putting seniors first: bccpa action plan 2012

Fall 2012

2012-2013 BCCPA Action Plan

Putting Seniors FirstIntroduction .............................................. p.3

Funding ....................................................... p.4

Advocay and Awareness ......................... p.6

Ongoing Collaboration ........................... p.8

Home Support.......................................... p.8

Summary of Recommendations ........... p.9

BC CARe PROvIdeRS AssoCiAtion

2 Let’s make BC the best place for seniors’ care!

2012-2013 BCCPA seniors CAre ACtion PlAn - Putting seniors First


Putting Seniors First

Hon. Margaret MacdiarmidMinister of HealthBC Legislaturevictoria, BC

dear Minister,

Further to recent discussions and correspondence, we are pleased to present you with a copy of our 2012-2013 Seniors Care Action Plan. every two years for the past decade, our BC Care Providers Association has updated our Action Plan to reflect changing pressures on our seniors care system, regular feedback from our members and progress with government on the issues we have been identifying.We have enjoyed a positive working relationship with your predecessors and MLAs from all parties over this period . We look forward to working with you too and have appreciated your accessibility in the past as Minister of Labour and Minister for Seniors.

Putting Seniors First includes a set of 15 recommendations. Some are longer terms challenges. Others are immediate opportunities. Some require additional funding to reflect the growing numbers of BC seniors. Others will deliver more quality care at a lower cost to taxpayers. We look forward to meeting with you in the coming weeks to discuss the plan and focus in on a few of the recommendations that represent immediate opportunities. These include:

• Achieve consistent services & standards by addressing the historic funding inequities that exist between health authority, government operated seniors care facilities and well-established contracted non-profit and private providers - as described by the BC Ombudsperson

• Acknowledge cost pressures by establishing a dedicated funding mechanism for home support and residential care as part of future health budgets

• Improve quality by applying existing resources from the Ministry’s patient-focused funding program to speed up the movement of frail seniors from acute care hospitals to community care - in association with the establishment of a 30-day wait time guarantee

• Improve safety for residents and staff through modifications to the BC Care Aide Registry program and pending BC Continuing Care Safety Association

• Pursue best value by inviting established non-profit and privately-owned care providers to cost-share the construction of new residential care facilities through a fair and open public tendering process

In addition to discussing these priorities, we would also like to update you on previous discussions with your predecessors regarding challenges associated with the administration of the Healthcare Benefit Trust which is also addressed in this Action Plan.

Thank you in advance for your consideration and we look forward to seeing you soon to discuss these proposals and collaborating to truly put quality of life for seniors and their families first.

Yours truly,

ed Helfrich, CeO, BC Care Providers Association

Mary Mcdougall, President, BC Care Providers Association

The BC Care Providers Association (BCCPA) has represented non-profit, denominational and privately-owned assisted living, long term care and home support providers across the province for 35 years. BCCPA members provide publically funded complex care to over 12,000-frail seniors each day and employ more than 10,000 professional staff and health care aides. Contact www.bccare.ca.

October, 2012

Advocating service excellence for seniors 3

BC CARe PROvIdeRS AssoCiAtion2012-2013 BCCPA seniors CAre ACtion PlAn - Putting seniors First

In december 2010, the BC Care Providers Association (BCCPA) presented an Action Plan to BC’s Minister of Health that included 10 specific recommendations focused on improving the efficiency, quality and sustainability of BC’s seniors care system. Many have been implemented:

• The Minister of Health has initiated an independent review of BC Care Aide Registry to better protect seniors from elder abuse

• New client user fee revenue has been returned to front line care providers

• New funding has been provided to expand the use of nurse practitioners in seniors care



BCCPA Officials presented their 2010 Action Plan to then-Health Minister Kevin Falcon in Vancouver

• A fair public tender process has resulted in the rapid construction of more than 500 new long term care beds in the BC Interior

• A new association is being created to improve workplace safety and staff retention

• A province-wide guide to operating effective Family Councils has been created

Other recommendations in the 2010 BCCPA Plan have been reflected in the BC Ombudsperson’s February report and the Ministry’s response, including:

• The need to disclose historically uneven funding rates

• Address growing wait times for seniors who need long term care or home support services

• Reduce multiple-layers of confusing and unclear bureaucracy that increases costs and stress for families and care providers

• Standardize reporting of patient satisfaction surveys

Based on feedback from front-line care providers and in advance of the provincial election this spring, BCCPA has updated the 2010 Action Plan to reflect these new realities and set the stage for the demographic challenges identified in the 2011 Census.

