Richmond Division of Family Practice 2023–24 Annual Report

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Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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OUR MISSION To support and advocate for Richmond Family Physicians.

OUR VISION A vibrant community of connected and engaged Family Physicians.

OUR VALUES Impactful: Adding value for our members and their patients.

Influential: Leading health care improvements.

4

Innovative: Being better and doing better.

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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33 21

320

33 22

11

New Member Social Events

6

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

467 Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

7

6 2%

8

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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18% 700%

from 57 to 131

from 17 to 82

76%

SCAN FOR Technology Supports

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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22 27,500

received 24 applications for Richmond FP jobs:

22

12 6

12

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

9

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

13

67%

24

of our FP membership

45%

4 family physicians

14

92 family physicians

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

FP Family Summer Social: Vancouver Canadians Baseball at Nat Bailey Stadium

1 family physician

FP Winter Social: the Olympic Experience at the Richmond Oval

16 family physicians

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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215

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pensation Receive com rts for your effo reputation your clinic st Boo • rd of mouth through wo that likelihood the se Increa sician • actice phy a new-to-pr your clinic to will match osure exp ic clin Increase • physicians to locum physician sician-toe coverage Foster phy • g for practic e networkin for practic ortunities ent, Improve opp another FP (retirem • to transition .) within illness, etc n ntio rall FP rete Improve ove • Richmond

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by MSP-fu services for for Richmond nded, your patien residents. ts as an ext a team-bas Access the ension of ed care app se your medic roach, PCN while suppo al team. Usi clinicians wil rting your ng l collabora patient to te with you achieve the ir health goa ls.

Patients

Chronic Dis Manageme ease nt Nurse

s (RN) • provide sup to manage port for patients chronic diseases such as diabetes, heart failu re, high bloo d pressure • teach pati ents to develop self-manag strategies ement

Physioth erapists • treat mus culo neurologica skeletal/ (arthritis/MSl conditions stroke/MS/PaK injuries/ rkinson’s) • provide pers home exer onalized cise program s • help to prevent falls • offer adv ice on gait aids

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Clinical Ph armacists • conduc t med assessments ication • ensure pres are suitable criptions condition for each • offer adv ice and adverse on dosage reactions

• help pati ents skills for dail to develop (personal y activities care/meals) • teach ada ptiv conservatio e energy n skills • provide stre managemenss t strategies

rk Netwo

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• provide sup depression, port for anxiety, issues, grie relationship f/loss • offer new perspective s • help pati ents develop tools to cop personal issue with es

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Social Wo rkers • address fact health: fina ors that impact pati nces, ent housing, soci al suppor ts • help pati ents to dev elop advanced care plans • provide refe community rrals to programs

about PCN clinica the MSP-funded l services now available to your pat ients ported wit h exp collabora tion and tea anded m-based care 9 Invite Conclin tacicia t suppor dfp o you care teams ns ontt@r to lea r .ca patien t rn more based on their needs 9 Be sup

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Dietitian s • provide nutr and assessm ition consultation ent • teach nutr ition needs to improve eating hab patient its • prevent/ dela chronic con y ditions • support sust lifestyle cha ainable nges

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must mee t ALL FIV 1 Be a Rich E criteria mond resi : den patient of a Richmon t and/or the d FP or NP 2 Be a pati ent of the FP connects them to PCNor NP who (i.e., not a walk-in phy services 3 Have vali sician) d B.C. Med ical Service (MSP) cov erage Plan 4 Not hav e an insurance active ICBC/WorkSa claim rela ted to the fe recommend ation 5 Not be in hospita l or long-ter m care

ACCESS: To request acc MSP-funde ess to d PCN clin ical services for your pat ient PCN Service s, please submit the s Referral is located Form, whi in the Rich ch mond PCN section of Pathways.

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• provides time senior care ly, appropriate • improve s overall sen ior health • suppor ts incr independen eased ce • enhanc es safety

OTHE Chronic Dis R MS P-FU ease

NDED Group Ed The Richmon PCN ucation SERV significant d PCN team crea 103 attende tes group ICES patient pop es since Spri edu and skills ng 2022 for patients ulation. This educati cation classes on topics and caregive on Commun Current Offe rs to better and support provide that impact a ity ring self-manag s the knowle s (oth Mandarin e chronic Link Worke dge TBC) • Pre- ers in progress): dise Diab Diab ases r etes • Dys .

ACCESS: lipidemia/Hetes (English/Canton • helps pati Workshops ese; eart as determin ents to set are offered Health and meet PCN Servicesed by referrals rece throughout the yea physical ived and mental education Referral Form to indi . Please use the r based on need, not class and and wellnes health to include cate the topic reco es section of the s goals INFO: call mmended any other • con 604.233.568 pertinent nects pati informationfor a group 6 | email to social and ents . rmdpcn@vc physical h.ca activities • informs abo community ut local CO-LOCATI services ON: Rich mond clin are also elig ics ible to ado location mo pt del with one a coPCN clinicia ns on a par or more Contact us t-time bas is. to and option discuss your needs s.

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2023-10-2

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Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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Jenny, Elida Medical Centre MOA

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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50% 38%

18

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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20

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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22

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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IMGs were recruited to Richmond in 2023:

3 2

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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44% 22% 172

62

48 attendees

35

inquiries

25 clinics 5 MOA events 43 attendees

215 62

24

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

222

116

Richmond Rapid Read

= 75%

Richmond MOA Minute

= 77%

31

= 17%

29

= 21%

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

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Gratitude to our Committees As of March 31, 2024 (CONT.) and Working Groups IT Committee This group works to identify solutions: • to enhance IT infrastructure and security and confidentiality of patient information • to assess emerging technologies • to foster collaboration and information exchange among Richmond Division of Family Practice members regarding IT practice.

Project Examples: EMR solutions, CareConnect/PharmaNet efficacy Dr. Anthony Coquinco, Community FP Dr. Sharon Dodd, Community FP Dr. Allan Horii, Community FP Dr. Ki-Sun Kim, Community FP Dr. Cheryl Nagle, Community FP Dr. Lisa Nakajima, Community FP Dr. Christina Sun, Community FP LTCI Quality Improvement Working Group This group works on long-term care processes and access to LTC tools and resources that improve safe, quality health care delivery.

Project Examples: Long-term care physician onboarding and mentorship program Dr. Justin Hsu, LTCI Physician Lead & Rosewood Manor Medical Coordinator (Co-Chair) Angie Martinez, VCH, Richmond Operations Director of Long Term Care & Assisted Living (Co-Chair) Dr. Howard Chang, VCH, Richmond Long Term Care Medical Director John Con, Resident Representative Dr. Parm Brar, Hamilton Village Residence Medical Coordinator Novies Echon, Hamilton Village Residence Director of Care Dr. Annie Song, Richmond Lions Manor Medical Coordinator Alice Chan, Richmond Lions Manor Operations Initiative Lead Dr. Adam Chang, Minoru Residence Medical Coordinator Jas Gill, Minoru Residence Operations Initiative Lead Karima Kassam, Rosewood Manor Director of Care Dr. Luke Tse, Pinegrove Place Medical Coordinator Laarni Piczon, on behalf of Niamh Breen, Pinegrove Place Director of Care Dr. Mandeep Saran, Fraserview Residence Medical Coordinator Avril Taylor, Fraserview Residence Director of Care Lisa Stewart, VCH, Executive Director of Quality & Safety Ella Huang, VCH, Richmond Quality Lead Jennifer West, RDFP, Executive Director Anetta Stankowski, RDFP, LTCI Program Lead Juliana Mafforte, RDFP, LTCI Program Coordinator LTCI Steering Committee This committee provides direction and strategic planning for the Long Term Care Initiative (LTCI).

Divisions of Family Practice work with Health Authority partners to design and implement local solutions that deliver quality dedicated MRP services for patients in long-term care homes.

Continues in next column

26

Project Examples: Beyond Care Event: Reducing LTC ED Transfers, LTC Home Bed Distribution and Best Practice Expectation Reporting Dr. Howard Chang, VCH, Richmond Medical Director of Elder Care Dr. Justin Hsu, RDFP, LTCI Physician Lead Angie Martinez, VCH, Richmond Operations Director, Long Term Care and Assisted Living Juliana Mafforte, RDFP, Program Coordinator Anetta Stankowski, RDFP, PMH Program Lead Jennifer West, RDFP, Executive Director MOA Working Group This working group identifies educational, networking, recruitment, and quality improvement opportunities that support Richmond family practice medical offices.

Planning for MOA supports and resources reflects feedback from both the Working Group and from the wider MOA Network.

Project Examples: Flu vaccine distribution, First Aid training.

Emma Chatel, MOA Jessy Flores, Clinic Manager Nicole Huang, Clinic Manager Maria Matsumura, MOA Lead Eileen X, Clinic Manager Hongjian Yang, Clinic Manager Pathways Working Group Physician Leads This team provides local Pathways leadership by providing direction on opportunities for improving referral pathways, Shared Care, patient education, and clinical and community resource directories for providers and patients.

Project Examples: Pathways Community Service Directory Dr. Allan Horii, Physician Lead Dr. Lisa Nakajima, Physician Lead PCN Steering Committee (2023–24) Committee members oversee the evolution of Richmond PCN operations, lending their strong voices and providing strategic insights to guide QI as the PCN transitions from implementation to sustainability. This team actions physician needs, shapes local longitudinal health care, and aims to achieve excellence in patient care.

