Healthy Living in the North

Moving and eating well on road trips

Lasalle Lake is pictured. There's a floating dock in the lake, and forest and mountains in the background.

The view of Lasalle Lake — a beautiful way to break up the trip between Prince George and Valemount!

Even though it feels like summer is flying by, it’s only mid-August, and there’s still plenty of summer-road-trip time before the weather turns! I love me a road trip: the conversation that arises from being in a car with someone for hours; the tunes and the awful, off-key karaoke; and all of the stops along the way!

Those stops are generally for any combination of food, scenery, or a bio-break, but there’s also a great health benefit. After hours of sitting, it’s important to move! The same concerns that you hear around sedentary workplaces and lifestyles apply to long-distance travel. While it’s great to get to your destination ASAP, sitting less and moving more is always a good choice.

Admittedly, I’m not great at making the kinds of stops that make for positive heath impacts, but my wife loves to get out and enjoy the scenery. Recently, before heading home to Prince George from Valemount, she asked a local if there was a good lake to stop at on our route home. He told us to check out Lasalle Lake, and it was gorgeous! On top of enjoying a stunning view, stopping gave us a chance to get some steps in (time that we counted towards the recommended 150 minutes of exercise per week), have a stretch, and take a swim before carrying on. That stop added a nice “bonus” memory to the trip too! And it was as easy as asking someone, followed by a quick search on Google Maps. Just remember to always choose a location that suits your fitness level.

I also find planning to stop at an outdoor location challenges us to pack a lunch in a cooler, which usually ends up being healthier than the fast food options on the side of the highway. We usually do sandwiches, but sometimes we treat ourselves to a little meat and cheese board (nom-nom-nom!). Regardless of how healthy we pack, we always feel less rushed and enjoy our food more when we’ve found a nice spot to relax. As the primary driver, I always feel more refreshed and in a better headspace for driving too.

Do you have a favourite place to stop between destinations? What’s in your picnic basket when you stop for lunch? Let me know in the comments below, and safe travels!

Mike Erickson

About Mike Erickson

Mike Erickson is the Communications Specialist, Content Development and Engagement at Northern Health, and has been with the organization since 2013. He grew up in the Lower Mainland and has called Prince George home since 2007. In his spare time, Mike enjoys spending time with friends and family, sports, reading, movies, and generally nerding out. He loves the slower pace of life and lack of traffic in the North.

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InterAGE – A unique project brings students and seniors together at Gateway Lodge Assisted Living

Zach, a young man, plays cards with five seniors.

Zach, a UNBC student, lived in Gateway Lodge as part of the InterAGE Project.

University students are calling a seniors’ care facility “home” as part of an ongoing, experiential project that has set fertile ground for blossoming friendships, teachings, learnings, and research results.

The Intergenerational Activities for Growth and Engagement (InterAGE) Project was born when researchers at the University of Northern BC (UNBC) partnered with Northern Health, and a pilot project began in September 2018 with two UNBC students spending their Fall semester (four months) living in Gateway Lodge long-term care and assisted living facility in Prince George. As part of their full course load of university credits, the students enrolled in the experiential learning course, during which they were required to spend a minimum of 10 hours a week engaging in activities with the senior residents. The pilot project was a terrific success and has led to the continuation of the InterAGE Project.

“The students bring such a new and interesting perspective to our programming,” says Therapeutic Recreational Therapist Lynn Aucoin, describing the short- and long-term benefits of the project. “They’ve made great suggestions to augment what we offer, including adding more evening and weekend programming. I think the initiative is phenomenal!”

One of the first projects of its kind in Canada, InterAGE is compiling evidence-based results on intergenerational living. The research/experiential learning project is led by UNBC’s Dr. Shannon Freeman, Assistant Professor in the School of Nursing, and Prof. Dawn Hemingway, Associate Professor in the School of Social Work.

“The neat thing for me has been to observe the sharing between the students and the residents,” says Dawn. “The sharing of lifelong learning, with an open dialogue, in a class environment in a residential home. It’s been remarkable to see the exchange of ideas and experiences between the students and residents.”

Hemingway is referring to the weekly open class that is held in a bright and airy room at Gateway Lodge. Seated at tables in comfy chairs – sometimes with the fireplace on during Prince George’s chillier months – InterAGE students, any Gateway residents interested in participating, and guest speakers (including academics, professionals, and community members) gather to learn and discuss a wide variety of topics, such as:

  • Autonomy and risk.
  • Digital media and technology use to support well-being in later life.
  • Myths and stereotypes of aging.
  • Cognitive health in later life.
  • Grief, loss, and transitions.

The classes are held in a seminar style, supporting a safe environment for individual sharing and discourse.

“Going to the classes became one of the highlights of my week,” says Agnes, a Gateway resident who regularly attends the classes. “I’ve also had an opportunity to meet more of the other residents and also hang out with young people – it’s been great!”

