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VOLUME 4, ISSUE 2  
 2021 

 

STAKEHOLDER  PERSPECTIVES 

Schneider N. Evolving business models in orthotics. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.3. 

https://doi.org/10.33137/cpoj.v4i2.35876 

This article has been invited and reviewed by Co-Editor-In-Chief, Dr. Silvia Ursula Raschke. 
English proofread by: Karin Ryan, M.A., B.Sc., P.T. 
Managing Editor: Dr. Hossein Gholizadeh 
 

SPECIAL ISSUE 

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Schneider N. Evolving business models in orthotics. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.3. https://doi.org/10.33137/cpoj.v4i2.35876 

 

 

 
STAKEHOLDER  PERSPECTIVES 

 

EVOLVING BUSINESS MODELS IN ORTHOTICS 

Schneider N. * 
 

Braceworks Custom Orthotics, 1-3500 24 Ave NW, Calgary, Alberta, Canada. 
 

 

 

 

  

 

 

 

 

 

 

INTRODUCTION 

Braceworks specializes in orthotic treatment for children 

with neuromuscular-skeletal disorders. The clinical practice 

of pediatric orthotics is informed by applied research and 

development (R&D). The clinic is located at the University 

of Calgary in the hub of the local medical/research 

community enabling ease of collaboration with the Schulich 

School of Engineering and the Alberta Children’s Hospital. 

In particular, Braceworks is engaged in developing an 

objective and quantifiable approach to the assessment and 

treatment of chest wall deformities. The current research is 

focused on Novel 3D imaging for chest wall anomalies: The 

early Calgary experience.1 This builds on previous research 

including The Calgary Protocol for bracing Pectus 

Carinatum: A Preliminary Report2 and Bracing of Pectus 

Carinatum: A Quantitative Analysis.3 Braceworks’ specific 

contributions to the research include clinical knowledge, 

insight and experience, recruitment of study participants, 

data collection and analysis, and direct and indirect funding. 

 

 

 

AADL was established in 1980 to assist Albertans with a 

long-term disability, chronic illness or terminal illness, in 

maintaining independence in their community through the 

provision of basic medical equipment and supplies to meet 

clinically assessed needs. Sustainable access to orthotic 

care in Alberta faces significant economic challenges. As 

presented at a meeting of the Alberta Association of 

Orthotists and Prosthetists (AAOP) by Dr. Philip Jacobs 

(May 17, 2001), these challenges include: a retail model of 

pricing of procedures that rewards Prosthetics at the 

expense of Orthotics, a shortage of skilled orthotists 

identified in the Canadian P&O demographic study 2011,4 a 

labour market distorted by a public sector premium for 

prosthetic and orthotic technicians5 and clinicians,6 and a 

lack of success of orthotists to mature into a licensed 

profession regulated under the Alberta Health Professions 

Act.7 

Pricing of Orthotic Procedures in Alberta 

The current AADL approved product lists – orthotics8 and 

prosthetics9 is loosely based upon the “Cost accounting 

manual–a step-by-step guide to an effective cost 

accounting system for the orthotic and prosthetic facility” 

developed by the American Orthotics and Prosthetics 

Association (AOPA), with AAOP making two significant 

 
OPEN  ACCESS Volume 4, Issue 2, Article No.3. 2021 

 

 

Journal Homepage: https://jps.library.utoronto.ca/index.php/cpoj/index 

 

ABSTRACT 

This submission provides an important historical context for understanding the current challenge 

facing the Orthotic and Prosthetic community in Alberta including Alberta Aids to Daily Living 

(AADL), Suppliers, and Providers: maintaining sustainable access to Orthotic care for people 

with mobility disorders in the face of declining real rates of reimbursement combined with 

increasing costs and a shortage of skilled Clinicians. Under the Canada Health Act, the federal 

government delegates responsibility for providing health care to the provinces. This delegation 

of responsibility to the provinces results in a degree of variability of funding of Orthotics and 

Prosthetics between provinces across the country. Funding of Orthotics and Prosthetics in 

Alberta is characterized by structural inequities that favour Prosthetics at the expense of 

Orthotics. To the extent that the structural inequities that exist in Alberta are related to 

governance by volunteer-run, non-profit organizations, they may be generalized to the Canadian 

experience. Finally, in a Call to Action a number of recommendations are made to address the 

challenge of sustainable access to Orthotic care in Alberta serving as a model for other provinces 

across Canada.   

