Clinical Resources
This section provides comprehensive information on a number of resources available to the members of the Fraser Health medical staff.

Forms

The forms listed here are related to accessing clinical services in Fraser Health facilities. This is NOT an exhaustive list. Please contact the relevant Fraser Health facility to enquire about clinical services documents which do not appear on this list. Centralized Intake Forms at Jim Pattison Outpatient Care and Surgical Centre are listed here.

Forms

Clinical Services

Antimicrobial Stewardship

Welcome to the Fraser Health Antimicrobial Stewardship Program. Our purpose is to promote appropriate use of antimicrobials. In doing this, we hope to improve the outcomes of our patients, while minimizing adverse events and slowing the emergence of antimicrobial resistance.

Our website provides resources for clinicians and staff, including our locally developed and customized Antimicrobial Stewardship Handbook.

Aspiration Pneumonia 

Community-acquired Pneumonia (CAP)

Inpatient Sepsis

Pediatric Guidelines

The following antibiograms are presented for calendar year 2015. We are transitioning to site-specific antibiograms, starting with ARH, RCH, and SMH this year. All remaining sites are included in the "Rest of FH" antibiogram. We have also created an FH Pediatric antibiogram for the first time, which includes first isolates from patients aged 16 or younger. A general comments section has been added as well.

Note that this year's antibiograms are hospital-wide and include first isolates from outpatients, inpatient wards, and critical care units. This is not directly comparable with previous years' antibiograms which reported isolates from critical care units separately.

General Comments

ARHCC

RCH

SMH

Rest of FH

Pediatrics

__________________________

2014 Antibiograms

East

North

South

Antimicrobial Stewardship Team

Kevin Afra
Medical Director, Antimicrobial Stewardship Program

Vivian Leung
ASP Pharmacy Coordinator

Ivy Chow
ASP Pharmacist

Colin Lee
ASP Pharmacist

Tim Leung
ASP Pharmacist

Care and Discharge Planning (48/6)

Care & Discharge Planning (48/6) is a pro-active, integrated approach designed to prevent functional decline and in-hospital co-morbidity.  Consistent use of best practices in daily care and discharge planning is the most significant leverage point for improving flow and reducing hospital occupancy while improving the patient experience.   

What are the best practices in care and discharge planning?

  1. Timely, proactive and consistent screening and documented, goal-oriented care planning

  2. Supporting and promoting functional independence through Mobility Planning

  3. Use of patient bedside whiteboards to support 2-way communication with patients and families

    1. Ideally, an Estimated Discharge Date (EDD) is determined within 24 hours of admission as discharge planning begins at the time of admission.All admitted patients should have an EDD in place on both their care plans and bedside whiteboard within 48 hours of admission*

  4. Efficient, structured and effective patient rounds designed to ensure barriers to discharge are identified and allow patients to go home or to other care locations sooner. 

*For patients who do not have complicated health care needs, the Length of Stay Calculator (based on CIHI data, developed by Dr Spencer Lister) can be used.  Username: Web (No password required)

Most tools and processes have already been implemented to support best practices.

What is the purpose of the Pre-Admission Screening Questionnaire?

The Pre-Admission Screening Questionnaire helps the care team understand what the patient was like in the 6 key care areas 2 weeks prior to coming to the hospital. Knowing the pre hospital status of the patient is vital to care and discharge planning. Patient/family complete the screening questionnaire after a decision to admit has been made, within the first 48 hours of admission. The health care provider reviews the screening questionnaire, completes further assessment for areas of concern, and documents the issue and plan on the care plan.

  • Elective surgical patients complete the Patient Questionnaire (Adult) Pre-Surgical Health History form which includes the Pre-Admission Screening Questions.  
  • The revised Resident Transfer from Care Facility to Emergency Department form will support the transfer of information from residential care (RC) to acute care staff while ensuring 48/6 pre-admission screening is completed in a timely manner

 

What are the benefits for Physicians?

  • Increased efficiencies by providing more accurate and timely charting.  The Interprofessional Care and Discharge Plan is used by the entire health care team (including nursing staff, allied health and physicians) to document and communicate:

    • interventions/ actions required to address areas of concern/risk after screening and assessment are completed and

    • discharge needs and goals.

  • The goal is for all patients to have a care plan initiated within 48 hours of admission to hospital.

