Annual Report 23-24

AN EMPOWERED, VITAL AND INTERCONNECTED NETWORK OF FAMILY PHYSICIANS WHO DRIVE PATIENT WELLNESS AND HEALTH SYSTEM CHANGE IN SURREY-NORTH DELTA. Visit our website to see our complete vision, mission, values and goals.

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MESSAGES FROM OUR LEADERS

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BOARD OF DIRECTORS + BOARD END GOALS

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MEET THE PES TEAM

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GOAL 1: CHAMPION PHYSICIAN WELLNESS RECRUITMENT, RETENTION, WELLNESS AND RETIREMENT LONG-TERM CARE INITIATIVE

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GOAL 2: EMBED DYNAMIC PRACTICE MANAGEMENT PATHWAYS REFERRAL TRACKER MOA NETWORK ANNUAL PHYSICIAN MEMBER SURVEY

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SPOTLIGHT: SUPPORTING OUR MEMBERS - YOUR WAY

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GOAL 3: ENHANCE FAMILY PHYSICIAN CONNECTIONS NTP FP SUPPORTS FP LEADERSHIP PATHWAY WHATSAPP GROUP

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GOAL 4: EMPOWER FAMILY PHYSICIANS TO BE CHANGE LEADERS SHARED CARE PRIMARY CARE NETWORK SND DIVISION FP LEADERS

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SPOTLIGHT: FPS LEAD IN SND

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ORGANIZATIONAL OVERVIEW OUR MEMBERS OUR FOUR OPERATIONAL PILLARS STAFF + OPERATIONAL HIGHLIGHTS FINANCIAL OVERVIEW SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 03

DEAR COLLEAGUES, As we reflect on the past year, we are humbled and exhilarated by the opportunities we’ve had to connect with you, listen to your concerns, advocate on your behalf and on behalf of your patients, and build our Division together.

The Board of Directors, along with a strong cohort of over 50 Family Physician leaders, Division staff leadership and expert consultants, has been visioning a Division, a community and, indeed, a province where Family Physicians are connected and empowered to influence the important decisions that are impacting the way we practice primary care, and the way our patients are experiencing it.

As our Division has grown, so has our need to codify the position of Family Physicians within it. We wanted to ensure that when we say we are, “by and for Family Physicians,” this is not a surface statement, but a principle that is at the core of how we operate both now and into the future.

To this end, we have: Developed our 2023-2029 Board End Goals and embedded them within all Division programs, projects and initiatives; Invested in building up Family Physician leaders through leadership training and strong engagement, opening opportunities for FP participation in designing, decision-making and leading all the work we do internally and in collaboration with the HA and others; Invited you, our colleagues, to connect with FP leaders in your neighbourhoods, at events and beyond; and Held our first annual Physician Wellness Retreat, where we connected as colleagues and considered ways that we can, individually and collectively, create more sustainable practices.

From this foundation, and as the Surrey-North Delta Division of Family Practice grows in both scope and reputation, we are increasing our collective influence as Family Physicians and our ability to lead the way as primary care evolves in BC. All while ensuring we do not lose sight of the goal: better care for our patients and a more supported, sustainable system to work within.

Thank you for joining us on this important journey – we are honoured to walk it alongside you.

Sincerely, Dr. Sujatha Nilavar and Dr. Preena Sahota, Co-Chairs of the Board of Directors

04 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

I am writing this message from the privileged position of looking back on a year of unprecedented progress. As an organization, we have truly hit our stride: we have expanded our influence, taking on a larger role in primary care design and decision-making, empowering our members and our FP leaders to be true advocates for their patients, not only at the community level but also regionally and provincially; we have implemented new processes and structures that will serve our growing team and operations into the future; and most importantly, we have undergone a transformative process of empowering our board of directors to truly lead our work, so that everything we do reflects the will of our Family Physician members and will continue to do so through whatever growth and change we encounter in the future.

In one sense, what we have been doing is futureproofing. But we have also been setting ourselves up for success here and now. This success is reflected in: 1. Establishing and confirming our Board ends (organizational goals aligned with what our members want and need); 2. Aligning everything we do with the board ends, within the umbrella of Primary Care Networks (PCN) as a vision of an integrated system of primary care, and interconnected with the larger healthcare and wellness system; and 3. The unprecedented collective effort to attach and reattach a total of about 60,000 people in our community.

One of my favourite things about this year’s report is the opportunity it has presented to reflect on the vision board that you – our members – created five years ago. It has been both exciting and inspiring to see how much of that vision is being realized today. Although this has been done with great intention, it is still pleasantly surprising to realize that the results of our hard work are aligned so closely with the vision you hold for primary care in Surrey-North Delta.

