Aim: To enhance the capacity of BC Community Pediatricians to transition/transfer youth with chronic/complex health conditions to adult care (i.e., to family practitioners, adult specialists and/or allied health supports).
Fraser Health Authority (FHA)
Transitioning patients from community pediatricians into adult care
Lead Physician Dr. Aven Poynter, Pediatrics
Transitioning patients from community pediatricians into adult care
Lead Physician Dr. Aven Poynter, Pediatrics
Video of suicide prevention for adults with active suicide behaviour
Lead Physician Dr. Hem Phaterpekar, Psychiatry
Video of suicide prevention for adults with active suicide behaviour
Lead Physician Dr. Hem Phaterpekar, Psychiatry
Strategic Priority Mental Health and Substance Use
Aim: To address the issue of suicide re-attempts by exploring the use of a video-based prevention program for working-age adults who have attempted suicide or are identified as experiencing suicide ideation.
Interior Health Authority (IHA)
Centralized referral and surgical access pilot - Royal Inland Hospital
Lead Physician Dr. David Hanks, General Surgery
Centralized referral and surgical access pilot - Royal Inland Hospital
Lead Physician Dr. David Hanks, General Surgery
Strategic Priority Surgical Care
Aim: To implement a new single entry, standardized central referral system, triage process and waitlist for a group of General Surgeons in Kamloops.
Enhanced skills acquisition for Emergency Department physicians
Lead Physician Dr. Michael Ertel , EMERGENCY MEDICINE
Enhanced skills acquisition for Emergency Department physicians
Lead Physician Dr. Michael Ertel , EMERGENCY MEDICINE
Aim: Enhancing skills acquisition of ED physicians throughout BC for certification in ED Ultrasound and / or attendance at an Ultrasound Course, Attendance at an AIME course (Airway Intervention and Management in Emergencies); and attendance at an Emergency Medicine Simulation Training Course.
Enhancing timely psychogeriatric specialist services in residential care
Lead Physician Dr. Carol Ward, Geriatric Psychiatry
Enhancing timely psychogeriatric specialist services in residential care
Lead Physician Dr. Carol Ward, Geriatric Psychiatry
Strategic Priority Mental Health and Substance Use, Primary and Community Care, Seniors and Frail Elderly
Aim/Summary: To develop and implement inter-professional service delivery models to support Most Responsible Physicians, Nurse Practitioners and Residential staff in providing collaborative service to older adults with complex physical, mental health and substance use problems and illness residing in residential care facilities.
MObile Maternity (MOM) pilot project: using telehealth to integrate care
Lead Physician Dr. Shiraz Moola, Obstetrics and Gynecology
MObile Maternity (MOM) pilot project: using telehealth to integrate care
Lead Physician Dr. Shiraz Moola, Obstetrics and Gynecology
Strategic Priority Rural and First Nations Health
Aim: To equip primary maternity care providers clustered around eight rural hospitals and medical clinics across Interior Health Authority with portable tablets. Physicians will be able to provide real-time obstetric consultations for elective and emergent conditions through the use of Interior Health’s secure technology known as RealPresence
Optimizing musculoskeletal care for patients in Kelowna and Interior Health
Lead Physician Dr. Curtis Myden, Orthopedic Surgery
Optimizing musculoskeletal care for patients in Kelowna and Interior Health
Lead Physician Dr. Curtis Myden, Orthopedic Surgery
Summary: Kelowna Bone and Joint Health (formerly Kelowna Orthopedics) undertook a quality improvement project to lower the wait time to consultation to the most appropriate physician for patients with musculoskeletal (MSK) concerns. This was accomplished through the implementation of a centralized intake and triage process via a consolidated electronic medical record (EMR).
Waitlist management quality and improvement of the Otolaryngology office experience
Lead Physician Dr. William Povah, Otolaryngology
Waitlist management quality and improvement of the Otolaryngology office experience
Lead Physician Dr. William Povah, Otolaryngology
Aim: To implement a new single entry, standardized central referral system, triage process and waitlist for a group of Otolaryngologists in Kelowna.
Williams Lake Internists - consulting services
Lead Physician Dr. Jennifer Grace
Williams Lake Internists - consulting services
Lead Physician Dr. Jennifer Grace
Strategic Priority Rural and First Nations Health
Aim: The objective was to provide internal medicine consulting services for the Williams Lake community on a part-time basis, ideally as a bridge to recruiting local internists. The project also aimed to improve collaborative care among internists, referring doctors and other providers, and to provide continuing medical education (CME) rounds to the medical staff.
