Committee Members (L to R): Michaela Hanakova NP(F), Cynthia Nordquist NP(F) - Chair, Thuy Le
The Quality Committee was established by the PHC Board of Directors upon the recommendation of Providence Health Care Medical Advisory Committee. The quality committee evaluates, controls, and reports on Nurse Practitioner practice in order to continually maintain and improve safety, and the quality of patient care at PHC.
MORBIditY AND MORTALITY ROUNDS
Morbidity and mortality (M & M) rounds/meetings/conferences were first introduced in the early 1900’s in surgical departments as a cornerstone of medical education. Since then, M&M rounds have grown to focus on patient safety and quality initiatives. Bal et al (2014) recommend that they should identify events resulting in adverse patient outcomes, foster discussion of adverse events, as well as identify and disseminate information gained through the review process.
LINKS
NP MEMBER Quality, Safety, and Value Activities
All Nurse Practitioners at PHC have a University of British Columbia appointment as an Adjunct professor in the School of Nursing.
Click beside each of our member's names to see publications, presentations (podium/virtual), quality improvement projects, committee work, and other achievements.
| Publications
2022 Canadian Hemophilia Society. Mild Hemophilia is not always Mild. Revision committee. Retrieved from https://www.hemophilia.ca/wp-content/uploads/2022/01/All-About-Mild-Hemophilia.pdf 2018 Ma, W., Fan, J., Bech, M., Stothers, K, & Umran, T. (2018). Evaluation of acute postoperative pain management in elective total hip and knee arthroplasty – unpublished manuscript. 2017 Prodan-Bhalla, N., Scott, L., et al. (2017, December) Specialized services, Nurse Practitioners collaborating to improve the continuum of care. Retrieved from https://bcnpa.org/wp-content/uploads/BCNPA-Specialized-Final-January-9-2017.pdf 2015 Bech, M., Moorhen, J., Cho, M., Lavergne, M.R., Stothers, K., & Hoens, A.M. (2015). Device or ice: the effect of consistent cooling using a device compared with intermittent cooling using an ice bag after total knee arthroplasty. Physiotherapy Canada, 67: 48-55. Winter 2015. DOI: 10.3138/ptc.2013-78. 2016 Canadian Council of Registered Nurse Regulators. (2016, December). Entry-level competencies for Nurse Practitioners in Canada. Adopted by CRNBC – Adult subject matter expert panel participant. Retrieved from https://www.bccnp.ca/becoming_a_nurse/Documents/NP_entry_level_competencies.pdf 2013 Ashe, M., et al. (2013). FRESH start toolkit: Fracture Recovery for Seniors at Home. A hip fracture recovery guide for patients & family. Retrieved from http://www.hiphealth.ca/blog/FReSHStart 2011 Cook, W. L., Khan, K. M., Bech, M et al. (2011) Post-discharge management following hip fracture - get you back to B4: A parallel group, randomized controlled trial study protocol. BMC Geriatrics. https://doi.org/10.1186/1471-2318-11-30. Presentations (podium and virtual) 2023 May. Bech, M. and Jackson, S. Every Minute Counts: Door to Factor issue times. Virtual and live presentation at the Association of Hemophilia Clinic Directors of Canada (AHCDC), Niagara Falls 2021 June. Spotting a Bleeding Disorder. Virtual presentation at the Nurses and Nurse Practitioners of British Columbia, 15th Annual Nurse Practitioner conference, British Columbia. “Let’s talk about sex. Post hip replacement” Podium presentations VCHA Hip and Knee Collaborative Conference, Richmond, BC. PHC Hip fracture Care. Podium presentation VIHA Hip and Knee conference, Nanaimo BC. Poster Presentation(s) 2023 June: International Society on Thrombosis and Haemostasis, Montreal, Quebec. Every Minute Counts: Door to Factor Issue Times, Montreal. 2023 June: International Society on Thrombosis and Haemostasis, Montreal, Quebec. 2023 May: Association of Hemophilia Clinic Directors of Canada (AHCDC), Niagara Falls, Ontario. 