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HomeMy WebLinkAbout2010-04-19 Workshop Meeting Agenda and Reports.pdfDistrict of Maple Ridge COUNCIL WORKSHOP AGENDA April 19, 2010 9:00 a.m. Blaney Room, 1st Floor, Municipal Hall The purpose of the Council Workshop is to review and discuss policies and other items of interest to Council. Although resolutions may be passed at this meeting, the intent is to make a consensus decision to send an item to Council for debate and vote or refer the item back to staff for more information or clarification. REMINDERS April 19, 2010 Closed Council cancelled Committee of the Whole Meeting 1:00 p.m. April 202010 Public Hearing 1. ADOPTION OF THE AGENDA 2. MINUTES - April 12, 2010 3. PRESENTATIONS AT THE REQUEST OF COUNCIL 4. UNFINISHED AND NEW BUSINESS 7:00 p.m. 4.1 Composting Food Waste & Recycling Update, Maple Ridge Recycling Society - Kim Day, Executive Director 4.2 Parks and Leisure Services Master Plan Update Report to be circulated separately. 4.3 Agricultural Land Conversion - Taxation and Development Cost Charges Discussion of proposed resolutions submitted by Councillor Hogarth Council Workshop April 19, 2010 Page 2 of 3 5. CORRESPONDENCE The following correspondence has been received and requires a response. Staff is seeking direction from Council on each item. Options that Council may consider include: a) Acknowledge receipt of correspondence and advise that no further action will be taken. b) Direct staff to prepare a report and recommendation regarding the subject matter. c) Forward the correspondence to a regular Council meeting for further discussion. d) Other. Once direction is given the appropriate response will be sent. 5.1 BC Coalition for Action on Alcohol Reform - Alcohol Reduction Strategy Letter dated April 1, 2010 from Lembi Buchanan, Chair, BC Coalition for Action on Alcohol Reform requesting support for an initiative to proposing an alcohol reduction strategy to the Provincial Government. 5.2 Government of British Columbia - Water Act Letter dated February 24, 2010 from John Slater, MLA Boundary-Similkameen, Parliamentary Secretary for Water Supply and Allocation requesting feedback on the document titled "British Columbia's Water Act Modernization Discussion Paper" as attached. (Verbal update) Forwarded from the April 12, 2010 Council Workshop Meeting 5.3 Acute Obstetrics and Paediatrics Service Reviews E-mail dated April 9, 2010 from Kathi Thompson, Municipal Relations Leader - Fraser Health providing summaries of service reviews for Obstetric (maternal and newborn) and Paediatric (children and youth) Services and offering to provide additional information if requested. 6. BRIEFING ON OTHER ITEMS OF INTEREST/QUESTIONS FROM COUNCIL 7. MATTERS DEEMED EXPEDIENT 8. ADJOURNMENT Checked b Date: O Council Workshop April 19, 2010 Page 3 of 3 Rules for Holding a Closed Meeting A part of a council meeting may be closed to the public if the subject matter being considered relates to one or more of the following: (a) personal information about an identifiable individual who holds or is being considered for a position as an officer, employee or agent of the municipality or another position appointed by the municipality; (b) personal information about an identifiable individual who is being considered for a municipal award or honour, or who has offered to provide a gift to the municipality on condition of anonymity; (c) labour relations or employee negotiations; (d) the securily of propert of the municipality; (e) the acquj�siLondlispositioRDr expropriation of land or im roveme ts, if the council considers that disclosure might reasonably be expected to harm the interests of the municipality; (f) law enforcement, if the council considers that disclosure might reasonably be expected to harm the conduct of an investigation under or enforcement of an enactment; (g) litigation or potential litigation affecting the municipality; (h) an administrative tribunal hearing or potential administrative tribunal hearing affecting the municipality, other than a hearing to be conducted by the council or a delegate of council (i) the receiving of advice that is subject to solicitor -client privilege, including communications necessary for that purpose; Q) information that is prohibited or information that if it were presented in a document would be prohibited from disclosure under section 21 of the Freedom of Information and Protection of Privacy Ad (k) negotiations and related discussions respecting the proposed provision of a municipal service that are at their preliminary stages and that, in the view of the council, could reasonably be expected to harm the interests of the municipality if they were held in public; (1) discussions with municipal officers and employees respecting municipal objectives, measures and progress reports for the purposes of preparing an annual report under section 98 [annual municipal report] (m) a matter that, under another enactment, is such that the public may be excluded from the meeting; (n) the consideration of whether a council meeting should be closed under a