oceanside division of family practice. 2013 annual report

Annual Report 2013

Oceanside

Table of Contents

MESSAGES

Co-Chair AGM Report 5

Executive Director’s Report 6

Division Member Priorities 6

Division Board Priorities 7

MISSION

Mission and Vision Statement 8

REPORTS

CME 9

Health and Wellness 10

Be Active 10

Walk With the Doc 11

Talk With the Doc 12

PARTNERSHIPS

I. MAMS 12

II. CSC 13

III. Medical Office Assistants 14

IV. Community Health Network 15

ATTACHMENT

Objectives 16

End of Life Report 17

Board of Directors 2013–14 18

FINANCIAL

2012–13 Auditor’s Report 19

Operational 20

Oceanside Division of Family Practice 2013 Annual Report4

Oceanside Division of Family Practice 2013 Annual Report 5

DIVISION ENGAGEMENTVarious reports this year reveal the Division’s growth and strengthening of relationships with health care stakeholders. Yet, the directors are disappointed that member collegiality and engagement opportunities have too often been tied to health care service work or CME events. One of the directors recently stated that past and present directors have found collegiality as a reward of their working together. We anticipate the coming year will bring more invitations to members to participate in Division work. We’ve noted Virtual Mental Health support, Cross Coverage, enhanced CME and A GP for Me focus groups as possible opportunities for working more together. We know that succession planning for directors begins at this meeting and we’re hoping more Division members support Division work and become more involved this year.

Every member’s participation increases the Division’s capacity to impact health care.

• partnering with Oceanside Health Centre staff and management to focus on patient-centered care by creating an advisory committee to consistently discuss patient care issues identified by Division members;

• facilitating member-driven CME preferences to maximize the benefits of Rural CME funding.

In addition the board has been striving, as its members have, to enhance health care services and patient care supports. One area of success has been with the End-of-Life working group. A report about EofL is included in this booklet. Efforts to establish greater equity for members and patient supports within the Integrated Health Network model is now being reviewed. We will share updates as they are available.

After the 2013-14 board was installed it held a strategic planning meeting to:

• review member priorities set at the AGM;

• learn the status of previous member priorities;

• examine the Mission and Vision Statements to ensure the Division had the capacity to fulfill them;

• assign the new board’s priorities that might not have been addressed at the AGM.

The executive director’s report outlines all the priorities and the status of each.

As member concerns have been brought to the board there were a few items that have remained at the top of the board work list including:

• returning to the Collaborative Services Committee table with a focus on greater consensus on the CSC’s function and outcomes;

Co-Chair AGM Report

Dr. K. Martin

DIVISION PRIORITY WORKIt has been a very busy year, and the learning curve for our board has been significant. We appreciate the offers from previous board members (doctors M. Morris, S. Desai, C. Biglow) to work with us until we had a handle on Division responsibilities. Each director has taken on roles and found challenges and successes we’re reporting here.


Executive Director’s Report

2012 MEMBER PRIORITIES

1. Hospice, palliative and respite care beds;** Is one of three priorities in EofL work

2. Geriatric Supports;** Working with OHC management to replace IHN model with equity

3. Virtual Mental Health support; Needs a physician lead and committee

4. Financial planning and accounting** A GP for Me billing CME event

5. Locum/student recruitment** Participated in Business of Family Practice, co-hosting the event this year

6. Funds for locums** Paid for locum coverage in 2013

7. Cross coverage Needs a physician lead and committee

8. IT connectivity** Ongoing work with the Health Authority

9. CME Credit applications** MOAs provided information for physicians’ applications

2013 MEMBER PRIORITIES

1. Residential Care Agreement** Awaiting new criteria from MofH

2. Rural Incentive Program (info and access)** Created a partnership with MAMS

3. Urgent Care services (at new facility)** Available, but not fully staffed by IH

4. Division-sponsored locum services** Inter-Divisional Recruitment & Retention Working Group

5. Timely access to specialist and diagnostic services** MOA participation toward developing a database, and working with Divisions BC for Pathways

6. Access to psychologists Talking to the Oceanside Health Network table

7. IHN to OHC ** Under development as a new model of service

8. Journal Group and CME web library Needs a physician lead and possible committee

Geri Sera

After three successful years as a Division of Family Practice, Oceanside is very involved at various tables, working groups and committees toward fulfilling commitments made to the Division members at previous annual general meetings and to our previous and current board of directors.

