May 19, 2009 - District of Mission
May 19, 2009 - District of Mission
May 19, 2009 - District of Mission
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1<br />
Mips' sTsRiCOT<br />
hF "00.,<br />
ON THE FRASER "0•0'..."<br />
Regular Council Agenda<br />
<strong>May</strong> <strong>19</strong>, <strong>2009</strong> — 6:30 p.m.<br />
Council Chambers<br />
8645 Stave Lake Street, <strong>Mission</strong>, BC<br />
1. RESOLUTION TO RESOLVE INTO COMMITTEE OF THE WHOLE<br />
2. PROCLAMATIONS<br />
(a) <strong>May</strong> <strong>2009</strong> as "Missing Children's Month"<br />
<strong>May</strong> 25, <strong>2009</strong> as "Missing Children's Day"<br />
Child Find British Columbia<br />
Page 4<br />
3. DELEGATIONS AND PRESENTATIONS<br />
(a) Rani Bellwood Page 7<br />
Re: Entrepreneurialship Fair<br />
(b) Margaret Hardy Page 9<br />
Re: Go <strong>Mission</strong> Project — Central Resource Bureau<br />
4. PLANNING<br />
(a) Repeal <strong>of</strong> Zoning Amending Bylaw 3927-2006-3143(254) and Page 17<br />
Revocation <strong>of</strong> Development Variance DV06-002 and Development<br />
Permit DP06-002 (Kanaka Creek Developments) - 32600 Tunbridge<br />
Avenue<br />
(b) Request for Extension — Rezoning Application R06-0023 (Holman) — Page 27<br />
8980 East Edwards Street, 8977 West Edwards Street<br />
(c) Development Permit Application DP08-007 — Krahn Engineering Page 33<br />
Limited 7266 River Place<br />
(d) Minutes <strong>of</strong> the <strong>Mission</strong> Community Heritage Commission (MCHC) Page 43<br />
held on March 4, <strong>2009</strong><br />
(e) Minutes <strong>of</strong> the <strong>Mission</strong> Community Heritage Commission (MCHC) Page 45<br />
held on April 1, <strong>2009</strong><br />
(f) Minutes <strong>of</strong> the Downtown Coalition Meeting held on Page 47<br />
April 14, <strong>2009</strong><br />
5. ADMINISTRATION AND FINANCE<br />
(a) Approval in Principle — RCMP 2010/11 Budget Estimates Page 51<br />
(b) 13th Annual Bear Mountain Race Page 53
Regular Council Agenda 2<br />
<strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
(c) Community Health Plan Report Page 55<br />
(d) 2008 Statements <strong>of</strong> Financial Information (SOFT) Page 156<br />
(e) Discuss Item — Councillor Horn Page 181<br />
Re: Electronic meetings and participation by members<br />
(f) Inspection Services Department Report — January to April, <strong>2009</strong> Page 182<br />
6. ENGINEERING AND PUBLIC WORKS<br />
(a) Air Quality Monitoring Station in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Page <strong>19</strong>9<br />
(b) Restricting Bottled Drinking Water Use in Municipal Facilities — Page 201<br />
Follow-up and Correspondence<br />
(c) Reimbursement <strong>of</strong> Curbside Collection Fees for 10256 Dewdney Page 207<br />
Trunk Road<br />
(d) Whistle Cessation at Hatzic Crossing Mile 84.46 Cascade Page 210<br />
Subdivision<br />
7. PARKS, RECREATION AND CULTURE<br />
(a) Renewal <strong>of</strong> <strong>Mission</strong> Granite Club Licence for Use Agreement <strong>of</strong> Page 231<br />
Curling Rink<br />
8. RESOLUTION TO RISE AND REPORT<br />
9. ADOPTION OF COMMITTEE OF THE WHOLE REPORT<br />
10. MINUTES<br />
(a) Regular Council Meeting — <strong>May</strong> 4, <strong>2009</strong> Page 232<br />
(b) Special Council Meeting — <strong>May</strong> 11, <strong>2009</strong> Page 247<br />
11. BUSINESS ARISING FROM THE MINUTES<br />
12. CHIEF ADMINISTRATIVE OFFICER'S REPORT<br />
13. MAYOR'S REPORT<br />
14. COUNCILLOR'S REPORTS ON COMMITTEES, BOARDS, AND ACTIVITIES<br />
15. BYLAWS<br />
(a)<br />
(b)<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Municipal Ticket Information Amending Adoption<br />
Bylaw 4092-2008-2646-(13) — a bylaw to add designated<br />
bylaw enforcement <strong>of</strong>ficers for Water Bylaw 2<strong>19</strong>6-<strong>19</strong>90<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Officer Amending Bylaw 5031-<strong>2009</strong>- Adoption<br />
3986(6) — a bylaw to add "manager <strong>of</strong> engineering design<br />
services"
Regular Council Agenda 3<br />
<strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
(c) <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Repeal Bylaw 5032-<strong>2009</strong> First, Second and<br />
A bylaw to repeal zoning amending bylaw Third Reading<br />
3927-2006-3143(254) and street naming bylaw 3928-2008<br />
16. CORRESPONDENCE<br />
(a) GamesTown 2010 Page 250<br />
(b) Julie Gogal Page 254<br />
Re: Pet Overpopulation<br />
17. QUESTION PERIOD<br />
18. ADJOURNMENT
4<br />
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<strong>May</strong>or D cpunc.itirs, ylayorRBDtal rjExempt COW<br />
BRITISk COLUMBIA<br />
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For: ri Report to CCM' Dtoiotcn DR)/ for 1,Apyors Sig<br />
fl ReoLiosleciF Min Re_soonse to Courici! Fallow Up<br />
Serving British Columbia Since <strong>19</strong>84<br />
Provincial Toll Free: 1.888.689.3463 wv\rw.childfindbc.corn<br />
<strong>May</strong> 1, <strong>2009</strong><br />
• Victoria Office<br />
2722 Fifth Street, 208<br />
Victoria, BC V8T 4B2<br />
(250) 382-7311<br />
Fax (250) 382-0227<br />
Email:<br />
childvicbcOeshaw.ca<br />
<strong>Mission</strong> (<strong>District</strong>)<br />
Box 20<br />
<strong>Mission</strong>, British Columbia, V2V 4L9<br />
Dear <strong>May</strong>or and Council,<br />
Re: Proclamation for National Missing Children's Month and<br />
Missing Children's Day<br />
I write today on behalf <strong>of</strong> Child Find British Columbia. Child Find BC<br />
requests that your local government proclaim <strong>May</strong> as Missing Children's<br />
Month and <strong>May</strong> 25 th as missing Children's Day.<br />
"A charitable non-pr<strong>of</strong>it<br />
organization worki: , with<br />
searching t'aniiiies and law<br />
enforcement to reduce the<br />
incidence <strong>of</strong> missing and<br />
exploited children.<br />
ivIzacidt,3 2-1,7ai<br />
1/ eruo<br />
Child Find BC supplies "ALL ABOUT ME" ID Kits with child finger<br />
printing and photos, to families and Child Find BC hosts these children<br />
ID Clinics throughout BC. Child Find BC provides education, including<br />
public speakers, literature and tips for families to assist them in keeping<br />
all <strong>of</strong> our children safe.<br />
Enclosed are the <strong>2009</strong> posters <strong>of</strong> missing children from across Canada. It<br />
is our hope that you will arrange for these posters to be placed at<br />
municipal facilities where children and families frequent. If you would<br />
like additional posters they will be provided upon request.<br />
We hope that you will raise this proclamation for consideration, to your<br />
Council and your community at your next meeting.<br />
I attach a report <strong>of</strong> missing children in Canada by province and<br />
circumstance for your information. You will note that 13.575 children<br />
were reported missing in British Columbia in 2007. Through the support<br />
<strong>of</strong> municipal governments like yours we are able to educate and bring<br />
awareness to thousands <strong>of</strong> BC families.<br />
Thank you so much for your consideration <strong>of</strong> this request and your<br />
continuing commitment to Community Services in BC and the children<br />
and families <strong>of</strong> BC. If you have any questions regarding this request<br />
please contact the Child Find BC <strong>of</strong>fice at I-888-689-3463.<br />
Yours truly,<br />
Crystal Dunahee<br />
President, Child Find BC
5<br />
Your Letterhead here<br />
National Missing Children's Month and Missing Children's Day<br />
WHEREAS Child Find British Columbia, a provincial member <strong>of</strong> Child Find Canada is a<br />
non-pr<strong>of</strong>it, registered charitable organization, incorporated in <strong>19</strong>84; AND<br />
WHEREAS The Mandate <strong>of</strong> Child Find British Columbia is to educate children and adults<br />
about abduction prevention; to promote awareness <strong>of</strong> the problem <strong>of</strong> missing<br />
children, and to assist in the location <strong>of</strong> missing children, AND<br />
WHEREAS Child Find has recognized Green as the colour <strong>of</strong> Hope, which symbolizes a<br />
light in the darkness for all missing children; AN!)<br />
WHEREAS Child Find's annual Green Ribbon <strong>of</strong> Hope Campaign will be held in the month<br />
<strong>of</strong> <strong>May</strong> and <strong>May</strong> 25 th is National Missing Children's Day; AND<br />
THEREFORE BE IT RESOLVED THAT<br />
I, (<strong>May</strong>ors Name) <strong>of</strong> the (city, town, municipality), do hereby proclaim <strong>May</strong> as<br />
Child Find's Green Ribbon <strong>of</strong> Hope month and <strong>May</strong> 25 th as National Missing<br />
Children's day. I urge our citizens to wear a green ribbon as a symbol <strong>of</strong> Hope for<br />
the recovery <strong>of</strong> all missing children; and to remain vigilant in our common desire to<br />
protect and nurture the youth <strong>of</strong> our Province.<br />
<strong>May</strong>or Your Seai Here<br />
Sinned at this day <strong>of</strong> <strong>May</strong>, <strong>2009</strong>
6<br />
Appendix 2<br />
All <strong>of</strong> Canada Reports <strong>of</strong> Missing Children for Year 2007<br />
Cases on CPIC, Year-end Reports by Category, Province and Gender<br />
. .. .<br />
Females<br />
. .. .. . , ... . , ... ,... . ....., % ,. ...,., .,<br />
i.i4 4i-: :41t..40, -: ..'<br />
..-:';"4itiEt : ::...,.'::::. .:4013i! 'tid..'5::: 440 .<br />
Stranger 0 1 0 1 10 2 2 12 5 0 0 0 1 34<br />
Accident 0 0 0 6 0 0 0 2 3 0 0 0 0 11<br />
Wandered 0 1 0 78 48 7 4 132 12 0 0 1 0 253<br />
Parental 0 0 0 12 16 5 3 53 35 2 1 2 2 131<br />
Runaway 4 48 0 5,140 5,611 1,327 2,029 9,425 2,515 232 34 236 101 26,705<br />
Unknown 1 <strong>19</strong> 0 2,624 374 318 231 1,906 697 30 4 38 <strong>19</strong> 6,261<br />
Other 0 1 0 328 44 17 12 492 299 3 2 11 4 1,213<br />
Wt. 6 70;: : Ir. ':4,1110:' ',! '0,40 -.:.:, !'.. lArti, 143.1. Iii.,trO' Uitii,:.:, t ,,, f • A. -34<br />
Males<br />
•iPr<strong>of</strong>ile" VT 'NT NU BO .A18 " SK " MB ON . I OC Na PE. NS Al; 'totals<br />
Stranger 1 0 0 4 7 3 0 5 0 2 0 0 0 22<br />
Accident 00 0 3 1 0 2 12 2 000 2 22<br />
Wandered 0 1 0 66 33 17 5 146 22 0 . 2 0 293<br />
Parenta 0 1 0 15 14 4 2 67 49 2 154<br />
Runaway 8 45 0 3,241 4,382 839 960 6,999 2,645 225 9 89 50 <strong>19</strong>,464<br />
Unknown 0 16 0 1,791 277 238 120 1,651 782 ; 36 0 30 14 4.955<br />
Other 0 1 0 266 36 5 6 391 291 5 1 12 1 1,014<br />
Tota's 1 63 0 6,386 4,750 ' IMO: , '14<strong>19</strong>6'. .9,271 ".2;791'- .271 10. , 133 '$7.,''' '2.6;844.<br />
Totals<br />
Pr<strong>of</strong>ile YT NT Nil BC AB SK MB ON QC B PE NS NL To is-<br />
Stranger 1 10 5 17 5 2 17 oH 0 0 i 5.6<br />
Accident 00 0 9 1 0 2 14 50 00 2 33<br />
•Wandered 0 2 0 144 81 24 9 278 34 3 0 576<br />
Parental 0 1 0 27 30 9 5 120 64 1 4 1 2 2 285<br />
Runaway 4 93 0 8,381 9.993 2,166 2,989 16,424 5,163 457 43 325 151 46,189<br />
Unknown 3 0 4,415 651 556 351 3,557 1,479 I 6 4 66 33 11.21e<br />
Other 1 0 594 80 22 18 853 590 , ''' 3 23 5 2,227 ,<br />
Totals 6 133 0 13,575 10,883 2.782 3.376 21.293 7,360 638 51 421 1<strong>19</strong>4 60,582<br />
2E;
8<br />
"Focus on Hope"<br />
Through my experience at numerous community development tables, it has become apparent to me that youth<br />
will need additional support and opportunities to succeed with our current economic challenges. It is necessary to<br />
give youth, and families the possibility and opportunity <strong>of</strong> "hope", to generate additional income through those<br />
positive things that are exciting to them.<br />
I also realize that the best possible scenario involves the simplest approach to entrepreneurialship, while self<br />
identifying best personal fit to create products or services. And to motivate individuals to complete everything they<br />
need to do with the assistance <strong>of</strong> a team <strong>of</strong> experts, in one day under one ro<strong>of</strong>. A mentor support team is assigned<br />
to ensure increased success.<br />
This demonstration model can be used in both urban and rural communities. It will be a benefit to communities by<br />
reducing risks associated with unemployment, low income and negative outcomes such as crime, alcohol,<br />
addictions, violence and mental health issues.<br />
Key Area for Prevention •<br />
Through-Intervention<br />
Preventing risk for depression through economic factOrs<br />
Framing the intervention — provide free communitysession for .youth and. families<br />
• Purpose <strong>of</strong> intervention — to reduce risk <strong>of</strong> negative outcomes in community<br />
• Timeframe — one day (Saturday) 10AM to 4P/v1.<br />
• Focus <strong>of</strong> session all aspects necessary to accomplish successful engagement in entreprenuerialship.<br />
Urban/Rural<br />
• Isolation through lack <strong>of</strong> transportation .or other circumstances<br />
• Emphasis on people understanding themselves, understanding others, engaging with experts, and<br />
completing ail tasks necessary to begin their entrepreneurial business, in one day,<br />
Depression is a common mental disorder that presents with depressed mood, loss <strong>of</strong> interest or pleasure, feelings<br />
<strong>of</strong> guilt or low self-Worth, disturbed sleep or appetite, low energy, and poor concentration. These problems can<br />
become chronic or recurrent and lead to substantial impairments in an individuals ability to take care <strong>of</strong> hi or her<br />
everyday responsibilities. Depression is the leading cause <strong>of</strong> disability as measured by YLDs (years lived with<br />
disability) and the 4th leading contributor to the global burden <strong>of</strong> disease DALYs (Disability adjusted life years = the<br />
premature mortality and the-years<strong>of</strong> productive life lost due to disability.), by the World Health Organization in<br />
2000.<br />
This economic model <strong>of</strong> intervention improves:<br />
quality <strong>of</strong> life<br />
• satisfaction<br />
• health.outcomes<br />
• functioning<br />
• economic productivity<br />
• household wealth<br />
and reduces greenhouse emissions<br />
Rani Bellwood ranib@post.com
05/11/<strong>2009</strong> <strong>19</strong>:58 FAX 6048269511 DEMAL SERVICES INC X002<br />
0s/11/2039 16:41 6046267951 DISTRICT OF MISSION PAGE 01 / 01<br />
9<br />
.1.0111141111.011111<br />
III■mmummommommoulmou<br />
DISTRICT OF MISSION<br />
pm . J)1.,)\-ta(„S&.-t\itc,:l .<br />
REQUEST TO APPEAR AS A DELEGATION q)g , 6 -2- (''P S t (<br />
Date: rA41,1 I 1,<br />
To .: Dennis Clark, Director <strong>of</strong> Corporate ACIminletration<br />
I hereby request 'permission to appear as a delegation before <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
<strong>May</strong>or and Counoll with reference to the following topic:<br />
11-Grqta-Ni<br />
,j-L.01/4A WI. LW/47 4 A<br />
4coAJA/G(1-<br />
Itom.)<br />
Pitk ,_•e-41'.11C1r1N1 V 1. F Pc,A,40.PrA r41'<br />
6114J (flip,<br />
St- 1<strong>19</strong>41-41 SuksThi J.-1 6qt 0-411)4At7i Ti) (01WIEN<br />
tiAZakoi1/41Gi 474:1.41 OhNitiE4INesN . inD .(0„; m AN cyz<br />
understand that the deadline for submission <strong>of</strong> the request is 4:30 p.m, on the Monday preceding the<br />
data <strong>of</strong> the meeting and that once my apPearance has been confirmed, I will be gonad a makimurn <strong>of</strong> 10<br />
minutes to make my presentation.<br />
Name: P.414-RAF-1t(71 - a)671AAL SEW"iiuE_S<br />
Address: tt 15S 'Lbri1.4<br />
City:<br />
Postal Code: Li.J;<br />
I<br />
Telephone;<br />
cry4S■A_riviNiT<br />
) 82G r Pit<br />
G:drOlLgtgrnOrgq ,AW lb •PS.L1r an Ci0i0PFLOCM.Cif3C
Everyone Benefits<br />
Building an accessible and inclusive<br />
community where 'belonging is the norm'<br />
benefits all <strong>Mission</strong> residents.<br />
Our vision is to provide easy access to<br />
community information ranging from health<br />
care, schools, employment, volunteer<br />
opportunities to housing, transportation and<br />
local events to enhance the quality <strong>of</strong> life <strong>of</strong><br />
all residents.<br />
Communication is a crucial factor that allows<br />
everyone to be included For people isolated<br />
by language difficulties, ethnic diversity and<br />
literacy as well as <strong>of</strong>ten overlooked<br />
minorities, including youth, aboriginals,<br />
seniors and those with hidden or visible<br />
disabilities it makes all the difference.<br />
<strong>Mission</strong><br />
ON THE FRASER<br />
8645 Stave Lake St<br />
<strong>Mission</strong> BC<br />
V2V 4L9<br />
Kirsten Hargreaves, Social Development Manager<br />
Tel: 604-82U-3752<br />
Email: khargreaves@mission.ca<br />
Website: www.mission.ca<br />
ON THE FRASER<br />
" Disability is a complex phenomenon<br />
reflecting an interaction between<br />
features <strong>of</strong> a person's body and<br />
features <strong>of</strong> the society in which<br />
she/he lives."<br />
World Health Organization<br />
real asuring up<br />
Vernal<br />
Services inc.<br />
Margaret Hardy, Consultant<br />
Box 157<br />
Matsqui BC<br />
V2X3R2<br />
Tel: 604-826-9821<br />
Email: margaret@dema Isewices.ca<br />
ssion-Meastnes
Public Accessibility Forum<br />
More than 70 people attended a public<br />
forum on accessibility and inclusion for<br />
people with disabilities held in July<br />
2008.<br />
Community members with disabilities or<br />
health issues shared their success stories<br />
and described their passions for<br />
making <strong>Mission</strong> a greater place to live,<br />
work and recreate.<br />
Roundtable discussions touched on every<br />
aspect <strong>of</strong> community living from<br />
employment, housing and transportation.<br />
Each table reported their finding to the<br />
larger group with the improvement <strong>of</strong><br />
communication services emerging as a<br />
common theme.<br />
Moving Forward<br />
<strong>Mission</strong> is continuing to move forward<br />
with the 'Go <strong>Mission</strong>' Project. We are<br />
creating a virtual Central Resource<br />
Bureau, in an accessible format, to<br />
disseminate information and services<br />
to all citizens and successfully bridge<br />
the disconnect between the community<br />
and the resources available.<br />
This initiative is built on fundamental<br />
belief that communication is a vital<br />
component that impacts the degree to<br />
which people are engaged and able to<br />
contribute to community life.<br />
We are intentionally embracing the<br />
talents, experience and knowledge <strong>of</strong> a<br />
wide variety <strong>of</strong> <strong>Mission</strong> citizens to<br />
encourage more efficient use <strong>of</strong><br />
community resources.<br />
Working together with key community<br />
stakeholders we are developing<br />
sustainability partnerships with local<br />
business and services to address the<br />
underlying community communication<br />
problems and to improve community<br />
interactions.<br />
Benefits:<br />
o<br />
o<br />
o<br />
o<br />
Enhanced community capacity for<br />
inclusion<br />
New business and non pr<strong>of</strong>it<br />
community collaborations<br />
Information access for the general<br />
public<br />
Opportunity for everyone to<br />
participate in all <strong>Mission</strong> events<br />
and activities<br />
A Legacy Of inclusion<br />
<strong>Mission</strong> has made it a priority to create<br />
a livable community that revolves<br />
around people not just 'sewers and<br />
roads'.<br />
Our Values:<br />
o<br />
o<br />
o<br />
Connect<br />
Communicate<br />
Celebrate<br />
Inclusion Principles:<br />
o<br />
o<br />
o<br />
o<br />
Communicate in plain language<br />
Involve the community at large<br />
Include those who are impacted<br />
Value, utilize and build on current<br />
assets and resources
12<br />
Why a Central Resource Bureau?<br />
The Central Resource Bureau is based on the fundamental belief that communication is<br />
essential to maintain and enhance the quality <strong>of</strong> life <strong>of</strong> all residents.<br />
Throughout the Measuring Up community engagement process last year it was<br />
determined that access to information was a vital component that impacts the degree to<br />
which people are engaged and able to contribute to community life.<br />
Go <strong>Mission</strong> project - January <strong>2009</strong><br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> received 2010 Legacies Now funding to develop an on line<br />
Central Resource Bureau to promote inclusion and bridge the disconnect between the<br />
community and the resources available. Demal Services was hired to work alongside<br />
the Central Resource Sub Committee <strong>of</strong> the Social Development Commission.<br />
Activities to date:<br />
• Researched best practices for inventory database/grouping information<br />
• Collected community resources (ongoing)<br />
• Collated into one source (in process)<br />
• Secured host agency - <strong>Mission</strong> Community Services Society<br />
• Located web designer - Circle Graphics<br />
• Determined I.T. requirements<br />
• Developed volunteer `assistive technology test group'<br />
• Inventory database design (in process)<br />
• Selected domain name www.infomission.ca<br />
• Created sustainability strategies<br />
• Budget Development<br />
• Access to UFV students<br />
• Proposal preparation<br />
• Initiate 'Interagency Alliance'<br />
Implementation planned for July/August <strong>2009</strong>. Testing and improvements to be<br />
completed by December <strong>2009</strong>.<br />
Challenges:<br />
Sustainability has become is a key success factor upon which all aspects <strong>of</strong><br />
implementation rest (hosting, community buy in, web design, technical and information<br />
updates). Without a clear understanding <strong>of</strong> how this project will continue beyond the<br />
development stage our access to additional funds is also impeded.<br />
Sustainability budget:<br />
The projected costs needed for annual sustainability is $9,856. This will support<br />
<strong>Mission</strong> Community Services Society to take responsibility for the monthly information<br />
updates and bi annual revisions; pay for UFV students to help facilitate this process<br />
and; cover the domain, hosting and technical support costs.<br />
Request:<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong>'s consideration to underwrite these costs to ensure that this<br />
important community communication resource will be a lasting legacy that<br />
complements <strong>Mission</strong>'s inherent desire to create an inclusive, accessible and<br />
welcoming community.<br />
For submission to <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Council - <strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
Prepared by Margaret Hardy, Demal Services Inc Mardaretdemalservices.ca (604) 826 9821
13<br />
SUSTAINABILITY PROJECTED BUDGET<br />
`Go <strong>Mission</strong> Project' — Central Resource Bureau - www.infomission.ca<br />
A Community Resource Website<br />
General Information Maintenance & Updates $3,500<br />
Ongoing changes e.g. adding new resources, review <strong>of</strong> keywords<br />
Supervision — Bi-Annual revision<br />
Bi-Annual revisions/updates<br />
UFV students $2,500<br />
Maximum 250 hours @ $10<br />
Technical Hosting, Domain & Support $1,030<br />
Office supplies (3 months) $ 400<br />
Monthly <strong>of</strong>fice space (3 months) $1,530<br />
Administration 10% $ 896<br />
TOTAL ANNUAL COMMUNITY WEBSITE PROJECTED COSTS $9,856
14<br />
<strong>Mission</strong>'s<br />
Central Resource Bureau<br />
Community Collaboration<br />
2006 — Community engagement<br />
2007 — Design <strong>of</strong> Social Development Plan<br />
2008 — Draft Social Development plan approved<br />
2008 — Central Resource Bureau Sub Committee<br />
2008 — <strong>Mission</strong> Measures Up<br />
<strong>2009</strong> — Go <strong>Mission</strong> Project<br />
Why is this important?<br />
• Encourages community involvement<br />
• Builds the capacity for inclusion<br />
• Creates healthy growth<br />
Who Has Been Involved<br />
With the Project So Far:<br />
• <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
• <strong>Mission</strong> Early Childhood Development<br />
Committee<br />
• Ministry <strong>of</strong> Children and Family Development<br />
• <strong>Mission</strong> Fire and Rescue Service<br />
• <strong>Mission</strong> Emergency Social Services<br />
• <strong>Mission</strong> Community Services Society<br />
Actions to Date<br />
• Survey - what, how, where people find<br />
information<br />
• Determine A.T. requirements<br />
• Determined scope & boundary<br />
• Research to determine best practices<br />
• Collect information<br />
• Collate into one source<br />
Key components<br />
• Web designer<br />
• Web hosting<br />
• Web design (W3 compliant)<br />