provision of this subsection of subsection (2) (o) the consideration of whether the authority under section 91(other persons attending closed meetings) should be exercised in relation to a council meeting. (p) information relating to local goveMLnent participation in provincial negotiations with First Nations, where an agreement provides that the information is to be kept confidential. AGRICULTURAL LAND CONVERSION RESERVE FUND - TAXATION BE IT RESOLVED THAT the District of Maple Ridge will set aside 5% of all tax money collected from lands that are removed from the Agricultural Land Reserve and converted to another use, which use increases the tax revenues to the District. This 5% will be based on the value of the land for taxation purposes prior to removal and the increase in value after conversion (the difference in value) which the additional tax revenue will be based on as well as the 5% reserve fund. These funds - "Agricultural Land Conversion Reserve Funds" will be kept in a separate account and will be utilized for promotion, production, purchase of agricultural lands - in trust research, agricultural infrastructure that encourages or promotes farming or assists in promoting best practices in farming. These funds may be used in conjunction with other funds or programs by other levels of government from time to time where these funds or programs meet the criteria as set out above. 43 DEVELOPMENT COST CHARGE - AGRICULTURAL LAND CONVERSION BE IT RESOLVED THAT the District of Maple Ridge will set aside 5% of Development Cost Charges collected from lands that are removed from the Agricultural Land Reserve and converted to another use, which use increases the Development Cost Charge revenues to the District that would otherwise not be received if the land remained in the Agricultural Land Reserve. These funds - "Agricultural Land Conversion Reserve Funds" will be kept in a separate account and will be utilized for promotion, production, purchase of agricultural lands - in trust research, agricultural infrastructure that encourages or promotes farming or assists in promoting best practices in farming. These funds may be used in conjunction with other funds or programs by other levels of government from time to time where these funds or programs meet the criteria as set out above. BC Coalition for Action on Alcohol Reform Lembi Buchanan 1701 Cedar Hill Cross Road Suite 609 Victoria, BC V8P 2P9 Tel: 778.430.9222 April 1, 2010 Mayor Ernie Daykin District of Maple Ridge 11995 Haney Place Maple Ridge, BC V2X 6A9 Dear Mayor Daykin: Rl gawm APR 0 7 2010 MAYOR GM oi:her A �-- Action - We are requesting support from the District of Maple Ridge for the recommendations made by the BC Coalition for Action on Alcohol Reform. This Coalition was created in response to the recently published report by the University of Victoria's Centre for Addictions BC, "Alcohol Pricing, Public Health and the HST: Proposed Incentives for BC Drinkers to Make Healthy Choices" as well as the Provincial Health Minister's (Dr. Perry Kendall) December 2008 report, "Public Health Approach to Alcohol Policy." I have enclosed information about our objectives and fact sheets outlining alcohol -related harms in the general population as well as our youth. The evidence is overwhelming that these reforms will reduce socio and economic harms of alcohol abuse, including domestic abuse, crime and fatal car crashes in our province. The BC RCMP reports that after 10 pm, one in ten drivers is impaired and one in three fatal car collisions involves an impaired driver. Unfortunately people of all ages consistently underestimate the extent to which alcohol impairs the brain's "executive functioning" (i.e. diminished ability to assess risks and consequences) despite being aware of alcohol affects others. The BC Coalition is not recommending tax increases across the board for all alcoholic products. instead, we are recommending that the government targets cheap, high -strength drinks for price increases (see attached Price and Alcohol Content Comparison) and creates incentives for producers, retailers and consumers, in turn, to manufacture, promote and drink low -alcohol content drinks. At the present time, the Vex — Hard Pick Lemonade with 7 per cent alcohol content does not comply with low -risk drinking guidelines since it is almost 40 per cent more harmful than the lower strength coolers available in our liquor stores. "The cooler illusion," that these drinks are only slightly more intoxicating than non-alcoholic drinks is a very dangerous strategy that is potentially very harmful to our young people, especially when the selling price is comparable to non-alcoholic drinks. 