Qualitycast North

As temporary rural emergency room closures become more common and the rural physician shortage continues, virtual physician support is increasingly important for keeping hospital doors open. The Rural Coordination Centre of BC has long been a leader in this area, offering a lifeline to rural emergency departments through its Virtual Emergency Room Rural Assistance program, or VERRa. In this interview, rural emergency physician Dr. Brydon Blacklaws shares the origins and evolution of VERRa, how the service works, where virtual support is most effective, and where its limits lie. We also explore the broader value of virtual support—fro...

This week, we focus on a topic everyone can relate to: bad meetings. According to today’s guest, Jennifer Aitken, unproductive meetings can often be avoided with more forethought, clearer structure, and better preparation. Jennie is Director of Medical Staff Quality and Improvement for Island Health and a professional facilitator with the Sofia Group. In this interview, we explore why meetings often fall short, how anyone can strengthen their facilitation skills, the organizational value of better facilitation, and the rewards of helping groups reach those meaningful “aha” moments.Links and resources:The Sofia Group<...

After several high-profile incidents and the subsequent BC governments In Plain Sight report published in 2020, a new policy and educational framework aimed at eradicating Indigenous-Specific Anti-Racism (or ISAR) has emerged to tackle the deep-seated attitudes and impacts of settler colonialism. At the forefront of this work is today’s guest Barb Taylor. Barb is not only a front-line hospital bed coordinator, indigenous patient partner, and indigenous patient advocate working across many tables in BC’s healthcare system, she’s also a staunch advocate of the role of healthcare quality improvement in this work. In this interview we talk about ba...

A familiar voice returns to the podcast this week. Dr. Eiko Waida, who recently joined us as co-host for the special series on the Romanow Report, takes the guest’s seat today talking about her own quality improvement work in the pediatric diabetes clinic at Vernon Jubilee Hospital. We hear how her improvement work, although initially aimed at improving clinic staff morale, turned into a ground-breaking pilot project improving timely, patient-centered care using a texting platform. This successful project subsequently introduced a new model of care, improved the patient and provider experience, and offers further appl...

Life can be a cruel sport, often serving both joy and heartbreak in equal measure. But sometimes what matters is how we stand up again after getting knocked down. Join us for an emotional episode this week as we interview local Prince George boxing hero and club owner Kenny Lally about his successful amateur boxing career, his descent into depression and addiction and subsequent recovery. Listen to Kenny’s amazing story and how it enables him to give back by helping local children manage their own mental health challenges through life lessons from the boxing ring...

Medical schools major on training student physicians on the pathological basis of disease and the evidence-based therapies we prescribe to heal disease. But important and often overlooked contributors to health are the social determinants: poverty, nutrition, housing and related socio-economic factors. How health care is delivered on a system basis must consider these socioeconomic factors to ensure quality and effectiveness, particularly in rural communities such as those in Northern BC. That’s the interest of today’s guest, a family and emergency room physician, Dr. Navpreet Sidhu. In this fascinating episode she takes us through the im...

Qualitycast North is excited to bring you a special 4-episode series celebrating the 25-year anniversary of The Royal Commission on the Future of Health Care in Canada and the subsequent, ground-breaking, Romanow Report. About the Royal Commission and Romanow ReportIn 2001, the Federal government launched the landmark Romanow Commission, to examine the future of Canada’s publicly funded healthcare system. Led by Roy Romanow, the Commission combined extensive research, expert analysis, and one of the largest public consultations in Canadian healthcare history. Through engagement with healthcare professionals, governments, Indigenous organizations, and tens of thousands of Canadians, th...

Qualitycast North is excited to bring you a special 4-episode series celebrating the 25-year anniversary of The Royal Commission on the Future of Health Care in Canada and the subsequent, ground-breaking, Romanow Report. About the Royal Commission and Romanow ReportIn 2001, the Federal government launched the landmark Romanow Commission, to examine the future of Canada’s publicly funded healthcare system. Led by Roy Romanow, the Commission combined extensive research, expert analysis, and one of the largest public consultations in Canadian healthcare history. Through engagement with healthcare professionals, governments, Indigenous organizations, and tens of thousands of Canadians, th...

Qualitycast North is excited to bring you a special 4-episode series celebrating the 25-year anniversary of The Royal Commission on the Future of Health Care in Canada and the subsequent, ground-breaking, Romanow Report. About the Royal Commission and Romanow ReportIn 2001, the Federal government launched the landmark Romanow Commission, to examine the future of Canada’s publicly funded healthcare system. Led by Roy Romanow, the Commission combined extensive research, expert analysis, and one of the largest public consultations in Canadian healthcare history. Through engagement with healthcare professionals, governments, Indigenous organizations, and tens of thousands of Canadians, th...

Qualitycast North is excited to bring you a special 4-episode series celebrating the 25-year anniversary of The Royal Commission on the Future of Health Care in Canada and the subsequent, ground-breaking, Romanow Report. About the Royal Commission and Romanow ReportIn 2001, the Federal government launched the landmark Romanow Commission, to examine the future of Canada’s publicly funded healthcare system. Led by Roy Romanow, the Commission combined extensive research, expert analysis, and one of the largest public consultations in Canadian healthcare history. Through engagement with healthcare professionals, governments, Indigenous organizations, and tens of thousands of Canadians, th...

