Sunday, March 12, 2017

#WeLiveInRussiaInAlberta---------January 13, 2015 Continuing Care Health Service Standards (CCHSS) Audit of the Good Samaritan Society Millwoods Centre, Alberta Health Quality Audit October 2014, AHS Quality Review 2014,independent consultant respiratory review report ----------I have yapped to the government of Alberta from 2014 to 2017. No response. This is transparent government for you. The Alberta FOIP office does not tell us if information is severed nor does the contact at Alberta Health. Apparently everything is hush hush in Alberta Health for a strange reason. I have also not been given the independent consultant respiratory review report for the Good Samaritan extended care at Millwoods for 2014. I was told I would get it and then when we FOIP it they refuse to give it to us for some odd reason. It's very difficult to get information I need so I am stuck with information I have to glean from medical records. I will also have to ask for more information from other folks like doctors-- who for some strange reason are also reluctant to hand over the medical files. I begin to think I live in Russia in Alberta. Why can't we have the data? Maybe because the data is something that government, public bodies like AHS and doctors don't want us to have? But doesn't the FOIP law say they have to give us the data in 30 days? This data is not conveniently "transitory" data as per the Carl Amrhein excuse to Shauna McHarg when he explained why AHS could not find the data she needed for her particular case. It's real data that has to be kept for years and handed over to folks when requested. But for some odd reason, the folks I ask for data don't want to give it up to me. I will think about the problems of data access, lack of transparency and what this means for citizens in Alberta. Right now I am not impressed with Rachel Notley and her crew. The cone of silence of the PCs is now the pyramid of silence of the NDPs.----#WeLiveInRussiaInAlberta-- The information I have: 1. 2015 Continuing Care Health Service Standards (CCHSS) Audit of the Good Samaritan Society Millwoods Centre, 2. 2015 Protection for Persons in Care reports x 2 3. Some medical files The information I do not have: 1. Alberta Health Quality Audit October 2014 2. Alberta Health Services Quality Review 2014 3. Good Samaritan Society Independent Consultant Report on Respiratory Services 4. Various Medical Files from doctors who are mysteriously reluctant to hand over data 5. A plain language document from the Grey Nuns Hospital explaining the down grade of my sister from long term care status to SL4 status (this request is tied up in a complaint at the Office of the Information and Privacy Commissioner).--

https://www.thestar.com/opinion/editorial_cartoon/2017/03/12/greg-perry-wheels-of-justice.html



