TrueNav

Health system leader, RN, MBA. Founder and CEO of health and lifestyle logistics orchestration platform TrueNav. A rural Albertan living in Edmonton.

[Alberta Medical Association (AMA) @Albertadoctors]

You deserve an Emergency Medicine physician when you need one. Decisions to reform the health care system need to be informed by the physicians on the front lines. Tell your MLA informed reform matters. https://t.co/pAjmyVqP9B

[TrueNav @TrueNavYEG]

@JackieBee_16 @CarrieTait
I would question the data around “freeing up 175 beds through community care programs”. My sources are reporting an increase in median length of stay (LOS) for acute patients who are discharged to Continuing Care. This means there is less acute bed capacity, not more.
Pretty sure what their reporting is temporary and fudged ALC data “gains”.
I have receipts.
1.) ALC coding interpretation changed in late 2025/2026 to code acute stay convalescence days as acute vs. ALC. I was involved and we dropped ALC rates overnight by 13-20% and the number of acute patients increased by the same rate. Same patients were in the beds - no one extra was discharged. ALA leadership reported the “success” to ACA and the assumption was that ALC reduction = discharges. It did not.
2.) A small number of temp capacity beds were opened and filled. Gains lasted a week at best. Calgary gained two facilities as temp capacity, so their gains may be material, but again, once filled, there’s diminishing returns as routine turnover rate comes into effect. They were old facilities being decommissioned and sold. I’m unsure if they can keep this temp capacity open long-term.
3.) An “act of God” - we had 80-100 excess deaths the second and third week of January 2026 due to influenza outbreaks which created excess long term care capacity. This resulted in a one-time draw down in acute ALC waitlisted folks over a 5 week period into February 2026. Again, these gains were short-term and should not be counted as permanent capacity gains.

There’s science to this - Albertans are too smart to believe cherry-picked and fudged data. There are only two things to address this crisis. We need more beds, we need more healthcare workers. #abpoli #ableg @shoffmanAB @RajSherman @DShepYEG

[TrueNav @TrueNavYEG]

UCP pressure on health officials opened the door for alleged crime, not care.
Albertans deserve better. #Alberta #abpoli #AHS

[Carrie Tait @CarrieTait]

SCOOP: The RCMP is investigating fraud, breach of trust, and money laundering in connection with Alberta's health care procurement controversy, according to a letter filed in court
https://t.co/9j0942ZL23 w @tom_cardoso

[TrueNav @TrueNavYEG]

Update re: Acute Care Alberta purge today - A lot of people in one portfolio gone. No clarity on who is covering or who is next to get axed.
One official was fired after delivering a report card on hospitals. IMHO the acute capacity data likely did not support last weekend’s announcements re: flu season preparedness… strap in #Alberta this fall may be a rough ride. https://t.co/ZgOZ8mGGbL @TheBreakdownAB @cspotweet

[Alberta Fact Checker 🌈 @North_Resists]

Not only is that not a record high, it's about 1/7th of what we had per capita in the 80's

[TrueNav @TrueNavYEG]

I probably shouldn’t share, but he did cause an international incident during the Covid border exemption times… he demanded an exemption from CBSA for a private jet for an Alberta to Alaska railway investor meeting and the investor brought in a sketchy guest. They called me for the AB exemption very drunk from the private plane (which AB taxpayers likely covered) and CBSA did call and discuss… I relayed the request from the #ableg office.
After the meeting the “investor” flew to Vancouver to party instead of back to the USA & CBSA was SO PISSED the next day. They did not support the sketchy guest’s entry into Canada… no update if they eventually apprehended and deported but American border security was involved. Anyway, all the best to S.G. on his last day. He definitely made this incident a top 5 GoA memory for me!!

[TrueNav @TrueNavYEG]

@BrendaD2019 @TheBreakdownAB

[TrueNav @TrueNavYEG]

@ABShadow3 @JMeddings Her husband is a huge UCP donor and they gave her a Cardiac centre in Lethbridge. She’s bought & paid for.

[Jon Meddings @JMeddings]

We desperately need beds in AB.

We don't need our premier trying to fool us that we have them.

If we could even get back to the bed number we had in 2000 it would be a massive improvement.

GoA: set a goal and then get it done!

[TrueNav @TrueNavYEG]

Total wipeout at Acute Care Alberta. 8 senior leaders turfed. Unsure what the @UCPCaucus plan B is at this juncture… it’s not strategic to drop this much institutional knowledge all at once. #ableg #abpoli #Alberta @TheBreakdownAB @PfParks @RealTalkRJ @albertaNDP

[John F Kennedy JR @johnfkjuniorq]

🚨 BREAKING: Ontario Premier Doug Ford just canceled Elon Musk’s Starlink contract and banned all U.S. companies from government contracts in response to Trump’s economic war with Canada.

“It’s done, it’s gone,” Ford said. “We won’t award contracts to people who enable and encourage economic attacks on our province and our country.”

