ridge meadows division of family practice. 2013 annual report

Ridge Meadows

ANNUAL REPORT2013

Co-Chair Report — Dr. Ken Burns 4Co-Chair Report — Dr. Ursula Luitingh 5Director Report — Treena Innes 6About the Ridge Meadows Division 7Ridge Meadows Division Initiative 8 Governance Chart Ridge Meadows Division Initiatives 10 A GP for Me 10 Community Services Partnership 11 Health and Wellness 12 Heart Function Clinic 13 Home Health Initiative 14 Integrated Health Networks/Psychiatry 15 Maternity Clinic Operation Initiative 16 MOA Network 17 Nurse Practitioner 1 — Homeless/ 18 Mentally Ill Nurse Practitioner 2 — Frail Elderly 19 Pathways 20 PITO/Electronic Medical Records/ 21 Community of Practice Recruitment/Retention of Physicians 22 Shared Care Acute Care 23 Shared Care Child and 24 Youth Mental Health Shared Care Radiology 25 CME 26Member Events and Engagement 27Division Highlights 28Message from Treasurer — Dr. Virin Bhatti 30Financial Statement 31Board of Directors 33Member Initiative Involvement 34

CONTENTS

RIDGE MEADOWS DIVISION OF FAMILY PRACTICE

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2013 ANNUAL REPORT

CO-CHAIR REPORT — DR. KEN BURNS

When our Division originally formed, we focused on bringing our GP community together. In years past, we had the hospital as a meeting place but that no longer occurs. Our Division’s events are meant to foster new friendships as well as renew old ones between colleagues. I believe this focus is still critical. Without a sense of community and commitment we will lack the ability to support each other and our community in a caring, compassionate and competent manner.

As the common motto states, “United we stand, Divided we fall”

When greed dominates gratitude and selfishness eliminates selflessness, we begin fractionating and decaying our sense of community.

Your Board has demonstrated their dedication to our medical community through their willingness to give of their professional and personal time. They have addressed many issues important to our members and our Ridge Meadows community.

Your Division’s administrative team has provided the backbone that has allowed us to move forward with all our activities

Finally your treasurer, Dr. Virin Bhatti, your vice chair, Dr. Ward Tinney and especially my Co-Chair, Dr. Ursula Luitingh have been outstanding. They have tirelessly dealt with every issue and concern arising from our Division’s initiatives.

I have been unbelievably lucky and I know it.

I have been able to witness the creation and maturation of your Division of Family Practice. I have felt great pride in your support of our Division and that support has been the envy of many Divisions around the province. I pray that this support will continue to grow as the Division faces new challenges. Your Division’s focus on supporting our members’ ability to provide excellent primary care to our Ridge Meadows community should never cease.

Thank you for the honour and the privilege of being Chair then Co-Chair of your Ridge Meadows Division of Family Practice.

Dr. Ken Burns, Board Co-Chair

Dr. Ken Burns, Board Co-Chair

As the Co-Chair over the last year, I have experienced sadness and satisfaction.

There has been sadness with the death of Dr. Clarence Fernandes and Dr. Marco Terwiel. They were both amazingly dedicated colleagues and leaders in our community.

There has been satisfaction with the approval of our “A GP for Me” project that has involved a huge amount of work over the last 16 months. We now have the resources to provide support to our members to enable them to provide excellent primary care to many more patients in the Ridge Meadows area.

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Dr. Ursula Luitingh, Board Co-Chair

CO-CHAIR REPORT — DR. URSULA LUITINGH

We are approaching a new year and with it comes new challenges and new outcomes. As your chair, I hope to get a better understanding of how we can connect to you, our Division.

We have worked hard to engage our GPs at events like the AGM, stakeholder meetings and the Golf Tournament. But I would like to hear each member’s take on our Division and have a conversation where we have the opportunity to communicate and connect those thoughts.

Communication is an integral part of relationships and we have also worked extremely hard on building that with our community. I would like to raise our profile and awareness in our community by using the local media to celebrate our successes and live our vision of being an influential organization in the community; an important stakeholder.

Divisions have evolved over the last 4–5 years and things are changing all the time. We have excellent staff who help manage that change and really do a lot of the work while we do what we know best — take care of our patients.

Our Executive Director Treena Innes, has done a great job in supporting each of us. She carries the responsibility to make our dreams come true, so to speak. I am privileged to have her support while I lead the Board.

Our admin team: Leanne Regan, Ashley McDonald and Tracy Miyashita are equally invaluable and have worked very hard to support our initiatives and manage the small and big things at the office. Thank you all.

I would also like to thank Dr. Laura Kelly for her contributions to the board over the last three

years. She brought her open-mindedness and honesty into our board room and it has been great working with her. She will continue to look after our physician wellness and contribute to our monthly e-news with tips and advice for us.

Dr. Wilhelm Warmenhoven has also been such a strong leader and his presence on the Board will be missed.

And all of this would not have been possible if not for our fearless leader, Dr. Ken Burns. He has been instrumental in getting the Division going, along with many others who he convinced to join. He has a passion for family medicine and has interest in all areas of concern. These are big shoes to fill, and rather than trying to fit into them, I am hoping to pick a new pair to walk in. He leaves behind an important contribution to our Division and hopefully, we will build this foundational work to the next level and continue to be looked at as a Division that leads its peers and supports the family physician membership.

Thank you for your support.

Dr. Ursula Luitingh, Board Co-Chair


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2013 ANNUAL REPORT

DIRECTOR REPORT — TREENA INNES

This past year’s memorable highlights include:

• Record attendance at our member and AGM events

• Our first “Meet the Community” event where we included SP, GPs and MOAs to meet Ridge Meadows community organizations that can help your patients

• The launch of Pathways, an online SP referral database tool for our GPs and MOAs

• A medical community resource guide for our community

• Planning and Assessing our community’s needs through the A GP For Me initiative, which led to the approval of a $650,000 implementation proposal to improve attachment

• MOA network development

• The start of the Shared Care Child and Youth Mental Health Initiative

We now unfold the next chapter of the Division as we transition from our hard-working, incredibly dedicated Chair, Dr. Ken Burns, and hand over the leadership reins to Dr. Ursula Luitingh. The foundation and leadership that

Ken brought to the Division has been instrumental in the Division’s success. Since day one, Ken’s determination to have our GPs join the Division movement has created a legacy and the necessary foundation that enables the Division to bring in the next generation of leadership.

The members and Division staff bring faith and belief to Ursula as our next Division leader. We know she will create another important legacy for the Division with her unwavering passion and vision for our GPs and patients.

Over the next few years, our Division will be working towards building strong governance with our Board of Directors, which in turn will create strong sustainability and growth of the work we are all doing to create positive change for our medical community.

A very deep heartfelt thank you to our Division staff: Leanne Regan, Ashley McDonald and Tracy Miyashita. The work ethic and drive that this staff team brings to the Division, in honour of supporting our GP members to meet our vision, is insurmountable.

Treena Innes, Division Director

Treena Innes Division Director

Each year as we take the time to reflect on writing this Annual Report, I am so very proud of our Division and the amount of positive change we are bringing to our medical community from year to year.