Northern Health Authority (NHA)
North Coast Postpartum Clinic
Lead Physician Dr. Marius Pienaar, Obstetrics and Gynecology
North Coast Postpartum Clinic
Lead Physician Dr. Marius Pienaar, Obstetrics and Gynecology
Strategic Priority Rural and First Nations Health
Aim: To establish a North Coast Postpartum service that will provide follow-up to women identified during their pregnancy as having at-risk factors for the development of cardiovascular disease.
Tele-Kidney Care for remote communities in Northern BC
Lead Physician Dr. Anurag Singh, Internal Medicine
Tele-Kidney Care for remote communities in Northern BC
Lead Physician Dr. Anurag Singh, Internal Medicine
Provincial Health Services Authority (PHSA)
Meeting pediatric mental health and substance use needs in the Emergency Department
Lead Physician Dr. Quynh Doan, Pediatric Emergency Medicine
Meeting pediatric mental health and substance use needs in the Emergency Department
Lead Physician Dr. Quynh Doan, Pediatric Emergency Medicine
Strategic Priority Mental Health and Substance Use
Aim: To implement a standardized clinical tool to assess pediatrics patients with mental health and substance use complaints. The tool will be adapted to locally available resources.
In the News
Provincial Inherited Arrhythmia Program
Lead Physician Dr. Laura Arbour/ Dr. Andrew Krahn
Provincial Inherited Arrhythmia Program
Lead Physician Dr. Laura Arbour/ Dr. Andrew Krahn
Aim: To establish a multidisciplinary cardio-genetics clinics for a province-wide referral network and the management of patients with inherited arrhythmias.
Provincial pre/peri/post-operative Pacemaker Project - assessment and standardization of care
Lead Physician Dr. Jamil Bashir, Cardiac Surgery
Provincial pre/peri/post-operative Pacemaker Project - assessment and standardization of care
Lead Physician Dr. Jamil Bashir, Cardiac Surgery
Aim: To establish a coordinated network to improve the pre/peri/post-operative care of the BC pacemaker patient.
Summary:
Streamlined specialized care strategies for complex major trauma in BC
Lead Physician Dr. David Evans , General Surgery
Streamlined specialized care strategies for complex major trauma in BC
Lead Physician Dr. David Evans , General Surgery
Aim: To establish a network of multi-disciplinary and province-wide Specialty Advisory Groups (SAGs) to address the needs of major trauma patients.
Transitional care for young adults with chronic conditions
Lead Physician Dr. Sandra Whitehouse
Transitional care for young adults with chronic conditions
Lead Physician Dr. Sandra Whitehouse
Strategic Priority Primary and Community Care
Aim: To improve coordinated youth to adult transition, for patients with chronic health conditions and disabilities.
Vancouver Coastal Health Authority (VCH/PHC)
Addition of physician triage to reduce ED referral from 8-1-1
Lead Physician Dr. Eric Grafstein, Emergency Medicine
Addition of physician triage to reduce ED referral from 8-1-1
Lead Physician Dr. Eric Grafstein, Emergency Medicine
To address ER congestion, applicant proposes the addition of a physician to create a new HealthLink BC 8-1-1 telephone triage algorithm. For those patients where the current algorithm advises the caller go to seek immediate physician care, the 8-1-1 physician would perform a telephone interview with the patient to confirm the need for ED referral.
BC redesign of hip fracture care
Lead Physician Dr. Pierre Guy/ Dr. Ken Hughes
BC redesign of hip fracture care
Lead Physician Dr. Pierre Guy/ Dr. Ken Hughes
Strategic Priority Primary and Community Care, Seniors and Frail Elderly, Surgical Care
Understand the current practices and state of hip fracture care in BC and then build a data set and key performance indicators, based on selected best practices outlines in the National Hip Fracture Guidelines, to assess performance at different time intervals and against agreed upon targets and benchmarks.
In the News:
Bilateral access to EMR
Lead Physician Dr. Don Ricci
Bilateral access to EMR
Lead Physician Dr. Don Ricci
Development and implementation of an office-based EMR to link to hospital-based subspecialty clinics to enhance care for chronic disease patients.
Cardiology and plastic burn telehealth
Lead Physician Dr. Patrick O'Connor
Cardiology and plastic burn telehealth
Lead Physician Dr. Patrick O'Connor
Strategic Priority Rural and First Nations Health
Finished Project: Integration of information and communication technology into the VCH specialist practices of cardiology and plastics to facilitate outreach of these specialists and improve access to services to under-served VCH rural and remote communities.
In the News:
Cystic fibrosis in BC: optimizing care across the age continuum
Lead Physician Dr. Pierce Wilcox, Respirology
Cystic fibrosis in BC: optimizing care across the age continuum
Lead Physician Dr. Pierce Wilcox, Respirology
To develop Provincial Cystic Fibrosis (CF) Clinic Standards of Care for newborns, pediatrics and adults; to identify and develop partnerships with key individuals outside of current CF clinics to develop co-management strategies; to develop CF care pathways addressing key aspects of acute and chronic care.
