Organization
This section provides information about the FHA Medical Staff Organization leadership structure, Job Descriptions, HAMAC and Physician Leadership Development.

Medical Leadership Job Descriptions

Please find below a listing of Medical Leadership Job Descriptions.

VP Medicine  - The Physician, appointed by the CEO, responsible for the coordination and direction of the activities of the Medical Staff in FHA.

Chief Medical Health Officer and VP Population Health - The Physician appointed by the CEO who is the authorized officer for public health legislation in FHA.

Medical Staff Organization Chart

See below for detailed Job Descriptions

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Medical Leadership vacancies

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HAMAC

Medical Advisory Committee

The Board of the Directors appoints a Medical Advisory Committee (MAC).

The MAC makes recommendations to the Board of Directors with respect to cancellation, suspension, restriction, non-renewal, or maintenance of the appointments and privileges of all members of the medical staff to practice within the facilities and programs operated by the Fraser Health Authority.

MAC provides advice to the Board of Directors and to the CEO on:
  • the provision of medical care within the facilities and programs operated by the Fraser Health Authority
  • the monitoring of the quality and effectiveness of medical care provided within the facilities and programs operated by the Fraser Health Authority
  • the adequacy of medical staff resources
  • the continuing education of the members of the medical staff
  • planning goals for meeting the medical care needs of the population served by the Fraser Health Authority
  • the availability and adequacy of resources to provide appropriate patient care in the Fraser Health Authority

Duties

  • the HAMAC recommends chairs and members of standing committees to the Board and HAMAC ensures these committees function effectively including recording minutes of meetings
  • the HAMAC makes recommendations to the Board of Directors on the development, maintenance and updating of medical staff rules, policies and procedures pertaining to medical care provided within facilities and programs operated by the Fraser Health Authority
  • the HAMAC advises on matters pertaining to clinical organization, medical technology, and other relevant medical administrative matters
  • the HAMAC reviews recommendations from the HAMAC Credentials and Privileges Committee concerning the appointment and review of medical staff members including the delineation of clinical and procedural privileges
  • the HAMAC makes recommendations to the Board of Directors concerning the appointment and review of medical staff
  • the HAMAC makes recommendations to the Board of Directors regarding disciplinary measures for violation of Bylaws, Rules or policies of the medical staff.
  • the HAMAC may require a member of the medical staff to appear before the committee whenever necessary to carry out its duties.
  • the HAMAC receives, reviews and provides advice on reports from quality review bodies and committees concerning the evaluation of the clinical practice of members of the medical staff
  • the HAMAC reviews recommendations concerning the establishment and maintenance of professional standards in programs funded and operated by the Health Authority in compliance with all relevant legislation, Bylaws, Rules, and policies of the medical staff
  • the HAMAC submits regular reports to the Board of Directors and the CEO on the quality, effectiveness and availability of medical care provided, in relation to professional standards, in facilities and programs operated by the Health Authority
  • the HAMAC makes recommendations where appropriate concerning the quality of medical care in the Health Authority
  • the HAMAC makes recommendations where appropriate concerning the availability and adequacy of resources to provide appropriate patient care in the Health Authority
  • the HAMAC reviews reports regarding human resource requirements required to meet the medical, dental, midwifery and nurse practitioner needs of the population served by the Fraser Health Authority and following the review provides advice to the Board of Directors and the CEO
  • the HAMAC reviews and reports on any concerns related to the professional and ethical conduct of physicians to the Board of Directors, and, where appropriate, reports those concerns to the appropriate regulatory College
  • the HAMAC advises on and assists with the development of formally structured ongoing programs in continuing medical education and orientation and refresher training of medical staff
  • the HAMAC advises on and assists with programs in continuing education of other health care providers in the facilities and programs operated by the Health Authority
  • the HAMAC advises on, and makes recommendations concerning, the teaching and research role of the health authority
  • the HAMAC advises on and assists with the development of formally structured ongoing programs in physician health and wellbeing

Composition

The membership of HAMAC shall be described in Medical Staff Rules, and shall include representation from the following areas:

  • members of the medical staff who have been appointed to medical leadership positions within the Health Authority
  • members of the medical staff who have been elected by the medical staff of the Health Authority
  • the Chief Medical Health Officer of the Health Authority
  • the Vice President Medicine of the Health Authority, who shall provide secretariat services to the HAMAC
  • the CEO of the Health Authority, who shall be a non-voting member
  • other senior administrative or medical staff of the Health Authority as appropriate, in a non-voting capacity

The Chair and Vice-Chair of the HAMAC are appointed by the Board of Directors after considering the recommendation of the HAMAC

The Chair and Vice-Chair of HAMAC will be selected from among the members of the Active Medical Staff.

The Chair of the HAMAC is appointed for a term of not more than three years and may be reappointed for up to three consecutive terms.

The Chair or Vice-Chair of HAMAC shall provide a report to the Board of Directors and to the CEO on a regular basis. The Chair or Vice-Chair of HAMAC shall attend meetings of the Board of Directors, and the appropriate committee of the Board, to participate in discussion pertaining to the purposes identified for the HAMAC under Purpose.

Quality Agenda

Health Authorities are responsible for ensuring the quality of care and services within their catchment area. The Board of Directors of the Health Authority is ultimately accountable for the quality of care in and provision of appropriate resources to the facilities and programs operated by the Health Authority. This includes having systems in place to monitor and report on the “quality agenda”. One important facet of the larger Fraser Health Authority (FHA) quality agenda is engagement of medical staff in quality management activity. It is important to recognize and understand how the interdependent relationships between the Board of Directors (of the HA), administration, medical staff, clinical staff and patients advances the quality agenda.

The Medical Staff in Quality Agenda

The FHA Medical Staff Organization exists as means for the Board to apply its statutory authority to all members of the medical, dental, midwifery and allied health professions who are granted permits by the Board to practice their disciplines within FHA, and to maintain and support the rights and privileges of the Medical Staff as provided herein.

The purpose of Medical Staff Organization is to:

  • ensure all members thereof are aligned with the FHA quality agenda - the provision of high quality patient care, and
  • provide advice to the Board in order to achieve the quality agenda and strategic directions of FHA.

HAMAC Representing the Medical Staff in the Quality Agenda

The Medical Staff Organization fulfils this purpose through the (Health Authority) Medical Advisory Committee (HAMAC). On behalf of the medical staff and through representation from the Regional (Medical) Departments, acute care sites and Medical Staff Associations, HAMAC is responsible to meet the statutory obligations of the Medical Staff Organization.

HAMAC is required to:

  • act in an advisory capacity to the FHA Board of Directors;
  • be accountable for the quality of medical care provided in the programs and facilities of FHA;
  • assist in providing adequate and appropriate documentation for the purpose of maintaining a health record for each patient;
  • participate in relevant activities such as: quality improvement; risk assessment and management; resource utilization; education and research; program development and evaluation; and
  • promote a high level of professional performance by medical staff.

Medical Committees

LOCAL SITE MHSU MEDICAL QUALITY COMMITTEES

  • Jim Pattison Outpatient Care and Surgical Centre
  • Delta Hospital
  • Abbotsford Regional Hospital
  • Burnaby Hospital
  • Chilliwack General Hospital
  • Peace Arch Hospital
  • Ridge Meadows Hospital/Surrey Memorial Hospital
  • Langley Memorial Hospital
  • Royal Columbian Hospital

REGIONAL DIVISION MEDICAL QUALITY COMMITTEES

Physician Leadership Development Concept Pathway

Proposed concept pathway for Physician Leadership Development

Contact Us

Medical Affairs Staff

Name Title Phone
Peter Owen Director, Medical Affairs 604-897-4043
Stuart Cohn Manager, Credentialing Systems 604-364-5625
Linda Chambers Admin Assist, PMD Maternal/Infant and RDH Obstetrics/Gynecology 604-587-4483 x765742
Alyssa Rutherford Admin Assist, Regional Departmentof Medicine and Hospitalists 604-587-4483 x767876

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