Voting of Board Executive for Coming Year

At  the October Board of Director's meeting it was decided that for the coming year Dr. Mark Morris and Dr. Gina Bell will be Board co-Chairs with Dr. Kevin Letcher filling the Treasurer role. Dr. Clair Biglow and NP Rosemary Graham will stay on as Board advisors.

Congratulations to the new Board executive.

Potential Partnership Between Oceanside and Port Alberni

Dear Oceanside Division members;

The Oceanside Division of Family Practice Board of Directors is pleased to report that we have started the process of discussing potential partnership with Port Alberni family doctors. In the late summer of 2018, the Board began a conversation between the Port Alberni family doctors, Doctors of BC and ODFP to explore the opportunity of aligning as one Division.

We are at the very beginning of these discussions and we wanted our members to be informed at the start. It is hoped that this future partnership would offer potential for increased organizational strength and sustainability along with program and service efficiencies and scalability, to include the potential of increased influence of local family doctors gained through information and knowledge sharing and the strengthening regional partnerships.
This trend is happening within divisions across the province.
This is a very exciting opportunity for both organizations, our members and our staff. Our greatest assets have always been our members and our communities, and by joining forces, we can make a huge increase in the quality of those assets.

Should we go ahead, this would be an alliance of two highly compatible organizations. Both organizations hold similar Vancouver Island values and community patient focus.

The ODFP Board is optimistic that with deeper exploration of our commonalities and good planning that this opportunity will enhance both organizations going forward. We are committed to communicating with our membership at every step of these negotiations. We anticipate hosting a member meeting regarding this subject in October. Please watch your newsletter for more information.

If you have any feedback or questions do not hesitate to contact Evelyn Clark, our Executive Director, at 250-703-6159 or eclark@divisonsbc.ca.

Sincerely

Drs Clair Biglow and Gina Bell
Co-chairs
Oceanside Division of Family Practice

Canadian Society of Addiction Medicine (CSAM) - 1 Day Fundamentals of Addiction Course

What:    Attend Canadian Society of Addiction Medicine (CSAM)  – 1 Day Fundamentals of Addiction              Course (approx. 7 mainpro+ credits)
When:   Sunday October 28th 2018 8:30am-4:30pm
Where:  Fairmont Hotel, Downtown Vancouver

Funding Details: Limited amount of funding from Island Health to reimburse course cost ($320) + reasonable travel expenses as per Island Health policy

Dr Ramm Hering, Island Health Director of Addiction Medicine, invites Division of Family Practice members from across Vancouver Island to attend the CSAM’s 1 day course on screening, assessment, diagnosis and treatment of alcohol and substance use disorders.

This is an ideal introductory course for all Family Physicians interested in providing care to their patients suffering from Substance Use Disorders and provides an opportunity to connect with colleagues in the field to support building an Island-wide addictions community and network.

If you are interested in this opportunity, Division members should:
Email Amanda Chapman Amanda.chapman@viha.ca for funding approval
Once approved you will be given information on course registration and travel reimbursement procedure

Course outline below:
Sunday, October 28, 2018
8:30-16:30
FUNDAMENTALS OF ADDICTION MEDICINE  Waddington Room

8:30 - Welcome
8:35-9:25 - Models of Disease/Psychological Aspects of Addiction Medicine
                   Dr. Launette Rieb

9:30-10:20 - Alcohol Use Disorders & SBIRT
                     Dr. Ron Fraser

10:20-10:35 - BREAK

10:35-11:25 - Opioid Use Disorders
                       Dr. Alex Chan

11:30-12:00 - Office-based Practice tips
                       Dr. John Koehn

12:00-12:15 - Role Play / Q&A

12:15 – 1:15 - LUNCH

1:15-1:30 - Stimulant Use Disorders
                   Dr. John Koehn

1:35-2:10 - Benzodiazepine Disorders
                   Dr. Larina Reyes-Smith

2:15-3:00 - Concurrent Disorders
                   Dr. Pouya Azar
3:00-3:15 - BREAK

