings for vacant or new
positions and posting throughout the
Athabasca Basin, on Saskjobs and on the
Health Careers in Saskatchewan website.
In the upcoming year, the department hopes
to focus on many new initiatives which will
include the implementation of a
computerized Human Resource System and
the introduction of a new Personnel Policy
Manual.
Staffing
Male
Female
Total
Employees
Contractors
10
10
41
21
51
31
Totals
20
62
82
• Arranging and participating in job
interviews
Staffing
• Completing job offers and the onboarding
of new staff
Separations
Maternity Leave
Job Postings
Total
33
2
44
• New hire orientations
• Creating and updating personnel files
• Administering paperwork and
communicating changes to the pension and
benefit companies
• Recording and tracking leave usage for all
employees
Regular hours
#
70,345.36
Meetings
1098
Days in Lieu
526.5
Call out
99
• Processing short-term and long-term
disability claims
Overtime
288.6
Travel
1697
• Coordinating casual coverage for employee
leaves and absences
Annual Leave
5866.34
Sick
3044.71
• Creating the driving schedule for the pickup
and drop-off of employees residing in Black
Lake
Education/training
1458
Leave without Pay
778.92
• Administering payroll
14
Staffing
Human Resources
15
Telemedicine and eHealth are transforming
the delivery of health care all across the
planet and it is no different for the people of
the Athabasca Basin. Allowing healthcare
professionals, clinicians and specialists to
provide services where they previously
couldn’t. With the remoteness of the
residents of the Athabasca Health Authority
(AHA), being connected to eHeath systems
and using Telehealth systems is imperative
for improving healthoutcomes in Northern
Saskatchewan. Maintaining an industry
standard information technology
infrastructure, compliance with provincial and
Accreditaiton standards will be implemented
in order to expand the Accreditated status
into this area of AHA’s operations.
AHA is developing an intranet sharepoint
server in order to manage the sessions and
promote internally the availability of
educational sessions for the clinicians. This
site will be available from every location in
AHA in order to facilitate better management
practices of the program. Regional policies
and procedures are being developed with
help from Telehealth Saskatchewan and
lifecycle planning will be formalized this year.
AHA also presented at the provincial
Information Techn
federal standards for eHealth and information
security and adapting solutions that improve
the patients experience are core strategic
pillars of AHA’s IT planning. All IT strategies
and implementations are maintained with
alignment to AHA’s core strategic direction.
Telehealth Program
With the connecitivity upgrades to the
community clinics of Black Lake and Fond Du
Lac over the past year, the telehealth
program is beginning to make great strides
and has doubled its sessions. Available
bandwidth in the north and the quality of
service has allowed for not only meeting the
provincial requirements but exceeding which
will benefit the overall development of the
program by providing additional telemedicine
opportunities.
16
AHA has three official telehealth sites now:
Black Lake, Fond Du Lac and Stony Rapids.
With funding from Health Canada, AHA was
able to purchase two new digital telehealth
carts and HD patient cameras one each for
the community clinics. This extension of the
provincial telehealth network brings
healthcare serivces even closer to the patient.
With the replacement of Stony Rapids
endpoint in the coming year with a digital
telehealth cart and patient camera, AHA will
become the first region in Saskatchewan to
have fully digital telehealth equipment.
Telehealth coordinators face to face meeting
this year relaying some of the particular
challenges that patients face using telehealth
in the north.
Network Core and Infrastructure
Maintaining a solid network infrastructure is
crucial for delivering quality health care
systems to the point of care. With funding
from Health Canada, AHA was able to
upgrade the network core switching and
create a highspeed backbone at Stony Rapids
for the region. AHA will also be able to
upgrade the switches and provide more
capacity at the community facilities. Core
switch upgrades also provided ports for
telehealth and other clinical systems used in
the region.
Premise cabling completed at Stony Rapids
this year provides the infrastructure for
telehealth in identified locations and
infrastructure readiness for Lab Information
System (LIS) implementation. Connectivity for
the Lab analyzers is in place. Infrastructure
was also provided for the WinPharm
implementation and all required hardware is
in place. Fond du Lac clinc is slated for
recabling of the premise wiring this fall to
bring it up to IEEE standards and to meet the
growing needs of eHealth and program
development in the community.
AHA was also able to upgrade the wireless
infrastructure providing more coverage with a
mesh network model for a seamless robust
wireless experience across AHA’s three main
locations. With the introduction of a wireless
LAN controller and a Radius server, clinicians
are now able to travel between facilities and
automatically connect to the AHA and
provincial networks and AHA IT technicians
have centralized wireless LAN management.
Provision was made for a patient wireless
network to increase the quality of stay at the
Stony Rapids facility.
Windows Infrastructure was further enhanced
ology
this year with the introduction of System
Center Configuration Manager (SCCM) which
enables centralized and remote management
of all IT assets on the network, patch and
security management at the desktop,
inventory and asset management and
imaging services for workstation deployment.
Clinical Systems
AHA has already integrated with the
provincial RIS/PACS for diagnostic imaging
and uses the provincial patient registry
system for admitting (WinCIS). Plans are in
place for implementing both the LIS for lab
and WinPharm for pharmacy. With the
availability of these two systems in AHA,
doctors will now be able to use the new
provinicial eViewer portal to review all of a
patients test results and information at each
point of care location. Plans have been
developed to utilize Sunrise Clinical Manager
(SCM) at Stony Rapids along with a
provincially approved EMR at the community
clinics. With these systems in place, doctors,
clinicians, lab and xray technicians and
pharmacists will be better able to provide
high quality healthcare to the residents,
workforce and tourists of Northern
Saskatchewan.
introduced this year and they have been
deployed at Stony Rapids. With Diabetes
being a concern for northern populations,
wireless gluometers will be introduced as
well.
Desktop Services
Lifecycle planning is critical for efficient and
cost effective workstation management. This
year’s refresh was supplemented by Health
Canada who provided funding for
workstations and laptops for both Black Lake
and Fond Du Lac. The Provincial
Transformation Fund succeddful application
provided funding for a UniPrint
implementation which allows for unified
driver and print management and will reduce
costs associated with print job
troubleshooting at the helpdesk with less
helpdesk calls and improve services across
the region.
ICT Management Services
AHA retains an ICT Management consultant
to direct the strategic considerations of ICT
management for the region which includes
formalizing the ICT strategic plan, ensuring
ICT alignment with business objectives,
management of multi-jurisdictional standards
compliance and funding and oversight of the
ICT operations management and the Kelsey
Trail Health Region support services.
AHA has contracted desktop, server and
network support services from Kelsey Trail
Health Region for seven years. This strategic
partnership has provided daily support
services to the users of AHA while assisting in
implementing key IT systems such as server
virtualization, MedRecs, RIS/PACS and
WinCIS. AHA acknowledges the hard work
and dedication of the KTHR IT staff and looks
forward to continuing this working
partnership.
New wireless Vital Signs monitors were
17
Accreditation status was achieved as a result
of the Accreditation Survey conducted in June
2012. A team of four surveyors from
Accreditation Canada conducted an on-site
survey of all AHA sites to assess the
organization’s programs and services. The
following statement is from a letter received
from Accreditation Canada, June 21, 2012.