  • Improved communications and collaboration

  • Prepopulated care plan reference material aligned with established Pre Printed Orders (PPO), Clinical Decision Support Tools (CDST), and defined Care Pathways to inform evidenced based patient centred care plans

What are the benefits for Patients?

  • Improved quality and efficiencies in providing care

  • Reduced complications (eg. prevention of adverse medication-related events, decreased UTI rates, increased detection and treatment of delirium

  • Reduced length of stay

  • using standardized documents shared amongst all care teams improves patient transitions in care and decreases duplication

  • The use of patient bedside whiteboards engage patients and families in frequent, open transparent conversations which improve outcomes and satisfaction overall.

    • A highly visible EDD improves communication between care providers, the patient, and family members.

       

BreathWELL

BreatheWELL at Home is a service designed to help you gain more control over your chronic obstructive pulmonary disease (COPD) condition and its symptoms after you are discharged from hospital, or if you are having difficulties managing this condition at home.

Mental Health and Substance Use

Fraser Health provides a range of mental health and substance use services that stretch across the life span and care continuums starting from prevention and health promotion to specialized, intensive in-patient care.

The services include in-patient and outpatient, community and residential services and are organized in 7 client service streams:

  • Child, Youth and Young Adult
  • Adult
  • Community Residential Emergency Short Stay and Treatment
  • Geriatrics
  • Substance Use
  • Tertiary (intensive and specialized services)
  • Housing

As well as owned and operated services, Fraser Health contracts and partners with community agencies and other Ministries (i.e. Ministry of Children and Family Development and Ministry of Social Development) to provide services that complete and complement its own.

Resources

The PSP Mental Health Module-Making it Real algorithm guides primary care providers in their practice with MHSU clients. The algorithm contains:

  • screening tools
  • self-management tools
  • decision making tools on how to assess and refer to specialized services.

This algorithm has been further adapted into a specific FHA algorithm with expanded MHSU sections.

PSP Mental Health Module-Making it Real Algorithm

The Collaborative Care Process Map will help guide FH MHSU clinicians to work collaboratively with the client’s PCP throughout the client’s “Episode of Care” with MHSU services. The Collaborative Care Process Map applies to community mental health centre programs and specifically when a client is receiving care from both the centre and a PCP. It applies to the entire client journey including referral to the centre, intake, ongoing care, and transition/discharge.

Collaborative Care Process Map

GPSC Mental Health Initiative Billing Guide
Metabolic Monitoring
Related Links
GPSC Mental Health Initiative Billing Guide

MICY – infant feeding decisions form

Infant Feeding Discussion Points

Feeding your baby: information to help with decisions

 

The Feeding Your baby – Information to help with decisions resources are now available on the Fraser Health Patient Education Resource Catalogue at the links below.   If you have this document on the Fraser Health Pulse (intranet) or www.fraserhealth.ca, please replace the link with the link found below. This will connect directly with the Patient Education Resource Catalogue where you are able to place an order or print a copy on your printer.  Once you have updated the link to the one above you will never need to update your link on the Fraser Health Pulse (Intranet) or www.fraserhealth.ca since this link on the Patient Education Resource Catalogue will house the newest version.

English (catalogue # 264467): https://patienteduc.fraserhealth.ca/search/results/109080

Hindi (catalogue # 264520):  https://patienteduc.fraserhealth.ca/search/results/112122

Korean (catalogue # 264517):  https://patienteduc.fraserhealth.ca/search/results/112119

Persian (catalogue # 264518):  https://patienteduc.fraserhealth.ca/search/results/112120

Punjabi (catalogue # 264513):  https://patienteduc.fraserhealth.ca/search/results/112116

Vietnamese (catalogue # 264514):  https://patienteduc.fraserhealth.ca/search/results/112117

Chinese Simplified (catalogue # 264516):  https://patienteduc.fraserhealth.ca/search/results/112118

Chinese Traditional (catalogue # 264521):  https://patienteduc.fraserhealth.ca/search/results/120796

Filipino (catalogue # 264519):  https://patienteduc.fraserhealth.ca/search/results/112121

Library Services

Library Services offers many research tools and services.

Our Services

Fraser Health Library Services are available to all physicians & staff.

We provide article and book retrieval, literature searches, and research assistance.

We also provide access to medical databases, electronic apps such as UpToDate, & other resources. Library staff are also available for training and education in relation to our services.

Our Staff

There are five staffed libraries across Fraser Health Authority, as well as six unstaffed libraries.