Another Gateway resident, John, credits morning chats over coffee, and activities and games with helping him socialize more.

“[The lectures are] a really great learning experience. I learned that socializing and doing activities gets me out of my chair – it’s a really good thing.”

This project requires the trust and support of facility staff and leadership to succeed, and their impressions after the completion of an academic year are very positive.

Sandra Barnes, Manager of Residential Programs, oversees seniors’ programs and services in Prince George as a whole, including at Gateway Lodge. She sees the impact InterAGE is having at the service and individual levels as well. For Sandra, the students’ and seniors’ interactions are profound; as are the connections with the researchers and guest lecturers.

“We have new programs, new expertise informing our services – these relationships are so valuable,” says Sandra. “[This program] provides something unique. It’s different and innovative. We’re seeing new relationships develop among our residents as people from different aspects of care [and areas of the facility] gather to participate.”

Zachary Fleck recently took part in the Winter semester portion of InterAGE. Zachary is a third-year International Studies student who applied to participate in the program for the unique academic perspective. While he moved in anticipating the experiential learning, some of what he learned went well beyond scholarly pursuits.

“I’ve developed really meaningful relationships while I’ve been here,” says Zachary. “I’ve been able to create brand-new perspectives.”

The positive practical results of InterAGE’s pilot year may impact future planning for Prince George’s aging population as the program continues into the 2019-2020 academic year. Additionally, the project’s research outcomes will be shared among leaders in the long-term care field.

“When we started the project, it was the great unknown… would it work? Could it work?” muses Dr. Freeman. “With collaborative relationships, we’re able, as educators, to offer real experiential learning in this environment, and I value that so much. This is just the beginning. We’re continuing to learn and grow and recruit more students for the next semester!”

The success of the project, which brought young strangers into a seniors’ home, with all the potential worries and unknowns, can be summed up by one of the facility’s vibrant elders, ninety-two-year-old Rose.

“I noticed that Zach talked to everyone. And I’m thrilled to have lived this long, to see something so wonderful come to be. I said to Zach,” Rose says as she opens her hands in a welcoming gesture, “‘Come in, come in… you’re part of our family now.’”

UNBC students interested in participating in InterAGE or learning more about the project can contact either:

Andrea Palmer

About Andrea Palmer

Andrea Palmer is a Communications Advisor with the Health Promotions Team at Northern Health. Born and raised in southern B.C., Andrea now embraces the North in large part for all the fun, healthy activities and opportunities uniquely accessible in our region including snowboarding, cross-country skiing, outdoor skating, wild berry picking, hiking, canoeing/kayaking, fishing and the bracing experience of jogging in the snow!

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Sometimes you walk, sometimes you run, sometimes… you bounce!

Four women standing in workout attire in front of an inflatable part of the Bounce Run.

We did it! (L-R) Desa, Sandy, Bonnie and I took on the challenge of the 5K Mega Bounce Run, and what fun we had!

Have you ever watched people do crazy and fun things for physical activity and think, “Man, that would be so fun, I should do that!”… and then you chicken out? You chicken out because you think you can’t do it, because you might look or feel silly, or you’re not in good enough shape to do the whole thing? Me too!

That’s always me – or I should say, that was always me. But no more. When my good friend asked me and a few other women about the 5K Mega Bounce Run, I knew that I had to do it, and I wasn’t going to chicken out this time!

Up until the morning of this amazing 5K of bouncing, sliding, climbing, rolling, and oh so much laughing with three awesome women, I’ll admit, I was trying to find a way out. Thankfully, their enthusiasm and good nature convinced me to power through my cold feet, and I did.

Lorrelle and her friends running through an inflatable obstacle course at the Mega Bounce Run.

Lorrelle and her friends participating at the Mega Bounce Run.

Good exercise was just an added bonus. For me, this was about doing something new and fun as a team of women who work together every day. Busy as we are in our work and personal lives, we took the time to hang out and go crazy for two hours on a beautiful Saturday morning! (It took some more serious athletes much less time.) We stuck together, cheered each other on, and lifted each other up (literally, at times).

Sometimes getting out of your comfort zone is the best way to find out if you enjoy something new, especially when it comes to getting active! I know now that I’ll be looking for more goofy 5Ks to conquer with my pals.

Activities like this are contagious! Now, as my friend did for me, I’m encouraging our fellow employees to join our team of “Northern Stars” to come out and bounce through a 5K with us.

Thank you to my friend Desa for introducing me to this new addiction, and to Bonnie and Sandy for making it happen. Our team is looking for competition next year. Are you up for something new?

Until then…smile and bounce on.

Lorrelle Hall

About Lorrelle Hall

Born and raised in Prince George BC, Lorrelle loves her hometown and is proud to be a PG girl, through and through! She and husband Lyn have raised twin daughters, and love being active in the community. Lorrelle works as an Executive Assistant to the Northern Health Communications team, and works closely with the Hospital Auxiliaries and Foundations. When not at work, she loves to spend time with her kids, mother, many siblings, and friends! She loves to volunteer, and travel wherever the sun is shining!

