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Divisions Dispatch - June 12, 2018

 
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Divisions Dispatch - June 12, 2018
by Lucy Last - Tuesday, 12 June 2018, 3:09 PM
 

 June 12, 2018


Clarification: PCN EOI second intake date

As highlighted in the previous edition of Divisions Dispatch, the second intake for PCN EOI submissions will be September 17, 2018. This will be the final intake for the current fiscal year (i.e., to March 31, 2019) and will include up to 20 CSCs, depending on Ministry and GPSC capacity to provide adequate support. Future intakes for PCN EOI submissions will occur in the next fiscal year (post-April 2019). Specific dates to be confirmed

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Government announcements re: primary care and PCNs

The Ministry of Health has recently made a series of media announcements about its primary health care strategy that feature its plans for establishing primary care networks (PCNs) across the province:

Doctors of BC is working with Ministry partners to learn more about the government’s plans and what they mean for doctors. The provincial office will share what is learned when this information is available. 

The GPSC continues to support family doctors and divisions in their work to inform and influence design of PCNs across BC.

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Key areas of work

Below is a brief update on three key areas of work related to patient medical homes and primary care networks.

Funding
Thirty-four divisions have received one-time PMH network development funds.

Team-based care
The provincial team is developing a set of team-based care resources that will be made available online to support practices and divisions. These resources are anticipated to be available by autumn. The team is also developing a background document about understanding medical legal liability in team-based care environments, and that document will be distributed widely when finalized. 

In-practice resources
As of May 2018, 869 PMH Practice Assessments were sent electronically to physicians, of which 775 were completed. As well more than 3,300 patients have shared their perspectives on their visits to a GP's practice through the GPSC’s Patient Experience Tool. Currently, the tool is being piloted by 25 clinics by 72 physicians, 10 nurse practitioners, one registered nurse and 42 MOAs.

 

GPSC meeting summary: May

Topics covered in the May GPSC meeting summary include:

  • Primary care network expression of interest: second intake date
  • Incentive Program: PMH management incentive
  • Governance of primary care networks and patient medical homes
  • Feedback from the profession
  • Community Health Centres
  • Primary care networks in Manitoba
  • Provincial surgical strategy
  • Common Program Agreement

The next GPSC meeting is scheduled for July 13.

 

New fees, updated guidelines support treatment of opioid use disorder

As of June 1, 2018, two new fees to compensate physicians for treatment of patients with opioid use disorder came into effect:

13013 (Assessment for Induction of Opioid Agonist Treatment (OAT) for Opioid Use Disorder) is a new time-based fee to compensate physicians for the time it takes to do a full initial assessment (including complete medical and substance use history).  Click here for more information.

13014 (Management of OAT Induction for Opioid Use Disorder) compensates physicians for individual interactions with the patient during the first three days of OAT induction for opioid use disorder. Click here for more information.

Changes have also been made to 00039 (Management of Maintenance OAT for Opioid Use Disorder) to better reflect current practice. Click here for more information.

There is also a new GPAC guideline for diagnosis and management of opioid use disorder in primary care.

Additional resources are also available on the BC Centre for Substance Use website

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Summer GPSC newsletter now online

The summer 2018 issue of the quarterly GPSC newsletter--GP Update--is now online. This issue features articles on:

  • “Skills, not only pills:” Nova Scotia adopts Practice Support Program adult mental health module
  • Working with nurses in practices
  • Team-based approach helps new physician settle in Keremeos

Click here to read these articles and more about GPSC programs, developments, and achievements.

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New webinar series to support cross-divisional learning

The provincial office is launching a webinar learning series for division physician leads and staff. The webinars will provide opportunities for division representatives to learn from each other through discussion of their work, experiences, and knowledge on topics and themes relevant to them.

Provincial staff will host and coordinate the webinars, but the aim is for division representatives to lead these sessions, which will be on topics/themes proposed by divisions or provincial staff, who through working with divisions, have learned are of interest. 

Divisions who have suggestions for webinar topics or themes can contact the provincial team and indicate if they’re interested in sharing their experiences or learning more from others. 

The first webinar, Primary Care Awakens - Blue Sky Clinic Model, will be on Thursday June 19 from 5:30 p.m. to 6:30p.m. Click here to register.

For suggestions, questions, and more information, contact divisions@doctorsofbc.ca.