As you read about the work we are doing together, I hope that you feel inspired and empowered as leaders in primary care, in our community and beyond. While we have come a long way towards the future of primary care that you have envisioned, we all know we still have a long way to go.

I believe that our common purpose and collective action, guided by your vision and leadership, will carry us forward in creating a better, healthier, more connected primary care experience for Family Physicians and their patients. Thank you for being a part of this work.

Sincerely, Tomas Reyes, Executive Director

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 05

Dr. Sujatha Nilavar

Dr. Preena Sahota

Dr. Gagan Wilkhu

Dr. Sachit Shah

Co-chair

Co-chair

Secretary/Treasurer

Member-at-large

Dr. Uzair Sheik

Dr. Meera Anand

Dr. Lawrence Yang

Member-at-large

Member-at-large

Member-at-large

06 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

CHAMPION PHYSICIAN WELLNESS With a particular emphasis on addressing, reducing and preventing burnout, which is a primary barrier for many physicians to achieving wellness.

EMBED DYNAMIC PRACTICE MANAGEMENT Within a healthful approach to family practice via resources (AH and otherwise), tools, training, mentorship and change management.

ENHANCE FAMILY PHYSICIAN CONNECTIONS By evolving and strengthening our FP-to-FP network, removing system barriers, enabling collegial relationship building and providing opportunities for collaboration.

EMPOWER FAMILY PHYSICIANS TO BE CHANGE LEADERS And to act as a collective voice for advocacy, influence, and for successful navigation of healthcare system change in our community and beyond.

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 07

YOUR PHYSICIAN ENGAGEMENT AND PRACTICE SUPPORT TEAM HAVE YOU EVER HAD A QUESTION ABOUT YOUR PRACTICE BUT WEREN’T SURE WHO TO ASK? HAVE YOU WANTED TO GET INVOLVED WITH THE SND DIVISION, OR LEARN MORE ABOUT IT, BUT DIDN’T KNOW WHERE TO START? YOUR PES LEAD IS YOUR GATEWAY TO ACCESSING SUPPORTS, CONNECTING WITH COLLEAGUES, GETTING ANSWERS TO DIFFICULT QUESTIONS, AND MORE!

CONTACT YOUR PES LEAD

ALAN HUANG

LAPE OGUNSULIRE

VRUSHALEE PALSULE

North Surrey | Guildford

Cloverdale | East Newton | Fleretwood | panorama

North Delta | West Newton

08 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

YOUR PES LEAD CAN SUPPORT YOU BY...

Connecting you with a Family Physician Leader in your neighbourhood to access peer support for practice, clinical or self-care concerns.

Addressing your health service and process concerns at local and regional leadership tables.

Aligning the work being done by your Division’s various working groups and committees with your interests and empowering you to become involved.

Connecting you with opportunities to realize your leadership potential, from a clinic level to a regional level.

Facilitating networking and collegiality via our members-only WhatsApp group.

Contact your PES Lead to join!

Inviting you to our NTP FP Community of Practice - learn from other NTP FPs and make the most of your NTP contract.

Providing access to wellness and practice support resources.

LOOK FOR THIS SYMBOL TO SEE OTHER AREAS WHERE THE PES TEAM IS CONTRIBUTING TO OUR ORGANIZATIONAL GOALS.

THE PES TEAM HAS THREE AIMS: Champion physician wellness through peer support, networking and practice support Develop holistic engagement strategies tailored to physicians’ needs that reach Family Physicians throughout their career Support Division-led initiatives and enhance participation in working groups, committees, events and the Surrey-North Delta PCN

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 09

GOAL 1: TO CHAMPION PHYSICIAN WELLNESS WITH A PARTICULAR EMPHASIS ON ADDRESSING, REDUCING AND PREVENTING BURNOUT, WHICH IS A PRIMARY BARRIER FOR MANY PHYSICIANS TO ACHIEVING WELLNESS.