2022. Bech, M "Every Minute Counts: Door to Factor Issue Times" Poster Presentation, BC Quality Forum, Vancouver BC May 31 - June 2, 2022. Quality Improvement 2021-22 Cohort 3 – PHC Quality Improvement Challenge. Timing is everything. Review of the timing of medication administration in the SPH SDC/OR for patients with inherited bleeding disorders. 2021 IHI Open School Basic Certificate in Quality and Safety 2021 Measuring What Matters, workshop. Value Institute for Health and Care (March 25 & April 1) Committees PHC Transfusion Medicine Committee NP Department Education Committee (chair) Canadian Association of Nurses in Hemophilia Care Awards 2022 April: Team Award: Utilization Management Award from the BC Provincial Blood Coordinating Office, recognizing the BC Bleeding Disorder Programs and SPH Transfusion Management.2017 PHC Teena Werry Award. Recognition Award for Excellence in Clinical Nursing Practice. 2016 Canadian Physiotherapy Association – Silver Quill Award. Recognizing outstanding original articles related to the field of rehabilitation in the qualitative or quantitative research category. Other 2023 April: Emergency Care BC Clinical Summary: 2023 Jan: Desmopressin (DDAVP) patient education video: BCCNM OSCE Marking Group or OSCE examiner
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Committees
PHC P&T Committee member
PHC NP Department
ACE QI group
Partnerships Pillar
PC3 Initiative/group
| Publications
2014 Cochrane, S., Merritt, K., Leon, A., Palacol, A., Siddiqui, S., Faris, D., Barbic, S. (2019). Experiences of trauma-sensitive yoga among inner-city youth: a mixed-methods feasibility study. Complementary Therapies in Clinical Practice, 35, 62-71 Harrison D., Joly C., Chretien C., Cochrane S., Ellis J., Lamontagne C., & Vaillancourt R. (2014). Pain Prevalence in a pediatric hospital: Raising awareness during pain awareness week. Pain Research & Management, 19(1): e24-e30. Poster Presentations 2017 Bringing the body into treatment: integrating yoga within health services. Canadian Mental Health Association National Conference, 2018. Trauma-informed yoga for inner city youth. Adverse Childhood Experiences Summit: BC & Beyond, 2017. Quality Improvement 2020 Improving continuity of care for youth accessing shared care (primary care and psychiatry) services at Foundry Vancouver Granville. Providence Health Care Quality Improvement Challenge. 2020 Enhanced trauma screening at Foundry Vancouver Granville. Providence Health Care Knowledge Translation Challenge. Committees Primary Care & Community Connectedness (PC3) Advisory Group Primary Care Representation on the Substance Use and Addiction Program working group Foundry's Trauma Working Group First Nations Aboriginal Primary Care Network Other 2019-Present Ayurveda Wellness Counselor Course, Holistic Ayurveda Institute & Wellness Centre. 2019 Integrated Yoga Therapy, School of Ayurveda & Panchakarma 2017 Mindfulness Educator Essentials, Mindful Schools 2015 Yoga Outreach Core Training, Yoga Outreach 2012 Yoga Teacher Training, Wise Living Yoga Academy
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| Publications
2017 N. Prodan-Bhalla, L. Scott, Contributing author: B. Furlan, et al. “Specialized Services Nurse Practitioners Collaborating to Improve the Continuum of Care”. December 2017, BCNPA. 2015 HEARTANDSTOKE.CA/AFGUIDE Published: February 2015. © 2014, 2015 Canadian Cardiovascular Society and Heart and Stroke Foundation of Canada. Reviewer. 2012 C.Khoo, S.Lauck, S.Kutcher, S.Barr, B. Furlan, C. Galte (2012). “Improving Atrial Fibrillation Outcomes Through An Interdisciplinary Atrial Fibrillation Clinic: Incidence of Cerebrovascular Events and Emergency Room Visits”. Canadian Journal of Cardiology. 2011 E.Mulvaney, B. Furlan, P.Colley (2011) “Nurse Practitioner Role: Filling a Need in Post Ablation Care”. Canadian Journal of Cardiology. 