• Inventory Database format<br />
• Domain name<br />
1
15<br />
Critical Issues<br />
Sustainability Challenges<br />
• Ownership<br />
• Funding<br />
• Sustainability<br />
• Information Maintenance & Update<br />
• Technical Hosting, support & domain fees<br />
• Access to additional funds<br />
• Pooled resources<br />
Sustainability Strategies<br />
• Created Sustainability budget<br />
• Prepared Funding proposals<br />
• Developed Access to UFV students<br />
• Initiated 'Interagency Alliance'<br />
SUSTAINABILITY PROJECTED<br />
BUDGET<br />
<strong>Mission</strong>'s Central Resource Bureau<br />
www.infomission.ca<br />
Annual Community Website Projected Costs<br />
$9,856<br />
Communication + Information =<br />
Inclusion<br />
Enhanced capacity for<br />
inclusion &<br />
greater sense <strong>of</strong> community<br />
wsirwinfomission.ca<br />
New business & non pr<strong>of</strong>it<br />
collaborations .<br />
. ,<br />
Stronger social structure<br />
as people are accessing needed<br />
Sustainability Solutions<br />
• <strong>District</strong> <strong>of</strong> <strong>Mission</strong> financial support<br />
• Leverage other sponsorship<br />
• Promote involvement<br />
• Create a lasting legacy <strong>of</strong> inclusion<br />
2
16<br />
Contact Information<br />
3
Memo<br />
17<br />
FILE: PRO.DEV.ZON AND ADM.BYL.PRO<br />
R06-006; DV06-002; DP06-002 and Street Naming<br />
To: Director <strong>of</strong> Corporate Administration<br />
From: Planner<br />
Date: <strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
Subject: Zone Amending Bylaw 3927-2006-3143(254) be repealed and Development<br />
Variance DV06-002 and Development Permit DP06-002 (Kanaka Creek<br />
Developments) be revoked for the property located at 32600 Tunbridge<br />
Avenue<br />
Recommendations<br />
1. Zone Amending Bylaw 3927-2006-3143(254) be repealed.<br />
2. Street Naming Bylaw 3928-2006 be repealed.<br />
3. Development Variance Permit DV06-002 be revoked.<br />
4. Development Permit DP06-002 be revoked.<br />
5. Community Amenity Contribution in the amount <strong>of</strong> $20,000.00 be refunded provided Zone<br />
Amending Bylaw 3927-2006-3143(254) is rescinded.<br />
6. Letter <strong>of</strong> Credit for installing and maintaining trees be released.<br />
Background<br />
The proposal for the subject property was to:<br />
■amend the designation in the Official Community Plan from Institutional-School to Compact<br />
Single Family Residential;<br />
■rezone the property from a RS-2 One Unit Suburban Residential to RS-1 F One Unit<br />
Compact Urban Residential Two Zone (Map 1 and Map 2);<br />
■vary: Lot depth for proposed Lots 2, 3, 6 and 7 from 24.8 metres (81 feet) to <strong>19</strong>.5<br />
metres (63.9 feet), and<br />
Lot width at 6 metres back from the front property line for Lots 10, 11, 12, 13, 14<br />
and 15 from 15 metres (49 feet) to 13 metres (42 feet); and<br />
■issue a Development Permit for form and character (Appendix 1);<br />
to enable the development <strong>of</strong> 21 compabt single family lots (Plan 1).<br />
The OCP and zone amending bylaws were adopted on February 18, 2008, and the<br />
development and variance permits approved on the same date.<br />
As it is unusual to close a subdivision file, rescind the zone amending bylaw, and revoke the<br />
development permits and variances previously approved, it is important to understand the<br />
history <strong>of</strong> this application and the rationale for the recommendations. Below is a chronology <strong>of</strong><br />
the work undertaken over the past two years to ensure that the developer has been given every<br />
opportunity possible to keep the file active and to ensure that the expense and works<br />
undertaken by the applicant to date would not be "lost".<br />
PAGE 1 OF 10
18<br />
Chronology <strong>of</strong> application:<br />
• February 1, 2006 - Application received.<br />
• February 14, 2006 - Development Review Committee meeting.<br />
• July 12, 2006 - Acknowledgement letter was sent to the applicant.<br />
• September 5, 2006 - 1 st Reading granted. The time delay in taking the application<br />
forward to 1 st Reading was due to:<br />
receipt <strong>of</strong> the design details for the development permit, and<br />
- receipt <strong>of</strong> the draft plan showing the variances,<br />
prior to the Public Hearing (information received on September 15, 2006.)<br />
• September 25, 2006 - Public Hearing<br />
• October 16, 2006 - 2 nd Reading for OCP and Zone Amending Bylaws<br />
• December 18, 2006 - 3 rd Reading report.<br />
• January 8, 2007 - 3 rd Reading granted. The granting <strong>of</strong> 3 rd reading was based on an<br />
agreement between the applicant and 2 other developers that pedestrian safety along<br />
Tunbridge be address with the construction <strong>of</strong> an 80 metre long paved walking strip<br />
along Tunbridge Avenue. This walkway was completed however, funds owed to the<br />
developer that constructed the path have not been paid.<br />
• March 13, 2007 - Preliminary Subdivision Consideration letter was issued.<br />
• After 3 rd Reading is granted the developer typically submits the requirements detailed in<br />
the 1 st Reading report prior to adoption <strong>of</strong> the zone amending bylaw. The requirements<br />
for this application included:<br />
- Receipt <strong>of</strong> Community Amenity Contribution in the amount <strong>of</strong> $20,000.00<br />
(received February 7, 2008);<br />
Receipt <strong>of</strong> the Development Permit drawings;<br />
- Receipt <strong>of</strong> the Development Variance Permit details; and considered as part <strong>of</strong><br />
rezoning bylaw; and<br />
Receipt <strong>of</strong> a Letter <strong>of</strong> credit for installing trees (received February 7, 2008).<br />
• February 18, 2008 - OCP, Zone Amending Bylaws adopted and Development, Variance<br />
Permits approved<br />
• March 6, 2008 - Preliminary Subdivision Consideration extension granted (extension fee<br />
paid).<br />
• July 8, 2008 - Engineering drawings were approved by the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. Since the<br />
drawings were approved the developer was able to undertake the approved works at<br />
anytime. However, no engineering works have commenced on the property.<br />
• October 14, 2008 - Verbal six month extension granted (no extension fee paid).<br />
• December 2008 - The applicant was provided the option <strong>of</strong> entering into a development<br />
agreement to finalize the subdivision and secure Engineering requirements. The<br />
applicant was sent correspondence detailing the requirements <strong>of</strong> the development<br />
agreement on December 2, 2008, December 3, 2008 and December 8, 2008. However,<br />
FILE: PRO.DEV.ZON AND ADM.BYL.PRO PAGE 2 OF 10<br />
R06-006; DV06-002: DP06-002 and Street Naming
<strong>19</strong><br />
the applicant did not submit the information required to enter into a development<br />
agreement, nor was any information provided as to how the applicant wished to proceed.<br />
• March 18, <strong>2009</strong> - Staff had not heard from the applicant since December 2008; a letter<br />
was sent on March 18, <strong>2009</strong> regarding file closure and rescinding the bylaws. The<br />
applicant contacted the Planner when the letter was received and requested a meeting<br />
with the Approving Officer.<br />
• March 23, <strong>2009</strong> - At a meeting with the Approving Officer and staff, the applicant<br />
indicated he did not wish to close the file and have the bylaws rescinded. Therefore, it<br />
was determined that Planning would send a letter detailing the options available to the<br />
developer that were discussed at the meeting.<br />
• March 26, <strong>2009</strong> - An email was sent to the applicant detailing the 2 options for the<br />
application. Generally the options described in the email were to 1) Close the<br />
subdivision file, but register a "no build" covenant on the title <strong>of</strong> the property to ensure<br />
the development proceeds as approved and to leave the zoning bylaw in place. 2)<br />
proceed with the application and pay the required fees. The email explaining the options<br />
in detail is attached as Appendix 2.<br />
• April 2, <strong>2009</strong> - The applicant's lawyer contacted the Planner and said he would proceed<br />
with option 1 by providing a letter <strong>of</strong> undertaking by April 6, <strong>2009</strong>. Additionally, an email<br />
was received from the lawyer's <strong>of</strong>fice stating they were working on the 'no build<br />
covenant' that the Approving Officer was requiring as part <strong>of</strong> Option 1.<br />
• April 7, <strong>2009</strong> - An email to the applicant's lawyer requesting and update on the status <strong>of</strong><br />
the letter <strong>of</strong> undertaking was sent; no response was received from the lawyer's <strong>of</strong>fice.<br />
• Week <strong>of</strong> April 14, <strong>2009</strong> - Phone calls were made to the lawyer's <strong>of</strong>fice requesting the<br />
lawyer call the Planner and provide and update as to the status <strong>of</strong> the letter <strong>of</strong><br />
undertaking, no calls were returned, nor was any information provided on the status <strong>of</strong><br />
the letter <strong>of</strong> undertaking.<br />
• April 16, <strong>2009</strong> - A letter was sent to the applicant advising an extension would be<br />
granted until April 21, 2008 for receipt <strong>of</strong> the letter <strong>of</strong> undertaking. The letter <strong>of</strong><br />
undertaking was not received and no response from the applicant was received.<br />
As the above chronology details, the applicant has been provided considerable opportunities to<br />
complete the subdivision requirements however, due to the inactivity and lack <strong>of</strong> response to<br />
the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>, the Planning Department sees no alternative but to close the file and<br />
rescind the applicable Bylaw and Permits.<br />
Discussion<br />
The rationale for file closure and rescinding <strong>of</strong> the bylaws is tw<strong>of</strong>old.<br />
Firstly, it has been the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>'s practice to run zoning applications concurrently with<br />
subdivision applications. This is to ensure that a proposal for rezoning can meet all the<br />
requirements <strong>of</strong> the Zoning Bylaw or the OCP. In certain cases, other applications are required<br />
to facilitate the subdivision, and indeed, this application required Development Variances and<br />
Development Permits for form and character. It is Council's prerogative to grant rezoning based<br />
on as much information as it deems necessary to make an informed decision.<br />
Secondly, pre-zoning properties without running all other applications concurrently leads to two<br />
conclusions:<br />
FILE: PRO.DEV.ZON AND ADM.BYL.PRO PAGE 3 OF 10<br />
R06-006; DV06-002; DP06-002 and Street Naming
20<br />
a. Land speculation that drives raw land costs up, and<br />
b. Drawn out processes that frustrate development.<br />
While it is never the intent <strong>of</strong> a municipality to stop land speculation, the practice <strong>of</strong> flipping<br />
properties without understanding true development potential leads to unreal expectations and<br />
unnecessary frustrations within the development community. In short, the intent <strong>of</strong> the <strong>District</strong><br />
<strong>of</strong> <strong>Mission</strong>'s practice is to streamline development applications as much as possible and to meet<br />
the development expectations <strong>of</strong> the community.<br />
Where re-zoning is granted and no development activity is realized, <strong>of</strong>ten the result is having<br />
land that is pre-zoned, that isn't built upon and is at risk <strong>of</strong> being held without being built upon<br />
because the increased value through re-zoning has already been given by Council.<br />
Furthermore, when land that is pre-zoned does develop, and a significant amount <strong>of</strong> time has<br />
lapsed, the cost <strong>of</strong> development is not truly met; Development Cost Charges, Community<br />
Amenity Contributions, and changes to regulations all become outdated.<br />
Although it seemed the intention <strong>of</strong> the developer was to proceed with subdivision, no physical<br />
work has taken place on the property. All <strong>of</strong> the Engineering design drawings have been<br />
submitted to the Engineering Department and approved, however, there exists a situation where<br />
the property is zoned RS-1 F with development permit approvals in place with no subdivision<br />
activity.<br />
The recommendations in this staff report are provided to address the approvals that have been<br />
given by Council for the property. The Official Community Plan and Zone Amending bylaws<br />
were adopted by Council; because the Official Community Plan is a long range planning<br />
function, and the vision for the property is to remain Urban Residential — Compact, only the<br />
Zone Amending Bylaw needs to be rescinded.<br />
The development permits and variance permits were approved by Council but not registered on<br />
title because the lots had not yet been created through the subdivision process, thus the<br />
recommendation is to revoke approval <strong>of</strong> the permits.<br />
The Community Amenity Contribution and the letter <strong>of</strong> credit for the trees were required prior to<br />
the adoption <strong>of</strong> the zone amending bylaw. Thus, if the zone amending bylaw is rescinded, the<br />
Community Amenity Contribution can be refunded and the letter <strong>of</strong> credit released and will be<br />
recouped at such a time when a new application is received and further, will reflect current<br />
expectations <strong>of</strong> the <strong>District</strong>.<br />
Summary<br />
Although it is unusual to rescind zone amending bylaws, the purpose is to ensure, that<br />
development is based on current zoning regulations, development permit regulations and<br />
Engineering requirements applicable at the date <strong>of</strong> development. As these types <strong>of</strong><br />
requirements can change over time, it is important for the property to develop to the current<br />
regulations and standards.<br />
Therefore, staff recommends that the recommendations be approved so that future<br />
development on this property can commence with current regulations, fees, and charges.<br />
cti\-CAt<br />
Marcy Bond<br />
a \COMDEV\MARCY\APPLICATIONS\REZONING12006 APPLICATIONS \SUB06-004 KANAKA CRE".4.KVC.',LOSE FILE.DOC<br />
FILE: PRO.DEV.ZON AND ADM.BYL.PRO PAGE 4 OF 10<br />
R06-006; DVO6-002; DP06-002 and Street Naming
• •<br />
21<br />
R06-006<br />
S06-004<br />
DV06-002<br />
DP06-001<br />
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FILE: PRO.DEV.ZON AND ADM.BYL.PRO PAGE 5 OF 10<br />
R06-006; DV06-002; DP06-002 and Street Naming
Map 2<br />
22<br />
R06-006<br />
S06-004<br />
DV06-002<br />
DP06-001<br />
OCP<br />
N<br />
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EGGLESTONE AVE.<br />
FILE: PRO.DEV.ZON AND ADM.BYL.PRO PAGE 6 OF 10<br />
R06-006; DV06-002; DP06-002 and Street Naming
23<br />
Plan 1<br />
anw3w<br />
FILE: PRO.DEV.ZON AND ADM.BYL.PRO PAGE. 7 OF 0<br />
R06-006; DV06-002; DP06-002 and Street Naming
24<br />
Plan 2<br />
FILE: PRO.DEV.ZON AND ADM.BYL.PRO PAGE 8 OF 10<br />
R06-006: DV06-002: DP06-002 and Street Naming
25<br />
Appendix 1<br />
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FILE: PRO.DEV.ZON AND ADM.BYL.PRO PAGE 9 OF 10<br />
R06-006; DV06-002: DP06-002 and Street Naming
26<br />
Appendix 2<br />
Marc Bon<br />
From:<br />
Sent:<br />
To:<br />
Subject:<br />
Attachments:<br />
Ma rev Bond<br />
Thursday, Match 2. 20:<strong>19</strong> EltS2. PM<br />
licenakaoreekQhotmaitoornl<br />
Subdivision SIB-DU Kanaka. Creek<br />
Revised fee sonedule_p.di; Kanaka Creek draft plan.pdf; oovenant pdf<br />
Dear finzii ;<br />
Titana you for takrg the time tt, meet with representatives from the Planning and Engineering DEipartments.. tetie feel<br />
Plat the two options as tietaileC oeloW Will provide you with tie ability to MOVE1 forward with your application<br />
Phase confirm, by email which osion you Wish to pursue by March 31, <strong>2009</strong><br />
Option I Close subdivision file and reiabolv for subdivision later<br />
• Close the existing subdie.:::ilor.<br />
▪<br />
Letter <strong>of</strong> Undertaking from your lawyer by April 2, <strong>2009</strong> with the following information:<br />
ii Direction to close the subdivision file<br />
hii REigister a restridive covenant under 21.9 <strong>of</strong> the Land Title Act: The No build restrictive covenant is required<br />
to be registered over the prop ,e7y to ensure that any future subdivision plan conforms with the attached layout<br />
and that all future building designs for form and character conforms to the attached deveiooment permit<br />
drawings previously approved ni si; Council. Upon application <strong>of</strong> a new subdivision application that conforms to<br />
the above conditions the restrictive covenant shall be removed from the property. The covenant as attached<br />
may need a bit <strong>of</strong> work but we can do that over the next few days_<br />
ii) Money owed as part <strong>of</strong> your agreement for paving <strong>of</strong> the walkway along Tunbridge Ave. be completed by<br />
April 2, <strong>2009</strong>; documentati on verifying:this payment must be submitted to vie Planning Department.<br />
ill) if you wish to pursue this aerion will provide tri drawings for the house designs under separate ernal as<br />
they are too large for this one.<br />
Option ' will require a new suindivision epoliration fee :when yti.; are ready to make application), payment <strong>of</strong> revised<br />
fee schedule ratzeched anc as oe.s,'Protied above, payment for parklantt which will be toted or lair market value as <strong>of</strong> the<br />
date the new PLA letter is issued,<br />
Optiort 2 Extend subdivision file<br />
a Pay a subdivision extension fee <strong>of</strong> 5.326C,75<br />
'Payment otil'tt.1.49,44.5.•32 identified on the fee schedule rhiiithliElited in yellow) yiiill be required at the time the.<br />
ctinerision made,<br />
rtwed s part <strong>of</strong> your agrei;irlient for paying <strong>of</strong> the walkway along Tunbridge Avs.. D.c completed by April<br />
2, <strong>2009</strong>; documentation verifying titis payment must cc subrnitted to the Planning Deice tmertt.<br />
Option 2 requires payment <strong>of</strong> :..1=24.i'll3.32 to the Eng:neering Department and payment <strong>of</strong> a subdiyislomextension fee<br />
to the Planning Departmern he April 2, <strong>2009</strong>, F:arli..artri c.al.(,:uiation will he r,aseri on the Pate the original 11 1..A. lette- was<br />
issued which is $,BCCCD.OL: per acre<br />
Toe revises fee scriedule, pre:Fe:re: by the Eng/veering Department, details the fees -mat whL be :required .1x:tether you<br />
wish to pursue option I or 2.<br />
Neese call or send me art email if you have any further questions.<br />
Marty Bond;<br />
FILE: PRO.DEV.ZON AND ADM.BYL.PRO PAGE 10 OF 10<br />
R06-006: DV06-002: DP06-002 and Street Naming
FILE: PRO.DEV.ZON<br />
R06-023<br />
Memo<br />
27<br />
To: Chief Administrative Officer<br />
From: Deputy Director <strong>of</strong> Planning<br />
Date: <strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
Subject: Request for Extension — Rezoning Application R06-023 (Holman) — 8980 East<br />
Edwards Street, 8977 West Edwards Street<br />
Recommendation<br />
That Council grant a 12-month extension to Rezoning Application R06-023 (Holman) for the properties<br />
located at 8980 East Edwards Street and 8977 West Edwards Street to enable the applicant to<br />
complete the outstanding rezoning requirements.<br />
Background<br />
The properties at 8980 East Edward Street and 8977 West Edwards Street are located at the east end<br />
<strong>of</strong> Ferndale Avenue (Map 1). The Rezoning application was considered by Council to enable a 109 lot<br />
Bare Land Strata Subdivision (Map 2).<br />
The proposal was considered at Public Hearing on January 29, 2007 and was given second and third<br />
reading on <strong>May</strong> 7, 2007. Pursuant to LAN. 13, applicants are given 12 months from third reading to<br />
complete outstanding rezoning requirements. Files are closed after this period unless approval is<br />
forthcoming from an outside agency or the applicant has applied for and paid for an extension request.<br />
On <strong>May</strong> 20, 2008, the applicant was granted a 12-month extension to complete the outstanding<br />
requirements.<br />
On April 29, <strong>2009</strong>, the applicant applied and paid for another 12-month extension. Although the<br />
applicant's engineer, Omega Engineering, has been actively working to complete both the on-site and<br />
<strong>of</strong>f-site works, due to the complexity <strong>of</strong> the work involved, additional time is required to complete the<br />
outstanding requirements and therefore another extension is required.<br />
Barclay D. Pitkethly<br />
GACOMDEV\ DONNA-LEE \ COW Reports\<strong>2009</strong> Reports \R06-023<br />
grant one-year extension <strong>2009</strong>-05-<strong>19</strong>.doc<br />
PAGE 1 OF 3
FILE: PRO.DEV.ZON PAGE 2 OF 3<br />
R06-023<br />
28
29<br />
MAP 2<br />
HATZIC RIDGE<br />
SEPTEM135n ZO. 2006 .scALEINGOO<br />
FILE: PRO.DEV.ZON PAGE 3 OF 3<br />
R06-023
30<br />
OMEGA<br />
INGINIHN<br />
• STRUCTURAL. CIVIL<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
8645 Stave Lake Street<br />
Box 20<br />
<strong>Mission</strong> BC<br />
V2V 4L9<br />
Attention: Doug Riecken P. Eng<br />
OMEGA & ASSOCIATES ENGINEERING (<strong>19</strong>78) LTD.<br />
#202 — 9094 Young Road, Chilliwack, B.C. V2P 4R5<br />
Phone: (604) 795-6652 Fax: (604) 795-6642<br />
Email: omegachilliwack @omega.com<br />
April 28, <strong>2009</strong><br />
COpy<br />
Dear Sir,<br />
Re: Hatzic Ridge, <strong>Mission</strong><br />
On behalf <strong>of</strong> our client Mr. Holman, we would like to apply for an extension <strong>of</strong> the third<br />
reading for the above project.<br />
As you are no doubt aware, the work associated with third reading for the above project<br />
has not been completed, although we have submitted the <strong>of</strong>f site water main and sewage<br />
drawings to your <strong>of</strong>fice in December 2008 and January <strong>2009</strong> respectively. We are in<br />
receipt <strong>of</strong> the mark up drawings and will likely resubmit our design to you in the near<br />
future. We have also completed about 85% -90% <strong>of</strong> the "on site" design and will likely<br />
submit that for your review in the near future also.<br />
In consideration <strong>of</strong> the foregoing we would therefore request your favourable<br />
consideration <strong>of</strong> this matter.<br />
'ours tru'y,<br />
David M.B. Drummond, P. Eng.;<br />
\<br />
Copy: Lyle Holman<br />
Robert Margolis<br />
i<br />
IRECEW<br />
APR 2 9 <strong>2009</strong>
31<br />
Lyle Holman<br />
8394 McTaggart Street<br />
<strong>Mission</strong>, B.C. V2V 6S6<br />
April <strong>2009</strong><br />
I strici <strong>of</strong> <strong>Mission</strong><br />
Planning Department<br />
1'O Box 20<br />
8)45 Stave Lake Street<br />
\ fission. B.C. V2V 4L9<br />
tteroion: Ms Sharon Fletcher<br />
Director <strong>of</strong> Planning<br />
I 'ear Sirs/Mesdames<br />
Re: Rezoning Application R06-023 for 8980 East Edwards St. and 8977 West Edwards St.<br />
l• wilier to my discussions with Mr. Barclay Pitkethly yesterday, we kindly request an extension<br />
01' one year to our rezoning application for the properties at 8980 East Edwards Street and 8977<br />
Vest Edwards Street in Hatzic.<br />
V e are currently working to fulfill the requirements set out in the Notification <strong>of</strong> Second &<br />
I hird Readings contained in your letter dated 1 June 2007. Among other things, we have:<br />
Completed engineering drawings for the <strong>of</strong>f-site water system and on 11 December 2008<br />
,ibinitted them to the Engineering and Public Works Department for review. Our engineer is in<br />
rocelpt <strong>of</strong> the mark up drawings and will resubmit our design in the near future (see the enclosed<br />
otter from Omega Engineering to Mr. Doug Riecken dated 28 April <strong>2009</strong>);<br />
Completed engineering drawings for the <strong>of</strong>f-site sewer system and on 20 February <strong>2009</strong><br />
slibmitted them to the Engineering and Public Works Department for review. Our engineer is in<br />
roceipt <strong>of</strong> the mark up drawings and will resubmit our design in the near future (see the enclosed<br />
jotter from Omega Engineering to Mr. Doug Riecken dated 28 April <strong>2009</strong>));<br />
