Circulation Package July 2018
ICET FUNDS PROJECT TO HELP MT. CAIN SKI AREA EXTEND THEIR SEASON FOR IMMEDIATE RELEASE June 25, 2018 COURTENAY A grant from the Island Coastal Economic Trust will help the Mt. Cain ski hill extend their season, generating revenue and jobs at the community-owned operation. The hill - already widely known for excellent powder snow at high elevations and easy backcountry access, has struggled with low snowpack at lower elevations early and late in the season. The $24,000 project will involve removing stumps, rocks, brush, and re-contouring some of lower elevation slopes to allow the hill to open with less snow than is currently required. ICET is providing half of the total funding, with the Mt. Cain Alpine Park Society contributing the balance. Mt. Cain is a significant seasonal employer of youth on the North Island and supporting them with this funding will help to sustain and increase those jobs while increasing total skier visits and associated overnight accommodations in the area, said ICET Chair Phil Kent. The benefits of this project are clear, said David Mazzucchi, Chair of the Mount Cain Alpine Park Society. If this project had been completed last summer, we could have opened over the lucrative Christmas holiday period, Mazzucchi explained. Missing those days due to a lack of snow at the bottom of the ski hill meant about $129,000 in lost revenue and $27,000 in lost wages. This project will help Mount Cain mitigate these challenges in the future. The project will begin later this summer, with completion anticipated by October. About the Island Coastal Economic Trust Created and capitalized by the Province of BC, the Island Coastal Economic Trust has been at the forefront of economic diversification, planning and regional revitalization for the past eleven years. ICET is independently governed by a Board of Directors and two Regional Advisory Committees which include more than 50 locally elected officials, MLAs and appointees from the Island and Coast. This exceptional team of leaders collaborate to set regional priorities and build vital multi-regional networks. 1
Through a community centered decision-making process, more than $50 million in funding has been approved for over 180 economic infrastructure and economic development readiness projects. These investments have leveraged over $270 million in new investment into the region creating more than 2500 construction phase jobs and 2600 long term permanent jobs. A full overview of ICET can be found at www.islandcoastaltrust.ca. For further information: Line Robert, CEO Island Coastal Economic Trust Tel. 250-871-7797 (Ext. 227) line.robert@islandcoastaltrust.ca Mayor Phil Kent, ICET Chair City of Duncan Tel. 250-709-0186 mayor@duncan.ca David Mazzucchi, MCAPS Chair info@mountcain.com -end- 2
Island Health - Regional Hospital District Special Topic Meeting Nanaimo June 29, 2018 Excellent health and care for everyone, everywhere, every time 3
Agenda 1. Recruitment of physician and other hard to fill health professionals Opportunities for RHD s and communities to play a crucial role Presenters: Eva Vincent, Brenda Warren and Rod O Connell 2. Evolution of the health system and the expanding capital needs required to adequately support it Opportunities to continue broadening the scope of cost sharing and partnering with RHD s as the system transforms Presenters: Kim Kerrone, Cheryl Damstetter and Catherine Claiter-Larsen Excellent health and care for everyone, everywhere, every time 4
Update on Island Health Recruitment Challenges Rod O Connell, Strategist Talent Acquisition & Retention & Brenda Warren, Director Medical Staff Support Eva Vincent, Manager Medical Staff Recruitment, Credentialing & Privileging 5
Staff Current Workforce Challenges Community Mt Waddington Campbell River Comox Valley West Coast Port Alberni Nanaimo Cowichan Gulf Islands Victoria Professions Nurses, Ultrasound, Physio, HCA, NP, Community Support Workers Specialty Nurses, HCA, LPN, Pharm Techs, Physio Specialty Nurses, HCA, Pharm Techs, Community Support Workers, Food Service Supervisors Lab Tech Specialty Nurses, Physio Specialty Nurses, Pharm Techs, Food Service Supervisors, MRI Techs, Lab Tech Specialty Nurses, Pharm Techs, MRI Tech, Ultrasound Nurses, LPN, Specialty Nurses, Pharm Techs, MRI Techs, Ultrasound, Lab Tech, Rehab Assistant, IM/IT, Power Engineers 6