5.1 Dr. Kendall's study calls for a net 3 per cent reduction in price for low strength alcohol products, no price change for moderate strap th alcohol products which includes the majority of Canadian beers (5 per cent alcohol) and BC wines (12 per cent_a_lc_ohol) and a 3 per cent increase in high strength alcohol products which includes the 7 per cent coolers in the chart after the implementation of the HST. The measure is intended to help reduce the over -consumption of products with high alcohol content. Furthermore, setting minimum prices for drinks and indexing the price of alcohol to inflation will not have a significant impact on alcohol prices or sales at government or private liquor stores. Nor will these reforms have a negative effect on business in restaurants or bars. Setting minimum Pricing may actqgqy strap then the BC wine Indust b decreasingthe rice gap on wines produced in our province and cheaper imported wines. Saskatchewan is implementing changes to their pricing charges of alcoholic beverages to reflect the amount of alcohol in these products effective April 13`, 2010. All residents of British Columbia have a vested interest in a policy adopted by the government that will reduce harms caused by alcohol and save money. The shortfall between the annual direct costs associated with alcohol and the direct revenue from its sales and taxes was $196 million in 2003. As health care costs escalate, this gap will continue to increase unless we start focusing on reducing alcohol -related harms in our province. Regardless of growing concerns in some sectors about increasing regulation by the government of our alcohol policy, it is not acceptable for 2,000 BC residents to die every year because of the consequences of alcohol abuse. There is considerable interest in this initiative from the District of Chetwynd in northern BC to the City of Victoria in southern BC (see attached motion). A number of organizations, including the BC Alliance on Mental Health, Illness and Addictions, are also asking the government to take action to reduce alcohol -related harms in the interest of public health and safety. This Alliance is a 21-member coalition of health, social service and criminal justice organizations which include: the RCMP and the Vancouver Police Department as well as the Association of Substance Abuse Programs of BC, the BC Psychiatric and Psychological Associations. We are respectfully requesting that the District of Maple Ridge also supports this initiative by sending letters to the Provincial Ministers of Health, the Solicitor General, the Minister of Finance and Dr. Perry Kendall, asking them to exercise social responsibility by proposing new legislation to reduce the harms caused by alcohol abuse in our communities. Thank you for your consideration. Yours very truly, Lembi Buchanan Chair, BC Coalition for Action on Alcohol Reform Encl. There is an urgent need to reduce alcohol -related harms. The risks far out weigh the benefits. The human and economic costs are enormous. The shortfall between the annual direct costs associated with alcohol abuse and the direct revenue from its sales and taxes was $196 million in 2003. We are drinking more • Alcohol consumption has increased at a faster rate in BC than the rest of Canada. • The people of BC may smoke less but we drink more. Annually, we consume an average of 600 beers or 120 bottles of wine or 36 bottles (750 ml) of spirits per person. • BC has the second highest prevalence of alcohol dependence in Canada. Alcohol -related harms in BC are increasing The social harms associated with alcohol abuse include violence, sexual assault, crime, alcohol -involved traffic casualties. Excessive alcohol use can also have serious negative effects on work, study and relationships. Long-term alcohol abuse increases the risk of certain cancers, including beast cancer, liver disease, heart disease and stroke. The BC Coalition for Action on Alcohol Reform supports recent recommendations made by the University of Victoria's Centre for Addictions Research BC as well as the Provincial Health Officer in its 2008 report, "Public Health Approach to Alcohol Policy." We advocate that the Government of British Columbia implement the following: 1. Reduce the price of low alcohol content beverages and increase the price of high alcohol content beverages. drink, $1.50 in the liquor store and $3.00 in a bar 2. Set a minimum price per standard or restaurant. The minimum purchase price for a bottle of wine should be $7.80; $9.00 for a six-pack of beer and $26 for a bottle of vodka, gin or whiskey. 3. Tax wine and beer products sold at u-vin and u-brew outlets. 4. Index the price of alcohol to inflation. 5. Implement a small levy based on a standard drink and use the proceeds to enhance prevention, treatment and research. We need to do more than promote responsible drinking. We need to encourage politicians and policy -makers to adopt responsible pricing structures to lower the over -consumption of products with high alcohol content to help reduce the related harms. Alcoholic beverages should be taxed in relation to alcohol content. The introduction of the HST creates an excellent opportunity for the government to reform its pricing policies to reduce the harms caused by alcohol. 