Completed about 85% - 90% <strong>of</strong> the engineering drawings for on-site services (see the<br />
o iclosed letter from Omega Engineering to Mr. Doug Riecken dated 28 April <strong>2009</strong>); and<br />
Completed the Archaeological Impact Assessment (ALA) for the project (a copy <strong>of</strong> the<br />
I:\ Report is enclosed herewith).<br />
) 1
32<br />
Lyle Holman<br />
8394 McTaggart Street<br />
<strong>Mission</strong>, B.C. V2V 6S6<br />
; required, we enclose as well a cheque in the amount <strong>of</strong> $2,185 in payment <strong>of</strong> the extension<br />
ri e stipulated in your letter <strong>of</strong> 18 March <strong>2009</strong>.<br />
I vuu have any questions regarding the foregoing, or require further information, please contact<br />
ie IhIman<br />
I-1-615-4002)
Memo<br />
33<br />
FILE: PRO.DEV.DEV<br />
DPO8-007<br />
To: Chief Administrative Officer<br />
From: Planner<br />
Date: <strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
Subject: Development Permit Application DP08-007 - Krahn Engineering Limited<br />
7266 River Place<br />
Recommendation<br />
That Development Permit Application DP08-007 in the name <strong>of</strong> Krahn Engineering Ltd. to<br />
provide conformity to the Official Community Plan guidelines for form and character for an<br />
industrial development on the property located at 7266 River Place and legally described as:<br />
Parcel Identifier: 026 211 700 Lot 2 Section <strong>19</strong> Township 17 Group 1 New Westminster <strong>District</strong><br />
Plan BCP 156<strong>19</strong><br />
be forwarded for public input and consideration <strong>of</strong> approval on June 1, <strong>2009</strong>.<br />
Proposal<br />
A development permit application has been received from Krahn Engineering Ltd. for a<br />
proposed industrial development to be located at 7266 River Place within Silver Creek Industrial<br />
Park (Map 1). The development proposes to provide for industrial uses with associated <strong>of</strong>fices<br />
configured into two (2) buildings separated by a fenced courtyard (Plan 1). The proposed<br />
building fronting River Place will accommodate the Department <strong>of</strong> Fisheries and Oceans while<br />
the proposed building to the rear <strong>of</strong> property will provide for three (3) adjoining units for<br />
industrial businesses. Both buildings utilize tilt-up concrete construction, grey colour with<br />
highlights and cultured stone on the façade (Appendix I & II).<br />
Background<br />
The applicant originally had proposed an industrial development on the same property in early<br />
2008. A complete application was provided to the planning department; however the anticipated<br />
tenant withdrew their interest due to the recent economic downturn. The applicant found a new<br />
prospective tenant for a portion <strong>of</strong> the property and revised all drawings, elevations, and artist<br />
renderings as part <strong>of</strong> an amended application.<br />
Official Community Plan (OCP)<br />
The Silver Creek Industrial Park has the potential to become a premier industrial park that<br />
provides for significant employment and financial benefit for property owners, tenants and the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong>. The objective is to develop a high quality, progressive and intensive use<br />
industrial park in the community that encourages a wide variety <strong>of</strong> goods and services to serve<br />
both the local community and the Lower Mainland. To achieve this objective, the area is<br />
designated for the establishment <strong>of</strong> guidelines for the general form and character (design<br />
elements) <strong>of</strong> industrial development. The guidelines encourage that all development is 'modern'<br />
and provides for proper access and landscaping. The Development Permit Area Guidelines for<br />
the Fraser River Industrial Park can be seen in Table 1.<br />
PAGE 1 OF 10
34<br />
Development Analysis<br />
The elevations <strong>of</strong> proposed Building A and B are seen on Appendix I & II (south elevations not<br />
included). An artist rendering (Appendix Ill) provides for a representation <strong>of</strong> the following<br />
proposed general exterior design elements:<br />
• Total Site Coverage is 1,177.5 square metres or (12, 674.5 square feet) or 37% <strong>of</strong> entire site<br />
• Building A Site Coverage is 718.93 square metres or (7,738.5 square feet) or 23% <strong>of</strong> entire site<br />
■<br />
■<br />
■<br />
Building B Site Coverage is 458.57 square metres or (4,936 square feet) or 14% <strong>of</strong> entire site<br />
Approximately 287.883 square metres (3, 098.75 square feet) <strong>of</strong> accessory <strong>of</strong>fice space<br />
Approximately 889.616 square metres (9,575.75 square feet) <strong>of</strong> industrial space<br />
• Concrete tilt-up panel building construction<br />
■<br />
■<br />
■<br />
■<br />
■<br />
3/4 " Concrete reveals (groove between concrete wall panelling)<br />
Architectural metal canopies above entrances and ground level windows<br />
Cultured stone on lower portion <strong>of</strong> Building A (<strong>of</strong>fice area)<br />
Anodized Aluminum window frames with clear glass on all windows<br />
Flagpole in prominent forefront <strong>of</strong> property<br />
• Primary Colour — Gull Wing Grey with Van Deusen Blue and Soapstone highlights<br />
■<br />
Generous parking provided with associated landscaping<br />
The analysis and overview <strong>of</strong> the development will be covered the following sections <strong>of</strong> the<br />
report.<br />
Zoning<br />
The property is zoned (M-10) Industrial Business Park Zone. The main intent <strong>of</strong> the M-10 zone<br />
is to provide for an intensive business park setting with significant building site coverage to<br />
generate substantial local employment. The zone requires that each lot must have a minimum<br />
<strong>of</strong> twenty-five percent (25%) lot coverage to encourage intensive land use; the proposed<br />
development intends to achieve lot coverage <strong>of</strong> thirty-seven percent (37%). Compared to the<br />
density on the adjacent property to the south, industrial developments can achieve up to fortyfive<br />
to fifty percent (45-50%) in order to maximize the available floor space. It is the applicant's<br />
intent to maintain the decreased lot coverage to allow for unenclosed (fenced) storage between<br />
the two buildings. Although higher density is encouraged, the applicant has exceeded the<br />
minimum lot coverage requirements <strong>of</strong> the zone and is in compliance with other zone<br />
requirements such as height, setbacks and storage.<br />
Floodplain Consideration<br />
The subject property is within the floodplain, as are all properties within the Silver Creek<br />
Industrial Park. Recently, the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> adopted Bylaw No. 4027-2007 "Floodplain<br />
Management Bylaw" which designated Silver Creek Industrial Park as a local exemption area.<br />
This exemption allows buildings within the exemption area to be constructed at a minimum <strong>of</strong><br />
8.2 metres above the flood construction level. After discussions with the Inspections Services<br />
Department regarding floodpro<strong>of</strong>ing issues, the applicant provided a site specific geotechnical<br />
engineering report identifying construction requirements to mitigate floodplain concerns and a<br />
declaration that the land is safe for the use intended. This geotechnical report will be registered<br />
on title to ensure the safe construction <strong>of</strong> the site and indemnify the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> from any<br />
liability claims from a potential flood event.<br />
FILE:PRO.DEV.DEV. PAGE 2 OF 10<br />
DP08-007
35<br />
Access and Parking<br />
Access is from the east side <strong>of</strong> River Place via one driveway for ingress and egress. There are<br />
21 parking stalls required for the proposed building whereas the site plan indicates 23<br />
conventional, 3 parallel, 2 person with disabilities parking spaces and 3 loading stalls (Plan 2).<br />
Landscaping<br />
Landscaping is as shown on Plan II prepared by C. Kavolinas & Associates Inc. Landscaping<br />
includes a number <strong>of</strong> trees at the property entrance and along the northern property line. This is<br />
in addition to small trees along the building with numerous ground cover plants along River<br />
Place and the perimeter <strong>of</strong> the parking area. The landscape estimate will be required and a<br />
letter <strong>of</strong> credit will be compulsory at the building permit stage. This letter <strong>of</strong> credit assures the<br />
planting is completed in accordance with the landscape plan and that all vegetation reaches<br />
maturity.<br />
Signage<br />
The details <strong>of</strong> the signage will be resolved a later date when tenants are chosen for Building B.<br />
There is space reserved within the entrance area landscaping to provide for a free standing<br />
sign. The Department <strong>of</strong> Fisheries and Oceans will have a Federal Government issued sign<br />
located on the northwest corner <strong>of</strong> proposed Building A above the metal canopy.<br />
Ministry <strong>of</strong> Transportation and Infrastructure Approval<br />
Approval from the Ministry <strong>of</strong> Transportation and Infrastructure (TRAN) for this development<br />
permit is not required. Only Commercial and Industrial buildings exceeding 4,500 square meters<br />
(48,438 square feet) require IRAN approval.<br />
Summary<br />
In summary, as planning staff consider that the form and character <strong>of</strong> the development<br />
conforms to the intent <strong>of</strong> the OCP and the applicable development permit area guidelines, it is<br />
recommended that Development Permit DP08-007 (Krahn Engineering Ltd.) be forwarded to<br />
Council for public input and consideration <strong>of</strong> approval on June 1, <strong>2009</strong>.<br />
Erik Wilhelm<br />
GACOMDEV\ERIK\Staff Reports \Krahn_Eng_7266 River Place.doc<br />
FILE;PRO.DEVDEV. PAGE 3 OF 10<br />
DP08-007
36<br />
DP08-007<br />
MAP 1<br />
■<br />
PARK<br />
0-CliGILL A<br />
7277<br />
7255<br />
rn<br />
12 r-<br />
7282<br />
7268<br />
7258<br />
31510<br />
7261<br />
7266<br />
7252<br />
7233<br />
7238<br />
SU E<br />
PRO<br />
IECT<br />
ERTY<br />
FILE:PRO.DEV.DEV. PAGE 4 OF 10<br />
DPO8-007
37<br />
PLAN 1<br />
(Site Plan)<br />
FILE: PRO. DE V. DE V. PAGE 5 OF 10<br />
DP08-007
Appendix I<br />
Building A North Elevation<br />
38<br />
Building A West Elevation<br />
P .11:1 ...:.Attrr<br />
1.1=.'d.:202::=133Y. '<br />
Building A East Elevation<br />
FILE:PRO.DEV.DEV. PAGE 6 OF 10<br />
DP08-007
Appendix II<br />
39<br />
Building B North Elevation<br />
Building B East Elevation<br />
LG<br />
5.-A6<br />
Building A West Elevation<br />
1'7<br />
FILE:PRO.DEV.DEV. PAGE 7 OF 10<br />
DPO8-007
40<br />
PLAN II<br />
(Landscape and Parking)<br />
O.G O0_Qi.2f 0.0,010.014414rAlf 0.0.0:0.04C44:1114400.00.414C4■11.00•0•00:1 434.14.11.N<br />
_ 11674:!'6<br />
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'.444$6421.010VallitIMMOIA) CO 600<br />
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FISHFR IFS<br />
3.001475 Fi l. FI77.163 red)<br />
Exam aw AMATO! ea. I<br />
PROPOSED<br />
12. 1.18N G B<br />
auk= UM ELEVATION 1120,<br />
FILE:PRO.DEV.DEV. PAGE 8 OF 10<br />
DPO8-007
41<br />
Appendix III<br />
FILE:PRO.DEV.DEV.<br />
DPO8-007<br />
PAGE 9 OF 1C'
42<br />
Table 1<br />
Development Permit Area Guidelines for Fraser River Industrial Park<br />
BUILDING SITING BUILDING FORM AND CHARACTER - SITE LANDSCAPING<br />
OBJECTIVES OBJECTIVES OBJECTIVES<br />
Overall area site Front facades <strong>of</strong> buildings should Overall area tree planting is<br />
planning and building be articulated to establish a encouraged.<br />
design will be<br />
business park identity through<br />
encouraged to pursue <strong>of</strong>fice window and entry location<br />
the following:<br />
detailing.<br />
Gateway landscape design to<br />
visitors is encouraged.<br />
a clean, modern<br />
progressive image;<br />
coordinated siting <strong>of</strong><br />
buildings, landscaped<br />
areas including<br />
parking lots and open<br />
spaces;<br />
use <strong>of</strong> varying<br />
architectural designs;<br />
The design <strong>of</strong> building ro<strong>of</strong>scapes<br />
should present a complimentary<br />
visual image to building design.<br />
Wherever feasible,<br />
massing <strong>of</strong> building sides<br />
should be limited through<br />
articulation and varied<br />
building materials<br />
Use <strong>of</strong> shrubbery, decorative<br />
planting and landscaped<br />
berms is encouraged on each<br />
property.<br />
Front image <strong>of</strong><br />
buildings to<br />
streetscape is<br />
important;<br />
Visual<br />
presentation <strong>of</strong> rear <strong>of</strong><br />
buildings to West<br />
Coast Express<br />
corridor should be<br />
addressed. (Not<br />
applicable)<br />
FILE:PRO.DEV.DEV. PAGE 10 OF 10<br />
DPO8-007
43<br />
iL-`Of Minutes<br />
The Minutes for the <strong>Mission</strong> Community Heritage Commission (MCHC) meeting held in the <strong>Mission</strong><br />
Municipal Hall, Conference Room on March 4, <strong>2009</strong> commencing at 6:35 p.m.<br />
Present:<br />
Val Billesberger, Chair<br />
Guy Zecchini, Alternate<br />
Kim Kokoszka<br />
Shirley Mitchell<br />
Janis Schultz<br />
Sieglinde Stieda<br />
Mildred Vollick<br />
Mike Scudder, Council Liaison<br />
Sharon Fletcher, Director <strong>of</strong> Planning<br />
Marcy Bond, Planner<br />
Jenn Murray, Clerical Support<br />
Sharon Syrette, Project Manager, Community Heritage Register<br />
Absent:<br />
Linda Fornal<br />
1. MINUTES<br />
The meeting was called to order at 6:35 p.m.<br />
(a) The minutes <strong>of</strong> the <strong>Mission</strong> Community Heritage Commission held on February 4, <strong>2009</strong>.<br />
Moved by Kim Kokoszka and seconded by Guy Zecchini that the minutes be approved.<br />
CARRIED<br />
2. BUSINESS ARISING FROM THE MINUTES<br />
(a) Terms <strong>of</strong> Reference — To be discussed by Sharon Fletcher as part <strong>of</strong> 4(a) presentation.<br />
(b) Heritage Awards — Shirley Mitchell was acknowledged and thanked for her excellent work in<br />
arranging the reception following the presentation <strong>of</strong> the awards.<br />
(c) Expenses — Expense claims from Sieglinde Stieda and Mildred Vollick for attending the<br />
February seminar at SFU can be submitted for payment. Sharon Fletcher informed the<br />
Commission that the deadline for adoption <strong>of</strong> the budget by <strong>District</strong> Council is the end <strong>of</strong> March.<br />
Members discussed the expenditure <strong>of</strong> funds and approved the following.<br />
Moved by Sieglinde Stieda and seconded by Mildred Vollick to reimburse Shirley Mitchell<br />
$25.04 for Heritage Awards reception supplies.<br />
CARRIED<br />
Members discussed streamlining procedures for payment <strong>of</strong> monthly invoice from Jenn Murray<br />
to reduce the lengthy time period she currently waits to be paid.<br />
Moved by Guy Zecchini and seconded by Shirley Mitchell that monthly invoices submitted by<br />
Jenn Murray for clerical services not exceeding $160 are to be automatically processed, where<br />
applicable, by the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> without the prior approval <strong>of</strong> the Commission.<br />
CARRIED<br />
FILE: Minutes Page 1 <strong>of</strong> 2<br />
<strong>Mission</strong> Community Heritage Commission
44<br />
n Co unity Heritage Commission Meetin<br />
4, <strong>2009</strong><br />
3. TASK GROUPS<br />
(A) HERITAGE REGISTER — Council approved the establishment <strong>of</strong> a Community Heritage<br />
Register on March 2 nd and the inclusion <strong>of</strong> four sites: <strong>Mission</strong> Memorial Centre, <strong>Mission</strong><br />
Museum, Silverhill Hall, and Stave Falls Powerhouse. Work remaining on the other two<br />
proposed sites for the register was discussed. Sharon Fletcher indicated that the Sharon<br />
Syrette facilitate this task, as well as any significant changes or communications related to the<br />
Register content to complete the project.<br />
Sharon Syrette presented her report and her recommendations on the Heritage Register project<br />
were discussed by members.<br />
ACTION: Sharon Fletcher will look into acquiring binders for materials compiled on each<br />
heritage registry property for the <strong>Mission</strong> Library (up to 6 binders) and a binder for each <strong>of</strong> the<br />
sites. The <strong>Mission</strong> Community Archives will make arrangements to acquire all <strong>of</strong> the original<br />
documentation on each <strong>of</strong> the sites.<br />
ACTION: The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> will post information on the <strong>District</strong> web-site including<br />
information about the Heritage Register process, and feature the first registered sites. The<br />
Commission website will provide a link to the <strong>District</strong>'s webpage on the project.<br />
ACTION: Sharon Fletcher and/or Marcy Bond will arrange a meeting with Sharon Syrette and<br />
others to assess the efficiencies <strong>of</strong> the Community Heritage Register project for future planning<br />
purposes.<br />
Sharon Syrette submitted invoice and expense receipts for work on Heritage Register project.<br />
Moved by Sieglinde Stieda and seconded by Janis Schultz to pay Sharon Syrette $800.00 <strong>of</strong><br />
contract wages and $156.71 for copy and courier expenses, as detailed in invoice.<br />
CARRIED<br />
Val Billesberger reported that she had been in contact with Don Luxton, a pr<strong>of</strong>essional heritage<br />
consultant, about coming to assist the Commission with the next phase <strong>of</strong> the Community<br />
Heritage Register project: to develop and apply criteria to the selection <strong>of</strong> additional sites to be<br />
added to the Register.<br />
ACTION: Val Billesberger will finalize arrangements for Don Luxton to conduct a seminar or<br />
workshop and report back at the next meeting.<br />
4. OTHER BUSINESS<br />
(a) Heritage Commission Orientation — Sharon Fletcher presented information related to the role <strong>of</strong><br />
the Commission, Council and Planning Department. She emphasized the role <strong>of</strong> the<br />
Commission as a conduit to the Council for awareness <strong>of</strong> heritage issues and described the<br />
responsibilities and support role <strong>of</strong> <strong>District</strong> Staff.<br />
Mike Scudder presented information related to the role <strong>of</strong> Council Liaison. He discussed the<br />
liaison's responsibility to provide direction and ensure functionality where necessary. He<br />
informed the group that issues relating to Commission business must go through the Chair, as<br />
the representative voice <strong>of</strong> the Commission.<br />
Sharon Syrette presented information related to the history and development <strong>of</strong> the Heritage<br />
Commission and Heritage Register, as well as the resources available in member's binders.<br />
5. ADJOURNMENT<br />
The meeting adjourned at 9:05 p.m.<br />
FILE: Minutes Page 2 <strong>of</strong> 2<br />
<strong>Mission</strong> Community Heritage Commission
45<br />
Dzsinci gf 11‘i .ion Minutes<br />
The Minutes for the <strong>Mission</strong> Community Heritage Commission (MCHC) meeting held in the <strong>Mission</strong><br />
Municipal Hall, Conference Room on April 1, <strong>2009</strong> commencing at 6:35 p.m.<br />
Present:<br />
Val Billesberger, Chair<br />
Guy Zecchini, Alternate<br />
Sieglinde Stieda<br />
Mildred Vollick<br />
Mike Scudder, Council Liaison<br />
Marcy Bond, Planner<br />
Jenn Murray, Clerical Support<br />
Absent:<br />
Linda Fornal<br />
Kim Kokoszka<br />
Shirley Mitchell<br />
Janis Schultz<br />
1. MINUTES<br />
The meeting was called to order at 6:35 p.m.<br />
(a) The minutes <strong>of</strong> the <strong>Mission</strong> Community Heritage Commission held on March 4, <strong>2009</strong>.<br />
Moved by Sieglinde Stieda and seconded by Mildred Vollick that the minutes as corrected be<br />
approved.<br />
CARRIED<br />
2. BUSINESS ARISING FROM THE MINUTES<br />
(a) Heritage Commission Orientation — Orientation meeting deemed successful and further<br />
sessions will be useful. Members discussed additional speakers for future meetings and also<br />
how other commissions are operating. Bob Parliament will attend the June meeting to present<br />
information on the programs and services <strong>of</strong> the Heritage Branch.<br />
3. TASK GROUPS<br />
(a) Heritage Register — Marcy Bond reported that the Grant requirements <strong>of</strong> the Heritage Register<br />
project have been met and that a report was submitted by the Planning Department to Bob<br />
Parliament and awaits reply.<br />
Don Luxton will be presenting a special workshop at the next Commission meeting (<strong>May</strong> 6) to<br />
help develop community values criteria.<br />
4. OTHER BUSINESS<br />
(a) Clerical Support Job Description<br />
Moved by Guy Zecchini and seconded by Mildred Vollick that the job description as corrected<br />
be approved.<br />
ACTION: Jenn Murray will distribute job description with corrections to Commission members.<br />
FILE: Minutes Page 1 <strong>of</strong> 2<br />
<strong>Mission</strong> Community Heritage Commission
46<br />
<strong>Mission</strong> Community Herif ge Commission<br />
April 1, <strong>2009</strong><br />
(b)Commission Website — Current status <strong>of</strong> website discussed. Special meeting suggested in<br />
order to review page content. The date for special meeting to be set at next Commission<br />
meeting.<br />
(c) <strong>2009</strong> Work Plan & Budget — Budget has not yet been approved by Council.<br />
Members encouraged by Marcy Bond to review Work Plan and determine task sequence.<br />
(d) Membership — The Commission welcomed new member Sheryl McKamey who joins the<br />
Commission as a non-voting member representing the <strong>Mission</strong> <strong>District</strong> Historical Society.<br />
5. ADJOURNMENT<br />
The meeting adjourned at 7:45 p.m.<br />
FILE: Minutes Page 2 <strong>of</strong> 2<br />
<strong>Mission</strong> Community Heritage Commission
xi V itt I v. .1<br />
ission<br />
r rE nosiR<br />
DRAFT 47<br />
Minutes<br />
Minutes <strong>of</strong> the DOWNTOWN COALITION Meeting held at the Municipal Hall, 8645 Stave<br />
Lake Street, <strong>Mission</strong>, British Columbia on Tuesday, April 14 <strong>2009</strong> commencing at 8:30 a.m.<br />
Present:<br />
Others. Present: None<br />
Heather Stewart, Councillor, <strong>District</strong> <strong>of</strong> <strong>Mission</strong> (Chair)<br />
Calvin Adams, Tim Hortons<br />
Peter Bandi, Member at. Large<br />
Joy Cox, <strong>Mission</strong> Community Services Society<br />
Constable Todd Russell, RCMP<br />
Barry McLeod, Youth Unlimited<br />
Absent:<br />
Greg Elford, <strong>Mission</strong> Ministerial Association<br />
Sally Buchanan, Old Age Pensioners #28<br />
Karen Bogle, Union Gospel <strong>Mission</strong><br />
John Fitzsimmons, Ministry <strong>of</strong> Children and Family Development<br />
Bob Mackovic, Downtown Business Association<br />
Amanda, <strong>Mission</strong> Friendship Centre<br />
Jacquie Thesen, <strong>Mission</strong> Mental Health<br />
Jeanette Dillabough, Triangle Community Resources<br />
Mary Flavelle, <strong>Mission</strong> Association for Community Living<br />
Representative, <strong>Mission</strong> Chamber <strong>of</strong> Commerce<br />
Kirsten Hargreaves, Manager <strong>of</strong> Social Development<br />
Vacant, Downtown Business Association<br />
1. MINUTES<br />
Moved by Joy Cox, seconded by Calvin Adams, and<br />
RECOMMENDED: That the Minutes <strong>of</strong> the Downtown Coalition meeting held on<br />
February 10, 2008 be approved with the amendment that Constable Russell is a<br />
representative <strong>of</strong> the RCMP and not the Crime Prevention Office (CPO).<br />
CARRIED<br />
2. BUSINESS ARISING FROM THE MINUTES<br />
(a)<br />
Updated Downtown Coalition Membership List<br />
Coalition members reviewed the membership in terms <strong>of</strong> representative's job<br />
changes and attendance. Heather will contact the following to confirm a new<br />
representative: <strong>Mission</strong> Mental Health (Jason Wong) the <strong>Mission</strong> Chamber <strong>of</strong><br />
Commerce, and the <strong>Mission</strong> Friendship Centre.<br />
(b)<br />
Review <strong>of</strong> Terms <strong>of</strong> Reference<br />
Coalition members reviewed the Terms <strong>of</strong> Reference. Councillor Stewart will<br />
circulate the suggested changes to the all members for their input. Subsequently,<br />
they will be forwarded to Council for review and approval.