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Cruisin’ Classics bring their car show to the residents at Gateway Lodge

Classic cars are parked in stalls. A group of elderly men admire another car as it drives past them.

The Cruisin’ Classics Auto Club brought memories, stories, and beautiful cars to the residents of Gateway Lodge in Prince George.

On June 14, members of the Cruisin’ Classics Auto Club brought their prized vehicles and many smiles to Gateway Lodge, a long-term care facility in Prince George.

Lynn AuCoin, Recreational Therapist in Complex Care shared how the event impacted the residents living at Gateway:

“This is something that the Cruisin’ Classic Auto Club has been doing for many, many years and is so well received by our residents and their families. Often, many of our residents are unable to attend the actual Father’s Day Show and Shine in the park and the generosity of the club to bring the cars out to the seniors and visit the various long-term care facilities is just amazing and so thoughtful!

A man stands in front of of four classic automobiles.

The classic cars, which ranged in year, model, and make, needed both sides of the parking lot.

“Our residents so look forward to making their way out into the parking lot to see the cars pull into the lot and visit with the owners. Often, there is much reminiscing during the event, as well as the lead up to the cars’ arrival and after they leave! Conversations can be heard about residents’ past vehicles that they owned, what they paid for it, what colour, where they bought it, road trips and so on.

“This year, I was overwhelmed with the number of cars that showed up and how the drivers and owners were thanking me for allowing them to bring their cars to Gateway. I was continuously saying, ‘No, thank you! You have no idea how special this is to our residents to have you bring your prized possession to us and share it with our residents!’”

Thank you to Cruisin’ Classics for bringing so much joy to the residents at our long-term care facilities!

Sanja Knezevic

About Sanja Knezevic

Sanja is a communications advisor with Northern Health’s medical affairs department and is based in Prince George. She moved to Canada in 1995 from former Yugoslavia to Fort Nelson where she lived for a few years before moving to Prince George in 2000. Sanja enjoys photography, curling up with a good book, cooking and spending time with her friends and family.

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One year later: the journey to create the UHNBC welcome sign and beyond

A picture of the welcome sign, which reads, "We welcome you to our traditional territory." The Lheidli T'enneh logo is in the bottom right. The image is of faceless-yet-friendly people, painted with bright, vibrant colours.

The Welcome Sign, first unveiled at UHNBC, recognizes and acknowledges that the hospital is on the traditional land of the Lheidli T’enneh, and welcomes people to it.

The winter of 2018 saw the unveiling of a special work of art that acknowledges the traditional territory of Lheidli T’enneh and welcomes Indigenous and non-Indigenous people to the University Hospital of Northern BC (UHNBC).

The vision for a welcome sign/art installation for UHNBC was born in 2015. UHNBC is located on Indian Reservation #1 (IR#1) and on the territory of the Lheidli T’enneh. So, it was decided that the sign should be an acknowledgement and welcoming to the Lheidli T’enneh territory, and that the sign would be in Carrier (the traditional language of the Lheidli T’enneh).

To begin this project, the PG and Area Aboriginal Health Improvement Committee (AHIC) created a sub-committee to lead and guide the project. With guidance from Lheidli T’enneh chief and council, the sub-committee began planning the steps to create an art installation that would be placed prominently in the hospital.

After a call for Indigenous artists was issued, Carla Joseph, a Métis artist, born in Prince George, with Cree roots in Green Lake, Saskatchewan, was selected to create the sign. Carla created the design with Darlene McIntosh and Mary Gouchie, two Lheidli T’enneh Elders.

“Painting the sign was a great opportunity for me,” says Carla. “I wanted to do a piece that represented community and family. [The people on the sign] have no faces to show that it can be anybody. Making time for each other is so very important. Being an artist, I know art can be healing and inspirational.”

The sign is intended to recognize and acknowledge Indigenous peoples in health care facilities and to acknowledge the traditional territory of the Lheidli T’enneh. It’s also an opportunity to offer a learning experience to non-Indigenous peoples entering the hospital.

The welcome sign was officially unveiled on February 23, 2018.

Over a year later, the sign has had a tremendous impact on patients and health care providers alike. Shortly after the unveiling, the PG and Area AHIC voted to purchase additional signs to be distributed in health care facilities across the city.

For patients who access multiple health care facilities in Prince George, the signs acknowledge Lheidli T’enneh territory, provide continuity, and prioritize cultural safety.

Here are some of the locations where you can find a welcome sign, along with community members’ thoughts about the impact they’ve had on each facility:

Positive Living North

“When I go to a location that has one of the welcome signs, I immediately feel more comfortable walking in as a stranger to provide presentations.” – Kyla Turner

The Welcome Sign hangs on a white wall that also features Northern BC locations written in an inter-linking pattern.

The Welcome Sign hangs at the BC Cancer Centre for the North.

BC Cancer Prince George Centre for the North

“The welcome sign helps to set the tone when you walk into the facility and shows that cultural safety is a priority. The sign also provides a sense of continuity of care as BC Cancer Centre is linked to the University Hospital of Northern BC, where the larger presentation of this artwork originates.” – Carolyn Jacob, practice leader, patient and family counselling, and Laura Nordin, Indigenous cancer care counsellor.

Aboriginal Housing Society

“The sign is a symbol of our relationship, acknowledging Lheidli T’enneh traditional territory, and that we are thankful as visitors that we can live in and do our work on Lheidli T’enneh territory.” – Christos Vardacostas

Two women are posing with the Welcome Sign.

Erin Anderlini and Maria Rossi pose with the welcome sign at Prince George Native Friendship Centre.

Prince George Native Friendship Centre

“This sign is very meaningful to us, as it represents our working relationship with Lheidli T’enneh, which, for me, has been fostered by being part of the AHIC.” – Erin Anderini

PG Divisions of Family Practice & Blue Pine Primary Health Care Clinic

“We have had many comments on how beautiful the ‘Welcome’ picture is. When I think of the meaning it brings to our clinic, the theme of beauty comes to mind. We are fortunate to walk on the land of the Lheidli T’enneh. The welcome is a reminder to be mindful and respectful of the people and land of this territory.” – Submitted as a group quote.

Foundry Prince George

“The sign speaks to the importance of holding, in the work that we do, the history of this community and honoring territory. It brings forward agendas that bring healing. There is also a continuity from the bigger sign in the hospital – and people recognize that.” – Toni Carlton

Shelby Petersen

About Shelby Petersen

Shelby is the Web Services Coordinator with Indigenous Health. Shelby has over five years of experience working in content development and digital marketing. After graduating with a degree in Political Science from UNBC, Shelby moved to Vancouver where she pursued a career in digital marketing. Most recently, Shelby was the Senior Content Developer and Project Manager with a digital advertising agency in Vancouver, British Columbia. Born and raised in Prince George, Shelby is thrilled to be back in the community and spending time outside enjoying everything that the North has to offer.

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The CNC Health and Wellness Centre: providing medical care to students, staff, and faculty

Behind a desk, one woman sits at a computer while another woman stands behind her, looking over her shoulder.

L-R: CNC Health and Wellness Centre Clinic Counsellor, Lacy Chabot and Medical Office Assistant, Connie Kragt reviewing the centre’s schedule.

Nestled by the dental wing, in the back corner of the College of New Caledonia’s (CNC) Prince George campus, is the Health and Wellness Centre. This inviting space is home to a medical office assistant, counsellor, physician, and two nurse practitioners. They offer medical care to students, staff, and faculty who walk through their doors.

Cheryl Dussault, a nurse practitioner, is one of the dedicated staff working at the centre.

“We provide the basic services required to meet our clients’ everyday health care needs,” says Cheryl. “Our focus is on health promotion, preventing illness, and managing chronic conditions. We have a counsellor on the team to provide mental health support to students.”

General practice physician Dr. Heather Smith is at the centre half a day per week.

“We are more than birth control, STI testing, and mental health services,” says Dr. Smith. “We deal with complex medical conditions including strokes, heart attacks, and neurological disorders. We are a full-service family practice with the same skills and abilities as other clinics.”

A team approach offers the right care by the right provider. Staff at the clinic work with other health care providers and the CNC community. This ensures students receive the appropriate care and contributes to student success.

The centre operates as a partnership between CNC and Northern Health. For more information on the CNC Health and Wellness Centre, visit their website.

Tamara Reichert

About Tamara Reichert

Tamara is the communications advisor for the innovation and development commons at Northern Health where she works on a number of projects with the research, quality improvement, clinical simulation, and education teams. Born and raised in Prince George, Tamara grew up on a ranch where she rode horses, played with farm animals, built forts, and raided the family garden. She enjoys spending time travelling, hiking, cooking, reading, and cheering for her favourite sports teams.

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Lisa Davison: Community Health Star

The Northern Health Community Health Stars program shines a light on community members across Northern BC who are doing exceptional work, on their own time, to promote health and wellness in their community. One such person is Lisa Davison, a trail blazer in Prince George for the sport of badminton! Here’s her story.

Lisa tosses a birdie in a gymnasium as a group of young students watches.

Coach Lisa working with students.

Congratulations! You were nominated to be a Community Health Star by Vanessa Carlson! What’s your connection with Vanessa?