11 1 a 0 1 - I -• W" Did you know? • Residents of BC consume more than 1.4 billion standard drinks per year. • The annual cost of alcohol abuse in BC is $2.2 billion or $536 per person, the highest per capita cost in Canada. • Alcohol is often associated with violent crimes, including domestic abuse, sexual assaults, homicide and suicide. • Thirty per cent of all criminal activity is attributed to alcohol. • Alcohol contributes to a wide range of injuries including motor vehicle crashes, fires, falls and drownings. • One in 3 fatal car collisions involve an impaired driver. • After 10 pm, one in 10 drivers is impaired. • Hospital ER departments face an enormous burden from alcohol -related diseases and injuries. • As many as 60 diseases are adversely affected by heavy drinking since alcohol affects many of the organs in the body. • More than 50 per cent of people diagnosed with mental illness abuse alcohol and/or drugs. • Alcohol abuse often exacerbates symptoms or mental illness or triggers new symptoms. • Prenatal abuse of alcohol is the leading cause of birth defects including fetal alcohol syndrome. • Close to 30 per cent of males and 14 per cent of females report regularly drinking above low -risk guidelines (more than one or two standard drinks daily). • Risky alcohol use is common among under -age youth, with 25 per cent reporting binge drinking at least once a month. • Alcohol abuse is the leading cause of homelessness for persons with serious mental illness. • The average, annual cost of homelessness is $55,000 per person. BC COALTION FOR ACTION ON ALCOHOL REFORM Cheaper alcohol, longer bar hours and a rash of private liquor stores have led to higher alcohol consumption and binge -drinking among BC youths Did you know? • Alcohol is the number one drug of choice among our youth because many believe it is less harmful than drugs. • The average age when youth first try alcohol is 11 for boys and 13 for girls. • The younger a person begins using alcohol, the greater the chances of developing an alcohol or drug problem later in life. • Heavy drinking during adolescence harms both physical and mental development. • Risky alcohol use is common among under -age youth, with 25 per cent binge drinking at least once a month (i.e. five or more standard drinks on one occasion). • Adolescents aged 12 to 17 with severe emotional or behavioural problems are much more likely to be dependent on alcohol compared to others their age. • Regular heavy drinking is associated with academic failure, illicit drug use, tobacco use and harmful physical effects from hangovers to alcohol poisoning. • Many teenagers report that drinking has led them to become involved with dangerous behavior, property damage and/or violent incidents. More than half are intoxicated when they commit a crime for which they are serving time. • Canada's youth incarceration rate is among the highest in the Western world. Almost 80% arrive at a BC youth correctional facility with a substance abuse problem. • Motor vehicle crashes are the leading cause of death among youth ages 15 to 20 and alcohol is involved in more than half. • Alcohol abuse is also linked with youthful deaths by drowning, suicide, and homicide. • Alcohol abuse increases the risk of carrying out, or being a victim of, a physical or sexual assault. • Consuming alcohol in combination with other drugs, including over the counter or prescription drugs, is dangerous and can lead to an overdose and even death. • The prevalence of alcohol use and intoxication is even higher among street youth than the general youth population. Price and Alcohol Content Comparison: BC Liquor Stores In BC, 651 of the coolers contain 7% alcohol. Many are cheaper than lower -alcohol content coolers. Vex -Hard Pink Lemonade Woody's Pink Grapefruit Mike's Light Hard Lemonade 7 % alcohol 5.3 % alcohol 4.1 % alcohol $1.59 per bottle $2.38 per bottle $2.38 per bottle $9.55 for 6 x 341 ml bottles $9.50 for 4 x 330 ml bottles $9.50 for 4 x 330 ml bottles 19 grams of alcohol I bottle $1.14 per standard drink 14 grams of alcohol 1 bottle $2.22 per standard drink 11 grams of alcohol I bottle . $3.03 per standard drink Centre for Addictions Research of BC recommends a minimum price of $1.50 per standard drink of alcohol. Low -risk drinking guidelines Centre for Addictions Research of BC recommends no more than 4 standard drinks per day (20 per week) for men and 3 per day (10 per week) for women. One standard drink United Kingdom: 8 grams of pure alcohol Australian & New Zealand: 10 grams Canada: 13.6 grams United States: 14 grams Victoria, British Columbia February 4, .2010 .Motion to have mayor and council write a letter of support re: alcohol reduction strategy to the Provincial Government 1. Whereas: • Residents of BC consume more than 1.4 billion standard drinks per year. • The annual cost of alcohol abuse in BC is $2.2 billion or $536 per person, the highest per capita cost in Canada. • The government relies on its most vulnerable and high -risk drinkers to pay its bills. Twenty per cent of the drinking population consumes 73 per cent of the beer, wine and spirits sold in the province. Most of them would qualify for treatment. • Alcohol abuse is often associated with domestic abuse, crime and violence, including homicide and suicide. • Thirty per cent of all criminal activity is attributed