3:15-4:00 - Cannabis Use Disorders
                   Dr. Nick Mathew

4:00-4:30 - Round table

4:30 - Wrap up

More details about the conference can be found here 

If you are interested in addiction medicine education but can’t make this event, please consider the free online Addiction Medicine training from the BC Center on Substance Use by clicking here 

November 13th Membership Meeting

On behalf of the ODFP Board of Directors, you are invited to participate in the conversation regarding a potential merger/amalgamation between the Oceanside and Port Alberni Divisions of Family Practice.
There will also be information about the new Societies Act and an opportunity to provide input on the appointment of community members to the ODFP Board for the coming year.
Meeting details:
Date:        Tuesday, November 13th
Location:  TBD. More information to follow.
Time:         6-9 pm
Dinner will be served.
For dietary requirements/requests and to confirm your attendance, please contact Jill at oceansideadmin@divisionsbc.ca by November 5th.
The meeting is open to all Division members. We look forward to seeing you there.

MOVED: Dr. Menezes, General Surgeon has relocated to Sechelt

Dr. Menezes, General Surgeon (@ Protea Clinic) moved to Sechelt

Patients who are willing to travel to Sechelt, particularly in the short term for surgery, may still be accomodated. 
Otherwise, please do not send any more referrals to Dr. Menezes.
Dr. A. Menezes Surgical Corp.
Box 82, Sechelt BC V0N 3AO
Clinic address : Cowrie Medical Clinic; 5699 Cowrie Street. Sechelt
Phone: 604-741-9200
Fax: 604-756-5008
Cell: 2507355171

Changes at ODFP

Just a note to let you all know that Carly Mann, Coordinator of Residential Care Initiative has forwarded her resignation from her position effective October 26.
Carly has taken a full-time Change Management position with Island Health. We wish her the best in her adventure.
Carly has been a greater asset to our organization and has left the RCI Coordinator position in very good shape – thank you Carly.

Locums Required for October & November

Dr. Richard Henderson
October 29-November 2, 2018
EMR: Osler
Memorial Avenue Clinic
Please contact Sharon Todd at 250-937-0611

Dr. Pieter Swart
November 19-23, 2018
EMR: Optimed/Accuro
Protea Clinic
Please phone: 250-752-3284

PMH Update regarding Physician Networks

Network supports are systems focused on care and/or common practices currently supported by the Oceanside family practice community. Tools and resources will be explored to support initial networks of care (outlined by ODFP members) and be used as a foundation for the development of future networks as they emerge.

Further to our member event that was held at the end of September, two networks were identified as priorities to start this process moving forward. They are:

• Palliative Care Network 
• MOA Network

Please stay tuned as we make progress in these two areas and reach out to members moving forward.

Tina Biello
Project Manager, Patient Medical Home

Long Term Care Policy Changes Information for Primary Care Physicians

On December 1, 2018 a new Ministry of Health policy regarding access to long term care homes will come into effect across Island Health.

Key Points:

• Patients can select up to three preferred long term care homes and will wait for a bed to become available at one of those locations.

• Admission to hospital to await placement no longer reduces wait time.

• Beds will be allocated to patients in order of waitlist date and preference.

• Patients in hospital as well as those at very high risk in the community may be offered an Interim bed while they wait for their preferred facility.

• Case managers will continue to collaborate with primary care physicians regarding care planning for their patients.

Full details of the changes and implementation plan are outlined on the second page of this document.

For further information regarding these changes or for discussion/questions, please contact Caitlin Davies, Project Manager – Residential Access Implementation, Island Health at caitlin.davies@viha.ca or (250) 480-9506.

Details of Key Changes

• Elimination of the First Appropriate Bed policy: Patients can select up to three preferred long term care homes and will wait for a bed in one of those locations. They will no longer be required to accept the first appropriate bed available in their health service area.