Putting Seniors First identifies a realistic set of practical solutions that can be implemented over the next year. The plan focuses on funding, fairness, advocacy, awareness and collaboration that celebrates innovation and efficiency instead of discouraging it.

2012 BC Ombudsperson’s Report - Recommendations

2012 Ministry of Health Action Plan

• The Ministry of Health set a time frame within which eligible seniors are to receive subsidized home support and residential care services after assessment. (36, 108)

• The Ministry of Health remedy historically based anomalies in funding by establishing a consistent method to determine the funding requirements of residential care facilities. Ensure the process takes into account the care needs of residents, actual costs, capital expenses and taxes. (98)

• The Ministry of Health report publicly every year on the length of time and the extra costs that result from keeping seniors who require residential care in acute care hospital beds. (113)

• In spring 2013, the Province will establish an Office of the Seniors’ Advocate.

• Examine ways to improve the existing protections for patients and providers who report care concerns

• Over the next two years, innovative approaches for home support services will be piloted across the province to provide more choice and flexibility for families.

“100+ is second fastest growing demographic in Canada”

– 2011 Census


Correcting Inequities

The Ombudsperson’s Report echoed concerns expressed by the BC Care Providers Association (BCCPA) in their 2010 Action Plan about uneven and unfair seniors care funding rates. Kim Carter confirmed health authorities were paying their own facilities more to deliver the same services as contracted non-profit and privately-owned facilities. Here are some examples:

Interior Health Authority (IHA):

• IHA Operated Long Term Care Facility - Average $200/senior/day

• Contracted Long Term Care Facility:- Average $190/senior/day

Vancouver Island Health Authority (VIHA)

• VIHA Operated Long Term Care Facility - Average $220/senior/day


Vancouver Coastal Health Authority (VCHA):

• VCHA Operated Long Term Care Facility - Average $190/senior/day


Northern Health Authority (NHA):

• NHA Operated Long Term Care Facility - Average $205/senior/day


These differences in the average daily/bed funding rate results in significant monthly amounts. On vancouver Island, it would be typical for a government-operated residential care facility with 100 long term care beds to receive $1 million/year more than a contracted non-profit or privately-owned facility delivering the same service for the same number of beds.



The Ombudsperson concluded that the Ministry of Health and the health authorities’ decisions on residential care funding are failing to address historic funding inequities that originated in 2002. She said these disparities no longer have any basis in current policy, yet they are perpetuated by using past decisions as the starting point for current funding decisions.

While spending more on seniors care is not the only solution to the health care challenges we face with a rapidly aging society, there is no getting around the fact that more long term care and home support services will be needed to meet growing demand.

To minimize impact on taxpayers, we need to make sure future investments are fair, patient focused and promoting efficiency without compromising quality of care.

“As a percentage of their overall funding, the five health authorities’ total spending on resident care decreased from 19% in 2003 to less than 16.5% in 2010.” – BC Ombudsperson, February 2012

FUNDING

Funding Recommendations• The Ministry of Health and health authorities provide dedicated funding over the next year to remedy the historic funding inequities between health authority operated long term care facilities and contracted providers - as identified by the BC Ombudsperson.

• This funding correction should take into account the care needs of residents, actual costs, capital expenses and achieve a minimum staffing level of 3.36 hours of direct care/senior/day.

• Ensure all new wage and benefit commitments made in the current round of collected bargaining are fully funded for community care employers.

• Establish fair and transparent process to ensure complex seniors care providers receive fair and reasonable annual adjustments for inflationary care costs.

The exception in the Ombudsperson’s report was the Fraser Health Authority (FHA), where she concluded the reverse was true. Kim Carter said FHA sites received $170/senior/day compared to $182 for contracted providers.

BCCPA contacted the Ombudsperson immediately to question this conclusion. Funding letters from over 60 contracted providers were collected and access to information requests were submitted to obtain funding rates for three FHA facilities (Czorny, Fleetwood, Peach Arch).

Of the 60+ non-profit and privately owned facilities, BCCPA found only 19 with rates over the $170/senior per day average. Meanwhile, the three FHA facilities exceeded it (see p.4). Two of the three government operated sites were over $290/senior/day. The other was over $190.



Patient-Focused Funding: Establishing a Seniors First Wait Time Guarantee

The BC Care Providers Association (BCCPA) has been a vocal advocate in favour of establishing a 30-day maximum time for frail seniors to wait in acute care hospital beds for community home support or long term care services. These seniors – known as Alternate Level of Care (ALC) patients – stay in hospital because there are no residential care or home support service available.

