Emergency Room Use in Vernon

Emergency room resources are scarce. The emergency room volume in Vernon has continued to increase, demanding more resources. These resource include space and staff, including physicians and nurses.

Could the resources that are currently being used by the emergency room be more effectively used in a different way? Specifically, is there a more efficient way to manage CTAS 4 (Semi-urgent) and 5 (Non-urgent) patients?

CTAS 4 : Less Urgent (Semi urgent) : Conditions that related to patient age, distress, or potential for deterioration or complications would benefit from intervention or reassurance within 1-2 hours).

CTAS 5 : Non Urgent : Conditions that may be acute but non-urgent as well as conditions which may be part of a chronic problem with or without evidence of deterioration. The investigation or interventions for some of these illnesses or injuries could be delayed or even referred to other areas of the hospital or health care system.

Lung Cancer Screening

Proposed by: Dr. Brett Poulin, Laura Tamblyn (Clinical Clerk), Dr. Michael Humphreys, Dr. Ed Hardy Proposal to: SNO Division of Family Practice Date: Dec 21, 2016

Research Question: Lung Cancer Screening with Low Dose CT in the North Okanagan

Abstract The Canadian Task Force for Preventative Care released a guideline regarding screening for lung cancer in April 2016. As of March 2017, we are not aware that anyone in our area has been screened according to this guideline. The guideline recommends that adults aged 55-74 years with at least a 30 pack-year smoking history who currently smoke or quit less than 15 years ago have annual screening with LDCT up to three consecutive times. We would like to assess the applicability of this guideline to our population. We propose that we educate the family physicians in our communities regarding the guideline, identify those who would qualify for screening, arrange screening using our local resources, and evaluate the results with respect to our population.

Children in Vernon without a Family Physician

Proposed by: Dr. Poulin, Dr. Waida

Research Question: How many children in the SNO area are without a GP, and what is their demographic profile? What impact might this have on their use of services in the future?

Initial Cancer Diagnosis in the ER

Proposed by: Dr. Poulin, Dr. Croft, Dr. Humphreys

Research Question: Are cancers being diagnosed more frequently in the ER than we might expect? Is this related to access to a GP?

Return to Hospital Rates with or without a GP

Proposed by: Dr. Poulin

Research Question: Are bounce-back rates after hospitalization higher for patients without a GP? Could a dedicated transition clinic reduce return to hospital within 30 days?