MAY

DECEMBER

MARCH

WALK WITH YOUR DOC

HOLIDAY EVENT

WELLNESS RETREAT

110 participants

49 FPs and their families

70 FPs and their families

Vancouver Aquarium

Harrison Hot Springs

Bear Creek Park

R3W HIGHLIGHTS

2023-24 RECRUITMENT NUMBERS

RECRUITED 28 FPS (25 FULL-TIME)

2 FTE FP’S (PRA BC)

LAUNCHED A LODGING INITIATIVE FOR VISITING FPS

3 FTE FP’S (UBC ROS)

DISPLAYED A STORYBOARD AT THE JCC PRE-FORUM WHICH WAS FEATURED IN A DOCTORS OF BC ARTICLE

20 ADDITIONAL FTE FPS

ASSISTED 2 FPS TO RELOCATE WITHIN SND SUPPORTED THE WELLBEING INDEX, CHAMPIONED BY DR. SUJATHA NILAVAR

3 PT FPS OF THE ABOVE, 5.5 FTE POSITIONS ARE NTP CONTRACTED

IN 2023-24, THE PES TEAM BUILT A TOOLKIT FOR EVENT PLANNING AND PROMOTION (FROM CALENDAR INVITE TO REMINDERS) TO CREATE A SEAMLESS INTERNAL ENGAGEMENT PROCESS. 10 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

RECRUITMENT, RETENTION, WELLNESS AND RETIREMENT COMMITTEE (R3W)

THE WELLBEING INDEX: MEASURING SYSTEM HEALTH THROUGH THE LENS OF PHYSICIAN WELLNESS

FP LEAD: DR. HARV DHILLON

The aim of the R3W Committee is to support the development, implementation, and evaluation of a community specific plan to increase exposure to SurreyNorth Delta’s practice opportunities, to attract new physicians to the community based on the right fit, to support the transition of new physicians to the community, to support the transition of retiring/departing physicians, to retain physicians in the community and to support physician wellness NEED RECRUITMENT OR RETIREMENT SUPPORT? CONTACT R3W PROJECT MANAGER MEGAN SHYMANSKI

The PES Team supports R3W initiatives through data tracking and processes; connection connecting physicians with peer mentors;

supporting them with audits and sudden practice closures; and supporting wellness events such as the Physician Wellness Retreat. Because the PES team engages meaningfully with FPs early on in their journey with the Division, members can begin on a leadership pathway sooner than in the past. This alignment has resulted in roughly 15 new members becoming involved in working groups

Championed by physicians in our community including SND Division Co-Chair Dr. Sujatha Nilavar, the Wellbeing Index is an internationally recognized quality metric for the wellbeing of an organization developed by the Mayo Clinic and funded in our region by Fraser Health Authority.

Any physician in Surrey-North Delta can register to anonymously answer a 2-minute questionnaire. The Wellbeing Index provides some important data: Metrics inform physicians and stakeholders on challenges to the well-being of care providers Physicians can self-monitor your personal well-being and access resources The more physicians in our community sign up, the more robust and accurate the data, and the more leverage physicians have to collectively advocate for provider wellness as the foundation of a strong, sustainable health care system.

INTERESTED? SIGN UP TODAY OR CONNECT WITH YOUR PES LEAD TO LEARN MORE.

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 11

GOAL 2: TO EMBED DYNAMIC PRACTICE MANAGEMENT WITHIN A HEALTHFUL APPROACH TO FAMILY PRACTICE VIA RESOURCES (AH AND OTHERWISE), TOOLS, TRAINING, MENTORSHIP AND CHANGE MANAGEMENT.

AUGUST

SEPTEMBER

DECEMBER

MARCH

OPTIMIZING REFERRAL

TECHNOLOGY FAIR

SKILLFULLY RESPONDING

2ND ANNUAL MOA

TO DISTRESS

SOCIAL

18 MOAs

32 MOAs + Division Staff

TRACKER FOR FP LEADERS 15 FPs + MOAs Virtual

87 FPs + vendors Surrey City Hall

SND Head Office

Northview Golf + Country Club

YEAR-END REFERRAL TRACKER DATA

3,759 REFERRALS SENT SINCE PROJECT LAUNCH 300: AVERAGE NUMBER OF REFERRALS SENT MONTHLY 150: AVERAGE NUMBER OF REFERRALS SENT TO SND PCN MONTHLY <2 DAYS: AVERAGE TIME FOR REFERRAL TO BE RECEIVED 188 FPS ON RT (33% ARE ACTIVE USERS) 88 SPS ON RT (INCLUDING ALL SND PCN AHPS)

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MOA NETWORK HIGHLIGHTS

250+ MEMBERS ON BASECAMP 150+ MEMBERS ON MOA WHATSAPP GROUP 127% INCREASE IN MOA MEMBERSHIP IN PAST 2 YEARS 246 MOAS ATTENDED EVENTS (50% INCREASE OVER LAST YEAR) 100% OF ATTENDEES FELT MORE CONNECTED TO THEIR PEERS AS A RESULT OF ATTENDING AN EVENT PRESENTED A STORYBOARD AT THE 2024 JCC PRE-FORUM

PATHWAYS AND PATHWAYS REFERRAL TRACKER

MOA NETWORK

Pathways is an online specialist referral tool for physicians and their office staff to enhance and improve the process of referring patients to specialists and clinics.

