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A publication for Staff and Physicians of IH
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Page 1: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

A publication for Staff and Physicians of IH

Page 2: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

Areyouprepared

Floods, wildfires, other disasters, and community evacuations can happen at the mostunexpected moments. Ensure you have a family emergency plan! Visit www.getprepared.ca.

Wondering what to do while at work? Site emergency response plans, and other health emergency information, are located on the InsideNet > About IH > Emergency Response & Planning.

Page 3: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

Snapshots of our staff in action over the last month.

The @InteriorHealth newsletter is a monthly publication created by the Communications Department of Interior Health. Past issues of @InteriorHealth can be found on our website under About Us/Media Centre/Publications & Newsletters. If you have story ideas for future issues, please e-mail: [email protected] Deadline for submissions to the September 2013 @InteriorHealth newsletter is August 16. Editors: Amanda Fisher, Breanna Pickett Designers: Breanna Pickett, Kara Visinski, Tracy Watson IH Communications Contributors: Lisa Braman, Lesley Coates, Susan Duncan, Karl Hardt, Megan Kavanagh, Erin Toews

Highlighting the Patient Transport Office and the vital role it plays in

patient care throughout – and even beyond – Interior Health.

Dr. Halpenny talks about our organization as he sees it from his

day-to-day perspective.

With the province-wide expansion of the STOP HIV/AIDS program,

HIV tests will become a regular part of routine medical screening.

The standardization of large volume infusion pumps across Interior

Health is a major milestone.

Shining a spotlight on the many communities that make up where we

live, work, and play.

Community Health Worker Carol McConnell has provided care to Home

Health patients for over 10 years.

Home Health Nurse Tracey Third gets the Gold Apple as IH‟s Health

Care Hero at the 7th annual Excellence in BC Health Care Awards.

IH‟s Contract Pharmacy Integration Team receives an Award of Merit at

the 7th annual Excellence in BC Health Care Awards.

Denise, Jennifer, and Dr. Corneil aim to STOP HIV/AIDS. Story p. 13.

The 48/6 provincial initiative is designed to minimize patients‟ decline

while in hospital and help them return home sooner.

Page 4: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

At Interior Health, we want to set

new standards of excellence in the delivery of health services in B.C.

and to also promote healthy lifestyles and provide needed health

services in a timely, caring, and

efficient manner.

To achieve this, we are guided by the following strategic goals:

Goal 1 Improve Health and

Wellness

Goal 2 Deliver High Quality Care Goal 3 Ensure Sustainable

Health Care by Improving Innovation, Productivity,

and Efficiency

Goal 4 Cultivate an Engaged Workforce and Healthy

Workplace

The articles featured in the @IH newsletter are great examples of

how we‟re achieving our goals …

and realizing our vision and mission.

Dr. Halpenny (left) celebrating Canada Day with Cathy Renkas, VP Communications & Public Affairs, and Martin McMahon, VP Allied Health Planning & Strategic Services.

T he power of Mother Nature hit

close to home this summer.

The images of Calgary and High

River will stay with us for a long time,

and the physical and psychological

impacts for those affected is immense.

The flooding also touched parts of

our own region. I want to recognize all

those in the Elk Valley area who dealt with

the resulting disruptions, as well as the

environmental health officers from IH

who are assisting with the flood recovery

phase in Alberta.

This situation demonstrates the need

to be prepared for any type of natural

disaster that might come our way,

particularly within our area where we are

more susceptible to forest fires and floods.

As you know, we now have a new Minister

of Health. Terry Lake, former Mayor and

MLA from Kamloops, took up this post last

month. Looking at the new cabinet as a

whole, it is interesting to note a shift from

urban centres of the Lower Mainland to

more rural areas of the Fraser Valley,

Interior, and Northern B.C.

On July 10, our Board Chair Mr. Embree

and I met with the Interior Health MLAs

as well as Minister Lake in Victoria to

tell our story about where we have been

and where we are going. The goal is

engagement and understanding, and we

also talked about the challenges we face

in achieving a balanced budget.