Andy Day, VCH, Executive Director, Primary Care and Chronic Disease Management (Co-Chair) Dr. Angela Shen, RDFP, Physician Lead PCN 2 and RDFP Board Chair (Co-Chair) Jennifer West, RDFP, Executive Director (Co-Chair) Dr. Alexandros Alexiadis, VCH, Co-Senior Medical Director Dr. Meena Dewar, VCH, Medical Health Officer, Richmond Yogeeta Dosanjh, VCH, PCN Director of Implementation Dr. Angela Jennings, Richmond Division of Family Practice, Physician Lead PCN 3 Continues in next column

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

Dr. Cheryl Nagle, Richmond Division of Family Practice, Physician Lead PCN 1 Richard Sison, Ministry of Health, PIO Regional Manager Michelle Sims, VCH, Nurse Practitioner, Director of Regional Department of NPs Dr. Christina Sun, Richmond Division of Family Practice, Physician Lead PCN 3 Jo-Ann Tait, VCH, Vice President, Executive Lead, Community Services Home Health Deborah Turner, Patient and Family Representative PCN Working Group A group of Richmond primary care providers that works collaboratively: • to identify opportunities for improved access to PCN clinical services • to provide better patient and provider experiences • to elevate patient and provider awareness of PCN services • to review PCN communication processes • to provide feedback on existing health care resources available in our community Dr. Pavandeep Badh, Community FP Bal Kooner, VCH Clinical Operations Supervisor Paul Padda, Community NP Dr. Angela Jennings, Community FP Jorge Hernández, RDFP-PCN Representative Linda Leung, Community NP Sonya Narayan, PCN Administrative Lead Dr. Cheryl Nagle, Community FP Anetta Stankowski, RDFP-PCN Representative Dr. Angela Shen, Community FP Dr. Sina Sharifpour, Community FP Dr. Lidya Sanjaqli, Community FP Mark Ventura, Community NP Jennifer West, RDFP Executive Director Yogeeta Dosanjh, VCH Director Primary Care Implementation Preceptors Group This partnership between the UBC Department of Family Practice and the Richmond Division includes a 10-month preceptor preparation course. Modules are structured to reflect typical teaching situations found within a communitybased office. Physicians learn skills to mentor and teach other physicians, with a platform to share their experiences so that our community of family medicine providers can learn together.

Dr. Ashita Dutta, Community FP (FP Lead) Dr. Iman Abou-Gareeb, Community FP Dr. Amy Chen, Community FP Dr. Kevin Chao, Community FP Dr. Dhwani Dhaduk, Community FP Dr. David Jung, Community FP Dr. David Li, Hospitalist Dr. Lisa Nakajima, Community FP Dr. Katiuska Saldana, Community FP Jorge Hernández, RDFP-PCN Representative

Assets

Revenues

Current Cash

$496,209.10

Contributions receivable

Infrastructure

$849,228.00

Collaboration funding

$34,456.00

Long-term Care Initiative

$338,744.68

Prepaid expenses

$7,598.72

PMH/PCN Physician Engagement

$281,949.00

GST recoverable

$42,802.31

Primary Care Network

$899,013.00

Equipment

$17,876.00

Attachment Mechanism

$125,000.00

Total Assets

$564,486.13

Minor Tenant

$52,033.64

Liabilities

Maternity

$25,000.00

Physicians Integration & Retention

$55,000.00

Bank Interest

$680.45

Total Revenues

$2,661,104.77

Administration

$35,459.14

Expenses

Accounts Payable and Accruals

$219,513.38

Deferred Contributions

$344,972.75

Net Assets

$564,486.13

Amortization

$8,130.49

Contingencies

$2,229.60

Directors Fees

$105,128.34

Facilities

$60,527.95

Human Resources

$475,255.70

Project Support

$97,244.16

Meetings and Events

$37,144.78

Pathways

$3,754.18

Professional Fees

$15,800.00

Long-term Care Initiative

$246,061.95

Supplies and Equipment

$13,882.25

Office expenses and travel

$714.13

FPs Sessionals

$83,990.94

Physicians Integration & Retention

$73,325.72

PMH/PCN Physician Engagement

$246,152.03

PCN Management

$427,222.22

PCN Administrations

$284,256.63

PCN Change Management

$62,019.13

PCN Overhead

$135,568.25

PCN Governance

$67,136.76

PCN Attachment

$124,872.93

PCN Minor Tenant Fund

$52,033.64 $2,657,910.92

Richmond Division of Family Practice | 2023–24 ANNUAL REPORT

27

SCAN TO Let Us Know Your Interest RDFPevents.checkbox.ca/ rdfpcommittees

City of Richmond & Richmond Division

Health Emergency Management

Information Technology

Physician Engagement

Pathways