Comox Valley Division of Family Practice. 2013 annual report

Comox Valley

ANNUAL REPORT2013–2014

This is Your Division: 4 Report from the Chair A Time of Change: 6 Report from the Executive Director Report from the Recruitment and 8 Engagement Committee 2014 Key Initiatives 9Year in Review 14Financial Reports 16Treasurer’s Report 18Infrastructure Chart 19Board of Directors 20

CONTENTS

COMOX VALLEY DIVISION OF FAMILY PRACTICE

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ANNUAL REPORT 2013–2014

THIS IS YOUR DIVISION:REPORT FROM THE CHAIR

The prize at the end of this will be our physicians believing and experiencing that we can use our local knowledge to enhance health care delivery, improving not only the health of our population but also our working lives.

We can only achieve this goal through the continued effortsfrom our physician community to develop a robust Division of Family Practice.

This Division belongs to our physician community. Its Board or Division employees do not own it. As current custodians of the Division, the Board and staff will aim to minimize our requests of the membership, while maximizing the value of the Division, but we also ask that members step forward and spend time contributing, as many have to date. We will all be better served by doing so.

As the 2013–14 fiscal year closes, your Division has shown great strides in development. The largest piece of work, as you’ll have noticed with the recent flurry of activity, has been the ongoing development of our work within the provincial A GP for Me initiative. It was kind of so many clinics to host Jody MacDonald (our expert Project Coordinator and A GP for Me Project Coordinator) and I as we came out and listened to your thoughts on how we can deliver change. This initiative gives us the opportunity to invest in innovative healthcare systems that address the needs of those who don’t fit into our usual care systems, as well as strive for the ultimate goal of everyone who wants a GP having access to one. It is only through our local understanding that we can deliver this; effective delivery will demonstrate the value of the Division to our government

and BC taxpayers (and even ourselves!), sustaining and growing our locally held influence on care.

We have achieved other outcomes in the last financial year. The Enhancing Primary Care Committee completed its urgent care mapping data collection and analysis and identifies the Urgent Care of frail elderly and the difficulties navigating Mental Health Services as priorities for action planning. While these two areas may seem obvious as outcomes, with this now evidenced we can leverage effective change. As part of this the Emergency Department (ED) high user survey allowed identification of high service users in the ED and fostered the development of a pilot to collaborate with the Nursing Centre around solutions.

We have begun development of a community-wide policy on narcotic prescribing, which will facilitate protection of both patients and doctors. We continue to fund the development of an Emergency Preparedness plan for community doctors, and of course continue to facilitate and administer the Doctor of the Day program at St. Joseph’s – a one of a kind Division initiative in the province.

We are proud to have the opportunity to offer support to the excellent Strathcona Residency program led by Dr. Peter Gee. We look forward to continued collaboration with them to assist in delivering the GPs of the future – more than any of us, they will value and cherish our guardianship of an effective Division.

Finally, we are losing three key members of the Board. Rick Potter-Cogan, Rick Helmer are

Dr. Adam Thompson, Chair

Over the last two years it has become apparent that the direction of health care in our province is to move from siloes of care and hospital-led care, to a primary care-led collaborative model. This has been evidenced by the changing tone of Island Health’s interaction and dialogue with us, and by speeches delivered by Minister Lake at the Provincial Division event held recently. It is also clear that the Ministry sees Divisions of Family Practice as one of the key vehicles to deliver that model. However, we have to prove to them that we are capable.


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original Board members from the Division’s inception. Margaret Manville has been a keen member and a valued contributor. I’m sure all members will wish to take the opportunity to thank them for their years of hard work, which got the Division to where it is today. All three will be sorely missed, and I am grateful that we have members of our physician community prepared to step forward and continue the momentum for change.

Thank you for your ongoing support.

Adam Thompson, Chair

“If everyone is moving forward together, then success takes care of itself.” — Henry Ford.