2011 S.Lauck, S. Chakrabarti, S. Kutcher, S. Basi, B. Furlan, C.Galte (2011) “Improving Access and Optimizing Care: Development of an Atrial Fibrillation Clinic to Implement Canadian Cardiovascular Society Guidelines”. Canadian Journal of Cardiology. Presentations (podium/virtual) 2021 B. Furlan, S. Kutcher, Z. Laksman et al. (2021). “Surgical Ablation: One Year Review”. Oral Presentation, CHRS Allied Health Session: Canadian Cardiovascular Congress 2021. 2019 B. Furlan, Z. Laksman, et al. (2019). “Surgical Ablation: finding the right path after surgical ablation” Oral Presentation, CHRS Allied Health Session: Canadian Cardiovascular Congress 2019. 2018 B. Furlan, S. Hsieh, S. Kutcher, C. Wilson (2018). “Healthy Sleep, Healthy Heart” Obstructive Sleep Apnea and Atrial Fibrillation. Oral Presentation, CCCN: Canadian Cardiovascular Congress 2018. 2018 B. Furlan. “Navigating NOACs in Non-Valvular AF” 2018. Oral Presentation to Vancouver Coastal Health, Fraser Health and Providence Health NPs and RNs. 2015 J. Forman, T. Gwozd, B. Furlan, S. Kutcher (2015) “Exploring the patient’s understanding and knowledge of atrial fibrillation.” Oral presentation, Canadian Heart Rhythm Society at Canadian Cardiovascular Congress 2015. 2015 B. Furlan. (2015) “Piecing together atrial fibrillation”. Oral presentation (unpublished) Providence Health Care Cardiac Nursing Day 2015. 2009 B. Furlan, S.Lauke (2009) “A shealth in the apex? Implications of transapical transcatheter paravalvular leak repair for cardiac nursing”. Canadian Journal of Cardiology. Oral Presentation at Canadian Cardiovascular Congress 2009. Poster Presentation 2015 J. Forman, M. Deyell, J. Andrade, J. Lindenberg, B. Furlan, S. Hsieh (2015). “Patient Care Experience With Same-day Discharge After Atrial Fibrillation Ablation” 2015 Highlighted Poster Presentation, Canadian Cardiovascular Congress 2015. 2014 C.Galte, B. Hennessy, B.Catlin, K.Briscoe, M. Daniel, B. Furlan (2014). “The Provincial Heart Failure Strategy at Work: Creating Standardized Culturally Specific Practice Resources for British Columbia’s Heart Failure Health Care Providers” 2014 Highlighted Oral Poster Presentation, Canadian Cardiovascular Congress 2014. 2014 S. Lauck, S. Chakrabarti, S. Kutcher, S. Barr, B. Furlan et al. “Improving Access and Optimizing Care: Development of an Atrial Fibrillation Clinic to Implement Canadian Cardiovascular Society Guidelines”. CCS 2014 Highlighted Poster. 2010 L. Christoff, B. Furlan, |P. Choy (2010) “Evaluation of Nurse Practitioners in Cardiac Sciences-Vancouver Coastal Health”. Highlighted Oral ePoster Presentation, InspireNet 2011 Conference. Committees Providence Health UBC Research Ethics Board Learning From Every Death committee Heart Centre leadership team EP M&M committee Other 2021 American College of Sports Medicine 2021 certification exam in Quality Improvement for Physicians workshop
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| Publications
2018 Forman, J., Gwozd, T., Deyell, M. Exploring Patients’ Experience of Atrial Fibrillation Ablation with Same-day Discharge. Canadian Journal of Cardiology, 34(10), s210-211. Presentations (podium/virtual) 2020 From behind closed doors: Following the trail from the operating room to home, Nursing education day at St Paul’s Hospital, Online 2017 Atrial Fibrillation Management for Nurses, nursing continuing education, Vancouver, British Columbia 2016 The Journey of Living with Atrial Fibrillation, nursing continuing education, Vancouver, British Columbia 2016 Entering the Ice Age: Cryoablation for the Management of Atrial Fibrillation (Moderator), nursing continuing education, Vancouver, British Columbia. 2016 Updates in Atrial Fibrillation, nursing continuing education, Vancouver, British Columbia 2013 Resolution for Nurse Practitioners in BC, Canadian Federation of University Women, Vancouver, British Columbia Quality Improvement 2021 Furlan, B., Kutcher, S., Ahuja, S., Forman, J., Gwozd, T., Poon, D, Ye, J, Yeung Lai-Wah, J., Laksman, Z. Post surgical ablation pathway: 1 year review. Canadian Heart Rhythm Allied Health Education Workshop at the Canadian Cardiovascular Congress, Online. 