“The Accreditation Decision Committee is
pleased to inform you that Athabasca Health
Authority Inc. is Accredited under the
Qmentum accreditation program. This is a
milestone to be celebrated, and we
congratulate you and your team for your
commitment to providing safe, high quality
Aboriginal Health Services
• Home Support Services
• Community-based Mental Health Services
and Supports
• Medicine Services
• Aboriginal Integrated Primary Care Services
The next Accreditation survey will be
scheduled for June 2015.
In addition, the Athabasca Health Authority
and the Fond du Lac Health Centre
participated in a special project “Remote and
Isolated Health Services Standards Pilot
Testing.” On October 24 and 25, 2012 a team
of 2 surveyors conducted an on-site survey at
Accreditation
health services.”
Following submission of further evidence to
the Accreditation Decision Committee in
November 2012 the Accreditation status was
changed to “Accredited with Commendation”.
The following statement is from a letter
received from Accreditation Canada,
November 16, 2012.
“Congratulations! This achievement
demonstrates you organization’s
determination and commitment to
ongoing quality improvement. We applaud
your leadership, staff and accreditation
team members for their efforts and
dedication to the provision of safe, quality
health services.”
Accreditation Canada is a not-for-profit,
independent organization that provides
health service organizations with a rigorous
and comprehensive process. The accreditation
process fosters ongoing quality improvement
based on evidence-based standards and
external peer review thereby helping
organizations strive for excellence. Patient
safety is an integral component of the
accreditation programs. Eight domains for
accreditation achievement were surveyed
specific to the Athabasca Health Authority:
18
•
•
•
•
Sustainable Governance
Infection Prevention and Control
Managing Medications
Effective Organization Standards for
the Fond du Lac Health Centre to conduct a
survey of the following standards sets:
• Customized Infection Prevention and
Control
• Medication
Management for
Remote Health
Services
• Remote /
Isolated Health
Services
The following
statement is
from the
resulting Pilot Survey: Accreditation Report,
issued November 5, 2012.
“On behalf of Accreditation Canada's
Board and staff, I extend my sincerest
congratulations to your board, your
leadership team, and everyone at
Athabasca Health Authority Inc. on your
participation in the Qmentum-site pilot
survey. Thank you for your leadership and
for demonstrating your ongoing
commitment to quality by integrating
accreditation into your improvement
program. Athabasca Health Authority Inc.
is commended on its commitment to using
accreditation to improve the quality and
safety of the services it offers to its clients
and its community”.
Greetings! It has been an exceptional year
providing services to AHA. Physicians
continue to proudly serve each of the
communities in the Athabasca basin. Not
only has the itinerant physician group
expanded, but we have been fortunate to
have an excellent group of locum physicians
who continue to return to provide ongoing
coverage. We are dedicated to providing
high-quality care in accordance with best
practice guidelines. I would like to extend a
special note of gratitude to Drs N Ayub & F
Habib; Dr Habib has provided physician
services for nearly 7 years, and Dr Ayub has
provided physician services for over 8 years.
Thank you for your time, your generosity, and
your dedication to this community.
Within the past year, the healthcare initiatives
implemented include improving access to
services, streamlining physician clinics,
advocating for better access to emergency
reconciliation, colon cancer screening,
chronic disease management, Pap smear
follow-up guidelines, and integrated maternal
serum screening. All of these initiatives have
improved timely and appropriate access to
healthcare as well as increased the standard
of care for our patients here in the Athabasca
basin.
I would personally like to thank all of my
patients, all of the community members, all
the wonderful staff at AHA and NMS for an
amazing two and half years of clinical service
and one year of being the Senior Medical
Officer. I will miss you all dearly. It has been
a true honour to serve this community.
Thank you very much for having me here.
Respectfully and with much gratitude,
Dr. Karen Weese MD CCFP
Senior Medical Officer for the Athabasca
Health Authority
Sr. Medical Officer
services including specialist services at
tertiary care centers at the provincial level,
and incorporating provincial and best
practice guidelines into the community clinics
as well as at the Athabasca Health Facility.
Areas of improvement include: developing a
venous thromboprophylaxis policy &
guidelines, instituting and/or facilitating
standardized care for all investigation followups, sexual assaults, medication
Demographics
• AHA’s total population increased by almost
10% between 1998 and 2012, from 2,382 to
2,608 individuals.
• In 2012, 33.9% of the AHA population was
less than 15 yrs of age.
• In 2006, 95.3% of the AHA population selfidentified as being Aboriginal.
• In 2012, AHA along with Mamawetan
Churchill River and Keewatin Yatthé Health
Regions had some of the highest
‘dependency ratios’ of all other health
regions in Canada, comparing the number of
youth under 20 and elders over 65 years of
age with the ’working’ population of 20-64
years. Regions with high dependency ratios
indicate economically stressed areas
AHA Environmen
Non-Medical Determinants of
Health
• Only 1 in 4 individuals aged 25-29 yrs in
AHA are high school graduates compared to
80% for the province
• The median before-tax income of people
living in AHA is $11,296 which is $10,000 less
than the provincial median
• AHA has almost four times the proportion
of dwellings requiring major repair and over
17 times the rate of crowding, having more
than 1 person per room, compared to the
province.
Maternal / Child Health
• The AHA crude birth rate has increased
slightly over the past decade and in 2007 was
32.8 births per 1,000 population, almost 2.5
times the provincial rate
• The 2008-9 AHA teen pregnancy rate of
172.4 pregnancies per 1000 females aged 1519 yrs is 3.5 times the provincial rate
• Infant mortality rates in northern
Saskatchewan have been gradually decreasing
over the past several decades but remain over
1.6 times the provincial rate
20
Injuries
• Injuries accounted for 23.5% of deaths and
were the leading cause of premature deaths
in AHA between 1998-2007
• An AHA child under 19 years of age is over
1.4 times as likely to die from an injury than
their provincial counterpart
• Two in three deaths from traffic collisions
are due to a drinking driver in northern
Saskatchewan, almost 1.8 times the provincial
rate.
Chronic Diseases
• Between 2002/3 and 2006/7 there have
been an average of 6 new individuals
diagnosed with diabetes each year in AHA,
with a total of 45 individuals living with
diabetes in 2006-7. The number of individuals
tal Scan
with diabetes in AHA may be underestimated
due to challenges in data collection.
• Between 1998-2002 and 2003-2007 the 5-yr
average age-std lung cancer mortality rate
remained relatively unchanged in northern
females while decreasing in northern males.
Northern rates remain significantly higher
than their provincial counterparts. This
highlights the need for tobacco reduction
strategies as off-reserve northern smoking
rates in 2009-10 were 41% in males and 42%
in females aged 12 and over.
Communicable diseases
• The 2010 estimated crude rate of
Chlamydia in AHA was 6.5 times the
provincial rate.
• The 5-yr overall crude rate for diarrheal
diseases in northern Saskatchewan has
decreased by 70% between 1999-2003 and
2005-2009.
• Similar to provincial trends, the number of
newly diagnosed HIV cases in northern
Saskatchewan has been increasing in recent
years, with around 15-20 newly diagnosed
cases per year in northern Saskatchewan.
21
Community Servi
With Jennifer Conley’s appointment as the
new CEO for AHA, Marcie Garinger stepped
into the position as acting Director of
Community Services in November 2012 and
was later appointed the permanent role in
March 2013.
