BC Legislature - Health Committee, 40th Parliament

Province of British Columbia
40th Parliament – 2016
Select Standing Committee on Health
INDEX

Safe injection sites See Supervised injection sites under Substance abuse and addiction
SafeCare B.C.

Role (Fontaine, D.) 29:1100

Safety of patients See Patient safety and care quality under Health care system
St. Paul's Hospital, Vancouver, B.C.

B.C. Centre for Excellence in HIV/AIDS, report on opioid addiction treatment (Bishop, C.) 30:1150

Sandler, Michael

Presentation to committee on behalf of B.C. Transport Nurses Network 27:1135-1155

As subject

experience as nurse 27:1135

B.C. Transport Nurses Network, recommendations to committee 27:1140-1145

College of Registered Nurses of B.C., position on nurse scope of practice 27:1140

Health care system

change and barriers to change 27:1150-1155

health professionals, collaboration 25:1150-1155

Nurses

scope of practice and evidence-based practice 27:1140-1155

transport nurses, role in health care system 27:1135-1155

Primary health care, interdisciplinary teams 27:1150

Rural B.C. health care, transport nurse supply and services 27:1140-1155

School of Population and Public Health See University of British Columbia, Vancouver, B.C.
Schools

Recovery high school proposal See Recovery and support systems under Substance abuse and addiction

Use of school buildings and lands (Fontaine, D.) 29:1120-1125

Science and technology

High-technology industry, #BCTECH strategy (Liu, R.) 28:1115 (Sihota, A.) 28:1115

Select Standing Committee on Health See Health, Select Standing Committee on
Seniors

Addiction among seniors See Substance abuse and addiction

Aging population, impact See Impact of demographic trends under Health care system

Falls prevention, role of occupational therapy (Forwell, S.) 28:1350

Falls prevention, role of vision care (Leekha, G.) 30:1635

Health and wellness, social factors (Turner, R.) 27:1335-1340

Health care See Services for seniors under Health care system; Home care

Homelessness See Homelessness

Physiotherapy services See Physiotherapists

Residential care See Long-term and residential care

Seniors advocate

Report on physiotherapy services for seniors (Evans, K.) 26:1305

Shared Care Committee See Health care system
Shin, Jane Jae Kyung (Burnaby-Lougheed)

Arthritis

diagnosis and treatment, online triage system proposal 29:1310-1315

B.C. Integrated Youth Services Initiative

integrated community services model 29:1025

B.C. Patient Safety and Quality Council

activities and role 29:1340-1345

Chiropractors

scope of practice and role in health care system 28:1625

Food and food industry

sugar consumption, prevention and reduction initiatives 28:1550

Health care system

multicultural services 29:1340-1345

procurement practices 28:1120

Health Committee

work of committee 22:1110

Massage therapists

role in interdisciplinary health care teams 28:0955

Primary health care

integrated youth services and health centres 29:1025

interdisciplinary teams 28:0955, 28:1125

Public health

public education on healthy eating 28:1550

Rural B.C. health care

health professionals, continuing education outreach 29:1415

physician supply, incentive programs 28:1650-1655

registered massage therapist supply and retention 28:0955

Shojania, Kam

Presentation to committee 29:1255-1320

Arthritis

diagnosis and treatment, online triage system proposal 29:1255-1320

osteoarthritis, prevention and management 29:1300-1320

rheumatoid arthritis, diagnosis and treatment 29:1300-1315

Dietitians, role in arthritis care 29:1315

Health care system

chronic disease management 29:1300

HealthLink B.C. information services 29:1305

Mary Pack arthritis program 29:1255-1305

Massage therapists, scope of practice and role in arthritis care 29:1310

Pharmacists, role in arthritis care 29:1310

Physiotherapists, scope of practice and role in arthritis care 29:1305-1315

Provincial Health Services Authority, role in arthritis online triage system proposal 29:1315

Public health, healthy lifestyle 29:1300-1305, 29:1315-1320

Rheumatologists, access to services 29:1255-1320

Rural B.C. health care, arthritis services 29:1300-1315

Vancouver Coastal Health Authority, role in arthritis online triage system proposal 29:1315