The problem is frustrating for care providers because there is unused home support capacity and empty residential care beds available in communities across British Columbia. In addition to offering a better quality service to seniors in acute care, these options are also much more efficient for taxpayers.

A recent report from the Canadian Centre for Policy Alternatives (CCPA) said the cost of treating a senior in hospital ranges from $825-$1900/day, whereas the cost of residential care is approximately $200/day. It also suggests there has been a 35% increase in the number of hospital beds occupied by ALC patients over the past five years – 275,000 days in 2006 to over 372,000 in 2011.

If ALC patients could spend half of these days in community long term care or home support, the savings to taxpayers would be over $100 million, emergency room visits would decline, seniors would have more choice in the service they receive and care standards would increase.

Recommendations:

In 2009, the BC Government established a $225 million fund for patient-focused funding initiatives. Some of the fund’s remaining dollars should be allocated to move frail seniors that have been in acute care for 30 days to community care by securing unused capacity in the residential care and home support sector.

ensure up-to-date, consistent public reporting of the portion of hospital beds occupied by ALC patients in every region and work with BCCPA to establish a system that tracks available community care capacity across the province.

establish designated transitional beds to provide temporary support for seniors at significantly reduced cost and higher quality.

VictoriaIn 2009, the vancouver Island Health Authority (vIHA) issued a public tender to create 300 residential care beds in victoria and replace 2 aging facilities. After a tentative deal finally collapsed in June, vIHA promised to initiate a new public tender quickly. Months later, seniors are still waiting for new beds in Greater victoria and much money has been wasted.

RichmondIn 2009, the vancouver Coastal Health Authority (vCHA) invited non-profit and privately owned care providers to consider bidding for construction of 125-250 new residential care beds in Richmond. After receiving submissions from well-established providers, vCHA did nothing for two years. Suddenly, they appear to have awarded the contract to themselves and

In recent months, two health authorities have failed to conclude or properly initiate public tendering processes for much-needed long term seniors care beds. The result is less access to care and more cost to taxpayers.

Capital Funding

Instead of increasing capacity to meet the growing demands of our aging society, the July 2012 CCPA report concludes that access to residential long term care services has dropped by 21% during the past eight years for seniors over 75.

The BC Ombudsperson also reported reduced access to residential care spaces in BC in her February 2012 report. This challenge is complicated by the fact that many existing facilities are aging and out of date.

BCCPA understands the limited fiscal capacity of the BC government during difficult economic times. However, there is no getting around the fact that an infusion of new funding will be required to build needed capacity into the system and improve the quality of care.

Non-profit, denominational and privately-owned care providers have already made a capital investment of more than $1.5 billion in our public seniors care system – and we are ready to do more.

FUNDING

Recommendation:To expand care options, address growing demand, reduce the number of ALC patients and create job opportunities, BC should invite established non-profit, privately-owned and denominational care providers to participate in a fair and comprehensive public tendering process in the coming year to cost-share:

• Replacement of aging facilities

• Expansion of existing facilities

• Construction of new sites in under-served communities

Re-commit to the principles of an effective and fair public tendering process and operate future bids through a third party like Partnerships BC instead of regional health authorities

More than 500 new long term care beds have broken ground over the past year in the Interior Health Region.

“Provincial leadership, resources and infrastructure are required if real progress is to be made in moving toward a more comprehensive and better co-ordinated home and community care system with the capacity to take the pressure off hospital services and enhance the independence of seniors. ”

– CCPA Report, July 2012


will renovate an old hotel instead. This will likely cost taxpayers significantly more in the end. Before investing many millions of dollars, vCHA should ensure:

• development of the new facility go through a competitive tender process

• proposals can be fast-tracked in collaboration with Richmond Lions to extend their operation if needed

• tender proposals are evaluated in comparison with the proposed direct award based on a formalized business case criteria to ensure optimum value and best quality services

No Competitive Bidding = Less Service + Higher Cost


earlier this year, as part of the process associated with the establishment of a new Office of the Seniors Advocate (the Office), the Ministry of Health released a consultation paper and invited feedback from stakeholders. The stated objective was to identify:

• issues the Office could assist seniors with

• scope of services for the Office

• potential role of the Office in elder abuse prevention and response

• ways the Office can work with existing community organizations engaged in similar work

The paper included a caveat that states the government does not want to create another layer of bureaucracy that causes confusion and duplication with existing bodies and services.