Downtown Coalition Minutes — April 14, <strong>2009</strong> Page 2 <strong>of</strong> 2<br />
48<br />
3. NEW BUSINESS<br />
Moved by Cal Adams and seconded by Peter Bandi that (a) Pam Willis,<br />
Executive Director <strong>of</strong> the Women's Resource Society <strong>of</strong> the Fraser Valley<br />
(WRSFV) be invited to attend the Downtown Coalition meetings and (b) that,<br />
should she agree, we recommend to Council that she be appointed as a<br />
member. CARRIED.<br />
4. OLD BUSINESS .<br />
(a) Roundtable<br />
Constable Russell reported that situations in the Downtown appear to be quieter<br />
although displacement could be responsible for some <strong>of</strong> this. He then spoke at<br />
length about the work <strong>of</strong> the Crisis Intervention Team (CIT) and the training available<br />
for first response workers who deal with individuals in crises related to addiction<br />
and/or psychiatric issues. The program also facilitates collaboration among agencies.<br />
He emphasized the need for more detox beds so that individuals can avail<br />
themselves <strong>of</strong> these services as soon as they have decided to do so.<br />
Barry McLeod <strong>of</strong> Youth Unlimited reported on the upcoming Creative Works<br />
presentation on <strong>May</strong> 4th to be held at Station X during Youth Week-<strong>May</strong> 1 to <strong>May</strong> 7,<br />
<strong>2009</strong>. Youth Unlimited also received some limited funding that has allowed three<br />
young people to re-establish themselves to live in <strong>Mission</strong>.<br />
Peter Bandi identified a serious need for an integrated but progressive array <strong>of</strong><br />
services for people with mental health issues.<br />
Calvin Adams stated that there appears to have been fewer loiterers in the<br />
Downtown. Renovations at Tim Horton's will begin next week and only c<strong>of</strong>fee will be<br />
served from an outside trailer.<br />
Joy Cox indicated she has submitted an update <strong>of</strong> the Heart <strong>of</strong> <strong>Mission</strong> Red Card<br />
Program statistics but they were not in the Minute package. She was able to report,<br />
however, that the revenue spent on meals through the card have almost tripled<br />
($8,999 to $23,000). She also noted that mentors are still needed for the Gold Card<br />
(Program Statistics now attached).<br />
Through the MCSS Outreach, eighteen people have acquired housing. Renovations<br />
for the First Stage Housing are nearing completion. Finally, Ms. Cox reported that<br />
youth in the Youth Transitional Safehouse will be planting vegetable boxes with the<br />
assistance from Fraser Valley Building Supplies.<br />
6. NEXT MEETING<br />
Next meeting - June 10, <strong>2009</strong> at 8:30 a.m. in the Council chambers.<br />
7. ADJOURNMENT<br />
Moved by Calvin Adams, seconded by Peter Bandi, and<br />
RECOMMENDED: That the meeting be adjourned<br />
CARRIED<br />
The meeting was adjourned at 9:45 a.m.
Heart <strong>of</strong> <strong>Mission</strong> Red Card Program<br />
Statistics Sheet<br />
Item Apr-08 <strong>May</strong>-08 Jun-08 Jul-08 Auq-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09<br />
Total to date<br />
Current Year)<br />
Bus Tickets purchased by MCSS<br />
Bus Tickets donated (Dist <strong>of</strong> <strong>Mission</strong>)<br />
Bus Tickets donated (ETAP)<br />
Total Bus Tickets<br />
0 0 0 0 0 0 0 0 0 0 0 0<br />
90 120 50 50 80 70 110 70 210 230 250 380<br />
150 150 150 200 150 150 150 150 174 150 165 172<br />
240 270 200 250 230 220 260 220 384 380 415 552<br />
0<br />
1710<br />
<strong>19</strong>11<br />
3621<br />
Meal Vouchers submitted 291 469 382<br />
546 511 375 455 505 463 545 480 895<br />
Clothing Vouchers Redeemed<br />
Laundry Usage<br />
New Donation box locations<br />
62 54 missing 56 60 36 64 55 57 67 66 90<br />
17 21 16 10 23 25 13 <strong>19</strong> 23 12 14 15<br />
0 0 0 0 0 0 1 0 0 0 0 0<br />
5917<br />
667<br />
208<br />
1<br />
Donations collected from boxes $<strong>19</strong>9.36 $147.86 $213.96 $239.10 $185.20 $200.85 $290.00 $180.60 $316.02 $171.79 $459.56 $271.61 $ 2,875.91<br />
Donations received (other) $66.62 $90.00 $60.00 $120.00 $60.00 $<strong>19</strong>0.00 $340.00 $0.00 $440.00 $125.00 $100.00 $80.00 $ 1,671.62<br />
Emergency Shelter Program $1,110.00 $2,144.00 $2,605.00 $2,529.00 $1,973.00 $2,100.00 $2,050.00 $2,148.00 $1,932.00 $1,898.00 $2,855.00 $3,600.00 $ 26,944.00<br />
Manna - St. Stephen's $0.00 $480.00 $0.00 $0.00 $240.00 $600.00 $120.00 $ 1,440.00<br />
Deferred revenue allocation $75.00 $100.00 $100.00 $100.00 $100.00 $100.00 $100.00 $ 675.00<br />
United Way $250.00 $250.00 $250.00 $0.00 $0.00 $0.00 $250.00 $250.00 $0.00 $0.00 $1,499.67 $0.00 $ 2,749.67<br />
Emergency Shelter Program $392.01 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $337.72 $148.22 $0.00 $ 877.95<br />
Recoveries Admin. $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $930.00 $840.00 $525.00 $685.00 $ 3,980.00<br />
Total Donations To date $2,142.99 $3,236.86 $3,253.96 $3,013.10 $2,658.20 $2,715.85 $3,155.00 $3,141.32 $3,866.24 $3,734.79 $5,659.23 $4,636.61 $ 41,214.15<br />
Expenses<br />
Payments for meal vouchers $1,886.50 $2,168.43 $1,761.97 $1,872.66 $2,356.98 $1,732.56 $2,098.70 $2,320.09 $2,135.58 $2,492.68 $2,642.96 $4,128.18 $ 27,597.29<br />
Payments for bus tickets $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ -<br />
Total Expenses $1,886.50 $2,168.43 $1,761.97 $1,872.66 $2,356.98 $1,732.56 $2,098.70 $2,320.09 $2,135.58 $2,492.68 $2,642.96 $4,128.18 $ 27,597.29<br />
Admin. Allocations (MCSS IN KIND) $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $ 1,500.00<br />
Toiletry Items/ProgSupp/Copying $564.40 $21.21 $56.13 $22.38 $47.38 $101.72 $72.65 $494.14 $305.83 $55.18 $149.37 $3,512.24 $ 5,402.63<br />
Office/Postage/Copying/Fax $28.98 $41.06 $54.17 $36.56 $112.49 $149.45 $14.23 $58.60 $20.00 $23.25 $110.06 $15.63 $ 664.48<br />
Travel $0.00 $0.00 $0.00 $0.00 $0.00 $2.40 $1.20 -$11.38 $0.00 $0.00 ' $1.23 $0.00 -$ 6.55<br />
Total In Kind MCSS Contributions $718.38 $187.27 $235.30 $183.94 $284.87 $378.57 $213.08 $666.36 $450.83 $203.43 $385.66 $3,652.87 7,560.56<br />
Surplus / Deficit -$461.89 $881.16 $1,256.69 $956.50 $16.35 $604.72 $843.22 $154.87 $1,279.83 $1,038.68 $2,630.61 -$3,144.44 $ 6,056.30<br />
> Etap Bus Tickets Donation: January <strong>2009</strong> - continuing, reflects total number <strong>of</strong> tickets donated<br />
Last Updated 14/04/<strong>2009</strong>
Heart <strong>of</strong> <strong>Mission</strong> Red Card Program<br />
Statistics Sheet<br />
Item A•r-08 Ma -08 Jun-08 Jul-08 Au • -08 Se • -08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09<br />
Total to date<br />
Current Year)<br />
Bus Tickets purchased by MCSS<br />
Bus Tickets donated (Dist <strong>of</strong> <strong>Mission</strong>)<br />
Bus Tickets donated (ETAP)<br />
Total Bus Tickets<br />
0 0 • 0 0 0 0 0 0 0 0 0<br />
90 120 50 50 80 70 110 70 210 230 250 380<br />
150 150 150 200 150 150 174 150 165 172<br />
240 270 200 250 230 220 260 220 384 380 415 552<br />
0<br />
1710<br />
<strong>19</strong>11<br />
3621<br />
Meal Vouchers submitted<br />
Clothing Vouchers Redeemed<br />
Laundry Usage<br />
New Donation box locations<br />
291 469 382 546 511 375 455 505 463 545 480 895<br />
62 54 missing 56 60 36 64 55 57 67 66 90<br />
17 21 16 10 23 25 13 <strong>19</strong> 23 12 14 15<br />
0 0 0 0 0 0 1 0 0 0 0 0<br />
5917<br />
667<br />
208<br />
1<br />
Donations collected from boxes $<strong>19</strong>9.36 $147.86 $213.96 $239.10 $185.20 $200.85 $290.00 $180.60 $316.02 $171.79 $459.56 $271.61 $ 2,875.91<br />
Donations received (other) $66.62 $90.00 $60.00 $120.00 $60.00 $<strong>19</strong>0.00 $340.00 $0.00 $440.00 $125.00 $100.00 $80.00 $ 1,671.62<br />
Emergency Shelter Program $1,110.00 $2,144.00 $2,605.00 $2,529.00 $1,973.00 $2,100.00 $2,050.00 $2,148.00 $1,932.00 $1,898.00 $2,855.00 $3,600.00 $ 26,944.00<br />
Manna - St. Stephen's $0.00 $480.00 $0.00 $0.00 $240.00 $600.00 $120.00 $ 1,440.00<br />
Deferred revenue allocation $75.00 $100.00 $100.00 $100.00 $100.00 $100.00 $100.00 $ 675.00<br />
United Way $250.00 $250.00 $250.00 $0.00 $0.00 $0.00 $250.00 $250.00 $0.00 $0.00 $1,499.67 $0.00 $ 2,749.67<br />
Emergency Shelter Program $392.01 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $337.72 $148.22 $0.00 $ 877.95<br />
Recoveries Admin. $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $930.00 $840.00 $525.00 $685.00 $ 3,980.00<br />
Total Donations To date $2,142.99 $3,236.86 $3,253.96 $3,013.10 $2,658.20 $2,715.85 $3,155.00 $3,141.32 $3,866.24 $3,734.79 $5,659.23 $4,636.61 $ 41,214.15<br />
Expenses<br />
Payments for meal vouchers $1,886.50 $2,168.43 $1,761.97 $1,872.66 $2,356.98 $1,732.56 $2,098.70 $2,320.09 $2,135.58 $2,492.68 $2,642.96 $4,128.18 $ 27,597.29<br />
Payments for bus tickets $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ -<br />
Total Expenses $1,886.50 $2,168.43 $1,761.97 $1,872.66 $2,356.98 $1,732.56 $2,098.70 $2,320.09 $2,135.58 $2,492.68 $2,642.96 $4,128.18 $ 27,597.29<br />
Admin. Allocations (MCSS IN KIND) $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $125.00 $ 1,500.00<br />
Toiletry Items/ProgSupp/Copying $564.40 $21.21 $56.13 $22.38 $47.38 $101.72 $72.65 $494.14 $305.83 $55.18 $149.37 $3,512.24 $ 5,402.63<br />
Office/Postage/Copying/Fax $28.98 $41.06 $54.17 $36.56 $112.49 $149.45 $14.23 $58.60 $20.00 $23.25 $110.06 $15.63 $ 664.48<br />
Travel $0.00 $0.00 $0.00 $0.00 $0.00 $2.40 $1.20 -$11.38 $0.00 $0.00 $1.23 $0.00 -$ 6.55<br />
Total In Kind MCSS Contributions $718.38 $187.27 $235.30 $183.94 $284.87 $378.57 $213.08 $666.36 $450.83 $203.43 $385.66 $3,652.87 7,560.56<br />
Surplus / Deficit -$461.89 $881.16 $1,256.691 $956.501 $16.351 $604.72 $843.221- $154.87] $1,279.83 $1,038.68 $2,630.61 -$3,144.44 6,056.30<br />
> Etap Bus Tickets Donation: January <strong>2009</strong> - continuing, reflects total number <strong>of</strong> tickets donated<br />
Last Updated 14/04/<strong>2009</strong>
51<br />
MiDsISTsioT nOF<br />
ON THE ERASER<br />
Memo<br />
FILE: FIN.BUD.DEP<br />
RCMP <strong>2009</strong>/2010<br />
To: Chief Administrative Officer<br />
From: Director <strong>of</strong> Corporate Administration<br />
Date: <strong>May</strong> 11, <strong>2009</strong><br />
Subject: Approval in Principle - RCMP 2010/11 Budget Estimates<br />
Recommendation:<br />
That the attached "Approval in Principle" letter for the RCMP 2010/11 budget<br />
estimates be approved.<br />
Background:<br />
The <strong>District</strong> is required to annually provide a "letter <strong>of</strong> approval in principle" for the<br />
RCMP budget estimates for the following fiscal year. This allows the RCMP enough<br />
time to make requests through the federal Treasury Board, particularly in regard to<br />
additional police <strong>of</strong>ficers.<br />
As always, the approval in principle does not commit the <strong>District</strong> to the budget<br />
estimates. However, the budget estimates should realistically reflect the plans <strong>of</strong><br />
the <strong>District</strong>. The <strong>District</strong>'s three year financial planning approach is very helpful in<br />
this regard.<br />
The letter includes the approved in principle amounts for the increase by one<br />
member January 1, 2011. The third <strong>of</strong> four as outlined in the RCMP Strategic Plan.<br />
The "letter <strong>of</strong> approval in principle" and support documentation are attached.<br />
Dennis Clark<br />
G: \FINANCE \RCMP\2010-2011 Contract\Approval in Principle 10-11 budget estimates.doc
MiDsISTsRiCo T<br />
on<br />
ON THE FRASER<br />
Finance Department<br />
52<br />
FILE: FIN.BUD.DEP<br />
RCMP 2010/2011<br />
<strong>May</strong> 11, <strong>2009</strong><br />
Mr. Kevin Begg<br />
Assistant Deputy Minister and Director <strong>of</strong> Police Services<br />
Ministry <strong>of</strong> Public Safety and Solicitor General<br />
Victoria, B.C. V8W 9J7<br />
Dear Mr. Begg:<br />
Re: Letter <strong>of</strong> Approval in Principle — 2010/2011 Budget Estimates for <strong>Mission</strong><br />
This letter <strong>of</strong> Approval in Principle is issued to conform to the Federal Treasury Board<br />
requirements to enable the Federal Government to set aside sufficient financial resources to<br />
cover their share <strong>of</strong> the Municipal RCMP contract costs.<br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> anticipates that it will fund a total <strong>of</strong> 48.25 members at the <strong>Mission</strong><br />
detachment for the 2010/2011 fiscal year. This represents the addition <strong>of</strong> one new member,<br />
commencing on January 1, 2011.<br />
The capital expenditures that are included in the budget estimates are:<br />
$41,200 for replacement radios (CEG 770)<br />
$68,469 for replacement computers (CEG 841)<br />
$180,000 for replacement vehicles (CEG 890)<br />
$289,669 total capital costs<br />
The total budget estimates' that is approved in principle is $7,334,146 at 100%, excluding<br />
integrated teams costs. The estimated cost for the integrated teams (net cost at 90% <strong>of</strong> full<br />
cost) is $982,623.<br />
As outlined above, this letter provides "approval in principle" only, and is issued for planning<br />
purposes only. Council will make its final budget decisions in late <strong>2009</strong> or early 2010, and you<br />
will be advised <strong>of</strong> the spending cap allocation at the appropriate time.<br />
Council also wishes to clarify that no substantive reallocation <strong>of</strong> funding should occur within the<br />
contract budget, without the consent <strong>of</strong> the <strong>District</strong>.<br />
Please call me at 604-820-3706 if you have any questions.<br />
Yours truly,<br />
RATE ADMINISTRATION<br />
GAFINANCERCMP12010-2011 Co ract \Approval in Principle 10-11 budget est:mates.doc<br />
Page 2 <strong>of</strong> 2
Ai/ a Memo<br />
53<br />
TO: Chief Administrative Officer<br />
FROM: Deputy Director <strong>of</strong> Corporate Administration<br />
DATE: <strong>May</strong> 13, <strong>2009</strong><br />
SUBJECT: 13 th ANNUAL BEAR MOUNTAIN RACE<br />
RECOMMENDATION:<br />
That permission be granted to Mr. Tom Mackesy to hold the annual Bear Mountain Challenge<br />
Mountain Bike Race in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> on July 25 th and July 26 th , 2008 subject to Mr.<br />
Mackesy providing:<br />
• comprehensive general liability insurance in the amount <strong>of</strong> at least $5,000,000. per<br />
occurrence and including the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> as a named insured;<br />
• advising the neighbourhood <strong>of</strong> the event dates and times;<br />
• all site preparation including installation and removal <strong>of</strong> portable toilets as well as site clean<br />
up after the event is finished;<br />
• <strong>of</strong>f street vehicle parking, define <strong>of</strong>f-street areas for participant parking and number <strong>of</strong><br />
vehicles that can be accommodated at the site;<br />
• on-site first aid services; and<br />
• all necessary traffic control.<br />
BACKGROUND:<br />
Attached is a letter from Mr. Tom Maskesy received on <strong>May</strong> 1, <strong>2009</strong> requesting permission to<br />
hold the 13 th Annual Bear Mountain Bike Race on July 25 th and 26 th , <strong>2009</strong>.<br />
The annual race has been conducted since <strong>19</strong>97 and attracts many riders and spectators.<br />
Mr. Maskesy has addressed most <strong>of</strong> the <strong>District</strong>'s concerns already in his letter and staff will<br />
ensure that all conditions noted in the recommendation section are met prior to permission<br />
being granted.<br />
Kelly Ridley<br />
Attachment<br />
GACOM<strong>2009</strong>1<strong>May</strong> <strong>19</strong>1Bear Mountain Challenge Permission.doc<br />
FILE: ADM.PER.VAG PAGE 1 OF 1<br />
Bear Mountain Race
RECEIVED<br />
54<br />
MAY 01 7f111P<br />
qiiSSION<br />
Kelly Ridley<br />
Deputy Director <strong>of</strong> Corporate Administration<br />
Box 20<br />
<strong>Mission</strong> BC<br />
V2V 4L9<br />
Hi Kelly,<br />
I am writing you on behalf <strong>of</strong> Fraser Valley Mountain Bikers Association (FVMBA)<br />
(http://www.fvmba.com) to seek permission to hold the 13th annual Bear Mountain<br />
Challenge mountain bike races. This year the event will take place July 25-26, <strong>2009</strong>.<br />
I have attached our certificate <strong>of</strong> comprehensive general liability insurance in the<br />
amount <strong>of</strong> at least $5,000,000 per occurrence and including the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> as a<br />
named insured.<br />
times.<br />
We will draft a letter advising the neighbourhood residents <strong>of</strong> the event dates and<br />
We will take care <strong>of</strong> all site preparation including installation and removal <strong>of</strong><br />
portable toilets as well as site clean up after the event is finished. Toilets will be<br />
delivered Friday July 24 and removed Monday July 27. We will clean up all garbage and<br />
remove it from the site on Sunday July 26.<br />
As in years past, participant parking will be limited to the east side <strong>of</strong> Dewdney<br />
trunk road. We will have volunteers in place to direct traffic and parking.<br />
On-site first aid services will be provided by FASP (First Aid Ski Patrol)<br />
(http://www.fasp.bc.ca )<br />
We will pick up all necessary traffic signage and cones from the works yard on<br />
Friday July 24 and return it Monday July 27.<br />
If there is any additional information you require, please do not hesitate to<br />
contact me.<br />
Tom Mackesy<br />
FVMBA/Bear Mountain Challenge
55<br />
fission<br />
MDISTRICT OF<br />
ON THE FRASER fit<br />
Corporate Administration<br />
Memorandum<br />
To: <strong>May</strong>or and Council<br />
From: Chief Administrative Officer<br />
Date: <strong>May</strong> 13, <strong>2009</strong><br />
Subject: Community Health Plan Report<br />
Background<br />
As council is aware over the past 18 months the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> and Fraser Health have been cooperatively<br />
developing a community health plan for <strong>Mission</strong>. The work undertaken by<br />
PriceWaterhouseCoopers is now complete and was presented to the Fraser Valley Regional Hospital<br />
<strong>District</strong> in late April. The report has taken a holistic approach to health planning for the <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
over the next 5 to 10 years and forms a base to move forward with an overall health plan for <strong>Mission</strong>.<br />
The report contains a number <strong>of</strong> specific recommendations which will require further work as the<br />
implementation phase proceeds.<br />
The next steps in the process is for the steering committee meetings to reconvene to address<br />
implementation <strong>of</strong> the report's recommendations. As a note, the Fraser Valley Regional <strong>District</strong> has<br />
authorized a further $85,000 from the regional hospital funding to complete the capital needs assessment<br />
plan for the projects identified in the community health plan which require further detailed capital<br />
assessments.<br />
Glen Robertson<br />
Page 1 <strong>of</strong> 1
56<br />
6 4-<br />
f raserhealth<br />
Beller health.<br />
Best in health care.<br />
Fraser Health & <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
Community Health Plan for<br />
<strong>Mission</strong>, B.C.<br />
March <strong>2009</strong><br />
P R I C E WA TE R H 0 U S E CO P E R S
57<br />
COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />
Acknowledgements<br />
This community health plan is the output <strong>of</strong> a collaborative planning process led by independent consultants<br />
from PricewaterhouseCoopers LLP (PwC). PwC was contracted through Fraser Health Authority and reported<br />
to a project steering committee. The process and steering committee were supported by a Project Team and a<br />
part-time local project manager.<br />
The project participants are identified below:<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong>:<br />
Fraser Health Authority:<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong>:<br />
Fraser Health Authority:<br />
Local Project manager:<br />
PwC Consultants:<br />
Steering Committee Members<br />
<strong>May</strong>or James Atebe<br />
Councillor Scott Etches (until Nov '08)<br />
Councillor Paul Horn<br />
Councillor Jenny Stevens<br />
Councillor Mike Scudder (after Nov, 08)<br />
Irene Sheppard<br />
Celso Teixeira<br />
Rhonda Veldhoen<br />
Project Team Members<br />
Dennis Clark<br />
Diane Layton<br />
Glen Robertson<br />
Linda Bachman<br />
Betty Ann Busse, V.P., Executive Sponsor<br />
Frank Fung<br />
Amin Jivanni<br />
Patty Lomas<br />
Keith McBain<br />
Celso Teixeira<br />
Rhonda Veldhoen<br />
Susan Anstett<br />
Maggie Adams<br />
Barbara Pitts<br />
Keith Stark<br />
Vicki Prince-Wright
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Contents<br />
1 Overview 1<br />
1.1 Background 1<br />
1.2 Approach 1<br />
1.3 Analysis <strong>of</strong> the Findings<br />
1.4 Synthesis <strong>of</strong> Key Findings 2<br />
1.5 Recommended Options for Implementation 2<br />
2 Background 3<br />
2.1 Context for Change 3<br />
2.2 Purpose 3<br />
2.3 Assumptions 4<br />
3 Approach 5<br />
3.1 Leading Practices Research 5<br />
3.2 Quantitative Environmental Scan 5<br />
3.3 Public Survey 7<br />
3.4 Health Service Provider Survey 7<br />
3.5 Community Engagement<br />
3.6 Community Validation Events<br />
3.7 Developing the Options for the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> 9<br />
4 Analysis <strong>of</strong> the Findings 11<br />
4.1 Key Findings: Leading Practices 11<br />
4.2 Key Findings: Quantitative 22<br />
4.3 Key Findings: Public Survey 52<br />
4.4 Key Findings: Community-based Health Service Providers 54<br />
4.5 Key Findings: Community Engagement 61<br />
5 Synthesis <strong>of</strong> the Key Findings 64<br />
5.1 Leading Practices 64<br />
5.2 Population, Demographic, Health Status 64<br />
5.3 Service Utilization 65<br />
5.4 Community Engagement 66<br />
6 Recommendations: Options for Implementation 67<br />
6.1 Alignment <strong>of</strong> Options 68<br />
6.2 Aspiration for the Health System within <strong>Mission</strong> 6g<br />
6.3 Sequencing <strong>of</strong> Options - Implementation Roadmap 93
COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />
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Appendices<br />
(published separately in a Technical Appendix to this project)<br />
Appendix A: Environmental Scan<br />
Appendix B: Public Survey<br />
Appendix C: Health Service Provider Survey<br />
Appendix D: Health Enabling Survey<br />
Appendix E: Key Informant Interviews<br />
Appendix F: Public Consultation Events<br />
Appendix G: Health Service Provider Consultation Events<br />
Appendix H: Public Validation Events<br />
Appendix I: Health Service Provider Validation Events
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1 Overview<br />
Historically, health has been defined as "a state <strong>of</strong> complete physical, mental and social well-being and not<br />
merely the absence <strong>of</strong> disease or infirmity', however planning for health services and subsequent treatment<br />
has traditionally been focused around serious episodic illnesses. Despite the tremendous changes in the<br />
health needs <strong>of</strong> patients over the past 40 years 2, healthcare services remain largely organized around<br />
hospitals and physicians, This report focuses on pushing the boundaries and thinking beyond acute care<br />
services and embracing the development <strong>of</strong> a robust and innovative primary care community based service<br />
delivery model that increases timely and equitable access to services. This report encourages integration<br />
across not only health disciplines but also non-traditional multi-sectoral partners thus ensuring the most<br />
appropriate services are delivered by the most appropriate providers and at the most appropriate location.<br />
The following provides an overview <strong>of</strong> the information contained in each <strong>of</strong> the major sections <strong>of</strong> this report; for<br />
detailed information the reader is encouraged to examine this document in its entirety.<br />
1.1 Background<br />
Context for Change — This section outlines the context for change which has underpinned the Community<br />
Health Plan for <strong>Mission</strong>, B.C. project.<br />
Purpose — This part <strong>of</strong> the report describes the purpose <strong>of</strong> the study as well as the specific objectives <strong>of</strong> the<br />
project.<br />
Assumptions — This section outlines the assumptions relating to development <strong>of</strong> the Community Health Plan<br />
for <strong>Mission</strong> B.C. project.<br />
1.2 Approach<br />
Leading Practices Research — This section describes the approach to conducting the leading practices<br />
research relating to trends in health care reform locally, nationally and internationally in a number <strong>of</strong> key areas<br />
that were deemed to be important for the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
Quantitative Environmental Scan — This section describes the approach used to complete the quantitative<br />
analysis which consists <strong>of</strong> the: geographic pr<strong>of</strong>ile, demographic pr<strong>of</strong>ile, socio-economic status, and health<br />
status.<br />
Public Survey — This section describes the approach used to survey the public in terms <strong>of</strong> health services in<br />
the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
Health Service Provider Survey — This section describes the approach used to survey the community-based<br />
health service providers within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> to inform the current state analysis.<br />
Community Engagement — This section describes the approaches used to engage the public, health service<br />
providers, and key informants in order to provide input towards the Community Health Plan for <strong>Mission</strong> B.C.<br />
Community Validation — This section describes the approach used to validate the preliminary findings and<br />
options with the public and health service providers.<br />
Recommended Options for Implementation — This section outlines the approach used to develop the final<br />
options for the Community Health Plan for <strong>Mission</strong>, B.C. Project.<br />