Elder Care in the neurosurgical population of BC
Lead Physician Dr. Brian Toyota, Neurosurgery
Elder Care in the neurosurgical population of BC
Lead Physician Dr. Brian Toyota, Neurosurgery
To clarify the impact of the elder population (>65 yrs.) related to the most common neurosurgical admission diagnoses for this age category: Malignant glioma, normal pressure hydrocephalus and chronic subdural hematomas. To document prevalence, current standards of practice, and cost in order to plan for improvements and develop best practices guidelines.
Mental health and substance use emergency teleconsultation quality improvement project
Lead Physician Dr. Matthew Chow, Psychiatry
Mental health and substance use emergency teleconsultation quality improvement project
Lead Physician Dr. Matthew Chow, Psychiatry
Strategic Priority Mental Health and Substance Use
To provide a “Mental Health and Substance Use Emergency Teleconsultation Services” to police and patients in the field.
PHC perioperative improvement
Lead Physician Dr. John Reid, General Surgery Vascular Surgery
PHC perioperative improvement
Lead Physician Dr. John Reid, General Surgery Vascular Surgery
Strategic Priority Surgical Care
To identify perioperative QI projects and implement them.
Provincially integrated endocrinology care for BC
Lead Physician Dr. Marshall Dahl, Endocrinology and Metabolism
Provincially integrated endocrinology care for BC
Lead Physician Dr. Marshall Dahl, Endocrinology and Metabolism
Strategic Priority Primary and Community Care, Rural and First Nations Health
To improve the health of the diabetes population by exploring a collaborative Provincial Diabetes (Endocrinology) Strategy that is sensitive to local, cultural and ethnic needs, with multi-disciplinary stakeholders from all 7 BC health authorities (HA).
Rapid access to urgent and semi-urgent gastroenterology care
Lead Physician Dr. Jennifer Telford, Gastroenterology
Rapid access to urgent and semi-urgent gastroenterology care
Lead Physician Dr. Jennifer Telford, Gastroenterology
Strategic Priority Surgical Care
Pooled Resource Group: to conduct a Needs Assessment to explore a new single entry, standardized central referral system, triage process and waitlist for a group of Gastroenterologists in Vancouver.
Survivorship program for prostate cancer patients
Lead Physician Dr. Larry Goldenberg
Survivorship program for prostate cancer patients
Lead Physician Dr. Larry Goldenberg
Establish a comprehensive prostate cancer survivorship program and clinic for patients.
In the News
The Productive Operating Theatre
Lead Physician Dr. Ramesh Sahjpaul, Neurosurgery
The Productive Operating Theatre
Lead Physician Dr. Ramesh Sahjpaul, Neurosurgery
Strategic Priority Surgical Care
To fund physician involvement in Productive Operating Theatre (TPOT), a comprehensive, modular and Lean-based program designed to assist pre- and perioperative teams to work more effectively together to improve the quality of patient experience, team performance and leadership, the safety and outcomes of surgical services, and the effective and valuable use of operating room time.
Wait One orthopedics
Lead Physician Dr. Kevin Wing / Dr. Peter Blair
Wait One orthopedics
Lead Physician Dr. Kevin Wing / Dr. Peter Blair
Strategic Priority Rural and First Nations Health
Aim: Prototype the electronic tracking and reporting of wait times (Wait One) for patients from time of referral to time of surgical consultation, and help identify strategies to reduce wait times.
In the News:
Vancouver Island Health Authority (VIHA)
Can a video improve advanced care planning in hospital?
Lead Physician Dr. Samuel Kohen, Internal Medicine
Can a video improve advanced care planning in hospital?
Lead Physician Dr. Samuel Kohen, Internal Medicine
Strategic Priority Seniors and Frail Elderly
Aim: To create a video to improve the current application of Advance Care Planning (ACP) and MOST (medical orders of scope of treatment) for high-risk patients admitted to Comox Valley Hospital.
In the News
Centralized surgical skin lesion referral line
Lead Physician Dr. Chris Taylor, Plastic Surgery
Centralized surgical skin lesion referral line
Lead Physician Dr. Chris Taylor, Plastic Surgery
Strategic Priority Surgical Care
Aim: Pooled Resource Group: to implement a centralized referral system for patients with skin lesions to a group of plastic surgeons in Victoria.