The Director of Community Services is
responsible for delivery of Mental Health and
Addictions programs in the communities of
Uranium City, Fond du Lac, Black Lake, Stony
Rapids and Hatchet Lake. She is also
responsible for the delivery of Maternal Child
and Health home visiting programs, FASD,
Autism programs and pediatric Speech
Language services for the communities in
AHA, with the exception of Hatchet Lake.
Other therapy programming includes the
contractor for the Physical Therapist who sees
both pediatrics and adult patients. The
Dental Services program is in her portfolio as
well. This includes the contracted dentists,
assistants, and dental therapists.
Program reporting to both FNIH and the
Ministry of Health is an important function of
the Director of Community Services. As we
move into 2013-2014, the Director of
22
Community Services priority will be aiding in
the development and submission of the
Community Health Plan for the two onreserve communities of Black Lake and Fond
du Lac
Following a tragic accident in the summer of
2012, we lost a great member to our team-Martha Tousaint. As a result of this loss, the
AHA Mental Health & Addiction team will
never be the same. Martha spent many years
employed as a NNADAP Addiction worker in
the community of Black Lake.
In honor of Martha’s memory, her kindness
and selflessness, the hard work and
dedication she provided to our team and her
community, we would like to dedicate this
poem before proceeding with the remainder
of our report. To our dear friend and
colleague:
ces
You were
just like a candle
full of light and comradeship
now you have returned
to the source of life
in faith and gratitude
watching over us
Addiction Services
With staffing changes, we had a number of
new staff starting at various times. As a result
of this, vacancies for some positions lasted a
number of months which affected
programming in various communities. Wanda
Yooya and Richard Rice joined the Fond du
Lac addiction team in August and September
2012. Richard later resigned in March 2013.
Emil Eyford and Victor Echodh joined the
Black Lake Addiction team in December of
2012. Vince Vandale joined as the Addiction
worker in February 2013 for Black Lake and
Stony Rapids as well as prevention work in
the schools. Fortunately, Mary Shaoulle and
Madelyn Denechezhe spent another year as
Addiction workers for the community of
Hatchet Lake; therefore addiction
programming was not affected in that
community.
23
Dentist Services: Program Totals
Total numbers of...
Black Lake
Fond du Lac
Clients seen
998
176
Adult Clients seen
550
123
Youth Clients seen
445
53
No Shows
398
42
Days in Community
103
22
Mental Health: Program Totals by Community
Total numbers of...
Black Lake
Fond du Lac
Stony Rapids
Uranium City
Wollaston
Totals 12/13
1414
1339
602
143
1545
5043
Adult Clients seen
311
385
147
65
310
1218
Youth Clients seen
47
98
23
4
32
204
individual counselling sessions
448
550
195
55.5
548
1796.5
Assessments done
59
108
42
0
187
396
Emergency/Crisis Sessions
83
21
39
1
56
200
Home Visits
30
133
21
4
76
264
Missed Appointments/No Shows
73
200
7
2
58
340
School Visits
18
66
18
9
26
137
Clients on Case Load
Community Dental: Black Lake
Community Dental: Fond du Lac
Dates
# under 5
# School Age
# Adults
# of Referrals
Dates
# under 5
# School Age
# Adults
# of Referrals
03/13
1
53
15
2
03/13
3
29
6
2
02/13
0
83
9
2
02/13
2
28
5
2
01/13
17
19
5
5
01/13
15
18
14
0
12/12
4
13
17
5
12/12
-
-
-
-
11/12
3
45
22
10
11/12
11
221
2
2
10/12
2
48
13
3
10/12
6
19
0
2
09/12
-
-
-
-
09/12
4
56
5
1
08/12
3
7
26
2
08/12
2
20
24
5
07/12
no service
07/12
-
-
-
-
06/12
no service
06/12
-
-
-
-
05/12
no service
05/12
1
16
17
3
04/12
11
82
6
12
04/12
6
71
11
6
Totals
41
350
113
39
Totals
50
478
84
23
Community Dental: Stony Rapids
24
Community Dental: Uranium City
Dates
# under 5
# School Age
# Adults
# of Referrals
Dates
# under 5
# School Age
# Adults
# of Referrals
09/12
3
11
-
-
05/12
1
18
-
-
10/12
4
10
-
2
Totalas
1
18
-
-
Totals
7
21
-
2
Athabasca Health Authority does not have an
in-patient treatment program, however we
are able to provide out-patient treatment
programming through the Matrix Program.
Addiction workers also do one-on-one
addiction counseling and make referrals to
out of region inpatient treatment facilities.
They are an integral part of the community
healing process as often times they are the
ones setting up healing workshops, youth
workshops and other activities that focus on
healing and doing healthy activities.
An Addiction Youth Prevention Worker is in
all of our communities. An assigned Addiction
Worker goes into their local schools and
delivers class-room presentations from
kindergarten up to grade twelve, that provide
prevention and health promotion material for
children and youth on subjects such as
addictions but also on mental wellness,
bullying, fasd, to name a few.
Highlights of the Year include:
• Aboriginal Cultural Teachings
• AA in Dene
• Dene Culture pack
• AA for the Native North American
• Idol-Youth and Adult Singing Contest
• Healing Gathering
• AA Round Up and Family conference with
• ADCFS
• V-day Dance
• Grief& Loss Workshop
• Smoking Cessations program with prenatals
• Elementary School Program Inhalant Abuse
• Workshop
• Youth at Risk Healing Camp
• National Addiction Awareness Week
as community prevention and education
workshops. The therapists work closely with
other primary health care team members and
the addiction workers as well as the local
health clinic staff and school staff to ensure
that mental health services reach all age
groups and there is a continuum of care
provided.
Dental Services
The dental services program consists of two
treatment streams; one is the contracted
dentist who visits the community of Black
Lake Her services fo and the second is the
Dental Therapy program.
The Dentist focuses mainly on adults in that
community however she did offer periodic
coverage for Fond du Lac since the dentist
position in that community has been vacant.
We are very fortunate to have these dental
professionals come and stay in our
communities.
The Dental therapist in Fond du Lac is on a 3
week in, one week off rotation, and she works
from 9:00am to 7:30pm, Monday to Friday.
The Dental Therapist in Black Lake is on a 9
day rotation, once a month. She works
Monday to Saturday, 9:00am to 7:30pm.
Recruitment of a full time dental therapist is
becoming more difficult now that
Saskatchewan Dentists are able to hire dental
therapist in their private practice and offer
high salaries.
Mental Health Therapy
Athabasca Health Region contracts Mental
Health Therapists that are approved service
providers through FNIH Uninsured Benefits.
We are fortunate to have these qualified
service providers come into the communities
on a regular, monthly basis to provide ongoing counseling services. They also provide
crisis support services and group work as well
25
Childrens Services
The Children’s Services program continues to
offer the home visiting curriculum of
“Growing Great Kids” to families that are
prenatal and/or have children from birth to
five years of age. Case loads are low (9-15
families) due to the intensity of the home
visits, i.e., weekly one to one and half hour
visits. The Home Visitors are all local,
community members that have an interest in
early childhood development and in helping
families with young children. Last year, we
had two new members join the team, Myrna
Fern from Fond du Lac and Sheena ThroassieClarke from Black Lake, Brenda Mercredi is
the home visitor for the provincial
communities of Uranium City and Stony
Rapids and has been employed as such for
five years. All the home visiting staff receive
training on the delivery of the Growing Great
Kids Curriculum. On-going support is offered
through Kids First North and more recently
FNIH maternal Child and Health, as the home
visitors are able to participate in monthly
teleconference meetings with other Home
Visitors across the north as well as other
training opportunties. Clinical supervision is
provided by the Children’s Services
Coordinator.
