Quick Facts, Questions & Answers

Quick Facts

Over the last three years, over 60% of visits to emergency rooms are considered “non- or less urgent”.
Source: New Brunswick Medical Society
In the past 15 years, New Brunswick’s population over 65 years of age has grown by 50.4%.
Source: Statistics Canada Census 2001-2016
In 2014, 61.6% of New Brunswick citizens reported that a health professional had diagnosed them or treated them for at least one of twelve select chronic health conditions.
Source: New Brunswick Health Council
In the past six years, Ambulance New Brunswick has experienced a 21.9% increase in annual call volume.
Source: Ambulance New Brunswick

What are we announcing?

Today, Ambulance New Brunswick and the Extra-Mural Program operate independently. Each organization is fully staffed with experienced, dedicated professionals with solid track records of providing important services to New Brunswickers. These services must work closely together to ensure New Brunswick can meet the health care needs of an aging population, which include increasing rates of chronic conditions that are often better managed in patients’ homes and communities than in hospitals.

A transformational partnership between Medavie Health Services and the Government of New Brunswick will see Ambulance New Brunswick and the Extra-Mural Program integrated under a single organization managed by Medavie Health Services New Brunswick (MHSNB), an organization of Medavie Health Services. Working with primary health care providers, these services will be able to identify patients who can benefit from their services and help them manage their health.

Why was this partnership created?

The time has come for new ideas. Health care needs have evolved, and many of the challenges facing Canada’s health care system—aging populations, increasing rates of chronic disease, and others—are particularly prevalent in New Brunswick. By taking the services already in place and enabling them to work more closely together, we are confident there is a real opportunity to improve how health care works in this province and position New Brunswick as a leading example of coordinated care.

Medavie Health Services has a proven track record of delivering innovative models of primary health care in other jurisdictions, and with roots in New Brunswick dating back to close to 75 years, this not-for-profit health services organization has also successfully been managing Ambulance New Brunswick since 2007.

What are the benefits of the proposed model?


This new model  is an opportunity for New Brunswick to become a leader in the country in the delivery of community and home-based health care,  and will allow for more focus and emphasis on the services of the Extra-Mural Program; best practices and standardization; and technology solutions to maintain and increase excellence of care and patient experience. 

Our belief is that the amalgamation of these services under a single umbrella will promote innovation in the delivery of primary health care in the province and will:

  • Improve access to primary health care;
  • Reduce use of acute care facilities for conditions that can be managed in the community;
  • Reduce visits to Emergency Rooms and walk-in clinics; and
  • Improve patient and provider satisfaction.

When will this new model take effect?

The transition to an integrated primary health care model won’t take place overnight. Initially, you will see little change in day-to-day operations and EMP will remain the responsibility of the Regional Health Authorities. Gradually, management of the EMP service will be shifted to Medavie Health Services New Brunswick (MHSNB), an organization under the Medavie Health Services umbrella.  We will provide updates as the transition progresses.

What can patients expect to see?

Those who can benefit from primary health care services delivered by the Extra-Mural Program can expect to experience more coordinated care to help them manage their health conditions, which we are confident, will lead to better health outcomes.

What is the difference between “Primary” and “Acute” Health Care?

Acute care focuses on short or medium term health care for injuries, illnesses, or urgent medical conditions. Examples of receiving acute care include visiting the emergency department or a walk-in clinic.

Primary care focuses on day-to-day health care needs and management of health conditions that patients may live with but do not require urgent treatment. Examples of receiving primary care include visiting your family physician or receiving visits in your home from a nurse practitioner.

How does this partnership between the Government of New Brunswick and Medavie Health Services work?

This partnership integrates an innovative, not-for-profit health solutions organization (Medavie Health Services) with the strong foundation that already exists in New Brunswick’s public health system (the Government of New Brunswick).

The Government of New Brunswick will continue to fund and oversee ANB and EMP like it does today. Patients will receive the same or enhanced continuity of care than they expect today.

MHSNB will be directly accountable to the New Brunswick Department of Health and, more importantly, the people of New Brunswick. MHSNB will be responsible for the optimal operation and management of the Part III.

Will the Part III entity comply with the Official Languages Act?

Just like it does today with Ambulance New Brunswick, the Part III Entity will comply with the Official Languages Act. Services will continue to be provided in the official language of choice for both the patient and their health care provider.