The following is an update about all previous and current priorities:


2013 BOARD PRIORITIES

1. OHC Communications and Relations** Collaborating to meet needs with JAC and other means

2. CME Rural Reverted Funding access and information** Met information needs, access is by Island Health policy

3. Continue End-of-Life work ** Successfully presented 3 Recommendations to the CSC and now working on actions and next steps

Partnering with the community to support health care priorities • Creation of a community health network

(that will also look at social planning issues based on the key determinants of health);

• Transitions in care — partnering with Nanaimo Division and NRGH staff to overcome the communication and service support shortfalls that can create problems in the continuum of a patient’s care;

• Joint Advisory Committee (JAC was MAC) allows local GPs to work collaboratively with the new Health Centre staff and management;

• Residential Care Agreement — striving to better meet patient needs collaboratively with residential care staff, patients and their families as well as specialists who may be supporting them. While the Division members have completed a number of proposals for submission, we are currently awaiting new agreement criteria to be provided by the MofH;

• End of Life Working Group — has been meeting for almost a year and we’re working with numbers of community stakeholders and the health authority to resolve challenges that will allow more people to meet their final wish – to pass away at home. We have recently completed a “recommendations” document that has identified three Oceanside priorities:

I. creation of a Palliative Care Team to coordinate and support care;

II. designation of 2-3 palliative, transition, respite and end-of-life beds in Oceanside;

III. 24-hour RN “night-sitter” support services to complement other home-based palliative services;

These priorities are now a focus of the group toward implementation planning with the Palliative Care Team as the first initiative.

• Attachment Advisory Committee — is comprised of stakeholders from within the community, the health care system, MOAs, a GP and others;

Other ongoing priorities• Collaborative Services Committee or CSC

allows the Division to partner with the Health Authority to identify health care needs and to collaborate and include other stakeholders in meeting those needs;

• Island-Wide Recruitment Working Group is a partnership with Island Divisions in recruiting physicians to serve on Vancouver Island;

• Inter-Divisional Committee is a table where alternately division executive directors and coordinators meet to collaborate about individual division initiatives, AND Division Lead GPs join that collaboration process. When Divisions come together they have a greater opportunity to gain consensus and influence their health authority and MofH partners;

• Strengthening Oceanside area partnerships often means meeting at many health-related agency and organization tables toward overcoming gaps in services or modifying models of service delivery. Partnerships also allow the Division to become more aware of programs and services that could benefit patients.

• Specialist Directory requests by the members has brought the Division into partnership with MOAs toward sharing current information in preparation for contributing to a new provincial directory model called “Pathways” that was developed by a Division and has gained favour with the GPSC. A trail of its use will take place for six to twelve months with expansion throughout the province thereafter.

Note: ** indicates Division activity is ongoing.


Vision and Mission Statement

VISION: The Oceanside Division of Family Practice facilitates and encourages collaboration between all health care providers to enhance the overall health of members of the community.

MISSION: To support and facilitate physician engagement that will improve community health and professional satisfaction.


CME SPECIALTY MEDICINE CONFERENCES AND MINI CONFERENCESOceanside has a reputation throughout the central Island area for hosting excellent CME events. The planning committee would like to ask members if they would like the current model of events enhanced to include conferences (weekend) or mini conferences (half day on a weekend) to address specialty medicine or family practice topics. Specialty or family practice topics at a conference would include a number of speakers.

A short questionnaire about CME events is included with the handouts for this meeting. Please complete the questionnaire and the planners will move forward accordingly. Please indicate if your preference is to have these conference events offered quarterly or semi-annually.CME event flyers and information will be distributed to all central Island physicians.

ONGOING CME INITIATIVESAmid the items on the CME questionnaire included with your handouts, please note a request for topic ideas. What would you like to see presented at upcoming CME presentations? If you can offer presenter names for any topic, the Planning Committee will be grateful.

If there are any issues or recommendations you’d like to see addressed regarding CME planning, please contact Dr. A. ElKarsh or Dr. H. Fletcher.

Dr. Ashraf Elkarsh Dr. H. Fletcher

CME Report

CASE REVIEWSThe Division’s CME Planning Committee offered a new CME program this year inviting local practitioners to bring patient cases for review and discussion. The Case Review events have been seen as very successful and the extra benefit has meant opportunities for physicians to socialize. The Planning Committee is seeking additional physicians to participate.