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Health Data Coalition: Call for nominations to the Board of Directors and annual general meeting

The Health Data Coalition (HDC) is calling for nominations for its Board of Directors. The deadline for nominations is on or before midnight on June 17, 2018.

The HDC is committed to ensuring province-wide representation in its membership. While many divisions have appointed a physician to serve as their representative, the HDC works to ensure that each division has ample opportunity to designate their representative and time to recruit a slate of nominees for the Board elections. To accommodate these needs, the HDC has rescheduled its virtual annual general meeting (AGM) to September 27 from 5:30 to 7:00 p.m.

Click here to view a complete overview and to apply.

For questions about the Board elections or AGM, contact Kathryn Dafos or Kate Fagan Taylor.

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NIRD/Northern Health videoconferencing project improves access to care in rural communities

A videoconferencing initiative started by Northern Interior Rural doctors is improving access to care for patients in northern BC. The Robson Valley Virtual Medicine project—a collaboration between the Northern Interior Rural division (NIRD) and Northern Health—uses videoconferencing technology to connect two rural neighboring emergency departments, enabling physicians who share on-call duties to see patients immediately without needing to travel between hospitals.

The success of the pilot project has resulted in the division receiving further GPSC funding to upscale the work. This additional funding will be used to improve patient access to patient medical homes and primary care networks through telehealth technology. Physicians are envisioning other innovative applications for the technology as well, including training students, doctors, and IMGs in the Practice Ready Assessment program.

Click here to learn more.

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Doctors of BC Health Authority Engagement Survey

All Doctors of BC members – not only those who work in a hospital – are encouraged to complete the current Health Authority Engagement survey to provide feedback on their level of engagement with their local health authority. The feedback will help the Association shape programs and policies to improve physician engagement with health authorities and will be used by the Joint Collaborative Committees (JCCs) to inform their work. It will also help Doctors of BC better advocate for its members, not only with health authorities, but more broadly in their communities.

For the first time, the survey now provides a divisions breakdown to shed light on trends by community and by each division. Please note that due to a technical error, certain divisions do not appear in the list.  Those affected can choose the “Other, please specify” option, then enter their division name.

Doctors of BC sent eligible participants an email invitation on May 24th, and a subsequent reminder on June 1st, which includes a survey link. The anonymous and confidential survey takes maximum five minutes to complete. The deadline for responses is midnight on Thursday, June 21, 2018, and participants can enter a draw to win one of two iPad Pros or Surface Pros.

For any questions or for the survey link, please contact surveys@doctorsofbc.ca.

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Vancouver Division’s Dropbox Clinical Tools now on Pathways

The Vancouver Division of Family Practice has transitioned its Clinical Dropbox Tools to Pathways. Over the past year, the Vancouver division DropBox editorial board has worked with the Provincial Pathways Resource Committee to add or update over 500 of their latest and most useful physician and patient resources. Members of all divisions can access these tools in the Resources section of Pathways.

Please note that the clinical tools will no longer be available on DropBox at the end of September. For access to Pathways, physicians can contact their local division.

For more information, contact the Vancouver Division at vancouver@divisionsbc.ca or call 604 569-2010 for more information.

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BC Centre for Excellence in HIV/AIDS offers free webinar for primary care providers

The BC Centre for Excellence in HIV/AIDS is hosting a free webinar for primary care providers on Wednesday June 27th, 2018, from 12:00 - 1:00 p.m. Speakers Dr Julio Montaner and Yaz Shariff will present the session ARV Based Chemoprophylaxis to Reduce HIV Transmission in British Columbia: the Science and Community Perspectives.

The webinar is part of the Centre’s quarterly HIV/AIDS webinar learning series and is eligible for 1.0 Mainpro+ Certified Credit (College of Family Physicians of Canada).

Click here to register.

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Divisions in the news

 

DATE

DIVISION

PUBLICATION

TITLE

June 4, 2018

Provincial

The Free Press

Medimap draws award from B.C. doctors

May 31, 2018

Nanaimo

CBC

E-mentor program helps family physicians treat patients who have opioid use disorder

May 29, 2018

South Island

Times Colonist

Make family practice more attractive

May 29, 2018

South Okanagan Similkameen

Global News

Improved maternity care in the south Okanagan

May 29, 2018

Provincial

North Shore News

New investments in primary care a healthy start