1. IMPROVING ACCESS TO SPECIALIST CARE IN RURAL COMMUNITIES South Okanagan Similkameen Shared Care DR. ELLA MONRO Family Physician - Princeton DR. BRIAN FORZLEY Nephrologist - Penticton LISA NEEDOBA Project Lead, Shared Care 1

2. Shared Care in Context Ministry of HealthDoctors of BC Physician Master Agreement General Practice Services Committee Specialist Services Committee Shared Care Committee SOS Shared Care Steering Committee SOS Division of Family Practice Interior Health CSC SOS Collaborative Services Committee Specialists, Family Physicians, Interior Health

3. The Similkameen Valley in the Southern Interior of BC 3

4. Princeton BC Pop. 2,700 Princeton General Hospital serves a surrounding population of about 5,400 Currently 3 family doctors + 1 nurse practitioner High physician turnover in recent years; constantly recruiting to fill the 5 FP compliment 4

5. Removing barriers… 5

6. Medical Office Assistants (MOAs) 6 Princeton Family Physicians Princeton Hospital Staff Community Integrated Health Services Admin Shared Care Project Staff Patients Penticton Specialists Stakeholders

7. Collaborating to Improve Access 7 Family Physicians and their MOAs Interior Health Authority staff members Specialists and their MOAs Shared Care Project Staff Patients

8. Growth of Princeton Specialty Clinics 2013 GP Addictions Peds Cardio Psych 2014 GIM RespiroPedsCardio GP Methadone RheumPsychOrtho Gen Surgery Urology GP Addictions 8

9. Specialist perspective “I saw this as an opportunity for Shared Care to work with Interior Health in improving health outcomes for patients in outreach areas. It feels like the right thing to be doing.” ~ Dr. Shannon Walker, Respirologist 9

10. Community impact 10 “It was so good to be seen in Princeton, and not have to ask my family to take me to Penticton.” ~ Orthopaedic patient

11. Impact for the Rural Family Physician 11 One of eight Continuing Medical Education sessions held in 2014.

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