We support all Fraser Health sites, be it hospital, community health location, or administration center.

Our Digital & Print Resources

Library Services provides access to almost 4,000 electronic journals to support your education, professional development, and patient care practice.

We also hold print collections of books and journals that are available for loan across all Fraser Health Authority.

Research Workshops

Library Tips & Tricks for Google

We all know how to “Google”, but are we really using the best techniques to save ourselves time and frustration?

This workshop will cover many of the hidden features, tools and functions of Google that are growing in number every day.
Come to learn the latest developments and to brush up on your internet searching skills.

**To participate in this course you must have Fraser Health log-in information**

Using Library Search Tools (Online) - Basic and Intermediate Levels

*Please note, these courses use sound. A private computer or headphones is recommended*

By the end of these online sessions, you will know how to:

Basic Level (30 Mins)

  • Find the library web pages on FH Pulse
  • Access research databases
  • Run searches using keywords
  • Find articles
  • Contact library staff

Intermediate Level (30 Mins)

  • Find appropriate subject headings
  • Combine subject headings and keywords to make complex searches
  • Narrow your search using limits
  • Find your article from a citation

To make sure that you can use all of the resources included in this course, please use a Fraser Health networked computer.

 

Library Services has scheduled workshops for both Fall and Spring.

Individual tutorials, library orientations, particular research topics, and smaller classes for your professional group are also available by request.

For current Department of Evaluation and Research Services Workshops, please go to https://ccrs.vch.ca/ and select Research Skills under Category.

Electronic Resources

Databases may contain citations and/or full-text articles. You can access full-text articles through the following Fraser Health subscription (secured) databases and free online databases. * Passwords are needed to remotely access secured databases . To access databases from your home or off-site office, contact the librarian in your area to get a username and password.

A-Z Online Journals

EBSCO A-to-Z® is a locator tool listing all of a e-HLbc's e-resources, including e-journals, titles in full-text databases, publisher packages, etc. The easy-to-navigate, searchable list of journals allows end users to quickly find any journal or resource, even those buried in a database.

Biomedical Reference Collection

Full-text journals covering such disciplines as clinical medicine, nursing, dentistry, veterinary medicine, pre-clinical sciences and the health care system.

CINAHL

CINAHL® with Full Text provides indexing for 2,818 journals from the fields of nursing and allied health. All journals in this collection are selectively indexed in CINAHL. CINAHL Select has been added to all customers who subscribe to CINAHL with Full Text providing cover-to-cover full text for the journals that are indexed selectively in CINAHL with Full Text.

Cochrane Systematic Reviews

Cochrane Database of Systematic Reviews is one of the most important databases in evidence-based medicine. It is on par with MEDLINE in the view of many and provides quick access to the systematic reviews of randomized controlled trials (RCTs) undertaken by the international Cochrane Collaboration. Its strength is providing easy access to RCTs that deal with drugs, interventions and therapies.

EMBASE

EMBASE - the Excerpta Medica database - is an international (but European focused) biomedical and pharmacological database that provides access to the most up-to-date information about medical and drug-related subjects. Comprehensive inclusion of drug-related information makes EMBASE particularly valuable, with coverage of 5,000+ biomedical journals from 70 countries.

Evidence-Based Medicine Reviews (EBMR)

EBMR, a definitive resource in evidence based medicine, combines 7 of the most trusted EBM resources into one databases. Search all at once or separately.

HealthStar

A database that contains citations to the published literature on health services, technology, administration, and research. It focuses on both the clinical and non-clinical aspects of health care delivery.

King Guide to Parenteral Admixtures

Provides up-to-date, complete and innovative injectable drug compatibility and stability information. As a 'standard' reference in hospital pharmacy worldwide, the King Guide is a proven, authoritative resource for pharmacists, nurses, physicians and other practitioners involved in the preparation and administration of intravenous drugs.

LexiComp

Concise and in-depth clinical content allows pharmacists, physicians and nurses to find answers quickly and efficiently while making safer medication decisions.

Medline (Ovid) & Medline (EBSCO)

MEDLINE® (Medical Literature Analysis and Retrieval System Online) is the U.S. National Library of Medicine's® (NLM) premier bibliographic database that contains approximately 12 million references to journal articles in life sciences with a concentration on biomedicine. Articles cover topics in medicine, nursing, dentistry, veterinary medicine, the health care system, pre-clinical sciences, and much more.

