ANNUAL REVIEW2014–2015

Vision Statement:

Ridge Meadows Division of Family Practice seeks to influence change by providing leadership

to achieve optimal health for our community and provide support

to our physicians that enables primary care for our community.

After only five years,

we are 91 members strong,

providing 28 projects

Ridge Meadows

Ridge Meadows Division of Family Practice

Contact: Treena Innes, Executive Director T: 604-457-1387 F: 604-457-1300 E: tinnes@divisionsbc.ca

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

All photos: Ridge Meadows DoFP

Ridge Meadows Division of Family Practice Annual Review 2014–20152

The Division continues to support GPs

to provide nurse practitioner support to provide primary care to the mentally ill and homeless population of the Salvation Army Caring Place homeless shelter with a vision of

reducing emergency service use.

During the assess-ment and planning phase of our work within the provincial A GP for Me initiative, our medical community and the general public identified that there was no central

Physician Health and Wellness remains a top

priority amongst members, and top of mind for the Ridge Meadows Division of Family Practice Board of Directors in every one of our initiatives. The last two years the Division has created and distributed a popular Medical Community Resource Guide with GP and SP photos, and contact details with Medical and Community Service information as a way to stay up to date and connected.

We have successfully recruited eight new physicians to our community this year, replacing retiring physicians, support-ing clinics that are overloaded with patients, mentoring

an International Medical Graduate to our community, and adding a GP to the Emergency Department in the Hospital and the Maternity Clinic. The Division continues to

work hard attracting GPs to our commu-nity by coordinating tours, developing helpful “how to get started” guides, showcasing the community, and developing a Red Carpet Program.

The Physician Recruitment Committee also developed a Physician Supply Model that tracks GPs retiring now, next year, in 3-5 years, and in 5-10 years. This enables a proactive approach to fulfilling our physician replacement needs.

A solid GP retention plan has also been put in place with our many collegial “clubs”:

Young Docs Club, Old Docs Club, Welcome Spouses Club, and GP Mentorship Program.

A new Education Initiative address-ing members’ needs was launched, reviewing current education inventory, and strategizing an annual education plan. In 2014/15 there were thirty four learning sessions (offered through the Division or by other partners) provided to physicians and MOA’s in our com-munity reaching over two hundred participants. Sessions included topics such as Dermatology, Addictions Workshop for MOA’s, PSP module on Office

Efficiency, De-Mystifying the ER, Billing Codes Event, webinars, and the Grand Rounds offered at Ridge Meadows Hospital.

A GP for Me contin-ues to play a critical role in helping us pilot Team-Based Care solutions for GPs with a Practice Nurse providing support to eight GPs in three clinics and a GP Extender in five clinics to prove a busi-ness case to increase physician capacity and satisfaction. A business model and orientation manual will be shared with clinics in fall 2015.

We continue to support GPs with a MOA Network for their staff providing three professional development sessions this past year with first aid, Patient Conflict Resolution, and vaccinations. ■

The Division applied for and received funding

for three new initiatives to support patients in the

community and will continue supporting the Maternity Clinic with physician recruitment and sustainability strategies.

GP members asked us to improve Senior Patient Care, Residential Patient Care, and Child and Youth Mental Health

& Substance Use. A new Seniors Initiative was launched this year through the work of GPs and the community to develop a Collaborative Care Model. Working with home health, community services, specialists, and seniors/families, our

goal is to improve care for seniors throughout the system of care. Improving residential patient care was also a priority identified by our members, and a new local model supporting GPs is in development. Over 50 community stakeholders, SPs, and GPs came together to identify challenges for children, youth, and their families accessing programs and services for mental health and substance use. A project is being developed to identify solutions for the community. ■

Healthy Primary Care Physician CommunityInitiatives: GP Extender | Practice Nurse | MOA Network | Member Education Strategy | Physician Retention | Physician and Locum Recruitment

6,500 patients attached

Four New Initiatives Making a Difference! • Eight Physicians

Recruited

• 48 Members Involved

• 11 Community Stakeholders

• 6500 of Patients Attached

Two New Initiatives Making a Difference! • Launched

www.findadoctorpittmeadows.ca and www.findadoctormapleridge.ca

Three New Initiatives Making a Difference! • Children, Youth,

and Seniors

• 22 Members Involved

• 44 Community Stakeholders

• Connecting 45 Children, Youth, and Senior Services to Patients and GPs

Patients Supported in CommunityInitiatives: Maternity Clinic | Seniors Inquiry | Residential Care | Child and Youth Mental Health Substance use

Community Access to Primary CareInitiatives: Nurse Practitioner – Homeless/Mentally Ill | Medical Community Attachment Tool

Ridge Meadows Division of Family Practice Annual Review 2014–2015 3

Acting on member priority that EMR and

technology clinic support is in need, the Division developed an IT strategy, in partnership with PSP to execute a local clinic support strategy. Local visits will include custom EMR training at various GP/MOA levels, in addition to Pathways and UpToDate training. Small group sessions are also being coordinated to facilitate problem solving and idea sharing among clinics.