Showler, Grey

Presentation to committee on behalf of Canadian Association of Community Health Centres, B.C. chapter, and Victoria Cool Aid Society 25:1140-1215

Cool Aid Community Health Centre, funding and role 25:1145-1210

Health care facilities and hospitals, community health centres

funding and role 25:1140-1210

governance and structures 25:1145

role of physicians 25:1150

Health care funding model for interdisciplinary teams 25:1200, 25:1210

Health care system

medical office assistants 25:1150

Ontario, community health centres 25:1150, 25:1200

Physicians

payment models, alternative payments program 25:1200, 25:1210

payment models, fee-for-service payment system 25:1155-1200, 25:1210

supply and training for medical students in rural communities 25:1145-1150

Primary health care, interdisciplinary teams 25:1140, 25:1155-1200

Rural B.C. health care

addiction treatment services 25:1150-1200

physician supply, recruitment and retention 25:1145-1150

services 25:1145-1150

Substance abuse and addiction, treatment services at community health centres 25:1150-1200

Victoria, addiction treatment services, outreach services 25:1205

Sihota, Aaron

Presentation to committee 28:1100-1125

As subject

recommendations to committee 28:1115-1120

recommendations to committee and presentation (Barnett) 28:1125

Alberta, pharmacists and scope of practice 28:1125

B.C. Innovation Council, role and inclusion of health care sector 28:1105, 28:1115-1120

Business, entrepreneurship 28:1115

Diabetes, education and management 28:1110

Disruptive innovation, purpose and innovation labs 28:1110-1115

Health care system

e-health systems, inclusion of personal data in electronic medical records 28:1120

information-sharing 28:1120

procurement practices 28:1110, 28:1120

technology and innovation

council proposal 28:1100-1120

inclusion of clinicians in advisory groups 28:1115

priorities 28:1120

telehealth 28:1105

Ontario

chief health innovation strategist office 28:1110

health technologies fund 28:1120

Ontario Health Innovation Council, role and report recommendations 28:1110

Pharmacists

role and information-sharing 28:1120

role in interdisciplinary health care teams 28:1125

scope of practice 28:1125

Physicians

payment models, fee-for-service payment system 28:1125

specialists 28:1100

Primary health care

interdisciplinary teams 28:1125

primary and community care 28:1105

Public health, preventive health care 28:1110

Science and technology, high-technology industry, #BCTECH strategy 28:1115

"Silver tsunami" issue See Impact of demographic trends under Health care system
Sing, Geoffrey

Presentation to committee on behalf of Cridge Centre for the Family 25:1630-1655

Brain health, head and brain injuries

incidence and impacts 25:1630-1635

prevention 25:1655

relationship to homelessness 25:1640-1645

services 25:1635-1650

Centis, Joseph, brain injury and impact on family 25:1645

Cridge Centre for the Family, services and supportive housing for brain-injured persons 25:1635-1650

Cycling, helmet use by cyclists 25:1655

Health care system, wait-lists and waiting times, brain injury services 25:1635-1645

Housing, supportive housing for brain-injured persons 25:1635-1645

SIRAPP See Asthma prevention program proposal under Asthma
Smith, Marshall

Presentation to committee on behalf of B.C. Council for Recovery Excellence 25:1215-1310

As subject

experience with addiction and recovery 25:1220-1225

B.C. Council for Recovery Excellence

establishment and role 25:1235-1240

recommendations on addictions services 25:1240

Drugs, illegal drugs, legalization and impacts 25:1255-1300

Health care system

chronic disease management 25:1240

health professionals, training in addictions 25:1230-1235, 25:1245

Marijuana, decriminalization and impacts 25:1300

Mental health, mental illness and addiction, definition 25:1225

Notarandrea, Rita, presentation to committee 25:1235

Pharmaceutical industry, lobbying activities 25:1230, 25:1255

Physicians, supply and training in addictions 25:1230-1235

Recovery Day 25:1240

Substance abuse and addiction

addiction among seniors 25:1255

centre on substance abuse proposal 25:1225, 25:1235, 25:1245

government policy 25:1250

methadone replacement therapy program 25:1305

populations and environmental factors 25:1230

recovery and support systems

funding 25:1245

recovery high school proposal 25:1240

recovery-based system of care 25:1215-1255

research 25:1245

summit 25:1235

recovery houses, review 25:1245

stigma 25:1220, 25:1235-1240, 25:1255

treatment services

access and barriers 25:1225, 25:1235, 25:1305-1310

early intervention 25:1230

private services 25:1225

use of psychiatric medication 25:1225-1230, 25:1255

youth services 25:1240

Tobacco, smoking cessation programs 25:1255

Treatment Access B.C., website on addiction treatment services proposal 25:1245, 25:1305-1310