Vanessa is a past player in PG’s annual event, and now a friend, who lived in Watson Lake! For about six or seven years, her father would have her and her brother, Jason, come down to our camps and tournaments. I was in contact with the Carlsons on and off during those years, and eventually her father asked me to lead a camp in the Yukon to help them prep for the 2011 Western Canada Summer Games. They flew me up and we held a camp for a week, it was really special.

After that, I saw her and the Yukon team in Kamloops, where I was actually the manager for the BC team. It was pretty funny to see their team (one I had just trained and gotten close with) play, as I managed the BC team. The camaraderie was really great.

Why do you think Vanessa nominated you? What does it feel like to get that sort of recognition from a peer?

It feels amazing to be nominated, especially by Vanessa because she and her family are such amazing people – they’re a really neat bunch.

We keep in touch on Facebook but honestly, this is sort of out of the blue! Vanessa has always been very appreciative of me trying to grow the sport, [telling me], “You’re such an amazing supporter of badminton, way to go!” I’ve always enjoyed hearing that, because I know she’s being sincere, and it’s gratifying to be recognized for something that I’ve put a lot of time and effort into. She was one of the first people to connect with me after I broke the news that I had decided to hang up my high school coaching hat after 16 years, and she was one of the first to congratulate me on winning the Sport BC Community Sport Hero Award.

When you do a lot of volunteer work, you do it for the love of the sport, the kids, and to grow the game. And then, when you feel like “Ahh, I’m going to turn it in…” something amazing happens. A kid sees the light at the end of the tunnel, or you get a Vanessa that says, “Good job!” It keeps sparking you.

On a podium, several people high-five, while two young women hold a plaque.

Lisa and others celebrate a victory.

How did you get into badminton?

Well, that’s a funny story… I was in grade 9 at Kelly Road Secondary School in Prince George, and in the fall my friends kept disappearing after classes. When I asked them what they were up to, they told me that they were playing badminton, and that there was a tournament coming up at the end of the month and, “You should come play.”

I actually had never played badminton before – not even in the backyard! I wound up playing in the tournament and absolutely loved it. So from grade 10 and on, that was it. I was all in on badminton.

What made you want to coach and where did you start?

I was working at Prince George Secondary School in 1993, and I got a phone call from a parent [of a student] who lived in Fort St. John. She mentioned that she’d heard I might be interested in coaching badminton. At that point, I had helped out in some P.E. classes, had some drop-in after school practices here and there, so somewhere someone had made the connection between me and badminton, but I had never coached anyone. I informed the caller that I had no coaching certificates, but I’d give it a try. I had some skills that I could pass on, but I recognized that there was a lot more I had to learn from a coaching perspective.

That student was the start of my coaching life, and I knew that to help him more, I had to learn more. I took communication courses at the college, gradually started setting up classes, and my coaching career grew from there!

How did you start the North Central Badminton Academy in Prince George?

Some years into coaching high school, I started to notice that players quit after they graduated, because there was nowhere to continue competing. In 2000, I started coaching at Heather Park Middle School and some of the grade 8s were able to participate in the high school season at Kelly Road. It was noticeable that many kids were disappointed there was no badminton after the high school season. They had nowhere to practice or continue competing.

I had no idea what to do or how to do it, so I called Badminton BC, and told them that I wanted to start something. After that call, I began to organize visits from high level coaches that lived elsewhere, put on tournaments, and train groups of students. The North Central Badminton Academy was born and I have been happy to see it grow ever since.

Vanessa mentioned that you’ve developed a program that caters to all members of the community, regardless of experience/fitness levels and age. Tell us about that.

There are so many facets to badminton, and it plays into how someone can organize players and create a program that everyone has a place in. There’s the hand-eye component, the physical component, the game sense, and, of course, their age!

I found I had to create beginner programs, intermediate programs, high performance or development squad programs, but also programs for girls and ladies only, and para-athletes. I really enjoy the long term athlete development, and when you have each of these programs running, you get to see players grow, which is awesome.

Any plans for the immediate future?

I would love to take a group to Denmark. There’s amazing badminton over there, and it would be my total coup de grace as I slow things down!

Prince George is also hosting the 2020 Canadian Masters Badminton Championship, which will be great for the sport in Northern BC. I’m not very good at staying stagnant, there’s always pieces in motion! 

Congratulations Lisa!

Thank you Lisa! For all the countless hours of volunteering, and the energy you’ve put into growing the sport of badminton, Northern Health recognizes your efforts and commends you for getting the north moving with the sport of badminton. You truly are a Community Health Star!

To nominate a Community Health Star in your community, visit the Northern Health Community Health Stars page today!

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Shared electronic medical record leads to better outcomes for Northern BC patients

Editor’s note: A condensed version of this story appeared on page 24 of the May 2019 issue of Canadian Healthcare Technology.

Dr Clifford and Alyssa posing together in front of a computer monitor.

