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Editor's Notes

• #3: Strengthening partnerships is getting easier as Island Health decentralizes and our regional teams sets priorities Here in Geography 1 our team has established a set of guiding principles that help us navigate every decision we make A place we want to work and learn Evidence-based design Patient-centred care Around these principles we wrap the over-riding values of cultural safety and cultural humility  
• #4: Thank-you Charmaine. It’s no surprise to anyone here that the North Island communities are dealing with some significant health challenges. While some of the statistics paint a bleak picture, I think we also know that this region has something that many others don’t, which is a real grassroots commitment to improving health and wellness for your entire community All we have to do is look towards groups like the Mt Waddington Health Network, for example, to see the power of locally-led partnerships Thanks to this group’s leadership the community now has access to an extreme weather shelter and withdrawal management beds, for example. We still have a long way to go to continue improving health and wellness across the region, and we need to continue working together to do it.
• #34: Myriad of Ministry of Health papers available publicly, including the foundational 2014 document “Setting the Priorities for BC’s Health Care System.” Since 2014, more details of direction has been given to health authorities, Doctors of BC, General Practices Services Committee (GPSC) Health Authorities, including Island Health, are working closely with GPSC and Divisions of Family Practice to establish the model. Partnerships and strong links are crucial for model/care approach to be successful. There’s a great deal of research and endorsement of the Community Health and Care model and approach including from Ministry of Health (information on their website), from other jurisdictions (in Canada and Europe), GPSC, Island Health (concept paper on our Intranet).
• #36: Primary Care Home/Patient Medical Home is central to Island Health's Community Health and Care model. MoH describes MCH/PMH as a full service family practice that is formally linked to health authority-delivered community and primary care services. PCH network may be a single family practice or a network of family practices linked to health authority services. These services are delivered by health authority staffed inter-professional teams that work together as a single team to provide the care a patient and community population needs – this is called Community Health Services in Island Health. Services delivered out of the PCH/PMH include: Health Promotion/Illness prevention (screening, assessments, self management) Care for minor, episodic illness Referrals to diagnostics and specialized services Low risk maternity Chronic Disease Management (early detection, primary treatment, shared care) Mental Health and Substance Use (assessment, diagnosis, early support, individualized care planning Referrals to specialized (“higher tier”) services and “stepped down” care when a patient who has had higher tier care is ready for community level services A key MoH direction is that Specialized Health Care services will be linked directly to the PCH/PMH and accessed through the PCH/PMH as needed in a timely, patient-centred manner. Specialized Care Services (or Programs) are delivered by the health authority and include: Services for Seniors (complex chronic disease and frailty), Services for Mental Health and Substance Use clients, Surgical Services and Cancer Care.
• #38: Geography 1 refers to the region from Deep Bay to the northern tip of the Island and part of the central coast. It’s a pretty vast area, with challenges and advantages that are really unique within Island Health (Go thru slide info) …. 118,000 people spread over a vast region that includes 44 communities ranging from cities to remote outposts, etc There’s some really exciting work happening across this region. We’re embracing new ways of connecting with communities and building partnerships to deliver the best patient-centered care, committing to achieving excellence in cultural safety and making continuous improvements in everything we do. We’re also preparing to open the new North Island Hospitals, which I’m sure you’d like to here more about. Before we can look at the future of healthcare, though, we need to know where we’re at today. The best person to do that is my colleague, Dr Charmaine Enns, who many of you may know from her work promoting and protecting public health across the North Island Charmaine is our region’s Medical Health Officer, and I’m very happy that she is able to join us here today to talk about public health in this region ---- turn over to Dr E ------
• #39: Strengthening partnerships is getting easier as Island Health decentralizes and our regional teams sets priorities Here in Geography 1 our team has established a set of guiding principles that help us navigate every decision we make A place we want to work and learn Evidence-based design Patient-centred care Around these principles we wrap the over-riding values of cultural safety and cultural humility