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.

Slideshow

[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

Setting a Standard for Collaborative Work at the JPOCSC

New to the Jim Pattison Outpatient Care and Surgery Centre blog series? Check out the introductory post  and part-1 of this series.

JPOCSC Accomplishments

In the second posting in this series outlining our accomplishments at the Jim Pattison Outpatient Care and Surgery Centre (JPOCSC) in Surrey, we will highlight our work in establishing a framework for Fraser Health administration and physicians to work together in a way that embraces the Fraser Health vision of “Better health, best in health care”.

Many businesses and organizations, including our own, ask their employees and contractors to sign a document which outlines the standards and responsibilities of the stakeholders to ensure that all professional expectations are clearly understood by all concerned.

At the Pattison Outpatient Centre, there was an opportunity to port this concept to the healthcare world by creating a Statement of Expectations (SOE) between Fraser Health (FH) administration and physicians to ensure patient-centered care was at the forefront in this facility.

JPOCSC

Working with the Physician Engagement Team within Fraser Health, Iridia helped to develop an SOE outlining the vision of the facility, expectations between physicians and FH administration, and guidelines for the practice of evidence-based patient care.

When the JPOCSC project was first initiated, 175 physicians scheduled to work at the new facility required privileging (and credentialing if new). The privileging process was amended to include two SOEs – an overarching SOE and a program-specific version unique to the JPOCSC. By August 2011, following several months of collaborative communication and dedication, all 175 physicians representing 25 medical programs at the JPOCSC had signed and agreed to the SOE, thereby demonstrating their commitment to the overall vision of patient-centered care at the JPOCSC.

From Iridia’s perspective, the successful development and implementation of a Statement of Expectations at the Pattison Outpatient Centre was a significant achievement and an exciting contribution to the vision and culture of the facility.

Life And Limb at The Pattison Outpatient Centre

New to the Jim Pattison Outpatient Care and Surgery Centre? Read the introductory post to this 3-part blog series.
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Jim Pattison Outpatient Centre

This series, outlining our accomplishments at the Jim Pattison Outpatient Care Centre, begins with looking at the work which Iridia conducted in developing Emergency Response Guidelines for the Centre and ensuring these guidelines properly addressed the outpatient nature of the facility.

(Announcement heard over the intercom): “Code Blue – Jim Pattison Outpatient Care and Surgery Centre, 3rd floor, room 310.”

Pattison Outpatient Centre

While it is always unfortunate when a Code Blue announcement is heard over the intercom, it is always best to be prepared for such an emergency situation.

The definition of a Code Blue and its response varies from facility to facility; however, it generally refers to a life or limb-threatening event requiring immediate medical attention. At the Pattison Outpatient Centre, the Code Blue response had to be modified to fit the outpatient nature of the facility. The Centre is not a hospital and, consequently, not all of the necessary life-saving equipment and medications are present in the facility. Additionally, as some clinics operate outside of normal business hours, a full complement of staff is not always available. For these reasons, it was clear that a specific Code Blue response was needed for the Centre to ensure that an immediate emergency response could be arranged regardless of time of day or availability of medical staff.

Pattison Outpatient Centre

Together with Fraser Health, Iridia developed such a response and provided Code Blue training for nearly 100 medical staff at the Centre using our instructors who tailored the course to accommodate on-site training. This ensured a transfer of skills in the actual work setting.

In addition to developing a Code Blue response guide for the Centre and training those involved, Iridia also organized a “mock” Code Blue situation that involved representatives from each of the responding teams. A Iridia team member acted in the role of a patient who had a (fake) allergic reaction and needed to be “treated” by the Emergency Response Team. This event was an excellent opportunity for the Emergency Response Team to practice their skills and knowledge of the response strategy for the Pattison Outpatient Centre.