The aim of Pathways is to facilitate quality referrals by providing a comprehensive database of specialists and clinics across the province, allowing users to quickly sort through and filter specialist and clinic information to find a provider that best meets a patient’s needs.

Acknowledging the vital role an MOA plays in the patient journey, the aim of the MOA Network is to empower our MOAs through the provision of both MOA education and MOA wellness opportunities as they relate to proactive primary care and the careful cultivation of professional relationships that encourage positive communication and support.

Pathways consists of 4 core elements: Medical Pathways (physician-facing), Public Medical Directory, Community Services Directory, and the Referral Tracker (RT).

QUESTIONS ABOUT REFERRAL TRACKER? CONTACT APRIL BONISE.

We believe that supporting MOAs is a critical component for building effective and sustainable primary care networks in the Surrey and North Delta community and strive to uphold this vision.

INTERESTING IN JOINING THE MOA NETWORK? CONTACT MONICA KHAN

WRAPPING UP THE REFERRAL TRACKER PROJECT: THE FINAL COUNTDOWN

At the end of June 2023, the Referral Tracker rollout in Surrey-North Delta officially ended. The project closed and the transition from the implementation phase to the operations phase began.

To mark this goal post, the Referral Tracker team in SND ran “The Final Countdown” campaign between April and June 2023. Notable achievements of this successful campaign include: Achieving the campaign goal of 100 referrals sent in a single month, A combined total of 370 referrals sent up to March 31, 2024 66 new FPs onboarded, and 16 new SPs onboarded during the campaign.

As part of the our ongoing Referral Tracker work, we have successfully implemented Referral Tracker as the sole referral tool for SND’s PCN resources, enabling transparent, timely two-way communication between referring FPs and NPs and PCN team members.

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 13

SPOTLIGHT:

SUPPORTING OUR MEMBERS YOUR WAY 2ND ANNUAL MEMBER SURVEY IN FEBRUARY 2024, WE HELD OUR 2ND ANNUAL MEMBER SURVEY TO HELP US BETTER UNDERSTAND YOUR EXPERIENCES, AND THE KINDS OF SUPPORTS YOU WANT AND NEED FROM YOUR DIVISION. 93 FP MEMBERS RESPONDED TO THE SURVEY, HIGHLIGHTING KEY WELLNESS AND PRACTICE MANAGEMENT THEMES. READ MORE ABOUT WHAT WE LEARNED, AND WHAT WE’RE DOING ABOUT IT, IN OUR 2024 ANNUAL MEMBER SURVEY REPORT. SEE THE 2024 ANNUAL MEMBER SURVEY REPORT HERE

14 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

ADDITIONAL PRACTICE MANAGEMENT SUPPORTS YOUR SND DIVISION REGULARLY IDENTIFIES AND ADDRESSES NEW AND ONGOING CHALLENGES AND AREAS OF SUPPORT NEED AMONG OUR MEMBERS. HERE ARE SOME OF THE WAYS WE SUPPORT YOU. WEEKLY NEWSLETTER UPDATES (NOT RECEIVING OUR NEWSLETTER? CONTACT YOUR PES LEAD) REGULAR CMES ON TOPICS OF INTEREST SUPPORT FOR THE SPECIFIC PRACTICE NEEDS OF NEW-TO-PRACTICE AND RETIRING PHYSICIANS FACILITATED CONNECTIONS WITH PHYSICIAN COLLEAGUES, PCN INITIATIVES AND SERVICES AND OTHER NECESSARY RESOURCES SHARING OF KEY MEMBER CONCERNS AT APPROPRIATE LEADERSHIP TABLES

THE PES TEAM SUPPORTS PRACTICE MANAGEMENT IN A NUMBER OF KEY WAYS: DEVELOPING A ROBUST CRM WITH MORE ACCURATE REFLECTION OF DATA AND NEEDS DISSEMINATING IMPORTANT PRACTICE INFORMATION IN A TIMELY MANNER CONDUCTING CLINIC ROADSHOW VISITS AS WELL AS PCN MEET + GREETS TO HELP FP MEMBERS STAY CONNECTED AND INFORMED.

PCN + Tech Fair | This unique event fostered connections between Fps, NPs and technology vendors, while highlighting ways in which health technology is enabling an innovative, forward-thinking PCN in SND.

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 15

GOAL 3: TO ENHANCE PHYSICIAN CONNECTIONS BY EVOLVING AND STRENGTHENING OUR FP-TO-FP NETWORK, REMOVING SYSTEM BARRIERS, ENABLING COLLEGIAL RELATIONSHIP BUILDING AND PROVIDING OPPORTUNITIES FOR COLLABORATION.

APRIL

JUNE

OCTOBER

DECEMBER

PHARMACOLOGY IN LTC

WOUND CARE IN LTC

JPOCSC FACILITY TOUR

GUILDFORD/FLEETWOOD TOWN HALL

LTCI Physicians

LTCI Physicians

49 FPs + MOAs

16 FPs

Virtual

Virtual

NEW-TO-PRACTICE FAMILY PHYSICIAN SUPPORTS

Jim Pattison Outpatient Care and Surgery Centre

Guildford Station

LTCI HIGHLIGHTS

AN NTP COMMUNITY OF PRACTICE WAS FORMED IN SURREY-NORTH DELTA IN 2023

IMPLEMENTED A DEMENTIA PROJECT IN 11 COMMUNITIES OF CARE

NTP FPS ARE CONNECTED BETWEEN COP MEETINGS VIA AN NTP WHATSAPP GROUP.

PRESENTED AT THE QUALITY FORUM AND JCC PREFORUM

THE DIVISION LISTENS TO NTP FP CONCERNS AND BRINGS CONTRACT QUESTIONS TO THE MINISTRY

CREATED A DEMENTIA ROADMAP

MANY OF OUR NTP FPS HAVE BECOME WELLCONNECTED IN THE COMMUNITY, EVEN JOINING WORKING GROUPS.

BEGAN AN LTC RECRUITMENT AND RETENTION INITIATIVE INSTALLED AND EVALUATED A TOVERTAFEL DEMENTIA TOOL

THE NTP FP COP WAS INITIATED AND IS SUPPORTED BY THE PES TEAM.

16 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

LONG-TERM CARE INITIATIVE

FP LEADS: DR. MARK BLINKORN + DR. HARV DHILLON

The long-term care initiative receives funding to support over 1500 LTC beds across 13 facilities in our community. This initiative is guided by the direction of two physician committees: the LTCI All-Physicians Committee, which is open to all SND physicians currently providing long-term care in Surrey-North Delta, as well as the LTCI Steering Committee, which guides the decisions around provision of long-term care in our community.

Through the funding of the Family Practice Services Committee (FPSC), the aim of the LTCI is to design and implement local solutions that deliver dedicated FP MRP services for residents in long-term care homes.

With a team-based approach, the LTCI supports all physician members in a spirit of collegiality and collaboration.

The LTCI was selected for presentations at the 2024 JCC pre-forum and Quality Forum, highlighting the importance of the supportive, collaborative and team-based approach being taken. This approach supports the professional and personal wellness of participating FPs. CHECK OUT THE 2024 JCC PRE-FORUM/QUALITY FORUM STORYBOARD HERE.

SUPPORTING PHYSICIAN CONNECTIONS WITH AN FP WHATSAPP GROUP At the start of the COVID–19 pandemic, some of the challenges experienced by physicians included isolation and a general loss of connection. We addressed this challenge in part by creating neighbourhood-specific WhatsApp groups for Family Physician members.

Since their inception, the WhatsApp groups have grown to include 240 physicians across 3 geographical regions within Surrey-North Delta, enabling members to connect, share information, and provide feedback to Division staff.

In 2024, the groups were merged into a single WhatsApp “Community” to promote greater interconnectedness and provide a larger platform for members to ask for and offer support.

SND Community FPs

91.5%

Hospitalists and UPCC Physicians

2.5%

Other FPs (e.g.

Locums, etc.)

6%

*WhatsApp group members are solely SND Division physicians members.

The group is administered by a small number of SND Division staff.

The success of our FP Members WhatsApp groups has shown what we can do when everyone comes together to address different challenges and potential solutions at the practice level, the neighbourhood level and the system level.

Using the WhatsApp community and other digital tools, the SND Division will continue to foster an environment where different groups come together in conversations that inspire and empower physicians to enact positive change.

CONTACT YOUR PES LEAD TO JOIN THE FP MEMBER WHATSAPP GROUP!

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 17

GOAL 4: TO EMPOWER PHYSICIANS TO BE CHANGE LEADERS AND TO ACT AS A COLLECTIVE VOICE FOR ADVOCACY, INFLUENCE, AND FOR SUCCESSFUL NAVIGATION OF HEALTHCARE SYSTEM CHANGE IN OUR COMMUNITY AND BEYOND.

