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Vancouver Island Health Authority (VIHA) news and issues


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#101 Victoria Watcher

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Posted 19 September 2020 - 06:19 PM

The B.C. Ministry of Health has announced the opening of a new primary clinic led by nurse practitioners in Victoria.

The nurse practitioner primary clinic, called ‘Health Care on Yates’ is set to be fully operational on September 28, through the Victoria Primary Care Society, Nurses and Nurse Practitioners of BC and Island Health.



https://www.victoria...g-september-28/

Edited by Victoria Watcher, 19 September 2020 - 06:20 PM.


#102 JohnN

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Posted 20 September 2020 - 09:24 AM

The B.C. Ministry of Health has announced the opening of a new primary clinic led by nurse practitioners in Victoria.

The nurse practitioner primary clinic, called ‘Health Care on Yates’ is set to be fully operational on September 28, through the Victoria Primary Care Society, Nurses and Nurse Practitioners of BC and Island Health.



https://www.victoria...g-september-28/

Opening up a new clinic seems a good idea but digging through the details did raise some questions in my mind: 

 

1. Nurse practitioners are emerging as a significant addition to medical practitioners here and everywhere but its interesting that the Ministry of Health press release lays out  how far the NP scope of practice extends.

However, that is only a brief summary - look to the BCCNP website to see its 30-page Scope of Practice document: https://www.bccnp.ca...es/Default.aspx

 

2. These new clinics whether UPCCs or this NP Primary Care Clinic, are now being bounded by geographic catch-basins for patients that are clearly set out. For example the Yates clinic boundaries: Victoria, Vic West, James Bay, Oak Bay, Oaklands and Fairfield: https://www.vicnews....toria-patients/

Their map appears to (probably inaccurately) include a small piece of Saanich "panhandle" neighbourhood close to RJH: https://www.npclinic...-boundaries.jpg

 

3. MOH press release refers to "Victoria Primary Care Society", which doesn't appear anywhere else so MOH probably means Victoria Division of Family Practice, rather than the Victoria Medical Society - although neither mentions the new clinic. Could be the South Island Primary Care Network that seems to be a loose confederation of several physician groups, MOH, etc.


Edited by JohnN, 20 September 2020 - 11:18 AM.

:)

#103 Victoria Watcher

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Posted 20 September 2020 - 09:39 AM

everyone should just do babylon health.  seems easy.

 

https://www.telus.co...ersonal/babylon



#104 Mike K.

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Posted 20 September 2020 - 09:59 AM

The catchment areas are bizarre. My mom, who lives in Vic West, can’t apply for a family doctor at the James Bay clinic, but her friend who lives in James Bay has a clinic doctor at the Esquimalt clinic.

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#105 spanky123

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Posted 20 September 2020 - 10:09 AM

everyone should just do babylon health. seems easy.

https://www.telus.co...ersonal/babylon


Good for basic stuff VW, but they are not checking your prostate for you!

#106 Victoria Watcher

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Posted 20 September 2020 - 10:11 AM

my neighbour does that for me.
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#107 Nparker

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Posted 20 September 2020 - 10:19 AM

everyone should just do babylon health.  seems easy.

 

https://www.telus.co...ersonal/babylon

I wouldn't use Babylon if for no other reason than it is a associated with TELUS.



#108 Nparker

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Posted 20 September 2020 - 10:20 AM

... the Ministry of Health press release lays out  how far the NP scope of practice extends...

Just to be clear, my scope of practice is even narrower.



#109 spanky123

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Posted 20 September 2020 - 10:28 AM

3. MOH press release refers to "Victoria Primary Care Society", which doesn't appear anywhere else so MOH probably means Victoria Division of Family Practice, rather than the Victoria Medical Society - although neither mentions the new clinic. 

 

Lets face it, these are not new medical clinics that the NDP is establishing. At least in the case of James Bay and Saanich, existing private medical clinics have closed and the Government is replacing them with Government run ones. The RFP process that the news release refers to was a request for private operators to sell their businesses. 

 

This is a cost cutting move. Nurse practitioners are paid less than doctors and are salaried. Perhaps it makes sense as I am sure that most visits to clinics can be handled by a qualified NP, but the NDP is playing this up as an investment in the health care system and reducing waiting lists where clearly it is not. In Saanich 1,200 people lost their GP when the private clinic closed. The new clinic will enroll new patients but I doubt the number will be substantially different.

 

The question is why the 1,200 people who lost their GP (same thing in James Bay) are not the first in line at the Government run clinic? I can speculate why that is the case!