I also recently had the opportunity to meet

with new Deputy Health Minister Stephen

Brown. An important part of this discussion

focused on budget challenges in health

care, a theme that we heard again in

meeting with John Dyble, Deputy Minister

to the Premier and Cabinet Secretary.

The message is clear – we must continue

to challenge traditional practice and find

innovative ways to meet increasing

demands, while implementing stronger

fiscal management. Our senior executive

team is currently considering a number of

cost containment strategies and we‟ll share

more information as soon as decisions are

made.

One of my favorite topics, and one of our

core values, is quality. Did you know that

30 per cent of seniors admitted to a

Canadian hospital are discharged with

significantly reduced functional ability?

And that most never recover their previous

level of independence?

That‟s why we are introducing 48/6 – an

evidence-based practice approach to help

all of our patients return home sooner, and

in better health. Implementation teams are

gearing up at nine of our acute sites as part

of the first phase. To learn more, I invite

you to read the 48/6 story in this issue.

I had the pleasure of attending the

Excellence in BC Health Care Awards

ceremony in June. It was great to meet

our local winners – Tracey Third and

Dr. Piera Calissi & Team – and see their

commitment to health care in their

communities.

I also recently had a chance to meet four

young pharmacy graduates – Morgan

Gerry, Jessica Granberg, Melissa

McQuat, and Sarah Murray – who, I‟m

pleased to say, have chosen to practice

within IH. I was really impressed by the

enthusiasm of these young professionals.

We need to capture that energy and share

it with each other and those in our care.

Finally I‟d like to thank everyone who

participated in this year‟s employee

engagement survey. The survey recently

closed, with a final participation rate of

65 per cent. I look forward to sharing the

results with you later this fall, and to using

your feedback to help guide us in making

improvements to our workplace culture.

I hope everyone enjoys the rest of the

summer and finds some time to relax

with friends and family.

Be safe and take care.

Page 5: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

ACUTE CARE TEAMSITELooking for medication resources?

An IH online resource for clinical practicestandards, procedures, protocols, guidelines,

and organizational policy.

InsideNet | Clinical Resources | Acute Care TeamSite

Page 6: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

Collaboration Gets

Recognition

T he 7th annual Excellence in BC Health Care Awards were held last month to recognize outstanding health care. Congratulations to IH‟s Contract Pharmacy Integration Team on receiving an Award of Merit for their work to improve the care of patients in the Chronic Kidney Disease Clinic at the Penticton Integrated Health Clinic.

“It is an incredible honour for our team to receive this award,” says Piera Calissi, Clinical Pharmacy Specialist and member of the Contract Pharmacy Integration Team. “Our primary goal was to improve patient care and that‟s what matters the most to us. “This project required a great degree of collaboration and every member of the team contributed something vital. Receiving an Award of Merit is a wonderful acknowledgement of our work and we couldn‟t be happier about it.” Patients living with chronic kidney disease typically take multiple medications, many of which require frequent monitoring and dosage adjustments increasing their risk for medication discrepancies and drug-related problems. As part of their pilot project, the team integrated contracted pharmacists into the multi-disciplinary team of nurses, nephrologists, and a dietitian that cares for renal patients at the Penticton Integrated Health Clinic. In addition to the other services these patients receive, as part of this new collaboration, they now have access to a pharmacist who provides medication reviews and reconciliations and identifies medication discrepancies and drug-related problems. The majority of patients seen by the pharmacist had either a discrepancy or drug-related problems with their medications. Paula James, Regional Director of Renal Services, is excited by the success of this program. “This partnership has built strong patient relationships and improved the quality of care our renal patients receive, while promoting the value of community pharmacists. I look forward to building on this model of care in all renal programs across IH.” Due to its success, this program has been made a permanent feature of the renal clinic at the Penticton Integrated Health Clinic and has expanded to other renal programs in Kamloops and Trail. Congratulations to the Contract Pharmacy Integration Team – Lia Briceno, Piera Calissi, Dr. Brian Forzley, Dr. Gerry Karr, Lois Neufeld, Greg Wheeler, and Susi Wilkinson – on a great accomplishment!