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A TIME OF CHANGE:REPORT FROM THE EXECUTIVE DIRECTOR

A FOCUS ON INNOVATION AND EXCELLENCE:Through projects like the Urgent Care Mapping project, the Emergency High User Review and our A GP for Me Assessment and Planning phase efforts, the work supported by our Division and in partnership with Island Health has pushed us to look at things differently and to explore the possible. The projects, designed to make sure that people in our community are getting the best care possible, included the examination and assessment of what and how things are currently being done. The information gathered will give us the opportunity to move forward with a totally different approach, refine an existing strategy or just run a tighter ship. The work ahead will be in embracing those opportunities and setting change in motion.

A FOCUS ON OUR COMMUNITY:The need for a discussion regarding safe opioid prescribing practices was identified in our community. Last year,members of the health care and support agencies that serve our population worked together to develop supports that will ensure our physicians feel confident and comfortable in effectively providing care for people with chronic non-cancer pain.

This year also saw the birth of our Division’s member-driven Emergency Preparedness working group, which will work closely with the community’s emergency preparedness planning team to develop a plan that addresses the role of family physicians in the event of an emergency/disaster. Our thanks to John Wong, who is volunteering to support this working group.

Janet Brydon, Executive Director

During the 2012–13 fiscal year, the Board of Directors set our Division’s course through the creation of our Division’s mission, vision and strategic plan. This year, it was time to “set sail”. A substantial piece of our Division’s work related to the Urgent Care Mapping project and the provincial A GP for Me initiative. The journey over the last year has been one of exploration, working to gain a better understanding of the needs of our physician community and the broader Comox Valley community.

If nothing ever changed, there’d be no butterflies. — Author Unknown


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A FOCUS ON COLLABORATION AND SUSTAINABILITY:The Division’s work expanded over the last year and with that came further growth of our internal and external teams. Members of our allied health care community who share a common view regarding what’s best for patients, albeit through a different lens, have been excited to come on board and have enthusiastically embraced the opportunity to strengthen relationships with the physicians in our community. The Safe Opioid Prescribing Strategy Workshop, and the Physician Pharmacist Communication and Dare to Dream events have demonstrated the community’s will for change and the strength in numbers of those who are willing to step forward to make a difference.

A FOCUS ON OUR PHYSICIAN COMMUNITY:Divisions of Family Practice were created with a very specific intent – to provide a vehicle for interested physicians to work together to improve primary care, the health of their community, the sustainability of the system, and to make their own lives better. Our Recruitment and Engagement committee has identified the value of maintaining the “small town” relationships among the members of our physician community. We have had positive feedback about the

Division-hosted events that are designed to provide our members with information, and to provide collegial opportunities for connecting with colleagues. The Division has also recognized the need to provide support to physicians and their families through difficult life changes and has responded with the creation of a Benevolent Fund.

Adam has stated in his report to the member-ship that the “Division belongs to our physician community”. I would encourage you to consider that in addition to being one of the shareholders, you are also a piece of the Division puzzle; a necessary part of a bigger whole, and one who has a role in making sure that this “Division thing” achieves its goals.

As one of the growing team who has been hired to support the Division I would like to offer my thanks to the other team members who support the Division, participate on committees and working groups, respond to surveys, attend Division events and embrace the work of your Division.

I would also like to express my great thanks to Rick and Rick — whose terms will be ending in September, and who were two of the founding members, willing to take the risk and create this “Division thing” for you to be a part of.

Janet Brydon, Executive Director

A GP for Me office efficiency event, August 2014


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REPORT FROM THE RECRUITMENT AND ENGAGEMENT COMMITTEE 2014

I would like to start by thanking the committee members, Marie-clare Hopwood, Shannon Jones and Janet Brydon as well as Judy Darby and Candice Wheeldon for their contribution to the planning and organization of our events this year. The committee meets three or four times a year and remains open to any suggestions from Division members regarding our programs and events.

