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Maternity, Elder Sessions and Shared Care
Maternity Care, Oceanside
Dr. Kelly Hadfield is taking any referrals for perinatal care for Oceanside. If you have any pregnant women in your panel in Oceanside, please consider referring to Dr. Hadfield, as she is local.
Shared Care Port Alberni
Shared Care project has begun in Port Alberni bringing together Specialists and GPs. This project will focus on offering support to remote First Nations surrounding Port Alberni and the West Coast.
For more information and if you are interested in participating, please contact Tina Biello at tbiello@cidivision.ca
Elder Sessions – Four Medicines for Building Relationship
First Nation engagement sessions are being offered in collaboration with Port Alberni PCN and Nuu-chah-nulth First Nation Elders.
Providers who are currently engaged or considering applying for upcoming Allied Health roles via PCN are highly encouraged to attend, as cultural sensitivity is part of the agreement in having these roles. Sessionals will be paid.
Each session will have 1-3 Nuu-chah-nulth Elders and involve an activity. See below.
This is an invitation to take part in cultural activities and teachings and build relationship with our Indigenous partners.
Dinner will be served
Usma building in the back room:
4227 6th Ave. Port Alberni
There are only 2 sessions left. Please come to both if you can and RSVP to asalvage@cidivsion.ca
Session 3
Thursday, February 15, 2024 5:30 – 7:00 pm
Paint cedar feather
Session 4
Thursday, March 14, 2024 5:30 – 7:00 pm
Build a cedar basket
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Latest news on LFP Payment Model
January 18, 2024
Latest news on LFP Payment Model
Doctors of BC and BC Family Doctors continue to work with the Ministry of Health to improve, expand, and develop tools and support for the Longitudinal Family Physician (LFP) Payment Model. We continue to listen to your feedback, meeting regularly with the provincial government to address concerns. To submit questions or feedback, please email FP.Billing@doctorsofbc.ca.
In this newsletter we are providing information on the following:
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Reminder: January 31 deadline for PAS Panel Registry and submitting
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panel lists
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LFP Payment Model annual re-enrolment
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Upcoming change for contraceptive care
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How to avoid billing rejections on time codes
Deadline approaching for $6,500 PAS Panel Registry Payment
Family physicians who provide longitudinal care to a panel of patients, regardless of which payment model you use, have until January 31, 2024 to submit patient panels and complete the PAS Panel Registry in order to claim for payment of $6,500.
A reminder that physicians enrolled in the LFP Payment Model are required to submit patient panels and complete the PAS Panel Registry. This is a condition of enrollment in the payment model. The date noted in the LFP Payment Schedule was extended to January 31, 2024 to provide you with more time to do this work.
Please e-mail FP.Billing@doctorsofbc.ca for assistance, whether you are just starting out or you are facing challenges. Detailed information, including how to log-in to the PAS Panel Registry, how to submit panel lists, and details about payment, can be found on the Doctors of BC website.
LFP physicians and locums: Annual re-enrolment
All physicians enrolled in the LFP Payment Model need to re-enrol each year to continue billing under this model.
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LFP physicians with a patient panel must submit the registration code (98000) between January 1 and March 31, 2024.
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LFP locum physicians must submit the locum registration code (98005) and the LFP locum registration form between January 1 and March 31, 2024. (Locums no longer need to submit registration code 98000 in addition to 98005.) You may also need to re-submit the CLFP Portal Code (14070) or Locum Portal Code (14071) depending on your practice settings and circumstances.
More details on re-enrolment are available on the BC Family Doctors website.
Contraception Services
On April 1, 2023, British Columbia became the first province in Canada to provide free universal coverage of many prescription contraceptives, including IUDs, contraceptive implants, and oral contraceptives. In support of this, there will be an upcoming change in the LFP Payment Schedule to enable more contraceptive care to patients not on your patient panel.
After this change is made, contraceptive services will no longer have a 30% limit, similar to maternity services. You can expect to see an updated payment schedule in the next few weeks.
