- MSAs share experiences and support needs at spring check in
On March 6, 2018, physician groups from across BC and the Specialist Services Committee’s Facility Engagement Working Group (SSC FEWG) met to review site activities, a work plan and funding needs for 2018/19. It was a valuable and necessary step to identify local needs and challenges that can be supported and addressed by regional and/or provincial strategies.
The initiative is the first of its kind in Canada with no models to draw on. After hearing about experiences on the ground, the SSC FEWG can make informed decisions with greater clarity for the benefit of local sites.
Some common themes heard on March 6
Funding Guidelines: Some sites feel challenged to allocate funds and would like more direction around funding guidelines. There continue to be grey areas, and activities don’t always appear to be linked to engagement. Some physicians, rural areas in particular, have enough funds but little time to execute projects – so want flexibility to deploy funding more creatively to have more staff to work on projects and reduce the administrative burden. Hearing about these needs and the examples of activities is informing the work of the SSC FEWG to develop funding guidelines in 2018.
Physician Engagement: Overall, sites reported that greater numbers of physicians are joining working groups and getting involved in projects. At many sites, the revitalization of physician lounges has been key starting point to ensure physicians have a quiet, dedicated space where they can meet and interact with colleagues.
While funding is a welcome support, physicians have limited time to participate, or carry out activities. Burnout is a concern. To address this, many sites starting to engage more physicians to be involved in committees and events, and to expand representation from a few select champions.
Health Authority Relationships: MSAs are in various stages of strengthening relationships with their health authorities, and some are reporting great success. Many sites have shared work plans and invited health authority / site representatives to join working groups. In some cases, coordinating data gathering from health authorities to inform the work has been challenging, and sites would appreciate help on that front.
Provincial Supports: Facility Engagement Liaisons (FELs) were seen to be providing excellent support. Support for the Facility Engagement Management System (FEMs) has been useful. However, challenges still exist around getting physicians registered to use FEMS and concerns about the administrative burden of FEMs, especially at smaller sites. The FEMS technology is continually being enhanced to improve the experience.
Overall, the great work and plans presented by all sites are exciting, and momentum is building in the right direction. Thank you for your efforts and participation in this process, and continued work to make a difference for your physician colleagues, patients and hospital sites.
My father, who was an obstetrician, worked at the tertiary care teaching hospital in Edmonton. He used to say he would frequently see Dr Snell—the CEO of the hospital at the time—in the hallway. If there was an issue to discuss, the two of them would just talk about it. Today, doctors may never see the CEO or other senior executives. Read more >