Piera Calissi and Greg Wheeler were on hand at the 7th annual Excellence in BC Health Care Awards to receive an Award of Merit for their team's work. Photo Credit: HEABC.

Page 7: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

W hen Tracey Third

graduated as a

registered nurse in

1977 she thought

she would work in the field for a

decade and then try something

else.

“After 10 years, I couldn‟t imagine

doing anything else,” confesses

the Home Health nurse from the

North Thompson Valley.

That natural aptitude for nursing

and caring earned Tracey the title

of Health Care Hero for Interior

Health at the 7th annual

Excellence in BC Health Care

Awards, sponsored by the Healthcare

Employers Association of BC.

She was presented with a Gold Apple

at the awards ceremony in Vancouver

on June 24 as family members proudly

watched. See the full press release and

video of Tracey at BCHealthCareAwards.

Before moving to Barriere, Tracey held

a variety of nursing positions, including

a stint in the far north at the Inuvik

Regional Hospital and in residential

care at Ponderosa Lodge in Kamloops.

“Every area that I‟ve worked in, I‟ve

always grown to love it. There are so

many different things you can do.

I am never bored in a day.”

She has worked out of the Barriere

Health Care Centre for almost 10

years and is thrilled to work as a

Home Health nurse.

“We have the best clients,” she says.

“Just seeing them, it‟s like meeting

friends. They seem to appreciate what

we do.”

She also enjoys working in a small health

centre because everyone helps out,

even if a code is called in the Emergency

Department. If she is working in the

nurse clinic, she still responds to assist

where she can. “This is a small

community. These are people I may

know.”

She says her colleagues always have

her back as well. “Everyone cares about

each other and also wants the best for

their clients.”

Nursing Services and Care Lead Lorelei

Rogers nominated Tracey for Health

Care Hero, but she says she was

encouraged to do so by many different

staff members.

“She has such a calm and gentle

approach and her caring and kindness

have been limitless throughout her

nursing career,” says Lorelei.

Tracy‟s empathy is immediate and

steeped in life experience. “Maybe it

is because I lost my mom when I was

a teenager and that was quite a

devastating thing in my life. It was very

difficult and I understand what people

go through. We do a lot of palliative

care in our roles here and I have a lot

of feeling for the family.”

Lorelei says Tracey is representative

of the best kind of community nurse

working in a rural area. She and her

colleagues travel through all

weather conditions, drive or

walk up rugged driveways,

and sometimes go into rustic

homes to take care of people

with needs from post-operative surgery,

chemotherapy, and wound care to end

of life.

“Tracey cares deeply and profoundly

about her clients‟ welfare … she is

unwavering in her commitment to even

the most challenging of health-care

clients,” says Lorelei. That includes

consistently checking on one elderly

woman who isn‟t adverse to swinging

a cane on occasion to emphasize her

resistance to care.

Tracey isn‟t thinking about retiring yet,

although she loves her home life. She

and her husband Jim have been married

for 31 years. Their daughter lives in

Barriere with her husband and child and

they all value family.

“I spend a lot of time with my beautiful

granddaughter Lena. She‟s two. I also

enjoying gardening and going for walks.

We are very rural and it‟s just relaxing

to be home.”

But if the phone rings for a nurse

because no one else is available, Tracey

rarely hesitates.

That automatic response to someone

in need is what makes her a Health Care

Hero.

Health Care Hero

Health Care Hero Tracey Third (centre) accompanied by her daughter Jamie Third and son-in-law Dustin Doherty. Photo Credit: HEABC.

Page 8: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

T wo months shy of 93, Elma Segal

notices things aren‟t working quite as well as she would like. She‟s

a little hard of hearing and her eyesight is almost completely gone.

