Transcript MCRC Health Program Physician Meeting

Calgary Refugee Health Program
Settlement Division
Calgary Catholic Immigration Society
Fariborz Birjandian
RAP conference Vancouver February
2007
Settlement Program
Airport Reception
MCRC
Operations Manager
MCRC Resident Caretaker
Settlement Coordinator
Housing
Assistant
Reception Staff
Settlement Counselor
Settlement Counselor
CIC
Host
Volunteer
Police
Health
School Board
And ESL
Employment
Other
Health Program History
•
•
•
•
Initial dialogue and MSDIF Proposal
Service Launch in summer 2002
Phase 1 - Orientation, Service Model
Phase 2 - Partnership and Program
Development, Operational Data Collection
• Phase 3 - ARP and Infrastructure
Development
• Phase 4 - Sustainability and Growth
Target Population
• Federally-sponsored refugees destined for
Calgary
• Federally-sponsored refugees who
relocate to Calgary within 1 year of arrival
• Refugee claimants
• Community-sponsored refugees
• Immigrants from refugee-like situations
(family class immigrants)
Vision
A community where immigrants coming
from refugee-like situations are supported
in their resettlement through the pursuit of
optimal health.
Mission
To optimize the health of our clients
through the provision of integrated
transitional primary health care and
through enhanced access and
coordination within the health system
Goals
• To enhance access to and coordination of health system services for
new refugees
• To provide transitional primary care to new refugees to Calgary
• To increase appropriate disease prevention activities in new
refugees to Calgary
• To enhance health protection services for refugees impacted by
public health or communicable disease conditions
• To enhance and support health promotion strategies and initiatives
to address important refugee health issues
• To advocate for and enhance responsiveness of the health system
to meet the health needs of refugees
• To support health and settlement activities through improved
coordination of services and mutual support
• To promote and develop the program in order to achieve its mission
Philosophy
• Successful settlement is the goal. Health
services are in support of settlement.
• The health services are transitional. Clients are
expected to integrate into society and the health
system
• The emphasis is on enhancing access to and
coordination of existing health system services
rather than creating new services
Health Program Funding
– Medical Services Budget (FFS and ARP)
– Interim Federal Health
– Medical Services Delivery Innovation Fund
– Donations and in-kind contributions
Calgary Catholic Immigration Society Health Program Organizational Chart
CCIS
Fariborz Birjandian
Executive Director
Administration Division
Gloria Bathen
Manager
Community
Specialists
Salim Samanani
Health Program Director
Physician Representative
Community
Private Service Providers
Dr. R. Morris
Physician
Community
Agencies and
Services
Dr. L. Jones
Physician
Calgary Health Region
Programs
CDC
Environmental Health
Best Beginnings
TB, STD, SAC
U of C
Researchers
Resettlement Division
Margaret Styzynska
Manager
Dr. L. Croft
Physician
Finance Division
Shiraz Bhojani
Manager
Sultana Assar
Resettlement Coordinator
Valerie Kiss
Health Program Coordinator
And Administrator
Pascal Ujouk
External Services
Support Person
Nuha Majzoub
Clinical Support
Person
International
Medical
Graduates/
Volunteer
Interpretors
Debbie Hymann
Manager of Public Health
8th&8th/Forest Lawn
Calgary Health Region
Resettlement Counselors
Marylin Pitt
Public Health Nurse
Prissy Wai Wai
Internal Services
Support Person
Rose Abbott
LPN Assistant
Volunteers
Diversity Services
Calgary Health Region
Thiru Govender
Pediatric ARP
2005
Pediatric ARP
Support Services
(Nutrition, SW)??