Pathways and UpToDate are provided to members at no cost to ensure that the latest physician and patient resources are at your fingertips.

• 77% of members are regularly using PATHWAYS

• 83% of members are regularly using UpToDate.

GPs and Ridge Meadows Hospital continue to work on improving GP and hospital communica-tion through the Acute Care project. A

survey in 2015 indicated that only 45% of GPs consis-tently receive notifications about patient death while 28% never receive notice. Strategies to improve communica-tion around death notices, discharge and follow-up care, as well as dialogue around ER referrals have been worked on, as a result:

• 40% increase in GP’s receiving notification about patient death.

• A trial of patients discharged from RMH left

with a booked appointment to see their GP. This process worked well and plans are to spread this to the rest of the hospital units. 90% of physicians felt that the knowledge gained from the ER breakfast and learn will change their approach to referring patients to the ER.

• 10% reduction in ER visits ■

Improve System CapacityInitiatives: Hospital Acute Care & GP Communications | IT Strategy

Two New Initiatives Making a Difference! • Pathways,

UpToDate tools and EMR support are complimen-tary to Division members

• New: Acute Care and IT projects

Elements of the Division’s Health and Wellness

Strategy include engaging GPs, SPs, patients, and community members in committees; providing advice; and organizing educa-tional and social events.

The Division members collabo-rated with many partners in the community, including Ridge Meadows Hospital Foundation and corporate sponsors including Scotiabank, Society of General Practitioners of BC, Seniors Health Network, Community Network, municipali-ties, RCMP, School District, Chamber of Commerce, Ramada Hotel, private schools, and realtors.

These members were involved in project committees and

social events such as our Golf Tournament, Summer BBQ, Annual General Meeting, February Member Billing Event, and Community Spirit Walk and Cycle event.

The Division hosted 129 committee member meetings this past year engaging 69 GP members, and 59 community stake-holders in 28 projects.

This is an investment of 7500 GP advisory hours making an impact in our projects.

This type of engage-ment is outstanding and truly a testament to the strength of our medical community. ■

Member Engagement

• 129 Meetings

• 7500 GP Advisory Hours Invested in Division Projects

• 5 Events

• 200 Event Attendees

• 69 Members Involved

• 59 Community Stakeholders Involved

• 21 Non-GP Medical Staff (MOAs, RNs)

• 18 SPs

resource listing of GPs who are accepting new patients. To address this, we

recently announced the launch of www.findadoctorpitt-meadows.ca and

www.findadoctor-mapleridge.ca, that the Division will also use as a recruitment

tool to attract GPs and help develop their patient roster before they begin practicing in our community.

The Maternity Clinic was also hard at work creating a matching tool system to attach mother/child to GPs in our community. Approximately 200 mother/child dyads were attached as a result of this initiative. The learnings from this tool will be used to develop an attachment tool that will extend to the wider medical community. ■

Community Access to Primary Care cont’d

Ridge Meadows Division of Family Practice Annual Review 2014–20154

With 69 GP members engaged in

over 28 projects, contributing 7500 hours over the past year, we can’t help but feel we are moving local health care mountains.

On behalf of the Board

and Staff, we thank the dedication, effort, and countless contributions our GP members are bringing to the Division to improve our medical community.

None of this work could be possible without this exem-plary contribution by our hard-working members coming to the committee and event tables and sharing their wisdom.

As we embrace the arrival of fall, the Division will be work-ing hard completing the evaluation and business cases for our A GP for Me work by February 2016. We will also be starting an Addictions Inquiry in our community as we know this is a concern for GPs and patients alike. We also will be strategizing the work of our Child and Youth Mental Health and Substance Use project, IT Strategy, Seniors project, Member Education

project, and reviewing our medical com-munity’s impact.

The Board will be relying and reflecting on member feedback in the new year, and making decisions of new project direction in 2016 and 2017.

Thank you again for playing such a critical role in the Division’s success, and all the best in the new year ahead. May you find physician satisfaction each and every day.