IMPORTANT: Each presenter is compensated for their preparation and presentation time to a total of $500.00, and the committee wants to be certain everyone is invited to participate. The preference is for Division and MAMS members to offer Case Reviews, and when there are openings not filled locally the committee may go outside the area if necessary.

Please contact Dr. ElKarsh or Dr. H. Fletcher if you’d like to offer a Case Review.


BE ACTIVE EVERY DAY In October, nearly 400 students, grades four and five, from seven of Oceanside’s nine elementary schools participated in the BE ACTIVE EVERY DAY challenge. This was double the uptake of the previous year, due to Dr Desai’s enthusiastic promotion. The children kept diaries of their physical activity, fruit, veggie and milk/water intake, and screen time = “5-2-1-0.” They had visits from local doctors, MLA-athlete Michelle Stillwell and Olympic athletes via DVD. All the teachers and principals were very supportive of the programme.

“BE ACTIVE” INVITATIONWe’re looking for more doctors to share their understanding of a lifestyle that generates health throughout one’s lifespan. The children are very transparent in their desire to learn from and please their elders, even without competition incentives. Their repeated feedback at the end of the month’s challenge was, “we should aim to decrease our ‘screen time’ to only one hour a day.” Let’s help these kids to unplug and, rather, to tune in to the wonderful potential of their bodies.

Physician Lead, Dr. C. Edge

Dr. Desai

Health and Wellness Report 2013

It has been a year of building relationships, within the Division and in the wider community. The public is always so appreciative of seeing their doctors engaged outside their offices. There is currently a sense of joyful anticipation, of building together an even healthier community in Oceanside. Two Doctors of BC-sponsored programmes enacted by the local Division illustrate this interaction.

BE ACTIVE EVERY DAY challenge


WALK WITH YOUR DOC WALK WITH YOUR DOC’ in May brought several doctors and their patients out into the streets in both Qualicum Beach and Parksville. Doctors of BC provided fun T-shirts for the physicians, and pedometers for participants as incentive gifts, but walkers seem to be most pleased at spending time with their GP outside of the medical office. I walked incognito last year and heard resident walkers say they have a desire to live a long and healthy life. Even nicer was hearing how encouraged they were by seeing their physician practicing what he/she preaches to them. Hopefully we’ll have even more walking groups participate this year.

WALK WITH YOUR DOC challenge

“WALK” INVITATIONYou may volunteer to lead/participate by contacting either Dr. Cathy Edge or Geri Sera through the Division.

2014 WALK CHALLENGE!Would anyone like to lead a walk farther afield this year?


Partnerships — I. Mount Arrowsmith Medical Society

The Mount Arrowsmith Medical Society (MAMS) began collaborative work with the Division in October 2013 when the society responded to a request for partnership in planning CME events. Since that time, MAMS coordinator Dr. H. Fletcher has been working closely with Division director Dr. A. ElKarsh in delivering CME events and responding to Oceanside Health Centre (OHC) CME requests to share information.

The Division still hopes that the current Rural CME funding process for events might be modified to allow for the deposit of a lump sum of $40,000 or more into an account accessed only by joint Division and MAMS signing authorities. That hope has not, as yet, been met.

NEXT STEPS

Social EngagementThe Society has had a longstanding history (previous to the establishment of the Division) of very successful social engagement events. The Division would like to see MAMS renew that role in physician health and wellness. If the Society took on that role, the Division would support the costs of social events (pre-budgeted) and would lend staff support to a joint planning team.

MAMS at the Oceanside Health Centre Joint Advisory Committee (JAC)The Division sees the need to include MAMS executive presence at the JAC table. Meetings and planning at the JAC often reflect the need for CME planning to bring together OHC staff and Oceanside physicians. We hope the conversation at the business meeting to be held on April 22 with both the Division and MAMS in attendance, will solidify that planning.

Evolution of MAMSMAMS’s new executive has been invited to share their purpose and mandate more fully with the Division directors and executive. The Division is seeking an opportunity to have a MAMS executive or board member at the Division board table in the function of a liaison for MAMS. We look forward to a response to that invitation.

InvitationThe Division directors are looking forward to increased partnership opportunities with MAMS and their membership. We invite the executive of MAMS to share additional shared work that will benefit health care in Oceanside while also supporting area physicians.