Julie Ali feeling happy.
Just now
I was going to the Villa to check on Rebecca but I am too tuckered out. Sue called to see if she is OK and tomorrow I will go to the Villa Marguerite to see that she is on the BIPAP in the afternoon. Hopefully this stomach bug won't lead to further problems.
Right now I am in the part of the lawsuit information where I am reviewing the only audit that I was given by the folks at Alberta Health. This is the CCHSS audit. This Audit was done on January 13, 2015.
One section of the audit indicates the following:
January 13, 2015 Continuing Care Health Service Standards (CCHSS) Audit of the Good Samaritan Society Millwoods Centre.
1.13 Continuing Care Health Service Providers
(d) continued
Staff were lacking current education for caring for respiratory residents. Pandemic education was not completed. In conversation (with the educator) education is currently ongoing with the required changing needs of clients.
**************************
The CCHSS audit is very informative in that it indicated that AHS was also on the site:
1.18 Therapeutic Services
(b) Clients are assessed for therapeutic service needs during the assessment for individual care planning as outlined in standards 1.8 (d) to 1.8 (i)
AHS is currently assessing and assisting in evaluating client services for respiratory care.
Care plan do not address individual needs of respiratory clients.
(Respiratory consultation was happening the day of the audit (AHS))
******************************************
I didn't know that there were other audits because the folks at the FOIP office and at Alberta Health did not tell me about these other audits.
What other audits were done?
There was a Quality Audit by Alberta Health Quality Team done in October 2014. Then this was followed by the Continuing Care Health Service Standards (CCHSS) Audit of the Good Samaritan Society Millwoods Centre. This was done on January 13, 2015.
So there was about four months between the two audits. I was not given the first audit for mysterious reasons. When Sue e-mailed the Alberta Health contact in April 2015 and asked what information had been severed, she was told to go back to the FOIP Office. The Alberta FOIP office was unable to confirm if records were missing. Sue went back to the Alberta Health contact yet again and got no response.
We would not have found out about the Alberta Health Quality Audit except for the fact that I found about the audit from another source of information. I got the Protection for Persons in Care abuse reports on October 2, 2015 and from the two abuse investigations I find out that there was a Quality Audit done in October 2014. This audit was done "as a result of a number of complaints".
I also find out that there was work done by AHS as well. This was a Quality Review of 10 respiratory clients initiated by AHS. AHS apparently also assessed all clients after October 2014. Interesting. So where is all this AHS audit information?
I also am curious when the GOA folks got the training in place for staff at the facility. I go look at the PPIC report to find out. In October 2014, after the audit staff numbers were added to night shift but guess what? The training for the staff wasn't done until much later.
Training for staff not done until January 2015. Wow.
Respiratory training was done in March 2015 by a staff RT hired in December 2014 in association with Parkland Respiratory.
Even now I am not clear if the respiratory training requires compliance monitoring for the patients. Looks like the GOA does not mandate compliance monitoring in long term care-- as it does for the Alberta Health AADL program which operates in the community and in other continuing care settings such as the SL4 site where my sister is. If it does require compliance monitoring for respiratory patients in the long term care setting where are these regulatory documents?
It is odd that AADL requires that clients have an annual checkup with the data downloaded every 6 months with 70% compliance with a 4 hour standard or else they are not covered while folks in long term care are not held to the same requirements for oversight. I guess this is because in long term care, according to the letters I got from the GOA --the BIPAP equipment is provided by the long term care facility and not by AADL. So if this is the case, what are the requirements for compliance at long term care facilities for residents on BIPAP machines? If there are no compliance requirements then this is a problem in my opinion. A protocol to monitor compliance needs to be in place all through the continuing care system or does the GOA expect families to be the oversight and compliance monitoring body?
From the PPIC reports I get additional information about the respiratory program. The Parkland Respiratory Tech indicates the same problems that I had been yapping about such as where the heck is the medical oversight of the respiratory patients? The facility staff follow the doctor's orders and if there is no pulmonary specialist then who is in charge of setting up the requirements for the respiratory care plans? Without such assessments, how can respiratory care needs be met? And without an ongoing RT presence --who takes care of cleaning and maintaining of machines? The RT from Parkland indicates that there were many complaints from other clients so I am not the only who was yapping about problems.
So this is the sort of information that I have through the audit and the PPIC reports. This information is not complete. I don't have the Quality Audits and the AHS Quality review done in October 2014. I don't know why I have not been given them.
I have yapped to the government of Alberta from 2014 to 2017. No response. This is transparent government for you. The Alberta FOIP office does not tell us if information is severed nor does the contact at Alberta Health. Apparently everything is hush hush in Alberta Health for a strange reason.
I have also not been given the independent consultant respiratory review report for the Good Samaritan extended care at Millwoods for 2014. I was told I would get it and then when we FOIP it they refuse to give it to us for some odd reason.
It's very difficult to get information I need so I am stuck with information I have to glean from medical records. I will also have to ask for more information from other folks like doctors-- who for some strange reason are also reluctant to hand over the medical files. I begin to think I live in Russia in Alberta.
Why can't we have the data?
Maybe because the data is something that government, public bodies like AHS and doctors don't want us to have?
But doesn't the FOIP law say they have to give us the data in 30 days?
This data is not conveniently "transitory" data as per the Carl Amrhein excuse to Shauna McHarg when he explained why AHS could not find the data she needed for her particular case. It's real data that has to be kept for years and handed over to folks when requested. But for some odd reason, the folks I ask for data don't want to give it up to me.
I will think about the problems of data access, lack of transparency and what this means for citizens in Alberta. Right now I am not impressed with Rachel Notley and her crew. The cone of silence of the PCs is now the pyramid of silence of the NDPs.
But let me stay focused. I have Ruth Adria to focus on. She has been yapping for decades in Alberta and she has learned to keep asking for what she cannot get because government is not for the people. The people are for the people.








#WeLiveInRussiaInAlberta--
The information I have:
1. 2015 Continuing Care Health Service Standards (CCHSS) Audit of the Good Samaritan Society Millwoods Centre,
2. 2015 Protection for Persons in Care reports x 2
3. Some medical files
The information I do not have:
1. Alberta Health Quality Audit October 2014
2. Alberta Health Services Quality Review 2014
3. Good Samaritan Society Independent Consultant Report on Respiratory Services
4. Various Medical Files from doctors who are mysteriously reluctant to hand over data
5. A plain language document from the Grey Nuns Hospital explaining the down grade of my sister from long term care status to SL4 status (this request is tied up in a complaint at the Office of the Information and Privacy Commissioner).

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