CITATION 

Schneider N. Evolving business models in 

orthotics. Canadian Prosthetics & Orthotics 

Journal. 2021; Volume 4, Issue 2, No.3. 

https://doi.org/10.33137/cpoj.v4i2.35876 

KEYWORDS 

Health Economics, Orthotics, Business 

Models, Rehabilitation, Alberta Aids to Daily 

Living, Funding  

 

 

* CORRESPONDING AUTHOR 

Nancy Schneider,  

Braceworks Custom Orthotics, 1-3500 24 Ave NW, Calgary, Alberta, 
Canada. 
E-Mail: nancy@braceworks.ca 
ORCID ID: https://orcid.org/0000-0002-8441-4467 

Special Issue: Health Economics in Prosthetics & Orthotics 

https://doi.org/10.33137/cpoj.v4i2.35876
https://jps.library.utoronto.ca/index.php/cpoj/index
https://doi.org/10.33137/cpoj.v4i2.35876
mailto:nancy@braceworks.ca
https://orcid.org/0000-0002-8441-4467


 

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ISSN: 2561-987X 
EVOLVING BUSINESS MODELS IN ORTHOTICS   

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modifications to the AOPA cost accounting system upon 

implementation by AADL in 1991: 

1.AAOP discounted all the times to perform orthotic 

procedures in the AOPA cost accounting system by 

20%, as reported at an AAOP Meeting by Mr. David Moe 

(September 19, 2002).   

2.AAOP introduced a profit margin on material costs, 

and a profit margin that varied from component-to-

component. The original AOPA cost accounting system 

contains no profit margin on material costs.  

In 2001, AADL engaged Dr. Philip Jacobs representing the 

Institute of Health Economics of Edmonton to review the 

AAOP version of the “cost accounting system”. In his report, 

Dr. Jacobs concluded that the component-based formula 

was needlessly complex and contained some peculiar 

incentives related to markup on components. 

Dr. Jacobs proposed two new formulas intended to simplify 

the existing formula and remove the inequities that 

rewarded high component and low labour practices (i.e. 

prosthetics) at the expense of low component and high 

labour practices (i.e. orthotics). He proposed a service 

model based on times to perform procedures for Orthotics 

and a retail model based on markup on components for 

Prosthetics: 

Price = direct materials + (rate x time) 

In response to Dr. Jacob’s research, AAOP engaged 

Framework Partners Inc. of Calgary in October 2001 to 

review the AAOP version of the cost accounting system and 

Dr. Jacob’s proposed formulas while undertaking a 

comprehensive survey to update the times to perform 

procedures.  

It took considerable effort for all 28 Prosthetic and Orthotic 

Providers in Alberta to fully appreciate the shortcomings of 

the AAOP version of the AOPA’s cost accounting system in 

terms of inequity between disciplines and between 

procedures within the same discipline. This understanding 

was achieved through an exhaustive demonstration 

comparing the cost of procedures under the current formula 

with the cost of procedures under Dr. Jacobs’ proposed 

formulas. The report by Framework Partners Inc, presented 

to a meeting of AAOP by Mr. Gord Allen, MBA, (September 

19, 2002) validated Dr. Jacobs’ earlier conclusions and 

further reported that that this initial discount made has 

subsequently resulted in a differential in the effective hourly 

rate between prosthetics and orthotics that grew from 

14.54% in 1991 to 39.75% in 2002. 

Framework Partners successfully surveyed twenty-seven 

out of a total of 28 facilities in Alberta, for times to perform 

procedures for every procedure in the AADL Approved 

Product Lists - orthotics and prosthetics. The times to 

perform procedures were weighted based on the actual 

volume of procedures performed by each provider in the 

2000-2001 AADL benefit year. Working groups of Clinicians 

in Edmonton and Calgary reviewed and verified the average 

weighted times to perform every procedure. The new AADL 

Approved Product Lists - orthotics and prosthetics were 

presented in compliance with global budget revenue 

neutrality for 2000-2001, as required by AADL who 

generously contributed valuable consumption data to the 

exercise.  