Iridia is a firm believer in the power of teamwork and collaboration. Utilising these two qualities, Iridia was able to work with the Fraser Health team to develop a Code Blue response which is timely, efficient and specific to the Centre, train the medical staff and conduct a scenario in which the relevant staff were able to solidify their skills.

Welcoming the new Medical Coordinator at the JPOCSC

On April 1st, 2012, our president and founder, Dr. Allan Holmes assumed his role as the Hospital Medical Coordinator at the Jim Pattison Outpatient Care and Surgery Centre (JPOCSC) in Surrey, BC.

[youtube=http://www.youtube.com/watch?v=DJMAkbyqkp8]

Medical Coordinator at the JPOCSC

In this position, Dr. Holmes is responsible for providing leadership and coordination for the medical staff practicing in the different Programs functioning in the facility. He will also ensure medical staff activities at the facility are consistent with the overall facility and program direction.

We are certain that Dr. Holmes will serve well in this role and will contribute in a significant and meaningful way to FH’s vision of delivering the best health care possible.

 

JPOCSC – A New Kind of Care

How does the new state of the art Jim Pattison Outpatient Care and Surgery Centre (JPOCSC) differ from a traditional hospital? The key is in the title, the JPOCSC provides “outpatient care” only. Outpatient care describes any medical care that does not require an overnight stay in a hospital; for example visits to the doctor’s office, clinics and a day surgery centre are all considered outpatient care.

So why build the JPOCSC, isn’t it just a very large doctor’s office, why is this different?

The answer is that typical hospital stays are very expensive. Each room that is in use is very costly and takes up limited hospital resources. These rooms are often filled with individuals who need surgery, but many of these surgeries are procedures that do not require a hospital stay. In today’s age up to 65% of surgeries do not require an overnight hospital setting.

Outpatient care is a divide and conquer tactic that is meant to keep costs down, as well as free up rooms in traditional hospitals. 

JPOCSC The Jim Pattison Outpatient Care and Surgery Centre has a vision of creating better health in the community by providing an integrated and seamless network of outpatient care services for residents of the Fraser Valley.

The facility embodies a new care delivery model by offering a one-stop approach to patient care, integrating both traditionally acute and community services and various clinical services.  Day surgery, diagnostics, specialty services and community health clinics will all be under one roof for the first time.

The JPOCSC is at the forefront of clinical service models, use of technology and green-space design.  As a state-of-the-art facility and the first of its kind in the Fraser Valley, the experience of working in the facility is new to all physicians and staff. 

Fortunately for us at Iridia, we have had the pleasure of working closely with Fraser Health on this project. Our president and founder has recently been appointed the Medical Coordinator of the JPOCSC. To read about about this appointment please see our post from earlier in the month: Leading the Jim Pattison Outpatient Care and Surgery Centre

 

 

Leading The Jim Pattison Outpatient Care and Surgery Centre

Iridia would like to extend congratulations to our president and founder, Dr. Allan HolmesDr. Holmes has recently been appointed to the position of Medical Coordinator at the new Jim Pattison Outpatient Care and Surgery Centre (JPOCSC) in Surrey, BC.

Over the years, Dr. Holmes has been a driving force behind the implementation of many projects that involve developing Emergency Protocols and Guidelines. Examples of recent projects he has worked on include the Surrey Memorial Triage Improvement Project and the creation of a Health Care Framework for Al Gharbia region of Abu Dhabi. He is also a key member of the current team looking at how to improve the care of Stroke Patients across B.C. through his facilitation work to create a BC Clinical Leadership Statement on the management of Acute Stroke.

Jim Pattison Outpatient Care and Surgery Centre

As part of his role at the JPOCSC, Dr. Holmes is responsible for providing leadership and coordination for the medical staff practicing in the different Programs functioning in the facility. Dr. Holmes will also ensure medical staff activities at the facility are consistent with the overall facility and program direction.

Iridia is certain Dr. Holmes will serve well in his role as Medical Coordinator and fulfill the vision of delivering the best health care possible.