Comox Valley Division of Family Practice. 2014 annual report

Comox Valley

ANNUAL REPORT 2014–15

Collaboration in action at the perinatal World Cafe.

Report from the Co-chair 4

Report from the Executive Director 6

Report from the Recruitment and 7Engagement Committee 2015

A GP for Me 8

Care of the Frail Elderly Committee 10

Aboriginal Health Care 12

Emergency Preparedness Committee 13

Safe Opioid Prescribing Working Group 14

Enhancing Perinatal Project 15

Year in Review 16

Financial Reports 18

Board of Directors 20

Contents

Comox Valley Division of Family Practice Annual Report 2014–15

4

Report from the Co-chair

Change

T he reach of our Division has grown significantly in the last year and is expanding into a number of

areas where we can act as the voice of local general practice in the delivery of new services both by the Division and collaboratively with our local partner agencies. This has been best represented by the inception of the Health Connections Clinic at the Nursing Centre, which has allowed a new multi-disciplinary team approach to those with complex health issues who don’t fit easily into the typical healthcare models we provide. The continuation of the model may well be influenced by all of us through the General Practice Services Committee (GPSC) Visioning process. Part of the work of the Visioning Committee will be to inform on the outcomes of the provincial A GP for Me initiative. I hope that this will allow us to continue to offer this alternate and effective way of delivering healthcare to an underserved cohort of our community, as well as the other important initiatives supporting Mental Health Workers in our offices, our Community Navigator, the Central Referral Mechanism and Recruitment and Retention.

As I wrote in my report to you last year, the direction of healthcare delivery is due for change, and it appeared that divisions were going to be key players in this movement. The Ministry of Health has demonstrated this in their Policy papers released February 2015, which described a roadmap to change the face of healthcare delivery and referenced local divisions of family practice as both consultation and possibly delivery organizations. This process has begun and Comox Valley has been chosen as one of the two sites on Vancouver Island to develop a novel Seniors Care model. Our Division is a strong voice as a partner

in that process. This is in the wake of our physician community supporting the development of the Enhanced Frail Seniors Services and the Community NP (nurse practitioner) implemented earlier this year, and our representation on the Future of St. Joseph’s General Hospital (SJGH) Task Force.

Not only have we managed to bring GPs together, we have also brought together general practitioners and specialists through our ever growing commitment to collaboration through Shared Care Committee projects (and not just with some excellent dance moves at the Spring Fling!) The Perinatal Care project is a wonderful example of how a number of health care disciplines and staff can come together to improve working patterns and care for a section of our population. Through Shared Care and A GP for Me funding we have brought together our Managers and MOAs, and representatives from SJGH for input on how communication and processes can be improved.

Over the last year we have also been a co-sponsor of the Dave Battison Paediatric Symposium, delivered the Safe Opioid Prescribing Strategy, funded physician contribution to the development of the

Adam Thompson, Co-chair

“Without Change there is no innovation, creativity or incentive

for improvement. Those who initiate change will have a

better opportunity to manage the change that is inevitable.”

— William Pollard


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new Hospice Beds, supported speakers for the Cardiopulmonary Wellness Program and begun the development of a network of Disaster First Aid Centres for Emergency Response.

We have continued to build relationships with local allied health providers and community agencies, other Island Divisions, Island Health, the Ministry and the GPSC.

We are delighted to have seen the hard work of Peter Gee and his team come to fruition with the graduation of the first cohort of Residents from the Strathcona Residency Program. It’s particularly gratifying for so many to choose to remain in our beautiful community.

With change and growth have come extra demands upon your board. I am extremely grateful to Tom Gornall for joining myself as a Co-chair. I am also grateful to the entire Board for their ongoing support and commitment. I would like to thank Trish Murphy, Nancy McFadden and Sara Sandwith who leave us as Board Directors, but continue their Division work at committee level. It has been particularly useful to have a resident’s voice at the

table and I offer a special thank you to Nancy MacPherson who has also left us as our first resident representative. Also, the Division’s work would not happen without the hard work of the members who lead and sit on numerous committees to effect change and improve our local healthcare. Our thanks extend to them.

My last word is about representation. As we go through a process of evolution, and possibly revolution, of healthcare delivery it’s vitally important that as physicians we don’t sleep walk into new delivery models that we are discomforted to work in. I want to reassure you that your Board will also approach change and service delivery from the physicians’, as well as patients’ perspective. Without happy physicians, we cannot have effective healthcare.