You, our members, continue to tell us how happy you are that the Division has re-created the “hospital lounge” as a means to stay connected with each other. From new members to our community I hear time and time again how they value our collegial and embracing medical community culture.

I am reminded at every board meeting, advisory committee and member engagement event how inspiring it is to see you all sharing your time so generously and providing your wisdom and direction on our initiatives.

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ABOUT THE RIDGE MEADOWS DIVISION

EXECUTIVE SUMMARY

VISION STATEMENT:

Ridge Meadows Division of Family Practice is an influential organization that provides leadership to achieve optimal health for our community and provide support to our primary care physicians.

OUR MISSION:

Acknowledge, support, protect and enhance the role of primary care physicians by having an organization that has meaningful communication and partnership with Health Authorities, Ministry of Health and community at large in order to provide improved patient care and physician satisfaction.

OUR ORGANIZATION:

The Ridge Meadows Division of Family Practice (RMDFP) is a nonprofit society that has been incorporated since 2010 serving the Maple Ridge and Pitt Meadows area. RMDFP provides approximately 87 members with a strong voice to ensure that our members are at the forefront of positive change in our health care system for patients.

BOARD OF DIRECTORS 2013–2014

Left to right: Dr. Amyeen Hassanali, Dr. Ursula Luitingh, Dr. Ward Tinney, Dr. Virin Bhatti, Dr. Al Neufeld, Dr. Laura Kelly, Dr. Ken Burns, Dr. Fernando Villasenor and Dr. Wilhelm Warmenhoven


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2013 ANNUAL REPORT

Heart FunctionBoard Lead – Dr. Laura Kelly

Legend

Priority

Maintain

Closed

RIDGE MEADOWS DIVISION INITIATIVE GOVERNANCE CHART 2013–2014

VISIONRidge Meadows Division of Family Practice is an influential organization

that provides leadership to achieve optimal health for our community and provide support to our primary care physicians.

Healthy Primary Care Physician Community

Recruit/RetentionBoard Lead – Dr. Al Neufeld

Health and WellnessBoard Lead – Dr. Laura Kelly

Patients Supported in the Community

Community Services PartnershipBoard Lead – Dr. Virin Bhatti

Home HealthBoard Lead – Dr. Al Neufeld

MOA Network PARTNERSHIP DEVELOPMENT ORGANIZATION GROWTH/HR COMMUNICATIONS Board Lead: Lead: Board Lead: Dr. Fernando Villasenor Treena Innes Dr. Al Neufeld

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IHNBoard Lead – Dr. Fernando Villasenor

MISSIONAcknowledge, support, protect and enhance the role of primary care physicians by having an organization that has meaningful communication and partnership

with Health Authorities, Ministry of Health and Community at Large in order to provide improved patient care and physician satisfaction.

Community Access to Primary Care

GP for MeBoard Lead – Dr. Ken Burns

NP 2 – Frail ElderlyBoard Lead – Dr. Ursula Luitingh

Maternity ClinicBoard Lead – Dr. Ken Burns

NP 1 – Homeless/Mentally IllBoard Lead - Dr. Al Neufeld

Improved System Capacity

Shared Care RadiologyBoard Lead – Dr. Ward Tinney

PITO/EMRBoard Lead – Dr. Ken Burns

Shared Care Hospital Acute Care Board Lead – Dr. Ward Tinney

PathwaysBoard Lead – Dr. Ward Tinney

CYMHSU Shared Care InquiryBoard Lead – Dr. Ursula Luitingh

MEMBER ENGAGEMENT EVALUATION CME GOVERNANCE Board Lead: Board Lead: Dr. Ursula Luitingh Dr. Virin Bhatti


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2013 ANNUAL REPORT

RIDGE MEADOWS DIVISION INITIATIVES

A GP FOR ME

GOALS/DESCRIPTION:

Attach unattached patients in Ridge Meadows.

BOARD LEAD: DR. KEN BURNS

Advisory Committee: Dr. Ursula Luitingh, Dr. Virin Bhatti, Dr. Al Neufeld, Dr. Ravi Vanukuru, Dr. Richard van Gend, Dr. Wilhelm Warmenhoven, Dr. Petrus du Toit, Dr. Ward Tinney, Scott Brolin (FH), Gayle Farrell, Treena Innes, (Ex Officio) MR Councilor Cheryl Ashlie/PM Mayor Deb Walters.

YEAR HIGHLIGHTS:

After submitting a proposal for the request of funding for assessment and planning for our community, our Division was approved for $325,000 in funding to begin this work. We contracted Siena Consulting to lead this project with our hard-working A GP for Me Steering Committee and Division Director.

Through collaboration with the Fraser Health Authority, patient groups, community service organizations, First Nations, specialist physicians and allied health care professionals, the Ridge Meadows Division of Family Practice has been able to complete the Assessment and Planning phase, and we presented our Implementation Plan to the GPSC in July.

We discovered our community has an unattach-ment rate of 17%, approximately 16,000 people. 10,000 of the 16,000 unattached are currently looking for a GP and cannot find one.

Predictions estimate the population of Ridge Meadows growing by 19% in the next 10 years.

In that same time, 36% of our Division’s current 65 GPs will be retired or semi-retired.

Also concerning is the fact that GPs are spending anywhere from 1-3 days per week on non-clinical work that could be performed by a

skilled MOA and on clinical tasks that could be performed by an RN or LPN.

SUCCESSES:

We proposed three main initiatives that will:

1. Make a difference for our priority populations—including new moms, homeless and mentally ill;

2. Build capacity to provide team-based care involving an RN and/or a Super MOA and

3. Expand physician supply by recruiting and retaining two new GPs by the end of March 2016, attaching 4,880 patients.

Our plan focuses on three strategies:

1. We will implement a referral and attachment process (initially) targeting mothers and their babies and then expanding it to the wider community. We plan to attach 640 new patients by March 2016. We will also augment our current NP clinic to support the attachment of 40 homeless and/or mentally ill patients.

2. We will launch a multi-disciplinary team model within GP practices that will attach an additional 1000 new patients by March 2016

3. And, by focusing on recruitment and retention of two new GPs, we will strengthen locum coverage, avert a crisis situation and attach 1600 new patients and re-attach another 1600-2000 patients from a retiring practice.

Our community has been approved for $650,000 in funding until March 2016 to achieve these goals.

LOOKING FORWARD:

In the fall, we will begin recruiting and implementing the advisory committees on each initiative and developing the strategies to best meet our community’s needs. If you are interested in joining, please contact Treena Innes, Division Director.

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COMMUNITY SERVICES PARTNERSHIP

GOALS/DESCRIPTION:

1. Make GPs aware of what services are available in community and how to access – referral programs

2. Patient awareness

BOARD LEAD: DR. VIRIN BHATTI

Advisory Committee: Dr. Virin Bhatti, Treena Innes, Dr. Ward Tinney, Dr. Ken Burns, Vicki Kipps

YEAR HIGHLIGHTS:

Maple Ridge Community Services provides numerous services to our patients, from children to seniors, at no cost or very low cost. We have developed a simple referral and feedback process, just one phone call or fax for all services.