Constitution <strong>of</strong> the World Health Organization - Basic Documents, Forty-fifth edition, Supplement, October 2006. Retrieved November 2008 from<br />
http://www.who.int/governance/eb/who_constitution_en.pdf<br />
2 Hadley, J. <strong>19</strong>82. More Medical Care, Better Health?: An Economic Analysis <strong>of</strong> Mortality Rates. Washington, DC, Urban Institute Press and Romanow, R.J.,<br />
Commission on the Future <strong>of</strong> Health Care in Canada Building on Values: The Future <strong>of</strong> Health Care in Canada — Final Report. Ottawa, 2002.<br />
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1.3 Analysis <strong>of</strong> the Findings<br />
Key Findings: Leading Practices — A literature review on leading practices was necessary to provide the<br />
context for a health system that is innovative while leveraging the best practices <strong>of</strong> others. This section<br />
presents key findings including sub-sections on integration; health system planning and design; cultural,<br />
ethnicity and inclusivity; case management, maternal/ newborn, mental health and addictions; palliative and<br />
end-<strong>of</strong>-life care; seniors, chronic disease management and community services.<br />
Key Findings: Quantitative — An analysis <strong>of</strong> available quantitative information was conducted to understand<br />
the current health status <strong>of</strong> the community as well as <strong>of</strong> available health services within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
The geographic pr<strong>of</strong>ile describes the <strong>Mission</strong> area landscape. The demographic pr<strong>of</strong>ile presents data on<br />
population growth, population projections, population density, population aging, projected population growth<br />
by age, knowledge <strong>of</strong> <strong>of</strong>ficial languages, ethno cultural diversity, aboriginal population, francophone population<br />
and lobe parent families. It also contains information pertaining to other attributes such as socio-economic<br />
indicators including education, employment, income, food insecurity, housing affordability, home ownership,<br />
and composite socio-economic risk. The health status sub-section presents indicators <strong>of</strong> health for <strong>Mission</strong><br />
area residents, such as infant health, self reported health status, obesity, health practices, chronic conditions,<br />
infectious diseases, life expectancy and mortality. The utilization <strong>of</strong> health services sub-section presents data<br />
on acute care services, maternal care, mental health and addictions, rehabilitation, home support, assisted<br />
living and residential care, adult day program, end-<strong>of</strong>-life care, ambulatory care, primary care, and health<br />
human resources.<br />
Key Findings: Public Survey — This section summarizes the findings from the 243 completed Public surveys.<br />
Key Findings: Health Service Provider Survey — This section summarizes the findings from the Health<br />
Service Provider Survey.<br />
Key Findings: Community Engagement —This section summarizes the input received from the public, health<br />
service providers including physicians and key informants in terms <strong>of</strong> the strengths, weaknesses and<br />
opportunities for health services within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
1.4 Synthesis <strong>of</strong> Key Findings<br />
This section summarizes the synthesis <strong>of</strong> the key findings from the leading practices, quantitative data<br />
analysis, and qualitative data analysis to identify the key drivers for the health system transformation.<br />
1.5 Recommended Options for Implementation<br />
The recommended options <strong>of</strong> the Community Health Plan for <strong>Mission</strong> B.C. are imbedded within two<br />
fundamental components including the community based services and the acute care services. These are<br />
grounded not only in the vision <strong>of</strong> the BC Ministry <strong>of</strong> Health Services, the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> and Fraser Health<br />
but also in the concept <strong>of</strong> integration.<br />
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2 Background<br />
2.1 Context for Change<br />
<strong>Mission</strong> will experience above average growth in the coming years. Currently, <strong>Mission</strong> is considered a younger<br />
community within Fraser Health with the median age <strong>of</strong> its residents at 37.5 years and with a higher proportion<br />
<strong>of</strong> children and lower percentage <strong>of</strong> seniors (11%) 65 years and over.<br />
Overall, the residents <strong>of</strong> <strong>Mission</strong> enjoy relatively good health. However, when compared to the other local<br />
health areas (LHAs) within Fraser Health and British Columbia (BC), <strong>Mission</strong> ranks poorly in indicators such<br />
as life expectancy, death rates from leading causes, breast cancer screenings, as well as reproductive and<br />
infant health including low birth weight babies and teen pregnancy. Further, in terms <strong>of</strong> factors that enable<br />
healthy living, such as levels <strong>of</strong> education and income, are below BC averages. In addition, given that the<br />
<strong>Mission</strong> LHA has a large and diverse population, not everyone shares equally in the overall good health <strong>of</strong> the<br />
area. There are considerable variations in the level <strong>of</strong> health by age, gender, ethnicity, and especially by the<br />
specific neighbourhood <strong>of</strong> the people residing in <strong>Mission</strong>.<br />
In 2008 James Atebe, <strong>May</strong>or <strong>of</strong> <strong>Mission</strong>, in consultation with Clint Hames, then <strong>May</strong>or <strong>of</strong> Chilliwack and<br />
George Ferguson, then <strong>May</strong>or <strong>of</strong> Abbottsford, proposed that Fraser Health, work with a local <strong>Mission</strong> Steering<br />
Committee, to undertake a community consultation and planning process for the purpose <strong>of</strong> preparing a<br />
community health plan. With the recent completion <strong>of</strong> the first phase <strong>of</strong> the Fraser Health acute care planning<br />
study (Acute Care Capacity Initiative — ACCI), and the opening <strong>of</strong> the new Abbotsford Regional Hospital and<br />
Cancer Centre in 2008, the time is right to develop a comprehensive long term plan to address the health<br />
needs <strong>of</strong> the community within the context <strong>of</strong> the neighbouring communities, particularly Abbotsford (LHA<br />
#34). This comprehensive review is to document the current and emerging services available to <strong>Mission</strong> area<br />
residents, both in the <strong>Mission</strong> community and neighbouring communities, and compare this to the emerging<br />
health needs <strong>of</strong> the population as derived from demographic, utilization and other data attributable to <strong>Mission</strong><br />
residents.<br />
2.2 Purpose<br />
The purpose <strong>of</strong> the study is to recommend options for future investment in order to ultimately improve the<br />
health outcomes <strong>of</strong> <strong>Mission</strong> area residents. This plan will serve as the basis for future operating and capital<br />
investments in <strong>Mission</strong> by Fraser Health and the Fraser Valley Regional Hospital <strong>District</strong> (FVRHD).<br />
The objectives <strong>of</strong> the Community Health Plan for <strong>Mission</strong> BC study include the following:<br />
• Assess the health related needs <strong>of</strong> <strong>Mission</strong> area residents,<br />
• Document the current services available to <strong>Mission</strong> area residents,<br />
• Identify potential future investments required to close the gap between needs and services, and<br />
• Produce a high-level plan for action.<br />
Adopting a population health approach, the plan will include the following continuum <strong>of</strong> services:<br />
• Supportive environment: health promotion and prevention, public health, community services/capacity,<br />
etc.<br />
• Primary care: physician services, allied health pr<strong>of</strong>essionals and management <strong>of</strong> chronic diseases,<br />
etc.<br />
• Acute (hospital) care: inpatient and ambulatory care including urgent/emergent care, etc.<br />
• Community care: mental health and addiction services, home and community care including home<br />
care/support and hospice care, assisted living and supported housing, residential care, etc.<br />
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2.3 Assumptions<br />
In order to guide the development <strong>of</strong> the Community Health Plan for <strong>Mission</strong> BC, a number <strong>of</strong> assumptions<br />
were made related to the scope, and data collection prior to launching the project. The assumptions were as<br />
follows:<br />
• Obtain input from the public and health service providers prior to developing the draft options in order<br />
to provide the public and providers an opportunity to shape the recommendations that will ultimately<br />
impact the community,<br />
• Options will align with and support the advancement <strong>of</strong> the vision and, or strategic goals <strong>of</strong> the<br />
Ministry <strong>of</strong> Health Services, Fraser Health and the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
• The quantitative data reflects the information available from existing reports and other documentation<br />
provided by Fraser Health and the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>;<br />
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3 Approach<br />
3.1 Leading Practices Research<br />
In order to inform the Community Health Plan for <strong>Mission</strong> BC project, leading practices research was<br />
conducted to identify trends, including evidence-based trends, in health care reform locally, nationally and<br />
internationally, in the following key areas:<br />
• Integration<br />
• Health System Planning and Design<br />
• Case Management<br />
• Cultural Impacts on the Health System<br />
• Palliative/End-<strong>of</strong>-Life Care<br />
• Mental Health and Addictions<br />
• Maternal/Newborn<br />
• Seniors<br />
• Chronic Disease Management<br />
• Community Health Services<br />
The research included a review <strong>of</strong> international health systems that have experienced transformational<br />
change, focusing on the learning and perspectives with regard to health care structure and design, integration<br />
<strong>of</strong> health services, health services distribution models, and the effects <strong>of</strong> cultural issues on health system<br />
integration and design. The research looked at the purpose <strong>of</strong> the study, methods utilized and key findings <strong>of</strong><br />
the study, with a focus on recommendations and lessons learned.<br />
3.2 Quantitative Environmental Scan<br />
The focus <strong>of</strong> the quantitative analysis was to conduct the detailed review <strong>of</strong> the data that are required to<br />
understand the current state and the potential future population health needs and demands. Existing data from<br />
Fraser Health Decision Support was reviewed and additional data collected to fill any gaps. The Complete<br />
Environmental Scan results are published separately in the Technical Appendix to this project.<br />
Population Health Analysis<br />
This analysis (i.e. demand side or needs based analysis) includes the review <strong>of</strong> data that describes the current<br />
and forecasted future population in order to determine current and future requirements for the <strong>District</strong> <strong>of</strong><br />
<strong>Mission</strong>. This analysis included data on population demographics, socio economic indicators, and health<br />
status. Population attributes that were analyzed include:<br />
• Geographic Pr<strong>of</strong>ile<br />
• Demographic Pr<strong>of</strong>ile<br />
• Population Growth<br />
• Population Projections<br />
• Population Density Including Urban vs. Rural Population<br />
• Population Aging<br />
• Projected Population Growth by Age<br />
• Knowledge <strong>of</strong> Official Languages<br />
• Ethno Cultural Diversity<br />
• Aboriginal Population<br />
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• Francophone Population<br />
• Lone Parent Families<br />
• Socio-Economic Status<br />
• Education — Population without high school graduation<br />
• Employment<br />
• Income<br />
• Food Insecurity<br />
• Housing Affordability<br />
• Home Ownership<br />
• Composite Socio-Economic Risk<br />
• Health Status<br />
• Infant Health<br />
• Self Reported Health Status<br />
• Obesity<br />
• Health Practices<br />
• Chronic Conditions<br />
• Infectious Diseases<br />
• Life Expectancy and Mortality<br />
Service Utilization Analysis<br />
Health service utilization and capacity analysis (supply side analysis) will involve the review <strong>of</strong> a range <strong>of</strong> data<br />
that describes existing services in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>, the capacity <strong>of</strong> these services and utilization <strong>of</strong> these<br />
services. This will include the service and program data that Fraser Health has provided for the purposes <strong>of</strong><br />
this review. It is our experience that the readily available utilization data focuses primarily on hospitals, and<br />
residential care homes, and therefore considerable more effort is required to compile consistent and<br />
comprehensive data on community support services. To the extent possible, the analysis will also assess the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> relative to benchmarks such as provincial averages and targets.<br />
The topics covered in the service utilization analysis include:<br />
• Acute Care Services<br />
• <strong>Mission</strong> Memorial Hospital<br />
• Emergency Department<br />
• Total Patient Days<br />
• Age-Standardized Hospital Day Rates<br />
• Market Share<br />
• Localization Index<br />
• Alternate Level <strong>of</strong> Care<br />
• Readmission Rates<br />
• Maternal Care<br />
• Mental Health and Addictions<br />
• Rehabilitation<br />
• Home Support<br />
• Assisted Living and Residential Care<br />
• Adult Day Program<br />
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• End <strong>of</strong> Life Care<br />
• Ambulatory Care<br />
• Primary Care<br />
• Health Human Resources<br />
3.3 Public Survey<br />
The objectives <strong>of</strong> the Public Survey was to gather the perception <strong>of</strong> <strong>Mission</strong> area residents about health<br />
related services, either existing or expected, that are required to optimize their health and the health <strong>of</strong> their<br />
families.<br />
PricewaterhouseCoopers s developed and conducted an on-line survey intended to solicit opinions <strong>of</strong> all<br />
<strong>Mission</strong> area residents about the services needed in their community. The survey was also made available in<br />
paper copy, and distributed throughout the <strong>Mission</strong> community. Assistance was provided to residents that<br />
required help completing the survey. All paper surveys were uploaded to the web-based format.<br />
The survey asked respondents to identify the three most important health related issues for <strong>Mission</strong> area<br />
residents today. Other questions focused on the services provided to individual population groups (i.e.,<br />
mothers, babies, children, youth, adults and seniors), and the perceived quality <strong>of</strong> these services, where<br />
applicable. Respondents were also asked for their opinions on ways health care services could be improved,<br />
as well as their opinion on the health services that should be provided within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>, within 20<br />
minutes <strong>of</strong> <strong>Mission</strong>, and for which residents would be willing to travel to a larger centre. Finally, respondents<br />
were asked to provide a collection <strong>of</strong> demographic information.<br />
PricewaterhouseCoopers worked with Fraser Health and the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> senior staff to develop the<br />
questions and the format for the survey, as well as the technical staff to upload and test access to the survey<br />
link on the <strong>Mission</strong> website.<br />
An external communications strategy was developed with tactics for identifying effective methods <strong>of</strong><br />
communicating with the public to try to reach a broad range <strong>of</strong> individuals and gain a high level <strong>of</strong> feedback. A<br />
link to the survey was placed on the front page <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> website. In addition, the survey was<br />
advertised at public events, at the library, through local agencies and advertisements in the local newspaper.<br />
The complete responses from the Public Survey are published separately in the Technical Appendix to this<br />
project.<br />
3.4 Health Service Provider Survey<br />
The objective <strong>of</strong> the Health Service Provider Survey was to gather and confirm information not readily<br />
available through other sources. The purpose <strong>of</strong> the survey <strong>of</strong> health and health-related service providers in<br />
the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> was to provide an understanding <strong>of</strong> services currently being provided within <strong>Mission</strong>, to<br />
whom the services are being provided, the capacity <strong>of</strong> the services being provided, and the amount and<br />
sources <strong>of</strong> funding for these services. The survey responses are published separately in the Technical<br />
Appendix to this project.<br />
3.5 Community Engagement<br />
The focus <strong>of</strong> the community engagement events was to obtain input from the various stakeholders on a variety<br />
<strong>of</strong> topics in order to inform the development <strong>of</strong> the Community Health Plan. The community engagement<br />
consisted <strong>of</strong> six key informant interviews, as well as, seven public, one physician group and two health service<br />
provider consultation events.<br />
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3.5.1 Key informant Interviews<br />
Seven key informant interviews were held to supplement the community engagement sessions and surveys.<br />
The key informants were identified by members <strong>of</strong> the Steering Committee consisting <strong>of</strong> Fraser Health and the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> personnel. Each interview included an hour long discussion pertaining to predefined<br />
questions that were made available to the key informant prior to the interview. The key informants included the<br />
following individuals:<br />
• Judith Ray - Residential Care<br />
• Dr. R. Guasparini & Dr. G. Arsenault - Medical Officers <strong>of</strong> Health<br />
• Carlo Billinger - Business<br />
• Pat Walsh - RCMP<br />
• Randy Huth - Education<br />
• Joy Cox - Community Services<br />
• Dr. Gurmeet Singh - Children & Youth Mental Health<br />
A full description <strong>of</strong> the questions and responses is published separately in the Technical Appendix to this<br />
project.<br />
3.5.2 Consultation Events<br />
In order to inform the Community Health Plan for <strong>Mission</strong> B.C. project, seven community engagement events<br />
were held from September 25th to October 2nd, 2008 with health service providers (including physicians), as<br />
well as members <strong>of</strong> the public including Aboriginal and Sikh groups. The events were held within the <strong>District</strong> <strong>of</strong><br />
<strong>Mission</strong>. Participants were invited to the various events through direct invitation for the Physician and Health<br />
Service Provider events, as well as newspaper announcements, web-site postings, and leaflet distribution<br />
throughout the community. There were different facilitation approaches used in each <strong>of</strong> the consultation<br />
events (i.e. public, physician group, and health service provider) designed to maximize the quality <strong>of</strong> input for<br />
each event. Each approach is described below.<br />
3.5.2.1 Public, Aboriginai and Sikh Groups<br />
The Public, Aboriginal and Sikh group consultation events began with a presentation by<br />
PricewaterhouseCoopers describing <strong>Mission</strong>'s geographic pr<strong>of</strong>ile, demographic pr<strong>of</strong>ile, socio-economic status<br />
and health status <strong>of</strong> <strong>Mission</strong> residents by life-cycle.<br />
After the presentation, members <strong>of</strong> the public were asked to participate in a discussion based on the following<br />
key questions. Questions one and two were asked in the context <strong>of</strong> all four life cycle stages which were<br />
defined as: Mothers and Babies; Children and Youth; Adults; and Seniors.<br />
• What is working well in <strong>Mission</strong> in terms <strong>of</strong> available services and supports that promote and maintain<br />
the wellbeing <strong>of</strong> individuals in each life stage?<br />
• What is NOT working well in <strong>Mission</strong> in terms <strong>of</strong> promoting and maintaining the wellbeing <strong>of</strong><br />
individuals in each life stage?<br />
• What are the top five health enabling services and supports that must be provided within the <strong>District</strong> <strong>of</strong><br />
<strong>Mission</strong> from the perspective <strong>of</strong> all four life cycle stages?<br />
A full transcription <strong>of</strong> the questions and responses is published separately in the Technical Appendix to this<br />
project.<br />
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3.5.2.2 Physician Group<br />
The Physician consultation consisted <strong>of</strong> a dialogue between physicians and PricewaterhouseCoopers<br />
facilitators based on the presentation describing <strong>Mission</strong>'s geographic pr<strong>of</strong>ile, demographic pr<strong>of</strong>ile, socioeconomic<br />
status and health status <strong>of</strong> <strong>Mission</strong> residents by life-cycle, as well as key findings pertaining to<br />
Emergency Department visits, mental health services, localization index, and leading practices from other<br />
jurisdictions. A full notation <strong>of</strong> the questions and responses are published separately in the Technical<br />
Appendix to this project.<br />
3.5.2.3 Health Service Provider<br />
The Health Service Providers consultation events began with a presentation by PricewaterhouseCoopers<br />
describing <strong>Mission</strong>'s population projections, the distribution <strong>of</strong> residents, the health status by life-cycle, as well<br />
as key findings pertaining to ED visits, mental health services, localization index, and leading practices from<br />
other jurisdictions.<br />
After the presentation, providers were asked to participate in a Wall Map exercise followed by a discussion<br />
based on four key questions.<br />
Health Service Providers were also asked to give input as to where health enabling services should be<br />
delivered. A large wall map depicting the Local Health Authority #75, Health service Delivery Area, Health<br />
Authority and the Province were posted on the wall. Providers were asked to indicate, by writing directly on the<br />
map, which health services should be located within each geographic service boundary. The facilitator<br />
encouraged the Providers to be as specific as possible in terms <strong>of</strong> their descriptions <strong>of</strong> the health enabling<br />
services and the respective proposed location.<br />
The providers were then asked to participate in a discussion based on the following four questions:<br />
• What are the challenges <strong>of</strong> accessing health services in <strong>Mission</strong>?<br />
• What opportunities exist to improve the health and well being <strong>of</strong> <strong>Mission</strong> area residents?<br />
• What health services are required for the rural areas <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>?<br />
• Identify the three highest priority health services that are currently accessed outside <strong>Mission</strong> that you<br />
feel should be provided at the local area?<br />
A full notation <strong>of</strong> the questions and responses are published separately in the Technical Appendix to this<br />
project.<br />
3.6 Community Validation Events<br />
Once the quantitative analyses and the consultation events were completed, the findings were presented back<br />
to the public and health service providers. The purpose <strong>of</strong> these events was to obtain feedback and to validate<br />
the findings. The public validation events were held over two days—one in the evening and one in the<br />
afternoon. The health service provider session was scheduled in the evening to accommodate the providers<br />
and physicians. The notes from the validation sessions are published separately in the Technical Appendix to<br />
this project.<br />
3.7 Developing the Options for the <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
Based on the findings from the leading practices research, quantitative data analysis, public survey, health<br />
service provider survey, and consultation events, a comprehensive synthesis and analysis <strong>of</strong> the data was<br />
completed to understand the current state <strong>of</strong> health services within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>, as well as to identify<br />
the population-based needs and opportunities for investment. This information was then used to inform the<br />
development <strong>of</strong> the options available to the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> in meeting its population-based needs.<br />
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The draft options were presented to the Steering Committee for comment and feedback. After this input was<br />
incorporated, the options were validated with the public and health service providers. The feedback obtained<br />
from the public and provider validation sessions was in turn incorporated into the final report.<br />
