Victoria Divisions of Family Practice

Victoria and South Island Long-term Care Initiative (LTCI) Program


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Locally, the South Island and Victoria Divisions of Family Practice are working together on a collaborative regional approach to implementing the LTCI, given the overlap in geography and physicians between the two divisions.

The South Island and Victoria regional LTCI launched in August of 2015, with an emphasis on improving patient care, engaging and supporting physicians to meet the Best Practice Expectations, and facilitating collaborative system change with long-term care sites and Island Health. 

LTCI Best Practice Expectations

Many physicians already meet most of the LTCI best practice; however, the LTCI program team will support physicians to achieve all the best practice expectations where there are barriers:

  • 24/7 availability and on-site attendance, when required,
  • Proactive visits to residents,
  • Meaningful medication reviews,
  • Completed documentation,
  • Attendance at case conferences, and
  • Participation in a regular quality improvement process.

Together, the LTCI program team, physicians, and long-term care facility teams are positively impacting system-level outcomes by:

  • reducing unnecessary or inappropriate hospital transfers,
  • improving patient-provider experience, and
  • decreasing cost/patient as a result of a higher quality of care.

Physicians who participate in the LTCI will receive LTCI payments of up to $325 per resident, as well as other Benefits and Incentives.


How to Opt in to the LTCI

  1. Review LTCI Questions & Answers for full program details.
  2. Opt-in to the program by signing a system-wide LTCI Letter of Agreement that covers all residents for whom you are MRP.
  3. Access LTCI Benefits and Incentives, including regular LTCI payments.

Local LTCI status update

  • 87 physicians in Victoria and South Island have opted in to the LTCI
  • These 87 physicians provide coverage for approximately 90% of residents
  • All 38 local Long-term care facilities have engagement from with LTCI physicians

LTCI Steering Committee

The Victoria and South Island LTCI is governed by a Steering Committee with members from both the Victoria and South Island Divisions of Family Practice, and Island Health:

  • Catriona Park, Executive Director, VDFP
  • Executive Director, SIDFP
  • Juna Cizman, LTCI Program Manager
  • Dr. Margaret Manville, (Co-Chair) LTCI Clinical Lead
  • Dr. Mike Miles, (Co-Chair) VDFP member
  • Dr. Ian Bekker, VDFP member
  • Dr. David Brook, VDFP member
  • Dr. Nicole Del Bel, SIDFP member
  • Dr. Ben How, VDFP member
  • Dr. Katharine McKeen, VDFP member
  • Dr. Peter Neweduk, VDFP member
  • Dr. Robin Saunders, SIDFP member
  • Catherine Ryan (NP)
  • Jessica Swinburnson, LTCI Operations Lead

Get involved in the LTCI

Want to opt in to LTCI but don’t have any residents yet? Have long-term care patients but need help with next steps?

For one-to-one support to opt in or find out more about the LTCI please email us at, call us at 778-265-3137, ext. 6, or contact an LTCI Program team member: