Critical incident stress management is a ‘process’ of support offered to direct and indirect care providers. The type of support provided will depend on the incident and the needs of those involved.  In the immediate aftermath of a critical or adverse event, front line leaders are in a position to start the CISM process by ‘checking in’ with providers.

The Opportunity

We have asked Melanie Johannson and Cristina Ciccone from Employee Wellness/EFAP to provide some training around checking in with staff after a critical incident has occurred. Melanie is the Critical Incident Lead/Therapist for VCH Employee Wellness/EFAP and has 30 years of clinical experience with a trauma specialty. Cristina Ciccone is also a 30 year veteran of the clinical field and has been in the healthcare industry for over 25 years. She now focuses much of her clinical work on CISM services and training. Both Melanie and Cristina are passionate about supporting staff after a critical incident has occurred in the workplace. They believe this kind of support facilitates recovery and resiliency for staff in their effort to continue the work of taking care of others. Please join us in the training to discuss Critical Incident Stress, learn about the best ways to check in with staff including why this is important, and do some practice in a relaxed and supportive environment. We hope to see you there. Seating is limited.

Please RSVP to Theresa Newlove Subject Line: CISM Check In.

Read more…

PHSA Medical Organization Review

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In accordance with the BC Hospital Act and health authority bylaws, the Board of Directors of the Provincial Health Services Authority (PHSA) is accountable to the Minister of Health for ensuring PHSA provides high quality, safe patient care and maintains an effective medical staff organization to oversee all medical activities. In support of this mandate, the PHSA Chief Executive Officer (CEO) has commissioned a review to determine a preferred PHSA medical organization that will:

  • enable improved quality of patient care provided by PHSA through effective monitoring by the Board of Directors, Senior Executive Team (SET) and medical leadership;
  • support PHSA’s unique provincial role and expanded mandate of ensuring a coordinated provincial network of high-quality health care programs and services, while ensuring programs can meet their respective mandates and the needs of the populations served; and
  • advance PHSA’s medical and academic perspectives within the broader BC health system.

The Bethany Management review team assessed the current organization structures, developed proposed changes for the medical leadership structures and identified implementation strategies, critical success factors and an evaluation framework. Throughout the review, the team received significant support and direction from the Physicians Governance and Leadership Advisory Group (PGLAG) through periodic reviews of the team’s findings, observations and recommendations.

Interviews and group meetings with leaders in medical and clinical administrative roles have identified a number of strengths in the current medical organization, including dedicated medical leaders committed to fulfilling their roles and serving their programs, a commitment to improved patient care, and a willingness by medical leaders to have greater involvement in PHSA’s planning and decision-making processes. Identified areas for improvement include the need for coordinated medical leadership, most appropriate distribution of medical affairs functions, medical support for the Board’s oversight role, and stronger external representation of PHSA medical/clinical interests.

The recommended medical organization has been developed taking into consideration PHSA’s mandate, vision and values as well as identified areas for improvement in the current medical administrative structure. The review has recognized that an effective PHSA medical organization needs to be able to support:

  • coordinated, seamless care for patient populations
  • a shared PHSA-wide culture characterized by respect, caring and trust
  • active medical leadership engagement in planning and decision-making processes
  • respect for unique program identities and service delivery areas
  • clarity regarding accountability and authority to act
  • collaborative working relationships between medical leaders and administration
  • fiscal responsibility
  • two-way communication and dialogue

Recommended changes to the medical organization have been mapped to two thematic areas: strengthened medical advisory structures and coordinated medical administrative leadership.

To read the full report, click here.


Health Authority Redesign Funding Objectives

The Shared Care, Specialist Services and General Practice Services Committees provide funding to health authorities to enable physicians to lead, facilitate, and provide input into redesign and/or quality improvement of health services provided by health authorities.

Funding Criteria

Health authority system redesign work must:

  • focus on changes to clinical services or programs either within the health authority or as the health authority component of a provincial or inter-health authority project
  • have a clear scope, be time limited and project based
  • physician input and engagement should reflect appropriate application of IAP2 Core Values and Spectrum of Engagement. Identification of the level of engagement anticipated should be clearly outlined in the proposal.
  • ongoing committees or programs where physician participate will not be supported by this funding.

For PHSA, proposals submitted for funding consideration should meet the following additional criteria:

  1. Support at least one priority identified by PHSA’s Service Plan:
  • Goal: Support the health and well being of British Columbians
    • Targeted & effective primary disease prevention and health promotion
  • Goal: Deliver a system of responsive and effective health care services BC
    • A provincial system of primary and community care built around inter-professional teams and functions
    • Improved patient health outcomes and reduce hospitalizations for seniors through effective community services
    • Improved patient health outcomes and reduced hospitalizations for those with mental health and substance use issues through effective community services
    • Sustainable and effective health services in rural and remote areas of the province, including First Nations communities
  1. Identify how the project meets your respective Agency, Program or Service priorities for 2018-19.
  2. Identify/describe how the project will engage physicians. See Health Authority Redesign Proposal Template Appendix 1: IAP2 Spectrum of Engagement-Physicians

Physician Eligibility Criteria

The funding requested in the proposal is for physician compensation at sessional rates. Funding is intended to enable physician engagement in redesign and/or quality improvement projects. Funding is not intended for ongoing program administration, staff positions, or for clinical compensation.  However, Agency salaried physicians may be eligible for funding should the services fall outside the scope of the contract in hours or deliverables.