We have been trying to promote these services to our Division members for the benefit of our patients. I must say we have not been very successful in generating referrals from family physicians to Maple Ridge Community Services. Now we are trying to reach the patients directly so they can request a referral from their family physician. A CD promoting these services is now available for family physicians to display on their waiting room televisions.

Many thanks to Treena Innes, Dr. Ward Tinney, and Vicki Kipps for their time and effort in improving the effectiveness of this program.

SUCCESSES:

In the New Year the Division hosted a “Meet the Community” event where over 100 guests participated. GPs, SPs and MOAs were able to engage in meeting community organizations and learn how their services can help patients.

LOOKING FORWARD:

If members have any suggestions for improving the uptake for this program, please contact Dr. Virin Bhatti.

Photos above: Meet the Community Event


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2013 ANNUAL REPORT

RIDGE MEADOWS DIVISION INITIATIVES CONT’D

HEALTH AND WELLNESS

GOALS/DESCRIPTION:

1. Provide education and venues for connecting with colleagues.

2. Provide one-on-one support to any local physicians in need.

BOARD LEAD: DR. LAURA KELLY

Advisory Committee: Dr. Laura Kelly, Dr. Michelle Little

YEAR HIGHLIGHTS:

The physician wellness program continues to be active with the Division board, and presented the workshop on “Happiness” at the AGM last September. In October, Dr. Kelly attended the Canadian Conference on Physician Health in Calgary in October and returned with some ideas and inspiration, including increasing education and reminders for doctors on keeping themselves well. Research articles on nutrition and reminders to snack during the workday were distributed with healthy granola bars to each doctor’s hospital mailbox.

SUCCESSES:

In December, Dr. Kelly, along with Dr. Ruffo and Dr. Froese from the White Rock Division of Family Practice, submitted an abstract to the International Conference on Physician Health to be held in London, UK this fall and was accepted for presentation. This abstract outlined our local community’s “Physician’s Advocating Wellness” (PAW) experience over the past seven years, and reviewed both the inspiration and pitfalls of starting such a community-based program.

LOOKING FORWARD:

Unfortunately, the Fraser Health Authority decided in March that our $10,000 per annum funding for programming would not be continued. The Ridge Meadows Division of Family Practice board renewed its commitment to sustaining a physician wellness focus in our community, recognizing the importance of a healthy physician community. Since that time the board has supported the walk/cycle event, the annual golf tournament and ongoing education pieces in the monthly e-newsletter. We welcome ideas and assistance in developing new strategies for supporting our local doctors, and maintaining our collegial physician community in Maple Ridge and Pitt Meadows.

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HEART FUNCTION CLINIC

GOALS/DESCRIPTION:

1. Give patients rapid access to Heart Clinic.

2. Communicate to GPs for awareness for referrals and access.

BOARD LEAD: DR. LAURA KELLY

Advisory Committee: Dr. Laura Kelly, Dr. Ken Burns, Winston Tsui

YEAR HIGHLIGHTS:

The Heart Function Clinic is now in its third year of operation, averaging about 80 patients a year being served. Connection through the electronic medical record continues to be a challenge, and patients rarely bring their “folder” of updated information from clinic to the Emergency Department or their doctors’ offices.

SUCCESSES:

The RM Division was involved in advising at the outset of the clinic, and has reported back to the clinic staff about ongoing operations.

LOOKING FORWARD:

Last autumn, the Division Board of Directors made the decision to close its ongoing involvement with the Heart Function Clinic, but would be pleased to advise and communicate to our members on a when-needed basis going forward.

FUN FACT: Did you know we have over 70 GP MOAs and Specialist MOAs in our MOA Net work? ●


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2013 ANNUAL REPORT


HOME HEALTH INITIATIVE

GOALS/DESCRIPTION:

1. Improvement and ongoing communication with case managers and GPs

2. Alignment and better communication with Home Health

BOARD LEAD: DR. AL NEUFELD

Advisory Committee: Dr. Al Neufeld, Dr. Ken Burns, Dr. Daniel Wong, Dr. Martin Milewski, John Tully, Vicky Bruys, Dr. Grace Park

YEAR HIGHLIGHTS:

After a few hurdles last year to overcome, the Home Health Initiative is back running smoothly. The problems were caused by staffing shortages in terms of the number of case managers with lack of communication. There is now a full complement of case managers who have been contacting all our members to hopefully set up a communication schedule that works for everyone. The Division members are encouraged to speak with their case managers and work out a system that works for them. Remember that the contact doesn’t need to be face to face. Phone contact is acceptable both in terms of patient care and satisfying billing requirements. If anyone has forgotten the billing codes, the Division can help.

SUCCESSES:

The first few months after the implementation of this initiative provided quite a few success stories that we were able to share not only with each other but with Board Members from other Divisions. Hopefully, now that we are up and running again, we will have more successes to share.

LOOKING FORWARD:

If you find that things aren’t running smoothly or if you are having problems making referrals to Home Health, please contact Dr. Al Neufeld directly so he can bring your concerns to the Advisory Committee. If he doesn’t hear anything he’ll assume the initiative is a success.FUN FACT: We welcomed

7 new GPs to the Ridge

Meadows community

last year. ●

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INTEGRATED HEALTH NETWORKS/PSYCHIATRY

GOALS/DESCRIPTION:

Improving the journey of complex psychiatric patients back into the community and care of their family physician from Mental Health Unit

BOARD LEAD: DR. FERNANDO VILLASENOR

Advisory Committee: Dr. Fernando Villasenor, Dr. Ken Burns, Ken McDonald, Dr. Ward Tinney

YEAR HIGHLIGHTS:

This project tested and refined a standardized process for discharging/transitioning stable clients from community mental health centres to family practitioners.

This process is intended to support effective communication, collaboration and client care during this transition period.

SUCCESSES:

The successes completed were to ensure completion of the pilot, membership communication/feedback and to simplify a flow chart process for the return of patients from mental health back to the GPs.

LOOKING FORWARD:

This initiative pilot has now been completed and closed.Collaborative Care Process Map-Episode of Care for MHSU Clients Referred by PCPs (Primary Care Providers)

[DRAFT VERSION 11] Mar 8, 2012

Ongoing TreatmentIntake Discharge/TransitionReferral

Referral to Rapid Access Clinic (RAC) for Psych Consult

Community MHSU Services Referral Form

Referral pre-registered / logged

by MHSU admin staffReferral screened /

triaged by MHSU clinician

PCP receives confirmation of receipt of referral request by

phone call or letter from clinician within 5

business days indicating disposition of referral. When possible, face to face meeting arranged

with client &/or GP.