At present we have 105 Division members — almost 100% of local family physicians (FPs) — so recruitment is no longer our focus. (Though if you know of any new physicians to the community please let us know so we can welcome them and invite them to join the Division).

Our mandate is to strengthen the satisfaction, wellness and engagement of FPs in the Comox Valley and on Denman and Hornby Islands.

Since our last AGM in September 2013, we planned four TGIF’s, and two were cancelled due to poor registration. We had good attendance for the presentations on Shared Care and North Island Hospital Planning. Our membership survey suggests that over 85% of respondents like the TGIF format but we believe that we could improve attendance with more effort planning around the Island Health schedule of events. We may also consider “piggy backing” on the continuing medical education (CME) events that Kevin organizes,

perhaps including “a message from the Division” along with some funding of refreshments. We understand that physician saturation for evening events is a real issue.

Our most successful events were the second annual Spring Fling in April. It attracted 72 attendees and generated a lot of positive feedback so we are already planning for next year. Our new event — Family Beach Day on June 22nd — was a great success with 76 people of all ages attending.

Going forward we are discussing a joint event with the new Campbell River Division along with more regular TGIF functions, a couples evening at a winery and a closer affiliation with the Residency program.

Let us know what you would like and thank you for your participation.

Dr. Tom Gornall, Chair, Recruitment and Engagement Committee

Family Beach Day event, June 22, 2014


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KEY INITIATIVES

URGENT CARE MAPPING (UCM) The Enhancing Primary Care Committee (Drs. Adam Thompson, Marcus Langhans, Trish Murphy) with the unfailing support of Project Coordinator Jody Macdonald completed phase 2 of the UCM project, which involved engage-ment with relevant stakeholders: patients, physicians, Island Health, St. Joseph’s General Hospital, Allied Health providers, volunteer agencies (hospice) and the public.

The goals of phase 2 were to:

• Evaluate the current model of urgent care in the Comox Valley.

• Identify key issues, strengths and gaps in the current model.

Based on the information two areas were identified as warranting further detailed study:

• Frail elderly in residential care who are accessing the Emergency Department

• Navigation of Mental Health Services

The family physician relationship and the quality of care provided by family physicians were identified as strengths of our current system:

• Same day urgent care access is received by 93% of people with self-identified urgent health care issues and 4% received care within 24 hours.

• The majority of family physician respondents reported having a system in place to deliver urgent care during usual office hours.

Identified Challenges:

• The majority of family physician respondents reported not having a system in place to deliver afterhours or weekend urgent care.

• The importance of timeliness and convenience were highlighted by patients accessing urgent care sites. The most frequently reported reason for accessing urgent care sites was that the patient

was unable to see their family doctor at a convenient time. The majority of survey respondents accessed the urgent care site during a weekday between 8 a.m. and 4 p.m.

For a more detailed summary of the Urgent Care Mapping work, visit our Division’s website at http://divisionsbc.ca/comox

SHARED CARE Preliminary work on polypharmacy, access to orthopaedics and perinatal needs assessment has been initiated through a memorandum of understanding with the joint Doctors of BC/Ministry of Health Shared Care Committee. Initial information gathering has begun exploring whether there is interest in our community to move forward with these initiatives. Each project has received support to date and with the support of our membership we plan to move forward with each of these initiatives over the remainder of this year and next.


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KEY INITIATIVES CONT’D

SAFE OPIOID PRESCRIBING PRACTICES COMMITTEE (DRS. TOM GORNALL, CHARUKA MAHESWARAN AND EXECUTIVE DIRECTOR, JANET BRYDON)

The Committee members teamed up with representatives from the community to identify the issues in our community related to the prescription of opioids. There was strong enthusiasm from the community to engage in the dialogue on safe opioid prescribing practices and to work toward some level of consistency across our physician community. A survey of physicians provided the mandate for the Division to support the development of a safe opioid strategy. In June, a well-attended community event to discuss the initial stages of how and what a strategy might be and dissemination of information around safe opioid prescribing practices and alternatives, helped to provide some direction in moving this work forward. Most importantly, interested physicians were identified who are willing to form a working group which will begin meeting this Fall to draft a strategy for an opioid prescribing protocol for the Comox Valley. The Division will also be teaming up with the Community Drug Strategy Committee in November to support a public education event on Safe Opioid Use.