Contrary to Dr. Jacobs’ recommendation for two separate 

formulas, and demonstrated in the Framework report, 

AAOP voted for a single, blended rate. Separate rates for 

prosthetics and orthotics, within global budget neutrality, 

involve simply reallocating the mark up on components in 

orthotics to the labour rate for a service model of pricing for 

orthotics. Blending the rate for prosthetics with the rate for 

orthotics retained the retail model of pricing. 

To the extent that the new retail oriented formula was based 

on thoroughly up-to-date times to perform procedures as of 

2002, the formula implemented by AADL in 2003 

represented an improvement over the previous retail model. 

While markups were not eliminated, they were corrected to 

at least narrow the differential in the effective hourly rate 

between prosthetics and orthotics: 

Price = (direct materials x markup) + shipping + (rate x 

time) 

The markup on components has increased since 2003, 

exclusive of a constant factor for rework, loss and handling 

charges, maintaining the retail model of pricing and 

perpetuating the inequity for Orthotics. 

Given that all prosthetists and orthotists have the same 

educational qualifications and must meet the same national 

standards for certification set out by the Orthotics 

Prosthetics Canada, orthotists deserve equal pay for work 

of equal value. 

Governance of AAOP 

In recognition of the findings of Dr. Jacob’s research later 

validated by Framework, AADL has on more than one 

occasion offered to implement separate applications of the 

AOPA Cost Accounting System for Prosthetics (i.e. retail 

model of pricing based on markup on components) and 

Orthotics (i.e. service model of pricing based on times to 

perform procedures). AAOP has declined these offers. 

In order to understand AAOP’s position with respect to 

maintaining a retail model for both disciplines, it may be 

helpful to review the Bylaws of the AAOP. According to its 

Bylaws AAOP is loosely constituted as a professional 

association representing individuals (i.e. Clinicians, 

Technicians and Associates). It is not a trade association 

with any authority to represent businesses (i.e. AADL 

Approved Prosthetic and Orthotic Suppliers). Since the 

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ISSN: 2561-987X 
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combined number of individual members of prosthetists, 

prosthetists-orthotists and related technicians and 

associates exceeds that of individual orthotists and related 

technicians and associates in AAOP, the prosthetic issues 

tend to drive the agenda. Hence, the outcome of the 

AAOP’s vote in favour of a single, blended rate in 2003 may 

reflect a bias.  

The aging of the baby boom population is a very well 

established demographic trend. This trend has created 

increased demand for orthotic services while 

simultaneously decreasing the supply of orthotists available 

to deliver these services as they retire and are not 

sufficiently replenished. According to the demographic 

study conducted by the Canadian Association of 

Prosthetists and Orthotists in 2011, 60% of clinicians at that 

time were aged 45 and older and, planning to retire between 

2021 and 2030.4 The majority of these clinicians 

represented small, owner-managed practices. Despite 

various studies,4,10 identifying the looming shortage of 

orthotists institutional inertia has failed to address the 

increased demand for Orthotists let alone met the other 

educational goal of graduate and post-graduate degrees to 

provide unbiased, peer-reviewed expertise. The economic 

impact of a lack of skilled orthotists creates challenges of 

succession planning for owner-managed practices to 

transition the knowledge, skills and experience required to 

maintain sustainable access to orthotic care. The net effect 

is that fewer and fewer older Orthotists are focusing their 

practices on smaller and more specialized segments of the 

market. In particular, lower limb and spinal orthoses.  

The governance practices of AAOP also appear to have 

limited orthotists in other ways. The Alberta Government 

offered to include prosthetists and orthotists under the 

Health Professions Act in 1996,6 on the condition of 

licensure as the minimum standard in Allied Health. Again, 

AAOP declined the offer from the Alberta Government. 

Prosthetists and orthotists remain unlicensed in Alberta 

(and every other jurisdiction in Canada). Certification is 

limited to public education. Licensure encompasses public 

education and extends beyond that to include public 

protection. Licensure is a pre-requisite to applying for 

access to Alberta Netcare, a valuable tool providing fast, 

secure and confidential access to provincial Electronic 

Health Records enabling communication between providers 

all along the patient’s continuum of care. 