Unsuitable Client:Recommendation

to appropriate services

Suitable Client:Assigned to

MHSU team or RAC

Psychiatrist Assessment and Treatment Plan /

RecommendationsOngoing Treatment

Case review Q6 months (documented on Recovery

Plan Review)

Consult ReportPCP/Clinician may

contact psychiatrist by phone for follow up

questions/advice (see VIHA protocol)

Copy of Assessment and Treatment Plan

Copy of Recovery Plan Review

Unplanned Discharge:

Outreach visit or letter sent due to

loss of contact

File kept pending up to 1

month’s time

Letter or phone call to PCP for plan of action

Planned Discharge:If end of treatment, client relocates to

another community, etc. then PCP alerted via p/c letter or fax requesting

consultation

Preparing for discharge:Pre-Discharge meeting consultation with PCP

Discharge Planning – Plan transition back to

PCP careTermination Summary

Include name and phone number of person for PCP to contact for questions

or advice if needed

Copy of Termination Summary

After Discharge:Follow-up with PCP & patient in 1 month’s time (file left pending at times or closed in

consultation with PCP

Letter acknowledging

receipt of referral and indicating disposition of

referral and type of service offered (ie

face to face, phone call, etc)

Referral to other resources

GP Mental Health

Planning Fee 14043

Note: Community Patient Conferencing Fees: 14016 and 14046 Compensates GP when conferencing for the creation of a coordinated clinical action plan for patients living in the communIty or facility based, with more complex needs, including patients with mental health conditions. The following codes may be utilized at various points in the episode of care for MHSU patients:

Counseling Visits:

Fee code 14044, 14045, 14046, -

14048

Referral to Mental Health &

Substance Use (MHSU) Centre

GP Community Patient

Conferencing Fee 14016

GP Telephone/Email follow up

Management fee 14079

Reasons for Referral:non-urgent psychiatrist referralpsychiatric assessmentCrisis interventionShort term stabilizationAccess to therapy (i.e. groups)Intake assessmentCase consultationCase managementReferral to community servicesSubstance Use servicesOutreachEarly psychosis Intervention


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2013 ANNUAL REPORT


MATERNITY CLINIC OPERATION INITIATIVE

GOALS/DESCRIPTION:

1. Every pregnant patient in Ridge Meadows should have access to Mat Clinic and specialized care

2. Optimal health for mother and baby


Advisory Committee: Dr. Paul Sidhu, Dr. Ken Burns

YEAR HIGHLIGHTS:

Ridge Meadows Maternity Clinic was created in 2002 to meet the growing demand for primary obstetric care in the Ridge Meadows area due to increasing numbers of deliveries at RMH and decreasing number of physicians providing labour and delivery care.

Supporting our maternity clinic as an essential part of health care services in the Ridge Meadows area has always been a focus of our Division. We feel confident that we are addressing this goal, as the maternity patient volume has continued to increase over 12 years. The total number of babies delivered at Ridge Meadows Hospital in 2001 (the year before RMMC opened) was 542, whereas the total number of deliveries for 2013 was 792. We thank all of the referring physicians in Ridge Meadows and surrounding communities for their support.

SUCCESSES:

As part of our A GP for Me work, since August 2013 we have been working on developing a matching tool that will facilitate the attachment of “Mother-Child Dyads” with a local GP in our community. We have created relationships with Ridge Meadows GPs, which allowed us to start attaching patients in January 2014. From January to July 2014, we successfully attached approximately 125 patients to a local family physician. Our goal is for every one of our patients, and their families, to be attached to a GP before they are discharged from our care at postpartum visit.

We have been able to hire a manager who is responsible for this project.

LOOKING FORWARD:

We are composed of eight local family physicians with a passion for providing compassionate, competent primary obstetric care: Dr. Len Hatlelid, Dr. Cilliers Marais, Dr. Paul Sidhu, Dr. Simone Loch, Dr. Daniel Wong, Dr. Ken Burns, Dr. Marla Connor and Dr. Virinder Bhatti.

We are currently looking for a ninth physician to join our primary maternity care team.

We look forward to working with interested members of our Division to advance this work.

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MOA NETWORK

GOALS/DESCRIPTION:

1. Improve communication and relationships with the Division, GPs and MOAs.

2. Improve idea sharing and problem solving.

3. Enhance knowledge of MOAs through professional development workshops that benefit job performance and patient care.

4. Provide support to our primary care physicians, through support to their MOAs.

BOARD LEAD: DR. FERNANDO VILLASENOR

Advisory Committee: Ashley McDonald, Julie Fulton, Michelle Poth, Angela Blackwell, Marie Fraser, Althea Jones, Michelle Bayer, Kelly Almond, Maria Kastionis

YEAR HIGHLIGHTS:

This year, the MOA Network really took shape. We currently have over 70 SP and GP MOAs in our network who are actively communicating with us about what they would like to see come to Ridge Meadows in order to benefit their job performance and improve patient care. We have been able to increase our communication with MOAs throughout Ridge Meadows through a variety of avenues, as well as offer them several workshops based on feedback we have received. We are also actively investigating further opportunities for everyone to come together and create a strong MOA community.

With the implementation of Pathways, we were given a great opportunity to meet directly with many MOAs and show them that we are here to support them. The Division is going to be offering an increasing number of opportunities for participation in many Division events for our MOAs, and with that, our hope is that this network will continue to grow and give our MOAs the chance to improve their relationships with each other, our membership and the Division.

SUCCESSES:

We held two very successful Workshops this year, including a two-day first aid re-certification workshop and a second tour of the Radiology Department at Ridge Meadows Hospital. We were able to highlight how our MOAs can better communicate with Radiology in order to improve wait times by providing them the chance to speak with the technicians as well as the main unit clerk. We also added several MOAs from the specialists’ offices in our community who are able to offer a greater understanding when it comes to referrals and booking processes within those offices.

LOOKING FORWARD:

We have booked a workshop with the Public Health Unit regarding vaccinations scheduled to occur in early fall, as well as a presentation from Alouette Addictions in early 2015. We are in the planning stages of a conflict resolution seminar slotted for this Spring, and have contacted MOA Association of BC to see what kind of resources are available to our MOAs on a provincial level. We will also be rolling out an improved communication plan with our MOA Network this September, in order to create a better method of connecting our MOAs to each other and the Division.

MOA Network First Aid Training


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2013 ANNUAL REPORT


NURSE PRACTITIONER 1 — HOMELESS/MENTALLY ILL

GOALS/DESCRIPTION:

Improve overall health for marginalized patients


Advisory Committee: Dr. Al Neufeld, Dr. Paul Beckett, Dr. Elizabeth Zubek, Ken McDonald, Janet Rosenfeld, Sherry Mumford, Dr. Biju Mathew

YEAR HIGHLIGHTS:

I continue to be very proud of the work that the Board has done to provide primary care to the disadvantaged people who use the services of The Caring Place. Janet Rosenfeld has been successful in engaging this very difficult to treat population. I would like to offer a special thank you to Dr. Liz Zubek and Dr. Paul Beckett for their help with mentoring Janet. I would also like to thank The Caring Place for their generosity in providing the space and administrative help required for the day to day functioning of the clinic.

SUCCESSES:

Janet has successfully reintroduced primary care to many people who have fallen out of touch with this very important first step to good health. There is still a lot of work to do and we need to remain positive. The parameters by which we measure success in this special group of patients are by necessity more variable. Janet has been able to help several patients back to a point where they are ready to return to a more traditional family practice.