JUNE

JANUARY

PCN: STRONGER TOGETHER

PCN CULTURE SHIFTS: IDEAL MEETS REAL

105 FPs + NPs + PCN Staff

106 FPs + NPs + PCN Staff

Sheraton Vancouver Guildford

Virtual

THE PES TEAM PLAYS A CRUCIAL ROLE IN SUPPORTING THE HEALTH AND GROWTH OF OUR PCN, FROM PLANNING OUR PCN EVENTS, TO EMPOWERING FPS TO PARTICIPATE AND REFER, TO FACILITATING PCN MEET + GREET CLINIC VISITS.

SHARED CARE PROJECTS UNDERWAY IN 2023-24 GENDER-AFFIRMING CARE (GAC) EOI (COMPLETED 2023)

HEART FAILURE (HF) PROJECT

FP LEAD: DR. FELIX YANG | SP LEAD: DR. JAGODA KISSOCK

FP LEAD: DR. TARUN SHARMA | SP LEAD: DR. LAMIS SAMAAN

VISIT WEBSITE

SEE STORYBOARD

4CS PROJECT FP LEAD: DR. SUJATHA NILAVAR | SP LEAD: DR. AMOL LAIL VISIT WEBSITE

SEE STORYBOARD

SUBSTANCE USE DISORDER (SUD) PROJECT FP LEADS: DR. KARIMA JIWA + DR. NOOSHIN NIKOO VISIT WEBSITE

18 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

VISIT WEBSITE

SEE STORYBOARD

POSTPARTUM GESTATIONAL DIABETES MELLIITIS (PPGDM) PROJECT FP LEAD: DR. NICLLE SOLTERMANN | SP LEADS: DR. SARA STAFFORD + DR. REENA KHURANA VISIT WEBSITE

SHARED CARE IN SND

FP/SP LEADS: DR. JAN PEACE + DR. BRADFORD STRIJACK

The Shared Care Committee is a province-wide committee that "supports family and specialist physicians to improve the coordination of care from primary to specialist services".

Our Shared Care projects bring together Family Physicians, Specialists and other partners to tackle specific health system challenges in Surrey-North Delta.

ACHIEVEMENTS GAC: SUCCESSFUL PROVIDER SURVEY WITH NEARLY 100 RESPONSES + FIRST EVER PATIENT SURVEY IN SND 4CS: 2HEAT-RELATED ILLNESS PREVENTION WEBINAR AND MULTILINGUAL RESOURCES SUD: SUCCESSFUL PROVIDER SURVEY WITH NEARLY 100 RESPONSES + EXPERIENTIAL LEARNING SESSION WITH HF: 2 WELL-ATTENDED CMES WITH THE JPOCSC HEART FUNCTION CLINIC PPGDM: PATIENT +PROVIDER SURVEYS, SMARTPARENT COLLABORATION + OGTT DISCHARGE LETTER

HAVE AN IDEA FOR A SHARED CARE PROJECT? CONTACT APRIL BONISE.

PRIMARY CARE NETWORK

FP LEADS: DR. SUJATHA NILAVAR + DR. HALA AHMED + DR. UZAIR SHEIK

The Surrey-North Delta Primary Care Network (PCN) is YOUR PCN. Together, we are building an integrated healthcare system with a strong physician network at its core, where people living in Surrey-North Delta feel confident and safe in accessing timely, quality, and culturally appropriate care.

The PCN community we are building will recognize Surrey-North Delta as a full-fledged community with its own needs and complete healthcare resources to serve its residents.

2023-24 PCN SERVICES PCN SOCIAL WORK PROGRAM Launched: February 2023 REFER TODAY

PCN CLINICAL COUNSELLING PROGRAM Launched: May 2023 REFER TODAY

PCN CLINICAL PHRMACY PROGRAM Launched: June 2023 REFER TODAY

WANT TO LEARN MORE ABOUT THE SND PCN? READ OUR 2023-24 PCN ANNUAL REPORT.

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 19

SPOTLIGHT:

FPS LEAD IN SND PMH STEERING COMMITTEE

Hala Ahmed (Chair) Uazir Sheik (Vice Chair) Sachit Shah

OVERALL STEERING COMMITTEE

Sujatha Nilavar (Co-Chair) Baldev Dhillon

Joan Fujiwara

Mark Blinkhorn

Lawrence Yang

Aydin Tavakoli

Baldev Dhillon

Sachit Shah

Mark Blinkhorn

Lawrence Yang

Elaine Jackson Aydin Tavakoli Thomas Trinh Nazia Niazi Harpreet Brar

PANORAMA / CLOVERDALE NSC

Mark Blinkhorn (Co-Chair) Baldev Dhillon (Co-Chair)