Wood, Evan, research and work on addiction issues 25:1225

Smith, Trilby

Position with health initiative (Pearce, K.) 28:1005

Smoking See Tobacco
Social policy, problems, safety net, etc. See Social welfare
Social welfare

Integration of social services with health care system See System under Health care system

Social determinants of health See Social determinants under Health

Society for Canadians Studying Medicine Abroad See also Pawliuk, Rosemary; Vohora, Praveen

Presentation to committee 30:1455-1530

Recommendations to committee (Vohora, P.) 30:1505-1510

Role (Vohora, P.) 30:1455

SOHC See Support Our Health Care Society
Sourial, Susan

Finance and Government Services Committee

prebudget consultation process 27:1225

Health Committee

election of Chair and Deputy Chair 22:0915

request for Health Ministry update on preparation for assisted-dying legislation 22:1105

Larson, Linda

election as Chair of Health Committee 22:0915

Sparks, Brett

Position with health initiative (Pearce, K.) 28:1005

Specialists See Physicians; particular types of specialist
Spinal conditions and injuries See Back and spinal health
Staples, Edward

Presentation to committee on behalf of B.C. Health Coalition 25:1105-1135

B.C. by region, rural B.C., transportation services 25:1120

B.C., seniors population in rural B.C. 25:1125-1130

Health care system

community health care assistants 25:1130-1135

Health Match initiative 25:1110-1120

impact of demographic trends 25:1120-1130

Health Committee, work of committee 25:1105

Home care and home support services 25:1120

Paramedics, community paramedicine 25:1120

Physicians

credentialling of foreign-trained physicians 25:1115

family physicians, A GP for Me program 25:1130-1135

specialists 25:1120

Primary health care, interdisciplinary teams 25:1130-1135

Princeton

health care and physician services 25:1105-1130

interdisciplinary health care team 25:1130-1135

specialist physician services program 25:1120-1125

Rural B.C. health care

health professional training and supply, student recruitment initiative 25:1115

physician supply, recruitment and retention 25:1110-1130

services 25:1105-1130

Support Our Health Care Society 25:1105

UBC, medical program 25:1115

Stepping Forward: Improving Addiction Care in British Columbia See Doctors of B.C.
Strathcona area See Vancouver Island
Strathcona Community Dental Clinic, Vancouver, B.C.

Services and model (Pearce, K.) 28:1005, 28:1025

Students See Education
Suboxone See Drugs
Substance abuse and addiction

Addiction among seniors (Barnett) 25:1250-1255 (Smith, M.) 25:1255

Alcohol (Bing) 25:1100 (Notarandrea, R.) 25:1100

Awareness, training for physicians See Supply and training under Physicians

Causal factors See also Populations and environmental factors below

Causal factors, historical religious view (Bushfield, I.) 30:1400

Causal factors, psychosocial issues and childhood trauma (Berner, D.) 30:1350 (Bing) 30:1350

Centre on substance abuse proposal (Smith, M.) 25:1225, 25:1235, 25:1245

Continuum of addiction severity (Hildebrand, L.) 30:1040-1045

Costs to society (Bishop, C.) 30:1150, 30:1205

Criminalization issue See Illegal drugs under Drugs

Diagnosis (Farnan, P.) 30:1600, 30:1620

Dual diagnosis See Relationship to other conditions below; Mental illness and addiction under Mental health

Fentanyl See Opiates and opioids below

First Nations youth substance abuse (Hammell) 26:1030 (Palmantier, E.) 26:1030

Government policy (Smith, M.) 25:1250

Harm reduction See Public health; Supervised injection sites below

Health care supports for addicted persons, northern B.C. See Northern B.C. health care

