Complex Patient Committee
The High Complexity Care Team (HCCT) is a multidisciplinary primary care team dedicated to serving the most medically and socially complex individuals in the Western[...]
Read moreDepartment/Division: Hospitalist Medicine
Demedicalizing the End of Life
Dr. Chloe Lemire-Elmore, Dr. Brian Mc Ardle, and Dr. Jess Nathan wondered if they could improve care for their patients at or nearing their natural end of life. The[...]
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GEM Team Refresh
How does a small, multidisciplinary team keep up with an increasing volume of patients without sacrificing quality of care? The Geriatric Evaluation and Management (GEM) team at VGH and RJH faced t[...]
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Microdose Suboxone Initiation from Acute Care
Five to six patients die every day in this province due to unintentional overdose on opioids. Most of these will be seen in the ER in the months leading up to their death. This is sometimes their o[...]
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COVID Ward
When Royal Jubilee Hospital (RJH) was designated the site for suspected and confirmed COVID patients in southern Vancouver Island in early March, teams of physicians and allied health personnel scr[...]
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Bereavement and MAiD
Dr. Konia Trouton, Dr. Chloe Lemire-Elmore, Rosanne Beuthin from Island Health, and their colleagues explored bereavement support among providers offering Medical Assistance in Dying (MAID) within [...]
Read moreHospitalist Trauma Ward Co-Planning
There are times when a trauma patient is brought to hospital but not admitted to ICU or other surgical specialties. For over 20 years the Victoria General Hospital has been mandated to design and r[...]
Read moreUpdating Pre-Printed Order Sets
Dr. David Cook and Dr. Jean Maskey thought they were embarking upon a crucial updating of clinical order sets (COS) in preparation for iHealth. They embarked upon their project, funded jointly by t[...]
Read moreHospital at Home Project
In October 2018, hospitalist Dr. Shauna Tierney was in the audience when Island Health’s Geo 4 Executive Director Marko Peljhan presented a challenge to the South Island Hospitalists: By 2040, [...]
Read moreHigh Complexity Care Team
It is well acknowledged that a minority of patients experience a disproportionate amount of morbidity and, as a result, use a disproportionate amount of acute care resources. Dr. Spencer Cleave adv[...]
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