Medical Staff Current Workforce Challenges Community Mt Waddington Campbell River Comox Valley Port Alberni Nanaimo Cowichan Gulf Islands Victoria Specialty Family Practice Family Practice, Anesthesiology Family Practice, Internal Medicine, Psychiatry Internal Medicine, Pediatrics Family Practice, Psychiatry, Neurology, Dermatology Family Practice, Pediatrics, Psychiatry, Anesthesiology, Dermatology Family Practice (Quadra) Psychiatry (SSI) Family Practice, Neurology, Dermatology 7
Current Strategies/Successes Rural Remote Recruitment/Retention Incentives for return of service (ROS) Relocation Assistance for ROS Staff Medical Staff Internal training for ROS PRA- BC and UBC IMG for ROS Creation of Advanced Hire positions Float Pools Employee Referral Program Temporary Housing Support Aboriginal Employment Program Providing support to obtain work permit and permanent residency for International Recruitment Collaboration with Divisions of FP Collaboration with Health Match BC Sponsored Site Visits 8
System Challenge/Barriers Housing availability Spousal Employment Insufficient local training seats All jurisdictions face similar or worse challenges Salary differentials with other provinces and/or private sector Staff Status of vacancies: Regular Full time - 100 Regular Part time - 49 Temporary Full Time 93 Temporary Part Time - 60 Casual - 400 Total = ~700 external postings No local training programs for key professions Collective Agreement language Medical Staff Status of vacancies: Permanent Family Practice - 68 Permanent Medical Specialty 38 Locum Family Practice - 24 Locum Medical Specialty - 11 Total = ~141 external postings Highest percentage of FP vacancies is in Victoria (40% of total perm.) 9
Strategies for Consideration Development of community recruitment marketing materials (videos, websites, brochures) Community Ambassador Program to support site visits of candidates and integration of new recruits and families within the community Community Welcome Kit : (e.g. rec center passes, gift certificates to local businesses, etc.) Promoting health careers to Island youth Development of Housing Strategy Other Recruitment Incentives Increased Island based training seats (e.g. LPN, HCA) Staff recruitment Creation of island based training programs (e.g. Ultrasonography, Food Service Supervisors, Rehab Assistant, Pharmacy Tech) Staff recruitment 10
3) Catherine Claiter- Larsen VP Innovation, Analytics and Information *Presentation / Discussion Areas* 1) Kim Kerrone VP, CFO, Legal Services and Risk 2) Cheryl Damstetter Chief Community Health and Care, Portfolio M 11
Highlights of how we have been evolving the partnership to date? 1. Summit 2. UDMD 3. Cowichan Integration 4. Patient Portal Seniors Health Quality and Innovation MHSU / Primary & Community Care Quality and Innovation Excellent health and care for everyone, everywhere, every time 12
Seniors Health The Summit At Quadra Village Excellent health and care for everyone, everywhere, every time 13
Island Health Challenges / Opportunities Community focused service model Rising demand for services Priority Populations: Mental Health and Substance Use At-risk Children, Youth and Families Indigenous Seniors Excellent health and care for everyone, everywhere, every time 14
Strategies to Address Integrated Primary Care Strategy: Primary Care Networks Urgent Primary Care Centres 2 under development Mental Health and Substance Use Services Pandora Supervised Consumption Site Pembroke Mental Health/Substance Use Hub Excellent health and care for everyone, everywhere, every time 15
Quality and Innovation Digitally-Enabled Health and Care Excellent health and care for everyone, everywhere, every time 16