Highlights of the year include:
• Early Years Children’s Fair for Black Lake
and Stony Rapids in May 2012;
• Helping ECIP North conduct developmental
37 screens in Fond du Lac in December 2012;
• Supporting the new Pediatric Speech
Language Pathologist, this was a short-term,
trail contract from October 2012 to March
2013.
• Supporting the Autism Consultant from
Saskatoon Autism Services, who started in
September 2012 and has monthly, weekly
visits to Athabasca basin.
• Partnering with the local prenatal/postnatal
workers conduct prenatal classes in their
communities.
• Partnering with Stony Rapids CAPC Family
Wellness program to conduct preschool and
family activities such as prenatal cooking
classes, preschool craft and baking activities.
• To have FHIN accept our proposal to
enhance case management processes.
• Providing home visiting families in all three
of the participating communities Christmas
Food Hampers, Fruit and Vegetable Food
Hamper and an Easter Food Hamper.
“W e would like to thank Cameco and Areva for their
generous donations to the Children’s Services
program, so that we could purchase food
items for the Good Food Boxes.”
26
Therapy Services
Adult & Pediatric Physical Therapy
Due to changes in contract services, we did
not have a physical therapist in AHA for July
& August, 2012. However, in September 2012
we were very fortunate to have Adrianne
Vangool, from Saskatoon come to our region
one week a month and provide physical
therapy and advice to nursing staff on home
care clients in all of our communities.
Adrianne also attends to a small case load of
pediatric clients. With her strong interest in
yogo, Adrianne has also been to some of the
schools and communities to offer yoga
classes, after hours. Patient no shows can at
times be high, but Adrianne has developed
great repoire with her clients and they are
attending to appointments regularly.
Adrianne is also a critical piece of the
Saskatchewan Surgical Initiative in AHA.
Adrianne provides therapy services that not
only reduce surgical recovery time and
symptoms but in some cases, prevent surgery
from happening all together.
Pediatric Speech Language Therapy
In November 2012 we were able to secure a
short-term Pediatric Speech Language
contract with Ashley Bakken from Regina,
Saskatchewan. Ashley provided services in
our communities for 4 days/month. During
that time we discovered that there were a
number of children that required SLP services.
Ashley was able to see quite a few children
and provided assessments and on-going care.
We are pleased to announce that we will be
continuing to offer pediatric SLP services to
children in AHA as we found another SLP who
is interested in providing services in AHA and
has signed a contract with us.
Children Services: Program Enrollment
Communities
Black Lake
Fond du Lac
Stony Rapids
13
10
9
# of Families
Please note that in December 2012, ECIP
North (Early Childhood Intervention Program)
was contracted by the Fond du Lac Band to
conduct developmental screens on children
from birth to four years of age. As a result of
those screened, we saw a demand in pediatric
SLP services from their referrals; hence, the
larger waitlist.
Therapy Services: Pediatric Speech Language Therapy
Communities
Black Lake
Fond du Lac
Stony Rapids
Appointments Booked
24
35
24
Clients Seen
14
10
12
No Shows
10
17
11
Wait List
14
39
8
Therapy Services: Physical Therapy
Black Lake
Children
Black Lake
Adults
Fond du Lac
Children
Fond du Lac
Adults
Stony Rapids
Children
Stony Rapids
Adults
03/13
1
7
1
10
-
19
02/13
-
8
-
6
-
17
01/13
-
-
-
-
-
-
12/12
-
1
-
8
1
11
11/12
-
-
-
-
-
-
10/12
-
2
-
6
-
12
09/12
-
2
-
8
-
7
08/12
-
-
-
-
-
-
07/12
-
-
-
-
-
-
06/12
-
7
-
2
3
7
05/12
-
1
-
-
-
-
04/12
2
2
-
7
4
7
Total numbers of...
27
Nursing Services
Nursing Services are provided by Primary
Care Nurses (RNs providing services under a
Transfer of Medical Function), Nurse
Practitioners and Home care Nurses; offering
primary health care, chronic care, pre and
post-natal care, home care, public health and
health promotion programs. AHA nurses work
diligently to strike a balance between health
promotion and acute treatment.
Nursing Services: Clinic Visits by Age
Locations
Black Lake
Fond du Lac
Totals
0 - 8 Weeks
131
47
178
9 Weeks -11Months
343
184
527
12 Months - 4 Years
1268
386
1654
School Age (5 - 14 Years)
1538
455
1993
Young Adult (15 -24 Years)
2147
706
2853
Adult (25 -44 Years)
4531
1542
6073
Middle Adult (45 -64 Years)
3357
1124
4481
Elderly (65 Years & over)
968
435
1403
2
-
2
14285
4879
19164
N/A
Totals
28
Nursing Services: Clinic Visits by Location
Locations
Black Lake
Fond du Lac
Totals
Clinic Working Hours
12,323
4003
16,326
Home Visit
14
33
47
N/A
13
48
61
Outside Clinic Hours
1694
790
2484
School
241
2
243
Pre and Post-Natal Program
Family centered maternal health care includes
the care and guidance of the mother and
family through pregnancy, delivery and
through to 6 weeks postpartum. The
objective is to promote a healthy pregnancy,
and to help new parents and families develop
parenting skills and lifestyles conducive to
optimal physical, social and mental health of
the family members.
Immunization Program
Well Child (Immunization Program) ages 2
months to 5 years
This mandatory program is offered in each of
the communities on a regular basis and has
very high success rate. All immunizations in
both the First Nation and Provincial
communities are now included in the
Saskatchewan Information Management
System (SIMS), a provincial immunization
data base system.
School Immunization Program
The school program is designed to meet the
health needs of the school age populations
and is initiated in September of each year.
Nurses to provide immunizations according to
the schedule and are also available at the
teacher’s request for class room teaching.
Chronic Program
With an emphasis on a holistic approach to
health care, the communities of the
Athabasca Health Authority continue to strive
to care for all aspects of chronic disease and
its impact on daily living. With the increase in
chronic diseases such as diabetes and
hypertension, we have recognized the need
for increased screening and education to
modify and reduce risk factors. The CHR’s and
RN’s work as a team to provide quality care
along with the organizing of routine wellness
visits, necessary lab work, physician
appointments, and educational sessions to
promote wellness, reduce risk factors and
provide a positive learning environment.
AHA was able to recruit the services of a
Diabetes Nurse Educator in early 2013;
however, this position is now vacant and
recruitment strategies continue.
29
30
Communicable Disease Control
Each of the Community Health Centers
maintain the standardized CDC programs
reportable to NITHA (First Nation’s
Communities) and Population Health
(Provincial Communities), with an emphasis
on the type of communicable disease that
may be affecting the demographics of that
community at any given time. There is
ongoing surveillance, treatment and followup of all reportable diseases in a timely
manner.
Tuberculosis
focus on screening, contact tracing and
treatment. Regular TB specialty clinics are
coordinated by TB Control for monitoring and
follow-up.
Home and Community Care
The Home and Community Care program
provides service in Black Lake, Fond du Lac,
and Stony Rapids. This care is based on a
thorough assessment upon referral from
doctors, nurses or family members.