Yours in partnership,

Dr. Ursula Luitingh Chair

Treena InnesExecutive Director

Message from the Board Chair & Executive Director

Board of Directors StaffDr. Ursula Luitingh – Division Chair Dr. Fernando Villasenor – Vice Chair Dr. Virin Bhatti – Treasurer Dr. Ken Burns – Past Chair Dr. Amyeen Hassanali Dr. Ward Tinney Dr. Al Neufeld Dr. Ravi Vanukuru Dr. Ray Tong

Treena Innes – Executive Director Tracy Miyashita – Project Manager Lori Graham – Project Manager Lucie Zaharoff – Communications Sarah Farina – Evaluation Leanne Regan – Office Manager Cathy Minler – Admin Assistant Stacy Mulcahy – Project Coordinator

Making a Difference! • 78% of our

practicing GPs are engaged in the Division.

A GP for Me GP Extender Committee: Dr. Ken Burns, Dr. Ian Dugdale, Dr. Pieter Williams, Karen Cook, Gillian Marshall, Maya Galos, Urte Grabis and Therese LangA GP for Me Medical Community Attachment Tool Committee: Dr. Ken Burns, Jennifer Marshall and Gillian MarshallA GP for Me NP Homeless/Mentally Ill Committee: Dr. Al Neufeld, Dr. Elizabeth Zubek, Janet Rosenfeld, Ken McDonald, Denyse Houde and Sherry MumfordA GP for Me Practice Nurse Committee: Dr. Catherine Pattinson, Dr. Ursula Luitingh, Dr. Cilliers Marais, Dr. Al Karmali, Cathy Bennett, Neena Churchill, Michelle Kotze, Julia Miller, Eileen KarmaliA GP for Me Evaluation Working Group Committee: Dr. Ursula Luitingh, Dr. Al Neufeld, Dr. Ken Burns, Dr. Catherine Pattinson, Dr. Virinder Bhatti, Sarah Farina, Treena Innes, Tracy Miyashita, Lori GrahamA GP for Me Community Red Carpet Committee: Dr. Richard van Gend, Dr. Kandasamy Gounden, Dr. Don Okere and Roy Choi

GP Advocacy Committee: Dr. Al Neufeld, Dr. Amyeen Hassanali, Dr. Lakshmi Challa, Dr. Richard van Gend, Dr. Kandasamy Gounden, Daisy Sahota and Margaret KennedyA GP for Me Local Marketing Campaign Committee: Dr. Al Neufeld, Dr. Ursula Luitingh, Dr. Shiraz Mawani, Daisy Sahota and Margaret KennedyRecruitment Retention Committee: Dr. Al Neufeld, Dr. Amyeen Hassanali, Dr. Shiraz Mawani, Dr. Richard van Gend, Dr. Kandasamy Gounden, Daisy Sahota, Margaret Kennedy, Ralph Altenried, Shawn Matthewson, Roy Choi and Jan HickmanMOA Network Committee: Dr. Fernando Villasenor, Julie Fulton, Michelle Poth, Angela Blackwell, Marie Fraser, Althea Jones, Michelle Bayer, Kelly Almond, Maria KastionisMember Education Strategy: Dr. Ravi Vanukuru, Dr. Ken Burns, Dr. Al Karmali, Dr. Strovski, Dr. Virin Bhatti, Dr. Amyeen Hassanali, Dr. Al Neufeld, Dr. Stu Cocquyt, Dr. Britt Bright, Dr. Richard van Gend, Janet RosenfeldPhysician Retention Young Docs Club: Dr. Amyeen Hassanali, Dr. Averill Isvins,

Dr. Andel Kok, Dr. Manisha Latti, Dr. Michelle Little, Dr. Simone Loch, Dr. Manny Mehraein, Dr. Theresa Perry, Dr. Viktoria Rak, Hoda Rezaei, Dr. Preena Sahota, Dr. Danielle Sergeeva, Dr. Paul Sidhu and Dr. Ravi VanukuruPhysician Retention Old Docs Club: Dr. Doug Botting, Dr. Anton de Klerk, Dr. Robert Grist, Dr. Robert Harrison, Dr. Nelie Johnson, Dr. Frank Lim, Dr. Craig Lytle, Dr. Don McNeil, Dr. Al Neufeld, Dr. Bruce Pitt-Payne, Dr. Kevin Sommi, Dr. Margaret Swift, Dr. Tim Temple, Dr. Ray Tong, Dr. Lorne Walton, Dr. Pieter Williams and Dr. Daniel WongPhysician Retention Spouses and Partners Club: Cindy Bhatti, Madhvi Challa, Zabeth du Toit, Prebashini Naidoo, Karin Richards, Val Neufeld, Alet Swanepoel, Trudie van Gend, Dianne Warmenhoven, Estelle WilliamsPhysician Retention GP Mentors Club: Dr. Virinder Bhatti, Dr. Marla Connor, Dr. Robert Harrison, Dr. Laura Kelly, Dr. Ursula Luitingh, Dr. Al Neufeld and Dr. Danny WongMaternity Clinic Committee: Dr. Marla Connor, Dr. Simone Loch, Dr. Paul Sidhu, Dr. Danny Wong,