to alcohol. • Every year, one in four of fatal motor vehicle accidents are alcohol -related. • Long-term alcohol abuse puts you at risk for developing a number of cancers, including breast cancer, as well as liver and heart disease. • More than 50 per cent of people diagnosed with mental illness abuse alcohol and/or drugs. • Alcohol abuse often exacerbates symptoms or mental illness or triggers new symptoms. • Prenatal abuse of alcohol is the leading cause of birth defects including fetal alcohol syndrome. • Close to 30 per cent of males and 14 per cent of females report regularly drinking above low - risk guidelines. • Risky alcohol use is fairly common among under -age youth, with 25 per cent reporting binge drinking at least once a month. • Alcohol abuse is the leading cause of homelessness for persons with serious mental illness. • The average, annual cost of homelessness is $55,000 per person. Let it be passed that in response to a request for a letter of support from the BC Coalition for Action on Alcohol Reform mayor and council send a letter to the Provincial Ministers of Health, the Solicitor General, Dr. Perry Kendall and VIHA supporting the following recommendations made by the Centre for Addictions Research of B.C. and Dr. Perry Kendall to reduce the public safety and health concerns associated with problematic alcohol use in our society: 1. Reduce the price of low alcohol content beverages and increase the price of high alcohol content beverages. 2. Set a minimum price per standard drink, $1.50 in the liquor store and $3.00 in a bar or restaurant. The minimum price for a bottle of wine would be $ 7.80; $9.00 for a six- pack of beer and $26 for a bottle of spirits. 3. Tax wine and beer products sold at u-vin and u-brew outlets. 4. Index the price of alcohol to inflation. 5. Implement a small Ievy based on standard drinks and use the proceeds to enhance prevention, treatment and research. Legislative Office East Annex, Parliament Buildings Victoria, B.C. V8V 1X4 Phone: 250 953-4869 Fax: 250 387-9091 Constituency Office 8312 — 74`h Avenue P.O. Box 1110 Osoyoos, B.C. VOH 1VO Phone: 250 495-2042 Toll -Free: 1 877 652-4304 Fax: 250 495-2077 e-mail: john.slater.mla@leg.bc.ca website: www.johnslatermla.bc.ca February 24, 2010 Province of British Columbia Legislative Assembly Dear Mayors, Councillors and Regional District Chairs: John Slater, M.L.A. Boundary Similkameen Parliamentary Secretary for Water Supply and Allocation In my letter to you dated December 17, 20091 informed you that the provincial government is planning to modernize the Water Act, a key commitment in Living Water Smart: British Columbia's Water Plan. To help address this challenge, the Province launched the Living Water Smart blog to encourage water stewardship, share ideas and support dialogue on modernizing the Water Act. To further stimulate discussion and encourage participation, I am pleased to provide you with the enclosed Water Act Modernization Discussion Paper. The discussion paper proposes principles, goals and objectives to guide the process of modernizing the Water Act. The document also presents possible solutions and options to help realize the proposed goals and objectives. The proposed solutions are a starting point for consideration and discussion and are intended to assist you in preparing a submission of suggestions or ideas for a modernized Water Act. The discussion paper will also help frame the upcoming series of Water Act modernization regional multi -stakeholder workshops that were recently announced. Further information on modernizing the Water Act, the discussion paper and regional workshops is available from the Living Water Smart website at: www.livingwatersmart.ca. I also encourage you to visit the blog at: http://blog.gov.bc.ca/livingwatersmart. I invite your feedback on all sections of the discussion paper and encourage your participation at the upcoming workshops. Your input will play an integral part of informing a modernized Water Act. 5.2 Sincerely, John Slater, MLA- Boundary-Similkameen Parliamentary Secretary for Water Supply and Allocation Enclosure: British Columbia's Water Act Modernization Discussion Paper cc: Honourable Bill Bennett, Minister of Community and Rural Development Gary MacIsaac, Executive Director, Union of British Columbia Municipalities From: Thompson, Kathi[Kathi.Thompson@fraserhealth.ca] Sent: Friday, April 09, 2010 1:09 PM To: Mayor Peter Fassbender; Mayor Rick Green; Catherine Ferguson; Mayor Sharon Gaetz; Ernie Daykin; Don Maclean; Mayor Richard Stewart; Mayor Greg Moore; Mayor Joe Trasolini; Ralph Drew; Mayor Hal Weinberg; Judy Dueck; Gerry. n utta ll@cityofportmoody.com; Forrestm @ portcoq u itlam.ca Cc: Debra Joyal; Cindy Savoy; Donna Obermeyer; Zoya Stoochnoff; Cheryl Ennis; Linda Kelly; ABrent@coquitlam.ca; Jane Williams; Diane Simmons; E Harron; Carmen Disiewich Subject: Acute Obstetrics & Paediatrics Service Reviews Your Worships and Councillors: Further to our quest to keep you informed, we would like to bring to the following to your attention. Fraser Health, in collaboration with nationally