Traditional values, health practices, respect
and confidentiality are maintained to help the
client and their family live with optimal health
in their own homes. Foot care is provided on
an individual basis by the Home Care Nurse.
The communities of the Athabasca Basin, at
this time continue to deal with new cases of
TB on a regular basis. Focused efforts and
strategic planning in conjunction with NITHA
and TB Control have been initiated, with a
31
Primary Healthcare
“ Our vision is a primary health care system
that is sustainable, offers a superior
patient experience, and results in an
exceptionally healthy population.”
Excerpt from: A framework for achieving a high
performing primary health care system in
Saskatchewan, 2012,
Saskatchewan Framework
for Primary Health Care
32
Services
Saskatchewan’s Ministry of Health recently
announced the release of the framework for
Primary Health Care which is “Patient
Centred, Community Designed, and Team
Delivered”; focusing on 4 major areas:
3. The primary health care system has
contributed to achieving an exceptionally
healthy population with individuals supported
and empowered to take responsibility for
their own good health.
1. Everyone in Saskatchewan – regardless of
location, ethnicity, or “underserved” status –
has an identifiable primary health care team
they can access in a convenient and timely
fashion.
4. Achievement of reliable, predictable and
sustainable delivery of primary health care.
 Residents are aware of primary health
care services available to them.
 Residents choose to be connected to a
primary health care team.
 Residents recognize the importance of
a consistent team as their home –base
for health care services.
 Primary Health Care teams have
undertaken Clinical Practice Redesign.
 Health Authorities have a process in
place for referring patients without a
regular primary health care provider to
an available primary health care team.
2. A model of patient and family-centred care
has been implemented to achieve the best
possible patient and family experience.
 Residents rate their primary health care
experience as exceptional.
 All patients and families are
meaningfully involved with and
engaged in decision making at all levels
– shared decision making and advisory
processes
 Patients with chronic disease report an
increase in confidence to self-manage
their disease.
 Patient navigation is culturally sensitive
Definition
Primary Health Care is described as the
“everyday care” that a person needs to
protect, maintain, or restore health. It is often
a person’s first point of contact with the
health system.
Within the Athabasca Health Authority (AHA),
Primary Health Care refers to “the first level of
care and the initial point of contact a client
has with the health system. Often this begins
with the Primary Care Nurse or with the
attending physician. Primary Health Care is
meant to be the first step in the continuum of
care, with multidisciplinary teams emphasizing
health promotion and illness prevention. It is
also the link to other parts of the health
system and assists to navigate the
complexities and services of the health
system.
33
The Health Facility in Stony Rapids provides
the following services through an
interdisciplinary team of 1 RN or RN(NP), 1
Paramedic, 1 LPN and 1 Special Care Aide
each 12 hour shift, and a Laboratory / XRay
Technician available at all times:
Community Nursing Services are provided in
the Communities of Black Lake, Fond du Lac
and Uranium City. These services include 24/7
emergency services; and primary care,
community health and home care nursing
services.
• Emergency / Outpatient services
• Primary care services including chronic
disease management
• Support for physician clinics, specialist
clinics and specialized laboratory clinics
• Inpatient Services
o Acute Care – 7 beds
o Labor and Delivery – 1 bed for
emergency obstetrics
o Long Term Care – 4 beds
o Respite Care - 1 bed
The Population Health Unit (La Ronge)
provides public health and population health
services through a Co-Management
Agreement. Services provided to the AHA
Health Facility include the Medical Health
Officer (Dr. Irvine); Infection Prevention and
Control Coordinator; Nutritionist; Nurse
Epidemiologist; and Environmental Health /
Public Health Inspector.
Additional services include:
o Physician Services coordinated through
Northern Medical Services; including 2
Doctors at all times
o Visiting Specialist’s Clinics including
Ultrasound Services, Obstetrician, ENT
(Ears, nose and Throat) Specialist, and
Orthopedic Specialist.
o Emergency Medical Services; including
ground and air medevac throughout
Northern Saskatchewan
o Laboratory and Diagnostic Imaging
o Pharmacy Services
o Health Records and Medical
Transportation
o Public Health Nursing
Health services are enhanced with the support
of Reception, Food Services, Housekeeping
and Laundry, and Maintenance.
34
The position of Director of Primary Health
Care is responsible for primary health care
services, patient / client safety, risk
management, quality improvement and
accreditation. Initiatives achieved include:
• Preparation for the first Accreditation
Canada site survey scheduled for June 2012.
This is a major initiative; including
development and implementation of all
policies and programs to meet the
Accreditation Standards.
• Review and revision of the AHA Patient
Safety policies and procedures, with a focus
on:
o Medication reconciliation, medication
administration and communication of
client information.
o “Least Restraint” policy and procedure to
preserve the dignity of all individuals
and minimize risks.
o Falls Prevention program.
o Suicide Prevention policy and procedure.
• TLR (Transfers, Lifts and Repositioning)
training for front-line caregivers and
support staff.
• Emphasis on Infection Prevention and
Control, including implementation of a
Hand Washing Program.
The focus for 2013 will include:
• Comprehensive review of the AHA Primary
Health Care Plan with a focus on patient /
family centered care, community
engagement, physician partnership and
improved team work.
• Establishment of a formal Quality
Improvement / Risk Management Program.
• Improved reporting processes including
monthly data collection to better reflect the
trends related to services provided.
• Team decision-making through regular
committees and meetings supported by
documentation.
35
The Health Records / Medical Transportation team
continued to remain somewhat consistent
throughout the year with two full-time employees,
as well as one full-time Health Records Consultant.
Throughout the year, we worked on many projects
to increase efficiency. Some of these projects
included placing Volume and Deceased labels on
the applicable Health Record charts, organizing
the Long Term Care chart thinnings in to binders
according to our Chart Assembly order (with tabs
for each major section), and advanced all of the
hospital charts to allow more room in each section
of the mobile shelving. We also continued the
process of going through each inactive clinic chart
and amalgamating any original patient
information in to the patient’s hospital chart.
We enjoyed participating in the Accreditation
process which took place from June 4 – 7, 2012.
Our Policy and Procedure manual was reviewed
and our processes were examined. We received
positive feedback and high regards from the
Accreditation Team.
We have been able to accomplish last year’s goal
of registering all patient visits in WinCIS by
training clinicians on the registration process. This
process increases productivity within the multidisciplinary team.
We continued to charter and schedule flights for
the physicians and patients. In June 2012, First
Nations and Inuit Health confirmed the length of
time we are required to keep all medical
transportation documents. Many hours were
spent sorting through documentation and
retaining necessary
information.
Health
We continue to
organize and host
Specialty Clinics for Northern Medical Services. Dr.
Martins, Orthopedic Surgeon, continued his trial of
holding a clinic at the Athabasca Health Facility.
April 1, 2013, it was determined that his clinics
were of benefit so Northern Medical Services
agreed to fund his clinic as a regular visiting
specialty for the next fiscal year. The IT staff
installed the necessary computer programs on the
Emergency desktop to speed up the process
during Ultrasound Clinics. This upgrade enabled
one staff member to effectively manage the clinic.
This process improves access to diagnostic reports.
The Specialists are thankful for receiving wireless
access so patient care and treatment is provided
and documented in a more timely manner.
Dora, Jessica, Florence and I are continually
reviewing our day to day practices and routines.
