Patient Medical Home Steering Committee

Patient Medical Home is becoming a reality in Oceanside. After a successful meeting on Feb.7th, we have been able to move ahead with a small steering committee who will guide this work moving forward.

We need a few more GP's to join the small committee. You will be the steering hand to position us and our PMH program in Oceanside to take full advantage of additional funding coming from the Ministry.

If you were not able to make that event and are interested in helping shape PMH here, please get in touch with Tina Biello before Feb.21 at tbiello@divisionsbc.ca.  You can also have a look at the document produced from the group discussions at the last implementation plan meeting here.

GST And how it applies to you as a Physician

I wanted to take an the opportunity to introduce myself, my colleague Steve Majoros and our firm. Our firm prepares the audit for the Oceanside Division of Family Practice. We work with a number of other Division’s on the Island which is how we came to work with the Oceanside Division.

We have offices in Courtenay and in Campbell River. Steve Majoros, a CPA, CA in our office who performs the audit is married to a family physician and together they run a local clinic in Campbell River with another doctor so he is very familiar with the world of family physicians and doctors in general.

One item that we are receiving a lot of questions on from our clients who are physicians as well as from other Divisions is on GST for on call fees (Doctor of the Day) and Block and Annual fees.

We prepared the attached document that summarizes the questions and answers to them for physicians and the Divisions. Please feel free to distribute it to the physicians or keep it on hand should anyone ask about it.

Please do not hesitate to give me a call should you have any questions about the attachment or anything else at all.

Derek M. Lamb, CPA, CA
derek@cnbcpa.ca
Phone: (250) 286-0744
Fax: (250) 286-1067
www.cnbcpa.ca

HIV Pre-Exposure Prophylaxis Available in BC

As of January 1st, 2018 in British Columbia, treatment for HIV pre-exposure prophylaxis (PrEP)(tenofovir/emtricitabine) is available at no cost through the BC Centre for Excellence in HIV/AIDS (BC-CfE)

Drug Treatment Program to qualifying clients deemed clinically at risk of HIV infection.

We ofer the following resources to make it easier for you to assess clients and provide them with information,prescribe PrEP, and manage their care:

GUIDELINE/FORMS

Guidance for the Use of PrEP for the Prevention of HIV Acquisition in British Columbia
(http://www.cfenet.ubc.ca/hiv-pre-exposure-prophylaxis-prep)

PrEP enrolment and prescription request form, PrEP patient information sheet, and patient instructions for obtaining PrEP are available at the BC-CfE website under the PrEP tab
(http://www.cfenet.ubc.ca/hiv-pre-exposure-prophylaxis-prep/documents)

PHONE SUPPORT LINES FOR INFORMATION REGARDING PrEP, PEP ACCESS & MONITORING:

• RACE (Rapid Access to Consultative Expertise) Line: 604-696-2131 or 1-877-696-2131, (Monday-Friday, 8am-5pm)
• REACH (Rapid Expert Advice and Consultation for HIV): 604-681-5748 or 1-800-665-7677, (24 hours a day, 7 days a week)
• St. Paul’s Hospital Pharmacy PrEP line: 1-800-547-3622 (extension 5) (Monday-Friday, 8am-5pm)

EDUCATIONAL EVENTS

BC-CfE Webinar
Getting Prepped for PrEP! All you need to know about Accessing HIV Pre-Exposure Prophylaxis in BC. Tis webinar will cover:
• Principles of PrEP
• Eligibility, monitoring, and access in BC
• Community experience and perspective regarding PrEP

Date: March 14th; 8-9am

Tis Group Learning program has been certifed by the College of Family Physicians of Canada and the BC Chapter for up to 1 Mainpro+ credit. For updates and registration information, subscribe to BC-CfE Education and Training:
(http://www.cfenet.ubc.ca/subscribe)

HIV Prevention Online Course
Tis course ofers up-to-date knowledge on the use of HIV pre- and post-exposure chemoprophylaxis for HIV prevention. Te course is informed by new BC-CfE pre- and post-exposure prophylaxis guidelines and will ofer new skills and knowledge applicable to clinical practice and quality patient care.
Tis Self-Learning program has been certifed by the College of Family Physicians of Canada for up to 7.0 Mainpro+ certifed credits. Visit the BC-CfE Education and Training Website to register:
(https://education.cfenet.ubc.ca/online-courses/)

Have the 2018 BC Outpatient Lab Form (and all future forms) released in EMR formats

Dr. Ian Bekker (PCI wg) has created a petition for GPs to have the 2018 BC Lab Outpatient Form and all future forms released in EMR format.  His goal is 1,000 signatures.  You can read more and sign the petition here:

http://chn.ge/2n1R0Nb

Also for their interest, the PCI working group also has IT related video resources for physicians at:  https://www.youtube.com/playlist?list=PLAWTWe0JNCdGw8HuRR-t2OP4w7TG_BPKy

Invitation to Collaborate with Community Health Services

The Oceanside Community Health Services (CHS) team is interested in providing more support by collaborating with our local Primary Care Providers (PCP) and inviting them to engage with our team at our Chronic Complex Rounds (CCR).