Both links connect to the MEDLINE database, under the different search platforms of EBSCO and Ovid.

PsycARTICLES

Full-text articles in general psychology and specialized, basic, applied, clinical and theoretical research psychology, as well as psychiatry.

PsycINFO

The PsycINFO database contains almost 2 million references to psychological literature from 1887 to present, from journal articles, books, book chapters, technical reports, and dissertations.

UpToDate

Accessible from home and mobile devices once account is set up. Contact library staff for assistance.

UpToDate covers more than 7,400 topics in 13 medical specialties and includes more than 76,000 pages of text, graphics, links to Medline abstracts, more than 254,000 references, and a drug database. Physician editors and authors review and update the content continuously. An updated version of UpToDate is released every four months.

ERIC 

The Education Resources Information Center (ERIC), sponsored by the Institute of Education Sciences (IES) of the U.S. Department of Education, produces the world's premier database of journal and non-journal education literature. Search the ERIC bibliographic database of more than 1.1 million citations going back to 1966.

Google Scholar

Google Scholar provides a simple way to broadly search for scholarly literature.You can search across many disciplines and sources: peer-reviewed papers, theses, books, abstracts and articles, from academic publishers, professional societies, preprint repositories, universities and other scholarly organizations.

Health Services/Technology Assesment Text (HSTAT)

Health Services Technology Assessment Texts (HSTAT) is a full text database of guidelines, technology assessments and evidence-based medicine reports developed by the United States National Library of Medicine (NLM).

International Bibliographic Information on Dietary Supplements (IBIDS)

The IBIDS database provides access to bibliographic citations and abstracts from published, international, and scientific literature on dietary supplements. IBIDS is a collaboration between two US government agencies: the Office of Dietary Supplements of the National Institutes of Health, and the Food and Nutrition Information Center (FNIC) of the United States Department of Agriculture's (USDA) National Agricultural Library (NAL).

MedlinePlus

MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations. Preformulated MEDLINE searches are included in MedlinePlus and give easy access to medical journal articles. MedlinePlus also has extensive information about drugs, an illustrated medical encyclopedia, interactive patient tutorials, and latest health news.

Merck Manuals Online Medical Library

The Merck Manual of Diagnosis and Therapy covers all the subjects expected in a textbook of internal medicine as well as detailed information on pediatrics, psychiatry, obstetrics, gynecology, dermatology, pharmacology, ophthalmology, otolaryngology, and a number of special subjects.

Online Mendelian Inheritance in Man (OMIM)

A catalog of human genes and genetic disorders authored and edited by Dr. Victor A. McKusick and his colleagues at Johns Hopkins and elsewhere, and developed for theWWW by NCBI, the National Center for Biotechnology Information. The database contains textual information and references, as well as links to MEDLINE and sequence records in the Entrez system, and links to additional related resources at NCBI and elsewhere. OMIM is intended for use primarily by physicians and other professionals concerned with genetic disorders, by genetics researchers, and by advanced students in science and medicine.

PubMed

This is an excellent free version of Medline from the U.S.National Library of Medicine.

REHABDATA

The database covers documents describing physical, mental, and psychiatric disabilities, independent living, vocational rehabilitation, special education, assistive technology, law, employment, and other issues as they relate to people with disabilities. Published by the National Rehabilitation Center.

TOXNET

TOXNET (TOXicology Data NETwork) is a cluster of databases covering toxicology, hazardous chemicals, environmental health and related areas. Published by the U.S. National Library of Medicine.

Contact a Librarian

Jim Pattison Outpatient Care & Surgery Centre

JPOCSC-(1).jpg

The Jim Pattison Outpatient Care and Surgery Centre (located in Surrey, BC) offers a one-stop approach to outpatient care. We offer day surgery and diagnostics, with specialty services and community health clinics, all under one roof.

Many of our programs and services are accepting GP or specialist physician referrals within the Surrey and Fraser Health region.

If you currently refer to a program that is moving from Surrey Memorial Hospital to the Outpatient Centre make sure you have current location details and referral forms for those programs.

The Service Overview & Phone Directory provides details regarding the programs and clinics that are operating in the Outpatient Centre including their hours of operation and contact information.

This integrated and seamless network of health care services is working to create better health in our communities. 