• Introduction of the term “interim bed”: Beds in other long term care homes will be offered as an interim admission solution until admission at the patient’s preferred long term care home is possible. Patients in hospital who are unable to return to the community to wait, as well as those at very high-risk in the community, may be offered an interim bed if their preferred long term care home is not available. Patients who accept an interim bed will remain on the waitlist for their preferred long term care home(s) and will not experience any reduction of priority as a result of accepting an interim bed.

• Bed allocation based on length of time waiting: Beds will be allocated to patients in order of waitlist date and preference.
• Discharge home from hospital to await a long term care home: Hospital and Community Health Services teams are working together to ensure all patients who can be safely discharged return to the community for assessment and wait listing. Due to the new requirements for bed allocation based on waitlist date only, individuals waiting for a long term care home bed from the community can expect wait times equivalent to those waiting in hospital. Admission to hospital to await placement no longer reduces wait time.

• Improved information regarding specific long term care homes: Patients and families will be able to make informed decisions regarding which long term care home(s) to choose. Patients and families will not be required to accept a non-preferred facility, and can always choose alternate care options to manage their needs while they continue to wait for their preferred long term care home.

• Changes to determination of capability to provide informed consent are not changing at this time. Implementation of the consent requirements as a result of Section 3 of HCCCFAA are anticipated in the spring 2019 and will be implemented at that time. Physicians will receive additional information regarding determination of capability requirements once the legislation is enacted.

Implementation

• Island Health case managers who assess and waitlist patients for a long term care home will receive in- depth training on the relevant changes prior to December 1.

• Case managers will continue to collaborate with primary care physicians regarding patient care planning.

• Primary care physicians will continue to receive requests for medical histories, TB screening documentation and/or chest x-rays for admission to a long term care home. These requirements are set by Community Care Facilities Licencing and do not change as a result of the new policy.

• Brochures and online information for patients and families will be refreshed to reflect the new policy and process.

• Clients already waitlisted for a long term care home prior to December 1, 2018 will have a case manager review to advise them of the new policy and adjust their choices accordingly. Physicians will not be required to complete any additional assessment or documentation for these patients.

UBC Enhanced Skills Program

Licensed to practice in BC?
Looking to refresh your skills, or learn new ones?

UBC Family Practice Residency Program
ENHANCED SKILLS PROGRAM

Emergency Medicine • Palliative Care • Women’s Health • HIV/AIDS Addictions • Global Health • Sport & Exercise Medicine • Clinician Scholar Program
Hospital Medicine • Care of the Elderly • FP Anesthesia • Obstetrics

For information click here  
or call 604 822 0869

UBC Department of Family Practice » ENHANCED SKILLS PROGRAM
We are very pleased to make available a number of third-year residency positions for practicing family physicians to receive focused training to meet the medical needs of British Columbia communities. Training may be organized from two to twelve months and remunerable at a third-year residency salary. Preference is given to physicians in practice in BC or graduating from a UBC residency program however all applications will be reviewed.

Contact us for an application form today!

DR. TINA WEBBER Program Director
Email: tina.webber@ubc.ca

LINDSAY GOWLAND Program Coordinator
Email:   lindsay.gowland@familymed.ubc.ca

Suite 300, 5950 University Boulevard • Vancouver, BC V6T 1Z3
Phone: 604-822-0869 • Fax: 604-822-6950

Oceanside Hospice Society

The Oceanside Hospice Society serves individuals and families experiencing end-of-life, care-giving and bereavement in the area stretching from Deep Bay to Nanoose, and west to Errington and Whiskey Creek

OHS currently delivers the following services to the community:

•  Medical Equipment Loan Program
•  One to One Client Support Services
•  One to One Grief Support
•  Grief Support Groups
•  Grief Walking Groups
•  Self Care Fridays
•  Caregiver Respite and Companioning
•  Palliative Vigil Team
•  Lending Library
•  Community Networking , Education and Training
•  Advance Care Planning Guidance

We strive to provide links in the continuum of care by supporting care giving at home, in hospital or the palliative care unit at Trillium and at community care facilities.
Please contact us at 250.752.6227 or visit www.oceansidehospice.com for further information.