Ministry Question:

Are any principles missing from the proposed list for the Office of the Seniors Advocate? BCCPA Response:

The Ministry’s paper proposes seven principles that would guide the office:

• The older adult is always the client

• Ensure the Office is informed by seniors and seniors groups

• Easily accessible

• Support self advocacy as the preferred approach

• Timely, responsive, proactive and solution-oriented

• Efficient and accountable

• Works in collaboration with existing bodies and other organizations that provide services to seniors

BCCPA supports this list and suggests the Office add two additional principles:

• zero-tolerance of elder abuse

• promote transparency

The BC Care Providers Association (BCCPA)’s response to the Ministrys’ questions reflected feedback from front line providers. It recommended the new Office:

• Recognize care providers as seniors advocates

• Promote public awareness that focuses on how to navigate the system, educating families, answering common questions and recognizing the work of front line care providers

• Adopt a zero-tolerance approach to elder abuse with the BC Care Aide Registry

• Initiate systemic reviews of service delivery such as reducing the time seniors are forced to spend in hospital waiting for community care and funding inequities identified by BC’s Ombudsperson

This BCCPA submission also responded to concerns about the creation of another layer of administration with the Office.

While the Ministry’s discussion paper provides some assurances, similar commitments in the past have not been fulfilled. The Care Aide Registry is just the most recent example.

BCCPA recommends the new Office become a vehicle that promotes efficiency and a streamlined bureaucracy for families and employers so resources can be freed up for staffing and front line care.

SENIORS ADVOCACY AND PUBLIC AWARENESS

Former Health Minister Michael de Jong and Opposition Seniors critic Katrine Conroy invited care providers to present ideas about the role of the new Seniors Advocate at the BCCPA’s annual conference in May. For a full copy of the BCCPA submission, contact www.bccare.ca



2012 Legislature Debate



“The breadth and scope of the Office will be determined by the mandate that is provided to it. That will drive, to a certain extent, the amount of resources necessary to fund it. Suffice it to say that the government has identified this as a priority across government, and the resources will be found and allocated to ensure that the advocate is established and is able to function in a way consistent with the mandate that the Legislature creates.”

- Hon. Michael de Jong, Minister of Health That’s good news…

- MLA Katrine Conroy, Opposition Seniors Critic




Ministry Question:

What is the most important advocacy role for the Office of the Seniors Advocate?

BCCPA Recommendation:

• Conduct systemic reviews and produce special reports. The Care Aide Registry is a good example of an agency that requires a systemic review. Other opportunities exist to review ways to reduce unnecessary bureaucracy on families and care providers and follow-up on findings of the Ombudsperson’s report related to wait times for community care and systemic funding inequities

• Commission research to help track issues with system-wide implications, including wait times for community care, systemic funding inequities, inappropriate long-stay patients in acute care, un-used home support capacity.

• Promote best practices in the treatment of seniors, particularly related to reducing the use of anti-psychotic drugs and recognizing the work of dedicated care aides and managers working with frail seniors.

Ministry Question:

What criteria should the Office use to decide if they should advocate for a case?

BCCPA Response:

Generally speaking the Office should review and recommend but existing organizations should implement. In addition to referring concerns from seniors to appropriate existing agencies, the Office should focus on:

• supporting seniors and care providers raising concerns about elder abuse

• helping seniors navigate and access the system

• advocacy functions identified in this report

• seniors with complaints not addressed by existing bodies

Ministry Question:

Should the Office have a role in elder abuse prevention and response?

BCCPA Response:

Yes. In addition to adopting a zero-tolerance approach to elder abuse as a basic principle, the Office should support an independent review of the Care Aide Registry as proposed by BCCPA to address safety gaps identified by the Ombudsperson and care providers. Once improvements are made to the Registry, the Office should support making it accessible to families.

Ministry Question:

What are the most important of the proposed functions of the Office?

BCCPA Recommendation:

Information and Advice

Offer information, advice and guidance to seniors and their families about services and resources – particularly related to home support services, wait times for community care and the Care Aide Registry.

Public Awareness

Coordinate public education efforts with other agencies - particularly related to home support services, the Care Aide Registry, patient satisfaction and training of seniors care aides, LPNs and community health workers.

Promote positive image of aging – including profiles of the dedicated and passionate health care aides and managers working with frail seniors.

