ICED Project Celebration

Last Wednesday, Fraser Health celebrated the successful launch of the Implantable Cardiac Electrical Devices (ICED) Project, a regional model to standardize the service and delivery of cardiac devices. The ICED celebration brought together various stakeholders, such as sponsors, surgical and cardiac representatives and Fraser Health CEO Dr. Nigel Murray. As a major contributor to the ICED project, Iridia founder, Dr. Allan Holmes was on hand as Master of Ceremony. In his role as the Hospital Medical Coordinator, Dr. Holmes worked with the ICED project as a senior physician leader and liaison for the site. He also provided expertise into the management of adverse events and coordinated a specialized ACLS training program for the implanter group.


ICED celebration cake

The vision

To have the BEST Implantable Cardiac Electrical Devices program in Canada

What did we do?

Implemented a regional model for Implantable Cardiac Electrical Devices

Why did we do it?

  • To enhance the quality of care provided to patients
  • To maximize operational efficiencies in order to meet or exceed recognized wait time standards
  • To standardize pre and post-procedure care in accordance with evidence informed practices
  • To improve timely and equitable access to service
  • To optimize existing capacity and provide for future growth
  • To enable ongoing surveillance and monitoring of the ICED program

How did we do it?

  • Consolidated from four sites (ERH, SMH, BH, RCH) to two regional sites (RCH & JPOCSC).
  • Centralized referral/booking and patient triaging processes
  • Standardized clinical practice support tools & inventory management processes

Learn more about the ICED Project 

Implantable Cardiac Devices Standardized Throughout Fraser Health

Effective September 2012, a regional model to standardize the service and delivery of Implantable Cardiac Electrical Devices (ICED) has been implemented throughout the Fraser Health Authority (FHA).

The purpose of the ICED project is to improve inpatient and outpatient access to device implants and replacement.

The types of Implantable Cardiac Devices included are:

  • Permanent pacemakers (PPM)
  • Implantable cardioverter defibrillators (ICD)
  • Cardiac resynchronization therapy (CRT) devices

Implantable Cardiac Devices

In his role as Hospital Medical Coordinator for the Jim Pattison Outpatient Care and Surgery Centre (JPOCSC), Dr. Holmes (founder of Iridia Medical) was involved with the ICED project by assisting and providing input into the project to the extent it impacted on physicians and/or service planning at the JPOCSC.

The team at Iridia Medical also contributed to revisions to the transport and admission protocols for the JPOCSC and other FHA facilities for patients receiving cardiac implants.

Presently, two hospitals have been designated as regional ICED sites:

  • Royal Columbian Hospital (RCH) – PPM, ICD and CRT devices
  • Jim Pattison Outpatient Care and Surgery Centre (JPOCSC) – PPM only

Royal Columbian and JPOCSC

The development of the ICED project has led to a variety of new clinical practice tools with the standing goal of improving device implants and replacement:

  • Regional referral form
  • Pre and post-procedure pre-printed physician orders
  • Inter-hospital transfer instructions and checklists, outpatient checklist and pamphlets
  • Patient and Family Information booklets

Current pacemaker practices were refined to align with the new regional model, such as the exclusion of an anaesthesiologist during PPM implantation for certain patients who meet defined criteria.

In lieu of an anaesthesiologist there will be trained personnel present during the procedure dedicated to monitoring the patient. In the future, this practice change will allow for PPMs to be implanted in procedure rooms other than operating rooms; allowing for more versatile use.

Dr. Holmes and Iridia applaud Fraser Heath for their excellent work developing the ICED project.

2012 National Health Leadership Conference

The National Health Leadership Conference

Earlier in June, Iridia’s president, Dr. Allan Holmes had the opportunity to present the physician engagement strategy that was successfully implemented at the Jim Pattison Outpatient Care and Surgery Centre (JPOCSC) at the 2012 National Health Leadership Conference (NHLC).