Illegal drugs See Drugs

Impact on brain health, management and therapy (Cooksey, J.) 30:1000-1005 (Ganci, G.) 30:1000 (Keith, B.) 30:1030 (Sullivan) 30:1000

Impact on health care system (Baker, R.) 30:1125

Incidence (Notarandrea, R.) 25:1010

Incidence and description (Baker, R.) 30:1120-1125

Incidence, trends (Bing) 25:1100 (Notarandrea, R.) 25:1100

Maintenance therapy programs See also Methadone replacement therapy program below; Opiates and opioids, substitution treatment below; Treatment services, substitution therapy below

(Bishop, C.) 30:1145, 30:1205 (Keith, B.) 30:1030 (Plecas) 30:1205-1210

Maintenance therapy programs and alternatives (Marks, D.) 30:0940

Management as chronic disease (Baker, R.) 30:1120, 30:1130-1135 (Doucette, C.) 30:1325-1330 (Farnan, P.) 30:1605-1615 (Hildebrand, L.) 30:1040-1055 (Keith, B.) 30:1010-1015, 30:1030 (Morris, J.) 30:1035 (Sullivan) 30:1025-1030 (Vaughan, G.) 28:1410

Methadone replacement therapy program See also Maintenance therapy programs above

(Hammell) 25:1305, 26:1455 (Krause, M.) 26:1455-1500 (Smith, M.) 25:1305

Multiple diagnosis See Relationship to other conditions below; Mental illness and addiction under Mental health

Opiates and opioids See also Overdoses and overdose deaths below

Fentanyl (Hildebrand, L.) 30:1050

Fentanyl overdoses and treatment (Burton, A.) 28:1310

opiates and opioids (Bishop, C.) 30:1145 (Hildebrand, L.) 30:1105 (Sullivan) 30:1100-1105 (Vaughan, G.) 28:1410

substitution treatment (Bishop, C.) 30:1145-1155

Overdoses and overdose deaths (Gutray, B.) 30:1020 (Keith, B.) 30:1010

Populations and environmental factors (Smith, M.) 25:1230

Prescription drug addiction, controlled reduction in use (Hildebrand, L.) 30:1105 (Sullivan) 30:1105

Prescription drugs (Barnett) 25:1250-1255 (McLeod, D.) 26:1055

Prevention and treatment services, recovery houses See Recovery houses below

Public education See Public health

Public education and information on addiction treatment and recovery (Berner, D.) 30:1335-1340

Public information, treatment options on government website (Bushfield, I.) 30:1405, 30:1415-1420 (Plecas) 30:1415-1420 (Robinson) 30:1410-1415

Recovery and support systems

12-step programs (Bushfield, I.) 30:1400-1420 (Doucette, C.) 30:1400 (Wood, B.) 30:1405-1410

advocacy (Hammell) 25:1305

advocacy and public education (Baker, R.) 30:1130-1140 (Notarandrea, R.) 25:1005-1010 (Plecas) 30:1135

comparison with other jurisdictions (Bing) 25:1100 (Dalton) 25:1045-1050 (Hammell) 25:1100 (Notarandrea, R.) 25:1025-1030, 25:1045-1050, 25:1100

definition of recovery (Ganci, G.) 30:1005 (Notarandrea, R.) 25:1040-1045 (Sullivan) 30:1100

evidence-based approach (Notarandrea, R.) 25:1005-1010, 25:1020, 25:1050-1055

family inclusion and programs (Ganci, G.) 30:0935 (Marks, D.) 30:0945, 30:0955

funding (Berner, D.) 30:1355-1400 (Dalton) 25:1245 (Doucette, C.) 30:1400 (Notarandrea, R.) 25:1040 (Plecas) 25:1040, 25:1245-1250 (Smith, M.) 25:1245

government role (Notarandrea, R.) 25:1055-1100 (Robinson) 25:1055

interagency collaboration and follow-up care (Bishop, C.) 30:1155

interprovincial collaboration (Notarandrea, R.) 25:1015

legislation (Notarandrea, R.) 25:1030

life-in-recovery survey (Bing) 25:1100 (Darcy) 25:1035-1040 (Notarandrea, R.) 25:1020-1025, 25:1035-1040, 25:1050