Receiving and Referring Complaints

Support seniors and people raising concerns about suspected elder abuse by adopting a principle of zero-tolerance and ensuring safety gaps in the BC Care Aide Registry are addressed – as proposed by BCCPA and Ombudsperson. This should include making investigator reports available to family members.

Collaboration

Consult with community advocacy groups to avoid unnecessary duplication and identify emerging issues. BCCPA would be very interested in participating in this process to identify specific measures that can re-direct limited resources to front line care and reward efficiency instead of discouraging it.


Putting Seniors FirstSENIORS ADVOCACY AND PUBLIC AWARENESS


“Seniors Advocate Should Focus on Transparency and Zero-Tolerance to Elder Abuse”

– BCCPA Media Release - July 2012


ONGOING COLLABORATION

In BCCPA’s previous Action Plan, the Minister of Health was invited to renew the province’s seniors care partnership through regular consultation and a care provider contract that promotes fairness. Since then:

• The Minister of Health has been available for regular working meetings.

• The government provided HST mitigation to seniors care providers.

• The Minister consulted care providers prior to developing a new policy manual and Seniors Advocate

• The Minister of Health agreed to initiate a rapid and independent review of safety gaps in the BC Care Aide Registry this fall

despite these successes, there are still too many occasions where front-line providers are surprised by new programs, questionable public tendering processes and unreasonable funding decisions that have a negative impact on quality of care.

Recommendations:

The Minister of Health should establish a regular consultation mechanism that ensures dialogue with front line residential care and home support providers. The initial focus of these discussions should be:

• Health Human Resources – Emphasis on skills training, work place safety, retention of workers and use of nurse practitioners.

• Red Tape – In association with the new Office of the Seniors Advocate, develop a specific set of proposals to simplify the seniors care system without compromising quality of care.

• Assisted Living – Development and regulation of a new moderate care category in-between complex care and assisted living

• End-of-life Issues – Increasing use of long term care facilities as palliative and hospice care

• Healthcare Benefit Trust (HBT) – Work with social service and seniors care agencies to resolve outstanding concerns regarding the operation of HBT, and the imposition of exit fees and deficit recovery on front-line service providers.


Putting Seniors FirstHOME

SUPPORT



The BC Ombudsperson’s Report, the Ministry of Health’s response and the recent study by the Canadian Centre for Policy Alternatives (CCPA) have highlighted a need to increase access to home support services.

At the invitation of the Minister of Health earlier this year, BCCPA has worked with the province’s largest home support providers to develop recommendations to improve the quality, efficiency and sustainability of our home support system for seniors and front-line care providers.

In response, BCCPA identified four recommendations:

Home Support Instead of Hospital Beds for Frail Seniors

Allocate some of the resources remaining in $200+ million patient-focused funding program to speed up the movement of frail seniors from acute care hospital beds by securing additional community home support services. This policy can be introduced in association with the establishment of a 30-day acute care wait time guarantee for seniors.

Dedicated Funding and Collective Bargaining

According to the recent CCPA report, access to home support services has dropped by 30% over the past eight years for seniors over 75. To reverse this trend, the Ministry of Health should establish a dedicated funding mechanism for home support and ensure care providers receive mitigation for all new collective bargaining commitments and inflationary pressures.

Response to Ministry’s Action Plan Innovation Invitation

In response to the BC Ombudsperson’s Report, the Ministry of Health made a commitment to “pilot” innovative approaches to home support services that provide greater choice and flexibility for seniors and their families.

In addition to the patient-focused funding recommendation, the Ministry should consider a proposal from BCCPA that recognizes home support as a preventative early intervention program and includes care aides providing more preventative services as a way of increasing independence. This innovation will also improve efficiency and continuity of care.

The Ministry should also support ongoing development of innovative and responsive home support pilot projects being implemented through the Canada/BC Labour Market partnership.

Initiate a comprehensive public education and awareness campaign aimed at consumers of home support services.

In partnership with care providers and in association with the introduction of a new Seniors Advocate, a public awareness partnership should:

• inform families of questions to ask and how to access services

• set realistic expectations

• promote responsible providers and the quality of care aides

• establish realistic wait times between assessment and placement

• publish changing utilization patterns, cost of services and all funding levels for health authority operated services


1 Remedy the historic funding inequities between government-owned health authority facilities and contracted providers within the next year.

2 establish a dedicated funding mechanism for community care and ensure care providers receive mitigation for inflation and new collective bargaining commitments.