But there are two things that have not

diminished – her mind and her sense of humour, which is good because there is

nothing her IH Community Health Worker

(CHW) Carol McConnell enjoys more than a chuckle.

Well, karaoke or winning a darts

tournament probably run a close second, but whatever she is doing, Carol makes

sure her clients share in the entertainment, even if it‟s just a story about it later. “I tell

them about the dumb things I do,” she

says. “We have fun.”

“Oh, she‟s quite jolly,” smiles Elma, who lives in the assisted living section of

RiverBend Seniors Community in Kamloops. She arrived about two years ago, but she‟s

known Carol for 10.

Carol started helping her when Elma

needed assistance after she broke a hip while she was still living independently.

That established relationship allows them

an easy back and forth.

“You should hear her sing, „Elvira,‟ ” says Elma, prompting Carol to describe how she dressed up as the Mistress of the Dark, complete with a long black wig and shimmering eyelashes, for a RiverBend Halloween party, where she performed the

Oakridge Boys‟ hit for residents.

“She‟s really good. Her voice is deep.”

“Oom poppa, oom poppa, mow mow,” sings out Carol. And sure enough, she is good.

Elma raised four children and then at age 50 went to work at Sears in the catalogue department. She also took up curling. “I had more fun in my 50s and 60s.”

She lived on her own until the physical challenges became too much. She moved into the seniors‟ facility when her eyesight

worsened, which was not an easy adjustment at first.

Patient STORY

Interior Health CHW Carol McConnell has provided care to Home Health client Elma Segal for 10 years. They have a lot of laughs together but, even more importantly, Elma says she can always count on Carol to know what she needs to feel better.

Page 9: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

“I didn‟t know what to expect and then all these people, like Carol, who had

helped me before, were saying, „Hi, Elma‟ and I felt so much more at home. It really helped me.”

Carol, who has been a CHW since 1991, and also raised four children, has

an innate understanding of her senior clients. She does what is needed to be done for each one.

“I don‟t sing much to Elma, but I have another lady who is losing her

memory and she likes to hear the old country songs. She sings along with

me.”

She‟s ahead of the experts who are finding that music therapy helps calm patients with dementia, particularly at bath time, which can be a stressful

time.

Speaking of bathing, Carol says she needs to rush off because she has a resident waiting for a shower.

“And you have me tomorrow,” Elma reminds her.

When Elma originally needed assistance with a bath, she thought she would feel uncomfortable, but Carol and her two other long-time health workers,

Joyce and Edith, put her right at ease.

It‟s understandable for people at any age to feel a little shy with a stranger, Carol agrees. “Sometimes a resident will say, „Oh, I‟m all lumpy and bumpy,‟

and I say, „Well, look at me.‟ ”

“I‟m glad that you look after me, Carol,” Elma tells her.

“She knows how to handle me. I know her little ways and she knows mine, eh Carol?”

Then Carol is off to her next appointment, but not before promising to return in an hour to put in Elma‟s eye drops.

Reassured, Elma sits back in her cozy easy chair and closes her eyes. It‟s time for a short morning nap.

Community Health Worker Carol McConnell puts drops in Elma Segal’s eyes.

Page 10: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

I n Kamloops, members of Interior Health‟s High

Acuity Response Team prepare to transfer a critically ill RIH patient who requires an angioplasty to the

Regional Cardiac Catheterization Lab in Kelowna.

On a frosty morning in Enderby, a mother and daughter

board a Health Connections bus to make the trip to a semi-annual clinic appointment in Kelowna.

In Trail, a traveller awaits a transfer to a hospital in his

home town several hundred kilometres away, where he will finally reunite with his family.

These are just a few examples of patient transportation. Such cases occur each day across the health authority

and in each case, the Patient Transport Office (PTO) staff are working in the background making the necessary

arrangements that allow frontline staff to focus on

frontline care.