Merle Taylor Formula: Public sector sets the standard 

for the private sector 

Total compensation for clinicians and technicians employed 

in the public sector is significantly higher than their 

counterparts employed in the private sector. Data for the 

public sector is derived directly from the Collective 

Agreements11 between the Health Sciences Association of 

Alberta (HSAA) and Alberta Health Services (AHS). Data for 

the private sector is based from Occupations in Alberta. 

Total compensation for clinicians in the public sector is 

currently $136,666.76 which is $31,859.52 or 23.3% more 

than in private sector (Table1). Total compensation for 

technicians in the public sector is currently $113,442.16 

which is $43,166.15 or 39.6% more than in the private 

sector (Table 2). 

Table 1: Comparison of total compensation for clinicians in the 

public and private sectors. 

 

Table 2: Comparison of Total Compensation for Technicians in the 

Public and Private Sectors. 

 

In recognition of the public sector premium, the Review of 

Orthotist and Prosthetics Business Arrangements by Merle 

Taylor Management Consultants commissioned by AADL 

recommended to a meeting of AAOP (June 10, 2008)  that: 

“Annual increases to the labour rate should be tied to the 

public sector P&O labour rate increases.”  

AADL adopted the public sector as the standard for the 

private sector in 2008 based on total compensation for 

senior clinicians and technicians defined as step 9 under the 

collective agreement. Equity with the public sector has been 

achieved only once, in 2012. Since then, clinicians and 

technicians in the private sector have not received equal 

pay for work of equal value compared with their 

counterparts in the public sector.  

given that all prosthetists and orthotists employed in the 

private and public sectors are required to have the same 

educational qualifications and must meet the same national 

standards for certification as set out by the orthotics 

prosthetics Canada, clinicians and technicians employed in 

the private and public sectors deserve equal pay for work of 

equal value. 

 
Public 
Sector 

Private 
Sector 

Public Sector Premium 

Salary     

Hourly $44.75 $31.71 $13.04 29.0% 

Annually $93,080.00 $65,961.34 $27,118.66 29.0% 

Benefits     

Mandatory $4,404.16 $4,314.67 $89,49 2.0% 

Non-
Mandatory 

$15,958.00 n/a $15,958.00 100.0% 

Total 
Compensation 

$113,442.16 $70,276.01 $43,166.15 39.6% 

 
Public 
Sector 

Private 
Sector 

Public Sector Premium 

Salary     

Hourly $54.46 $48.26 $6.20 11.4% 

Annually $113,275.95 $100,378.99 $12,896.96 11.4% 

Benefits     

Mandatory $4,470.81 $4,428.25 $42.56 1.0% 

Non-
Mandatory 

$18,920.00 n/a $18,920.00 100.0% 

Total 
Compensation 

$136,666.76 $104,807.24 $31,859.52 23.3% 

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ISSN: 2561-987X 
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CALL TO ACTION 

Prosthetics and orthotics in Alberta is characterized by long-

standing inequities between disciplines and, between public 

and private sectors. These inequities have had a serious 

negative impact on sustainable access to orthotic care for 

Albertans with chronic conditions. 

The inequity between orthotics and prosthetics is structural. 

It was imbedded into AAOP’s version of the AOPA cost 

accounting methodology in 1991 when AAOP discounted 

times to perform orthotic procedures by 20% and added a 

novel markup on components. This retail model of pricing 

has benefited prosthetics at the expense of orthotics for 20 

years. Despite AADL offers to maintain the existing retail 

model for prosthetics while creating a separate service 

model for orthotics, as recommended by independent 

researchers, AAOP has maintained the status quo.   

The inequity between the public and private sectors is the 

direct result of the public sector premium in Alberta, 

currently 23.3% for clinicians and 39.6% for technicians, 

and, AADL’s failure to implement and maintain the Merle 

Taylor formula correctly based on total compensation in the 

public sector. 

Sustainable access to orthotic care for Albertans depends 

on AADL, as the policy maker, working together with 

prosthetic and orthotic suppliers, to demonstrate their 

leadership to resolve these inequities. It is recommended 

that AADL build on their previous research by Dr. Philip 

Jacobs, independently validated by Framework Partners 

Inc., to: 

1.Engage a qualified consultant to implement and 

maintain a service model of pricing for orthotic 

procedures based on times to perform procedures 

according to the Merle Taylor formula including: 

a) The rate must be based on total compensation in 

the public sector derived directly from the Collective 

Agreement between the HSAA and AHS. 

b) A rigorous pricing review adjustment process 

including manufacturers suggested retail price 

provided directly by suppliers as the standard for 

pricing of components. Consistent sourcing of cost 

data direct from Suppliers will enable AADL to align 

prosthetics and orthotics with current practices in 

other benefit areas.  