The Division returned to the CSC table in October of 2013. The new board reviewed priorities and recommendations of the previous board for renewing CSC meetings and after working with a facilitator the Division and Island Health have begun to move forward. The GPSC’s representative is Dr. Shelley Ross and she brings valuable perspectives and updates to the table that allow for realistic planning and decision making.Important Items on the agenda in the past few months have included:

I. Residential Care Agreement — GPSC has recommended to hold on submission while the Ministry of Health completes its residential care strategic planning. The GPSC will provide a proposal/

agreement template for all applicants and will clarify criteria and outcomes for all proposals.

II. MAC/JAC — The Oceanside Health Centre (OHC) does not meet current criteria to be identified as a hospital and accordingly lacks the authority to form a traditional Medical Advisory Committee. The Division requested an “advisory committee” be installed to allow GPs the opportunity to ask questions and provide feedback to the OHC management team about programs, services, referrals and processes for access to patient care. A “Joint Advisory Committee (JAC)” has been created. It has Terms of Reference for mandate, objectives and participation.

III. Oceanside Health Centre — includes discussions about staffing, communications, referral forms and responses, CME partnerships with the Division and more. When an

issue requires medical advisory consideration, it is moved from OHC discussions at the CSC table and is referred to the JAC .

iV. End-of-Life (EofL) Recommendations — have come from that working group and been reviewed. The working group has been authorized to determine their first priority of three recommendations and to begin to meet that priority to enhance EofL care in Oceanside. The priority selected is to establish a “palliative team to coordinate services and care.”

Discussions are ongoing regarding:

• Walk-in services for Oceanside;

• New OHC model of care/services;

• A GP for Me;

Partnerships — II. Collaborative Services Committee


Partnerships — III. Medical Office Assistants and Office Administrative Staff

THE HEART OF GENERAL PRACTICEThe Oceanside Division of Family Practice was one of the first divisions to formalize a partnership with a physician’s office or clinic staff by initiating professional development and recognition events.

PROFESSIONAL DEVELOPMENT

WCB BillingOne of the first skill-enhancement educational events for Oceanside administrative staff was our Workers Compensation Billing and Information evening. Two guest speakers from WCB provided presentations, billing updates, responded to questions and brought smiles with promotional gifts. Every attendee commented afterward as to the value

of the information and the revenue-generating potential of implementing what was taught.

CME EventsEach time a CME event is hosted, the question of attendee invitations is addressed by Division directors. When pertinent, office administrative staff are invited to attend. One of the better-attended CME events with that partnership was presented by Dr. Cathy Clelland on the topic of A GP for Me billing. Many members have staff directly

involved in billing duties, and when a staff member cannot find the answer to a billing question readily, the Division’s MOA Liaison (Suzanne) has responsibility to seek solutions. Another “pro-d” event brought the Physicians Data Collaborative to speak to everyone. Their message is singular and clear. Efficient data input supports and improves EMR reporting and office scheduling/planning. Members acknowledge the seniors demographics that put Oceanside on the national


Partnerships — IV. Community Health NetworkThe Oceanside Community Health Network (CHN) and Social Planning Committee evolved during 2013. Although similar networks have existed in Oceanside in the past, the opening of the Oceanside Healthcare Centre prompted a renewed look at overall community health issues in the district. Spearheaded by Island Health and following the success of CHN’s in other island communities, notably Cowichan, a group has been convened in Oceanside. Represented are ODFP, IH, OHC, schools, VIU healthy aging, municipalities, First Nations leaders, CYMH, public health, local health educators, SOS, and the interested parties grow….The Committee will be informed by the social determinants of health and local expertise. The current work is to:

map. Effective use of EMR systems has proven in other division jurisdictions that EMR reports can save lives, establish practice protocols and enhance physician collaboration. Oceanside members, in partnership with their office staff, may want to partner with the Data Collaborative (most divisions already have), to make EMR use a key tool in geriatric family practice.

INVITATION… If you or your practice team would like to know more about the Physician Data Collaborative, Dr. Mark Morris is the Division IT lead and he or the executive director can provide resources to you.