link to primary and acute health care systems (Farnan, P.) 30:1600, 30:1610, 30:1625-1630

link to primary health care system (Gutray, B.) 30:1020-1025

national advisory committee (Notarandrea, R.) 25:1015-1020

phases of recovery (Berner, D.) 30:1330-1335 (Doucette, C.) 30:1330-1335

principles of recovery (Notarandrea, R.) 25:1015-1020, 25:1055

programs and providers (Berner, D.) 30:1330

psychosocial supports (Bishop, C.) 30:1155 (Farnan, P.) 30:1610

recovery (Plecas) 30:1000

recovery goals (Cooksey, J.) 30:1000

recovery high school proposal (Smith, M.) 25:1240

recovery-based system of care (Baker, R.) 30:1115-1140 (Farnan, P.) 30:1605-1630 (Hildebrand, L.) 30:1050-1055 (Notarandrea, R.) 25:1015-1055 (Plecas) 30:1050, 30:1135 (Smith, M.) 25:1215-1255

religious approach See also 12-step programs above

religious approach and access to secular programs (Bushfield, I.) 30:1400-1420 (Darcy) 30:1420-1425 (Plecas) 30:1415-1420 (Robinson) 30:1410-1415 (Wood, B.) 30:1405-1410

research (Notarandrea, R.) 25:1020 (Smith, M.) 25:1245

role of health care system and primary health care (Darcy) 30:1355

role of medications in recovery (Bishop, C.) 30:1205-1210 (Plecas) 30:1205-1210

role of religious beliefs See religious approach above

role of traditional Chinese medicine and acupuncture (Plecas) 30:1555 (Ranallo, J.) 30:1545-1555

summit (Smith, M.) 25:1235

summit and B.C. round table (Notarandrea, R.) 25:1015, 25:1055

support networks in communities (Hildebrand, L.) 30:1055

supports (Berner, D.) 30:1350-1400 (Cooksey, J.) 30:0955 (Doucette, C.) 30:1335, 30:1355-1400 (Fortin, D.) 25:1510 (Ganci, G.) 30:0950-0955 (Hammell) 26:1500 (Krause, M.) 26:1500 (McLeod, D.) 26:1045 (Marks, D.) 30:0955-1000 (Robinson) 30:0955

supports and social conditions (Bishop, C.) 30:1210

Recovery houses (Berner, D.) 30:1330

Recovery houses, review (Smith, M.) 25:1245

Relationship to mental illness See Mental illness and addiction under Mental health

Relationship to other conditions See also Mental illness and addiction under Mental health

(Darcy) 25:1035 (Notarandrea, R.) 25:1035

Stigma (Farnan, P.) 30:1630 (Ganci, G.) 30:0950 (Gutray, B.) 30:1025 (Notarandrea, R.) 25:1010-1015, 25:1030 (Smith, M.) 25:1220, 25:1235-1240, 25:1255 (Sullivan) 25:1050, 25:1255

Supervised injection sites (Burton, A.) 28:1310

Therapeutic communities (Hildebrand, L.) 30:1040

Treatment funding model See Health care funding

Treatment services

access and barriers (Bing) 30:1200 (Bishop, C.) 30:1150-1200 (Cooksey, J.) 30:0945-0950 (Dovey, T.) 30:0950 (Ganci, G.) 30:0950 (Keith, B.) 30:1020 (Marks, D.) 30:0940-0945 (Morris, J.) 30:1035 (Notarandrea, R.) 25:1010 (Smith, M.) 25:1225, 25:1235, 25:1305-1310

availability and interdisciplinary teams (Vaughan, G.) 28:1410

consent issue (Farnan, P.) 30:1610

costs and outcomes (Baker, R.) 30:1125, 30:1135 (Bing) 30:1100 (Hildebrand, L.) 30:1055-1105 (Plecas) 30:1055

detox and withdrawal management (Farnan, P.) 30:1620

detox beds (Doucette, C.) 30:1330

duration of treatment (Bing) 30:1100 (Hildebrand, L.) 30:1100

early intervention (Farnan, P.) 30:1600-1605, 30:1625 (Keith, B.) 30:1015 (Morris, J.) 30:1030 (Richmond, A.) 30:1710 (Smith, M.) 25:1230