We strive to make improvements in patient access
to care, to specialty visits, and to more timely
36
reporting periods. Our goal is to improve
patient/family/staff relations and provide optimal
holistic care.
Records
Daily Census – Evenings & Weekends
Total Clients Treated by Area of Discipline
April 1, 2011 – March 31, 2012
Month
Treatment
Telephone
Advice
Total
Clients
DR
NP
NP &
DR
PCN
PCN &
DR
NP
PCN
04/2011
35
31
0
5
11
14
1
97
05/2011
21
37
4
8
20
6
0
96
06/2011
13
27
2
5
28
13
5
93
07/2011
25
35
0
7
46
9
1
123
08/2011
20
45
5
9
30
3
4
116
09/2011
6
19
0
14
52
9
0
100
10/2011
3
36
1
5
33
14
1
93
11/2011
15
50
0
6
27
6
0
104
12/2011
19
56
6
6
4
11
2
104
01/2012
14
38
1
6
20
9
1
89
02/2012
12
20
0
6
15
6
1
60
03/2012
10
43
2
0
23
11
0
89
Grand Total
NP – Nurse Practitioner
1164
PCN – Primary Care Nurse
37
Health Records: Specialist Clinics
Black Lake
Fond du Lac
Stony Rapids
Uranium City
Total Patient
Services
Otolaryngology (ENT)
40
26
13
4
83
Ultrasonography
85
82
40
5
212
Obstetrics & Gynecology
38
16
10
4
68
Audiology
13
2
5
0
20
Lab Days
377
203
N/A
20
600
Doctor Days
0
0
877
0
877
Orthopedic
36
30
8
4
78
Specialists Clinics
Health Records: Outpatients April 1, 12 -Mar 31, 13
Non-Treaty
Treaty
Out of
Province
Out of
Country
Total Patients
03/13
25
338
1
-
364
02/13
24
235
0
-
259
01/13
28
328
5
-
361
12/12
23
252
5
-
280
11/12
31
335
3
-
369
10/12
48
395
8
-
451
09/12
43
388
1
1
433
08/12
45
400
9
-
454
07/12
44
369
9
2
424
06/12
44
279
4
-
327
05/12
47
373
4
-
424
04/12
27
307
5
-
339
Month
38
39
7
8
8
8
7
6
7
3
5
6
8
9
05/12
06/12
07/12
08/12
09/12
10/12
11/12
12/12
01/13
02/13
03/13
Inpatients
Carried
Over From
Previous
Month
(includes LTC)
04/12
Month
15
18
19
25
17
24
28
23
23
28
22
27
Admissions
13
13
14
21
9
15
20
17
19
26
17
24
General
Medicine
3
3
2
0
3
10
4
4
3
1
4
2
Pediatric
Medicine
April 1, 2011 – March 31, 2012
Inpatients
Admissions & Discharges
0
0
0
0
0
0
1
0
0
0
0
0
Obstetrics
Delivered
0
0
0
1
0
0
0
0
0
1
1
0
Obstetrics
Antepartum
0
0
0
0
0
0
0
0
0
0
0
0
Obstetrics
Aborted
0
0
0
0
0
0
1
0
0
0
0
0
Newborn
Discharges by Service
0
0
0
0
0
0
0
0
0
0
0
0
Obstetrics
Postpartum
2
0
1
2
0
0
0
0
0
0
0
0
Palliative
Care
1
0
0
0
3
2
1
3
2
0
0
0
Alternative
Level
of Care
0
1
0
0
0
1
0
0
0
0
0
0
LTC
1
0
2
2
2
3
2
7
4
6
6
6
Transferred
to Another
Facility
1
0
1
0
0
1
0
0
0
0
0
0
stay)
Total
Deceased
19
17
17
24
15
28
27
24
24
28
22
26
Total
Discharges
(includes
last month
156
40
59
87
40
242
67
63
57
65
60
98
Average
Days
Stay
8.2
2.5
3.5
3.6
2.7
9.0
2.5
2.6
2.4
2.3
2.7
3.8
Length of
Stay
Emergency Medical
Another year has passed, and during that
time, the Athabasca Health Authority
Emergency Medical Services (AHA EMS)
Department has continued to excel in
providing pre-hospital care and transport in
the Athabasca Region.
Statistically, Air Medevacs within the
Athabasca Basin saw a slight decrease in
comparison to 2011, while Air Medevacs to
hospitals in Prince Albert and Saskatoon saw
a slight increase. Air Medevacs which
bypassed the Athabasca Health Facility,
straight to hospitals in the South, saw no
change. Ground Medevacs within Stony
Rapids and Black Lake saw a notable increase
during 2012.
Although there were very few operational
changes in the AHA EMS Department, we did
welcome the arrival of a new Stryker Power
PRO XT stretcher. The Stryker Power PRO XT
40
stretcher operates on a battery-powered,
hydraulic system which allows it to lift and
carry loads in excess of 600lbs. In addition to
improving patient safety, the hydraulic-lift
feature of the stretcher will undoubtedly save
the Paramedics of the AHA EMS Department
from potential injuries associated with using
a manual-lift stretcher.
The Athabasca Health Authority and the AHA
EMS Department have been handed an
important role in Emergency Preparedness for
Stony Rapids. Working with the Northern
Hamlet of Stony Rapids, RCMP, SERM, and
local Airlines, we have drafted a Disaster
Preparedness Plan, for in the event of any
potential aviation accident, natural disaster,
or mass casualty incident (MCI) which may
affect the local area and exceed the intended
capacity of the Athabasca Health Facility. All
groups involved have agreed to meet on a
regular basis to discuss and review the plans.
The AHA EMS Department is has been
Services
working on adding new equipment to our
current MCI cache, to make certain that we
can provide appropriate care to a large
number of victims in the event of a disaster.
Over the past year, the field of Paramedicine
has continued to develop and gain
recognition. Now more than ever, Paramedics
are being utilized in many different settings.
As the need for highly-trained medical staff
continues to grow, more and more
Paramedics will be utilized in front-line
healthcare in Hospitals, Medical clinics, Air
Medevac operations, Industrial and Mine
sites, as well as urban and rural Ambulance
Services. In a recent study done by Abacus
Data for the Saskatchewan Emergency
Medical Services Association (SEMSA), ‘nine
in ten respondents (89%) believed that
Paramedics are very important to
Saskatchewan’s Health Care System, similar to
Doctors (89%) and Nurses (88%). Paramedics
are clearly viewed as key actors in the
Province’s Health Care System.’ When
compared with Firefighters, Doctors, and
Nurses, three in four respondents (74%)
agreed that they have a lot of respect for
Paramedics, making Paramedics the most
highly respected medical professionals in
Saskatchewan.
As our profession continues to progress, and
our Scope of Practice continues to grow and
allow for more advanced skills, the AHA EMS
Department looks forward to providing
superior care to the Athabasca Basin.