2.Resolve the shortage of skilled orthotists by amending 

AADL policy OP-05: specialty assessors for prosthetic 

and orthotic benefits to recognize foreign trained 

graduates of the International Prosthetics and Orthotics 

Society’s (ISPO) category one programs as eligible to 

practice in Alberta. In the medium to longer-term, 

explore opportunities to address the educational void by 

developing a graduate program in collaboration with 

post-secondary institutions in Alberta with programs in 

kinesiology, biomedical engineering, physical medicine 

and rehabilitation, rehabilitation engineering and 

assistive technologies. 

3.Bring prosthetics and orthotics into alignment with the 

standard of allied health professions under the health 

professions act to enable them access to electronic 

health records under Alberta Netcare.  

4.Improve the efficiency and productivity of orthotists by 

reducing paper burden. Replace the cumbersome 

authorizations and claims process for services to 

existing devices with an adjustment to the cost of the 

device to include the cost of support and service of the 

device, particularly for clients aged 18 and under. 

ACKNOWLEDGEMENTS 

With thanks to Kim Van Gelderen, Data Analyst, for her contribution 

to calculating the total compensation and current public sector 

premiums for Clinicians and Technicians in Alberta.  

DECLARATION OF CONFLICTING 

INTERESTS 

As a key member, AADL agreements teams (2000 – 2013) 

including chair, AAOP steering committee – study of formula and 

fee schedule (2000–2003), Nancy has developed in-depth 

knowledge and experience with the economics of pricing of 

Orthotics and Prosthetics in Alberta including the granular data and 

pricing models. She has made a significant contribution to ensuring 

sustainable access to prosthetic and orthotic care for Albertans with 

disabilities. She successfully initiated the transition from a retail to 

a professional services model of pricing for orthotics, created 

generic codes to dramatically simplify fee schedules, and 

effectively changed the landscape to attract investment in 

biomechanical sciences and engineering research required to 

advance clinical practice. 

SOURCES OF SUPPORT 

Braceworks benefits from federal and provincial support under 

BioTalent Canada, MiTacs and IRAP to provide opportunities for 

young undergraduate and graduate students in Biomedical 

Engineering from the University of Calgary, University of Waterloo, 

University of British Columbia and Simon Fraser University to 

contribute to advancing The Calgary Protocol. 

REFERENCES 

1.Lam JYK, Ronsky J, Schneider M, Brindle M, Lopushinsky S, 

Schneider N, et al. Novel 3D imaging for chest wall anomalies: The 

early Calgary experience. Canadian association of paediatric 

surgeons, CAPS annual meeting, Banff AB October 2017.  

2.Kravarusic D, Dicken BJ, Dewar R, Harder J, Poncet P, 

Schneider M, et al. The Calgary protocol for bracing of pectus 

carinatum: a preliminary report. J Pediatr Surg. 2006;41(5):923-6. 

DOI: 10.1016/j.jpedsurg.2006.01.058 

3.Bugajski T, Murari K, Lopushinsky S, Schneider M, Ronsky J. 

Bracing of pectus carinatum: a quantitative analysis, J Pediatr Surg. 

2018;53(5):1014-1019. DOI: 10.1016/j.jpedsurg.2018.02.034  

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ISSN: 2561-987X 
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4.Blocka D, Tomorrow’s Forecast: 2011 Demographic Study on the 

P&O Profession in Canada, Alignment, 2018 

5.Occupations in Alberta, prosthetic and orthotic technicians 

[Internet]. [cited 2021 July 25]. Available from: 

https://alis.alberta.ca/occinfo/occupations-in-alberta/occupation-

profiles/prosthetic-and-orthotic-technician/ 

6.Occupations in Alberta, prosthetic and orthotic clinicians 

[Internet]. [cited 2021 July 25]. Available from: 

https://alis.alberta.ca/occinfo/occupations-in-alberta/occupation-

profiles/prosthetist-and-orthotist/ 

7.Alberta health professions act [Internet]. Alberta Queen’s Printer. 