employee referrals and coverage (Darcy) 30:1105-1110 (Hildebrand, L.) 30:1110

interdisciplinary teams (Robinson) 30:1345

interdisciplinary teams and culturally sensitive care (Darcy) 30:1425

levels of care and assessment for placement (Hildebrand, L.) 30:1045-1105 (Robinson) 30:1055 (Sullivan) 30:1100

long-term treatment (Doucette, C.) 30:1355 (Ganci, G.) 30:0935, 30:1000-1005

long-term treatment and follow-up care (Berner, D.) 30:1345-1350 (Doucette, C.) 30:1335, 30:1345 (Robinson) 30:1345

medication-assisted treatment See Maintenance therapy programs above

national program (Hildebrand, L.) 30:1040

outcomes (Plecas) 30:1135, 30:1555 (Ranallo, J.) 30:1555 (Sullivan) 30:1100

privacy issues (Kelly, D.) 25:1325-1330

private services (Bing) 30:1100 (Hildebrand, L.) 30:1100, 30:1110 (Smith, M.) 25:1225

religion-based and secular treatment programs and facilities (Bushfield, I.) 30:1410-1420 (Darcy) 30:1415 (Robinson) 30:1410-1415 (Wood, B.) 30:1415

research (Hildebrand, L.) 30:1055-1100 (Robinson) 30:1055

residential detox services (Cooksey, J.) 30:0945

services (Hammell) 25:1305

services at community health centres (Baker, R.) 26:1130 (Showler, G.) 25:1150-1200

services for middle-income persons (Marks, D.) 30:0940-0945 (Robinson) 30:0955

services in remote and rural areas See Rural B.C. health care

substitution therapy See also Maintenance therapy programs above; Opiates and opioids above

(Baker, R.) 30:1120 (Hildebrand, L.) 30:1050, 30:1105 (Sullivan) 30:1100 (Vaughan, G.) 28:1410

tiered system See access and barriers above

toolkit for service providers (Notarandrea, R.) 25:1020, 25:1045

toolkits for service providers (Hildebrand, L.) 30:1045-1050

use of psychiatric medication (Doucette, C.) 30:1345 (Smith, M.) 25:1225-1230, 25:1255

user fee revenues (Cooksey, J.) 30:0950

user fees (Bishop, C.) 30:1155

vision (Marks, D.) 30:0940

youth services See also Mental illness and addiction under Mental health

(Cooksey, J.) 30:0955-1000 (Robinson) 30:0955 (Smith, M.) 25:1240

Treatment services for First Nations people

collaborative model (Hammell) 28:1730 (Jock, R.) 28:1715, 28:1730 (McLeod, D.) 26:1055 (Palmantier, E.) 26:1020

services (Barnett) 28:1730 (Hildebrand, L.) 30:1055

youth services (Jock, R.) 28:1715

Use of psychiatric medication See Treatment services above

Substitution therapy See Maintenance therapy programs under Substance abuse and addiction; Treatment services under Substance abuse and addiction
Sugar See Food and food industry
Sullivan, Sam (Vancouver–False Creek)

Drugs

illegal drugs, legalization 25:1050, 25:1255

Health care system

health records, information-sharing and privacy issues 29:1115-1120

Health Committee

work of committee 22:0915

Mental health

mental illness and addiction

relationship and role in criminal behaviour 25:1050

Substance abuse and addiction

impact on brain health, management and therapy 30:1000

management as chronic disease 30:1025-1030

opiates and opioids 30:1100-1105

prescription drug addiction, controlled reduction in use 30:1105

recovery and support systems, definition of recovery 30:1100

stigma 25:1050, 25:1255

treatment services

levels of care and assessment for placement 30:1100

outcomes 30:1100

substitution therapy 30:1100

Supervised injection sites See Substance abuse and addiction
Support Our Health Care Society

Role (Staples, E.) 25:1105

Supportive housing See Housing
Supreme Court of Canada

Ruling on assisted dying, government response See Federal and provincial government action under Assisted dying

Sweden

Interdisciplinary community health care model (Troesch, S.) 29:1055