CANADIAN SOCIETY OF PALLIATIVE CARE PHYSICIANSMonday, July 11, 20169 am PST/12 pm EST

PRESENT: Dave Henderson (Chair), Anne Boyle, Stephanie Connidis, Bruno Gagnon, Pippa Hawley, Susan MacDonald, Stephen Singh, Anna Voeuk, Michelle Veer (recorder).

REGRETS: Monica Branigan, Leonie Herx, Kim Taylor (Executive Director),

1. Call to order/additions to agenda Call to order at 0906 h. Addition via email from Dr. Neil MacDonald re: Palliative Care Case-Based Manual. MOTION from Susan MacDonald & seconded by Bruno Gagnon to accept agenda with

addition. Carried.

2. Approval of minutes from last teleconference on June 13, 2016 – attachment MOTION from Stephanie Connidis and seconded from Susan MacDonald for approval of

minutes from June 13, 2016. Carried.

3. Education Conference debrief – Leonie

o Leonie Herx was not able to be present during the meeting.o Anna Voeuk updated that they are still trying to figure out the keynote speakers.

4. Advocacy & Partnerships

Access Working Group update – Pippao First meeting 2 weeks ago, next meeting today at 1100 h PST.o Discussed plan and deliverables, & partners. References were asked to be submitted

to assist.o Some changes may be made to working group list due to some being unavailable to

attend the chosen dates and times.o CPAC – big meeting in August with people from Australia, UK & Eduardo Bruera

for monitoring outcomes for palliative care patients. o Klere Bourgault, Dave Henderson, Pippa Hawley, Chris Vadeboncoeur, Pam

Mansfield, Doris Barwich, Harvey Chochinov, Naheed Dosani, Jose Pereira (9 people total).

o At the meeting today they will be focusing on getting the tasks done with short timeline.

o Many people asked to assist even if they are not on the committee.o Neil Hilliard from Fraser Health in BC will be asked to help.o Deb Dudgeon has asked to do a survey regarding which provinces have which kind of

billing codes across country.o Is CSPCP interested in doing this? Ask one rep for each province. o Has this been done already? o Paul McIntyre – Dave to ask.o ACTION: Michelle to organize the survey (specific fee codes?).o Medical Associations? Approach and ask (OMA) document already.

o Do we identify a key person or do we send a letter to all the Medical Associations? Each Board member will make a list of all provinces and who we know and can figure out. If we don’t have anyone we can look at Medical Associations.

o Alberta – Anna Voeuk will ask Leonie Herx.o ACTION: Michelle to put in graph and collate requests.

CMA Motions report – Stepheno Deadline is today.o Dave put together motion (Denise Marshall’s theme: Compassionate Community),

Board & Executive reviewed, put in format and submitted last week.o They are reviewed based on the date when submitted. o Stephanie put together second proposal on opioid safety and regulation in country. o No one has received or reviewed this.o Stephanie reviewed what the concerns are with opioid prescribing. We are

highlighting something that is a bit vague in a pre-existing policy.o Pippa stated that GPs are getting fearful due to the colleges statements that are

coming out.o Stephanie to forward email to Board and Dave to have quick look at and submit what

we have.o Can we list pharmacists as stakeholders? Stephen concurred that it should be fine.o Agreed to submit whatever we had. o ACTION: Dave to pursue submitting proposal today.

Palliative Care Lexicon – Pippa – attachmento Pippa started doing this for teaching opportunity to Emergency residents and

discovered there is not much out there.o BC Centre for Palliative Care would like to have one as well.o Pippa sent out for feedback to get consensus across the country; any word issues?

Suggestions? Terms to include?o ACTION: Board members to respond with suggestions to Pippa as soon as possible.o Do we want to send to Board, then membership, then CHPCA? Yes.o Goal is to email to CHPCA and ask them to review their online literature to make

sure terms are being used consistently.o Michelle to assist with emails. o ACTION: Pippa to resend to Board to start a separate email thread.

5. Hastened Death update - Monica Dave asked for comments as Monica is not present. Stephanie’s experience in a Catholic institution, finding balance in palliative medicine and

legalities within. They are not hearing any of the reasons why some palliative care professional feel it should

not be offered on a palliative care unit and what happens when someone wants it on a palliative care unit.

Article from Jose Pereira. Risk that patients won’t come to the unit because it is assumed that this is all that happens

there. Discussion ensued regarding processes of what may happen. Conversations have been delayed due to the suggestion of having psychiatric evaluations. Challenge within fitting the criteria and being brought to Catholic hospital and legalities

around this. Failure to provide care. At this point we will await guidance.

6. Palliative Care Case Based Manual We received email from Neil MacDonald, palliative care case-based manual and with that

textbook it had been put out through Oxford Press and Neil has been an editor, Doreen Oneschuk and Michael MacDonald. Looking for new editors and all profits come directly to CSPCP.

Does this belong with Communication or Education? Education. Doesn’t make that much money.

Dave suggesting that we put out a question to our membership if anyone is interested in being an editor for this. Susan interested.

Do we have a job description? What are the expectations? Needs to be reviewed and update the information (not major changes from one to another). ACTION: Michelle to forward to Leonie & Anna to review. Dave happy to be a part of

conversation and he will send email back to Neil MacDonald and discuss at next meeting. Will it be on recommended reading list and highly recommended for Undergrads? Yes. Not

sure that fellows receive this. Meant to be suitable for UG & PG in non-specialist programs. (pocketbook and case-based

manual). DO we still gift this? No.

7. Finances Update financial report – Leonie not present.

8. Infrastructure & Operations No update

9. Member Engagement & Communications Membership numbers – attachment

o Michelle updated the Board regarding the drop in numbers. o In prior months the members that had not renewed in 30, 60, 90 days were being left on

list.o This has been changed to reflect the ACTUAL membership, removing all members as

soon as their membership has lapsed. Website analytics – attachment

o Michelle updated the spreadsheet from April to June with how many website sessions & unique visitors and the members area sessions and unique visitors.

o Board found interesting and Michelle will continue to report each month.

Meeting adjourned at 1001 h.Stephanie motioned to adjourn.

Next meeting: Monday, August 8, 2016