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4 Analysis <strong>of</strong> the Findings<br />
4.1 Key Findings: Leading Practices<br />
Reviewing the literature on leading practices is <strong>of</strong> the utmost importance as it provides a context for<br />
innovation, insight on what is working, as well as lessons learned from the experience <strong>of</strong> others who have<br />
gone before on the journey <strong>of</strong> health system transformation. It must be recognized that leading practices<br />
cannot be merely transplanted from one setting to another, but need to be analyzed and modified as<br />
appropriate for the environment in which it is to function. The review <strong>of</strong> the leading practices research has<br />
been divided into two main areas — research associated with the overall design <strong>of</strong> the health system, and that<br />
which is applicable to specific programs and populations.<br />
This research has provided a wealth <strong>of</strong> knowledge and insight given the public and provider perspectives on<br />
the various topics.<br />
4.1.1 Health System Level<br />
The four areas <strong>of</strong> integration, health system planning and design, cultural competence, and case management<br />
collectively provide insight on the overall design <strong>of</strong> the health system. These four areas are further defined in<br />
the following sections.<br />
4.1.1.1 Integration<br />
The literature on integration within healthcare was reviewed specifically because <strong>of</strong> the consistent comments<br />
heard at the provider community engagement that identified a need to clearly articulate the meaning <strong>of</strong><br />
integration.<br />
Integrated Health System (IHS) is a term used in the literature to describe "a network <strong>of</strong> organizations that<br />
provide, or coordinates, a continuum <strong>of</strong> services to a defined population and is held clinically and fiscally<br />
accountable for the outcomes and health status <strong>of</strong> the population served." Such systems are broadly based<br />
and vertically integrated, embracing a full range <strong>of</strong> services that include ambulatory, acute and non-acute<br />
institutional and residential care.'<br />
Integration <strong>of</strong> this nature envisions a seamless health system without fragmentation, duplication, or gaps in<br />
services, characterized by close working relationships between hospitals, long-term care facilities, primary<br />
health care, home care, public health, social welfare agencies, schools, police, and others whose services<br />
have implications for the determinants <strong>of</strong> health.'<br />
Generally, IHS's provide a comprehensive array <strong>of</strong> services from health promotion, primary care, diagnostic,<br />
treatment, rehabilitation and long-term care services. In terms <strong>of</strong> integrated service delivery, IHS's require a<br />
paradigm shift from one focusing on "providers" to one focused on the "customer" (consumer) service. The<br />
consumer advantages <strong>of</strong> the IHS model are thought to be more timely access to services, comprehensive<br />
"one-stop shop" services, less duplication <strong>of</strong> services, elimination <strong>of</strong> gaps and fragmentation in care<br />
processes, and better coordination and transfer between primary and secondary services. 5<br />
There are few empirical evaluations, although there have been a number <strong>of</strong> IHS case studies. Among the<br />
most influential, "Remaking Health Care in America" (<strong>19</strong>96, repeated in 2000) focuses on ten integrated<br />
systems in the United States. The main conclusions by authors Shortell, Gillies, Anderson, Erikson, and<br />
3 Shortell, S.M., Gillies, R.R., & Anderson, D. (<strong>19</strong>94). The new world <strong>of</strong> managed care: Creating organized delivery systems. Health Affairs. 13:5 p. 46.<br />
Shortell, S.M., Gillies, R.R., Anderson, D.A., Erikson, KM., & Mitchell. J.B. (<strong>19</strong>96 and 2000). Remaking health care in America: First and second editions.<br />
San Francisco: Jossey-Bass.<br />
4 Leatt, Peggy, (2002) Sharing the Learning: Health Transition Fund Synthesis Series: Integrated Service Delivery, Health Canada, Ottawa.<br />
5 lbid, p. 53.<br />
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Mitchell state that most systems had made progress in bringing together hospital service organizations<br />
through horizontal integration. Some systems -ad been successful in integrating physicians into their<br />
organizations and providing economic incentives for physicians to collaborate. The area with the least<br />
successful outcomes was clinical integration which is ars° tne key component <strong>of</strong> integrated service delivery ''<br />
Research evidence on IHS's by Leatt et al_ suggested six strategies for moving forward with integrated service<br />
delivery. They recommended that:<br />
1. Policy should focus on the individual consumer and his/her needs:<br />
2. Primary health care is a core service at the centre;<br />
3. Needs-based population funding models should be developed;<br />
4. Information should be shared amongst providers and use <strong>of</strong> technology promoted;<br />
5. Virtual coordination networks should be developed at the local level; and<br />
6. Mechanisms to monitor and evaluate service delivery should be implemented.'<br />
Despite positive outcomes. the IHS model is controversial in Canada. Discussions <strong>of</strong> IHS's in Ontario have<br />
pressed on with emphaStS on 'virtual" integration given that a single umbrella governance structure is difficult<br />
to achieve, and that virtual integration may be the answer. It is felt that integration may not require common<br />
governance or ownership but may be achieved by a variety <strong>of</strong> strategic alliances, such as joint ventures,<br />
contracts, networks and other multi-institutional arrangernents. 8<br />
A presentation by Michael Guerriere in 2001, captured the essence <strong>of</strong> what patients want from a health care<br />
system and what many believe integrated service delivery has the potential to provide:<br />
• No repetition <strong>of</strong> questions or tests;<br />
• Providers wno know what other providers have done;<br />
• No waiting at one level <strong>of</strong> care for resources to be available at another;<br />
• 24-hour access to comprehensive primary health care;<br />
• Access to comparative information about quality and outcomes <strong>of</strong> providers;<br />
• One point <strong>of</strong> access for scheduling multiple encounters; and<br />
• Proactive care in which patients are contacted about necessary interventions, educated about disease<br />
processes, and supported by adequate in-home assistance to maxTnize their autonomy. 1'<br />
Given the above, wait times become an important determinant <strong>of</strong> success. However, it has been strongly<br />
suggested that only a broad-based approach will ultimately succeed in reducing wait times and building a<br />
sustainable system. The research indicates that a shift in values needs to take place away from the current<br />
emphasis on acute care and toward an inclusive vision <strong>of</strong> home- and community-based care that pits more<br />
emphasis on disease management, chronic care and indepencent living." Yet today, the response appears to<br />
be increasing funding in the acute care system.<br />
It must be noted that although integration is the goal, according to the C.D. Howe Institute, the "separate<br />
financing <strong>of</strong> different elements <strong>of</strong> Canada's publicly funded health care system inhibits the integrated or<br />
'seamless' prov:sior. <strong>of</strong> health services '"' In many industrialized countries. governments encourage<br />
competition which helps to drive down costs but encourages individual providers to maintain their own<br />
economic viability and achieve individual organizational goals rather than to take collective action that<br />
improves population health.<br />
o Lean. Peggy. (2CO2) Shireg Learmna: HeNth Tram:eon Fund Synr=t: Sarin: InsegraSed Servr.e Detrvery.<br />
7 Lee!. P., Pr*. GM.. & GJemere. M. (2000). TcwardS a Canadian motel <strong>of</strong> rceseatec healtn=e. Hestrzare Paws. 1:2 13-35,<br />
8 Go'donort, .L C. (<strong>19</strong>94). The ihuswe .ogic <strong>of</strong> rtevehon. The tieann,:are J:e.imat. (?.4ra: Apri) 3Z:2 36-42<br />
9 Guerrero. M. (2001. June). Tchvard: a Canaan modei c? into rased healthcare. Presents:on at Heal=are Paden:: New Mxies for the New Meath; ere<br />
Conferende. Torcnzo..<br />
10 Shamian, Shainbkrn. E 8 Stevens. J.. Accourtabfity A;enca 18 8t inck,ce Home end Conworrtẏ Based Care HeattrearePaprs, 7(1; 2035. 58-84<br />
tntegralrg Canada s DU-tree:yet.* Keel' Cafe Sysorn - .essorts froth Atroad, Cam. Ckana430h. cur Craig /Amon. C.D. He lnstlute,<br />
Corry. erawy. No. 151. AbriL 2001. wonv.crincrw.crit<br />
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4.1.1.2 Health System Planning and Design<br />
Understanding the ultimate goals <strong>of</strong> an integrated health system provided the context for reviewing and<br />
analyzing the approaches various provincial, national and international jurisdictions have taken to health<br />
system transformation. The key findings <strong>of</strong> the approaches to health system planning and design are<br />
summarized below and have been instrumental in the formulation <strong>of</strong> the recommended options for<br />
implementation, recognizing the unique circumstances <strong>of</strong> the environment within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> and<br />
Fraser Health.<br />
A study <strong>of</strong> healthcare reforms in other provinces Alberta, and other countries such as Australia, Sweden,<br />
Finland and the UK provides a number <strong>of</strong> insights on the planning and design <strong>of</strong> a health system. Some <strong>of</strong> the<br />
key trends as summarized by the C.D. Howe Institute include: locating more decisions 'closer to the patient',<br />
inducing better quality at lower cost, creating a framework for provider and consumer decision-making that<br />
would align incentives better, and utilizing a 'whole systems approach with the objective <strong>of</strong> integrating health<br />
and related care services through partnerships that are supported by integrated policies at the national and<br />
local levels.'<br />
Sweden - Local Health Care<br />
There are a number <strong>of</strong> 'system features' internationally that are worthy <strong>of</strong> noting. Sweden has implemented a<br />
system <strong>of</strong> "Local Health Care" in collaboration with municipalities, upgraded family- and community-oriented<br />
primary care, supported by flexible hospital services that will assure high quality, cost effectiveness and a<br />
strong patient focus. In Finland, Municipal Health Care Centres, <strong>of</strong>ten attached to a hospital, provide primary<br />
healthcare and arrange school and occupational health services. In Australia, divisions <strong>of</strong> general practice<br />
each have their own regional group <strong>of</strong> GPs, health services and programs depending on the needs in its<br />
region. As well base hospitals are there to support nursing homes, out-patient clinics, and community health<br />
centres.<br />
United Kingdom - Health Care for London<br />
Other interesting findings from the literature review include those proposed by the London Trusts <strong>of</strong> the<br />
National Health System in the UK. In Healthcare for London: A Framework for Action (2007), Pr<strong>of</strong>essor Lord<br />
Darzi identified that hospitals are not always the answer "most people are best cared for by community<br />
services."" Routine heath services should be provided within the community and as close to the recipient as<br />
possible, where as 'more specialized care should be centralised to ensure it is provided by the most skilled<br />
pr<strong>of</strong>essionals with the most cutting-edge equipment.' 14 To ensure better health outcomes the focus should be<br />
on preventive and promotive health care services by multidisciplinary pr<strong>of</strong>essionals within community settings.<br />
The recommendations for healthcare transformation in London are based on the following five principles:<br />
• Services focused on individual needs and choices;<br />
• Localize where possible, centralize where necessary;<br />
• Truly integrated care and partnership working to maximize the contribution <strong>of</strong> the entire workforce;<br />
• Prevention is better than cure; and<br />
• A focus on health inequalities and diversity.<br />
According to the "Healthcare for London: A Framework for Action (2007), a number <strong>of</strong> recommendations for<br />
reshaping health care services include the following:<br />
• Maternal and newborn - <strong>of</strong>fering choice <strong>of</strong> at home, midwifery or obstetrics,<br />
12 Integrating Canada's Dis-Integrated Health Care System — Lessons from Abroad, Cam Donaldson, Gillian Currie, Craig Mitton, C.D. Howe Institute,<br />
Commentary, No. 151, April, 2001, www.cdhow.org .<br />
13 Healthcare for London: A Framework for Action, Pr<strong>of</strong>essor Ara Darzi, Pr<strong>of</strong>essor <strong>of</strong> Surgery, Imperial College,<br />
http://www.healthcareforlondon.nhs.uk/background.asp<br />
14 Ibid.<br />
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• Staying healthy - promotion with a focus on activity and nutrition,<br />
• Mental health - local community-based treatment through to acute inpatient,<br />
• Acute care — use <strong>of</strong> 24/7 urgent care centers and centralizations <strong>of</strong> specialized care<br />
(i.e. trauma, heart attacks and strokes)<br />
• Planned care - increasing access to family doctors through extended hours, more d<br />
procedures and more in home rehabilitation,<br />
• Long term conditions - provide an array <strong>of</strong> sources <strong>of</strong> support from specialist nurses<br />
technology, and<br />
• End <strong>of</strong> life care - provide choice to die with dignity in the most appropriate location.<br />
for the critically ill<br />
: y surgery based<br />
to new<br />
These service <strong>of</strong>ferings will be provided through five models <strong>of</strong> provision <strong>of</strong> care including:<br />
• Home<br />
• Polyclinics - comprehensive "one stop shop" multidisciplinary facilities that exceed t<br />
provided at many family practices. Polyclinics <strong>of</strong>fer most outpatient services such a<br />
chronic disease management, mental health services, antenatal and postnatal care,<br />
diagnostics (pathology tests and x-ray), healthy living classes, proactive manageme<br />
conditions, pharmacies and house other pr<strong>of</strong>essionals such as opticians and dentist<br />
e services<br />
primary care,<br />
social care,<br />
t <strong>of</strong> long term<br />
all in one place.<br />
This model <strong>of</strong> care also <strong>of</strong>fers extended hours <strong>of</strong> operation and a coordinated scheduling system. The<br />
polyclinic model provides consumer centric care closer to home with an emphasis o health promotion<br />
and disease/ injury prevention, that saves lives and money. Detailed analysis has d monstrated that<br />
the polyclinic model will save the NHS £1.4billion each year.<br />
• Local hospitals for non-complex cases<br />
• Elective centres for non-urgent surgeries that are planned in advance<br />
• Major acute hospitals for specialized care<br />
From the service <strong>of</strong>ferings and the provision <strong>of</strong> care models, it is clear that London is contin ing its reform by<br />
incorporating best practices from numerous other countries that include increased service d livery that is<br />
local, community based and inter-pr<strong>of</strong>essional with more separation <strong>of</strong> highly complex and u gent care from<br />
the planned and non-complex care.<br />
Alberta - Edmonton Regional Model<br />
Capital Health in Edmonton, Alberta delivers care based on a regional model that includes t e following<br />
features:<br />
• Acute bed supply: aim to have a minimum <strong>of</strong> 1.9 acute care beds per 1,000 resident<br />
• Integration <strong>of</strong> services via coordination from primary care teams. For example, Capit I Health uses<br />
primary care networks to serve the majority <strong>of</strong> the population,<br />
• Locate non-essential services (clinics and <strong>of</strong>fices) in convenient and central, but <strong>of</strong>f- ite locations,<br />
• Provide essential services close to home and site specialized services in central locations, and<br />
• Seek to provide equitable access as close to home as possible.<br />
British Columbia — Integrated Health Networks<br />
Fraser Health is currently implementing integrated health networks (IHN) within the region; t e networks<br />
facilitate the seamless coordination <strong>of</strong> care by linking patients with "family physicians, prima care providers<br />
and communities with existing health authority and community services"." The IHN eliminate disjointed<br />
health service delivery by integrating multidisciplinary providers for the provision <strong>of</strong> services t at meets the<br />
patient's range <strong>of</strong> health care needs over the long term.<br />
15 What is an integrated health network? Retrieved on January <strong>2009</strong> at http://www.fraserhealth.ca/Services/PrimaryCare/iConnect/P ges/IHN.aspx.<br />
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The IHN model includes:<br />
• Facilitating chronic disease management.<br />
• Promoting patients as partners in their care, with an emphasis self-management.<br />
• Treating patients as a whole with a joint care plan with individual goals and follow u u needs that is<br />
used among providers<br />
• One on one or group education for self management<br />
• Sharing responsibility for health service delivery among all levels <strong>of</strong> care within the integrated health<br />
network including speciality chronic disease services<br />
Scotland - Shifting the Balance <strong>of</strong> Care<br />
According to Johnston, Lardner, and Jepson (2008), Scotland is shifting the way health se ices are delivered<br />
by shifting the focus from acute care services towards preventative community services; shi ing the location <strong>of</strong><br />
health services from acute care settings to integrated community centres; shifting the emph sis on self-care<br />
and supporting patients to manage their own illnesses; and finally shifting from siloed care delivery towards<br />
partnerships and a community care team approach.<br />
Focus<br />
Shifting the emphasis towards preventative medicine and more care i the community,<br />
based on a fundamental change in the way we tackle the causes <strong>of</strong> ill health and by<br />
providing care which is quicker, more personal and closer to home. It also means<br />
shifting the focus away from services geared toward acute conditions to providing<br />
systematic support for people with long term conditions with a strong emphasis on<br />
continuous, integrated care rather than disconnected episodic care.<br />
Location Shifting the location <strong>of</strong> services and care in order to improve access t treatment and<br />
support. This involves the wider provision <strong>of</strong> diagnostic procedures a d access to<br />
specialist services embedded into communities through Community ealth<br />
Partnerships. This means less acute hospital-centred activity and mo e services and<br />
support provided in community hospitals, other local facilities and at hbme. Services<br />
and care should increasingly be provided in locations that are easily aOcessible for<br />
users with greater consideration given to transport requirements. This will enable care<br />
providers to get a better balance between planned and unplanned ca<br />
Responsibility Shifting the current view <strong>of</strong> patients/clients as passive recipients <strong>of</strong> car towards full<br />
partnership in the management <strong>of</strong> their conditions. This involves providing more support<br />
for people to look after themselves and remain as independent as po Isible using new<br />
technologies for telemedicine and telecare to help people to manage heir conditions<br />
and stay longer in their own homes.<br />
Pr<strong>of</strong>essional Roles Shifting the emphasis away from the independence <strong>of</strong> individual pract ces and<br />
pr<strong>of</strong>essionals towards a more extended primary and community care earn approach.<br />
This means developing pr<strong>of</strong>essional and staff roles, skills, expertise a l d responsibilities,<br />
with a greater focus on teams delivering integrated care pathways involving a wider<br />
range <strong>of</strong> partners, including patients and carers'.<br />
' 6 Johnston, L., Lardner, C., and Jepson, R. (2008) Overview <strong>of</strong> Evidence Relating to Shifting the Balance <strong>of</strong> Care" A Contribution to the Knowledge Base.<br />
Retrieved September 2008 from www.scotland.gov.uk/socialresearch<br />
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Scotland - Developing Community Hospitals<br />
According to research by the Scottish Government (2007), community hospitals should be located locally and<br />
provide integrated services with close proximity to community residents. The role <strong>of</strong> community hospitals is to<br />
provide a bridge between community services and specialized acute care hospital services by providing<br />
ambulatory and non-critical inpatient services closer to home. With only the most skilled pr<strong>of</strong>essionals with<br />
state <strong>of</strong> the art equipment to care for complex patients centrally<br />
Community hospitals could provide the following services:<br />
• Day surgery<br />
• Pre-admission and post-discharge care (intermediate care)<br />
• Planned admissions where specialist care is not required or could be accessed remotely<br />
• A wide range <strong>of</strong> diagnostic and treatment interventions<br />
• Outreach outpatient services run by consultants and/or health pr<strong>of</strong>essionals with special interests. 17<br />
4.1.1.3 Culture, Ethnicity and inclusivity<br />
Cultural competence is a set <strong>of</strong> congruent behaviours, attitudes, and policies that come together in a system,<br />
to enable the system and pr<strong>of</strong>essionals to work effectively in cross—cultural situations.' Cultural competence<br />
reduces disparities in service, addresses inequities in access to care and services, and requires an<br />
understanding <strong>of</strong> the communities being served as well as the cultural influences on an individual's beliefs and<br />
behaviours.<br />
Cultural competence must be considered at the health system level as well as at the individual program and<br />
population levels. Thus, the design must acknowledge and overtly address cultural competence.<br />
Research clearly indicates that culture and ethnicity influence health in very real ways including: how people<br />
link with the health system, their access to health information, their lifestyle choices, their participation in<br />
health promotion and prevention, and their understanding <strong>of</strong> health and illness. Some persons/groups may<br />
face additional health risks due to socio-economic environment, which is determined by dominant cultural<br />
values that contribute to the perpetuation <strong>of</strong> marginalization, loss or devaluation <strong>of</strong> language and culture and<br />
lack <strong>of</strong> access to culturally appropriate health care and services. "<br />
Immigrants in general were more likely to report a shift to fair or poor health, caused by factors such as<br />
household income, adopting unhealthy behaviours (e.g., poor eating habits leading to weight gain), increased<br />
stress, inadequate employment, housing conditions and discrimination. These findings and others must guide<br />
the design and distribution <strong>of</strong> health services across the system, as well as the development <strong>of</strong> the service<br />
delivery model.<br />
4.1.1.4 Case Management<br />
Case management was also included within the leading practices review as this function has demonstrated<br />
impact at the system level. This is especially relevant in relation to the management <strong>of</strong> transition across<br />
providers, and could be instrumental in impacting health system utilization while supporting the shift from<br />
acute to community care.<br />
17 The Scottish Government (2007) Developing Community Hospitals: A Strategy for Scotland. Retrieved September 2008 from<br />
http://www.scotiand.gov.uk/Publications/2006/12/18142322/3<br />
18 Cross, T.L., et al (<strong>19</strong>89). Towards a Culturally Competent System <strong>of</strong> Care: A Monograph on Effective Services for Minority Children Who are Severely<br />
Emotionally Disturbed. Washington, D.C., CASSP Technical Assistance Centre, Georgetown University Child Development Centre.<br />
<strong>19</strong> Public Health Agency <strong>of</strong> Canada: Appendix C: Key Determinants <strong>of</strong> Health, http://www.phac-aspc.gc.ca/ph-sp/phdd/docs/common/appendix_c.html<br />
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Case management is defined as "a collaborative client-driven strategy for the provision <strong>of</strong> quality health and<br />
support services through the effective and efficient use <strong>of</strong> resources in order to support the client's<br />
achievement <strong>of</strong> goals""<br />
The results <strong>of</strong> a questionnaire sent to all Organization for Economic Cooperation and Development (OECD)<br />
countries identified that coordination <strong>of</strong> care increases the quality <strong>of</strong> care, may reduce the costs to the health<br />
care system, and to a lesser extent, increase access to care. However, the questionnaire identified 4 key<br />
areas to address to improve care coordination and system performance:<br />
1. Better and more readily<br />
available information,<br />
transfer <strong>of</strong> information Level 3<br />