Janice Peace (Co-

R3W STEERING COMMITTEE

Harvinder Dhillon

NORTH SURREY / WHALLEY NSC

Sunny Gong Lamis Samaan

Joan Fujiwara Preena Sahota

(Chair) Louise Low Sara Shahram

Sara Shahram

Elaine Jackson

Chair)

Sujatha Nilavar

Dhillon

Meera Anand

Preena Sahota

Kanwarinder Sidhu

LTCI STEERING COMMITTEE

Pawandeeep

SHARED CARE STEERING COMMITTEE

WEST NEWTON / NORTH DELTA NSC

Baldev Dhillon

EAST NEWTON NSC

Lawrence Yang

(Co-Chair) Gagan Wilkhu Sujatha Nilavar

Marie Di Cesare Mark Green Andrew Major Darryl Samoil Chris Cox Sharmila Yang

20 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

FLEETWOOD NSC

Mark Blinkhorn (Co-Chair) Marie Di Cesare Parmjit Sohal

(Co-Chair) Nazia Niazi Sonia Singh

ENACTING YOUR VISION FOR PRIMARY CARE IN SURREY-NORTH DELTA AT A PRE-PCN EVENT IN 2019, SND DIVISION FP MEMBERS CAME TOGETHER TO ENVISION A FUTURE FOR PRIMARY CARE IN OUR COMMUNITY. IN THE INTERVENING FIVE YEARS, WE HAVE WORKED HARD TOGETHER TO MAKE THAT VISION A REALITY. THESE ARE JUST A FEW OF THE WAYS WE’VE BEEN DOING THE WORK.

MORE TIME TO TREAT MENTAL HEALTH

A COMMON VISION Alignment between goals and operative imperatives

PCN Clinical Counsellors Seamless transition of patients between PCN

CORE FUNDING FOR THE SYSTEM + A LESS BURDENED SYSTEM

and FH MHSU services

PCN Investment in programs to service frail patients with mild/moderate concerns before they become severe New compensation models Align funding envelopes towards an integrated Primary Care System

A MORE COHESIVE SYSTEM FOR ALL Integrated communication tool between providers and PCN/HA programs Shared Care projects PCN programs creating capacity for vulnerable and complex patients Attachment strategy to connect FPs to patients

A MORE COMPREHENSIVE APPROACH TO TEAMWORK PCN programs modeled on team-based care FP-to-FP Network MOA Network

TO FEEL VALUED FP Pathway to Leadership SND PCN Vision Board | In 2019, SND Division members came together to envision a future for primary care in Surrey-North Delta, resulting in this Vision Board.

in SND

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 21

OUR MEMBERS TOTAL MEMBERS

PRIMARY MEMBERS

682

378* *335 FPs and 43 hospitalists

Our members practice at clinics across Surrey-North Delta. This map indicates the location of community family practice clinics where Division FP and NP members practice.

22 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

ASSOCIATE MEMBERS

NEW MEMBERS

304*

60*

*172 FPs, 14 hospitalists, 44 NPs, 23 Residents, and 51 retired FPs

*45 FPs, 3 hospitalists, 2 NPs, and 10 Residents

FOUR PILLARS THESE FOUR PILLARS REPRESENT OUR DIVISION’S STRATEGIC OPERATIONAL IMPERATIVES FOR THE 2023 TO 2029 FISCAL YEARS.

PILLAR 1

PILLAR 2

PILLAR 3

PILLAR 4

Recruitment, Wellness and Retention

Governance, Finance, HR and Admin

PCN and Strategic Initiatives

Physician Engagement and Practice Support

24 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

2023-24 STAFF CHANGES

STAFF MEMBERS

VRUSHALEE PALSULE WAS HIRED FOR A PES LEAD ROLE

TOMAS REYES EXECUTIVE DIRECTOR

SAIRA ABRAR TRANSITIONED TO A PCN MANAGER ROLE

JODY FRIESEN DIRECTOR OF STRATEGIC INITIATIVES & PCN

ALAN HUANG TRANSITIONED TO THE PES TEAM LEADER ROLE

(MATERNITY LEAVE) SUSAN KREIS ADMINISTRATION, HR & FINANCE MANAGER

APRIL BONISE TRANSITIONED TO THE INTERIM MANAGER OF STRATEGIC INITIATIVES ROLE

VICTORIA ROTARU PCN MANAGER SAIRA ABRAR PCN MANAGER APRIL BONISE INTERIM MANAGER OF STRATEGIC INITIATIVES ALAN HUANG PES TEAM LEADER