Safe Opioid Prescribing Practices Workshop


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PAPERWORK COMMITTEEThe Paperwork Committee went on hiatus in 2014 after hosting a successful Physician-Pharmacy Communication event. The event was designed to streamline information exchange between physicians and pharmacists by creating opportunities to foster relation-ships and generate dialogue. A Physician Communication Profile was developed to enable pharmacies to maintain a directory of the individual physician preferences. Visit our Division’s membership page to complete the profile if you haven’t already. A number of tips and strategies for reducing “fax traffic” were identified and shared with the physician and pharmacy communities. These are also available on the Division website.

DOCTOR OF THE DAY (Unattached In-patient Care) Our Division continues to administer the Unassigned In-patient Network fees and incentives and coordinates the scheduling of the Doctor of the Day (DOD) calendar. We have worked through some of the initial kinks and welcome feedback from DOD participants on strategies for making this process more user-friendly.

HOSPITAL COMMUNITY RELATIONSHIP COMMITTEEThis committee coordinated the development of a survey to understand the challenges facing non-privileged physicians in ensuring continuity of care for their patients who have been admitted to hospital. Access to Medical Day Care was identified as an issue of importance, and the committee has been invited to meet with the Medical Advisory Committee at St. Joseph’s General Hospital to pursue potential solutions.

Physician/pharmacist communication event

Strategies for Physicians to Reduce Faxes from Pharmacists

When: Strategies to avoid unnecessary faxes:

Pharmacist needs clarification

for urgent prescription errors

/clarifications

Physicians can ensure personalized preferences are followed by completing the Physician Communication

Profile. Pharmacists will tailor communication to the preferences you identify on the profile.

Non-Urgent Issues

Prescriptions are available in

different strengths Helpful if physician includes all strengths/doses on prescription

Physician discontinues a

prescription

Handwritten notes from physicians are required by pharmacists for discontinued prescriptions

Homebound/Palliative Patients

Notify pharmacist

Physician completes Narcotics

prescription

Pharmacists can support the patient counselling process if physicians Provide copy of narcotics contract to

pharmacist (with patient approval)

By calling Pharmacare, patients can be restricted to specific pharmacy to prevent abuse

Physician requires Prescription

Changes

Clarification faxes will be prevented if physician indicates that it is a change on prescription and

identifies urgent prescription changes

Recall Intervals Specify recall intervals (e.g. 30 vs 90 days)

Special Authority (SA) Potential to access Pharmacare and Blue Cross - Call 1 800 663-7100 to request copy of Special Authority

Status


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A GP FOR MEOver the last year the Comox Valley Division has participated in the assessment and planning phase of the A GP for Me initiative. Through extensive engagement activities with physicians, patients, Island Health, non-profit and private social and health agencies and local government as well as through literature and data reviews the Division has identified common themes and concerns relating to health care in the Comox Valley and is preparing a proposal for funding to address some of these issues.

ABORIGINAL HEALTH WORKING GROUPThe Aboriginal Health Working Group (CVAHWG) addresses Aboriginal health issues and concerns, and works with health service providers to develop common solutions. The CVAWG identifies, and where possible implements, practical approaches to improving the health of Aboriginal people living within the Comox Valley.

The group offers a forum that allows for feedback to be heard without judgement. Local needs are addressed against the backdrop of provincial strategies. Allowing local input is invaluable when considering the diversity in size and traditions of Vancouver Island/Coastal First Nations.