Emergency Medevac Services Statistics
April 1, 2012 - March 31, 2013
Transwest Air Charters into AHF from:
Transwest Air Charters from AHF to:
Transwest Air Charters bypassing AHF:
HTV Trips into AHF from:
HTV Trips from AHF to:
Camsell Portage
4
Fond du Lac
42
Saskatoon
1
Uranium City
3
Other
3
Total
53
Prince Albert
43
Saskatoon
59
Total
102
FDL to Saskatoon
2
FDL to Prince Albert
9
Other to Prince Albert
1
Total
12
Black Lake Clinic
25
Black Lake Area
106
Stony Rapids SRAP
55
Stony Rapids Area
21
Treated w/o transport
2
Other
0
Total
209
Stony Rapids SRAP
102
Stony Rapids Area
7
Black Lake Area
4
Total
113
41
Pharmacy services to the Athabasca Health
Authority are provided by Rubicon
Pharmacies. Glen Booker, from Mayfair Drugs
in Saskatoon, provides the on site service to
the Authority, while Melfort Pharmasave
provides the prescription services to the
communities. Both locations are responsible
for information services and support to the
medical staff.
A pharmacist is making monthly visits to the
Athabasca Health Authority with the majority
Pharmacy Servi
42
of the time spent at the Athabasca Health
Facility, with visits to the communities
happening from Stony Rapids. The time
spent in the basin is a minimum of 40 hours a
month. The goal is to attend clinics at Black
Lake and Fond du Lac every other month and
Uranium City once a year. This year weather
and other circumstances prevented any visits
to Uranium City or Camsell Portage.
While onsite the pharmacist checks stock for
expired products, which are returned for
credit to AHA where able to, and to do audits
of narcotic medications. Unwanted
medications that have not been used by
patients are returned south where they are
shipped to a medical waste plant and are
disposed of in an environmentally friendly
manner. This is to prevent contamination of
our water and or soil, and improve human
and animal safety.
Medication reviews on patients are done
when a referral from a physician or a nurse is
received.
Work this year was completed on policies and
procedures with the goal of accreditation.
Further work on medication reconciliation
was completed, with MedRec upon admission
being fully implemented. Monthly audits
have confirmed rates of 70 to 90 %
adherence. The ultimate goal is 100%. We
have also started the next step and have
implemented MedRec upon discharge and
transfer. Work will continue in improving this
project.
A new formulary from Health Canada, for the
communities, has recently been adopted by
NITHA for the northern Saskatchewan nursing
stations. This has been implemented. We are
now using a warehouse in Prince Albert to
supply the stations and the Athabasca Health
Facility with medications. The large problem
of medication shortages that was affecting
the Canadian (and worldwide) market has
been largely rectified. This was a long period
of time that we had to make changes and try
to accommodate these shortages.
The pharmacist is also responsible for the
creation and upkeep of the formulary used at
the AHF. This is one of the products from the
Pharmacy and Therapeutics Committee, along
with the oversight of other initiatives such as
MedRec.
The use of a pharmacist as part of the health
care team helps to make it a true
collaborative practice.
Pharmacy Services: Pharmacist Hours by Facility
Month
Black Lake
Fond du Lac
Facility
Travel Time
Total Time
03/13
-
-
44
7
51
02/13
-
-
47
7
52
01/13
-
-
48
7
55
12/12
3
7
30
7
47
11/12
31
-
41
9
50
10/12
-
8
34
8
50
09/12
-
7
38
9
54
08/12
-
7
38
9
54
07/12
3
-
40
8
51
06/12
2
-
40
8
50
05/12
-
7
40
8
55
04/12
-
-
41
8
49
Pharmacy Services: Pharmacist Hours by Facility
Monthly Average Prescriptions
Black Lake
Fond du Lac
Stony Rapids
U City & CP
Total for AHA
Monthly Average of Prescirptions for 2009 - 2010
664
870
424
98
2056
Monthly Average of Prescirptions for 2010 - 2011
862
1000
477
104
2440
Monthly Average of Prescirptions for 2011 - 2012
914
1066
492
106
2578
Monthly Average of Prescirptions for 2012 - 2013
929
1106
509
110
2654
Percentage Increase 2011-2013
1.02
1.04
1.03
1.04
1.03
ces
Laboratory &
Diagnostic
Imaging
This past year our LAboratiry saw 305
inpatients, 1001outpatients and 2654 referred
in patients that were lab specimens sent to us
from clinics. Our diagnostic imaging
department saw a total of 1209 patients.
These numbers reflect increases in each area.
Our staffing changed slightly with the
addition of 2 new technicians.
We have recently replaced the BFT II
Coagulation Analyzer with a Hemachron
Signature Elite. This is an analyzer that is
used to determine patients clotting factor.
We have implemented the WinCIS system that
is used in combination with our PACS system
for viewing xrays on the provincial level.
This year we will be working with our IT
Services to introduce a Laboratory
Information System (LIS) which will allow
doctors to view lab results in offices
throughout the province.
3S Health will be introducing new
hematology analyzers this year and we look
forward to updating that area of our lab.
43
Partnerships
NORTHERN MEDICAL SERVICES
REPORT TO THE
ATHABASCA HEALTH AUTHORITY
APRIL 1, 2012 – MARCH 31, 2013
A. PHYSICIAN PLACEMENT / REGIONAL SERVICES
The itinerant model of care was fully staffed with Drs. N. Ayub, F. Habib, L. Huxtable, M. Urton, and K. Weese. Locum services
were provided by Drs. D. Archer, A. Grobler, J. Hanson, M. Lindsay, P. Manzini, A. Ng, D. Opper, and J. Steplewski. Refer to the
attached for a complete collation of the physician summary.
B. OUTLYING CLINICS
Regular local clinics continued in the Athabasca Health Facility, along with clinic days to the outpost nursing stations of Fond du
Lac twice per week on Mondays and Wednesdays, Black Lake twice per week on Tuesdays and Thursdays, and Uranium
City/Camsell Portage once per month, typically the third Friday of the month.
April 1, 20112 – March 31, 2013
Patient Activity:
No. of Clinics
Contracted Per
No. of
26-wks
Clinics Held
Average No.
of Patients
Per Clinic
Total No. of
Patients Seen
No. of
Home Visits
Black Lake (2/wk)
104
101
14
1413
1
Fond du Lac (2/wk)
104
93
14
1286
4
Uranium City
24
12
12
143
1
Camsell Portage
24
11
3
38
0
256
217
2880
5
Totals
Clinic Cancellations:
Black Lake:
1 - Statutory Holiday
Uranium City:
6 - Patient numbers did not justify more than one clinic per month
1 - Aboriginal Day
Camsell Portage: 1 - No patients
1 - Physician illness
6 - Patient numbers did not justify more than one clinic per month
Fond du Lac: 6 - Statutory Holiday
4 - Poor weather conditions
1 - Physician illness
44
ATHABASCA ITINERANT SPECIALIST CLINICS
C. TEACHING ACTIVITIES
JURSI’s, College of Medicine, Univ. of
Saskatchewan
April 9 – May 4, 2012: Jodi McNabb, Saskatoon
June 4-29, 2012: Nirosha Hoover, Saskatoon
October 1-26, 2012: Jean Mok, Regina
March 11-28, 2013: Leah Block, Regina
BL
FDL
UC
TOTAL
11
3
32
9
1
31
ENT
August 10/12
-Dr. D. Stevens
6
12
-Dr. L. Brewster
2
6
November 22/12- Dr. D. Stevens
4
17
8
-Dr. L. Brewster
3
7
2
12
- Dr. D. Stevens
3
11
6
20
May 4/12
4
10
6
20
July 20/12
3
March 1//13
Air transportation for JURSI rural rotations was
made possible with discounted fares arranged by
Dr. Tom Smith-Windsor, Associate Dean of Rural
and Medical Education, Univ. of Saskatchewan and
Mr. Jim Glass of Transwest Air, as well as funding
provided by the College of Medicine to support
medical students’ travel to the Athabasca for
mandatory rural rotations.