LOOKING FORWARD:

Speaking of returning to more traditional family practices, Dr. Zubek has attached a patient from the clinic and Janet has several other patients that she would like to see attached to one of our members. Treatment of these patients can be very rewarding and if anyone is interested, please contact Dr. Al Neufeld or Janet.

All of us have patients who cause us a great deal of difficulty. Often these patients have mental health issues and are on the road to becoming homeless and doctorless. Our nurse practitioner has a special set of skills and interests which may be very helpful in dealing with these patients. Before you end your relationship with these patients, consider a referral to Janet who would love to work collaboratively with you.

This can be a win-win-win with patient, doctor and nurse practitioner all benefiting.

We also look forward to having this initiative become part of our A GP for Me work, so we can implement a strong attachment and referral tool with evaluation.

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NURSE PRACTITIONER 2 — FRAIL ELDERLY

GOALS/DESCRIPTION:

1. Attach frail elderly to GPs in the community.

2. Bridging the gap to support and improve care to unattached elderly patients.

BOARD LEAD: DR. URSULA LUITINGH

Advisory Committee: Dr. Grace Park, Dr. Amyeen Hassanali, Dr. Ursula Luitingh, Dr. Willem Richards, Dr. Martin Milewski, Dr. Robert Harrison, Dr. Allen Neufeld, Dr. Ken Burns, Dr. Virin Bhatti, Treena Innes

YEAR HIGHLIGHTS:

A successful proposal was awarded by the Ministry of Health in May 2013 which funded our community with a Nurse Practitioner. Unfortunately there have not been any NP applicants this year for the position. This initiative has remained on hold for 2014.

SUCCESSES:

As above

LOOKING FORWARD:

The Board will review next steps with this initiative, taking into consideration members’, hospitalists’ and stakeholders’ feedback.

FUN FACT: Did you know that we have 132 pictures of GPs and SPs in our new Medical Community Resource Guide? ●


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2013 ANNUAL REPORT


PATHWAYS

GOALS/DESCRIPTION:

Provide a web-based resource to improve communication and referrals to specialists, as well as provide access to physician and patient resources.

BOARD LEAD: DR. WARD TINNEY

Advisory Committee: Dr. Ward Tinney, Dr. Cilliers Marais, Dr. Ken Burns, Dr. Ockert Lampen, Dr. Lorne Walton, Dr. Al Neufeld, Treena Innes, Tracy Miyashita, Shelly Rusch

YEAR HIGHLIGHTS:

The Division adopted Pathways in early 2014 to benefit our members and their practice. Since the launch approx. 40% of physicians have been utilizing this resource.

Pathways has been a great way to download referral forms, obtain information about wait-times, discover focus areas of specialists, and access patient instructions.

SUCCESSES:

The Division successfully launched Pathways on May 12 and usage continues to grow. Ridge Meadows was the third division to adopt this resource and since the launch seven more divisions have come on board. Physicians in our community have access to over 200 written resources on various topics and can view the pages of hundreds of specialists located throughout the lower mainland covering 36 specialty areas. This resource will greatly improve referrals to specialists and help physicians enhance service to patients.

LOOKING FORWARD:

Next steps for Pathways in Ridge Meadows include the addition of community resources and a listing of family physicians. Dr. Cilliers Marais, Dr. Ward Tinney and Ashley McDonald have joined the Pathways provincial group to support the growth of Pathways across BC.

Pathways Launch. Left to Right, Shelly Rusch, Ron Warneboldt, Dr. Ken Burns, Dr. Ursula Luitingh, Dr. Al Neufeld, Treena Innes, Dr. Ward Tinney, Dr. Cilliers Marais and Tracy Miyashita

FUN FACT: Did you know i t takes 4.34 seconds to f ind a neurosurgeon accept ing pat ients within six months on Pathways? ●

2013 ANNUAL REPORT

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PITO / ELECTRONIC MEDICAL RECORDS / COMMUNITY OF PRACTICE

GOALS/DESCRIPTION:

The Ridge Meadows Community of Practice received $31,000 in January 2014 to focus on the following goals:

1. Develop electronic resources to improve SP/GP communication, referrals and support to patients.

2. Support optimization of EMR usage in clinics.

3. Increase EMR adoption rate of SPs by 10% (from 54% adoption).


Advisory Committee: Dr. Ward Tinney, Dr. Cilliers Marais, Dr. Virinder Bhatti, Dr. Ockert Lampen, Dr. Frank Ervin, Jennifer Marshall, Gillian Marshall, Tracy Miyashita

YEAR HIGHLIGHTS:

The Community of Practice (CoP) received funding from January – March 2014 for local initiatives that would enhance EMR use. For the duration of the funding period, the CoP facilitated advisory planning sessions as well as user learning sessions on dermatology and pathways.

Highlights include:

• Implementation of Pathways which will enable sharing of electronic forms, resources and improve referrals.

• Development of electronic requisition forms, adapted to each EMR vendor.

• Increase in adoption rates by both SPs and GPs.

SUCCESSES:

• The Division was successful in submitting a funding proposal for $93,000 for PITO initiatives (received $31,000 of total funding prior to March 31).

• Ridge Meadows has a physician adoption rate of 83%, which exceeds the provincial benchmark of 82% and the Fraser Health region average of 77%.

• PITO funding supported the implementation of Pathways, which facilitates faster referrals, access to electronic physician and patient resources, as well as access to electronic referral forms.

• Development of an electronic requisition for RMH imaging that has been adapted to Plexia, Osler and Intrahealth users.

LOOKING FORWARD:

As PITO ceased to exist beyond March 2014, the EMR focus has transferred to the PSP Technology Group. The future efforts will shift to Post Implementation Support (PIS) for EMR users to help them obtain a functional capacity of “Meaningful Use – level 3”. More information will be available from PSP-TG and Doctors of BC.

FUN FACT: Communicat ion be t ween Ridge Meadows Hospital Radiology Depart- ment and physicians’ off ices improved 88% in 2014. ●


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2013 ANNUAL REPORT


RECRUITMENT/RETENTION OF PHYSICIANS

GOALS/DESCRIPTION:

Recruit physicians to the Ridge Meadows region to meet the needs of the growing population and replace the 36% of members retiring within 10 years.


Advisory Committee: Dr. Al Neufeld, Dr. Amyeen Hassanali, Dr. Ursula Luitingh, Dr. Wilhelm Warmenhoven, Treena Innes

YEAR HIGHLIGHTS:

Physician recruitment continues to be prioritized by the Division members. Continuous efforts are made to welcome and engage new GPs to our community with strong GP mentorship, spouse welcome lunches and connections to the community.

In honour of helping increase GP capacity in our community, Fraser Health recently awarded an IMG for our community starting in spring 2015 for two years. Recruitment of this IMG will begin in the fall.

SUCCESSES:

In the last 12 months, we welcomed four new locums and three new GPs to our community. We have also been listening to the provincial Divisions of Family Practice office as they begin to support a cross-divisional working group that is looking at recruitment, locum, and practice coverage efforts throughout BC and has developed some tools and resources to support all divisions’ recruitment and retention efforts.