Next Steps Along with the A GP for Me findings throughout the province has come an increased awareness that EMR

systems do not always deliver optimum benefits in supporting processes or generating revenues. Amid the A GP for Me MOA surveys, specific questions address EMR efficiencies and effectiveness in meeting office objectives. If Oceanside is found to require additional supports for EMR use, the second phase of A GP for Me – Implementation, will include mentoring, tutoring or training to boost system benefits and add to outcomes.

Specialist Directory negotiations with the GPSC have been successful. “Pathways”, a division software and data resource tool, is being trialed in multiple divisions with probable implementation throughout the province with the next year. Meanwhile, Oceanside Division MOAs have agreed to support area offices by

merging as much information about specialists, from as many local offices as possible, in one database. When the database is completed, it will be shared with all Oceanside members. When Pathways is made available to everyone, Oceanside will be prepared to input specialist information to add to the provincial database of specialists.

Child and Youth Mental Health triaging information has been introduced to office staff. They cannot better support members in finding services for young patients and for parents. A number of local members have an interest in CYMH. If you would consider becoming the Division CYMH lead, please contact the Division.

• clarify the committee’s mandate,

• identify areas of shared work that will provide ‘value-added’ leadership and initiatives pertinent to Oceanside, and

• consider financial sustainability.

As there are already a lot of successful healthy-community services, the challenge of this CHN is to avoid duplication or competition and to collaboratively offer a new approach to integrated health services with partnerships to carry us forward.


Attachment — A GP for Me Report

Physician Lead J. Wagenaar

Most Division members are aware of attachment and A GP for Me funded incentives and initiatives. Oceanside is among the final group of divisions to be funded to research and analyze the attachment needs in their area. You will see the budget for this first phase of attachment work adjacent to this report.

The project has contracted with a team of professionals to do the research. They will approach physicians, MOAs, community residents and local non-profit agencies hosting focus groups, community forums and seeking participation in a series of surveys.

Our project manager and research analyst is Elliot Freedman, an experienced health care consultant from Victoria. He will be offering a brief AGM update regarding the current status of our research. Many of you have already met him, as he has led the GP survey interviews schedule.

We are also fortunate to have brought Lynne MacFadgen (Project Manager, Centre for Healthy Aging & Community-Engaged Scholarship, VIU) to our team as our Community Engagement Manager.

An Attachment Advisory Committee has been in place for a number of months. Members represent Island Health, a physician, local non-profit health support agencies and Vancouver Island University. They have a mandate to: advise the Oceanside Division’s Phase One project staff and the Division board; to review

findings, assessments and surveys toward influencing recommendations that arise from the research.

We will also invite physicians to engage in a focus group, first to discuss their perceptions about attachment, and thereafter when the research and analysis is more complete, to identify priorities and to make recommendations to the board about the Implementation Phase of A GP for Me. That is Oceanside’s opportunity to identify solutions, apply for additional funds and to take action to resolve components of attachment.

We are seeking focus group leaders and members. Please contact the A GP for Me physician lead or the Division executive director to become more involved.


End of Life Report

The End of Life Working Group has been meeting for about one year. Representation at the table includes clinicians, non-profit stakeholders, physicians, nurses and residential care managers.

Physician Lead Dr. P. Haslett

PARTICIPATING MEMBERS:

Dr. M. van der Weyde Dr. R. Henderson

ISSUES UNDER REVIEW:

• 100% of terminal patients voice preference for death at home;

• Higher numbers of patients die in acute care rather than at home;

• Patients experience inadequate symptom control;

• Caregivers suffer burnout in the home environment;

PURPOSE OF THE WORKING GROUP:

1. Identify Service Gaps

2. Develop solutions in alignment with Island Health End-of-Life Priorities

3. Present recommendations to the Collaborative Services Committee to improve End-of-Life services

2012 PATIENTS SERVED: 100 2013 PATIENTS SERVED: 165

Nanaimo patients: 419Parksville/Qualicum Beach patients: 213 (44.7% of patients)Other area patients: 58

LOCATION OF DEATH:

Home: 45%PCU: 30%Acute care: 10%EOL bed: 8 %Discharged/Moved: 7%

The End-of-Life Working Group has been meeting for about one year and includes clinicians, agency and palliative care stakeholders. These are the recommendations recently brought to the Collaborative Services Committee:

A. Creation for a Palliative Team to support coordination of services and care;

B. Home-based “night-sitter” supports with 24 hr Nurse access;

C. Closer to Home – palliative/respite/transition beds for Oceanside.

The first priority for the working group from the three recommendations is to create the Palliative Team.