and wider use <strong>of</strong> Highly Complex Members (-5%)<br />
communication and<br />
information technology<br />
2. Strengthen ambulatory<br />
care capacity/manage<br />
care needs <strong>of</strong> patients,<br />
particularly those with<br />
chronic diseases.<br />
3. Consider "nem/'<br />
ambulatory care<br />
models and broaden Level 1:<br />
the scope <strong>of</strong> practice<br />
70-80% <strong>of</strong> Chronic Care<br />
for non-medical<br />
Model (CCM) population<br />
practitioners (perceived<br />
barrier to care<br />
coordination), staff with<br />
multi-disciplinary<br />
teams.<br />
4. Reduce the barriers between sectors, particularly in the transition to long term care, as well as from the<br />
health sector to the social services sector; (care coordination problems are most intense at the interfaces<br />
between health care sectors and between providers).<br />
Case management activities change along the health continuum. At one end, where patients are able, they<br />
self-manage with little support from the formal health care team. It is important that health care pr<strong>of</strong>essionals<br />
understand and respect this capacity and work with patients to enable their efforts and support their priorities<br />
as opposed to the traditional approach <strong>of</strong> prescribing protocols and expecting compliance. Case Managers<br />
provide system navigation and support for patients whose needs are more complex and/or who are<br />
experiencing increased health and/or social needs. The complexity <strong>of</strong> need informs the nature and level <strong>of</strong><br />
health pr<strong>of</strong>essional intervention.<br />
20 Canadian Home Care Association, 2005.<br />
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4.1.2 Program and Population Level<br />
A number <strong>of</strong> specific topics at the program and population levels were also reviewed including<br />
maternal/newborn, mental health and addictions, palliative and end-<strong>of</strong>-life care, seniors and chronic disease<br />
management. These topics were reviewed at a high level to understand the implications for community health<br />
planning.<br />
4.1.2.1 Maternal/Newborn<br />
A diverse body <strong>of</strong> research emphasizes early childhood experiences beginning in utero. We know that the<br />
impact <strong>of</strong> pregnancy, birth and early development lasts a lifetime, and that the presence <strong>of</strong> some factors and<br />
the absence <strong>of</strong> others impact the individual decades later.<br />
In Melbourne, Australia a new Strategic Framework has been developed which is focused on strengthening<br />
the capacity <strong>of</strong> the systems that support families, parents, pr<strong>of</strong>essionals and communities to promote the<br />
health <strong>of</strong> children, identify ways to increase capacity and link health promotion efforts through a national<br />
approach to coordination <strong>of</strong> information, services and skill development, and stronger links within the health<br />
sector." National and innovative approaches under the directions and initial set <strong>of</strong> priority areas in the<br />
Strategic Framework will include targeted and collaborative action on:<br />
• Improving breastfeeding support during pregnancy, birth and beyond,<br />
• Addressing tobacco and alcohol use during pregnancy,<br />
• Preventing, identifying and managing postnatal depression,<br />
• Developing a nationally consistent approach to home visiting, and<br />
• Enhancing promotion <strong>of</strong> child safety during pregnancy, after birth and during the early years <strong>of</strong> life."<br />
Birthing centres are emerging as an alternative to hospital-based birthing services. In the UK, birth centres<br />
provide midwifery-led prenatal and postpartum care, births with a limited postpartum stay, and prenatal and<br />
parenting education. Most have a core group <strong>of</strong> midwives on staff and provide for 250 to 500 births per year.<br />
Birth centres only accept women who are likely to have straightforward labours — "low-risk" women. A<br />
comprehensive evaluation <strong>of</strong> the Edgware Birth Centre in London, the first evaluation <strong>of</strong> its kind in the UK,<br />
demonstrated that the centre provided safe, cost-effective care and was associated with high levels <strong>of</strong><br />
maternal satisfaction.' The Edgware Birth Centre has emerged as a model for the establishment <strong>of</strong> other<br />
free-standing centres throughout the UK.<br />
4.1.2.2 Mental Health and Addictions<br />
Many individuals suffer from co-occurring substance abuse and mental health problems, known as concurrent<br />
disorders (CD). According to the World Health Organization, addictions and mental illness account for the<br />
greatest degree <strong>of</strong> disability, worldwide. The Canadian Health Network states, that 10% <strong>of</strong> adult Canadians<br />
report problems with their drinking and 50% report problems with someone else's drinking. Mental health and<br />
addictions are inextricably linked to physical illness. It is reported that each dollar spent on the treatment <strong>of</strong><br />
alcohol use disorders saves between $4 and $12 in long-term societal, economic and medical costs.'<br />
Mental illness left untreated results in decreased functional abilities, increased morbidity and mortality and<br />
increased health care costs.' Support for the family physician and indeed the entire health care team so that<br />
21 Healthy Children — Strengthening Promotion and Prevention Across Australia, National Public Health Partnership, Healthy Children — Strengthening<br />
Promotion and Prevention Across Australia. National Public Health Strategic Framework for Children 2005-2008. NPHP, Melbourne (VIC), 2005<br />
22 Introduction to "Guidelines to Best Practice in Child and Adolescent Mental Health Services<br />
23 Saunders D, Boulton M, Chapple J. Evaluation <strong>of</strong> the Edgware Birth Centre. London: North Thames Perinatal Public Health, 2000.<br />
24 Outcomes and Effectiveness: The Success <strong>of</strong> Community Mental Health and Addiction Programs, www.cmhahamilton.on.ca .<br />
25 Utilization and costs for children who have special healthcare needs, Child Care Health Development, Current Opinion in Paediatrics, Vol. 18(4), August,<br />
2006, 32:225-237, http://www.co-pediatrics.corniptIre/copeds/fulltext/<br />
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earlier interventions are provided improves patient outcomes and satisfaction and increases provider<br />
satisfaction.<br />
The Canadian Collaborative Mental Health Initiative, "Better Practices in Collaborative Mental Health Care: An<br />
Analysis <strong>of</strong> the Evidence Base"", provided a systematic review <strong>of</strong> the experimental literature in order to<br />
identify better practices in collaborative mental health care in primary care settings. A few <strong>of</strong> the key<br />
conclusions and best practices include the following:<br />
• Collaborative practice is likely to be developed when clinicians are co-located and is most effective<br />
when the location is familiar and non-stigmatizing for patients.<br />
• Enhanced collaboration paired with treatment guidelines or protocols <strong>of</strong>fers important benefits over<br />
intervention alone in major depression.<br />
• Systematic follow up was a powerful predictor <strong>of</strong> positive outcome in collaborative care for depression.<br />
• Collaboration alone has not been shown to produce skill transfer in primary care physician knowledge<br />
or behaviours in the treatment <strong>of</strong> depression. Service restructuring designed to support changes in<br />
practice patterns <strong>of</strong> primary health care providers is also required.<br />
• Enhanced patient education was part <strong>of</strong> many studies with good outcomes. Education was generally<br />
provided by someone other than the primary care physician.<br />
4.1.2.3 Palliative and End-<strong>of</strong>-Life Care<br />
An interdisciplinary team approach has been found to be most effective in coordinating the care and services<br />
required for palliative and end-<strong>of</strong>-life patients and their families. An interdisciplinary team approach enables<br />
providers to share common information about patient and family needs; recognize networks <strong>of</strong> practitioners for<br />
backup, consultation and advice; and a common information system for referral and registration into a end-<strong>of</strong>life<br />
program. Support is provided to families by helping them understand the choices available to them, the<br />
benefits and costs <strong>of</strong> these choices, to assist with the preparation and advanced care planning required and to<br />
identify and link them to the various available supports (i.e. psychosocial, spiritual, bereavement, and<br />
financial) for home based care. Information about the availability <strong>of</strong> specialized support and backup, access to<br />
specialized hospitals, hospices and residential care are also more readily available when care is coordinated<br />
through an interdisciplinary team. Increased education is required at all levels including basic and continuing<br />
education for pr<strong>of</strong>essionals, specialized health providers (i.e. specialist palliative physicians, clinical nurses<br />
and nurse practitioners) and volunteers." Cancer Care Ontario has identified the following steps in their<br />
Collaborative Care Plans:<br />
• Disease and symptom,<br />
• Psychosocial and spiritual assessment and care,<br />
• Patient/family education,<br />
• Expected patient outcomes,<br />
• Referrals,<br />
• Pharmacological and non-pharmacological therapy, and<br />
• Overall planning."<br />
4.1.2.4 Seniors<br />
"Providing care to frail elderly patients is one <strong>of</strong> the biggest health challenges facing health care. Although<br />
most seniors are healthy, about 15% are frail. The health care system that this frail group requires is different<br />
26 Canadian Collaborative Mental Health Initiative — Better Practice in Collaborative Mental Health Care: An Analysis <strong>of</strong> the Evidence Base,<br />
http://www.ccmhi.ca/en/products/04_BestPractices_EN.pdf.<br />
27 British Columbia; "Provincial Framework for End <strong>of</strong> Life Care", 2007<br />
28 Cancer Care Ontario: "Presentation on Provincial Palliative Care Integration Project (PPT)", October, 2006<br />
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from one that would be adequate for healthy older adults" 29 Hospitalization due to unintentional injury occurs<br />
most <strong>of</strong>ten among the elderly. Fall related injuries represent the most common cause for hospitalizations<br />
among the senior population. The statistics on falls are staggering and include:<br />
• Almost 62% <strong>of</strong> injury-related hospitalizations for seniors are the result <strong>of</strong> falls,<br />
• The fall-related injury rate is nine times greater among seniors than among those less than 65 years<br />
<strong>of</strong> age,<br />
• Almost half <strong>of</strong> seniors who fall experience a minor injury, and 5% to 25% sustain a serious injury such<br />
as a fracture or a sprain,<br />
• Falls cause more than 90% <strong>of</strong> all hip fractures in seniors and 20% die within a year <strong>of</strong> the fracture,<br />
• Families are <strong>of</strong>ten unable to provide care, and 40% <strong>of</strong> all nursing home admissions occur as a result<br />
<strong>of</strong> falls by older people,<br />
• Even without an injury, a fall can cause a loss in confidence and a curtailment <strong>of</strong> activities, which can<br />
lead to a decline in health and function and contribute to future falls with more serious outcomes, and<br />
• A 20% reduction in falls would translate to an estimated 7,500 fewer hospitalizations and 1,800 fewer<br />
permanently disabled seniors. The overall national savings could amount to $138 million annually."<br />
However, there are programs that can affect these statistics. Specialized Geriatric Services (SGS) can reduce<br />
operating costs and bed requirements by lowering the frequency <strong>of</strong> falls among seniors in the community. 31<br />
SGS can improve the quality <strong>of</strong> care and outcomes for seniors. Functional decline occurs in 25% to 60% <strong>of</strong><br />
older persons after entering acute care facilities compromising their return to independence. Specialized<br />
geriatric services <strong>of</strong>fer several benefits including: decreased acute readmissions, reduced rate <strong>of</strong> emergency<br />
department admission, decreased length <strong>of</strong> stay, improved survival and improved functional status."<br />
Streamlined guidelines and alternative methods <strong>of</strong> service delivery are needed to meet recommended<br />
standards for quality healthcare."' A recently released policy paper by British Columbia physicians, Working<br />
Together: Enhancing Multidisciplinary Primary Care in BC, highlights the benefits <strong>of</strong> developing communitybased<br />
care teams, such as better coordinating care, optimizing the use <strong>of</strong> health care resources, and<br />
improving patient outcomes.'<br />
Most researchers agree that an aging population will result in higher demands on healthcare services and<br />
greater costs to the health system. Many suggest that the impact can be managed by changing the way the<br />
system is organized.<br />
4.1.2.5 Chronic Disease Management<br />
A chronic condition is an illness, functional limitation or cognitive impairment that lasts or is expected to last at<br />
least one year, limits what a person can do, and requires ongoing care. The goal <strong>of</strong> chronic disease<br />
management is to treat patients sooner, closer to home and earlier in the course <strong>of</strong> the disease.<br />
Effective disease management dovetails with Canada's primary health care strategy which focuses on:<br />
• Healthy living - including prevention and self management,<br />
• A team approach to patient/client care,<br />
29 Aging Matters: Maximizing the Health <strong>of</strong> Older Adults in the South Shore Health <strong>District</strong>. South Shore Health. 2005<br />
30 "Report on Seniors' falls in Canada", Minister <strong>of</strong> Public Works and Government Services Canada, 2005.<br />
31 Lewis D (editor) Organization <strong>of</strong> Specialised Geriatric Services: An Evidence-based Approach. (under revision for University <strong>of</strong> Toronto Press). Page 4.<br />
32 Ibid.<br />
33 Ostbye, Truls, et al. (2005). Is There Time for Management <strong>of</strong> Patients With Chronic Diseases in Primary Care? Annals <strong>of</strong> Family Medicine 3: 209-214,<br />
http://www. an nfammed.org/cgi/content/ful1/3/3/209.<br />
34 BCMA Council on Health Economics and Policy, CHEP). (2005). Working Together: Enhancing Multidisciplinary Primary Care in BC. A Policy Paper by<br />
BC's Physicians. Vancouver: British Columbia Medical Association.<br />
http://www.bcma.org/public/news_publications/publications/policypapers/MDC/MDC_Report.pdf.<br />
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• '24/7' access to the right services when needed,<br />
• Improved information sharing between health providers, and<br />
• Expanded access to information by Canadians through the use <strong>of</strong> tools and electronic health records<br />
and systems."<br />
• Self-management is <strong>of</strong>ten considered to be the key success factor in the outcome <strong>of</strong> chronic disease<br />
management. Self management involves all levels <strong>of</strong> the health system — individuals, their families<br />
and caregivers, service providers, health organizations, the wider health system and the community.<br />
Managing chronic illness through an acute system will provide only limited results. Chronic disease<br />
management is a community responsibility managed by family physicians and the network <strong>of</strong> community<br />
based health and social services to support patients to maximize their health and independence.<br />
Ontario has adopted the Chronic Care Model (CCM) developed by the MacColl Institute for Healthcare<br />
Innovation, which demonstrates that outcomes across a range <strong>of</strong> chronic diseases can be improved if a<br />
multifaceted approach is taken and attention given to the community, health system, self-management<br />
support, delivery system design, decision support and clinical information systems." The Chronic Care Model<br />
(CCM) provides an organizational approach to caring for people with chronic disease in a primary care setting.<br />
British Columbia has implemented the Expanded Chronic Care Model that incorporates the same approach as<br />
identified above, however BC has expanded the model to include health promotion and disease prevention.<br />
"The model can be employed with a variety <strong>of</strong> chronic illnesses, health care settings and target populations.<br />
The purpose <strong>of</strong> applying the model is to achieve better health outcomes, resulting in healthier patients, more<br />
satisfied providers and more cost-effective expenditure <strong>of</strong> health care resources".<br />
Figure 1: BC's Expanded Chronic Care Model<br />
COMMUNITY<br />
Build healthy<br />
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HEALTH SYSTEM<br />
Create<br />
Supportive Self Management/<br />
Environment Develop Personal<br />
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patient<br />
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Prepared<br />
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Functional & Clinical Outcomes<br />
Prpared<br />
Proactive<br />
Community<br />
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Source: BC Ministry <strong>of</strong> Health Services, 2007<br />
35 Preventative Medicine: A "Cure" for the Health Crisis, Disease Management, Vol. 9, Supplement 1, 2006, www.liebertonline.com<br />
36 Calgary Health Authority Regional Strategy for Chronic Disease Management (Overview),<br />
http://www.u<strong>of</strong>aweb.ualberta.ca/ahln/pdfs/COMOSH_Framework_Dec_2003.pdf<br />
37 BC Ministry <strong>of</strong> Health Services (2007) BC Expanded Care Model. Retrieved on January <strong>2009</strong> at<br />
http://www.health.gov.bc.ca/cdm/cdminbc/chronic_care_model.html.<br />
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4.1.3 Conclusions from the Leading Practices Research<br />
Leading practices research from around the world demonstrates that other jurisdictions are moving forward<br />
with health system re-design, integration, and reforms in service delivery. Key lessons that can be applied to<br />
the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> include methods for delivering health services and also practices that enhance provider<br />
integration.<br />
There is a deliberate shift in many jurisdictions to health systems that are focused on community-based<br />
provision <strong>of</strong> care versus the more traditional acute care or hospital-based model. These models emphasize<br />
community-based care as the first point <strong>of</strong> contact for consumers and an acute care system that supports the<br />
community-based system. Similar to British Columbia, other countries are expanding the role <strong>of</strong> primary<br />
healthcare and group practices that encourage interdisciplinary care through collocation <strong>of</strong> health<br />
pr<strong>of</strong>essionals and integration. There is also a trend towards encouraging self-management for people that are<br />
capable, but implementing case management for more complex cases and intensive case management for<br />
extremely complex cases or people that are frequent users <strong>of</strong> the health system. This approach to care<br />
coordination would be beneficial to <strong>Mission</strong> are residents who <strong>of</strong>ten face barriers in terms <strong>of</strong> accessing care,<br />
and needing to repeat information to each provider. Another prominent theme is an emphasis on health<br />
promotion and disease prevention strategies across the health system, helping people stay well, rather than<br />
waiting for illness to strike.<br />
Leading practices also clearly points to systems with greater integration across health providers and sectors to<br />
improve the quality <strong>of</strong> care and increase access, at reduced financial costs. The health sector can lead<br />
partnerships or participate with social, education, and other sectors to influence the health <strong>of</strong> a population<br />
through a coordinated approach to overall health and well being.<br />
4.2 Key Findings: Quantitative<br />
4.2.1 Geographic Pr<strong>of</strong>ile<br />
The geographic distribution <strong>of</strong> the population has significant implications for health service planning. The<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong>, Local Health Area (LHA) #75 occupies 225.8 square kilometres" with a 2008 total<br />
population <strong>of</strong> 41,2703 9 .<br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Geographic Areas (see Figure 2 for a detailed map <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>) include:<br />
• To the West, <strong>Mission</strong> is bordered by Maple Ridge (roughly West <strong>of</strong> the Stave Lake I Hayward Lake /<br />
Stave River corridor).<br />
• To the East, <strong>Mission</strong> is bordered by the Fraser Valley Regional <strong>District</strong> (FVRD), and this border is<br />
roughly in line with Hatzic Lake (the horseshoe looking lake to the East <strong>of</strong> Shook Rd.<br />
• To the South, <strong>Mission</strong> is bordered by the Fraser River, and across the River is Abbotsford.<br />
• To the North, <strong>Mission</strong> is bordered by the FVRD again.<br />
The community is located 70 km east <strong>of</strong> Vancouver, and a 15-minute drive from the Canada/U.S. border.<br />
Major municipalities surrounding the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> geographic area include: Abbotsford; Chilliwack; Hope;<br />
and Harrison / Kent.<br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> receives health services through the Fraser Health Authority. Fraser Health is broken<br />
up into three regions Fraser East, North and South as depicted below in orange, green and purple<br />
respectively. The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> is within the Fraser East region which also includes Abbotsford,<br />
Chilliwack, and Hope/Agassiz. Fraser South consists <strong>of</strong> Surrey, Langley and White Rock/South. Where as<br />
Fraser North includes Burnaby, Tri - Cities, Maple Ridge / Pitt Meadows, and New Westminster<br />
'a BC STATS<br />
39 Fraser Health Community Pr<strong>of</strong>ile 2008 A Snapshot <strong>of</strong> Health & Its Determinants — <strong>Mission</strong> Local Health Area, January 2008<br />
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Figure 2: <strong>District</strong> <strong>of</strong> <strong>Mission</strong> and Surrounding Area Map<br />
Source: Fraser Health (2005) A Snapshot <strong>of</strong> Health: <strong>Mission</strong> Local Health Area<br />
4.2.2 Demographic Pr<strong>of</strong>ile<br />
Demographic data reflect the characteristics <strong>of</strong> the population and help to understand a population's demand<br />
for health services. The Demographic pr<strong>of</strong>ile includes information pertaining to population growth, population<br />
projections, population density, population aging, projected population growth by age, knowledge <strong>of</strong> <strong>of</strong>ficial<br />
languages, ethno-cultural diversity, aboriginal populations, francophone population, and lone parent families.<br />
4.2.2.1 Population Growth<br />
Based on 2006 population estimates, there were 34, 505 residents living in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>,<br />
representing 0.8% <strong>of</strong> the provincial population. The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> is the third largest community in the<br />
Fraser Valley region. From 2001 to 2006, The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> experienced a population growth greater than<br />
that <strong>of</strong> both Fraser Health and British Columbia as a whole. The population <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> increased<br />
by 10.3% compared to the population growth <strong>of</strong> 8.2% for Fraser Health and 5.3% for the province.<br />
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Figure 3: Percentage <strong>of</strong> Population Growth 2001-2006<br />
12.0<br />
M ission <strong>District</strong><br />
Percent Population Growth or Decline (%) between<br />
2001 and 2006 Census<br />
0<br />
N<br />
• „,<br />
• O<br />
o.<br />
o "<br />
o_<br />
10.0<br />
8.0<br />
6.0<br />
4.0<br />
2.0<br />
0.0<br />
<strong>Mission</strong><br />
Fraser Health<br />
British Columbia<br />
Region<br />
Source: Census 2006 Statistics Canada<br />
4.2.2.2 Population Projections<br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> population is expected to increase between 2008 and 2018 by 9,209 people to an<br />
increase <strong>of</strong> 24.2%. The average annual growth rate is estimated to be 2.2%. The greatest increase is<br />
expected to occur through the construction <strong>of</strong> single family residential units, with the highest growth in south<br />
western <strong>Mission</strong>. Significant commercial and industrial construction is also expected in the neighbourhood <strong>of</strong><br />
<strong>Mission</strong> Central and the entire Fraser Area during this same period.<br />
Figure 4: <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Population Projections, 2008 to 2018<br />
48,000<br />
46,000<br />
44,000<br />
0<br />
a.<br />
0<br />
0<br />
42,000<br />
40,000<br />
38,000<br />
36,000<br />
34,000<br />
32,000<br />
30,000<br />
2008 <strong>2009</strong> 2010 2011 2012 2013 2014 2015 2016 2017 2018<br />
Year<br />
Source: Growth DCC Revenue Projections, Regional Division <strong>of</strong> the FVRD Planning Dept, June 2008 update<br />
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4.2.2.3 Population Density<br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> has a population density <strong>of</strong> 152.8 residents per square kilometre. <strong>Mission</strong> has a lower<br />