LOOKING FORWARD:

We are very excited to improve the capacity on our Division’s physician recruitment work within the A GP for Me program. Additional Division Director and administration time will be dedicated to this important work, enabling us to be proactive in our efforts. If you are interested in becoming a GP mentor or joining the advisory committee, please contact Treena Innes, Division Director.

Dr. Okere and Dr. Challa welcome lunch

2013 ANNUAL REPORT

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SHARED CARE ACUTE CARE PROJECT

GOALS/DESCRIPTION:

Improving health care and increasing number of patients receiving optimal primary care.


Advisory Committee: Dr. Ward Tinney, Dr. Laura Kelly (co-chair), Dr. Amyeen Hassanali (co-chair), Dr. Willem Richards, Dr. Alan Hargreaves, Dr. Danny Wong, Dr. Deepak Patidar, Dr. Ken Burns, Tracy Miyashita, Treena Innes, Michelle Poth, Katie Hill, Zora Boileau, Corinne Turrene

YEAR HIGHLIGHTS:

The Ridge Meadows Division of Family Practice submitted a proposal to the Shared Care Committee (a joint Doctors of BC/Ministry of Health collaborative committee) in early 2014 to focus on improving communication between family physicians, hospitalists and ER physicians with respect to acute care admission and discharge. Early discussions to identify preliminary challenges took place in January 2014 and participants expressed interest in moving forward with a project.

SUCCESSES:

We are pleased to announce that we were successful in receiving $159,000 to begin a Transitions in Care project to focus on acute care communication. The project was officially launched in June 2014 and is expected to conclude in December 2015.

LOOKING FORWARD:

A stakeholder engagement meeting is planned for October 2014 to identify challenges and solutions.


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2013 ANNUAL REPORT


SHARED CARE CHILD AND YOUTH MENTAL HEALTH AND SUBSTANCE USE COLLABORATIVE

GOALS/DESCRIPTION:

To improve resources, service and communication between the GPs and the community in working with child and youth mental health.

BOARD LEAD: DR. URSULA LUITINGH

Advisory Committee: Dr. Ursula Luitingh, Dr. Elizabeth Zubek, Treena Innes (additional participants to be determined)

YEAR HIGHLIGHTS:

Division members have identified this as a priority. In the new year, a provincial initiative was approved to roll out through the Shared Care Program. Our Division was quick to react and start to work with the Shared Care team to begin inquiry for our community.

SUCCESSES:

Unfortunately this initiative has been put on hold until Fraser Health works through the necessary partnership agreements, including Ministry of Children and Family Development. Our Division will remain engaged by attending an upcoming collaborative conference in the fall and continuing to follow up to show our Division readiness to commence once Fraser Health is ready.

LOOKING FORWARD:

As above.

2013 ANNUAL REPORT

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SHARED CARE RADIOLOGY

GOALS/DESCRIPTION:

Improve journey of patients requiring imaging services through timely appropriate tests with two-way information transfer and patient involvement.


Advisory Committee: Dr. Ward Tinney, Dr. Andrew Mason, Treena Innes, Stephen Reichert, Katie Hill, Christiane McLeod, Tracy Miyashita

YEAR HIGHLIGHTS:

Key project activities included the development of an electronic requisition form, which is available on Pathways as well as EMR systems in each clinic. A total of 46 MOAs attended the MOA Tour and Talks held in the Imaging Department to gain a better understanding about the referral process and pre-tests that are required. A referral process card was also developed that includes approximate wait times, department numbers and referral process for urgent and non-urgent requests. Two physician education workshops were held with a total of 65 family physicians and specialists. Topics included managing patients with shoulder pain, red flags and imaging guidelines. Thank you to Dr. Andrew Mason, Dr. Stuart Cocquyt and Dr. Won Kim for facilitating these sessions.

SUCCESSES:

An evaluation of the project indicates that:

• 88% of physicians noted an improvement in overall communication between their office and the Imaging Department.

• 77% felt that there was an improvement in the time it takes to get results back.

• 47% strongly agreed and 53% agreed that they will make more informed referral decisions as a result of the physician learning sessions.

• 100% of MOAs in attendance indicated the tours enhanced their knowledge about the referral process and patient preparation for imaging tests.

LOOKING FORWARD:

The Imaging Department plans to continue to offer MOA Tours to maintain communication with GP offices and we will continue to advocate for a computerized booking system for imaging which would decrease the processing time for booking appointments. Thank you to all those that participated in this initiative. We look forward to continuing the great relationships that have been established with radiology staff.


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2013 ANNUAL REPORT


NON PHARMA CME — DR. VIRIN BHATTIThis is a new Initiative which was requested by the membership. We completed our first CME event, entitled Opioids in Chronic Non-Cancer Pain, in June. The event provided a lot of nonbiased information on the nature and proper use of opioids.

Our next CME event is on October 8 and focuses on Oral Anticoagulants in Atrial Fibrillation.

We would like to improve the attendance on these events. Please provide your suggestions regarding what time of the day and which days of the week would make it easier for you to attend.

This Division-hosted event will include a complimentary meal.

Thank you for your help and cooperation.

2013 ANNUAL REPORT

27


MEMBER EVENTS AND ENGAGEMENT

SEPTEMBER 2013

• Membership Social and Annual General Meeting

• Shared Care Radiology MOA tours at Ridge Meadows Hospital Imaging Department

JANUARY 2014

• A GP for Me Kick Off Event

FEBRUARY 2014

• Meet the Community Event at The Act Theatre

MARCH 2014

• MOA Network First Aid Training

MAY 2014

• Shared Care Radiology Shoulder Seminar

• Shared Care Radiology MOA Tour at Ridge Meadows

• Hospital Imaging Department

• Pathways Launch Event

• Community Spirit Walk/Cycle Event

JUNE 2014

• CME PAD Session — Opioids in Chronic Non-Cancer Pain

JULY 2014

• Membership and Medical Community Golf and BBQ Tourney

July 2014 Golf Tournament: Dr. Richard Van Gend, Trudie Van Gend, Dr. Petrus du Toit and Zabeth du Toit.

May 2014 Community Spirit Walk/Cycle Event

September AGM: Dr. Andel Kok, Dr. Frank Ervin and Dr. Kathleen Robson

January 16th A GP for Me Kick Off Event: Dr. Willem Richards and Dr. Doug Botting

FUN FACT: Over 100 Di v ision members, specialists and community partners at tended the Meet the Community Event in February. ●


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2013 ANNUAL REPORT

DIVISION HIGHLIGHTS

SEPTEMBER

• Contracted A GP for Me Project Manager and Administrative Assistant

• Formed A GP for Me Steering Committee

• Represented Division members at Fraser Health IMIT Meeting

• Formed three A GP for Me Working Group Committees

OCTOBER

• Held Board Strategic Planning Session

• Represented members at Shared Care Showcase in Vancouver

• Held ongoing A GP for Me Working Group meetings

JANUARY

• Developed Ridge Meadows Community Resource Guide

• Created CME Non Pharma plan

• Received $31,000 in funding for Community of Practice

• Formed Community of Practice Advisory Committee

FEBRUARY

• Formed Pathways Advisory Committee

NOVEMBER

• Represented Division members at A GP for Me conference in Vancouver

2013

MARCH

• Held Shared Care Radiology learning session on IV contrast for imaging

2014

October 2014 Board Strategic Planning: Dr. Ursula Luitingh, Dr. Laura Kelly, Treena Innes and Dr. Fernando Villasenor.