Working together to design MOIS enhancements: Dr. Bill Clifford, Chief Medical Information Officer, Northern Health, and Alyssa Halliwell, Director – Support and Services, Applied Informatics for Health Society (AIHS). Photo by Darren Smit, smit,photography

Imagine being in charge of the health and wellness of 300,000 people scattered over a wild and remote area the size of France, where there’s one bear for every two people, ten-hour drives between communities are the norm, and winter brings temperatures of -20 C or below.

This is the challenge faced by Northern Health (NH), the organization responsible for providing health care in Northern British Columbia.

However, thanks to a new shared electronic medical record (EMR), health care providers in parts of Northern BC can now easily access the most up-to-date information about their patients at any time of the day or night, enabling them to provide better care.

The EMR in question is MOIS® (Medical Office Information System), developed in 1990 by Dr. Bill Clifford of Prince George, BC.

More than 11 years ago, Dr. Clifford selflessly donated the software to a not-for-profit, and now MOIS® is owned, collaboratively developed, administered, and licensed by the Applied Informatics for Health Society (AIHS). AIHS has been working with Northern Health ever since.

Recently, AIHS and Northern Health won the Technology in Healthcare Award at the 2019 Healthier You Awards in Prince George. AIHS and NH work together with health care providers to design and build a system capable of streamlining the often complex workflows involved in health care.

“We partner with Northern Health to improve efficiency and outcomes,” says AIHS CEO Bill Gordon.

“We’ve had a great partnership with AIHS for over a decade,” says Darren Ditto, NH Regional Manager, Clinical Applications & Specialty Care Solutions. “Things have changed and grown over the years, but what remains constant is that by working in partnership with our providers and AIHS, we collectively make MOIS® better able to serve our patients. Another huge benefit of AIHS is that they’re not-for-profit, so we can work on a system and not have to worry about the bottom line in deciding what features are included – it truly is for the good of the patient.”

Northern Health currently has several separate instances of the MOIS® EMR.

“We’re working with Northern Health to consolidate the instances and to reduce any barriers between health teams even more in an effort to provide the right information to the right people at the right time,” says Larry Chrobot, Senior Director at AIHS.

MOIS® functionality includes documenting and in many cases, electronically downloading, key elements of the patient medical record, including:

  • Encounter notes and measures
  • Prescriptions, long-term medications and labels
  • Health issues and rankings
  • Allergies and medication administration records
  • Past procedures
  • Diagnostic imaging reports
  • Consultation and referral reports
  • Patient preferences and care plans
  • Team-based communication, including EMR-to-EMR communication
  • Service documentation

Sharing this information between different members of the health care team is key in providing comprehensive, coordinated care.

MOIS® and Northern Health: Six stories of success

Headshot of a smiling Dr. Campbell.

Dr. Suzanne Campbell, a GP who works at the Omineca Medical Clinic in Vanderhoof.

Dr. Suzanne Campbell is a GP who works at the Omineca Medical Clinic in the small Northern BC farming community of Vanderhoof (pop. 4,439).

Northern Health is implementing changes to strengthen basic health care: they’re putting a model in place where an interprofessional team will support each physician’s or nurse practitioner’s office.

Depending on the size of the community, the interprofessional team can include nurses, physiotherapists, occupational therapists, social workers, and more. Dr. Campbell is an important part of the Vanderhoof interprofessional team: “While the patient has the most vested interest in their health outcome, the physician is the quarterback of team health care,” says Chrobot.

When the team began using the same MOIS® EMR, all team members, including Dr. Campbell, could view patient notes whenever needed, helping them provide continuous, coordinated care.

“The Omineca Medical Clinic in Vanderhoof was one of the very first clinics to put their hand up and ask for that integration in MOIS®,” says Chrobot. “They took that leap of faith in the pursuit of better patient outcomes. They were visionary, and one of the first in Northern BC to do that. For a clinic to take that on, that was tremendous.”

Below are six informal case studies highlighting the success of this new way of working, seen through the lens of this rural physician.

Checking in on a new mom’s challenges

Dr. Campbell’s patient Ashley[1] gave birth via c-section, returning afterwards to her remote rural home, where she struggles with cognitive challenges, as well as financial and transportation issues.

Dr. Campbell worried how Ashley would cope with a newborn, in addition to recovering from surgery, plus her other challenges. She feared that with Ashley’s transportation difficulties, it would be hard to provide the close monitoring and support she felt Ashely would need.

However, the interprofessional team was able to solve this communication problem using the shared MOIS® EMR: every time a nurse or community support worker visited Ashely at home, Dr. Campbell was immediately aware and could easily read their notes the same day. The team was able to support Ashley at home and minimize her travel. At the same time, Dr. Campbell was kept in the loop and was reassured that Ashley was recovering from her c-section, was coping with her other challenges, and that the baby was thriving.