3 Allocate unused patient focused program funding to reduce the time frail seniors wait in acute care for community residential care and home support services. Introduce the program in association with the establishment of a 30-day wait-time guarantee.

4 ensure up-to-date, consistent public reporting on the portion of hospital beds occupied by ALC patients in every region.

5 Work with BCCPA and front line care providers to track available community care capacity (empty beds, home support services) across the province.

6 establish designated transitional beds to provide temporary support for ALC seniors in hospital beds at significantly reduced cost and higher quality.

SUMMARY OF 2012-2013 BCCPA ACTION PLAN RECOMENDATIONS



Here is a summary of recommendations from the BC Care Providers Association (BCCPA)’s 2012-2013 Action Plan focused on fair and dedicated funding, seniors advocacy, collaboration, patient-focused care and rewarding efficiency without compromising quality of care.

7 Invite established non-profit, privately-owned and denominational care providers to participate in a public tendering process to cost-share the replacement of aging facilities, expand existing sites and construct new homes in under-served communities

8 Re-commit to the principles of an effective and fair public tendering process and operate future bids through a third party like Partnerships BC instead of regional health authorities

9 ensure the new Office of the Seniors Advocate (the Office) recognizes care providers as advocates, promotes public awareness, leads systemic reviews of service delivery and becomes a vehicle for the efficient use of resources and a streamlined bureaucracy.

10 The new Office should focus on collaboration, providing information and advice, increasing public awareness and receiving/referring complaints. Zero-tolerance of elder abuse and the promotion of transparency should be added to its list of principles.

11 The Minister should establish a regular consultation mechanism that ensures dialogue with front line residential care and home support providers. The initial focus should be:

• health human resources • red tape reduction • moderate care standards • end-of-life care

12 Work with social service and seniors care agencies to resolve outstanding concerns regarding the operation of the Healthcare Benefit Trust and the imposition of exit fees on front-line service providers.

13 develop a home support innovation with BCCPA that includes care aides providing medical and non-medical services including housekeeping, and assistance w/meals.

14 Support ongoing development of innovative human resources pilot projects being implemented through the Canada/BC Labour Market partnership.

15 develop public education and awareness campaign in association with the introduction of the new Office of the Seniors Advocate to:

• inform families of questions to ask and how to access services

• set realistic expectations

• promote responsible providers and the quality of care aides

• establish realistic wait times between assessment and placement

• make changing utilization patterns, cost of services and funding rates public



MAY 2013

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2013

May 5-7, 2013 Fairmont Chateau Whistler, Whistler BC

BCCPA 36th Annual Conference

Mark your Calendar!

Watch for info as it comes available at bccare.ca

2012-2013 BCCPA Board of directors

President (Interior Region):

MARY MCdOUGALLBuron Healthcare LtdNorth Vancouver, BC

VP + Vancouver Island Region:

dAvId CHePeRdAKBroadmead Care Society4579 Chatterton Wayvictoria, BC

Treasurer + Congregate Assisted Living:

ANDRE VAN RYKH & H Total Care Services15660 84th AvenueSurrey, BC

At-Large Director:

ISOBEL MACKENZIEBeacon Community Services2723 Quadra Stretvictoria, BC

At-large Director:

SUE EMMONSNorthcrest Care Centre6771 – 120th Streetdelta, BC

Vancouver Coastal Region:

CARLA GReGORGood Samaritan Society8861 - 75th Streetedmonton, Alta

Residential/Chronic Care Director:

AZIM JAMALRetirement Concepts1160 - 1090 West Georgia Stvancouver, BC

Fraser Region:

AL JINAPark Place Seniors Living13525 Hilton RoadSurrey, BC

Interior Region

WILL MCKAYBaltic Properties Group1454 Cliveden Avenuedelta, BC

At-large Director:

DONNA MARASCOChartwell Reit350-220 Cambie Streetvancouver, BC

Vancouver Coastal Region:

LIZ MONRADRevera Inc.c/o Lakeview Care Centre3490 Porter Streetvancouver, BC

At-large Director:

RON PIKEelim Christian Care SocietyHarrison Building9067 160th StreetSurrey, BC

Fraser Region:

ELAINE PRICEeden Intermediate Care9100 Charles StreetChilliwack, BC

Vancouver Island Region:

BARB STEVENSONFir Park/echo village4411 Wallace StreetPort Alberni, BC

Community/Home Support:

BOB ATTFIeLdWe Care Health Services Inc5763 Oak Streetvancouver, BC


putting seniors first: bccpa action plan 2012

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