Time Codes – Fixing Common Errors
MSP/HIBC are seeing two common billing errors for time codes: billing with the incorrect ICD-9 code or the incorrect patient. To avoid rejections and improve your billing, please pay attention to the following:
Use ICD-9 code L23
When billing Time Codes (98010, 98011, 98012) and Locum Time Codes (98040, 98041, 98042), you must use ICD-9 code L23.
This ICD-9 code requirement will be enforced in MSP Teleplan as of Feb 19, 2024. After this time, Time Codes and Locum Time Codes with other ICD-9 codes will be rejected. These rejected claims will appear on your daily rejection report with explanatory code “BI - Fee item and diagnosis do not correspond.”
You will need to resubmit these claims with the correct ICD-9 code L23 to receive payment.
Use the right patient
Time Codes (98010, 98011, 98012) and Locum Time Codes (98040, 98041, 98042) are submitted using the personal health number (PHN) and demographic information of the first patient or last patient of the day. The patient must have been provided care that is billed via the LFP Payment Model.
When only clinical administration is done on a particular day, use the information of the last patient for whom you provided direct patient care or indirect patient care.
Please submit all of your time codes for the day under a single patient.
Where to get more information
Detailed information about billing for time codes is available in Section 17 of the LFP Payment Schedule as well as the BC Family Doctors’ Simplified LFP Guide and Billing Question Library.
For questions related to billing, please contact FP.Billing@doctorsofbc.ca.
For questions about your remittance statement, please contact MSP by phone at (604) 456-6950 or 1-866-456-6950.
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Island Health LTC Health History - Process Change
Form: Health History for Clients Entering Long-Term Care and/or Facility Respite
What you need to know:
In collaboration with the Victoria Division of Family Practice, Island Health has updated the process for collecting medical history for patients being waitlisted for Long-term Care and/or Facility Respite.
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The “Medical History Request” form (LTC 92/93) was previously completed by PCPs; this will be discontinued effective February 12, 2024.
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This form will be replaced by the “Health History for Clients Entering Long-term Care and/or Facility Respite” (GEN 280 – please see attached), which will be completed by your patient’s Community Health Services (CHS) Case Manager (RN) whenever possible.
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Under the new process, unattached patients requiring further TB screening will be referred directly to Island Health’s TB program by a CHS RN, as needed.
Once your patient’s application for LTC or Facility Respite has been approved, you will be notified of their waitlist date, and will receive a copy of the Health History form that was completed by the Case Manager.
This new process will decrease Physician workload and reduce the number of urgent requests received; forthcoming requests will likely be primarily for TB screening purposes, although there may be times when additional patient history from you would be helpful.
Please note that this process only applies to applications for subsidized long-term care and facility respite programs that are processed by Island Health; this does not apply to private-pay facilities, who may have their own admission processes.
What you need to do:
Your patient’s Case Manager will reach out to you by fax if further health information is required, or if TB testing still needs to be completed prior to the LTC/Facility Respite application.
If your patient requires subsidized long-term care placement or access to facility respite, and they are not yet known to Case Management, please refer them to CHS per the usual process.
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In Circulation - Panel Registry Payment: Family physicians receiving additional time to complete steps
Panel Registry Payment: Family physicians receiving additional time to complete steps
Many longitudinal family physicians have advised that due to busy schedules, the holiday season, and other factors, they require more time to upload their patient panels and sign onto the Provincial Attachment System (PAS) to qualify for the $6,500 Panel Registry Payment for 2023. The previously stated deadline was December 31, 2023, but doctors now have until January 31, 2024, to complete this work. Thank you to all those who have already completed these items.
For more information on submitting patient panels, accessing the Panel Registry, or other PAS information, read our news article.
Supporting physical and psychological safety for physicians
Through the Physician Health and Safety Agreement, Doctors of BC has taken significant action to support doctors facing physical and psychological safety concerns, and has provided physicians with the opportunity to be included in widespread systemic change.
From influencing policy and programs, to undertaking projects and efforts to improve working conditions for physicians, the Physician Health and Safety Agreement is addressing concerns regarding threats, violence, and stressful work environments for both hospital and community-based physicians throughout the province.
Learn more about the work under this Agreement and specific projects in your region in our news article.