Helping a senior stay out of hospital

Dorothy, a 90-year-old Vanderhoof resident, was clear about her priority to avoid spending time in hospital. She wanted to remain at home as much as possible, even though her health was declining. When she developed pneumonia and congestive heart failure, the interprofessional team was able to care for her at home thanks to daily nursing visits that were set up quickly with a simple message request through MOIS®.

The nurses who visited her each day recorded her vital signs and responses to treatment in the shared MOIS® chart, which Dr. Campbell could easily view. Dorothy also had a home visit from an occupational therapist, who arranged equipment to support her at home. As she responded to treatment, Dorothy’s nursing visits decreased as appropriate, to weekly, then monthly.

Throughout this time, the whole team, including nursing and occupational therapy, easily stayed up to date on Dorothy’s care because each member, including Dr. Campbell, was documenting their encounters with the patient in the same shared EMR.

Providing support after a fall

Debbie, 65, was recovering from a recent hip replacement when she fell and injured her knee. Dr. Campbell saw her in the emergency department on Friday afternoon and found that although Debbie wanted to be able to stay at home, her mobility and ability to look after herself were severely affected by both the hip surgery and new knee injury. To safely function at home over the next few weeks, she would need support and equipment from the interprofessional team in order.

Usually, in a rural area, someone like Debbie would have to spend the weekend in hospital while their doctor arranged the needed supports and ensured that everything was in place before discharge on Monday or Tuesday. Instead, Dr. Campbell was able to use the shared EMR to coordinate Debbie’s care. With a few messages sent through the EMR, she was able to confirm that the interprofessional team would see Debbie urgently on Monday, allowing her to feel comfortable about discharging this patient over the weekend.

On Monday morning, Dr. Campbell received a message in MOIS® to let her know that the team was looking after Debbie, and that the occupational therapist had already made a home visit that day. Because the team could communicate quickly and easily using the EMR, Debbie could avoid spending time in hospital.

Keeping everyone in the loop on a hospital readmission

Alyssa, a resident of Vanderhoof with multiple diseases and social challenges, had emergency abdominal surgery in nearby Prince George. Two days later, she was assumed to be stable enough to travel back to Vanderhoof and was discharged.

However, she quickly experienced complications and was readmitted to hospital in Vanderhoof for three days. Because of a delay in communication, Dr. Campbell didn’t know about Alyssa’s discharge and readmission.

The second time Alyssa was discharged, though, she was connected with the interprofessional team. The notes from this team in the shared chart now alerted Dr. Campbell that not only was Alyssa no longer in Prince George, but she’d suffered complications after her surgery and needed more support.

When Dr. Campbell discovered Alyssa was home, she also learned that the interprofessional team was already taking care of dressing changes and giving her the supports she needed. Although Dr. Campbell had been left out of the communication loop at first, she could easily see that Alyssa’s current needs were being met, because they’d been captured in the MOIS® EMR.

Heading off complications for an MS patient

Doris has severe multiple sclerosis, resulting in paralysis and many complications. With dedication and support from her husband, plus private home support, she’s able to live at home. However, she’s at a high risk of infection, and if she were admitted to hospital, this risk would significantly increase.

Doris lives in a rural area outside Vanderhoof. Dr. Campbell phones her regularly and makes occasional home visits. Recently, Doris was having some issues and it was important to determine whether she had an infection that needed treatment, or if it was something more complex.

Using the shared EMR in MOIS®, Dr. Campbell was able to connect with the nurse, who then made arrangements to visit Doris the next day. The nurse collected the necessary information and taught Doris’s husband how to provide the new care that his wife needed. This quick response helped to prevent unnecessary antibiotics, more complications, or a possible hospital admission for Doris.

Preparing for a difficult conversation

An oncology patient had an appointment to see a counsellor, but between the referral and the first appointment, her diagnosis sadly changed from hopeful to terminal.

Dr. Campbell was able to attend the daily meeting with the interprofessional team. This meant it was easy for her ask the counsellor to provide an update before the appointment that day. This direct conversation meant the counsellor was fully prepared going into the first support session with the patient.

Supporting a senior’s wish to die at home

Elaine, a 99-year-old Vanderhoof resident, wanted to die at home. She had significant medical problems, but was alert and could direct her own care and express her wishes. Elaine’s situation was complicated by the fact that she lived on a rural property many miles out of town.

Providing end-of-life care at home in a rural area is challenging because there’s limited medical home care available in the evening and on weekends. It’s only possible with a dedicated family and an excellent communication system.

The interprofessional team, including Dr. Campbell, regularly visited Elaine at home to look after her needs and keep her comfortable. All the team members charted their visits in MOIS® so they could stay updated in real time on any changes in Elaine’s needs and condition.

Eventually, Elaine’s life came to a peaceful end at home, according to her wishes.

Summary

To sum up, a shared electronic medical record in MOIS® benefits Northern BC patients in many ways. The fact that all members of the interprofessional care team can access the same information helps ensure coordinated care and leads to better outcomes for Northerners.