The work of the group is based on values common within First Nations and Aboriginal culture:

Vision/Wholeness, Spirit Centered, Respect/Harmony, Kindness, Honesty/Integrity, Sharing, Strength, Bravery/Courage, Wisdom, Respect/Humility.

These values teach respect and compassion, help break down hierarchies and encourage solutions that fit into our diverse social system. As a result of mutual education, patience and ongoing dialogue we can aim at closing the gap between Aboriginal and Non-aboriginal care — the result of different cultures and the impact of history.

This can only be achieved by providing culturally appropriate, safe and effective services.

Understanding the needs of Aboriginal people, as voiced by Aboriginal people, and increasing First Nation involvement in decision-making enables us to more effectively apply resources to achieve health and wellness for all. This collaborative approach not only addresses the needs of indigenous people, but teaches us about our approach to all marginalized groups.

KEY INITIATIVES CONT’D

A GP for Me physicians engaging


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This working group is made up of members of the health care team and further enriched by the expertise of those who can properly teach us a culturally sensitive approach. My involvement with the AHWG has been an eye-opening experience. Gladly I can say that there has been very positive feedback about the new approach and growing trust in the services offered. The value of supporting ‘complex cases’ or ‘frequent flyers’ with some extra time and sensitively placed probing questions based on a better understanding of the “whole” person has led to hugs, tears of relief and, through the involvement of the entire care team — resolution of persistent, previously undiagnosed problems.

We are being invited to closely examine our

value systems, which constitutes a challenge on a personal and collective level. Finding common ground, compromise and true co-operation is a way to an acceptable future for us all. Our participation should not just be the view of a single physician; sharing the experience as a group will help us to ensure future health and wellness for our patients, our people.

The committee is sometimes faced with challenges that arise from conflicting cultural, historical and religious views. Bridging historical facts, personal views and ethical belief systems can be very challenging — but is ultimately also very rewarding.

Dr. Peter Moosbrugger, Division Representative AHWG


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MARCH

• Shared Care — preliminary interviews with family physicians to discuss challenges and opportunities for improving access to orthopaedics

• Launch of Emergency Preparedness Working Group

• Division representation at Comox Valley Aboriginal Health Working Group

• Participation in Island Health’s Mental Health and Substance Use Planning Review

APRIL

• Engagement event for those interested in maternity care issues hosted in partnership with Perinatal Services BC and Shared Care

• 2nd Annual Spring Fling for medical community

MAY

• First annual division-hosted Walk with Your Doc events in Courtenay and Comox

• Business of Family Practice Day for family practice residents in collaboration with other Island Divisions

JUNE

• Safe Opioid Prescribing Practices Community workshop

• First Family Beach Day

• DOD — Purple Group Meeting to support the delivery of inpatient care

• Participated in St. Joseph’s General Hospital Lean Design — from Admission to Discharge

• Family Practice Focus Group — Shiny New Care — supported by A GP for Me funding — to brainstorm new opportunities for improving care for Mental Health, Substance Use and Marginalized population

• Care of the Frail Elderly Committee Meeting — The level of MRP “attachment” in Residential Care

THE YEAR IN REVIEW 2013–2014

APRIL

• TGIF — A GP for Me

• Urgent Care Mapping (UCM) Surveys completed at Walk Ins, Comox Valley Nursing Centre and St. Joseph’s Emergency

• DOD Meeting — Unassigned Inpatient Care Provincial Proposal

• Collaborative Services Committee Meeting — with Island Health

MAY

• TGIF — UptoDate™

• Allied Health and Community Agency Survey re Urgent Care Services and Attachment

• DOD Meeting — non-Purple Group physicians

• Division hosted Dine and Learn for in-hospital billing for physicians and staff

• ER/GP Working Group — medication orders and their lifespan

JUNE

• TGIF — Physician Data Collaborative

• Emergency High User Review — data collected as part of UCM project

• Division assumes administration of Unassigned Inpatient Care (DOD) Services at St Joe’s

