Strategic Thoughts

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June 20, 2006

Emergency Room Reports

"We have received recently, and I'm sure we have received in the past, thoughtful and constructive suggestions from medical personnel across the province in relation to the emergency rooms in which they work. Most recently I received the planning document from, I believe, two doctors and a nurse who work at Royal Columbian Hospital. That report contained a number of, again, very thoughtful and constructive suggestions."
"The one passage which was of concern to me and of concern to my deputy was the reference to morbidity and mortality. We have been reviewing that suggestion with the Fraser Health Authority, with the Ministry of Health and with the Canadian Institute for Health Information."
"We have been unable to find any indication of accelerated morbidity, mortality as a consequence of conditions in ERs."
Minister of Health George Abbott, Hansard, April 27, 2006

Based on what the Minister told the Legislature, you might think it would be trivial for the staff in the Ministry of Health to pull from their records copies of emails or other correspondence with the Canadian Institute for Health Information with respect to any relationship between conditions in emergency rooms and morbidity or mortality. I was so interested in the Ministry's claim to have conducted such research that on April 28th I faxed a freedom of information request for any documents which might support the Minister's statement. On June 16th I received a letter dated June 12th, a day past the deadline for receiving a reply, in which an Acting Information and Privacy Officer for the Ministry notified me: "Due to the need for consultation with other public bodies regarding your request, we are unable to respond to your request within the regular legislated time limit of 30 days." The letter didn't state whether the other public body was the Premier's issue management team, and it would probably be a waste of time to try to find out who is being consulted. The new deadline for a response is July 26, 2006, when, if past experience is any guide, there will probably be another excuse for not providing any documents and perhaps extending the time limit. Eventually I will probably have to appeal to the Office of the Commissioner, which will further extend time limits. Failure to provide documents that substantiate what Abbott said in the Legislature could lead to questions, and possibly review by a legislative committee, on whether he misled the Legislature. It will take time, something people in overcrowded emergency rooms don't have, but Abbott cannot escape accountability.

 

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