Calgary Health Region
Programs
providing direct support
or resources
Grace Women’s
TB Services
Sexual and Reproductive Health
Three Cheers
Immigrant Serving NGOs
CIWA
CIAS
AKHB
Sudanese Chapter
Private Donors
Dr. J Rodriguez
Dr. N. Rashid
Dr. F. Hamed
Providing Services Within MCRC
Page 1
Health Program Activities
Agency Support
Program Promotion and Development
Administration
Health Promotion
Access & Coordination
Clinical Services
Health Protection
Disease Prevention
Advocacy/Education
Specific Service Examples
Agency Support
• Health-related activities to support other
CCIS service divisions
• Workshops and seminars
• Responding to staff and agency concerns
and questions
Program Promotion and
Development
•
•
•
•
•
•
Strategic and operational planning
Management and evaluation
Quality improvement
Identifying and recruiting partners
Infrastructure development
Program promotion and awareness
Administrative Services
• Data tracking and analysis
• Intra and interagency communication
• Management, planning, operational,
settlement, agency, and medical meetings
• Administration of the program
Access and Coordination
• Engage, partner with and support
• Health system
– Providers
– Programs
• Immigrant-serving agencies
• Clients
• Create new services
• Modify existing services
• Provide instrumental support
Clinical Services
• Triage and management of urgent
conditions and client concerns (including
after hours call)
• Client health intake and assessment
• Follow-up of health concerns identified on
health intake
• Follow-up of problems identified through
screening program
• Ongoing transitional primary care
Advocacy
• Participating in conferences and
workshops
• Raising awareness of issues
• Working towards system improvement and
responsiveness
• Supporting the training of international
medical graduates
Disease Prevention
• Systematic Screening
• History
• Physical Examination
• Laboratory
» Blood
» Stool
» Urine
• Increasing Uptake of other Clinical
Preventive Measures
• Vaccinations
Health Protection
• Treatment and follow-up of communicable
disease conditions
• Coordination with the CDC unit
• Coordination with Environmental Health
• Coordination with TB services
• Coordination with the STD clinic
• Coordination with SAC
Health Promotion
• Health Systems Orientation
• Insurance
• Vision and dental services
• Health system overview
• Women’s Health
• Child Health
Fertility Clinic
Pediatric Cardiology
Neurology
Hand Clinic
Orthopedic Cast Clinic
Gastroenterology
Hepatitis Clinic
Early Intervention
Family Planning
Best Beginnings
Dental Program
Diabetes Clinic
Hypertension Clinic
Psychiatric Outpt Services
Occupational Therapy
Mental Health Crisis
Refugee Health Program Client Flow Diagram
10/7/2004
8th and 8th Health Centre
Communicable Diseases
STD Clinic
TB Clinic
Southern Alberta Clinic
Regional
Public Health
Hospital-based
Specialists
Diversity
Services
Urgent Care
Maternity Care
Pediatrics
Dermatology
Infectious Diseases
Otolaryngology
Opthalmology
Others less used
Language
Line
Regional
Programs
Emergencies
Communitybased
Diagnostic
Imaging
Communitybased
Specialists
Hospital-based
Diagnostic
Imaging
Pharmacies
Community-based services coordinated through program
Primary Care
Intake and Screening
Referrals
Triage
Family Planning
Nutrition
Instrumental Support
Family and Children
Services
Survivors of Torture Program
Intra-agency
Programs
Vaccinations
Community
Health Nurse
Services
Contract
Physician
Clinical
Assistant/
Interpreter
Outside
Clients
Resettlement
Coordinator
and
Counselors
International
Medical
Graduates
Client Support Person/
Educator
Volunteers
Client and Services
Coordinator
On-Call
Physician
In-house
Clients
Family Doctors
Program
Coordinator/
Administrative
Assistant
Operations
(after hours)
Women’s Health
Healthy Pregnancy
Infant and Child Health
Clothing
Sexual Health
Orange – Clients
Blue – Health Program
Red – The Calgary Health Region
Purple – Community Partners
Yellow – Support Positions
Audiology
Alberta Health Care
applications
Scheduling
Follow-ups
Client Support
Workshops
and Seminars
Optometrists
Community
Dentists
Orthotic/
Prosthetic
Devices
Aids to Daily
Living
Community providers/services that require referral only
Referrals
Administrative Functions
Coordination of Services
Partner Support
Persons with
Developmental
Disabilities
Margaret Chisholm Resettlement Centre
Health Program
Phone: 265-3410
Fax: 265-3411
Challenges to Service Delivery