Results Doctors of BC Health Authority Engagement Survey

Hello Everyone,

Please see the attached the Survey Results. Thank you for your assistance in having colleagues complete this. This is the third year these results have been available to be provided. The first document is the survey report which is 31 pages – I would recommend first reading this. However, for those that are very interested in the nitty gritty details the 130 page supplemental report has also been provided.

I am happy to attend your upcoming meetings to discuss this further or present to any of your colleagues.

Let me know if you have any questions.

Thank you,
Allyson

Allyson Miller, MHA, BScH, CHE
Regional Advisor & Advocate, Island
Resides in Victoria, B.C.
E amiller@doctorsofbc.ca C 250-889-0204

Health Authority Engagement Survey Report - Please click here

Fact Sheet - Please click here

Supplemental Report - Please click here

Regional Support Team Fall Newsletter

Regional Support Team Fall Newsletter

Key Highlights
• As at September 14th, engaged 116 unique GP/NPs to complete the GPSC Patient Medical Home (PMH) Assessment since April 1 2018 (250 have been completed cumulatively dating back to Spring 2017 when the Assessment was introduced).
• The RST has engaged 109 unique GPs/NPs in Phases of Panel Management this fiscal year (166 cumulatively dating back to Winter 2017 when the tool was introduced).

Patient Medical Home Supports and Resources

• Patient Medical Home (PMH) Assessment
• Panel Development and Support
• Practice Coaching/EMR Optimization
• Team Based Care integration
• Peer Mentor Program
• Small Group Learning Sessions
• Data Jamborees

Panel Development Incentive.

The Panel Development Incentive went into effect September 11th, 2018. The new Incentive allows physicians to claim up to $6,000 for completing all PPM within 12 months. Physicians are required to complete the PMH Assessment as a pre-requisite to access the Incentive.

What is a Data Jamboree? - please click here 

A Data Jamboree is a group session for physicians and MOAs using the same EMR to meet with the intent to support each other in enhancing their proficiency with their EMR. A Data Jamboree can be a powerful education mechanism that helps users to get the most from their EMR and engage their vendor in a cost-effective way.
As PSP moves more into the realm of supporting EMR optimization through initiatives like Panel Management and Data- Information Quality Improvement, there has been an increase in need for EMR support. Data Jamborees will provide a unique opportunity for physicians, PSP coordinators, MOAs, and vendors to collaborate and share learnings in a group setting.
4 Topics Areas:

• EMR Functionality
• Panel Management
• Data Informed Care
• Advanced Access and Office Efficiency

DRAFT – September 27th, 2018
Official Communication in Divisions Dispatch in October, 2018 - click here

Coordinated Seniors Care Initiative

To view more information about the Coordinated Seniors Care Initiative Overview, please click here.

For the EOI Propasal template, please click here.

Coordinated Seniors Care Gathering

As work gets underway to develop new ways of coordinating care between GPs, Specialist Physicians and others, Shared Care is holding a Coordinated Seniors Care gathering. This event will bring communities together who are beginning work on similar activities, begin dialogue on the development of a common understanding of the principles and elements of coordinated care, identify how this work will connect with other community activities (including PCN/PMH), and enable discussion on structures to support sharing learnings and demonstrating successes.

The AGENDA for the upcoming Shared Care’s Coordinated Seniors Care event on October 29th has now been posted. 

Please REGISTER for the event (no later than October 21st) for an opportunity to network to share insights and ideas to improve coordinated health care in BC, with support through this initiative.

For more information on the work please click here or contact Valerie Nicol – Shared Care Initiative Consultant – by email. 

For event inquiries, please contact Jessica Nadler by email or phone: 604.638.5266.

Thank you,

Krysta Wallbank
Senior Administrative Assistant, Shared Care

Divisions in the News

See what is going on in other divisions around BC:

https://www.divisionsbc.ca/oceanside/news-events/newsletters