recognized experts, has recently completed Service Reviews of both its Obstetric (maternal and newborn) and Paediatric (children and youth) Services. The goal of these reviews was to identify opportunities to improve and build networks of safe, high quality, integrated and standardized services that are centered on the needs of these populations with a goal of improving health outcomes. As a result of the reviews, Fraser Health has received reports with findings and numerous recommendations. These recommendations are simply that, recommendations and are not action plans. No decisions have been made regarding changes to current obstetric and paediatric services provided across Fraser Health. The recommendations along with other factors will be taken into consideration by Fraser Health's Maternal, Infant, Child and Youth (MICY) leaders and teams (staff and physicians) as they develop short and long-term plans to shape their service networks over the next one to three years. Decisions regarding any changes will be made by these teams following extensive consultation, discussion and analysis of possibilities. Please find attached high-level summaries of both service reviews. If you would like further information about the reviews please don't hesitate to contact me. Regards, Kathi Kathi Thompson Municipal Relations Leader - Fraser Health Lower Mainland Communications & Public Affairs Fraser Health I Providence Health Care I Provincial Health Services Authority) Vancouver Coastal #300 - 10334 152A Street Surrey, B.C. V3R 7P8 office: 604-587-4609 mobile: 604-614-3584 fax: 604-587-4623 media pager: 604-450-7881 www.fraserhealth.ca This e-mail is intended only for the person(s) or entity to which it is addressed and may contain confidential information. Any review, distribution, copying, printing or other use of this e-mail by anyone other than the name recipient is prohibited. If you have received this e-mail in error or are not the named recipient, please notify the sender immediately and permanently delete this e- mail and all copies of it. Thank you. '�J April 7, 2010 Paediatrics Service Review — Report Findings and Next Steps Fraser Health in collaboration with two nationally recognized experts on paediatric care has recently completed a Service Review of its Paediatric (children and youth) Services. The review focused on quality and efficiency as well as how services are organized. Staff and physicians (paediatricians, surgeons, clinicians and selected management staff) both within and outside of Fraser Health (including BC Children's Hospital) were interviewed as part of the review. Evidence -based research and best practice formed the backdrop for the review of these services and outcomes. The Service Review Report identifies current opportunities for improved service efficiencies and effectiveness, as well as opportunities for supporting the creation of an integrated and sustainable Paediatric Service network that is centered on the needs of the children, youth and their families. Emphasis within the report centers on: • the transition from site -based management of Paediatric Services to the newly formed Maternal, Infant, Child and Youth (MICY) Program with a philosophy of care that embraces well -accepted principles of care and service delivery across acute and community sectors; • reconfiguration of Paediatric Services; • ensuring common standards of care, clinical expertise, equipment, etc; • building on the current range of services; • enhancing partnerships and relationships in regard to service delivery. The Service Review recommendations are not an action plan, but will be considered by Fraser Health's MICY Program leaders along with other factors as they develop short and long-term plans to shape the future network of Paediatric Services. Next Steps Following approval from the Fraser Health Board, Executive and Service Review Steering Committee, the regional Paediatric Program leaders will now consider the reviewers' recommendations from a regional perspective so to develop a plan for implementation in 2010 to achieve short-term goals as well as to develop a long-term plan to further shape the network. The short-term plan: over the next one to two months the MICY Program will begin the process to organize its service structure, identify priorities for initial and more immediate changes and develop its overarching vision. (The Service Review recommendations will be a part of the discussion during conferences that are open to all Paediatric team members to participate in and contribute to shaping a 3-year planning vision.) The long-term plan will be developed in accordance with the Program Management Model, Medical Governance, Patient Safety Review findings/recommendations and site decisions based on the hospital typology underway. It will be implemented over the next one to three years. fraserhealfh Questions and Answers Why did Fraser Health conduct this review? Fraser Health is committed to developing an integrated, standardized and sustainable network of Paediatric Services. As part of building this network, Fraser Health