Kootenay Boundary

Child and Youth Mental Health Collaborative

Kootenay Boundary

Local Action Teams

Local Action Teams (LATs) are a key component in the structure of the Child and Youth Mental Health and Substance Use (CYMHSU) Collaborative. They provide the foundation for improving timely access to support and services for local children, youth and families experiencing mental health and substance use challenges.

Teams are comprised of a diverse cross-section of mental health and substance-use service providers, stakeholders, and youth and families from the local community.

How it works

Each Local Action team commits to tackling one or two key objectives within a particular timeframe to address system barriers in their community. A Collaborative Coach supports the team to help them successfully achieve their goals and measure their outcomes.

Local Action Teams are located in your area. Details of who’s involved in your community, their improvement objectives, and how they’re planning to measure success can be found at the links below.

  • West Kootenay
  • Boundary
Local Resources

Click here for a list of local resources and services developed by the West Kootenay Local Action Team.


Polypharmacy Initiative

Kootenay Boundary

Kootenay Boundary physicians have been engaged in Polypharmacy Risk Reduction and have been provided with tools and resources to support meaningful medication reviews within the context of the GPSC Residential Care Initiative.

Kootenay Boundary has a Polyphamacy Risk Reduction physician mentor who is skilled in mentoring their physician colleagues in meaningful medication reviews in residential care.


Transitions in Care Initiative

Frail Seniors

Improve the ER relationship with family physicians and community supports to provide early notification of frequent ER use by frail senior patients; Develop a communications pathway between ER / CIHS / FP / SP for patient care planning; review current ER process to evaluate and improve interactions with frail senior patients. Read more


This project aims to make an in-clinic telehealth system available region-wide for use in shared consultations across all members of the patient’s care team (family physicians, midwife, specialist, GP-OB, public health nursing) that is easy to use, cost effective and secure. Read more Read more

Cardiac Care

Hospitalists, ER physicians and Family Physicians (the providers) and IH administration will work collaboratively to improve shared care for cardiac patients. The project will be in a multiphase approach and follow quality improvement methodology including:

  1. Problem identification
  2. Solution generation
  3. Experimentation
  4. Refinement
  5. Spread

Read more



Partners in Care Initiative

Microblogging MD - RACE

With new interest in RACE across Interior communities and Interior Health's support to spread Microblogging MD (secure messaging) there is an opporutnity to create an Interior-wide RACE program integrated into MBMD. 

Interior EASE

Provide opportunity for timely advice and consultations between GPs and specialists.

Telemedicine - Complete

This project seeks to address two main challenges experienced by patients and providers in the KB region:

  1. Patient access to wraparound care and specialist services, and
  2. patient-provider and provider to provider communication. 

Perinatal Mental Health - Complete

A coordinated multi-sector reproductive mental health network in the KB region will ensure engagement and improve timely access to critical supports for new mothers suffering from intra- and post-partum anxiety and depression.

Orthopedics - Complete

This project focuses on orthopedics and includes family physicians, orthopedic surgeons and IHA administration locally and health authority-wide. The group met to identify and explore issues impacting patient care with a particular focus on the different components of wait times, including referral wait times, radiology wait times, visible OR wait times, and OR booking and scheduling issues. With particular attention to the referral process as a realistic area for change, the Orthopedics Project focused on the implementation of:

  • Referral acknowledgement by orthopedic surgeons.
  • Cast Clinic Referral Form to streamline referrals
  • “Standard Views” for referrals to orthopedics.
  • Orthopedics to GP Transfer Care Form for transfer of care between hospitals.

Read more

Psychiatry/RACE - Complete

  • To undertake a rural expansion of Providence Health’s Rapid Access to Consultative Expertise (RACE) line piloted with Nelson physicians and Trail/Nelson Psychiatrists.
  • To facilitate uptake in collaborative care lunches to physicians in communities; to work with communities that do not have collaborative care lunches in place to develop the opportunity.
  • Provide regular multi-disciplinary team-based continuing medical education on mental health topics.

Read more about psychiatry here, and RACE here

Diabetes - Complete

A Regional Diabetes Committee including SPs, GPs, IH, Diabetes Educators and patients are working to address challenges of geography, improve relationships between members of multidisciplinary teams, and explore new approaches to care. An enhanced multidisciplinary CME event is being planned for the Fall/2014. Read more

Radiology - Complete

In 2012, three engagement meetings in Trail and Nelson identified a number of areas for improvement of patient care physician experience in the specialty of radiology. These included;

  • Variability and standardization of reporting and GP education
  • Collaboration between SPs and GPs across the region
  • Complete and accurate referrals, directories of interventionist procedures, booking procedures, and information on MRI wait times.

The objectives of the project centred on optimizing patient referral through partnering with IH to update direcctories of interventionist procedures and adopt diagnostic and imaging referral guidelines and (2) scheduling ongoing Continue Medical Education (SME) to focus on radiology issues and increase collaboration between GP and SPs. Read more

General Surgery - Complete

Develop local directory.