“We are much more than a booking office,” explains PTO Team Leader Kim Petryshyn. “We ensure patients are

transferred to the right facility, at the right time, by the most clinically appropriate and cost–effective resource.

This includes moving all levels of patients from one

facility to another for scheduled admission, diagnostics, procedures, repatriation, and discharge to residential care.”

“Our relationships with the facilities allows us to problem

solve when challenges arise. We treat each case individually and provide options that are patient focused,

while making the best use of resources.”

As this busy team of 14 nears its 50,000th patient transfer,

the PTO is coming out of the background to highlight the vital role it plays in patient care throughout – and even

beyond – Interior Health.

“This is a great milestone and we want to take this opportunity to highlight and celebrate accomplishments

since the PTO – which is unique in the province – was

established in 2009,” explains Brent Hobbs, Network Director, Patient Transport.

“We would like to thank everyone at IMIT for their

development efforts and facility staff who contributed to

the process of launching the Online Transportation Information System in 2010. This system was 100 per cent

designed internally within IH and has proven invaluable,” adds Project Leader Rebecca Kaus.

The Patient Transport Office is available at 1-866-929-4423

or online at http://patienttransport.

Congrats, PTO!

Left: Seyvonne Crawford, Patient Transport Assistant. Right: RN Michael Sandler, member of the RIH High Acuity Response Team.

Page 11: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

A $9 million undertaking to improve patient safety

reached a milestone in May when the last of 36 IH sites successfully converted to the Baxter

Spectrum large volume infusion pump.

Today 1,900 pumps, 530 IV poles, and accompanying

accessories are in use by more than 4,300 nurses across Interior Health.

Large volume infusion pumps are used to deliver

intravenous (IV) therapy to patients. IV therapy is the administration of therapeutic agents (fluids,

electrolytes, blood products, medications) directly into

a patient‟s bloodstream.

Previously, a variety of infusion pumps were used

across IH. It is an

Accreditation Canada requirement to have

standardized infusion devices and a corresponding

education program.

“Studies indicate that smart

pump technology leads to an 80 to 95 per cent reduction in

infusion-related medication errors,” says Paul

Filiatrault, Regional

Manager, Medication Safety. “By standardizing these

pumps to the user-friendly Baxter Spectrum we‟ve reduced the potential for patient harm.”

An IH-wide strategy was developed and implemented in alignment with CEO Dr. Halpenny‟s vision of One IH.

“The successful implementation of this project is thanks

to the hard work and dedication of a number people,” says Garth Vatkin, Clinical Information Specialist,

Medication Safety, who leads the initiative.

Ayesha Hassan, Pharmacist, built the standardized

drug library and Gord McGreevy, Regional Coordinator, Parenteral Services, continues to ensure the regional

medication manual (for parenteral drugs) used by nurses,

pharmacists, and physicians aligns with more than 400 protocols available in the new pump.

Before anyone could use the new pumps, they had to be

purchased and delivered. Purchasing was coordinated by

Randy Piluk and Janice Dziadyk, and Alfred Fendelet coordinated all logistics out of the central IH warehouse.

Melissa Delorme and Greg Brett provided regional

support for local biomed technicians who were

involved in ensuring all

1,900 pumps were ready for use prior to

implementation. Many of the biomed staff also

helped switch out pumps

on „go live‟ dates.

At each site, a nursing project lead was in place

to oversee education and pump implementation.

The leads at the first

two sites to go live were Shirley Fisher at Royal Inland Hospital (350 pumps), and Demetri

Karogiannis at Kelowna General Hospital (500 pumps).

“It was the cooperation and support of the physicians and nurses who took the time to review the drug

library protocols, the nurses who attended the education sessions, and the support received from pharmacy, in

particular Kevin Peters, Regional Director of Pharmacy,

that assured the success of this project,” adds Garth.

The initiative is a major accomplishment. Other health authorities, including the Mobile Medical Unit (PHSA),

have asked IH to share its drug library with them and requested site visits to see exactly how the great people

at Interior Health accomplished this huge task.