Advocating for safe work environments: Submission to WorkSafeBC
Doctors of BC recently provided feedback on WorkSafeBC’s consultation on proposed amendments to the Occupational Health and Safety Regulation, which would require employers to develop Harassment and Violence Prevention Programs.
We support all efforts to address violence and harassment in the workplace, though caution that the proposed changes be implemented in a way that effectively improves workplace safety, while also avoiding adding to pre-existing physician burdens.
Learn more about our suggestions and recommendations in our news article.
Improved Fee-For-Service contraception fees
On December 1, 2023, improvements to the existing contraceptive care fees, including the creation of a new gynecologic cervical block fee, were introduced as a result of physician advocacy to support critical, front-line contraceptive care to patients. Learn more about the gynecologic and vasectomy fees.
Ozempic shortage
High demand for Ozempic, and other GLP-1 receptor agonists used to treat adult patients with type 2 diabetes mellitus, means these medications are short supply around the world, and Canada is no exception. Manufacturing capacity is increasing, and the manufacturers expect to receive additional supplies over the coming months. However, with continued high demand, it will take time to build up supply levels and products may not always be available at pharmacies.
In the meantime, Health Canada has developed some recommendations for prescribers to manage the shortages, in consultation with the College of Family Physicians of Canada.
Doctors are reminded to check the province’s Drug Shortages webpage regularly to keep abreast of any drug supply issues.
Ministry of Health seeks input on promoting physical activity in primary care
The Ministry of Health is seeking input from family physicians to better understand the challenges and needs in the clinical assessment and promotion of physical activity to prevent and manage chronic disease. Your feedback will inform the work of the provincial Physical Activity Policy and Promotion Team in supporting primary care providers to promote physical activity within their practice. Sessions will build on initial input physicians shared with the Ministry via a survey on this topic earlier this year.
Join on the following webinars to provide your input:
Physicians will be compensated for 2 hours at the current sessional rate (includes pre-session preparation time to complete a survey, followed by the 1.5-hour interactive session).
The maximum attendance for each session is 40, those unable to attend the webinars can also share input via the pre-session survey.
For more information, contact erin.rohl@gov.bc.ca
JCC Pre-Forum 2024: Keynote Speakers announced
Attendees to the 2024 JCC Pre-Forum on April 23, 2024, will have the opportunity to hear from these renowned keynote speakers:
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Dr Chika Stacy Oriuwa is an accomplished physician, spoken word poet, and advocate for racialized and marginalized populations. Dr Oriuwa draws on her personal and professional experience to share insight and actionable strategies into transformative leadership, mental health and wellness, and igniting change to build a more equitable future for all.
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Dr Wendy Dean is the president and co-founder of The Moral Injury of Healthcare, a nonprofit organization addressing the crisis of clinician distress. Her focus is on finding innovative ways to make medicine better for both patients and healthcare professionals-technologically, ethically, and systemically.
Registration to attend the JCC Pre-Forum, or any part of the Quality Forum event, will open in February 2024, but those interested are encouraged to pre-book their discounted hotel room at the Hyatt Regency Vancouver. To book, please call
1-800-233-1234 and quote “Quality Forum 2024.”
You can find updated information on the event here.
Webinar: Managing Lifelong Cardiovascular and Metabolic Health Risks After Pregnancy Complications
Pregnancy complications are associated with increased risk of cardiovascular and metabolic disease later in life. Shared Care, in collaboration with the Perinatal Community of Practice, is hosting a free accredited webinar where experts will discuss these increased health risks from pregnancy complications, and share practical strategies on how to provide effective long-term care to those affected, and their children, post-pregnancy.