Physician Orientation Checklist

What your clients can expect:

  • Over 50 new and enhanced clinics and programs with patient centred care
  • Streamlined care for outpatients
  • Faster diagnosis and reduced wait-times
  • State-of-the-art equipment and technology
  • Easy access from transit.
  • Onsite parking.
  • Accessible for people with disabilities
  • Primary care follow-up for Surrey patients without a family physician
  • Chronic disease management for patients with multiple co-morbidities
  • Healing environment, with natural light and views
  • On-site lab, medical imaging and clinical pharmacy
  • Patient access to a retail pharmacy on site

OutPatient Centre Orientation

 

All physicians who are, or will be, practising out of the Jim Pattison Outpatient Care & Surgery Centre are required to undertake a general site orientation of the facility and the computer systems in use at the Centre in addition to the general Fraser Health Physician Orientation course.

 

Site Orientation

A series of video and written information posted on the FHA intranet site, FHPulse (FHA login required). If you're offsite, log on to FHAnywhere and review the JPOCSC site page at Home > Hospitals, Buildings and Offices > Hospitals Directory > Jim Pattison Outpatient Care and Surgery Centre.

Education

If you're offsite, log on to FHAnywhere and review the Additional Education and Training Resources for the Pattison Outpatient Centre at Home > Education and Professional Development > Site Education/Orientation > Jim Pattison Outpatient Care and Surgery Centre > Technology Training Resources.

Smart Card

Get your Smart Card. Smart Cards are needed to operate the new Thin-Client workstations at JPOCSC.

Frequently Asked Questions

Review the Frequently Asked Questions

Centralized Intake Referral Forms

JPOCSC/SMH Medical Outpatient Referral is a streamlined and standardized referral and intake process for clinics and services at JPOCSC and SMH.  This will improve operational efficiency and optimize the utilization of services and space within these facilities.

The Clinics included are Anticoagulation Management Clinic, Home IV Therapy, Infectious Disease Rapid Access Clinic, Internal Medicine Rapid Access Clinic (located at SMH), Medical Day Care, Outpatient Antibiotic Therapy (OPAT) Clinic, Regional Sleep Lab, Subcutaneous Immune Globulin (SCIG) and C1-Esterase Inhibitor Home Infusion (C1 INH) Clinic.

To access these services, the appropriate referral form must be filled out, signed and faxed to:

Central Intake at 604-953-9701.

Incomplete referral forms will be rejected and returned to sender.

Home IV Therapy and OPAT are internal referrals only.

JPOCSC Clinics & Services

This is a listing of the Clinics and Services at JPOCSC.  Referral, booking and requisition forms are available though the FORMS section on this site.

Ambulatory Procedures

  • Surgical Ambulatory procedures are booked by surgeons and physicians based on the Ambulatory Booking guidelines. Same-day scheduled surgical procedures. Services include urology, plastics, ENT, orthopaedics, gynecology, thoracics, gastroenterology and general surgery.

Anticoagulation Management

Breast Health

Accepting referrals from GPs.

Patients are men and women within the Fraser Health Region.

This new clinic aims to diagnose women and men with a suspicion of breast cancer within 21 days. A triple assessment (mammogram and/or ultrasound, physical exam and tissue sample) can be done in 1 visit.

Cardiac Services & Heart Health

Accepting referrals from physicians for clinics and exercise classes; patients can self refer to education programs.

Patients from the Fraser Health Region.

An integrated clinic providing cardiac illness patients with specialized services, support and treatment. These include a Heart Function Clinic; Cardiac Rehabilitation and a Lipid Clinic.

Diabetes

A variety of specialists and educational services to assist diabetic patients with self-management.

HIV AIDs Hepatitis C (Positive Health Clinic)

Accepting referrals from physicians for Hep C and HIV.

Patients can self refer for HIV.

Patients are from the Fraser Health Region and include newly diagnosed HIV patients, repatriated patients back to FH to receive treatment for HIV, HAART and Non-HAART eligible, complex Hepatitis C cases and co-infected patients.

Fraser Health’s first comprehensive HIV/AIDs/Hepatitis C program operates Monday to Friday.

Laboratory Medicine

Will accept any physician authorized lab referral form.

A satellite lab to Surrey Memorial Hospital offering Level 1 chemistry, hematology, blood products and some pathology services. Other testing will be referred to the SMH lab.

To order requisition pads, please email: devena.steinmann@fraserhealth.ca

Respiratory Rehabilitation and Lung Health 

Accepting referrals from physicians for adult patients with chronic lung disease that is not well-managed.  Patients are from the Surrey area.  Services to help patients better manage chronic lung illness from diagnosis to rehabilitation. 