The next milestone is enabling the wireless capability of

the pumps scheduled for fall 2013. More on that in a future article.

Left: Garth Vatkin, Clinical Information Specialist, Medication Safety, led the successful implementation of 1,900 Baxter Spectrum large volume infusion pumps across IH. Right: This large volume infusion pump delivers IV therapy to patients by administering therapeutic agents (fluids, blood products, medications, etc.) directly into a patient’s bloodstream.

Page 13: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

W hen was the last time you were tested for

HIV?

How would you feel if you were asked that very question the next time you saw a doctor or visited

a hospital for treatment?

With the province-wide expansion of the STOP HIV/AIDS

program, that question is about to be asked routinely in health-care sites across our region.

STOP HIV/AIDS is a successful

program that has been shown to

reduce HIV transmission through expanded awareness, testing,

prevention, and treatment. One of the most exciting parts of this

program is that it aims to change

the average person‟s mindset towards HIV.

In the past, the only people who

were routinely screened for HIV were pregnant women and those

who told their health-care provider

they were engaging in certain high-risk behaviours.

“With the old model, there was

potential to miss an early diagnosis

because patients may not have known they were at risk or their

health-care provider may not have asked about it,” says Jennifer

May-Hadford, an epidemiologist

with the Public Health Agency of Canada and Interior Health. “The

STOP HIV/AIDS program aims to change that.”

Under the new program, HIV tests will become a regular part of routine medical screening.

"The new standard of care in B.C. is to offer an HIV test

to any adult who has not had one within the past year,"

says Dr. Trevor Corneil, IH Medical Health Officer and Community Medical Director.

“This will allow us to identify an infection early and manage

it as a chronic disease. HIV treatment has come a long

way; early treatment can prevent the virus from attacking the body and it can also prevent it from spreading to

others. Early diagnosis and treatment also allows those who are HIV positive to live a near-normal life.”

Routine testing could also mean

the beginning of the end of HIV.

”An estimated 26 per cent of

people who are infected with HIV are not aware of their

infection,” says Denise McKay,

IH STOP-HIV/AIDS Project Lead. “And we also know the majority

of people who are newly infected with HIV are getting it from

individuals who didn‟t know they had HIV to begin with. If more

people know their HIV status and

receive early treatment, the spread of the disease in our

communities can be halted.”

“This is really exciting,” adds

Denise. “Just imagine … we have potential to change the course

of the HIV epidemic in B.C. and be part of a movement that has

the potential to end HIV. Our

province is a leader in the STOP HIV/AIDS movement and the

world is watching!”

We can all make a difference. Join the movement, get tested, and tell others that together we have the power

to STOP HIV. For more information, check out

It‟s Different Now.

Denise McKay, Jennifer May-Hadford, and Dr. Trevor Corneil lead the Interior Health movement to STOP HIV/AIDS.

STOP HIV/AIDS will begin rolling out this summer in three initial implementation sites: Vernon, Merritt, and Trail, and

then expand over the next four to 24 months to all IH communities. The implementation sites were selected based on the need to have representation from rural and urban communities as well as the community‟s current capacity and

readiness to provide HIV prevention, testing, and treatment. Work in the implementation sites will be closely evaluated to help identify any changes that may be needed before the program expands across IH.

More information on the STOP HIV/AIDS program is available in the Ministry of Health document From Hope to Health: Towards an AIDS Free Generation. To view a copy of the Public Health Rounds presentation on STOP HIV,

visit the Stop HIV/AIDS web page on the InsideNet.

Page 14: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

E lla, 84, lives near Mabel Lake in Enderby. For

most of her life, Ella‟s passion has been making intricately designed hook rugs. Now she struggles

just to breathe after double-bypass heart surgery.

Her road to recovery has been a long one resulting in

several cardiac-related admissions into hospital. Ella lives day by day not knowing what her heart will do. Each time

she visits the hospital she loses a little of her strength.

Patricia is 82 years old, and lives in Salmon Arm.