The webinar takes place on January 16, 2024, from
6:30pm – 8:00pm, and participants will receive up to
1.5 Mainpro+ / MOC Section 1. Click here to learn more and register.
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Final Reminder: Team Coaching Opportunities for Rural Teams
The Rural Coordination Centre of BC is accepting Expressions of Interest until February 2 from rural health care teams interested in participating in the Quality Team Coaching for Rural BC Program starting in spring 2024. We will also once again be running the two hour long Finding Your Way in Teamwork: Team Coaching Principles workshop again on January 17. Please share the information below widely with any rural teams who might be interested:
Quality Team Coaching for Rural BC
Quality Team Coaching for Rural BC (QTC4RBC) is a coaching program that empowers teams to regroup and reconnect with their purpose and take steps toward building their desired team culture and advancing their chosen goals. When healthcare teams are able to rekindle joy and meaning in their work, they are more able to create a positive work environment, optimize their team’s performance, and increase the quality and safety of care for patients. Teams enrolled in the program will participate in:
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A one day in-person coaching workshop in your community with a certified professional coach to lay the foundation for coaching towards highly effective teams. Coaches currently working with QTC4RBC are Dr. Rahul Gupta, Dr. Cecile Andreas, and Dr. Tom Wright.
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Four 1.5 hour virtual team coaching sessions in the months following the workshop
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Three leadership coaching sessions for the team leads to support their essential role in leading the team and fostering and sustaining change
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Certified for 31.5 Mainpro+ credits/10.5 MOC Section 3 hours
QTC4RBC is currently accepting Expressions of Interest from teams wishing to participate in the program in starting in Spring 2024. Please visit the website for more information about eligibility, how to apply, and to download the Expression of Interest form. You can also watch a video or read an article about the Duncan ER team’s experience in the program.
The deadline to submit an Expression of Interest is February 2, 2024.
An info webinar has been scheduled to provide more information about the QTC4RBC program and to answer questions. Register here to receive the details to join:
January 29, 12:30-1:00pm PST
Questions? Please email: apeltonen@rccbc.ca
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Finding Your Way in Teamwork: Team Coaching Principles Workshop
The Finding Your Way in Teamwork: Team Coaching Principles workshop is a two-hour long virtual education session on the eight elements of high-functioning teams. When teams are able to cultivate these elements they are more able to create a positive work environment, rekindle joy in their work, optimize their team’s performance, and increase the quality and safety of care for patients.
In the workshop, participants will learn the attributes, skills and tools of high-functioning interprofessional teams and the critical role of developing psychological safety as the fundamental foundation of healthy teams. Participants will then be supported to design an action plan for strengthening psychological safety within the team they work with on a day-to-day basis. Resources for further learning will also be shared. The workshop will be co-facilitated by Dr. Rahul Gupta and Dr. Cecile Andreas, both physicians and Professional Certified Coaches with extensive experience in individual and team coaching.
This workshop will be delivered virtually on January 17, 2024 from 6:00 pm to 8:00 pm PST in real-time through Zoom. More information about the workshop and instructions to register are available on the Finding Your Way in Teamwork webpage.
Questions? Please email: apeltonen@rccbc.ca
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Registration Open! IUD & LARC Clinical Skills Course
Primary Care Clinical Skills Series: IUD Insertion and Long-Acting Reversible Contraceptives
Please click here to Register
Overview
This course is developed and hosted by Island Medical Program's Physician Education Program in partnership with the Centre for Interprofessional Clinical Simulation Learning.
In this course, participants will be given the opportunity to practice their clinical skills by participating in simulation. Each participant will get the opportunity to use UD and LARC insertion task trainers to learn, practice, and perform the clinical skill in a safe and supportive environment with skilled facilitators.
Format
This 3-hour accredited course will be held in person at the Centre for Interprofessional Clinical Simulation Learning in Victoria, BC.
Agenda
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5:15-5:30: Participant arrival with refreshments provided
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5:30-5:45pm: Land Acknowledgement and Skills Station Pre-Brief
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5:45-6:45pm: Skills Station 1
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6:45-7:00pm: Break
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7:00-8:00pm: Skills Station 2
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8:00-8:30pm: Skills Station Post-Brief and Group Discussion
CME Credits
This activity is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by UBC CPD. You may claim a maximum of 2.75 MOC Section 1 hours (credits are automatically calculated).