“AIHS and MOIS® for us means reliability, efficiency for our practice and organization,” says Dr. Cathy Textor, a family physician in Prince George, and the same is definitely true throughout Northern BC, including Vanderhoof and the Omineca Medical Clinic.

[1] All patient names and identifying details have been changed.

Bailee Denicola

About Bailee Denicola

Bailee is a communications advisor in the Primary Care Department and was born and raised in Prince George. She graduated from UNBC with an anthropology degree and loves exploring cultures and learning about people. When not at work, Bailee can be found hanging out with her dogs, building her house with her husband, or travelling the world.

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I came for… I stayed because… with Cathy Czechmeister

A young Cathy Czechmeister smiles in front of the camera, wearing a blue and white nursing uniform, including cap, from 1978.

Cathy in 1978 during her first year as a student nurse in the United Kingdom.

If you’ve been following this series, you’ll be familiar with the common theme I’ve uncovered among many Northern Health staff: many of them had planned to come to the North for a short time, but have stayed for a lot longer! Meet one such person: Cathy Czechmeister, Lead, Professional Practice Nursing, based in Prince George. Cathy is from Edinburgh, Scotland and came to Northern Health in 1992.

I came for…

We came to Prince George two weeks after my husband and I got married. He was a teacher and had just graduated from university. At that time, teaching jobs were few and far between. He applied to positions all over the world, and was fortunate to get a job in Prince George. I am a nurse and I had been working as an acute care head nurse in Scotland. We planned on staying for a year or two, then move on to somewhere else.

I stayed because…

My husband and I learned to love the North and all of the outdoor activities we have access to! I enjoy hiking and kayaking. As a family, we cross-country ski and one of our daughters has competed in biathlons. The quality of life is so fantastic here and you have more time for yourself and family.

Two women sit on a wood structure high atop a mountain. They are high above forest and a body of water in the distance.

Cathy and her daughter, Sophie, hiking Mount Pope near Fort St James.

After having children, we made more friends and became engaged in the community. We have found people to be very friendly. Plus, everything is so convenient. Since we have been in Prince George, the community has grown so much: we have a great university, cultural activities, shopping, and much more!

I’ve had lots of opportunities for growth and education. Throughout my time at Northern Health, I’ve held multiple positions in community care including team lead, manager, and educator. I don’t think I would have had the same career and leadership opportunities if I had lived somewhere else.

Tamara Reichert

About Tamara Reichert

Tamara is the communications advisor for the innovation and development commons at Northern Health where she works on a number of projects with the research, quality improvement, clinical simulation, and education teams. Born and raised in Prince George, Tamara grew up on a ranch where she rode horses, played with farm animals, built forts, and raided the family garden. She enjoys spending time travelling, hiking, cooking, reading, and cheering for her favourite sports teams.

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Meet our Northern biking champions: Laurel from Prince George

A woman wearing a bike helmet, perched on an orange bicycle, on a sidewalk downtown.

Laurel has been cycle commuting for about 13 years in multiple cities including Toronto, Vancouver, and now Prince George, with her trusty steed, Beatrice the Second.

For Bike to Work & School Week (May 27-June 2), we are featuring a number of community members who are champions for cycling, whether it be to work, school, or commuting around town.

Today we’ll meet Laurel Burton, Population Health Dietitian in Prince George.

Why do you bike to work?

So many reasons! But the most important reason is that it’s environmentally sustainable and helps reduce my carbon footprint.

What do you like most about biking?

It’s a great way to fit some physical activity in, and it makes getting active easier!

What do you think your community needs in order to make it easier for more people to bike to work or school?

A strong commitment from local municipality to promoting safer active transportation initiatives and improved active transportation infrastructure; having some roads that are car-free, especially downtown, while still ensuring infrastructure for vehicle parking.

Anything you’d like to share to encourage others to bike?

The best way to encourage people is to create an environment where it’s easier for people to bike. Considering our environment, air quality, etc., and looking for ways to make an impact is important.

***

Thanks, Laurel, for encouraging us to get out there on our bikes for the benefit of not only our own health, but also the environment!

Join the Bike to Work & School movement! Register today and log at least one ride (I bet you’ll want to ride more!) to win a cycling trip for two in the Prosecco Hills of Italy.

Gloria Fox

About Gloria Fox

Gloria Fox is the Regional Physical Activity Lead for Northern Health’s Population Health team. She is a graduate of the University of Alberta’s faculty of PE & Recreation, and until beginning this role has spent most of her career working as a Recreation Therapist with NH. She has a passion for helping others pursue an optimal leisure lifestyle and quality of life at all stages of their lives. In order to maintain her own health (and sanity), Gloria enjoys many outdoor activities, including hiking, camping, canoeing, and cycling, to name a few. She is a self-proclaimed foodie and her life’s ambition is to see as much of the world as possible.

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