conducted a Service Review to assess its current Paediatric Services and obtain evidence -based options and recommendations to support: improved efficiencies and effectiveness; integration and standardization; excellence in quality and patient safety; improved health outcomes; and enhanced sustainability. Are the decisions regarding any changes to Paediatric Services being influenced by only the Service Review findings and recommendations? As well as this Service Review a number of other initiatives will contribute to shaping the future network of Paediatric Services: the Program Management and Medical Governance Models, other Service and Quality and Patient Safety Review findings and recommendations, and the hospital typology underway. Decisions will also align with care and service directional planning (primary care, community, transitional services and acute care). Who will be involved in decision -making regarding Paediatric Services for Fraser Health? Decisions will be made by Fraser Health's Executive and Maternal, Infant, Child and Youth Program leaders in consultation with key individuals working in Paediatric Services. BCCH will influence decision -making as we strive to further develop our provincial relationships. E.g. Fraser Health has partnered with BCCH in a joint Paediatric Emergency Services Review of ER services at Surrey Memorial Hospital and BCCH. There will also be a provincial perspective captured as part of the review. Will services be considered on a geographical basis or by population need? Decisions will be based on the needs of the population and how those needs can best be served in a high quality and safe integrated network of health services. Who will be involved in developing action plans and implementing changes? Key individuals from Fraser Health's Paediatric Services will work with Maternal, Infant, Child and Youth Program leaders on the development and implementation of both short and long-term plans. How soon could any changes come into effect? Over the next one to two months the Maternal, Infant, Child and Youth Program will begin the process to organize its service structure, identify priorities for initial and more immediate changes and develop its overarching vision. Once the long-term plan is developed, further changes will be phased in over the next one to three years. How will changes impact patients? Fraser Health is committed to ensuring children and youth can access safe, appropriate, high quality family -centered health services that are responsive to their comprehensive needs. Decisions around changes to Paediatric Services will focus on creating standardized services that are centered on the needs of this population with a goal of improving health outcomes. How will FH ensure the changes have been effective? A comprehensive evaluation process is critical to the success of program changes. We will be closely monitoring and evaluating changes made to identify any challenges, barriers to access for individuals across the health authority, negative impacts on patient outcomes, and opportunities to change to address these. For more information please contact: Rowena Rizzotti, Executive Director, Maternal, Infant, Child and Youth Services at rowena.rizzotti fraserhealth.ca fraserhealth April 7, 2010 Acute Obstetrics Service Review — Report Findings and Next Steps Fraser Health in collaboration with two nationally recognized experts on obstetrical care has recently completed a Service Review of its Acute Obstetric (maternal and newborn) Services. The review focused on quality and efficiency as well as on how services are organized. Staff and physicians (obstetricians, anesthetists, family physicians, midwives, clinicians and selected management staff), both within and outside of FH (including BC Women's Hospital) were interviewed as part of the review. Evidence -based research and best practice formed the backdrop for the review of these services and outcomes. The Service Review Report identifies current opportunities for improved service efficiencies and effectiveness, as well as opportunities for supporting the creation of an integrated and sustainable Obstetric Service network that is centered on the needs of expectant mothers and newborns. Emphasis within the report centers on: • the transition from site -based management of obstetric and newborn services to the newly formed Maternal, Infant, Child and Youth Program with a philosophy of care that embraces well -accepted principles of care and service delivery; • developing a standardized approach to care and service across all sites; • adopting a standardized care delivery model appropriate for each site dependent on the site's physical resources; • implementing standardized clinical policies and protocols at all sites to eliminate variation in care and service delivery; • configuration of birth sites in accordance with evidence -based appropriate volumes to achieve optimum efficiency and safe patient care for current (17,247 births of FH residents in 08/09) and future volumes (projected to 20,942 births for 2020) and hospital typology