• Paperwork Committee — collaboration with Diagnostic Imaging in redesigning the referral form (with financial support from Specialist Services Committee)

• DOD Meeting — Purple Group

• Care of the Frail Elderly Committee Meeting — identifying the priorities

• Provincial Roundtable for Divisions

• Hospital / Community Relationship Committee meeting — hospital communication

2013


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JULY

• Emergency Preparedness Working Group Meeting

• A GP for Me Engagement — Dare to Dream workshop for Mental Health, Substance Use and Marginalized populations

• Child and Youth Mental Health and Substance Use — Shared Care project meeting

AUGUST

• A GP for Me Engagement

— Physician Office Staff and MOA Workshop on Improving Efficiency

— Physician Engagement Lunch

• Participation in Comox Valley Nursing Centre’s Review of Partnership Opportunities

SEPTEMBER

• A GP for Me Engagement — Sept 9 — Final stakeholder engagement event

JANUARY

• Physician Practice Survey — supported by funding from A GP for Me

• Polypharmacy in Residential Care — in partnership with Shared Care — preliminary engagement event for family physicians and staff from residential care facilities.

• Representation at “Cultural Competency — The Leadership Challenge” — Komok’s Bighouse

• Child and Youth Mental Health Substance Use Planning – Island Health

FEBRUARY

• TGIF — North Island Hospital Planning with Dr. Jeff Beselt

• Physician Pharmacy Communication Strategies Engagement Event

JULY

• Welcome to the Comox Valley — orientation package for new physicians revised

• Participation in Island Health’s Child and Youth Mental Health and Substance Use planning forum

OCTOBER

• TGIF — Shared Care — finding opportunities for working better together with specialist colleagues

• Survey of non-privileged physicians regarding hospital communication

• Launch of Comox Valley Locum Working Group — strategies to support locum recruitment

• A GP for Me Assessment and Planning proposal submitted

AUGUST

• Through work with Island Health — Cerner access for non-privileged physicians made available

SEPTEMBER

• Annual General Meeting

NOVEMBER

• Safe Opioid Prescribing Practices — hosted a fact-finding meeting with community representatives

• DOD — Purple Group meeting

• Participation in Island-wide working group with Island Health regarding EMR/IT issues

• Participation in Inter- divisional CSC working group — Recruitment and Retention

• A GP for Me — Assessment and Planning Proposal — approved

• Collaborative Services Committee meeting with Island Health

2014


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For the year ended March 31, 2014 REVENUES 2014 (in $) 2013 (in $)

Grant Revenue (Note 3) 288,438 214,701 Carry over grant revenue (Note 3) 67,730 37,262 Unassigned In-patient Incentive and Care Fees 330,389 118,355 Interest 1,080 252 Miscellaneous 1,282 3,231TOTAL REVENUE 688,919 373,801 EXPENSES Advertising 469 – Administrative – 2,992 Bank cheques and interest 468 386 Benevolent fund expenses 250 2,000 Board expenses 57,520 76,991 Committee expenses 47,924 13,311 DOD inpatient data supply service agreement – 33,482 Event expense 14,707 15,239 Insurance 1,553 850 Dues 11,739 20,500 Unassigned In-patient Incentive and Care Fees expenses 354,256 125,966 Office supplies 16,288 11,088 Professional fees 7,562 6,045 Salaries and benefits 129,615 59,515 Contracted fees 21,824 1,621 Travel 8,381 3,815 Residency Program 14,000 – 686,556 373,801 EXCESS REVENUE OVER EXPENSES 2,363 – NET ASSETS, BEGINNING OF YEAR – – NET ASSETS, END OF YEAR 2,363 –

STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS


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As at March 31, 2014 ASSETS 2014 (in $) 2013 (in $)