Thank you for your ongoing support, and I look forward to seeing some of you on the Board in coming times.

Adam Thompson Co-chair


6

Report from the Executive Director

From “A Time of Change” to “Being in Cahoots”

As I set out to write this message, I had intended to use, like Adam, the theme “A Time of Change”, which seemed

to so accurately reflect the landslide of work with which the Division has been involved over this last year. To my surprise, that was the very theme I used last year. It strikes me that “A Time of Change” may be something we will have to learn to live with as a new steady state, and although sometimes overwhelming, the changes will likely continue — as they have over the last year — to be exciting and inspiring. We know they are not over yet! So to avoid my own theme redundancy, I have decided my theme this year will be: “Being in Cahoots”.*

During 2014–2015, the journey of exploration has continued. One of the greatest explorations has been of the relationships within our community that have allowed all of this work to move forward. Over the last year we have seen a shift in the way that we are working together,

with each other, with specialist colleagues, with SJGH and Island Health administration and front line allied health care providers and staff and with a number of agencies in our community. Through the provincial A GP for Me initiative and Shared Care Committee projects, as well as through

work with Island Health and St Joseph’s General Hospital, we have witnessed a tremendous increase in the number of physicians participating in these (dare I say) “collaborative” processes. So many projects with which the Division was and continues to be involved required that physicians in our community experienced “being in cahoots” to achieve success.

“Being in Cahoots” is not always comfortable, nor familiar. Although the road is bound to be longer and windier when we bring others along, the value of sharing the journey and moving forward together has led to stronger outcomes, and most importantly — valued relationships. Long after the budget is spent, the work is done, the outcomes measured and the report submitted, it is these relationships that will help to sustain the ongoing positive impact in our community.

I would like to express my sincere thank you to the all of the Division members, Island Health and SJGH representatives, allied health providers, patient voices and community members who have been “in cahoots” with the Division in our work, or who have invited us along on their journey. It has been a pleasure and an honour over the last year to watch and be a part of the growth of these relationships. I would also like to express a huge thanks to the Division team that supports so many of these projects. Without them, this great work could not be achieved. And a final thank you to the dedicated board members who ensure that the Division continues to honour its purpose and goals.

Janet Brydon, Executive Director

* I know, it’s really a synonym for collaboration, but like so many words, this one is feeling overdone.

“Change is inevitable — except from a vending machine.”

— Robert C. Gallagher


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Once again I would like to thank our committee members, Marie-Clare Hopwood, Shannon Jones and

Janet Brydon, as well as Judy Darby and Catherine Pagett for all the effort they have put forward in organizing and promoting our social events and recruitment through the year. Catherine, in her new role as Recruitment Coordinator for our work within the provincial A GP for Me initiative and her support of the Recruitment and Retention strategy, has not only supported recruitment of new physicians but has gone a long way to welcome them to the Valley and invite them to join the Division. Judy is tireless in her efforts to extend invites, confirm attendees and organize facilities and book caterers.

Our committee meets 3–4 times a year and we try to design a social program that enhances the engagement of physicians in our Division, while welcoming new members and encouraging interaction with specialists, nurse practitioners, midwives and allied health care providers. This year we met with Kevin Swanson in the spring and initiated plans to jointly develop a CME program with the committee heads at SJGH. Plans have been set aside until this fall but we plan on addressing this initiative in the weeks to come.

We held only one TGIF event this year, since these had been poorly attended in 2014. In December, with the Valley drowning in rain, we managed to hold an update of our A GP for Me work and review of our strategic plan. I must thank all those who attended, it was a chance for Adam and I to refine our planned presentation to the GPSC. Instead of TGIFs, we decided to focus on three larger events and, where possible and practical, to involve physician partners and families. In November we co-hosted a welcoming event for new physicians to the Comox Valley and for this I wish to thank Deb Wiens

Recruitment and Engagement Committee 2015

for doing the bulk of organizational work and acting as MC for the evening. It was well attended and we hope to repeat this event in November 2015. We had a very good turnout for our third annual Spring Fling, held this year at the Native Son’s Hall with over 100 attendees enjoying dinner and then displaying some very original dance moves. The final event before our AGM will be the family BBQ — as I write this our numbers are approaching 100 and with a good representation of children and sun in the forecast, it should be a lot of fun.