Quality and Innovation Island Health currently has one of the most comprehensive digitally-enabled health care systems in Canada Medication Records Results Distribution Front-End Voice Recognition Disease and Process Alerts Registration/ Scheduling Patient Demographics Health Information Management Encounter Specific Documents e.g. Consult Notes Laboratory Graphic Monitoring Multidisciplinary Documentation Orders Provider Communication Tools Vital Sign and Image Integration All Laboratory, Diagnostic Results Community and Inpatient Medication Profiles Cross- Encounter Documents e.g. Allergies Pharmacy Diagnostic Imaging and Heart Health AND, our health care system is still drowning in paper, with only 30% of the health record digitized to-date Infection Prevention and Control Emergency Services and Urgent Care Paper-based Patient Information Electronic Patient Data Electronic Modules/Capabilities Excellent health and care for everyone, everywhere, every time 17
Quality and Innovation Access and use of the digital environment is pervasive and growing across Island Health >2,500 physicians and 11,000 clinical staff have active EHR accounts At any given time, over 3,500 clinicians are using the EHR > 1.9M EHR transactions per day Average Daily Peak Concurrent EHR Users 2700 3850 The infrastructure required to enable the digital environment is significant >$46M in technology assets, on average requiring $11.5M/year to sustain >75,000 networked devices, including : 2,000 phones, 1,500 switches, 300 routers 3,500 wireless access points, 14,000 computers, 295 physical servers, 1,205 virtual servers 2,000 printers, 2,100 label printers 480 2005 2014 2018 Excellent health and care for everyone, everywhere, every time 18
Quality and Innovation Investment in new digital solutions is required to enable the quality and safety of care, and future sustainability of the health system Continuous investment in sustainability of the digital infrastructure is also required to ensure reliable access to existing tools, and maintain confidence of end users Excellent health and care for everyone, everywhere, every time 19
Future Meetings Staff to Staff Meeting September October Semi-Annual Meeting December Excellent health and care for everyone, everywhere, every time 20
Quatsino Archives Association Society # S-50467 Charity # 89172-9642-RR0001 General Meeting Minutes Sunday, June 17, 2018 1) Meeting Called to Order: @ 1:03pm Members present: Donnie Botel, Nancy Botham, Dianne Renaud and Gwen Hansen. 2) New Acquisitions: cowboy cigarette box from Gordon Andrews estate Gwen 3) Correspondence: (1) Tanis Paradis re: Becker family tree search. (2) PH Heritage Society re: approval of new Bylaw Dissolution clause. (3) RDMW re: approval of new Bylaw Dissolution clause. 4) Financial Report: (May 06 to June 17) Presented by Nancy (attached). We will sign up for paperless statements. Di will be added as 3 rd signing officer to replace Vicky in our QAA and our St. Olaf s Restoration Committee accounts. Motion to accept by Gwen / 2 nd by Di... Approved 5) Minutes from last Meeting: (May 06) Circulated by e-mail & print copy in office. Motion to accept by Di / 2 nd by Nancy... Approved 6) Business Arising from the Minutes: 1) Donation plaques have arrived: 4 Silver for donations of $100 and over; Nosler, Wight, Doyle and Polcyn & 1 Gold for donations of $1,000 and over; RDMW. 2) Spring cleaning and reorganizing are done. Perrie will be contacted regarding his tools and misc supplies that can be returned. Our old computer and printer will be given to Keith to rebuild or recycle after removing the hard drive. 3) The QAA s 2018 revised Bylaw, following the New BC Society Act, has been approved by 75% (18) of our 24 members-in-good-standing with a vote of 18 YES / 0 NO. The new QAA Bylaw will be registered online before the Nov. 28, 2018 deadline. 7) Old Business: 1) Our 2006 Property Lease agreement with the RD for the Museum property, which expired in 2011, is in the process of being revised, upgraded and renewed to 2022. The RD s annual lease fee, $1.00, is due July 1 st. 2) The 430 items in our Archives records are now in spreadsheet format for easier access. 3) Our Liability insurance is up $44 from last year; now $960.00. The confirmation of payment and Insurance Policy papers will be presented to the RD as a requirement of our Property Lease agreement. 4) Our Refundable Beverage Containers April 24 th haul-our brought in $1,258.70! Our previous haul-out was in Nov. 2016 and brought in $783.75. 21