The NHLC brings together senior health administrators from across the country. This year the conference was held in Halifax and provided a chance for Dr. Holmes to re-visit the city he did his rotating internship 25 years ago.

The NHLC delivered a range of workshops, speeches and panel presentations throughout 30 themed sessions. Dr. Holmes’ delivered his physician engagement strategy during: Session 13: Engagement – Networks, partnerships and collaborative

Health Leadership Conference

From the NHLC: “This session will feature presentations on family physician networks in Nova Scotia, successful strategies in physician engagement at the Jim Pattison Outpatient Care and Surgery Centre and lessons learned from the BC Rural Collaborative governance framework.”

For a better understanding of the physician engagement strategy implemented at the JPOCSC, we have provided Dr. Holmes’ slideshow presentation.


[slideshare id=13497548&doc=2012nhlcpresentation24052012-120629145729-phpapp02]

For more information about the National Health Leadership Conference please visit their website: NHLC

Or view the conference program:

Health Leadership Conference

Preventative Health – A New Approach

Recently, our founder at Iridia, Dr. Allan Holmes, gave a speech at the Fraser Health Quarterly Business Meeting.

Led by Dr. Nigel Murray (Fraser Health’s CEO), the meeting brought together more than 250 managers, directors, executive directors, physicians and other senior executives.

Preventative Health

What was their agenda? – Introduce enhanced health through a new preventative health approach.

Preventative Health

Preventative Health is a key priority for Fraser Health and the BC Ministry of Health. Together, their goal is to establish a foundation of involvement through community partners to spearhead preventative health measures.

“Our health promotion and prevention services are provided by a team of professionals committed to the health and well-being of communities throughout Fraser Health.

Among them are public health nurses, speech-language pathologists, audiologists, community nutritionists, tobacco reduction coordinators, dental hygienists and others who provide community based services with a population health focus.

These services focus on health screening, health assessment, referral, early treatment, and building public health capacity through community development and strategic partnering.” – Fraser Health

How is Iridia involed? Dr. Holmes and his team have been working with community partners to embrace a proactive health approach that lines with Fraser Health’s vision, “everyone a champion for better health.”

Specifically, in conjunction with Fraser Health, Iridia is working with the Surrey Fire Department in the development of their HomeSafe program.

Preventative Health


The HomeSafe Program is the creation of the Surrey Fire Service. It was developed by Fire Service members who provided suggestions and recommendations to reduce the number of private dwelling fires in the City of Surrey, as well as other ways to mitigate health risks.

The four key areas HomeSafe focuses on are:

  • Free Home Safety Inspections
  • Fire-Setter Intervention Program
  • Child/Seniors Welfare and Human Trafficking Training
  • Fire Prevention Week / Public Displays

Each section deals with many unique social, demographic and awareness issues. For example, senior welfare can involve identifying indicators of abuse or neglect.

View the HomeSafe Brochure:

Preventative Health

Fall prevention is also a key element in the HomeSafe program. Falls are by far the leading cause of seniors’ injuries and injury-related hospitalization in Canada. Falls cause pain and, for many, lead to a move from home to a care establishment. They often cost seniors their independence and quality of life as well as represent a huge cost to our health system. However, most falls incurred by seniors are preventable.

With Surrey Fire, Iridia has identified many recommendations for reducing fall related injuries among seniors.

A prevention strategy could include:

  • Minimizing changes in surface types
  • Securing rugs with non-skid tape as well as carpet edges and avoid throw rugs
  • Removing oversized furniture and objects
  • Placing phone extensions on each level of the home with emergency numbers posed
  • Adding electrical outlets to avoid overloading breakers and tripping on extension cords

Prevention strategies such as HomeSafe are key for communities seeking to reduce health incidents, which otherwise, could have been avoided through proactive measures.

“Bringing this all together into a comprehensive program like this will undoubtedly create greater fire-awareness and modify current behaviours to encourage personal safety for young and old,” said Surrey Mayor, Dianne Watts.