As promised last year we are planning a joint event with the Campbell River and District Division. It has been a challenge finding a venue and date that works for everyone but we have a tentative date set for November 7 and plan to include partners and entertainment, so stay tuned.

The Division would like to hear more from our physicians as to how we can better engage and enhance their professional lives and support the development of a strong community of physicians. We welcome new interest in joining this committee and encourage everyone to share their ideas.

Respectfully submitted

Tom Gornall Chair Recruitment and Engagement Committee

We welcome new interest in joining this committee and encourage everyone

to share their ideas.


8

A GP for Me

In late 2014 Comox Valley Division’s A GP for Me Steering Committee and project team completed our

implementation proposal for our work in this provincial initiative. Six strategies designed to address needs identified in the Assessment phase were confirmed. Scope, plans and resource requirements were developed and the proposal was submitted to the GPSC in January. The local team presented in late January and the Division was approved to proceed.

Six strategies have been implemented with work currently being done to evaluate, improve and address sustainability. The strategies address patient, physician and community needs, with a focus on achieving the A GP for Me goals of strengthening the doctor-patient relationship, increasing the capacity of the primary healthcare system, and enabling patients who want a family doctor to find one.

Central Referral MechanismPhysician Leads: Laura Bell, Katie Barker

The Central Referral Mechanism is an approach to attaching patients. The process has been implemented, in partnership with Island Health, receiving referrals of 135 complex patients from 20+ different sources in the community. Seventy per cent of the referred patients have been seen at the Health Connections Clinic and the remainder referred to GPs in community clinics. The Working Group is considering the best future direction for this process.

Health Connections ClinicPhysician Lead: Peter Moosbrugger

The Health Connections Clinic (at the Comox Valley Nursing Centre) addresses, in partnership with Island Health, the needs of complex patients with multiple

A GP for Me strategies, graphic by Jody Macdonald.

Physician Lead: Tom Gornall


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conditions through providing team-based care (family physicians, registered nurses, nurse practitioner). Approximately 100 complex patients have been referred to receive GP care. Of these, 60% are attached to the clinic returning multiple times for care. The team at the clinic is working successfully to provide care to patients who have not seen a doctor regularly for years, while continuing to learn how to better leverage the team-based approach.

Community NavigatorPhysician Lead: Rick Potter-Cogan

The Community Navigator is in place and accepting referrals to support patients in accessing the services they need and in supporting physicians to better understand the services available in the community. As of August the Navigator had worked with 115 patient referrals through email, by phone and in person. Referrals are below desired targets and great efforts have been made to encourage appropriate referrals. All physicians and their staff (walk-in clinic, community clinics, ED, etc.) are able to make referrals, and patients have been encouraged to request a referral from their GP. The Navigator has worked across a spectrum of patients (wide range of ages, varied resources needs, etc.)

Mental Health and Substance Use (MHSU) Support for GP offices Physician Lead: Sand Russell-Atkinson

MHSU Support for GP offices is another example of team based care in action. An MHSU clinician is working in four clinics, seeing physician-referred patients with mild to moderate MHSU needs. The patients and physicians have found this to be a great approach where the patient needs can be addressed in the physician office. This strategy is also a close

partnership between the Division and Island Health and we are discussing the potential for sustainability of the role.

The Recruitment & Retention and Office Efficiency strategies were designed to address patient needs for attachment and physician needs for work-life balance and practice coverage.

Recruitment & RetentionPhysician Lead: Nancy McFadden

A Recruitment Coordinator is in place who, together with the Working Group, is focused on understanding local physician resource needs, both now and in the future. The focus of the working group has been securing locum coverage, attraction of new physicians to the area, paving the path for physicians new to the community, as well as aiding physicians leaving active practice to find a replacement.

Office EfficiencyPhysician Lead: Steve Matous

The Office Efficiency strategy is working on further development of an MOA network, has provided billing information to physicians, is supporting improved communication between physician offices and hospital services and specialists and is working with the Practice Support Program (PSP) to support office efficiency-related training for physicians and their staff (e.g. Advanced Access).

Six strategies have been implemented with work currently being done to evaluate, improve

and address sustainability.