8) New Business: 1) Di has offered to open the School Library after her Museum Host shifts from 2:00 2:30 during July & August: July 1, 14, 15, 27, 28, 29 August 10, 11, 12, 24, 25 & 26. 2) The Port Alice School children will be in Quatsino for the day on June 26 th to visit the Museum, St, Olaf s Church and the School. Gwen will host the Museum tour. 9) Recycling Depot Report: - 22 mega bags were hauled out June 2 nd & 50 empty bags were delivered. - once the recycling depot has moved to its new site our building can be used for associated purposes related to the Museum as per our Property Lease Agreement. 10) St. Olaf s Church Restoration Committee Report: - light shades have been remounted, posts for the St. Olaf s Church sign installed and Dri-Z-Air & door mat purchased $57.24. - bank balance: $1,875.37. - a volunteer work party on Sat. 23 rd at 2:00 to tidy grounds and Church. 11) Host Weekend Shift: JUNE: Sat. 23 & Sun. 24 Di Sat. 30 Di JULY: Sun. 01 Di Mon. 02 to Fri. 06 Nancy Sat. 07 to Wed. 11 Gwen Thurs. 12 & Fri. 13 Ruth Sat. 14 & Sun. 15 Di Mon. 16 to Fri. 20 Gwen Sat. 21 to Thurs. 26 Nancy Fri. 27 to Sun. 29 Di Mon. 30 & Tues. 31 Gwen AUGUST: Wed. 01 to Sun. 05 Gwen Mon. 06 to Thurs. 09 Nancy Fri. 10 to Sun. 12 Di Mon. 13 to Fri. 17 Gwen Sat. 18 to Thurs. 23 Nancy Fri. 24 to Sun. 26 Di Mon. 27 to Fri. 31 Gwen SEPT: Sat. 01 & 02 Gwen Sat. 08 & 09 - Nancy 12) Next Meeting Date: Sunday Sept. 09. 13) Motion to adjourn. @ 2:40pm. 22
MOUNT WADDINGTON TRANSIT - RIDERSHIP TRENDS Average Passengers per Month: 2016 2017 2018 2161 2232 2291 Annual 25937 26788 27492 Change -6% 3% 3% 3000 Monthly Ridership Year to Year - 2016-2018 2500 2000 2218 2207 2257 2022 2456 2322 2303 2208 2387 2168 2344 2085 2096 1913 2408 2143 2236 2013 2207 2159 2313 2116 1500 1000 500 0 2016 2017 2018 S:\MEETINGS\Board Day Prep\Circulation Package\2018\July\2018 June Revenue-Ridership Trends 10/07/2018 Prepared by: LP 23
MOUNT WADDINGTON TRANSIT - RIDERSHIP TRENDS 2018 January February March April May June July August September October November December Route Total Route 1 to Port McNeill 503 396 472 437 516 494 2818 Route 1 Saturdays 0 0 6 9 14 23 52 Route 2 to Port Hardy 477 391 449 407 474 465 2663 Route 2 Saturdays 0 0 4 24 12 18 58 Route 4-Ft Rupert 435 457 465 430 547 518 2852 Route 5-Coal Harbour 402 421 528 536 556 496 2939 Route 5-Coal Harbour Saturdays 35 25 52 12 33 53 210 Route 6-Woss/Mount Cain 49 5 9 - - - 63 Route 11-PH Local 265 208 181 134 139 133 1060 Route 12-PM Local 161 157 164 147 192 183 1004 HandyDART-PH 0 3 4 2 0 4 13 HandyDART-PM 2 2 1 3 3 3 14 2018 Monthly Total 2329 2065 2335 2141 2486 2390 0 0 0 0 0 0 13746 2017 January February March April May June July August September October November December Route Total Route 1 to Port McNeill 439 440 501 380 482 449 453 528 440 445 468 426 5451 Route 1 Saturdays 21 9 5 32 10 17 21 15 26 24 13 5 198 Route 2 to Port Hardy 386 424 435 367 413 400 430 443 443 414 435 424 5014 Route 2 Saturdays 5 6 2 28 16 9 17 8 13 6 14 9 133 Route 4-Ft Rupert 442 362 472 433 476 462 407 496 396 459 481 346 5232 Route 5-Coal Harbour 484 410 575 550 522 598 467 510 353 495 446 491 5901 Route 5-Coal Harbour Saturdays - - - - - - 43 49 41 49 17 39 238 Route 6-Woss/Mount Cain 22 14 6 - - - - - - 0 0 29 71 Route 11-PH Local 204 158 259 231 270 203 127 197 152 148 262 208 2419 Route 12-PM Local 202 191 191 180 192 197 123 150 139 159 168 133 2025 HandyDART-PH 8 4 7 5 4 6 4 5 5 4 6 4 62 HandyDART-PM 5 4 3 2 2 3 4 7 5 4 3 2 44 2017 Monthly Total 2218 2022 2456 2208 2387 2344 2096 2408 2013 2207 2313 2116 26788 2016 January February March April May June July August September October November December Route Total Route 