North Shore

Polypharmacy Risk Reduction Initiative

North Shore

North Shore family physicians, pharmacists and nurse leaders came together at Polypharmacy Risk Reduction "Building Local Capacity and Sustainabiliy" sessions to develop approaches for conducting meaningful medication review processes in support of the Residential Care Initiative and received tools and clinical resources to support decision making.

North Shore has Polypharmacy Risk Reduction physician mentors who are skilled in mentoring their physician colleagues in meaningful medication reviews in residential care.


Child and Youth Mental Health Collaborative

North Shore

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.

A Local Action Team has recently been formed on the North Shore. More details regarding who’s involved in this community, and their improvement objectives will be added to this page shortly.


Transitions in Care Initiative

North Shore


This project aims to improve communication between hospitalists and community family physicians to benefit patients admitted and discharged from acute care including:

  • Ensuring a more accurate identification of a patient's family physician
  • Conducing medication reviews and reconciliation
  • Improving linkages between physicans, home and community care upon discharge


Partners in Care Initiative

North Shore


Phase 1

Improved access to specialty consults through an expedited screening process with the implementation of an ortho advice line, centralized referral system ensuring appropriate imaging with right specialist receiving the consult (i.e., subspecialty), and referral acknowledgements.

Phase 2

Spread orthopedic referral process and use of ortho advice line to coastal region, and develop patient education materials.

Mental Health

Establishment of  non-urgent, rapid access to psychiatric consults in partnership with Vancouver Coastal Health; referral pathways.


Improve access to gastroenterology, reduce the number of inappropriate referrals and improve communications between family physicians and gastroenterologists.