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Important updates for physicians in the region

29-Feb-2016

Updates from the Senior Leadership Team

Cardiology’s Database

SLT approved the purchase of the APPROACH database system by the Critical Care and Cardioscience’s program. In partnership with Knowledge and Technology Services the system will strengthen the program’s ability to move towards a streamlined electronic system of outcome assessment for this high-risk patient population while advancing the Region’s focus of appropriateness.

  • An ongoing operational budget will be provided if evidence of the database’s effectiveness in improving patient outcomes care can be established within no more than a two-year period.

Computerized Practitioner Order Entry

SLT supported proceeding with phase 1 detailed planning for the Computerized Practitioner Order Entry (CPOE) project to enable the Knowledge and Technology Services portfolio (Information Technology) to incur project planning costs in 2015/2016. This detailed planning, pending final project approval, would enable a target launch of the CPOE project in April 2016. The overall CPOE project is expected to take a further 18 months.

Improving the Use of Management Forum E-mail System

SLT supported the recommendations related to the Management Forum email group which included a limit on the recipient group and a limit on those with access to posting to the group. Physicians will be deleted from this group. Physician Services and Practitioner Staff Affairs lists will be included in the email group enabling them to screen broadcast emails so that only those relevant to physician leaders or physicians generally are forwarded.

New Partnership with the Hospitals of Regina Foundation (HRF)

A team comprising of D. Sophocleous, CEO HRF, N. Bhotoia VP HRF, and the CFO of HRF along with R. Peters and C. Klassen, a physician representative from the Capital Oversight Committee and K. Earnshaw will begin work on an updated framework for the RQHR/HRF Partnership Agreement. The Region needs the Foundation and the Foundation exists to support the Region. Both parties recognize that by improving the effectiveness of our relationship we could better support our common purpose of improving the quality and safety of our care.

SLT recognized the importance of onsite presence for HRF but there is no immediate space available. Long-term space needs for 12 to 14 employees of HRF will be considered as part of our ongoing space planning process. Available options for short-term space needs such as a kiosk or touchdown space which may be split among the three facility sites will be investigated.

It was agreed that the HRF CEO would continue to be invited to quarterly reports, strategic planning meetings, Capital Equipment meetings and to SLT as required, (perhaps quarterly when discussion of capital and strategic issues is scheduled) so that HRF is aware of regional direction and priorities.

SLT supported HRF as a partner of RQHR and identification of this relationship in the region’s annual report, supported in principle a proposed grateful patient program and agreed to review information on Saskatoon Health Region’s grateful patient program. There are both potential benefits and risks associated with “grateful patient programs.”

 

College of Medicine Update - Regina Campus

With so many medical students involved in the Health Region we wanted to acknowledge all the hard work and dedication of our many physicians and faculty members. We also want to thank all the Health Region staff that work with our medical students on a daily basis. Your ongoing and continued support of the College of Medicine is recognized and greatly appreciated.

The Regina Qu’Appelle Health Region is home to over 110 undergraduate and 60 postgraduate medical learners from the University of Saskatchewan. Currently the Regina General Hospital has close to 40 Year 2 medical students who spend their time in lectures and participating in hands on clinical activities. These students will end their Year 2 studies around the middle of May and will commence as Clerks/JURSIs starting in August 2016. Clerkship Orientation will take place this year August 2-12 in the Regina General Hospital. With curriculum changes there will be an extended overlap period of clerks that will run from August 2016 until April 2017.

In addition to our Year 2 medical students there are also over 70 Clerks/JURSIs currently completing their clinical core rotations within the RQHR. For the Class of 2016 (senior Clerks/JURSIs), Residency Match Day is Wednesday, March 2. Clerks from this class will find out their Residency placements that will start July 1 in various programs throughout the country. Graduation for this group of students is on Thursday, June 2 in Saskatoon.

Many medical students are also involved in research projects throughout their training. For undergraduate students the College of Medicine has Dean’s Summer Research Projects where students and physicians are partnered together to complete scientific research. In addition to the Dean’s Summer Research Projects, the RQHR also funds a few additional projects for students studying in Regina. The RQHR has a team of research scientists that will provide support to an expected 80 projects in 2016.

The 60 postgraduate students or Residents training within the Region are from the following specialties; Family Medicine, Family Medicine-Emergency Medicine, Internal Medicine, Obstetrics and Gynecology, and Psychiatry. Regina will also host more than 160 rotating residents from the Saskatoon Campus and a variety of other medical schools throughout the year. These may include subspecialties like Anesthesia, Surgery, and Pediatrics just to name a few.

Antimicrobial Stewardship

In November, 2015 SLT approved components related to the development and implementation of an Antimicrobial Stewardship Program for the Regina Qu’Appelle Health Region. The program is due to commence in June 2016.

What’s been done? 

  • Preparation for RPIW 92 – Development of Prospective Audit and Feedback March 7-11
  • Interviews are scheduled for our Lead Pharmacist Position and our ID physician
  • Selection committees has been established
  • Patient and Family Advisors Colleen Bryant and Cindy Dumba are participating fully

What’s next?

  • Planning our communications
    • Health News, Management Forum (interactive engagement)
    • Defining the Key messages about our Antimicrobial Stewardship Program
    • Structural Components
      • Website : internal/external
      • Physical space for our Lead Pharmacist and Lead Physician
      • Equipment / electronic workstation
    • Meeting with the Ministry of Health / what is working as a Provincial approach?

What needs more work?

  • Organizational Charts for our Pharmacist and Physician /Governance Model
  • Our connection to the southern Regions
  • On boarding plan for our Lead Pharmacist and Lead Physician
  • Communication Strategy: “Antimicrobial Resistance is a Problem”
    • Our program is to ensure that we are using Antibiotics wisely
    • Education about the problem
    • Better resources
    • Better outcomes for our Patients
    • Getting the patients the right antibiotic with they really need it
    • Collaboration, Education, Accountability

Please take 3 -5 minutes and watch these videos:

https://www.youtube.com/watch?v=-G4cEYQBVu4

Resources: Bugs & Drugs (BC & Alberta) http://www.dobugsneeddrugs.org/health-care-professionals/

For further information please contact: Interim Project Manager
Robert Parker 2180 Victoria Ave E. Regina, SK S4P 7B9

Phone: 306-766-0790 Cell: 306-541-9778

E-mail:Robert.parker@rqhealth.ca

Don’t Miss HIV in Pregnancy: Your Important Role in Preventing Perinatal HIV Transmission

Ensure the Antenatal Blood Work Is Done

We have had two recent cases of perinatal transmission of HIV in our Health Region. In a number of other instances we have also seen what could be termed “near misses”. Analyses of the various factors that can contribute to higher risk for transmission has been done and practical steps taken where appropriate to ensure best practice is followed in all cases where HIV transmission may be a concern.

As basic as it may seem, please ensure all your pregnant patients have had their full antenatal blood work done timeously.

When you issue a requisition for antenatal blood work, do follow up for results within a reasonable time frame. If you don’t receive these results please follow up with the patient to see if blood work was done. If you experience challenges in contacting a patient for such follow up, contact us at Population and Public Health service at 306 766 7625. We will endeavor to assist in finding and supporting patients with challenges in getting blood work done.

Where initial results are known and HIV is negative but the patient risk profile is significant for HIV infection, repeat the HIV test in the course of pregnancy and at delivery as it is important to ensure most current results are available at all times.

The above steps are primarily focussed on our practitioners who have pregnant mothers in their patient care profile, but all physicians caring for pregnant mothers should ensure the basic antenatal blood work is taken care of.