2019 Furlan, B., Kutcher, S., Wilson, C., Gwozd, T., Forman, J., Laksman, Z., Surgical ablation: Finding the right path in post discharge follow up. Canadian Heart Rhythm Allied Health Education Workshop at the Canadian Cardiovascular Congress, Montreal, Quebec. 2017 Gwozd, T., Deyell, M., Andrade, J., Forman, J, Kutcher, S., Hsieh, S., Cheung, J., Furlan, B.A., Laksman, Z. A multidisciplinary approach to the development and implementation of an atrial fibrillation ablation clinical pathway. Canadian Heart Rhythm Allied Health Education Workshop at the Canadian Cardiovascular Congress, Vancouver, British Columbia. 2017 Hsieh, S., Gwozd, T., Chang, C., Laksman, Z., Cheung, J. Evaluation of patient’s knowledge and understanding of an amiodarone tool kit. Canadian Heart Rhythm Allied Health Education Workshop at the Canadian Cardiovascular Congress. Vancouver, British Columbia. 2017 Gwozd, T. The Journey of Living with Atrial Fibrillation. Canadian Council of Cardiovascular Nurses’ Annual Scientific Sessions, Victoria, British Columbia. 2015 Forman, J., Gwozd, T., Furlan, B.A., Kucher, S. Exploring the patient’s knowledge and understanding of atrial fibrillation. Canadian Heart Rhythm Allied Health Education Workshop at the Canadian Cardiovascular Congress. Toronto, Ontario. Committees PHC endocarditis working group Heart Centre Professional Development Funding Committee (Chair) Recovery After Cardiac Surgery (REACS) working group Awards 2023 PHC Terina Werry Award. Recognition Award for Excellence in Clinical Nursing Practice. 2021 NNPBC Clinical Excellence in NP Practice 2011 Nini-M. Harris-Lowe Memorial Award in Nursing
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Publications
Wan T, Rahmani A, Hanakova M, et al Reducing emergency department visits in patients with deep vein thrombosis: introducing a standardised outpatient treatment pathway. BMJ Open Quality 2021;10:e001123. doi: 10.1136/bmjoq-2020-001123
Scheuermeyer FX, Grunau B, Raju R, Choy S, Naoum C, Blanke P, Hague C, Heilbron B, Taylor C, Kalla D, Christenson J, Innes G, Hanakova M, Leipsic J. Safety and efficiency of outpatient versus emergency department-based coronary CT angiography for evaluation of patients with potential ischemic chest pain. J Cardiovasc Comput Tomogr. 2015 Nov-Dec;9(6):534-7. doi: 10.1016/j.jcct.2015.08.001. Epub 2015 Aug 17. PMID: 26310589.
Committees
PHC Nurse Practitioner Quality Committee
Committees
ACE Unit QI group
| Publications
2021 Mackay, M., Kaan, A., Nordquist, C. “RESUME-HFC”-exploring an alternative model of heart failure care for patients with substance use disorder and/or mental health needs. Canadian Journal of Cardiology, 2021: 37,10,S118 2014 Simpson, F., Hahn, T., Nordquist, C., Ignaszewski, A., Kimel G. Heart Failure Supportive Care Clinic: does clinic improve quality of life? Canadian Journal of Cardiology, 2014;30,S198. 2016 Lauck, S., Gibson, J., Baumbush, J., Carroll, S., Achtem, L., Kimel, G., Nordquist, C., Cheung, A., Boone, R., Ye, J., Wood, D., Webb, J. Transition to palliative care when transcatheter aortic valve implantation is not an option: opportunities and recommendations. Supportive and Palliative Care, 2016;10,1, 18-23. Presentations (podium/virtual) 2023 The Divergent Paths of Advanced Heart Failure, nursing continuing education, Vancouver, British Columbia. 2019 Symptom Management and End of Life Considerations for the Complex Heart Failure Patient. BC Heart Failure Symposium, Vancouver, British Columbia. 2019 Homeschooling: A Different Approach for Vulnerable Populations, nursing continuing education, Vancouver, British Columbia. 