Dr. Virin Bhatti, Dr. Ken Burns, Dr. Cilliers Marais, Dr. Wilhelm Warmenhoven, Jennifer MarshallSeniors Advisory Committee: Dr. Ray Tong, Dr. Ward Tinney, Dr. Salendra Naidoo, Dr. Martin Milewski, Dr. Danny Wong, Dr. Dennis Chapman, Dr. Narayanappa Dayananda, Janet Rosenfeld, Kathy DoullResidential Care Committee: Dr. Martin Milewski, Dr. Lakshmi Challa, Dr. Narayanappa Dayananda, Dr. Ravi Vanukuru, Dr. Elizabeth Zubek, Dr. Kandasamy Gounden, Dr. Virinder Bhatti, Dr. Manisha Latti, Dr. Danny Wong, Dr. Ray Tong, Dr. Shiraz Mawani, Dr. Gustafson, Tracy Hamling, Kathy Hancock, Rochelle Sammel, Cherie TaylorChild and Youth Mental Health and Substance Use LAT Leadership Team: Dr. Ursula Luitingh, Dr. Elizabeth Zubek, Dr. Britt Bright, Catherine North, Kristy Rogge, Annika Polegato, Audrey Salahub, Sharolyn Wandzura, Jenny Earley, Trish Salisbury, Laura Brandon, Trisha Umlah, Kim Kozlik, Dr. Julie Lane, Danielle Elder, Nikki Norton, Karin Rai and Sherri Skerratt

Shared Care Hospital Acute Care and GP Communications Steering Committee: Dr. Ward Tinney, Dr. Laura Kelly, Dr. Amyeen Hassanali, Dr. Ken Burns, Dr. Willem Richards, Dr. Alan Hargreaves, Dr. Danny Wong, Dr. Deepak Patidar, Michelle Poth, Corinne Turenne, Zora BoileauShared Care Follow Up Care Working Group: Marie Menzies, Zora Boileau, Michelle PothNotification Working Group: Dr. Laura Kelly, Dr. Deepak Patidar, Dr. James Zacharias, Dr. Michelle Little, Dr. Willem Richards, Dr. Alan HargeavesDe-Mystifying the ER Working Group: Dr. Laura Kelly, Dr. Doug Bartel, Dr. Virinder Bhatti, Dr. Salendra Naidoo, Kelly Vanblanken and Michelle PothMedication Reconciliation/Admission Working Group: Dr. Amyeen Hassanali, Dr. Virinder Bhatti, Dr. Salendra Naidoo, Dr. Doug Bartel, Corinne Turenne and Michelle PothEvaluation Working Group: Dr. Ward Tinney, Stephen ReichertIT Strategy- Pathways Committee: Dr. Ward Tinney, Dr. Cilliers Marais, Dr. Ken Burns,

Dr. Ockie Lampen, Dr. Lorne Walton and Dr. Al NeufeldIT Strategy – Community Services Partnership: Dr. Virin Bhatti, Dr. Ward Tinney and Vicki KippsIT Advisory Committee: Dr. Ward Tinney, Dr. Virinder Bhatti, Dr. Cilliers Marais, Dr. Don Okere, Dr. Frank Lim, Dr. Melodie Prem-Smith, Irene Okere, Dr. Ken Burns and Gillian MarshallIT Strategy-Member Communication: Dr. Al NeufeldMember Engagement-Walk Cycle Committee: Dr. Virinder Bhatti, Dr. Doug Botting, Carol Botting, Dr. Lorne Walton and Dr. Laura KellyCSC Committee: Dr. Ursula Luitingh, Dr. Virinder Bhatti, Dr. Fernando Villasenor, Dr. John Hamilton, Lisa Adams and Kathy DoullHR Committee: Dr. Ursula Luitingh, Dr. Virinder Bhatti, Dr. Fernando VillasenorPolicy Committee: Dr. Ravi Vanukuru, Dr. Amyeen HassanaliBoard Succession Nominating Committee: Dr. Al Neufeld, Dr. Ward Tinney, Dr. Ken Burns, Dr. Ursula Luitingh, Dr. Fernando Villasenor

Division Working Groups