10

Care of the Frail Elderly Committee

Enhanced Frail Seniors Services InitiativePhysician Leads: Tom Gornall, Sand Russell Atkinson

The Division, through the Care of the Frail Elderly Committee, was invited to engage with Island Health on the design and implementation of additional services. The services were designed to target the acute frail senior at home – to provide temporary enhanced services through Home and Community Care to enable them to stay at home, avoid unnecessary emergency/hospital admissions, or enable them to return home despite residual high frailty.

The process involved review of other models (e.g., ‘Home First’ in Nanaimo) and a definition of the desired make-up of the team to be developed in the Valley (e.g., pharmacy, physio, occupational therapist rehab assistant, etc. –)

The physician voice was included in the discussion of establishing effective flow of referrals and care designation. The physician role was primarily consultation about how to coordinate this service with the needs and wants of family physicians and how best to ensure effective, appropriate communication.

The initiative is now fully operational - referrals can be made by GPs (community or hospital) through centralized referral to Home and Community Care and subsequent designation to the enhanced frail seniors service team (referrals come from other sources too).

Nurse Practitioner – for frail seniors – communityPhysician Lead: Sand Russell-Atkinson

The Division and Island Health partnered on a proposal to support a full-time nurse practitioner for improving care of community frail seniors. As with many initiatives, the time was quite short to put this into place. A multidisciplinary team gathered to define the role of the nurse practitioner and a small committee, including physician representation, was established for interviews/hiring. Based on feedback from other models and a local physician survey, the role of the practitioner was defined as providing primary care independently as most responsible practitioner (MRP) in the community for frail seniors who are unattached, or in collaboration with the family physician for patients who have needs too complex for their GP to provide adequate home care. Referrals can be made by the MRP or hospital team at discharge, from community physicians or from the Home and Community Care team. This service is primarily for the provision of primary care in the home of frail elderly patients. The expectation is once again to improve care in the community to facilitate earlier discharge keep patients at home longer, and reduce unnecessary ER or hospital visits.

The nurse practitioner is now available to support in-home patient care for both unattached patients, and for patients whose physician values additional in-home support.

Our thanks to the physicians who provided their feedback and input into the implementation of both of these services.

Chair: Daniela Chifor


11

Care for Frail Seniors – Model RedesignPhysician Lead – Rob Silcox

The Division is participating in a provincial initiative, led locally by Island Health, to redesign how care is delivered for frail seniors. In June, as the Division representative, I attended a provincial two-day meeting organized by the Ministry of Health, with other delegates from the Comox Valley. We met with healthcare executives, patient representatives, physicians, nurse practitioners, pharmacists, home and community care leads, etc. It was impressive to see the government’s determination to improve care of the elderly by making care much more patient centered.

The meeting was the first step in a process to brainstorm and gather feedback from community stakeholders. Since then, the Comox Valley Frail Seniors working group was formed to provide input into the development of a new model. Over the summer, much work was done to engage members of the community to gather input regarding gaps in care and suggestions for improvement. Service gaps identified were compiled and prioritized, and solutions themed. That information was used by our local Island Health leadership team to develop a report for the Ministry of Health. The next chapter will be implementing the proposed changes and changing the way we do things to better support frail seniors.

Through the previously implemented Enhanced Frail Seniors Services (EFSS) team and the Community based NP, I believe our community has made an excellent start. This work will allow us to move even further towards better supporting frail seniors and their families in our community.

Residential CarePhysician Lead – Rob Silcox

The Division has started the ball rolling for this provincial initiative by expressing our interest and intent to move forward with this work to the GPSC. Through this initiative there is an opportunity for interested physicians to deliver care to residents of care facilities differently and to participate in quality improvement work to support achievement of five best practice expectations.

The next chapter will be to implement the proposed changes and to begin to

change the way we do things to better support frail seniors.


12

Aboriginal Health Care

I am the Division’s physician representative for Aboriginal Health Care. I am a member of the Aboriginal Health Working

Group, although that group has been on a hiatus for much of the last year.

I was excited and encouraged to see the 24 doctors from family practice, specialties, emergency and doctors in training, alongside many other health care providers, attend the two Building Bridges workshops that were hosted this year, with the support of the Division and Island Health. I am now beginning to understand how valuable opening ourselves up to the beliefs and teachings of the First Nations Peoples really is. Only if we integrate their beliefs can we hope to reconcile successfully and find ways to move forward as a society successfully.

If we do right by ‘them’ we will get it right by ‘us’.