She loves horses, ballroom dancing, and her

little Pomeranian/Pappion puppy Peneé.

Patricia is an insulin-dependent diabetic who‟s often in hospital managing her diabetes and a chronic heart valve

infection. Currently at Bastion Place, she‟s eager to return

home.

What do these two women have in common? Frequent trips to the hospital, for one thing. And, the fact they both

want to be living in their own homes, but fear that won‟t

be an option.

That‟s where 48/6 comes in. This provincial initiative is designed to minimize a patient‟s decline while in hospital

and help them return home sooner.

Within the first 48 hours of admission, health-care teams

will develop personalized plans of care that focus on

maintaining a patient‟s functional abilities in six key clinical areas: bowel and bladder, cognition, functional mobility,

medication management, nutrition and hydration, and pain.

“In the past we focused mainly on the patient‟s acute

medical needs,” says Robert LaBelle, a med-surg RN at

Shuswap Lake General Hospital. “While we collected data on admission, we didn‟t fully appreciate and identify

patients‟ needs that would enable them to get back into their home, and this led to them spending more time in

the hospital.”

Rob is part of Shuswap Lake General Hospital‟s 48/6 Implementation Team and he‟s excited to be in one of

the nine acute care Phase One introductory sites.

Each site has its own implementation team designed to

review practices, from admission to discharge, and

To Go Home Better

Patricia in the resident garden at Bastion Place, Salmon Arm.

Ella’s many medications keep her heart and lungs stable.

Page 15: A publication for Staff and Physicians of IH - Interior Health · Goal 1 Improve Health and . Wellness Goal 2 Deliver High Quality Care . Goal 3 Ensure Sustainable Health Care by

determine the best way to

implement this model of care. Once their input has been

incorporated, 48/6 will be introduced to all 22 acute sites

by the end of March 2014.

“I understand there may be

some hesitancy because frontline staff may be

concerned about increased workload, but this process will

give us better continuity on

admission and create a better plan for discharge,” assures

Rob. “It will actually increase and improve co-ordinated care

and, in the long run, reduce

redundancies in duplicated paperwork.”

In Canada, 30 per cent of

seniors admitted to acute care will be discharged at a

significantly reduced level of

functional ability, and most will never recover to their previous

level of independence (BCPSQC

2013).

“Anything we can do to

decrease length of stay and stop admission from recurring

is a good thing,” explains Mark Pugh, Acute Health Care

Services Manager at SLGH.

The success of 48/6 is

important to people like Ella and Patricia. As Ella waits at

home for her next hospital visit, Patricia remains hopeful of a

speedy recovery and the ability

to return home.

“I‟m happy with the kind and gentle care I‟ve received here,

but I‟d still rather be in my own

home with my dog,” says Patricia. “She‟s bad to the bone,

but I love her dearly.”

For more information, visit the 48/6 InsideNet webpage.

Mark Pugh (left) and Robert LaBelle are part of the 48/6 Implementation Team at SLGH.

A few members of the Royal Inland Hospital 48/6 implementation team (L-R): Anne Fox, Lisa Kuharski, Val Kristianson, and Karl Koziura.

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Population: Approx. 5,000

Health Services: Elk Valley

Hospital. Fernie is also host to many community and residential

programs and services.

Economy: Coal mining and

tourism.

At a glance

Fernie Similkameen River - Keremeos

Submitted by: Monica Chursinoff

A B.C. Healthy Community Fernie makes the health of its citizens a priority by championing a community garden and a vast trail network. A vibrant community social scene promotes

wellness with free weekly street socials and family activities for the whole summer.

The City of Fernie has a partnership agreement with Interior Health to create supportive environments for health. For example, Fernie‟s new Official Community

Plan will have a policy section that deals with food security.

BC Healthy Communities is a non-profit organization that is mainly funded by the Ministry of Health. To learn more, visit Healthy Families BC.