This one-credit-per-hour Assessment program meets the certification criteria of the College of Family Physicians of Canada and has been certified by UBC CPD for up to 2.75 Mainpro+®
Cost
$175 + GST
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Upcoming CPD for Family Physicians
UBC Care of the Elderly Intensive Review Course 2024
Attend in person or virtually
Feb. 1–3 (Thu–Sat) | UBC Robson Square, Vancouver, BC | Hybrid Conference
Audience: family physicians, geriatricians, hospitalists, mental health professionals, nurse practitioners, registered nurses, residential care specialists, residents and medical students.
Overview: This three-day intensive course provides an exclusive small-group learning opportunity for practitioners looking to acquire practical skills that can be immediately applied in their communities. Featuring presentations from UBC faculty experts, case-based discussions, interactive polls and a variety of small group workshops.
Up to 18.0 Mainpro+/MOC Section 1 credits
LEARN MORE & REGISTER
In-person course is limited to 100 participants — reserve your spot early.
Can't join us in person Feb. 1–3?
Choose the virtual option to watch the morning plenary lectures live or access them on demand after the event for up to 3 three months after the conference. *In-person registrants will also have access to recordings.
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BC Cancer’s FPON Annual Education Day
Registration is open!
April 6 (Sat) | 8:30 a.m – 12:30 p.m. PDT | Virtual Conference
Audience: family physicians, nurse practitioners, registered nurses, residents and students.
Up to 3.5 Mainpro+ credits
Overview: Join us for this half-day virtual update on topics relevant to primary care! We will be covering the incidence and scope of cancers caused by HPV, summarizing prevention and early detection strategies of HPV related cancers, and reviewing a psychosexual perspective on an HPV related cancer diagnosis. Each interactive session will include 30-45 minutes of brief, practical knowledge followed by 15 minutes of Q&A.
LEARN MORE & REGISTER
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Peer to Peer Program
To all clinical teachers in the medical and health professions,
I am writing to invite you to join the Peer to Peer Program organized by the Office of Faculty Development in the UBC Faculty of Medicine. This program is designed to foster a supportive, interprofessional community of clinical teachers with different professional backgrounds who come together to enhance their teaching approaches.
The program's structure follows a “choose your own adventure” format in small groups of up to six participants, facilitated by an experienced facilitator. Participants select a topic of their choosing from a recommended list and then facilitate a session for their fellow program peers. The sessions are held over the course of a year, with each session lasting approximately 1.5 hours. Once everyone in a cohort leads a session, we will host a catered graduation event. We offer many resources participants can draw from to get started, and the experienced facilitator is also there to help.
Here is an overview of the program curriculum:
First session: The facilitator will demonstrate teaching techniques while focusing on the topic of feedback.
Subsequent sessions:
Each member of the small group will have the opportunity to facilitate one session, utilizing interactive strategies to deliver a topic of their choice. We provide a list of core educational topics to choose from, such as:
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Optimizing the learning environment in a small group context
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Optimizing the learning environment in a large group context
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Optimizing the learning environment in a clinical context
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Learner in difficulty
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Active learning and clinical reasoning
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Professionalism and teacher-learner relationships
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Hidden curriculum
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Equality, equity, and diversity in healthcare
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Alignment of objectives, teaching and assessment
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Reflective learning for professional practice
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Other topics not listed above focused on health professions education
To join a cohort please answer a few questions by completing this form. If you have any questions, please also feel free to email our team at fac.dev@ubc.ca and we would be happy to discuss with you.
Thank you for considering this invitation. We look forward to the opportunity to welcome you to the Peer to Peer Program.
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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
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.
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Divisions Dispatch
The latest news from the provincial team and complementary organizations.
Please click here for updates including:
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LFP Payment Model updates
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Updated BC Cancer screening report titles
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Divisions invited to meet with BC Cancer Cervix Screening Program to prepare for transition from cytology to HPV primary screening
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East Kootenay family doctor develops guide to reducing environmental impact of health care
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July 19 webinar | Antidepressants and substance use
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July 20 webinar | Updates on risks and harms of alcohol use
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Opioid use disorder training for doctors and their clinical teams: LOUD in PC Collaborative
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Divisions in the News
Divisions in the News
See what is going on in other divisions around BC:
https://divisionsbc.ca/provincial/news-and-events
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