modeling (including hospital definitions, level of care, and hospital roles) currently being undertaken by Fraser Health. The Service Review recommendations are not an action plan, but will be considered by Fraser Health's Maternal, Infant, Child and Youth (MICY) Program leaders along with other factors as they develop short and long-term plans to shape the future network of Obstetric Services. Next Steps Following approval from the Fraser Health Board, Executive and Service Review Steering Committee, the regional Obstetrics Program leaders will now consider the reviewers' recommendations from a regional perspective so to develop a plan for implementation in 2010 to achieve short-term goals as well as to develop a long-term plan to further shape the network. The short-term plan: over the next one to two months the MICY Program will begin the process to organize its service structure, identify priorities for initial and more immediate changes and develop its overarching vision. (The Service Review recommendations will be a part of the discussion during conferences that are open to all Obstetric team members to participate in and contribute to shaping a 3-year planning vision.) The long-term plan: will be developed in accordance with the Program Management Model, Medical Governance, Patient Safety Review findings/recommendations and site decisions based 416 on the Hospital Typology underway; will be implemented over the next one to three years. fraserhealth Questions and Answers Why did Fraser Health conduct this review? Fraser Health is committed to developing an integrated, standardized and sustainable network of acute Obstetric Services. As part of building this network, FH conducted a Service Review to assess its current Obstetric Services and obtain evidence -based options and recommendations to support: improved efficiencies and effectiveness; integration and standardization; excellence in quality and patient safety; improved health outcomes; and enhanced sustainability. Are the decisions regarding any changes to Obstetric Services being influenced by only the Service Review findings and recommendations? As well as this Service Review a number of other initiatives will contribute to shaping the future network of Obstetric Services: the Program Management and Medical Governance Models, other Service and Quality and Patient Safety Review findings and recommendations, and the Hospital Typology underway. Decisions will also align with care and service directional planning (primary care, community, transitional services and acute care). Who will be involved in making the decisions regarding the future Obstetric Services for Fraser Health? Will BC Women's and Children's Hospital be involved? Decisions will be made by Fraser Health's Executive and Maternal, Infant, Child and Youth Program leaders in consultation with key individuals working in Obstetric Services. As we strive to further develop our provincial relationships, health organizations/groups such as BC Women's and Children's and Perinatal Services BC will influence decision -making. Will services be considered on a geographical basis or by population need? Decisions will be based on the needs of the population and how those needs can best be served in a high quality and safe integrated network of health services. Who will be involved in developing action plans and implementing changes? Key individuals from FH's Obstetric Services will work with Maternal, Infant, Child and Youth Program leaders on the development and implementation of both short and long-term plans. How soon could any changes come into effect? Over the next one to two months the Maternal, Infant, Child and Youth Program will begin the process to organize its service structure, identify priorities for initial and more immediate changes and develop its overarching vision. Once the long-term plan is developed, further changes will be phased in over the next one to three years. How will changes impact patients? Fraser Health is committed to ensuring expectant mothers and newborns can access safe, high quality family -centered health services that are responsive to their comprehensive needs. Decisions around changes to its Obstetric Services will focus on creating standardized services that are centered on the needs of this population with a goal of improving health outcomes. However, while the focus is on a standardized approach, Fraser Health also recognizes the need to develop specialized programs and a clinical focus with designated expertise for vulnerable populations where social risk is apparent. How will FH ensure changes have been effective? A comprehensive evaluation process is critical to the success of program changes. We will be closely monitoring and evaluating changes made to identify any challenges, barriers to access for individuals across the health authority, negative impacts on patient outcomes, and opportunities to change to address these. For more information please contact: Rowena Rizzotti, Executive Director, Maternal, Infant, Child and Youth Services at rwena.rizzotti4fraserhealth.ca fraserhealfh