The more we learn about others, the more we learn about ourselves. Being challenged in our conventional views helps us see the deficiencies in our systems and allows us to join together to find improvements.

Cultural competency training is available through Island Health, or Provincial Health Services, and I would invite you to consider participating in these online courses. Although targeted to improve the care of First Nations people, the lessons learned will help to inform the care of all of your patients, and yourself.

The more we learn about others, the more we learn

about ourselves.

Dr. Peter Moosbrugger


13

Emergency Preparedness Committee

The Emergency Prep/DFAS is now integrated into the Comox Valley Emergency

Program response and aligned with Island Health Medical Officer, and St. Joseph’s General Hospital.

Just over one year ago I submitted a proposal to the Division for support of the Emergency Preparedness project.

The goal of the project is to prepare existing physicians’ clinics in the Comox Valley to serve as emergency response stations in the event of a catastrophic event.

Over the last year committee members have engaged monthly with the Comox Valley Emergency Program (CVEP), their first responders and geographically selected clinics.

Five clinics have committed to participate as Disaster First Aid Stations (DFAS) when an official emergency is declared (Comox Medical Clinic, Highland Family Practice, Crown Isle Medical Clinic, Valley Care and Southwood Medical Clinic). Two pharmacies are also engaged.

The DFAS are to provide triage, first aid and urgent primary medical care for the walking wounded to the extent possible. As the Emergency Prep/DFAS initiative has progressed it has resulted in critical thinking around the actual process and resultant availability or shortfall of resources, namely staff, medical supplies, meds and building capabilities (building integrity /lighting /water /sewerage/security).

Physician liability has been discussed with CMPA and The College of Physicians and Surgeons of BC (CPSBC); both organizations supported the initiative. The expanded role of a DFAS volunteer physician is supported by the CMA code of ethics, the CPSBC and the BC Emergency Program Act. The CMPA will provide coverage to DFAS physicians (with some “common sense” clauses).

At launch, this initiative was absent from all Vancouver Island jurisdictions, although it was identified as an obvious need. Just recently the Health Emergency Program BC (HEMBC) has started a

somewhat conceptual parallel protocol and contacted our Division for collaboration.

The Emergency Prep/DFAS is now integrated into the Comox Valley Emergency Program response and aligned with Island Health Medical Officer, and St. Joseph’s General Hospital. CVEP’s Director, Mike Fournier, has been a most willing host and attendant at all of our meetings and provides holistic support and critical response protocol to integrate with all the first responders

A number of subject matter experts have offered intelligence and support to this committee. I would like to thank Mr. John Wong who has volunteered his expertise, numerous hours and uninterrupted commitment to this project.

We are excited that, as we move forward, a Public Health medical resident will engage in a scholarship project around this initiative. The next steps are to support each of the DFAS locations to complete their respective Critical Continuity Plan (Response Plan), put signage in place and inform the physicians, allied professionals and public about this initiative.

Physician Lead: Alfredo Tura


14

Safe Opioid Prescribing Working GroupPhysician Lead: Charuka Maheswaran

This project’s aim was to develop and disseminate a consistent approach to opioid prescribing across the

Comox Valley, including a standardized treatment agreement that is available and adopted by the majority of physicians in our community. To increase collaboration and integration of the various members of the healthcare team that supports this patient population, a collaborative workshop was held in June 2014. Following this event a highly engaged working group created a one-page algorithm and key community resources for safe opioid prescribing practices in the Comox Valley, including a standardized treatment agreement and resources for patients, pharmacists and physicians. Paper and electronic versions of these resources were distributed to all local family physicians and pharmacists in March 2015 and are now available in the Members’ Resources section of the Division website: www.divisionsbc.ca/comox/mentalhealth.

Electronic versions of these resources are now available in the Members’ Resources

section of the Division website: www.divisionsbc.ca/comox/mentalhealth

Surveys completed with pharmacists during dissemination of the algorithm revealed that pharmacists were not consistently receiving treatment agreements from prescribing physicians. To complete the Plan-Do-Study-Act cycle, the working group will complete an evaluation in fall/winter 2015. Feedback from this evaluation will support further refinement of the algorithm and resources. If you have any questions regarding this project, please contact Jody Macdonald, Project Coordinator at [email protected].

http://www.divisionsbc.ca/comox/mentalhealth

http://www.divisionsbc.ca/comox/mentalhealth

mailto:[email protected]


15

Shared Care

During 2014–15, the Division launched into the Shared Care world more deeply.

