Victoria/South Island

Child and Youth Mental Health Collaborative

Victoria/South Island

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 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 in Sooke. Click the link below to see details of who’s involved in your community, their improvement objectives, and how they’re planning to measure success.

Sooke Local Action Team

 

Polypharmacy Risk Reduction Initiative

South Island

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

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

Victoria

Victoria family physicians, pharmacists and nurse leaders came together at Polypharmacy Risk Reduction "Building Local Capacity and Sustainability" 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.

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

 

Transitions in Care Initiative

Victoria/South Island

Phase One Victoria Transitions in Care project - Complete 

Improve transition for patients moving in and out of hospital with greater coordination of care between Hospitalists, GP's and community health services.  E-notification was introduced to inform family physician of patient's admittance to hospital.

The eNotification pilot project was a joint initiative of Island Health and the Victoria and South Island Divisions of Family Practice.  Within one year of the pilot 74% of physicians in the entire Island Health region have access to the service.

Phase Two Victoria Transitions in Care project - Complete

Improve discharge planning and communication between hospital and community physicians transitioning the care of patients.

Phase Three Victoria Transitions in Care project - Complete

Improving patient care continuity across acute-to-community transitions.

 

 

Partners in Care Initiative

Orthopaedic Working Group

Phase 1 - A FP/SP working group was established to collaborate with the local Orthopaedic group as they developed their interdisciplinary musculoskeletal clinic (RebalanceMD) and a single entry referral - the First Available Appropriate Specialist Triage (FAAST) system. This collaboration aided Rebalance in piloting and spreading the new referral system and development of a standard referral form, in addition to various information materials and processes.  Funding was also provided for 4 separate interactive CME accredited workshops on Acute Conditions of the Knee attended by 133 FPs.

Phase 2 - Specialists, Family Physicians will work collaboratively to enhance the shared care for patients.  The purpose of this ongoing initiative is to continue to improve communication and knowledge transfer processes, and relationships between Orthopaedic Surgeons and Family Physicians for continuity of care and timely access to treatment. Funding also provided for 3 separate interactive CME accredited workshops on Shoulder Pathologies with an anticipated 120 FPs attending.

Neurology Working Group

Identifying improvement opportunities and strategies for solutions to enhance shared care for patients.  Included the distribution of the Neurology Practice Summary Profile to all Division members in November 2013 and support for an interactive CME accredited workshop entitled “Keeping Your Head in the Game”. The workshop was designed to provide FP with knowledge to close gaps in care and reduce the demands on SPs.  The 4 hour evening session involved a key note speaker addressing;  “Treatment of Mild Cognitive Impairment”  followed by 4 breakout sessions covering the following topics; (1) Treatment of Early Parkinson’s Disease (2) Topical Issues in Epilepsy Management (3) Migraine Management (4) Common Treatable Movement Disorders. A total of 51 FPs attended with very positive feedback provided indicating the presentations had succeeded in addressing the needs of the physician community.

Phase 2 - Specialists, Family Physicians will continue to work collaboratively to enhance the shared care for patients. The purpose of this ongoing initiative is to continue to improve communication and knowledge transfer processes, and relationships between Neurologists and Family Physicians for continuity of care and timely access to treatment.

Plastics Working Group

Develop a process to better inform patients and Family Physicians of challenges related to plastic consults through exploring ways to track wait times and referrals to the various specialty areas. A focus will also be on ways to improve communication between Family Physicians and Plastic Surgeons. The ultimate goal is to provide ongoing quality improvement initiatives and knowledge transfer by providing an open forum and communication platform to all stakeholders along with a shared commitment to ongoing collaboration between FPs and the local Plastics group.

Cardiology Working Group

Develop a transparent process to better inform patients and Family Physicians of challenges related to cardiology consults through exploring ways to track wait times and referrals to the various specialty areas. A focus will also be on ways to improve communication between Family Physicians and Cardiologists. The ultimate goal is to provide ongoing quality improvement initiatives and knowledge transfer by providing an open forum and communication platform to all stakeholders along with a shared commitment to ongoing collaboration between FPs and the local Cardiology group.


Mental Health and Substance Use

To improve access to treatment for patients with mild to moderate MHSU issues by providing clinical MHSA training and a local RACE service for GPs, as well as training/mentorship for GPs to deliver group CBT for local patients. 

 

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