Lung Health Diagnostics

Accepting referrals from physicians for adult patients with chronic lung disease as well as specialized testing for pediatric patients from the Surrey area.

Lung function testing to help physicians and clinicians assess the extent of lung disease and to guide treatment or surgery options.

Medical Imaging

A centralized booking/scheduling location for all outpatient procedures for Surrey Memorial Hospital and the Outpatient Care and Surgery Centre. Procedures include, general Imaging, X-ray, MRI and CT scans, bone densitometry, fluoroscopy, interventional radiology, ultrasound, diagnostic and screening mammography, nuclear medicine, diagnostic cardiology, holter monitoring and stress testing to aid in diagnosing ailments.

Medical Day Care

A variety of client-centred services to support people with continuing health needs, who require medical care but not hospitalization.   Accepting referrals from physicians and specialists primarily in the Surrey catchment area. Services include: 

  • Antibiotic Therapy (OPAT) - Services patients in the Surrey catchment area, 19 years and over. 
  • Transfusion Therapy - Accepting referrals for unattached patients from the Surrey Memorial Hospital ER and from physicians with no hospital privileges.
  • Phlebotomy - Services patients in the Surrey catchment area.
  • Port a Cath - Services patients 16 years and over.
  • IV Therapy/Treatments

For more information call Centralized Intake at 604-953-9704

Neurology

Accepting referrals from anywhere in Fraser Health. Patients must be adults (17 or older), from the Fraser Health region, with acute and chronic neurological conditions. An outpatient clinic that provides assessment, diagnosis and treatment for people with neurological symptoms and conditions.

Orthopaedics Clinic & Plastics Surgery Clinic

A multi-disciplinary outpatient Orthopaedics Clinic and Plastics Surgery Clinic with a focus on post surgical follow-up and a comprehensive hand therapy program. Accepting patient referrals from anywhere in Fraser Health or other districts if they have been referred from another physician. Referrals can be made from plastic surgeons or GPs with SMH Hospital privileges.

Pain Clinic

Patients must be from Fraser Health Authority. Referees are Primary Care providers (GP/NP) and specialists from across Fraser Health. The first fully integrated pain clinic in British Columbia. A multidisciplinary team of health care professionals to help clients manage chronic pain to improve function, return to work and reduce their need for health care services.

Pre-Admission Clinic

Attending physicians refer patients pre-operatively to the Clinic. Referrals occur as part of the Fraser Health operating booking procedure. Once date of surgery is determined, the booking package is forwarded to the Pre-admission Clinic. Patients are screened prior to surgery, includes testing, assessment and anesthesiology consultation when required. This service also screens patients for non-emergency surgeries at Surrey Memorial Hospital.

Primary Care Clinic 

Accepting referrals from Surrey Memorial Hospital. Patients must be from the Surrey area and be unattached ER patients; unattached inpatients upon discharge; unattached perinatal patients or unattached youth clinic clients. Follow-up care is offered to clients who are without a family physician at our Primary Care Clinic.

Renal/Vascular Access

Accepting referrals from Nephrologists and/or Vascular Surgeons. GPs cannot refer directly. Patients must be from within the Fraser Health region. Surgical procedures for patients with kidney disease enabling them to receive hemodialysis treatment.

Specialized Seniors Clinic

Accepting referrals from Primary Care (Physician, Nurse Practitioner, Home Health, Acute Care). Patients must be frail seniors age 65 and older with complex health issues with one or more chronic illness. Accepting referrals from anywhere in the Fraser Health region. The clinic chosen should be the one closest to the patient’s home. Services to help seniors manage their complex health care needs to optimize quality of life, improve self-management of chronic conditions, maintain independence and to reduce the needs for emergency visits, hospitalization and residential care.

Surgical Procedures & Endoscopy

Surgical Ambulatory Daycare provides a range of same day procedures for patients including diagnostic and therapeutic endoscopy as well as surgical procedures not requiring general anaesthesia.

Urology

Referrals to the Urodynamics Clinic are by urologist, gynecologist, or uro-gynecologist. Stone Clinic referrals are post-ESWL. Continence Clinic referrals are open but complex patients may be referred via specialists. Patients are from the Fraser Health Region. The purpose is to establish an interdisciplinary comprehensive outpatient urology service that includes a number of integrated and coordinated components provided at the Outpatient Care and Surgery Centre.