Lifestyle Located in the heart of the Elk Valley, Fernie‟s spectacular Rocky Mountain

setting offers unique opportunities for visitors and residents alike. Fernie's warm hospitality, colourful history, and world-class ski mountain make it an attractive

destination for people from around the world.

In our own words... “Fernie represents a place where you can run away and embrace all that nature

has to offer; we are surrounded by spectacular mountain ranges filled with cultural history and story-telling. Fernie is encapsulated by heartfelt hospitality and local generosity. It truly is a recreational Mecca in all four seasons. We have world-class

restaurants, one-of-a-kind shops, and cafes. The ability to work in a profession I love in a community that inspires emotional tranquility is priceless and I truly feel

blessed every day to call Fernie my home.” – RN Jo-Ann Hnatiuk, Clinical Practice Educator, Elk Valley Hospital

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Submit your photos of the beautiful places that make up IH: [email protected]

Our employees regularly share photos of the spectacular scenery that surrounds them wherever they are in the IH

region. Majestic mountain ranges, pristine pine-fringed lakes, blossom-filled orchards, abundant vineyards, and thick forests alive with wildlife are just some of the beautiful things that make up these places we call home.

Covering over 215,000 square kilometres, Interior Health is diverse in nature and composed of vibrant urban centres

and unique rural communities. This @IH feature shines a spotlight on many of these places … and perhaps will entice

you to add them to your travel wish list.

This month we feature photos near Kelowna, Keremeos, Clearwater, and Ashcroft.

Where We Live & Work ... A Spotlight on Our Communities

Kelowna Submitted by: Paul Lesko

Ashcroft Submitted by: Colin Couves

Tuloon Lake — Thompson-Nicola Submitted by: Tammy Thielman

Similkameen River - Keremeos Submitted by: Monica Chursinoff

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The children who attend The Clubhouse Childcare Centre located on site at Cottonwoods (residential care) often attend events alongside the residents, including this year’s Canada Day celebrations. The children and adults alike enjoyed maple leaf cookies, drumming by Westbank First Nation members, and a visit from a Mountie wearing his Red Serge. Operating on site for more than two years now, the daycare is a great success with the children adding something special to the residents’ lives.

snapshots from the region ... A free car seat clinic was put on in Castlegar by the B.C. Automobile Association with support from the local firehall and IH public health nurses. Child Passenger Safety Educator Anne Johnson (left), mom Cassandra Miller, with baby Malia, and Public Health Nurse Tasha Kanigan (right) demonstrate a safely buckled-in baby. BCAA sent thanks to Fire Chief Rempel and Deputy Fire Chief Monsen for use of the firehall and to Interior Health for their support of this event.

Rain couldn’t deter celebrations of National Aboriginal Day in Vernon. The event, originally scheduled for June 21, was simply postponed to July 5. Jean Elliott (left) Admin Support at the Downtown Primary Care Centre and Mollie

Bono, Program Director for the Vernon First Nations Friendship Centre, set up an information booth in Polson Park in recognition of this important

population. Nurse Practitioner Danielle Linton, not shown, also attended to share information about health-care services at the centre.

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Traditional hand drummers were part of the opening ceremony and speeches at the Nicola Valley Hospital & Health

Centre on July 11th. The event offered community members a chance to learn

more about their hospital while celebrating the change to the

hospital name.

July 16 was a beautiful day in Lumby. The sun was shining down on community

members, residents, families, representatives and staff from Interior

Health, inSite Housing and Monashee Mews, and local dignitaries as they celebrated

the grand opening of Monashee Mews.

Monashee Mews is a new 46-bed residential facility located in the heart of Lumby.

IH Board member Virginia Goodings joined resident Aggie Von Vegesack, inSite Board member Robin Oldring, and Lumby Mayor

Kevin Acton in planting a tree to commemorate the opening.

Judy Vigue (left) and Sharon Soules remain friends after graduating the same year and working together at QVH. They were part of the 100th anniversary celebration at the hospital in Revelstoke on June 18.

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