Current Cash 423,181 139,034 Accounts receivable – 9,262 GST receivable 2,150 2,849 425,331 151,145 LIABILITIESCurrent Accounts payable and accruals 58,832 36,292 Government remittances payable 1,845 378 Due to BC Medical Association (Note 3) 46,888 26,434 Due to Ministry of Health — service agreement (Note 3) – 860 Deferred grant revenue (Note 3) 315,403 87,181 422,968 151,145 NET ASSETS 2,363 – 425,331 151,145

STATEMENT OF FINANCIAL POSITION


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I have been the Treasurer of our Division since its inception. These past three and a half years have been exciting, as we have worked together to create a vibrant organization that gets things done. Our current membership stands at 105. Our Division is the steward of a significant amount of money with the expectation that we bring improvements to family medicine and the community we serve.

TREASURER’S REPORT — AGM SEPTEMBER, 2014

We received for this current budget year $3,000 per member. This funding formula is under review.

We were successful in securing carryover of funds for projects that were underway in the previous budget year, as detailed below:

• Safe Opioid prescribing project — $51,265

• Hospital discharge planning project — $13,259

• Orthopaedic referral project — $4,620

• Maternity care project — $4,292

So far, we have been allocated $296,000 for our work on the provincial A GP for Me initiative and have spent $110,000 of this over the last year with our mapping and surveying activities. Up to $650,000 in additional funding is available for improving attachment in the Comox Valley pending submission of a successful proposal. We are currently working on our application for these funds, with our initial efforts pointing us toward improving Adult Mental Health and Substance Use Care, with a specific focus on marginalized groups within our community.

Our Division continues to provide administra-tive support for our Doctor of the Day (DOD) program at St. Joe’s. We have facilitated the payment of $336,000 in the 2013–2014 budget year with administrative expenses of $5,425. The expenses of the last two years have been covered by a one-time grant; it is uncertain if funding will be available in future.

Each year, we are required to provide audited financial statements as well as outcome reporting for projects for which we have been given carryover funds. Our auditing process was completed by the end of June and our finances and our financial processes are in good order.

Having retired as a physician this past June, I am also retiring from the Board of our Division. It has been an honour to serve on this board and I would encourage other family physicians to join.

Respectfully submitted,

Dr. Richard Helmer


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INFRASTRUCTURE CHART

■ Administration

■ Board

■ Committees

■ Professional Development

■ Division Events

■ Physician Data Collaborative

■ Provincial Collaboration

■ Benevolent Fund

■ UIP Administration

■ Projects

Comox Valley

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/comox

COMOX VALLEY BOARD OF DIRECTORS

Dr. Adam Thompson – Chair Dr. Charuka Maheswaran – Vice-Chair Dr. Rick Helmer – Treasurer Dr. Sara Sandwith – Secretary Dr. Tom Gornall – Member-at-large Dr. Margaret Manville – Member-at-large (resigned July 2014) Dr. Trish Murphy – Member-at-large Dr. Rick Potter-Cogan – Member-at-large

DIVISION SUPPORT

Janet Brydon – Executive Director Judy Darby – Executive Assistant (staff ) Tricia deDelley MOA – DOD Calendar Support Candice Wheeldon – Event Organizer Jennifer Lavoie – UIP MSP Billing

PROJECT TEAM

Jody Macdonald – Project Coordinator Jacquie Kinney – Project Assistant Matt Titler – Project Coordinator Maureen Clarke – Project Coordinator Jaime Fortier – Clinical Support


Contact information:603 Stickleback RoadComox, BC V9M 4H8Phone: 250-339-3233Email: [email protected]

Photo credits: Cover, pages 5, 6, 13, 15 (bottom 3 photos): PictureBC.ca Page 12: Jody Macdonald All other photos: Janet Brydon

Comox Valley Division of Family Practice. 2013 annual report

Documents

Transcript of Comox Valley Division of Family Practice. 2013 annual report