Physician Office Integration

POI introduces secure, real-time transmission of patient information directly from the hospital to your EMR.

POI

Find out what’s happening with your patients when they visit the ER and/or are admitted to any of Fraser Health’s hospitals.

Clinical information like admission, discharge, labs, diagnostic imaging and health record reports is electronically delivered directly into your EMR, and updated automatically as it occurs.

When a patient visits a Fraser Health hospital, they identify their GP as the “Attending, Family, Admitting or Other Physician.” The patient’s laboratory, pathology, pharmacy and other results will then download directly into your EMR system at any hour:

  • Admissions (ADT) and Discharge
  • Nursing
  • Laboratory (LAB)
  • Imaging and Therapeutic Services (ITS)
  • Pharmacy
  • Microbiology
  • Blood Bank (BBK)
  • Pathology (PTH)

You don’t wait for results to be faxed, mailed or printed and placed into a chart by your office staff. Clinical reports show up automatically in your inbox, ready for review or action. You manage and can sort the report – for example by date, type, patient, or normal/abnormal condition - within the existing functionality of your EMR.

Save time and increase your practice efficiency

  • Clinical information is shared instantly and electronically instead of by paper and fax, eliminating the need to decipher handwriting or poor quality faxes.
  • Results are automatically attached to the patient’s chart and not dependent on human intervention during office hours, saving time and resources for you and your practice.

Enhance the safety and quality of patient care

  • Instantly builds a more comprehensive patient record to support clinical decision making.
  • Enhanced quality and timeliness of information can help you take action and make decisions more quickly as necessary.
  • Knowing what is going on with a hospitalized patient helps GPs become part of the integrated team, and able to support the continuity of care with greater ease.

Features of POI

  • Remote Access: you can access this information remotely from another location as with the other functions of your EMR.
  • Accuracy: Information is recorded digitally at source and sent electronically, preventing human error in transcription.
  • Utility: Data can be graphed, moved into flow sheets and forms, and searched. A patient summary can be printed.
  • Security: the system matches physician and patient IDs to avoid mismatches, and data are sent over a secure encrypted connection.

Cost and time involved, and support

  • There is no fee charged to physicians who subscribe to POI and no cost for data transmission. However, there may be costs associated with:
  • A simple visit by your IT person or EMR vendor to configure your EMR to link into POI
  • Cost for an EMR if you do not already have one. See below for options.
  • You will also need internet access and a dedicated static IP address which your IT person can set up.
  • Fraser Health is providing support teams for physicians who subscribe.
  • You will need to invest time to understand and decide how you want to view the information to get up and running.

Who is involved in POI?

  • POI is designed and built by Fraser Health, with 100% input by local family physicians.
  • Physicians groups from Chilliwack/Maple Ridge/Mission,along with Dr. David Page, Dr. Ken Burns and Dr. Peter Barnsdale have joined, evaluated and helped shape POI.
  • Leadership provided by Fraser Health Primary Health Care Program, led by Dr. John Hamilton
  • Fraser Health IT/IM department as the developers and support team
  • EMR Vendors are involved

Who Can Subscribe

POI is now available to all PROFILE users. Interfaces are under construction for other EMRs vendors including Med Access and Osler Systems Management. We’ll let you know as those are developed.

How to Subscribe 

Complete a subscription form which you can find on the right hand side. We will respond within 2 business days. You will need to sign a confidentiality agreement to acknowledge that patients’ privacy is protected after their information is downloaded to your EMR.

Physicians 

For all POI related questions and enquiries, please email us at POI_Info@fraserhealth.ca

Alternatively, you may also contact your EMR vendor.

EMR Vendors

If you are interested in developing for FHA POI solution, please email us at POI_Info@fraserhealth.ca

Technical Support

Physicians

If you are experiencing problems with the POI solution, please contact Fraser Health service desk at 604-585-5544. Support hours for POI is Monday – Friday (9am – 5pm). When calling the Service Desk, please do not provide any patient information as that is a violation of privacy policy.

Resources

Patient Education Catalogue

In this catalogue you will find patient education resources used by healthcare professionals in the Fraser Health Authority (FHA).

Soonest Surgery Tool

The Soonest Surgery Tool is a joint initiative of the Fraser Health Surgery Program, and PHSA’s Surgical Patient Registry and Performance Monitoring & Reporting programs.