#110 JohnN

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Posted 20 September 2020 - 10:28 AM

everyone should just do babylon health.  seems easy.

 

https://www.telus.co...ersonal/babylon

Sure - I use Island Health "Telehealth" to consult with specialists in Vancouver, as well as just phoning the medical clinic doctor here in Victoria (my family physician retired).

 

Babylon is a major player in the tele-medicine field and like other similar consultation apps, is working through some issues that will no doubt get sorted out: 

https://www.westerns...us-babylon-app/

https://edmonton.ctv...h-app-1.4905532


Edited by JohnN, 20 September 2020 - 10:31 AM.

:)

#111 JohnN

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Posted 20 September 2020 - 10:30 AM

Lets face it, these are not new medical clinics that the NDP is establishing. At least in the case of James Bay and Saanich, existing private medical clinics have closed and the Government is replacing them with Government run ones. The RFP process that the news release refers to was a request for private operators to sell their businesses. 

 

This is a cost cutting move. Nurse practitioners are paid less than doctors and are salaried. Perhaps it makes sense as I am sure that most visits to clinics can be handled by a qualified NP, but the NDP is playing this up as an investment in the health care system and reducing waiting lists where clearly it is not. In Saanich 1,200 people lost their GP when the private clinic closed. The new clinic will enroll new patients but I doubt the number will be substantially different.

 

The question is why the 1,200 people who lost their GP (same thing in James Bay) are not the first in line at the Government run clinic? I can speculate why that is the case!

Good questions. Related news story in today's TC: https://www.timescol...ntre-1.24206249


:)

#112 spanky123

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Posted 20 September 2020 - 10:33 AM

I wouldn't use Babylon if for no other reason than it is a associated with TELUS.

 

I have used Babylon and it works for the most part as long as your diagnosis can be completed in 8 minutes and is simple (ie referrals, prescription renewals, etc). Had a doctor cancel on me once simply because she was having trouble with her wifi and it was going to take her too long to sort out (ie more than 2 minutes). Definitely an assembly line feeling.

 

Personally I think that the NDP is using tele-health to squeeze private operators and force them to give up their clinics. Once that has been completed I think that we will start to see caps and constraints put on tele-health much like we have now in the private clinics.



#113 spanky123

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Posted 20 September 2020 - 10:36 AM

Good questions. Related news story in today's TC: https://www.timescol...ntre-1.24206249

 

Each time a new Government run clinic has opened on the Island I have applied as a patient using an address in the catchment area. I have never been contacted. When the Chatterton way website is available I will apply again. Perhaps just the luck of the draw but maybe priority is not just based on where you live.


Edited by spanky123, 20 September 2020 - 10:37 AM.


#114 JohnN

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Posted 20 September 2020 - 10:51 AM

The catchment areas are bizarre. My mom, who lives in Vic West, can’t apply for a family doctor at the James Bay clinic, but her friend who lives in James Bay has a clinic doctor at the Esquimalt clinic.

Problem might be that the James Bay clinic is one of these new UPCCs with defined catchment areas whereas whats in Esquimalt now is the usual walk-in + family practice with no boundaries. Your mom living in Vic West should be ready to get her registration form in for the new Health Care on Yates as soon as they repost it to their website:


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:)

#115 JohnN

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Posted 20 September 2020 - 11:01 AM

Each time a new Government run clinic has opened on the Island I have applied as a patient using an address in the catchment area. I have never been contacted. When the Chatterton way website is available I will apply again. Perhaps just the luck of the draw but maybe priority is not just based on where you live.

The North Quadra UPCC press release from MOH isn't specific about the catchment areas as they say North Quadra, Victoria, etc: https://news.gov.bc....HLTH0298-001791

 

That the Chatterton isn't close to frequent bus lines seems to have gotten into the South Island Primary Care Network notes from a July meeting of several groups of physicians, MOH staff, related medical admins:  https://www.division...uly 20 2020.pdf


:)

#116 Victoria Watcher

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Posted 20 September 2020 - 11:06 AM

I wouldn't use Babylon if for no other reason than it is a associated with TELUS.


I was getting my prostrate checked and it started ringing so who knows maybe i am already using it.
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#117 exc911ence

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Posted 20 September 2020 - 08:18 PM

I was getting my prostrate checked and it started ringing so who knows maybe i am already using it.

 

Try switching to vibrate when you're getting your prostate examined.  :bow:



#118 todd

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Posted 20 September 2020 - 08:26 PM

maybe i am already using it.

don't think it works on a DynaTAC



 



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