2018 A Pilot Study to assess the Feasibility of an Alternative Model of Care to Reduce Emergency Visits for Patients who have Substance Use Disorder and/or Mental Health Needs and are Unable to Access Heart Function Clinic. St. Paul’s Hospital Research Challenge, Vancouver, British Columbia. 2017 Stopping the Shocks: ICD’s at the End of Life, nursing continuing education, Vancouver, British Columbia. 2016 Integrating a Palliative Approach in Heart Failure: St. Pauls’ Hospital Supportive Care Clinic, nursing continuing education and BC Heart Failure Symposium, Vancouver, British Columbia. 2014 Walking Together: Palliative Care in Heart Failure. Poster Presentations 2021 Nordquist,C., Mackay, M., Kaan, A., Chiu, W., Clark, C., Knoll, J., Ahuja, S., Norman, M., Hanakova, M., Cowan, S. “REUME-HFC”: exploring an alternative model of heart failure care for patients with substance use disorder and/mental health needs. Canadian Cardiovascular Congress Annual Scientific Session (virtual). 2014 Nordquist, C., Kimel, G., Kann, A., Simpson, F. Heart Failure Supportive Care Clinic. Canadian Council of Cardiovascular Nurses’ Annual Scientific Session, Vancouver, British Columbia. Committees Department of Nurse Practitioner Quality Committee Chair Providence Health UBC Research Ethics Board Awards Terina Werry Award, 2014
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Other
Avalanche Safety Training Levels 1 and 2
Glacier Travel and Crevasse Rescue
Wilderness First Responder
Bolivia Mountaineering School with Mountain Madness Guides
Committees
PHC SLS (Safety Learning System) Committee
PHC Nurse Practitioner Department Education Committee
Presentations
2023 September. Heart Centre Medical Staff M7M round case presentation
| Quality Improvement
2021 – Improving continuity of care for youth accessing shared care (primary care and psychiatry) services at Foundry Vancouver Granville. Providence Health Care Quality Improvement Challenge. 2020 – Improving all non-urgent communications between case managers and primary care using EMR tasking at Foundry Vancouver Granville. Committees Primary Care Leadership OH&S JOSHC Committee
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| Publications
2020 C. Prior, K. Sims, K. Seligman, S. Jackson, A. Chau. Peripartum management of a parturient with type 1C (clearance) von Willebrand disease, International Journal of Obstetric Anesthesia, Volume 44, 2020, Pages 112-115. https://doi.org/10.1016/j.ijoa.2020.08.005. 2017 BCNPA 2017. Specialized Services: Nurse Practitioners Collaborating to Improve the Continuum of Care. https://bcnpa.org/wp-content/uploads/BCNPA-Specialized-Final-January-9-2017.pdf 2010 Hameed, S.M., Brenneman, F.D., Ball, C.D., Pagliarello, G, Razek, T,Parry, N, Widder, S, Minor, S, Buczkowski, A, Panton, N, Wood, L, Johner, A, Jenkin, D, MacPherson, C, McLoughlin, K, Anderson, I, Davey, D, Zabolotny, B, Saadia, R, Bracken, J, Nathens, A, Ahmed, N, Warnock, G.L. General surgery 2.0: The emergence of Acute Care Surgery in Canada. Canadian Journal of Surgery: April 2010: 53(2): pp 79-83. Presentations (podium/virtual) 2020 CANHC- Von Willebrand Disease Type 1C (clearance) 2019 Fraser Health NP on the Run Conference -Is a Bleeding Disorder Masquerading As Menorrhagia Poster presentations Factor concentrate switches: the real cost to patients, clinicians, and laboratories. Committees NP Department Quality Committee Transfusion Medicine Committee The NSP Ambulatory Committee President NNPBC Canadian Association Of Canadian Hemophilia Nurses NP Council of NNPBC BCCNM OSCE Standards Committee Nurse Practitioner Association of Canada- NP Council Member Other POCUS for MSK and Joints from both The University of San Diego & Mohawk College Certificate in Medical CBT for primary care (CMCBT) Advance Wound Care and Ostomy Management 2014 Diploma in Mountain Medicine Course (DIMM)-The University of British Columbia
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Other
Post graduate diploma in Management
Honours Applied Math and Computer Science