In this episode we’re returning to the rural community of Hazleton in Northwest BC. The demand for psychedelic-assisted psychotherapy is increasing as word spreads about its usefulness, but how should one design this service that best meets the clinical, social and cultural needs of its patients? That’s the subject of Dr. Graham Bergstra’s quality improvement project. By asking patients directly about their experience of care before, during and after their clinic visit, Dr. Bergstra explains how we can improve patient’s experience of anxiety, vulnerability and satisfaction, whilst also ensuring they receive the most appropria...

When you think of Canadian health data, the organization that springs immediately to mind is the Canadian Institute for Health Information or CIHI. In this episode we interview Anderson Chuck, the President and CEO of CIHI, about how Canada is “data rich but information poor” and how using Pan-Canadian health data in the right way can drive improvements in health care quality. We also discuss how adopting the right data "mindset" can ensure sustainable Canadian healthcare in the future and improve economic resilience and prosperity for Canada as a nation.Links:CIHI(En)CIHI(Fr)Can...

Delivering high-quality, emergency medicine education to rural practitioners and their teams for over 15 years, the Rural Coordination Centre of British Columbia’s CARE course has been consistently rated amongst the best. But what are the secrets to its success? This week we interview its creators Dr. Jel Coward and Dr. Rebecca Lindley, both rural family docs based in Pemberton BC, on how delivering education that meets learners where they are, understands their reality and recognizes their humanity, provides the best learning environment possible. Links: Rural Coordination Centre of BC - The CARE course...

This week we’re returning to the Executive C-Suite this time from a Physician’s perspective with our guest Dr. Ronald Chapman, the Vice President of Medicine of Northern Health. We talk about his early commitment to a medical administrative career track, what a VP of Medicine does, his 13-year longevity in the role and what it takes to steer a large healthcare organization on a course towards higher quality care. We also touch on the benefits and challenges of living and working in rural communities and, if given his time again, why he wouldn’t consider any other jo...

This week we’re taking a well-deserved week off and so in preparation for this year’s Rural Coordination Centre of BC’s Rural Health Conference to be held in Prince George on May 29-31st, we’re re-releasing one of our favorite archived episodes featuring RCCbc’s own Dr. Ray Markham. In this episode, Dr. Markham takes us through his global career journey to his current practice in Valemount, NE BC, discusses some of the joys and challenges of rural family practice and shows us how rural primary care can also be high quality primary care. This recording was origin...

One of the largest drivers of health outcome inequity for patients living in rural communities is access to care. This disparity is magnified when combined with low income, reduced patient mobility and the high costs of travel to tertiary centers, usually located in larger cities. Tackling this inequity head on is Hope Air, a non-profit organization which provides a lifeline for rural patients to access tertiary, specialist care. Currently celebrating Hope Air’s 40th anniversary, today’s guest, Mark Rubinstein, the CEO or “Chief Hope Officer” of Hope Air takes us through its incredible mission and gives us an insight i...

In this episode, we return to Bulkley Valley District Hospital in Smithers, Northwest BC who, by combining high-level collaboration between local physicians, front line staff and operational leaders with quality improvement methodology, have generated startling improvements in what matters to staff throughout the hospital. Today’s guest Dr. Kalah Blackstock, a local family physician and the Physician Quality Improvement Advisor for Northern Health takes us through their work building a healthier and more satisfied workforce whilst at the same time delivering a QI masterclass in multi-stakeholder collaboration and problem solving. Special shout out from Dr. Blackstock to the incr...

As overfilled hospitals everywhere are struggling to cope with a busy winter of respiratory disease and influenza, many in healthcare are calling for a more “upstream” approach to preventing Emergency Department visits and hospital admissions. But intervening upstream is more difficult than it sounds. Today’s guests have done just this. Talking us through their award-winning, quality improvement work in reducing ED visits and hospital admissions for patients with Chronic Obstructive Pulmonary Disease are Donna Jouantapp, Lina Alsakran and Dr. Zoe Pullan from Cowichan on Vancouver Island. In this interview, we learn how a well-designed project with a dedicated, inclus...

Listeners will be familiar with the physician-led healthcare quality improvement work featured on this podcast, but they may not be familiar with how this work is formally supported at the Provincial level. In this episode, we interview Cindy Myles, the Vice President of the Specialist Services Committee, who gives us a primer on British Columbia’s unique, Joint Collaborative Committees and the importance of multipartite collaboration when addressing healthcare’s “wicked” problems. We hear how collaboration generates more sustainable change and how, during this challenging time for healthcare delivery, working together to improve the system can bring us hope for heal...

In our current technological age, the most successful information platforms are those that provide exactly the information the user needs quickly and accurately. This is the underlying premise behind British Columbia’s hugely successful medical information platform Pathways. In today’s episode we interview its two eminent founders Dr. Kathleen Ross and Dr. Tracy Monk, about its early origin story and how it developed into the universal healthcare provider directory and an amazing, multifunctional, timesaving and educational resource in its current form. We hear how their strong guiding principles drove development of Pathways’ form and function, how listening to users...