1 to Port McNeill 451 485 526 512 474 432 400 461 476 455 431 375 5478 Route 1 Saturdays 9 15 5 19 6 6 16 20 9 11 18 11 145 Route 2 to Port Hardy 448 490 524 481 399 444 399 450 501 467 397 367 5367 Route 2 Saturdays 4 7 2 9 10 7 16 21 16 13 15 7 127 Route 4-Ft Rupert 425 393 448 448 400 392 362 412 404 383 361 381 4809 Route 5-Coal Harbour 402 409 400 468 452 463 393 424 449 434 393 568 5255 Route 6-Woss/Mount Cain 17 6 6 0 0 0 0 0 0 0 0 16 45 Route 11-PH Local 316 313 310 258 301 205 244 270 160 216 246 188 3027 Route 12-PM Local 130 134 101 106 124 134 75 79 212 172 180 180 1627 HandyDART-PH 5 4 0 0 0 1 4 3 5 1 1 4 28 HandyDART-PM 0 1 0 2 2 1 4 3 4 7 3 2 29 2016 Monthly Total 2207 2257 2322 2303 2168 2085 1913 2143 2236 2159 2045 2099 10/07/2018 25937 S:\MEETINGS\Board Day Prep\Circulation Package\2018\July\2018 June Revenue-Ridership Trends Prepared by: LP 24
MOUNT WADDINGTON TRANSIT REVENUE Average Monthly Revenue 2016 2017 2018 $5,436 $5,498 $6,019 Annual $65,228 $65,974 $72,227 Change -3% 1% 9% $7,000 Monthly Revenue Year to Year 2016-2018 $6,000 $5,000 $5,685 $5,626 $5,529 $5,034 $5,281 $5,165 $5,464 $4,968 $6,366 $5,959 $5,500 $5,125 $5,183 $4,596 $6,020 $5,976 $5,309 $5,355 $6,224 $5,427 $5,882 $5,212 $5,262 $5,052 $4,000 $3,000 $2,000 $1,000 $0 2016 2017 2018 S:\TRANSIT\Reports and Statistics\Ridership Reports-MWTO\2018\July\2018 June Revenue-Ridership Trends 10/07/2018 Prepared by: LP 25
MOUNT WADDINGTON TRANSIT REVENUE 2018 Revenue Source Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total Farebox $3,096 $2,449 $2,977 $3,071 $3,700 $2,896 Ticket Sales $746 $740 $1,420 $1,353 $699 $1,074 Pass Sales $1,107 $934 $1,215 $1,028 $947 $919 BC Bus Passes $864 $982 $1,027 $957 $957 $957 Total $5,812 $5,105 $6,639 $6,409 $6,303 $5,846 $0 $0 $0 $0 $0 $0 $36,113 *estimate *'Namgis First Nation purchased books of tickets - to be prorated for balance of the year. 1.5% Projected 2017 Revenue Source Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total Farebox $2,676 $2,447 $3,054 $2,672 $3,019 $3,145 $3,230 $3,545 $2,849 $3,301 $3,109 $3,108 $36,155 Ticket Sales $784 $382 $495 $709 $665 $772 $450 $536 $485 $1,243 $758 $173 $7,452 Pass Sales $1,362 $1,232 $601 $1,044 $1,253 $570 $574 $335 $1,132 $820 $1,137 $1,007 $11,065 BC Bus Passes $864 $973 $1,016 $1,039 $1,022 $1,013 $930 $894 $890 $860 $878 $924 $11,303 Total $5,685 $5,034 $5,165 $5,464 $5,959 $5,500 $5,183 $5,309 $5,355 $6,224 $5,882 $5,212 $65,974 *estimate 1.1% Projected 2016 Revenue Source Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total Farebox $2,900 $2,642 $2,579 $2,973 $2,730 $2,828 $2,723 $3,404 $3,050 $2,746 $2,474 $3,130 $34,178 Ticket Sales $705 $1,000 $770 $525 $2,043 $760 $362 $814 $682 $494 $650 $343 $9,146 Pass Sales $1,148 $970 $961 $516 $657 $554 $460 $710 $1,133 $1,075 $826 $680 $9,687 BC Bus Passes $873 $917 $972 $954 $937 $984 $1,052 $1,092 $1,112 $1,113 $1,103 $1,109 $12,218 Total $5,626 $5,529 $5,281 $4,968 $6,366 $5,125 $4,596 $6,020 $5,976 $5,427 $5,052 $5,262 $65,228-6.7% S:\TRANSIT\Reports and Statistics\Ridership Reports-MWTO\2018\July\2018 June Revenue-Ridership Trends 10/07/2018 Prepared by: LP 26
Volunteer Transportation Network and Handy DART 2018 Trip Summary Month Total Trips Total Clients Lift Van Community - Trips (T) /Clients (C_) Port Hardy Port McNeill Alert Bay Malcolm Island Woss Fort Rupert T C T C T C T C T C T C AM PM AM PM January 21 33 1 7 7 6 6 0 0 0 0 5 18 1 2 1 0 0 2 0 0 February 28 39 1 8 8 10 10 0 0 1 1 8 20 0 0 3 3 0 2 0 0 March 30 46 1 11 11 10 10 0 0 0 0 9 16 0 0 0 4 0 1 0 0 April 24 32 1 5 5 9 9 1 5 0 0 4 8 0 0 0 2 0 2 1 0 May 43 57 1 9 9 25 25 1 5 0 0 8 18 0 0 0 0 0 3 0 0 June 41 58 4 14 14 16 23 1 5 0 0 8 14 2 2 1 4 CH Trips 4 0 2 1 0 July August September October November December TOTAL 187 265 9 54 54 76 83 3 15 1 1 42 94 3 4 5 13 0 12 2 0 Month 6 Projected 374 530 18 108 108 152 166 6 30 2 2 84 188 6 8 10 26 0 24 4 0 Change 4% 18% -33% -41% -44% 21% 16% -50% -32% -33% -33% 740% 132% 0% 0% -81% 225% -100% -11% 0% -100% Int w/ Transit Notes Port Hardy HandyDART Port McNeill Int w/ VTN 27