2013 ANNUAL REPORT

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DECEMBER

• Rolled out Physician Community Practice Profile Survey

APRIL

• Began Shared Care Child and Youth Mental Health inquiry

• Submitted Shared Care Acute Care Proposal

MAY

• Held Board nominations

• Held Shared Care Radiology Shoulder Seminar

JUNE

• Represented Division members at Provincial Roundtable and A GP for Me conference

• Formed Shared Care Acute Care Steering Committee

• Formed IMG Committee

JULY

• A GP for Me Implementation proposal submitted and awarded

• Created A GP for Me work plan

October 2014 Board Strategic Planning: Dr. Wilhelm Warmenhoven, Dr. Virin Bhatti, Dr. Amyeen Hassanali and Dr. Ken Burns.

Division Master Jacket Winner Hargreaves/de Klerk Team

Dr. Laura Kelly and Dr. Paul Beckett, AGM 2013


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2013 ANNUAL REPORT

MESSAGE FROM TREASURER — DR. VIRIN BHATTI

The division had another successful year with a balanced budget. Audit was completed without any problems.

The Division received infrastructure funding of $249,000 to carry out the initiatives as prioritized by the members. Shared Care funding of $110,744 was carried over for the Radiology Project. A GP for Me funding of $325,000 was received for the assessment and planning.

Balancing the budget was challenging because the A GP for Me planning phase was extended and we had to come up with funding for three extra months of planning. As a result we were not able to contribute to the provisional data collaborative. The next year is going to be even more challenging with our work on the A GP for Me initiative becoming more complex and difficult to budget for.

Many thanks to Treena Innes and Leanne Regan for keeping the Division’s finances straight and keeping me informed.

Dr. Virin Bhatti, Treasurer

2013 ANNUAL REPORT

31


FINANCIAL STATEMENT

FINANCIAL STATEMENT For the fiscal year ending March 31, 2014

RMDFP Funds Shared Care Fund GP for Me Fund

REVENUE GPSC funding $ 249,000 $ 110,744 $ 325,000 GPSC funding – conferences 7,500 – – PITO funding 27,086 – – Other Funding 10,000 – – Interest Income 2,525 773 1,000 296,111 111,517 326,000 EXPENSES Advertising – 288 – Audit Fees 4,413 – 3,720 Bank charges 409 197 69 Conferences 7,364 – – Contracted/Salaries 95,593 42,984 175,068 Insurance 1,288 – – Legal fees 779 – – Meeting and event costs 35,298 30,240 29,108 Maternity Clinic – – 25,999 Office and sundry 5,135 1,663 3,519 Physician and MOA 100,951 35,627 71,926 Physician professional development 7,532 – – PITO division merge 27,086 – – Rent 5,580 – 2,400 Repairs and systems maintenance 2,170 – 10,915 GST 2,513 518 3,252 296,111 111,517 325,976 EXCESS (DEFICIENCY) OF REVENUE OVER EXPENSES – – 24 NET ASSETS – BEGINNING OF YEAR 27 – – Excess of revenue over expenses – – 24 NET ASSETS – END OF YEAR $ 27 $ – $ 24


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2013 ANNUAL REPORT

0% 2% 0% 2%

32%

0%

0% 12%

2%

34%

3%

9%

2% 1%

1%

Adver.sing

Audit Fees

Bank charges

Conferences

Contracted/Salaries

Insurance

Legal Fees

Mee.ng and event costs

Office and sundry

Physician and MOA

Physician professional development

PITO Division Merge

Rent

Repairs and maintenance

GST

0% 2% 0% 2%

32%

0%

0% 12%

2%

34%

3%

9%

2% 1%

1%

Adver.sing

Audit Fees

Bank charges

Conferences

Contracted/Salaries

Insurance

Legal Fees


Office and sundry

Physician and MOA


PITO Division Merge

Rent


GST

EXPENSES 2014

RIDGE MEADOWS DIVISION OF FAMILY PRACTICE — EXPENSES 2014

SHARED CARE RADIOLOGY — EXPENSES 2014

A GP FOR ME — EXPENSES 2014

0% 0%

39%

27%

2%

32%

0%

Adver-sing

Bank charges

Contracted/Salaries

Mee-ng and event costs

Office and sundry

Physician and MOA

GST

0% 0%

39%

27%

2%

32%

0%

Adver-sing

Bank charges

Contracted/Salaries

Mee-ng and event costs

Office and sundry

Physician and MOA

GST

1% 0%

54%

9%

8%

1%

22%

1%

3%

1%

Audit Fees

Bank charges

Contracted/Salaries

MeeAng and event costs

Maternity Clinic

Office and sundry

Physician and MOA

Rent

Repairs and systems maintenance

GST

1% 0%

54%

9%

8%

1%

22%

1%

3%

1%

Audit Fees

Bank charges

Contracted/Salaries


Maternity Clinic

Office and sundry

Physician and MOA

Rent


GST

1% 0%

54%

9%

8%

1%

22%

1%

3%

1%

Audit Fees

Bank charges

Contracted/Salaries


Maternity Clinic

Office and sundry

Physician and MOA

Rent


GST

0% 2% 0% 2%

32%

0%

0% 12%

2%

34%

3%

9%

2% 1%

1%

Adver.sing

Audit Fees

Bank charges

Conferences

Contracted/Salaries

Insurance

Legal Fees


Office and sundry

Physician and MOA


PITO Division Merge

Rent


GST

2013 ANNUAL REPORT

33


RIDGE MEADOWS DIVISION 2013–2014 BOARD OF DIRECTORS

BOARD OF DIRECTORSDr. Ken Burns – Co-Chair

Dr. Ursula Luitingh – Co-Chair

Dr. Ward Tinney – Vice Chair

Dr. Virin Bhatti – Treasurer

Dr. Laura Kelly – Member at Large

Dr. Amyeen Hassanali – Member at Large

Dr. Wilhelm Warmenhoven – Member at Large

Dr. Fernando Villasenor – Member at Large

Dr. Allen Neufeld – Member at Large

DR. KEN BURNS AWARD RECIPIENTSThe Dr. Ken Burns Award is launched in honour of all of Ken’s dedication, commitment and hard work as the founding member of the Division. This award will be awarded each year to a Division Member that has made a significant impact in the medical community representing the Division. We are very proud to announce Dr. Ken Burns as the inaugural recipient to this prestigious award.