Developing a psychiatric care "Pit Crew" at University of Victoria
Lead Physician Dr. Marilyn Thorpe, Psychiatry
Developing a psychiatric care "Pit Crew" at University of Victoria
Lead Physician Dr. Marilyn Thorpe, Psychiatry
Strategic Priority Mental Health and Substance Use
Aim: Psychiatrist-led Interdisciplinary Team (PIT) project provides a “Pit-Crew” service for University of Victoria students who are at high-risk of harm because of suicidality, self-harm, depression and/or anxiety, psychosis, borderline, substance use, aloneness or because they are unable to self-manage to use existing resources.
IHealth community EMR
Lead Physician Dr. Steve Holland
IHealth community EMR
Lead Physician Dr. Steve Holland
Aim: Implementation of a community-based Electronic Medical Record for specialists that is fully integrated with the Electronic Health Record of Island Health.
Improving end-of-life outcomes in residential care facilities
Lead Physician Dr. Leah McDonald, Palliative Medicine
Improving end-of-life outcomes in residential care facilities
Lead Physician Dr. Leah McDonald, Palliative Medicine
Strategic Priority Primary and Community Care, Seniors and Frail Elderly
Aim: To improve palliative care in residential care facilities on Vancouver Island by improving the dying experience for individuals living in residence and their families; supporting residents dying in place; addressing the unique palliative needs to dying resident with dementia.
Improving violence risk assessment and management in mental health and substance use services
Lead Physician Dr. Laura Chapman, Psychiatry
Improving violence risk assessment and management in mental health and substance use services
Lead Physician Dr. Laura Chapman, Psychiatry
Strategic Priority Mental Health and Substance Use
Aim: To develop a Toolkit (Improving Risk Assessment and Management of Violence – IRAMV) to augment and enhance currently available violence prevention training to increase provider confidence and effectiveness in this important domain.
Summary:
Island Health child and youth telemental health and substance use collaborative care project
Lead Physician Dr. Helen Campbell, Psychiatry
Island Health child and youth telemental health and substance use collaborative care project
Lead Physician Dr. Helen Campbell, Psychiatry
Strategic Priority Mental Health and Substance Use
Aim: To provide Telehealth services on Vancouver Island to connect children/youth to psychiatrists to provide access to Mental Health and Substance Use screening, assessment, diagnosis and intervention.
Multidisciplinary Fragile X clinic
Lead Physician Dr. Jonathan Down/ Dr. Gudrun Aubertin
Multidisciplinary Fragile X clinic
Lead Physician Dr. Jonathan Down/ Dr. Gudrun Aubertin
Aim: Initiate a multi-disciplinary Fragile X (most common form of inherited intellectual disability) clinic to better assess and treat patients and family.
Multiple sclerosis telehealth
Lead Physician Dr. Olinka Hrebicek
Multiple sclerosis telehealth
Lead Physician Dr. Olinka Hrebicek
Strategic Priority Rural and First Nations Health
Aim: Telehealth service for MS patients on Vancouver Island.
Rebalance Interdisciplinary Musculoskeletal clinic
Lead Physician Dr. Sonja Mathes
Rebalance Interdisciplinary Musculoskeletal clinic
Lead Physician Dr. Sonja Mathes
Strategic Priority Primary and Community Care
Aim: Support the Victoria-based, integrated, multidisciplinary musculoskeletal clinic to optimize efficiency and effectiveness in musculoskeletal care.
Rebalance PROMs
Lead Physician Dr. Colin Landells, Orthopedic Surgery
Rebalance PROMs
Lead Physician Dr. Colin Landells, Orthopedic Surgery
To develop a data collection tool that will merge patient reported outcomes data and EMR data on surgical and non-surgical, degenerative hip and knee patients, and patients with painful shoulder conditions.
Redesigning community geriatric care--an integrative, collaborative, interprofessional model
Lead Physician Dr. Marilyn Bater, Geriatric Medicine
Redesigning community geriatric care--an integrative, collaborative, interprofessional model
Lead Physician Dr. Marilyn Bater, Geriatric Medicine
Strategic Priority Mental Health and Substance Use, Primary and Community Care, Rural and First Nations Health, Seniors and Frail Elderly
To engage stakeholders, including patients and providers, in a localized approach to improve geriatric community care.
Surgical eBooking pilot project
Lead Physician Dr. Nathan Schneidereit
Surgical eBooking pilot project
Lead Physician Dr. Nathan Schneidereit
Strategic Priority Surgical Care
Aim: Pilot to develop electronic surgical booking solution for surgeons’ offices in Nanaimo and Fraser Region, for potential provincial expansion.
VI integrated telemental health program
Lead Physician Dr. Helen Campbell
VI integrated telemental health program
Lead Physician Dr. Helen Campbell
Strategic Priority Mental Health and Substance Use, Rural and First Nations Health
Aim: To increase access to tele-psychiatry in rural/remote communities on Vancouver Island.