The following describes physician funding arrangements and eligibility for reimbursement under the system redesign funding initiative:

Funding Arrangement                       Eligibility for System Redesign reimbursement
PHSA salaried physicians Not eligible; some exceptions will be considered
Service contract physicians Eligible –  provided that participation is outside time paid for under service contracts
Sessional contract physician Eligible – provide that participation is not performed during time sessions billed for
Fee for service physicians Eligible


Proposal Development and Submission Process

Please submit a proposal using the Shared Care-Specialists Services Committee Redesign Funding for Physician Engagement proposal template. The proposal should describe the project goals, objectives, scope and estimated sessional costing of the project and engagement your agency wishes to support for fiscal year 2018/19.

The approved project must be completed and the approved funding must be spent by March 31, 2019. Approved project funding cannot be carried over into the following fiscal year.

Prior to submission, review the proposal with your respective agency, program or service medical and/or administrative lead. Once approved and signed, please submit your proposal requests to Kamaljeet Guram, Provincial Strategic Initiatives, Stroke Services BC, PHSA, , T: 604.829.2657.

Health Authority Redesign Proposal Template.2018-2019

Physician Wellness Visioning Session

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Save the Date! Tuesday, April 3, 2018

As awareness of physician burnout increases, physician health and wellness initiatives are becoming a strategic priority for many Divisions of Family Practice and Medical Staff Associations. To support divisions and other physician groups who are wanting to improve the psychological health and well-being of their members, the Physician Health Program will be hosting a one-day session of learning, networking, and visioning on April 3 at the Doctors of BC building in Vancouver.  One of the world’s leading experts on burnout and engagement, Dr. Michael Leiter will be in attendance to share some insights from his extensive career in research on this topic.  The event represents a collaboration between the Physician Health Program of BC, Divisions of Family Practice and the Facility Engagement Initiative.  The goal of the collaboration is to build a province-wide community of practice linking the local wellness champions in each Division or Facility.  We invite either physicians who are already working within their Division or Facility to promote wellness or those who are inspired to start such work in the near future, to seek the support of their local Division or MSA to attend the event. More details about the event will be available soon.  In the meantime, if you have questions, please contact the Physician Health Program directly at 604-398-4300, or via email.

Here are some other upcoming events that are relevant either to our organization specifically or to physician health and wellness in general. Please contact us at 604-398-4300 or send us an email if you would like to suggest an event for our calendar.

Medical staff structure/organizational review at C&W

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Hello all C&W medical staff:
Happy New Year to you all and welcome back from your short breaks if you were able to have one.
As notified last month at at our last MSA meeting, PHSA CEO Carl Roy and the PHSA Board are conducting a review of the structure/organization of our medical staff in the context of how we deliver clinical care.   An external consulting group was hired by PHSA to assist with this review and to make suggestion for improvements for future. This process is occurring throughout PHSA agencies.
As MSA members of C&W, I am asking for you all to focus on C&W and consider providing feedback, thoughts and potential solutions even.   Your MSA executive are active members of the PHSA PHYSICIAN GOVERNANCE AND LEADERSHIP ADVISORY GROUP (PGLAG). PGLAG has been chosen by Carl Roy to act as the steering group for this review.    The final outcome form this review will be fully discussed at PGLAG before there is presentation to the PHSA Board.
Attached are two documents for you reference:
1   An overview and introduction of the process that is underway as presented by the consulting group to PGLAG.
2.  A summary of the interview summaries or feedback to date based on work by the consulting group.
Your MSA executive and PGLAG has been given the directive below:
”   Coordinate involvement of the medical community you represent in providing written feedback by Jan 31st on the summary of the current state, with the understanding this process is iterative and building on each session, so feedback after January 31st will also be accepted and incorporated where possible.  “
So, given the short timeframe – I would invite any of you to send me your comments in writing or in person, e-mail, etc…..any manner you wish, and I will forward your comments onto the consulting group.
We would also consider arranging one or two MSA group sessions at the end of January if this would be of value.
Your MSA executive members are:
Henry Woo
Linda Casey
Doug Courtemarche
Jugpal Arneja
Pleas feel free to send me any comments or questions to    I am also to meet with individuals if further clarity is required. There will be updates on this process on the C&W MSA website as well at
Thank you.

Dr. Henry L. Woo

President, C&W Medical Staff Association (MSA)


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