2013–2014 Dr. Ken Burns

STAFFTreena Innes – Division Director

Tracy Miyashita – Shared Care Project Manager

Leanne Regan – Administrative Assistant

Ashley McDonald – A GP for Me Administrative Assistant

Darlene Hope-Ross – A GP for Me Project Manager/Director

Sarah Farina – A GP for Me Evaluator and Quality Improvement Manager


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2013 ANNUAL REPORT

RECRUITMENT/RETENTION

Board LeadDr. Allen Neufeld

Advisory CommitteeDr. Amyeen HassanaliDr. Ursula LuitinghDr. Wilhelm WarmenhovenTreena Innes

HEALTH AND WELLNESS

Board LeadDr. Laura Kelly

Advisory CommitteeDr. Michelle Little

COMMUNITY SERVICES PARTNERSHIP

Board LeadDr. Virin Bhatti

Advisory CommitteeDr. Ward TinneyVicki KippsTreena Innes

HOME HEALTH


Advisory CommitteeDr. Martin MilewskiDr. Ken BurnsDr. Daniel WongDr. Grace ParkLaurie KilburnVicky BruysJohn Tully

A GP FOR ME

Board LeadDr. Ken Burns

Steering CommitteeDr. Ursula LuitinghDr. Virin BhattiDr. Allen Neufeld Dr. Ravi Vanukuru Dr. Richard van GendDr. Wilhelm WarmenhovenDr. Petrus du ToitDr. Ward TinneyScott BrolinDistrict of Maple Ridge Councillor Cheryl Ashlie

Requisitions Working GroupDr. Stuart CocquytDr. Ken BurnsDr. Ward TinneyDiana VandenbrinkGillian MarshallLesley WaltersElbie Newport

Communications Working GroupDr. Allen NeufeldShelly RuschMichelle KotzeKyla Fernandez

SHARED CARE ACUTE CARE

Board LeadDr. Ward Tinney

Advisory CommitteeDr. Laura Kelly (Co-chair)Dr. Amyeen Hassanali (Co-chair)Dr. Alan HargreavesDr. Danny WongDr. Ken BurnsDr. Melodie Prem-SmithDr. Deepak PatidarDr. James LamDr. Willem RichardsMichelle PothKatie HillTreena InnesTracy MiyashitaZora BoileauCorinne TurenneCindy Schurink

PITO/EMR

Board LeadDr. Ken Burns

Advisory CommitteeDr. Virin BhattiDr. Ockert LampenDr. Ward TinneyDr. Frank ErvinDr. Cilliers MaraisGillian MarshallJen MarshallUrte GrabisTracy Miyashita

PATHWAYS


Mayor Deb WaltersGayle FarrellTreena Innes

GP for Me Hiring CommitteeDr. Ursula LuitinghDr. Ken BurnsDr. Allen NeufeldDr. Catherine PattinsonTreena Innes

Data/Survey Advisory CommitteeDr. Ursula LuitinghScott BrolinDr. Petrus du ToitDr. Richard van GendDr. Gillian ArsenaultDr. Raymond Tong

Walk In Clinic Advisory CommitteeDr. Wilhelm WarmenhovenDr. Cilliers MaraisDr. Fernando VillasenorDr. Raymond TongDr. Virin BhattiDr. Ken Burns

Maternity Clinic Advisory CommitteeDr. Ken BurnsDr. Paul SidhuShannon Davison

NURSE PRACTITIONER 2 — FRAIL ELDERLY

Board LeadDr. Ursula Luitingh

Advisory CommitteeDr. Grace ParkDr. Amyeen HassanaliDr. Willem RichardsDr. Martin MilewskiDr. Robert HarrisonDr. Allen NeufeldTreena Innes

SHARED CARE RADIOLOGY


Advisory CommitteeDr. Andrew MasonKatie HillChristiane McLeodStephen ReichertTreena InnesTracy Miyashita

MEMBER INITIATIVE INVOLVEMENT

2013 ANNUAL REPORT

35


Advisory CommitteeDr. Cilliers MaraisDr. Allen NeufeldDr. Ken BurnsDr. Lorne WaltonDr. Ockert LampenShelly RuschTreena InnesTracy MiyashitaAshley McDonald

SHARED CARE CHILD AND YOUTH MENTAL HEALTH SUBSTANCE USE INQUIRY


Advisory CommitteeDr. Elizabeth ZubekTreena Innes

HEART FUNCTION

Board LeadDr. Laura Kelly

Advisory CommitteeDr. Ken BurnsDr. Ursula LuitinghDr. Winston Tsui

INTEGRATED HEALTH NETWORK — PSYCHIATRY

Board LeadDr. Fernando Villasenor

Advisory CommitteeDr. Ward TinneyDr. Ken BurnsDr. Biju MathewKen McDonaldJudy RussellYves ChapmanJanet ShorttViorica Rotaru

MOA NETWORK

Board LeadDr. Fernando Villasenor

Advisory NetworkJulie FultonMichelle PothAngela BlackwellMarie FraserAlthea JonesMichelle Bayer

Kelly AlmondMaria KastionisTracy MiyashitaAshley McDonald

COMMUNICATIONS


StaffTreena Innes

MEMBER ENGAGEMENT


Golf CommitteeDr. Allen Neufeld (Lead)Dr. Ken BurnsDr. Len HatlelidDr. Alan HargreavesTreena InnesLeanne Regan

Walk/Cycle CommitteeDr. Virin Bhatti (Lead) Dr. Doug BottingCarol BottingDr. Lorne WaltonDr. Laura KellyLeanne Regan

PARTNERSHIP DEVELOPMENT

CSC CommitteeDr. Ken BurnsPetra PardyDr. John HamiltonDr. Ward TinneyDr. Virin BhattiDr. Ursula LuitinghConnie Abram (Physician Engagement Lead)Treena Innes

CME/NON PHARMA

Board LeadDr. Virin Bhatti

StaffLeanne Regan

GOVERNANCE

RMDFP BoardDr. Ken BurnsDr. Ursula LuitinghDr. Ward TinneyDr. Virin BhattiDr. Allen NeufeldDr. Laura KellyDr. Wilhelm WarmenhovenDr. Fernando VillasenorDr. Amyeen Hassanali

Board Nomination CommitteeDr. Ward TinneyDr. Allen NeufeldDr. Ursula LuitinghDr. Wilhelm WarmenhovenTreena Innes

Finance CommitteeDr. Virin BhattiDr. Ursula LuitinghTreena InnesLeanne Regan

IMG

Lead PhysicianDr. Ken Burns

Advisory CommitteeDr. Allen NeufeldDr. Ravi VanukuruDr. Raymond TongDr. Fernando VillasenorDr. Theresa PerryDr. Martin MilewskiDr. Al KarmaliTreena Innes

NURSE PRACTITIONER 1 — HOMELESS/MENTALLY ILL

Board LeadDr. Al Neufeld

Advisory Committee:Dr. Paul BeckettDr. Elizabeth ZubekKen McDonaldJanet RosenfeldSherry MumfordDr. Biju Mathew

Ridge Meadows

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/rm


Contact information:Treena InnesDivision DirectorPhone: 604-457-1387Email: [email protected]: www.divisionsbc.ca/rm

ridge meadows division of family practice. 2013 annual report

Documents

ridge meadows community

medical community

gp community

sense of community

division highlights

vice chair

community services partnership

board cochairas