2021; [cited 2021 July 25]. Available from: 

https://www.qp.alberta.ca/1266.cfm?page=H07.cfm&leg_type=Act

s&isbncln=9780779823130 

8.AADL approved product list – orthotic benefits, effective April 1, 

2019 [Internet]. [cited 2021 July 25]. Available from: 

https://open.alberta.ca/dataset/f3ab974d-8f09-4f45-8045-

2498f464c2e3/resource/63abb711-7fcd-4119-aecc-

9d23362034c7/download/aadl-manual-o-products-2019-04.pdf 

9.AADL approved product list – prosthetic benefits, effective April 

1, 2019 [Internet]. [cited 2021 July 25]. Available from: 

https://open.alberta.ca/dataset/f3ab974d-8f09-4f45-8045-

2498f464c2e3/resource/ac69cc5f-ed58-4a41-ae91-

1629b080e05c/download/aadl-manual-p-products-2019-04.pdf 

10.Raschke, S. The Future of Prosthetics & Orthotics as a 

profession: the greatest threat is . . . ? [Internet].  The O&P Edge. 

2002; [cited 2021 July 25]. Available from:  

https://opedge.com/Articles/ViewArticle/2002-08-01/2002-08_21 

11.Health science association of Alberta, collective agreements 

[Internet]. [cited 2021 July 25]. Available from: 

https://hsaa.ca/about-us/collective-agreements/ 

 

 

 

 

 

 

 

 

 

AUTHOR SCIENTIFIC BIOGRAPHY 

Braceworks is distinguished by 

expertise in pediatric clinical 

practice supported by full-time, 

professional management and 

product planning. Nancy 

Schneider BCom, Co-founder 

and CEO since 1996 is the 

operational manager leading a 

high performance team delivering 

capacity utilization rates that 

consistently exceed the industry 

standards while successfully diversifying into product development 

through applied research. 

 

 

 

 

https://doi.org/10.33137/cpoj.v4i2.35876
https://alis.alberta.ca/occinfo/occupations-in-alberta/occupation-profiles/prosthetic-and-orthotic-technician/
https://alis.alberta.ca/occinfo/occupations-in-alberta/occupation-profiles/prosthetic-and-orthotic-technician/
https://alis.alberta.ca/occinfo/occupations-in-alberta/occupation-profiles/prosthetist-and-orthotist/
https://alis.alberta.ca/occinfo/occupations-in-alberta/occupation-profiles/prosthetist-and-orthotist/
https://www.qp.alberta.ca/1266.cfm?page=H07.cfm&leg_type=Acts&isbncln=9780779823130
https://www.qp.alberta.ca/1266.cfm?page=H07.cfm&leg_type=Acts&isbncln=9780779823130
https://open.alberta.ca/dataset/f3ab974d-8f09-4f45-8045-2498f464c2e3/resource/63abb711-7fcd-4119-aecc-9d23362034c7/download/aadl-manual-o-products-2019-04.pdf
https://open.alberta.ca/dataset/f3ab974d-8f09-4f45-8045-2498f464c2e3/resource/63abb711-7fcd-4119-aecc-9d23362034c7/download/aadl-manual-o-products-2019-04.pdf
https://open.alberta.ca/dataset/f3ab974d-8f09-4f45-8045-2498f464c2e3/resource/63abb711-7fcd-4119-aecc-9d23362034c7/download/aadl-manual-o-products-2019-04.pdf
https://open.alberta.ca/dataset/f3ab974d-8f09-4f45-8045-2498f464c2e3/resource/ac69cc5f-ed58-4a41-ae91-1629b080e05c/download/aadl-manual-p-products-2019-04.pdf
https://open.alberta.ca/dataset/f3ab974d-8f09-4f45-8045-2498f464c2e3/resource/ac69cc5f-ed58-4a41-ae91-1629b080e05c/download/aadl-manual-p-products-2019-04.pdf
https://open.alberta.ca/dataset/f3ab974d-8f09-4f45-8045-2498f464c2e3/resource/ac69cc5f-ed58-4a41-ae91-1629b080e05c/download/aadl-manual-p-products-2019-04.pdf
https://opedge.com/Articles/ViewArticle/2002-08-01/2002-08_21
https://hsaa.ca/about-us/collective-agreements/

