Outreach and Regional Clinics

 

Background/ Why Is This Important?

Children with complex health care needs may be referred by their local health teams for assessment and/or treatment from the sub-specialty teams at BC Children's Hospital. For children living outside of Vancouver, a trip to BC Children’s Hospital for care can mean significant travel, cost and disruption for the whole family. Outreach clinics bring BC Children’s Hospital’s sub-specialized expertise and services to BC families in their home communities. Outreach team members may include sub-specialty physicians, nurses, physiotherapists, echo sonographers and dieticians in a wide range of clinical areas.

What Actions Have Already Been Taken?

Planning and coordinating outreach clinics, in conjunction with BC Children's Hospital, is a key priority of Child Health BC. In addition to enabling BC Children’s Hospital to provide leading edge care while optimizing system resources, outreach clinics also build partnerships with community-based health care teams to support children’s health on an ongoing basis.  

For the past decade, Child Health BC has supported and strengthened the growth of outreach clinics. In the past two years, BCCH outreach patient visits have increased by more than 20 per cent. This translates to more than 5,400 patient visits every year. 

In the past year, a total of 436 sub-specialty outreach clinics were held throughout the province:

 

VH and Outreach Map for BC June 2020

 

2019/20 Outreach Patient Visits by BC Children's Hospital Subspecialty Teams                 
(by Health Authority of Residence)  
 Datasource: CERNER            

 

Clinic Interior Fraser Vancouver Coastal Vancouver Island Northern Other Grand Total
BIOCHEMICAL DISEASES CLINIC       7     7
CARDIOLOGY CLINIC 548 998 23 7 348 39 1,963
CYSTIC FIBROSIS CLINIC 21       20   41
DERMATOLOGY CLINIC 1       88   89
ENDOCRINE CLINIC 121 490   4 134 20 769
GASTROENTEROLOGY CLINIC 112   2 236 66   416
HEMOPHILIA CLINIC 15 9   20 10   54
NEUROLOGY CLINIC 400 381 7 14 141   943
OPHTHALMOLOGY CLINIC 151 10 48   118 1 329
OTOLARYNGOLOGY CLINIC 1 1 40   44   86
RENAL CLINIC 87 393 1 6 64   551
RHEUMATOLOGY CLINIC 94 237 2   202   535
TONE MANAGEMENT CLINIC 2 7 2   15   26
UROLOGY CLINIC 6       75   81
Grand Total 1554 2526 125 294 1250 60 5890

 

Where Are We Going Next?

Child Health BC continues to support and grow pediatric sub-specialty outreach across BC. This includes expanding outreach to new communities, as well as adding to the list of clinical programs offering outreach.

Virtual Care, including telehealth, is another transformational strategy for eliminating barriers to access to subspecialty care, and enabling care proximity in children’s home or community. Virtual care will enable children to be seen in their homes or communities, seamlessly integrating specialized care into the care plan. These technologies have the potential to decrease wait-times to see sub-specialists, to enhance follow-up care after hospital discharge, and to provide support in schools.