And just to be clear: “They only have President Trump to blame.”

So Trump starts a trade war, and now American businesses are getting locked out of Canada. This isn’t “tough negotiating”—this is our closest ally shutting the door on us while Trump pretends he’s “winning.”

MAGA wanted an economic war? Well, they just got one. And it’s American companies and workers who are about to feel the pain.
FOLLOW:@johnfkjuniorq

[TrueNav @TrueNavYEG]

This is going to be a tough flu season with only 1.5 beds/1000 Albertans. The amount of money wasted on restructuring could have gotten shovels in the ground on a meaningful number of acute beds. This is far too little, far too late. We’ll see how well these ideas from 5 years ago work to revive a failing system - IMO it’s too little too late.

[Parksy @PfParks]

Hey Alberta: is this incompetence or a full on intentional lie?

9003 Acute Care Spaces is NOWHERE near a record number for our prov

In the late 1980s we had 17,790 acute care spaces in hospitals (~12,000 acute care beds, +LTC beds)

1988: 7.4 beds/1000
2026: 1.5 beds/1000
1/2

[Jon Meddings @JMeddings]

Superb reporting on this. Kudos to Warren Thirsk for telling it like it is. "There is no more low hanging fruit."

We need to double medical/nursing enrolment yesterday. We need new hospitals.

No more obfuscation.

Edmonton Journal https://t.co/qgfrIHMFer via @edmontonjournal

[David Coletto @DavidColetto]

Reminder to political leaders in Alberta, Albertans were always more concerned about these issues than independence.

New polling from @abacusdataca out of Wednesday will signal a clear call to get back to work

[TrueNav @TrueNavYEG]

Is this true? Cardiac MRI is far superior for certain diagnostics than Echo… #alberta

[TrueNav @TrueNavYEG]

Nurse retention is poor nationally but Alberta is worse.
@UCPCaucus policies have caused disruptive change without addressing:
- frontline staffing shortages
- activity/population model-based increases to acute and continuing care funded beds

We need to immediately:
1.) train more nurses
2.) build more beds

#abpoli #ableg #yeg #yyc @PfParks @TheBreakdownAB @albertaNDP @progressivetory @UnitedNurses @AlbertaRNs @shoffmanAB

[Edmonton Journal @edmontonjournal]

Alberta nurses leaving profession as staffing contributes to longer ER waits: report https://t.co/QWnlrletHq

[TrueNav @TrueNavYEG]

@WogPogReal The wind in Edmonton went from zero to gusting at 117 km/hour within 60 seconds yesterday afternoon around 2:30, so it makes sense it hit Wainwright around 4pm. It could have just been a good old fashioned prairie grass fire with a freak wind system.

[TrueNav @TrueNavYEG]

This is a recycled idea. Triage Liaison physicians were put in place in Edmonton around 2009-2012, but then there were physician billing issues, so they were cut by that conservative government.
It’s an expensive bandaid, not a solution… and not great continuity of care with a handover from the physician in the waiting room to the guy on the inside. We just need more beds…
I do support as it does add one more Dr. per shift for now (if we can staff it) and is one more set of clinician eyes to help Triage RNs & EMS crews (working their asses off) monitor overcrowded waiting rooms and hallway download stretchers. @TheBreakdownAB

[TrueNav @TrueNavYEG]

Yes. Very hard to clear beds during a code orange when Continuing Care Homes (CCH) are at 98 to 99% occupancy with thousands on the waitlist. Nowhere to pull folks out to. In crisis, Edmonton historically has implemented protocols to enhance MIH (mobile integrated health) & NP coverage to pull back Continuing Care Home residents that are not finished acute treatment to their CCH bed… but ALA fired the Director in July 2026 who normally coordinated this with Facility Living NPs. Not sure if the new folks know what to do to get’r done, but they’re super good at handing out bloated UCP contracts and job titles.

[TrueNav @TrueNavYEG]

I’ve worked in Alberta healthcare’s emergency response on the government side and on the acute operations side clearing beds and as part of wildfire evacuation coordination within the last few years.
Burn trained critical care teams will be an asset, but I have complete faith in our Alberta emergency response and operations teams. Also, RNs and LPNs do advanced wound care everyday in acute care. One burn nurse can train many others on specific wound dressing practices during a shift & the skillsets translate.
What I see is:
1.) Paramedics and air and ground ambulances were sent efficiently. (Non-emergent transports would have been paused.)
2.) Code Orange was called at our trauma centres. The Alberta ICUs across Edmonton would have coordinated through our integrated operations centre, IOC, and RAAPID teams.
3.) ICU physicians with burn training will consult and support colleagues across emergency departments and other ICUs.
4.) Saskatoon burns unit stepped up. All critical care teams across Canada will mobilize if needed to get the injured the best care available.
Prayers for the injured, their families and the healthcare teams who will show up beside them today and walk alongside them through the hard journey of recovery.
@CBCNews @CTVNews @globeandmail @globalnews