2013–14 Board of Directors

Lead Co-chair: Dr. K. MartinCo-Chair: Dr. J. WagenaarSecretary: Dr. C. EdgeTreasurer: Dr. A. ElKarshDirectors at Large: Dr. P. Haslett; Dr. M. Morris


Financial — Auditor’s Report


04/01/2013 to 03/31/2014

REVENUETotal Revenue 181,005.50

EXPENSE

Human Resources Physician Sessional Fees 57,691.48 Coordinator 49,121.25 Bookkeeper 3,890.00 MOA Fees 360.00 Contracted Fees 22,356.89Total Human Resources Cost 133,419.62

Administration Society Fees 40.00 Insurance 1,568.00 Banking Interest & Service Charges 15.40 Accounting & Legal Fees 4,750.00 Travel Expenses 340.95 Travel — Mileage 512.80 Travel — Airfare 494.01 Accommodation 3,029.28 Event Expenses 547.00 Health & Wellness 500.00 Advertising & Promotion 4,662.03 Gifts & Donations 723.52 Decorations/Supplies 182.95 CSC Meeting Costs 200.00 Committee Meeting Costs 102.00 General Meeting Costs/Admin 660.63 Meals 11,518.55Total Administration 29,847.12

Supplies & Equipment Office Supplies & Expense 335.49 Postage & Courier 606.05 Printing 1,781.52 Total Supplies & Equipment Expenses 2,723.06

TOTAL EXPENSE 165,989.80

NET INCOME 15,015.70

Financial Reports — Income Statement


Physician Fees Physician Sessional Fees 55,396.52

Total Budget 174,000.00

99%

1%

Recruitment Total Budget Recruitment

78%

20% 1%

1%

Human Resources Total Budget Execu5ve Director Bookkeeper Contracted Fees

76%

24%

Physician Fees Total Budget Physician Sessional Fees

99%

1%

Recruitment Total Budget Recruitment

76%

24%

Physician Fees Total Budget Physician Sessional Fees

78%

20% 1%

1%


Recruitment Recruitment 1,775.91


Human Resources Executive Director 44,046.25Bookkeeper 3,342.50Contracted Fees 2,181.71


Financial Reports — Operational


97%

1%

0% 1%

1%

3%

Community Support

Total Budget

Walk w/The Doc

Talk w/The Doc

MOA Event

Be Ac?ve

97%

1%

0% 1%

1%

3%

Community Support

Total Budget

Walk w/The Doc

Talk w/The Doc

MOA Event

Be Ac?ve

97%

1%

0% 1%

1%

3%

Community Support

Total Budget

Walk w/The Doc

Talk w/The Doc

MOA Event

Be Ac?ve

97%

1%

0% 1%

1%

3%

Community Support

Total Budget

Walk w/The Doc

Talk w/The Doc

MOA Event

Be Ac?ve

97%

1%

0% 1%

1%

3%

Community Support

Total Budget

Walk w/The Doc

Talk w/The Doc

MOA Event

Be Ac?ve

97%

1%

0% 1%

1%

3%

Community Support

Total Budget

Walk w/The Doc

Talk w/The Doc

MOA Event

Be Ac?ve

98%

2%

Social Events Total Budget Social Events

Financial — Health and Wellness

Social Events Social Events 3,959.02


98%

2%

Social Events Total Budget Social Events

Community Support Walk w/The Doc 1,548.01Talk w/The Doc 398.04MOA Event 1,059.70Be Active 2,269.15



85%

3%

1%

10%

0%

1% 1%

A"achment Costs

Total Budget

Physician Fees

Coordinator

Contracted Fees

MOA Fees

Administra@on

Financial Reports — A GP for Me

Attachment Costs Physician Fees 5,972.83Coordinator 1,925.00Contracted Fees 19,350.00MOA Fees 250.00Administration 2,404.06