Enhancing Perinatal ProjectPhysician Leads – Matthew Bagdan (SP), Theresa Wilson (FP)

In January of 2015 the Division received funding from the Shared Care Committee for the Enhancing Perinatal Project with the involvement of Perinatal Services BC and Island Health. This project allowed the Division and our partners to further expand the scope of our work to include specialists, midwives, aboriginal health representatives, allied health providers and patients. With the support of family practitioners (and their wonderful MOAs) over 200 patients responded to a survey to help inform the project. We also received over 95 responses for a similar survey aimed at healthcare providers. Subsequently a multidisciplinary world café event supported increased collaboration and engagement among this diverse group of providers. This very special evening saw the entire perinatal community come together like never before. All of these activities culminated in the creation of three working groups that will be starting work in the fall:

• collaborative practice and a standardized approach to maternity care,

• equal access to care,

• patient and care provider education, information and knowledge.

These groups will help create new ways of working together and sharing information to support improved care for perinatal women and their families.

Orthopaedics ProjectInformation gathering helped to better understand the current process and any opportunities for change. A number of family physicians participated in one-on-one interviews to better understand where opportunities existed for improving access to care. A meeting with the orthopaedics group supported a move forward with this project. A proposal is currently being developed for submission to the Shared Care Committee.

Most Responsible PhysicianThis fledgling project seeks to clarify the processes relating to MRP for surgical patients in our “shared call” world. There has been great energy and enthusiasm from all participating physicians including specialists, emergency doctors and family physicians and we are working to develop a proposal to the Shared Care Committee for this important work.

Child and Youth Mental Health and Substance Use CollaborativePhysician Leads – Dr. Carol Coxon, Dr. Janice McLaughlin

The Division has had the privilege to participate in the Comox Valley’s highly engaged, energetic and committed Local Action Team (LAT). The LAT is made of up of members from across the community who all have interest in supporting timely access to mental health and substance use care for children, youth and their families. The LAT has identified three primary projects:

• Peer Support

• Increased access to resources

• Early Years – support for young moms with mental health and substance use issues

This exciting work will evolve over the next year.

“the process is the project”

— m. clarke, Shared Care Project Lead


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June

TGIF – Physician Data Collaborative

Emergency High User Review

Unassigned Inpatient Care Network begins

Paperwork Committee – referral form redesign for Diagnostics

DOD Meeting – Purple Group

Care of the Frail Elderly Committee – identifying the priorities

Provincial Roundtable

Hospital / Community Relationship Committee – hospital communication

July

Orientation Package for new physicians revised

Island Health Child and Youth Mental Health and Substance Use planning forum

August

Cerner access for non-privileged physicians made available

September

Annual General Meeting

Telephone Interpretation Services

Interdivisional CSC (IDC)

October

A GP for Me Workshop – Provincial Day

Future Role of SJGH Task Force Meeting

Shared Care – Child and Youth Mental Health Substance Use (CYMHSU) Collaborative

November

Hospice Beds – Physician Working Group

Welcome to the New Docs Event – co-hosted with SJGH Medical Society

Safe Opioid Strategy – Public Education Event

Launch of Strategy Working Groups for A GP for Me –

Enhanced Frail Seniors Services – launch of work with Island Health

Shared Care – A Collaborative Approach to Perinatal Care in the Comox Valley proposal approved

December

TGIF – A GP for Me

The Year in Review

2014April

TGIF – A GP for Me

Urgent Care Mapping (UCM) Surveys completed

DOD Meeting – Unassigned Inpatient Care Provincial Proposal

Collaborative Services Committee

May

TGIF – UptoDate™

Allied Health and Community Agency Survey re Urgent Care Services and Attachment

DOD Meeting – non-Purple Group physicians

Dine and Learn for In-hospital billing

ER/GP Working Group – medication orders and their lifespan


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2015January

A GP for Me implementation plan approved

Island divisions meeting with Deputy Minister of Health – the need for transformational change

Inaugural Comox Valley Shared Care Steering Committee

Interdivisional CSC (IDC)

February

Nurse Practitioner to Support Seniors Care Working Group

Building Bridges Workshop

A GP for Me – Health Connections Clinic opens –Central Referral Mechanism launch

Optimizing Discharge

DOD Rainbow Group Meeting

Board Retreat – Leadership Development

Cardio Pulmonary Wellness Program support

Shared Care – Perinatal Care MOA Event

March

A GP for Me – Community Navigator hired – MHSU Clinician begins work in physician offices – MOA Network Event