Chronic Complex Rounds case conferences and care plans for patients who:
 Have 3 or more chronic diseases
 Are in need of “out of the box” or unusual solutions
 Have complexities with family support/lack of support
 Despite continued intervention, are continue to experience challenges

The team:
Community Health Service members including: Rehab Services, Social Work, Case Manager, Mental Health Substance Use, Seniors, Home Support, Dietitian Education Centre

OHC Community Team Commitment:
CCR occurs each Wednesday from 0915 – 1100 at OHC
How you can participate:
 PCP will be invited to participate in person or by teleconference using MSP billing code
14077
 If PCP is unable to attend, a fax will be sent advising of updates to community care plan
 Notice will be provided to the MOAs two weeks in advance wherever possible

*PLEASE CALL CHERYL RIKELY (MANAGER, COMMUNITY HEALTH SERVICES AND MHSU) IF YOU HAVE ANY QUESTIONS; 250-951-9550 x38059.

Talk and Wine for Women's Health

Dr. Kristi Kyle, OB/GYN is inviting GPs from Nanaimo, Oceanside, and Cowichan Valley to an evening of wine and appies to learn about new options for women’s health at the Nanaimo Golf Course on March 13th, from 5:30-7:30pm.  RSVP is to Dr. Kyle directly at drkristikyle@shaw.ca by March 7th.  

"Come spend the evening talking with your colleagues and learn a few things about new options for women’s health in Nanaimo. There will be plenty of wine, appy’s and lots of time to socialize. A BRIEF presentation will occur outlining some new options in Nanaimo. This will include immediate postpartum IUD, pelvic floor physio, Novasure, Fibristal and Duavive.  Members of your local OB/GYN team (including OB GP’s), as well as pelvic floor physiotherapists will be there to answer any clinical questions you may have."

Access to Telephone Interpreters for Oceanside GPs

The Oceanside Division of Family Practice is part of a pilot project beginning October 1st, 2017 for GPs in the Division.  The service will give members of the division access to on-demand phone interpreting services.

Our toll free number and access information are:
TFN: 1 844 350 8224
Access Code: 3899

Please see and print the following resources:
Quick reference access card,
List of languages,
Point-to-Language card
FAQs,

Should you have any compliments or complaints about the service, please email us at PLSQualityAssurance@phsa.ca

Shredding at the Chamber March 1!!

The Qualicum Beach Chamber of Commerce has arranged for a mobile shredding service to visit Qualicum Beach.  Get out those old files, bring them in banker's boxes to the Qualicum Beach Chamber of Commerce by Tuesday, February 27th and we will store them until March 1 when they will be shredded on-site. Your confidentiality is important. Boxes will be securely locked away prior to shredding.
 
Cost for full and partial boxes:
Chamber Members - $9.00/bankers box 
Non-members - $10.00/bankers box
 
Please call the Chamber at 250.752.0960 for more information and to reserve a space in the shredding truck. First come - first served!

Cycle of Life Tour - Oceanside Hospice Wheelers

This year 10 of us are riding in the 200km bicycle tour to raise funds for Oceanside Hospice. The tour is organized by the Victoria Hospice for the benefit of all island hospices. Our team, Oceanside Hospice Wheelers, aims to raise at least $10,000 and are now just over $5000.

Hospice provides an important community service, as you know, and is largely funded by fund raising and grants. Donations are happily received!

http://www.cycleoflifetour.ca/

Regards
Jim Dimmick, MD, retired
250-240-2281

Oceanside Hospice Society Services

Oceanside Hospice Society offers compassionate, supportive care to individuals and families who are facing advanced illness, death and bereavement.

Services include:

• Equipment Loan – A variety of medical equipment to allow palliative clients to say comfortable in their own home.
• Palliative Vigils – Volunteers are able to sit with individuals in long term care facilities.
• One on one companioning – Trained volunteers who can lend an ear during challenging times.
• Respite – Trained volunteers can sit with you while you run an errand.
• Grief Counselling -  A registered clinical counsellor to help deal with more complicated grief.
• End of Life Support Group – Four week program for clients facing their own terminal illness.
• Caregiver Support Group – For caregivers of Palliative clients.
• Walking Group – A time to walk and talk at a relaxed pace with others who are grieving.
• New Beginnings - For those who have lost a spouse within the last year.
• Self-Care Fridays – Healing touch and Reiki from volunteers with specialized training.
• Mindfulness Meditation – Open to caregivers, palliative and bereaved clients.

All services are offered at no cost and are available at the office/resource center, located at 210 Crescent Road West in Qualicum Beach. We service residents from Bowser to Nanoose Bay, please call our client services coordinator at 250.752.6227 to register or for more information.

With many thanks,
Julie

Julie Chambers
EXECUTIVE DIRECTOR
Oceanside Hospice Society
210 Crescent Road West
Qualicum Beach, BC  V9K 1J9

Divisions Dispatch

View the latest Divisions Dispatch here

Inside the February 5, 2018 issue

Read this issue

1. PMH/PCN Update
2. GPSC assigns regional physician representatives
3. New sessional rates effective February 1, 2018 and April 1, 2018
4. Government announces funding to address overdose crisis at the community level
5. PMH practice assessment event provides valuable GP engagement opportunity
6. Innovative ways divisions are getting to “yes” on Section 41
7. Interdisciplinary model supports patients and providers
8. Checkbox surveys update
9. Doctors of BC 2018 annual general meeting
10. Free CME opportunity: Toolkit to assess and manage violence risk
11. Apply today for the Clinician Quality Academy
    BC Cancer and Perinatal Services BC seek physician feedback
12. Subscribe to Patients as Partners monthly bulletin
13. Partner publications
14. Divisions in the News

GPSC Summary

Please find the December GPSC meeting summary here. 

As always, the GPSC would like to hear from you. If you have any comments or questions, please connect with your GPSC/Community Liaison or through gpsc@doctorsofbc.ca.

Divisions in the News

See what is going on in other divisions around BC:

https://www.divisionsbc.ca/provincial/inthenews