85%

3%

1%

10%

0%

1% 1%

A"achment Costs

Total Budget

Physician Fees

Coordinator

Contracted Fees

MOA Fees

Administra@on 85%

3%

1%

10%

0%

1% 1%

A"achment Costs

Total Budget

Physician Fees

Coordinator

Contracted Fees

MOA Fees

Administra@on

85%

3%

1%

10%

0%

1% 1%

A"achment Costs

Total Budget

Physician Fees

Coordinator

Contracted Fees

MOA Fees

Administra@on

85%

3%

1%

10%

0%

1% 1%

A"achment Costs

Total Budget

Physician Fees

Coordinator

Contracted Fees

MOA Fees

Administra@on

85%

3%

1%

10%

0%

1% 1%

A"achment Costs

Total Budget

Physician Fees

Coordinator

Contracted Fees

MOA Fees

Administra@on

85%

3%

1%

10%

0%

1% 1%

A"achment Costs

Total Budget

Physician Fees

Coordinator

Contracted Fees

MOA Fees

Administra@on


83%

11%

3% 2%

1%

Commi%ee Costs Total Budget Board Mtg CSC Round Table AGM 2013

83%

11%

3% 2%

1%

Commi%ee Costs Total Budget Board Mtg CSC Round Table AGM 2013

Financial — Working Groups and Committees

78%

20% 1%

1%


CSC, Board Meetings, Round Tables, AGM 2013 Board Meetings 22,768.00CSC 5,991.41Round Table 4,405.49AGM 2013 3,178.94


End of Life, Health Network, Residential Care End Of Life 6,651.68Residential Care 235.38Health Network 1,549.91


95%

4%

0%

1%

1%

Commi%ee Costs

Total Budget

End Of Life

Residen:al Care

Health Network

95%

4%

0%

1%

1%

Commi%ee Costs

Total Budget

End Of Life

Residen:al Care

Health Network

95%

4%

0%

1%

1%

Commi%ee Costs

Total Budget

End Of Life

Residen:al Care

Health Network

95%

4%

0%

1%

1%

Commi%ee Costs

Total Budget

End Of Life

Residen:al Care

Health Network

95%

4%

0%

1%

1%

Commi%ee Costs

Total Budget

End Of Life

Residen:al Care

Health Network


The Oceanside Division of Family Practice needs member participation in working groups and committees. If you would like to learn more about other committees and working groups for which the Division is seeking leadership or member participation, please contact the executive director.


As the Division and MAMS continue to serve the needs of local physicians, the task continues to recruit physicians to participate in the work.

The Division is actively seeking physicians to represent their peers at working groups and committee levels as well as at events. When compensation for participation is available an invitation includes **.

Oceanside Division Invitation

WALK WITH YOUR DOC **If you are willing to invite your staff and patients to join you in an early morning, lunch hour or after office practice hours “walk”, please notify Dr. C. Edge. She’s the new lead for the Health and Wellness initiatives of the Division. She has sign-up sheets, office posters and incentive gifts for walkers to share with you. ([email protected]) Each “walk” she registers will be advertised in the media and she is excited to tell you all about how patients and staff enjoy this time with their physician.

ATTACHMENT OR A GP FOR ME **The Division is actively engaged in interviewing, surveying and recording information at forums and focus groups, at physician offices and lunch or dinner tables. A team has been formed to collect data, information and recommendations about how Oceanside might meet the current “attachment” desires of local residents. If you are willing to participate in a focus group or speak about the benefits of attachment at a community forum, we need you and we can compensate you for your time. To ask questions about this opportunity, please email the Division executive director ([email protected])

CME JOURNAL GROUP AND WEB LIBRARY **These CME concepts have been requested by the Division and MAMS members. The work to host CME events has kept the current committee planners, Drs Fletcher, ElKarsh and Sulz busy. We are seeking one or more physicians to take the lead on these additional CME initiatives. If you are willing to participate in this opportunity, please contact the Division (see above).

TELEHEALTH AND TECHNOLOGY **A number of local physicians are supporting the use of technology in partnership with Island Health or with their patients. We would like to form a committee to support this work and review physician needs and accomplishments to enhance the use of technology within family practice. If you are willing to participate in this work please notify a Division director or Geri.

GP SPEAKERS BUREAU **Each year the community hosts various events and invites the Division to provide physicians as speakers on a range of topics. We would like to establish a speaker’s bureau to meet these requests while facilitating community residents becoming more aware of the expertise of local physicians. If you would like to be included in the GP Speakers Bureau, please contact the Division.

Oceanside

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

www.divisionsbc.ca/oceanside

Oceanside Division of Family PracticeBox 626, Parksville, BC V9P 2G7

oceanside division of family practice. 2013 annual report

Documents

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division board priorities

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division member priorities

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