OPERATIONAL HIGHLIGHTS

LAPE OGUNSULIRE PES LEAD VRUSHALEE PALSULE PES LEAD PRABHJIT MALHI PCN COORDINATOR NADIA SHOUKAT PCN ATTACHMENT COORDINATOR MONICA KHAN PCN ATTACHMENT COORDINATOR MEGAN SHYMANSKI PROJECT MANAGER: PHYSICIAN RECRUITMENT, RETENTION AND WELLNESS ALINA ALESU PROJECT MANAGER: SHARED CARE

STREAMLINED VISA USING DEXT SOFTWARE TO CAPTURE AND STORE VISA RECEIPTS/INVOICES ELECTRONICALLY FOLLOWING CONSULTATION WITH THE BOARD AND STAFF, THE DECISION WAS MADE TO MOVE INTO A BIGGER OFFICE SPACE (JUNE 2024) HIRED AN HR CONSULTING FIRM TO OVERHAUL OUR EMPLOYEE POLICIES, MANUAL AND EMPLOYMENT AND CONTRACT LETTERS. COMPLETED A YEAR-LONG REVIEW OF THE BOARD POLICIES.

KRISTIN WARKENTIN COMMUNICATIONS SPECIALIST

HELD THE ANNUAL BOARD RETREAT IN MARCH 2024

JOAN LAROCHELLE ADMINISTRATIVE ASSISTANT

HELD A STAFF + BOARD TEAM BUILDING EVENT AT LOON LAKE

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 23

STATEMENT OF FINANCIAL POSITION ASSETS

LIABILITIES

CURRENT

CURRENT

CASH

$ 1,715,276

ACCOUNTS PAYABLE AND ACCRUED LIABILITIES

$

TERM DEPOSITS

$ 1,513,960

DEFERRED CONTRIBUTIONS

$ 1,602,320

ACCOUNTS RECEIVABLES

$

47,518

REFUNDABLE GRANTS

$ 1,130,917

PREPAID EXPENSES AND DEPOSITS

$

37,474

SUBTOTAL

$ 3,314,228

SUBTOTAL 1

$ 3,096,338

CAPITAL ASSETS TOTAL

$

42,708

$ 3,356,936

DEFERRED CAPITAL CONTRIBUTIONS SUBTOTAL 2 NET ASSETS TOTAL

$

363,101

6,449

$ 3,102,787 $

254,149

$ 3,356,936

NET ASSETS NET ASSETS - BEGINNING OF THE YEAR

$

283,139

EXCESS OF REVENUES OVER EXPENDITURES

-$

28,990

NET ASSETS - END OF THE YEAR

$

254,149

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT 25

FINANCIALS STATEMENT OF REVENUES AND EXPENDITURES

REVENUES

EXPENSES

INFRASTRUCTURE

31%

$ 1,106,189

PHYSICIAN COSTS

30%

$ 1,089,671

FPSC PCN/PMH ENGAGEMENT

9%

$

312,740

HUMAN RESOURCES

46%

$ 1,647,040

PERINATAL COMMUNITY INTEGRATION

0.6%

$

22,910

PROFESSIONAL FEES

18%

$

635,757

PRIMARY CARE NETWORKS

34%

$ 1,215,432

OFFICE AND ADMINISTRATION

6%

$

211,883

LONG TERM CARE INITIATIVE

17%

$

599,499

SHARED CARE

7%

$

241,450

TOTAL - EXPENSES

100%

$ 3,584,351

PATHWAYS BC

1%

$

38,959

MISCELLANIOUS

1%

$

18,182

TOTAL - REVENUES

100%

$ 3,355,361

DEFICIT

26 SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE ANNUAL REPORT

$

28,990

WE WOULD LIKE TO EXTEND A SINCERE THANK YOU TO OUR MEMBERS, PARTNERS, AND COMMUNITY, WITHOUT WHOM NONE OF OUR ACHIEVEMENTS WOULD BE POSSIBLE. The Surrey-North Delta Division of Family Practice acknowledges that we work within the traditional and ancestral territory of the hən̓ q̓ əmin̓ əm̓ (Halk-uh-may-lem) speaking peoples, including the Kwantlen, Semiahmoo, Tsawwassen, Katzie, Kwikwetlem, Qayqayt, and numerous Stó:lō First Nations.

Acknowledging that we are on the traditional territories of First Nations communities is an expression of cultural humility and part of a recognition of our duty and desire to support the provision of culturally safe care to First Nations, Inuit, and Métis people in BC.

SURREY-NORTH DELTA DIVISION OF FAMILY PRACTICE 212-5455 152 Street Surrey, BC V3S 5A5

www.divisionsbc.ca/snd info@snddivision.ca @snddivision