TGIF – A GP for Me Update

Safe Opioid Prescribing Strategy – Standardized Treatment Agreement and Algorithm developed

April

Provincial Round Table

Annual Spring Fling

Early Years Leadership Table

May

Building Bridges Workshop

Shared Care – Perinatal Care World Café

Billing Event for MOAs and Physicians

MRP for Surgical Patients – exploring the opportunities for a Shared Care project

Interdivisional CSC (IDC) Meeting

June

Seniors Care Initiative launched

Dave Battison Paediatric Symposium

Provincial Residential Care Initiative launch

Congratulations to the first graduating class of the Strathcona Residency Program!

September

GPSC Visioning – Combined event with Campbell River & District, Oceanside and Port Alberni physicians

End of Summer Beach BBQ


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Statement of Financial Position

March 31, 2014

2015 (in $) 2014 (in $) ASSETSCurrent Assets Cash $ 550,143 $ 423,181 GST Receivable 6,596 2,150 Prepaid Expenses 765 – 557,504 425,331 Equipment 5,798 –

$ 563,302 $ 425,331 LIABILITIESCurrent Liabilities Accounts Payable and Accruals $ 103,659 $ 58,834 Government Remittances Payable – 1,845 Due to Ministry of Health – 46,887 Due to BC Medical Association 10,018 – Deferred Grant Revenue 445,853 315,403

559,530 422,969

NET ASSETS 3,772 2,362

$ 563,302 $ 425,331


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Statement of Operations and Changes in Net AssetsYear ended March 31, 2015

2015 (in $) 2014 (in $) REVENUES Grant Revenue $ 286,404 $ 236,214 Carry Over Grant Revenue 62,643 67,730 GP for Me – Assessment and Planning 244,742 – GP for Me – Implementation 79,456 52,224 673,245 356,168 Unassigned In-Patient Incentive and Care Fees 381,301 330,389 Interest 2,453 1,080 Miscellaneous – 1,282 $ 1,056,999 $ 688,919 EXPENDITURES Accounting & Legal $ 4,883 $ 7,562 Administration 554 – Advertising 637 469 Amortization 2,490 – Bank Charges & Interest 291 468 Benevolent Fund Expenses 400 250 Board Expenses 63,396 57,520 Committee Expenses 101,518 47,924 Contracted Fees 44,030 21,824 Dues 1,196 11,739 Event Expenses 42,703 14,707 Honoraria – Non-Physicians 14,808 360 Insurance 850 1,553 Member Expenses 52,872 8,621 Misc Carry Over Expenses – 14,000 Office Supplies 36,828 16,288 Physician – Clinical Sessional 3,178 – Salaries and Benefits 307,936 129,255 Travel 8,469 8,381 Unassigned Inpatient Fees – (DoD) 368,550 345,636 $ 1,055,589 $ 686,557 EXCESS OF REVENUE OVER EXPENDITURE $ 1,410 $ 2,362 NET ASSET – BEGINNING OF YEAR $ 2,362 $ – NET ASSETS – END OF YEAR $ 3,772 $ 2,362

The Divisions of Family Practice Initiative is sponsored by the General Practice Services Committee, a joint committee of the BC Ministry of Health and Doctors of BC.

www.divisionsbc.ca/comox

Comox Valley

Comox Valley Board of Directors

Dr. Adam Thompson – Co-chair Dr. Tom Gornall – Co-chair Dr. Rob Silcox – Treasurer Dr. Sara Sandwith – Secretary Dr. Charuka Maheswaran – Member-at-large Dr. Trish Murphy – Member-at-large Dr. Johann Nel – Member-at-large Dr. Zeke Steve – Resident Member

Thanks to resigned members: Nancy McFadden and Nancy MacPherson

Comox Valley Division of Family Practice

Contact information:603 Stickleback RoadComox, BC V9M 4H8Phone: 250-339-3233Email: [email protected]

Photo credits:

Inside front cover, pages 16 and 17: Janet Brydon

All other photos: Adam Thompson

http://www.divisionsbc.ca/comox

mailto:[email protected]

Documents

Comox Valley Division of Family Practice. 2014 annual report