SR
Orthopedics - Dr. S. Martins
August 24/12
November 23/12
March 8/13
1
5
6
9
4
4
7
8
7
2
16
13
11
2
18
OB/GYN – Dr. E. Clark*
May 18/12
2
6
6
2
16
October 26/12
1
15
5
1
22
The efforts made by the physicians and the
Athabasca Health Authority staff to accommodate,
orientate and include the medical students are
greatly appreciated.
December 21/12
4
5
2
11
March 22/13
3
12
5
November 4/11
1
14
6
19
6
D. ITINERANT SPECIALIST CLINICS
Ultrasound - C. Jabusch
Pilot Orthopedic Clinics were initiated by Dr. S.
Martins, a Prince Albert-based specialist (former
NMS family physician), which were well received
and planning proceeded for Dr. Martins to provide
three clinics per fiscal period on an ongoing basis,
with additional clinics being supported if traveling
on existing specialist charters and if Dr. Martins’
schedule is able to accommodate.
February 24/12
1
21
21
1
26
April 27/12
3
9
6
18
May 18/12
1
8
7
16
June 29/12
3
6
7
July 20/12
4
1
7
August 24/11
2
3
8
September 27/12
4
7
8
October 26/12
3
6
6
15
November 23/12
7
6
6
19
December 21/12
4
10
January 25/13
5
6
11
February 22/13
1
8
8
17
March 8/13
3
9
3
15
March 22/13
1
7
5
13
78
246
168
TOTAL PATIENTS SEEN
16
2
14
13
1
20
14
22
18
510
**Dr. Eric Clark provides OB/GYN services at the Yutthé Dené Nakóhódí via
complimentary NMS charters, typically along with Ultrasound. These clinics
are not funded by the NMS provincial and federal budgets, patient data is
included in the above for statistical data purposes only.
Respectfully submitted,
Veronica McKinney P.R. Butt, MD CCFP(EM)
Medical Director
Northern Medical Services
University of Saskatchewan
404, 333 - 25th Street East
Saskatoon, SK S7K 0L4
45
Index to Finance
46
48
AHA Management Letter
49
Audited Financial Statements
50
Auditor’s Letter
51
Financial Statements
54
Notes to Financial Statements
Management Letter
The accompanying financial statements are the responsibility of
management and have been approved in principle by the Board of
Directors of the Athabasca Health Authority Inc. The financial
statements have been prepared in accordance with Canadian Generally
Accepted Accounting Principles and the Financial Reporting Guide
issued by Saskatchewan, Ministry of Health, and of necessity includes
some amounts that are based on estimates and judgments.
The Board of Directors carries out their responsibility for the financial
statements through the Senior Management Team, with whom they
review financial statements and report on regular basis. The
appointed auditor has full and open access to the Senior Management
Team. The Members of the Authority, as per Unanimous Members
Agreement, retain the authority to approve and the acceptance of the
Annual Audit.
Management maintains appropriate systems of internal control,
including policies and procedures, which provide reasonable assurance
that the Authority’s assets are safe guarded and the financial records
are relevant and reliable.
The appointed auditor conducts an independent audit of the financial
statements. His/her examination is conducted in accordance with
Canadian Generally Accepted Auditing Standards and includes tests
and other procedures, which allow him/her to report on the fairness of
the financial statements.
The payee disclosure lists of individuals who received $2,500 or more
for salaries, wages, honoraria and compensation for personal services
in available upon request from the Chief Executive Officer who may be
contacted by telephone at (306) 439-2200 or by email at
[email protected].
Jennifer Conley,
Chief Executive Officer
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AHA Staff
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Employees
Adam, Raelene
Adam, Tiffany
Augustine, Donalea
Boneleye, Bonnie
Boneleye, Crystal
Boneleye, Trevor
Buchanan, Wilma
Conley, Jennifer
Cook, Dora
Denechezhe, Marie
Dmyterko, Betty
Donard, Alphonse
Donard, Shirley
Echodh, Victor
Ettibar, Kathy
Eyford, Emil
Fern, Myrna
Friesen, Judith
Garinger, Marcie
Gazayou, Darlene
Gross, Rod
Hayter, Dwayne
Henney, Susan
Hermiston, Veronica
Hogan, Irene Jean
Hunsberger, Jessica
Leger, Candace
Lloyd, Jack
MacDonald, Cheyenne
MacDonald, Danielle
MacDonald, Doris
Macdonald, Elizabeth
McDonald, Irene
Mercredi, Brenda
Mercredi, Jennifer E.
Mercredi, Zinck, Rose
Michell, Ashley
Monias, Arvel
Osei, Bernice
Randhile, Mary Rose
Robillard, Francis
Robillard, Kathy
Robillard, Melvin
Robillard, Sheila
Robillard, Theresa
Sandypoint, Joe Paul
Sasakamoose Stephanie
Sayazie, Albert
Sayazie, Roberta
Sayazie. Elden
Seegerts, Florence
Sepp, Doris
Sha'Oullie, Mary
Throassie, Janet
Throassie, Sheena
Toutsaint, Jenny
Vandale, Vince
Yooya, Wanda
Contractors
Black, Deon
Blackstock, Paul
Boen, Angela
Case, Dana
Diamante, Angelita
Dupuis, Patti
Eckert, Arlene
Ewenv, Janice
Folden, Deanna
Garland, Chris
Germin, Kathleen
Gyimah, Priscilla
Hanson, Nita
Herle, Allyce
Hilario, Javier
Johnson, Lorraine
Johnson, Audrey
Korsberg, Merlyne
La Clare, Patrick
Larocque, Brandyn
Miller, JD
Murphy, Shelley
Nelson, Brad
Osei, Bernice
Proulx, Beverly
Schriemer, Otto
Van Oostdam, Joanna
Vangool, Adrianne
Willis, Diane
Willoughby, Teresa
Wlock, Jesse
Worth, Crystal
Young, Richard
AHA Locati ons
Athabasca Health Authority Inc.
Contact Person: Jennifer Conley - CEO
Box 124
Black Lake, SK
S0J 0H0
Phone: 1-306-439-2200
Fax:
1-306-439-2211
Email: [email protected]
Web:
www.athabascahealth.ca
Black Lake Clinic
Contact Person: Evelyn Throassie
Health Director
Box 124
Black Lake, SK
S0J 0H0
Phone: 1-306-284-2020
Fax:
1-306-284-2090
Email: [email protected]
Fond du Lac Clinic
Contact Person: Tammy Lidguerre
Health Director
Box 249
Fond du Lac, SK
S0J 0W0
Phone: 1-306-686-2003
Fax:
1-306-686-2145
Email: [email protected]
Uranium City
Contact Person: Dwayne Hayter
Nurse in Charge
General Delivery
Uranium City
S0J 2W0
Phone: 1-306-498-2412
Fax:
1-306-498-2577
Email: [email protected]
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Athabasca
Health
Authority
P.O. Box 124
Black Lake, SK S0J 0H0
Phone: (306) 439-2200
Fax:
(306) 439-2211
E-Mail: [email protected]
2 0 1 2 At habas c a H e alt h Au t hority A nnual Report
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