density than other nearby communities such as Abbotsford, Chilliwack and Harrison Hot Springs.<br />
Approximately 80% <strong>of</strong> <strong>Mission</strong> area residents live in the urban centre with the remaining 20% living in rural<br />
areas. Analysis <strong>of</strong> the number <strong>of</strong> private dwellings that exist in urban and rural areas in the community reveal<br />
a similar urban/rural split. This is an important finding as rural areas may present more challenges in terms <strong>of</strong><br />
equitable access to health care services.<br />
4.2.2.4 Population Aging<br />
The demographic composition <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> will continue to change. With almost 63% <strong>of</strong> the<br />
population under the age <strong>of</strong> 45 years, the community <strong>of</strong> <strong>District</strong> <strong>of</strong> <strong>Mission</strong> is relatively younger than that <strong>of</strong><br />
Fraser East (60%) and the province (57%). The median age <strong>of</strong> <strong>Mission</strong> residents is 37.5 years—lower than<br />
that <strong>of</strong> the region (38.2) and province (40.8)<br />
Figure 5: <strong>Mission</strong> and BC - Age and Sex Population Distribution<br />
Age and Sex Population Distribution,<br />
<strong>Mission</strong> and British Columbia, 2006<br />
Males . Female<br />
85+<br />
80-84<br />
75-79<br />
70-74<br />
65-69<br />
60-64<br />
55-59<br />
50-54<br />
45-49<br />
40-44<br />
35-39<br />
30-34<br />
25-29<br />
20-24<br />
15-<strong>19</strong><br />
10-14<br />
5-9<br />
0-4<br />
❑ <strong>Mission</strong> 2006<br />
■ BC 2006<br />
0<br />
5 4 3 2 1 0 1 2 3 4 5<br />
Percentage <strong>of</strong> Total Population<br />
Source: Census 2006<br />
4.2.2.5 Projected Population Growth by Age<br />
One notable trend is the aging <strong>of</strong> the population. Over the next decade, the greatest increase in the proportion<br />
<strong>of</strong> the population <strong>of</strong> <strong>District</strong> <strong>of</strong> <strong>Mission</strong> is expected in the 50 to 79 age group, and particularly residents<br />
approaching retirement (i.e., 60 to 64). There will also be a downward shift in the proportion <strong>of</strong> the population<br />
in the children to young adult age groups (i.e., ages 5 to 29). Age is the greatest predictor <strong>of</strong> increased illness<br />
and use <strong>of</strong> health care services; and a higher proportion <strong>of</strong> residents in older age cohorts will have greater<br />
demands on the local health care system. However, it is important to note that increased health care utilization<br />
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among older age groups may also be a result <strong>of</strong> increased intensity <strong>of</strong> services rather than demographic shifts<br />
alone.<br />
Figure 6: Projected Population Growth by Age for 2008 and 2018<br />
9.0%<br />
8.0%<br />
7.0%<br />
6.0%<br />
5.0%<br />
—•—• <strong>Mission</strong> LHA - 2008<br />
—a—<strong>Mission</strong> LHA - 2018<br />
4.0%<br />
3.0%<br />
2.0%<br />
1.0%<br />
0.0%<br />
cp 0\cb rio‘ ccp nix .. ,bcb ,pp ,txcb cob 5,.)cD .955 \cb<br />
O' q?" rt`;) 4) 0 4P ‹,P t>='<br />
Age Group<br />
Source: People 32<br />
In 2008, the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> had a higher proportion <strong>of</strong> children and youth (age 0 to <strong>19</strong>) and adults aged 35<br />
to 55 compared to the rest <strong>of</strong> Fraser Health and the province overall. It has a lower proportion <strong>of</strong> young adults<br />
aged 20 to 34 and older adults aged 60+. By 2018, the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> will continue to have a higher<br />
proportion <strong>of</strong> children and youth (age 0 to <strong>19</strong>) as well as a greater proportion <strong>of</strong> middle-aged adults (i.e., age<br />
35 to 64) in comparison to the health region and the province.<br />
4.2.2.6 Knowledge <strong>of</strong> Official Languages<br />
Access to health services may present more challenges for populations without knowledge <strong>of</strong> <strong>of</strong>ficial<br />
languages such in the case <strong>of</strong> residents requiring translation or cultural interpreter services to access health<br />
information and services. Despite best efforts to collect relevant up to date data, the available data is limited in<br />
terms <strong>of</strong> identifying the percentage <strong>of</strong> <strong>Mission</strong> area residents with no knowledge <strong>of</strong> English or French.<br />
According to 2001 Census data 87% <strong>of</strong> <strong>Mission</strong> area residents reported English as their mother tongue while<br />
11.6% reported other non-<strong>of</strong>ficial languages including Punjabi, German and Dutch. IN terms <strong>of</strong> language<br />
spoken at home, 96.7% identified English as their home language, 2.4% identified Punjabi and 3.2% identified<br />
other non-<strong>of</strong>ficial languages".<br />
40 Fraser Health (2007) A Snapshot <strong>of</strong> Health: <strong>Mission</strong> Local Health Area.<br />
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4.2.2.7 Ethno-Cultural Diversity<br />
New immigrants may have different health care needs and different levels <strong>of</strong> health care utilization from those<br />
who have lived in Canada longer. New immigrants may also experience difficulty accessing health care<br />
services due to a variety <strong>of</strong> reasons such as language and cultural barriers. Understanding the proportion and<br />
origin <strong>of</strong> immigrants in a geographiO area can help plan for culturally competent service delivery for<br />
communities with diverse ethnic groups.<br />
According to the 2006 Census, ethno-cultural diversity is considerably lower in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
compared with the provincial average, likely as a result <strong>of</strong> the significant degree <strong>of</strong> immigration to the larger<br />
urban centres. Approximately 5,065 or 15% <strong>of</strong> residents in <strong>Mission</strong> are immigrants; significantly less than for<br />
the region (20.0%) and BC (27.5%). Relatively few <strong>of</strong> these are recent immigrants (i.e., arrived between 2001<br />
and 2006). Approximately 3,515 or 9.4% <strong>of</strong> residents in <strong>Mission</strong> are a visible minority; significantly less than<br />
for the region (13.6%) and BC (<strong>19</strong>.8%). Of these, the large majority are <strong>of</strong> South Asian origin (5.9%), higher<br />
than that for the province (5.2%), but lower than that <strong>of</strong> the surrounding Fraser East region (9.0%). In addition,<br />
there is a relatively small Chinese community in <strong>Mission</strong> (0.4%) than exists in the province overall (8.0%).<br />
4.2.2.8 Aboriginal Population<br />
Health status characteristics and non-medical determinants <strong>of</strong> health for Aboriginal people differ from the non-<br />
Aboriginal population. Knowledge <strong>of</strong> the number and proportion <strong>of</strong> Aboriginal people is useful for planning<br />
Aboriginal sensitive services and also provides context to better interpret health indicators.<br />
Approximately 1,995 or 5.9% <strong>of</strong> the population <strong>of</strong> <strong>Mission</strong> has identified themselves as Aboriginal. This is a<br />
higher proportion than Fraser East (5.7%) and the province overall (4.8%). Approximately 1.9% <strong>of</strong> the<br />
population identified themselves as Registered Indian Status. Approximately 90% <strong>of</strong> Aboriginals indicated that<br />
they speak English only. The vast majority identified themselves as North American Indian (58%) or Metis<br />
(38%). It is important to note that Aboriginal data is difficult to collect and interpret. The above findings should<br />
be validated and used with caution.<br />
4.2.2.9 Francophone Population<br />
There is a low level <strong>of</strong> French spoken throughout the province <strong>of</strong> BC; <strong>Mission</strong> is consistent with this<br />
characteristic. In the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> there are approximately 445 (1.3%) individual who identify French as<br />
their mother tongue.. This is a slightly higher proportion than the rest <strong>of</strong> the health region (1.1%) and the same<br />
as the province overall (1.3%).<br />
4.2.2.10 Lone-Parent Families<br />
Lone parent families are among the most economically vulnerable residents. According to the 2006 Census,<br />
the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> has a relatively smaller proportion <strong>of</strong> married couple families (70.3%) compared to the<br />
region (74.6%) and province (72.7%). The large majority <strong>of</strong> single parent families in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
were female lone-parent families (13.3%) and were at a higher proportion than the region (12.1%) and the<br />
province (12.0%).<br />
4.2.3 Socio-Economic Status<br />
Socio-economic conditions have a significant impact on the health <strong>of</strong> individuals as well as on the health<br />
status <strong>of</strong> a given community. For this reason, our research has included a number <strong>of</strong> elements that make up<br />
the socio-economic status <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. These elements are discussed in the following sections<br />
and include education, employment, income, food insecurity, housing affordability, home ownership, and a<br />
composite ranking on health and determinant indices.<br />
4.2.3.1 Education<br />
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Education is one <strong>of</strong> the key components <strong>of</strong> socioeconomic status and is positively associated with health<br />
status and healthy behaviours. Education contributes to health and prosperity by equipping people with<br />
knowledge and skills for problem solving, and helps provide a sense <strong>of</strong> control and mastery over life<br />
circumstances. Education may also increase opportunities for employment and income security and equip<br />
people with the skills necessary to access and understand information and other resources required to<br />
maintain or improve their health.<br />
In 2007, the percentage <strong>of</strong> Grade 4 children that were below their reading and writing level included 18.2% for<br />
the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> compared with 13.9% for the province.<br />
In 2006/07 the percentage <strong>of</strong> <strong>Mission</strong> area residents without a completed high school education was <strong>19</strong>.9%<br />
compared with <strong>19</strong>.6% for the province overall. In the same year, the percentage <strong>of</strong> Aboriginal students without<br />
a high school education included 47.7% versus 52.0% for the province. It is important to note that the high<br />
school completion rate in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> has improved by 16.9% over the last 9 years.<br />
The proportion <strong>of</strong> <strong>District</strong> <strong>of</strong> <strong>Mission</strong> area residents that did not attend post-secondary institutions (55.6%) is<br />
lower than that <strong>of</strong> the region (56.0%) but higher than that <strong>of</strong> the province (47.8%). Of the 44.4% <strong>of</strong> <strong>Mission</strong><br />
area residents who have attended post-secondary institutions, a slightly higher proportion studied in the fields<br />
<strong>of</strong>: architecture, engineering and related technologies; agriculture, natural resources and conservation;<br />
personal, protective and transportation services than the province as a whole.<br />
Table 1: Post Secondary Education<br />
Post-Secondary Education<br />
Total population 15 years and over<br />
<strong>Mission</strong> <strong>District</strong><br />
#<br />
26,895<br />
°A, <strong>of</strong> Total<br />
100.0%<br />
#<br />
202,370<br />
Fraser East<br />
% <strong>of</strong> Total<br />
100.0%<br />
3,394,905<br />
BC<br />
% <strong>of</strong> Total<br />
100.0%<br />
No postsecondary certificate, diploma or degree 14,960 55.6% 113,390 56.0% 1,621,995 47.8%<br />
Education 905 3.4% 7,515 3.7% 135,905 4.0%<br />
Visual and performing arts, and communication technologies 355 1.3% 2,770 1.4% 76,385 2.2%<br />
Humanities 535 2.0% 5,985 3.0% 101,875 3.0%<br />
Social and behaviour sciences and law 1,070 4.0% 7,000 3.5% 177,185 5.2%<br />
Business, management and public administration 1,930 7.2% 16,545 8.2% 366,975 10.8%<br />
Physical and life sciences and technologies 220 0.8% 1,700 0.8% 63,415 1.9%<br />
Mathematics, computer and information sciences 275 1.0% 2,575 1.3% 66,200 1.9%<br />
Architecture, engineering and related technologies 3,150 11.7% 20,635 10.2% 385,325 11.4%<br />
Agriculture, natural resources and conservation 435 1.6% 2,905 1.4% 45,020 1.3%<br />
Health, parks, recreation and fitness 2,010 7.5% 14,685 7.3% 252,655 7.4%<br />
Personal, protective and transportation services 1,035 3.8% 6,650 3.3% 101,725 3.0%<br />
Other 10 0.0% 15 0.0% 245 0.0%<br />
Source: 2006 Census <strong>of</strong> Canada, Statistics Canada<br />
4.2.3.2 Employment<br />
An individual's physical, mental and social health is affected by their employment status which not only<br />
provides income but also a sense <strong>of</strong> identity, purpose, social contacts and opportunities for personal growth.<br />
Furthermore, unemployed individuals tend to experience more health problems and long-term unemployment<br />
could extend one's susceptibility to poor health.<br />
In 2006, the labour force participation rate <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> residents (68.2%) aged 15+ is slightly<br />
higher than that <strong>of</strong> the region (65.9%) and the province (65.6%). The unemployment rate in the <strong>District</strong> <strong>of</strong><br />
<strong>Mission</strong> (5.6%) is lower than that <strong>of</strong> the province (6.0%). Higher levels <strong>of</strong> unemployment exist in the south-<br />
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central portions <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. Note that unemployment rates do not capture duration <strong>of</strong><br />
unemployment".<br />
4.2.3.3 income<br />
Income is another widely used measure <strong>of</strong> socio-economic status. Low income is associated with low-skilled<br />
jobs, high unemployment rates, unfavourable lifestyle and living conditions, and a greater prevalence <strong>of</strong><br />
disability and health problems. Income not only provides the means to purchase necessities such as food,<br />
warmth and shelter, but also influences quality <strong>of</strong> life, the ability to make choices, and the ability to participate<br />
in society.<br />
The highest proportion <strong>of</strong> low income families reside in the southern portion <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
geographic area. The median income for <strong>Mission</strong> area residents aged 15+ is comparable to that <strong>of</strong> the<br />
province ($24, 679 versus $24, 867) and slightly higher than that for the region ($23, 383). Of this income 80%<br />
is obtained from earnings, which is significantly higher than that for the region and province (75%). However,<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> residents do receive a greater proportion <strong>of</strong> government income assistance (11.7%)<br />
compared to the province overall (10.7%). The incidence <strong>of</strong> families living in poverty in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
(14.6%) is lower than the provincial average (17.3%) but higher than that <strong>of</strong> the rest <strong>of</strong> the region (13.9%). A<br />
similar pattern exists for residents less than 18 years <strong>of</strong> age.<br />
4.2.3.4 Food Insecurity<br />
Food insecurity is defined as a lack <strong>of</strong> money contributing to not having enough food to eat; not having quality<br />
or variety <strong>of</strong> food; or worrying that there may not be enough to eat. A total <strong>of</strong> 15% <strong>of</strong> <strong>Mission</strong> area residents<br />
reported food insecurity compared with 12.4% for the province. Larger proportions <strong>of</strong> women than men<br />
reported feelings <strong>of</strong> food insecurity in all participating Fraser Health communities and in BC overall. <strong>19</strong>.9% <strong>of</strong><br />
women and 10.1% <strong>of</strong> men in <strong>Mission</strong> reported feeling food insecurity.<br />
4.2.3.5 Housing Affordability<br />
Generally, households are considered to have affordability problems if more than 30% <strong>of</strong> household income is<br />
spent on housing costs. At that level <strong>of</strong> spending, it is likely that inadequate funds will be available for other<br />
necessities such as food, clothing, and transportation. Based on PEOPLE29, the percentage <strong>of</strong> households<br />
spending 30% or more <strong>of</strong> their income on housing in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> was 32%, which is slightly higher<br />
than the province as a whole (28.6%). However, not all households spending 30% or more <strong>of</strong> income on<br />
shelter costs are necessarily experiencing housing affordability problems (i.e., some households may choose<br />
to spend higher percentages <strong>of</strong> their income on housing).<br />
4.2.3.6 Home Ownership<br />
Home ownership can be associated with quality <strong>of</strong> life and health status as it could be an indicator <strong>of</strong> selfesteem,<br />
a stable income level, and a sense <strong>of</strong> security. Also, housing affordability problems may affect renters<br />
more than owners.<br />
Overall, the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> population had lower proportions <strong>of</strong> private dwellings not owned (23.6%) when<br />
compared to the regional (25.0%) and provincial average (30.1%). However, note that non-ownership rates<br />
may be affected by age structure, marital status, and the availability <strong>of</strong> rental accommodation.<br />
<strong>Mission</strong>'s existing housing stock is comprised largely <strong>of</strong> single detached dwellings (69.4%). There has been a<br />
slow move toward providing a range <strong>of</strong> housing choices that includes multi-family residential units. During the<br />
early to mid <strong>19</strong>80s, less than 100 multi-family residential dwellings were built in <strong>Mission</strong>. By 2003, the housing<br />
stock contained 1,403 apartments, representing 10.7% <strong>of</strong> the total housing stock.<br />
41 Statistics Canada (2006) Census <strong>of</strong> Canada<br />
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Between 2003 and 2031, the stock <strong>of</strong> dwelling units in the community is projected to increase two-fold from<br />
13,116 units to 26,003 units, an expansion <strong>of</strong> 98%. In keeping with the current predominance <strong>of</strong> single<br />
detached units, the largest portion <strong>of</strong> future additions is projected to be single detached units. Of the 2031 total<br />
housing stock, 67.8% is projected to be comprised <strong>of</strong> single detached units.<br />
4.2.3.7 Composite Ranking on Key Health and Determinant indices<br />
Relative to the province as a whole, the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> is the 23rd worst-<strong>of</strong>f LHA in the province (out <strong>of</strong> 77)<br />
based on the Overall Regional Socio-Economic Index which measures four basic concepts across LHAs<br />
including: economic environment; crime; health; and education. Further, <strong>Mission</strong> LHA ranked 3rd worst-<strong>of</strong>f<br />
LHA in Fraser Health, behind Hope and Chilliwack.<br />
According to the Overall Regional Socio Economic index <strong>Mission</strong> ranked 28 th on a scale from 1 to 77 where 1<br />
is worst-<strong>of</strong>f and 77 is best-<strong>of</strong>f. The Worst <strong>of</strong>f Fraser Health LHA ranked 4 th within BC and the Best-<strong>of</strong>f Fraser<br />
Health LHA ranked 75 among the 77 BC LHAs. The remaining indices are depicted below.<br />
Table 2: Overall Regional Socio-Economic Index<br />
Index**<br />
Rank <strong>of</strong><br />
<strong>Mission</strong> LHA in BC<br />
1=Worst-Off<br />
77=Best-Off<br />
Health 28<br />
Education 30<br />
Crime 24<br />
Human economic hardship 20<br />
Children at risk 40<br />
Youth at risk 30<br />
Cumulative Overall Summary 23<br />
Index*** <strong>of</strong> Above<br />
BC Ranking <strong>of</strong> Worst- BC Ranking <strong>of</strong> Best-<br />
Off Fraser Health Off Fraser Health<br />
LHAs 1 LHAs<br />
4<br />
14<br />
3<br />
2<br />
75<br />
76<br />
69<br />
70<br />
73<br />
70<br />
73<br />
Source: Community Pr<strong>of</strong>ile 2008 A Snapshot <strong>of</strong> Health & Its Determinants: <strong>Mission</strong> Local Health Area — Fraser Health Decision Support<br />
4.2.4 Health Status<br />
Determinants <strong>of</strong> health such as health behaviours, living and working conditions, personal resources and<br />
environmental factors are all related to health status measures. The following health status measures highlight<br />
the need for continued monitoring <strong>of</strong> population health to understand the pressures on the health care system<br />
and to plan for the future.<br />
4.2.4.1 Infant Health<br />
<strong>Mission</strong> had the third highest Age Specific Fertility Rates in Fraser Health in 2005, reflecting the relatively<br />
young population discussed earlier. <strong>Mission</strong>'s average fertility rate has been higher than the provincial rate<br />
(1,383) in the period studied.<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> had a significantly higher proportion <strong>of</strong> low birth weight babies between 2004 and 2006<br />
(9.0%) compared to the region (6.3%) and province (5.9%). <strong>Mission</strong>'s rate was riot as stable as Fraser Health<br />
and BC rates, showing two increases in the incidence <strong>of</strong> low birth weight in <strong>19</strong>95 and <strong>19</strong>98. The Provincial<br />
Health Officer's target is 40 low birth weight infants per 1,000 live births (or 4.0%), which has been met by<br />
<strong>Mission</strong> twice in the period studied. Infants with a low birth weight (less than 2500 grams) are at an increased<br />
risk <strong>of</strong> illness, disability and death. Low birth weight can be the result <strong>of</strong> preterm birth or restricted uterine<br />
growth. Some known risk factors that influence birth weight are smoking, alcohol consumption, poor nutrition,<br />
stress, infection, lack <strong>of</strong> social support, use <strong>of</strong> prenatal health services and very young and older mothers.<br />
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Figure 7: Percent <strong>of</strong> Low Birth Weight Infants<br />
<strong>19</strong>93 <strong>19</strong>94 <strong>19</strong>9.5 <strong>19</strong>95 <strong>19</strong>97 <strong>19</strong>96 <strong>19</strong>99 2000 2001 2002 2003 2004 MN<br />
Source: Community Pr<strong>of</strong>ile 2008 A Snapshot <strong>of</strong> Health & Its Determinants: <strong>Mission</strong> Local Health Area<br />
The proportion <strong>of</strong> premature births per 1,000 population was higher in <strong>Mission</strong> (81.8) than for the region (75.4)<br />
and province (76.2). However, the Infant mortality rate between 2004 and 2006 for <strong>Mission</strong> was slightly higher<br />
than for the Fraser Health region (3.9 vs. 3.6) and lower than that <strong>of</strong> BC overall (4.2).<br />
Table 3: Infant Health Outcomes<br />
Births<br />
Health Outcomes<br />
<strong>Mission</strong> Fraser<br />
Health<br />
% Low birth weight babies (2004-2006) 9.0 % 6.3 % 5.9%<br />
Preterm birth rate per 1,000 live births (2004-2006) 81.8 75.4 76.2<br />
Infant mortality rate per 1,000 live births (2004-2006) 3.93 3.62 4.17<br />
Source: VISTA<br />
BC<br />
According to Statistics Canada (2007), adolescent mothers are at higher risk for giving birth to low birth weight<br />
babies as well as other associated health problems. Teen pregnancy can not only have a negative impact on<br />
the baby but also on the mother including anemia, hypertension, renal disease, eclampsia and depressive<br />
disorders. Teenage moms also put themselves at risk for sexually transmitted diseases. 42<br />
Fraser Health defines teen pregnancy as the total <strong>of</strong> live births, stillbirths and abortion to teenage moms aged 15 to<br />
<strong>19</strong> years old. In 2003, there were 49 reported teen pregnancies in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>, which translates into 32.5<br />
pregnancies per 1,000 teen females 43. According to Kreuger, this rate rose in 2005 to approximately 55.7 per 1000<br />
population. In 2005, the teen pregnancy rate for <strong>Mission</strong> was higher than the rates for Fraser Health and BC.<br />
42Statistics Canada (2007) Teenage Pregnancy. Retrieved on January <strong>2009</strong> at http://www.statcan.gc.ca/kits-trousses/preg-gross/preg-gross-eng.htm .<br />
43 Fraser Health (2005) A Snapshot <strong>of</strong> Health: <strong>Mission</strong> Local Health Area<br />
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Figure 8: Teen Pregnancy per 1000 population<br />
BC<br />
FH<br />
• Teen Pregnancy<br />
0 10 20 30 40 50 60<br />
Source: Kreuger, 2005<br />
4.2.4.2 Self-Reported Health Status<br />
One way <strong>of</strong> gauging the health <strong>of</strong> a population is to simply ask people to rate their own health - while biased, it<br />
has proven to be a good indicator <strong>of</strong> the general health status <strong>of</strong> the population. Self-reported health is a<br />
widely used indicator <strong>of</strong> overall health status. It can reflect aspects <strong>of</strong> health not captured in other measures,<br />
such as incipient disease, disease severity, aspects <strong>of</strong> positive health status, physiological and psychological<br />
reserves, and social and mental function. Based on the BC Health & Wellness Survey (July 2006), the<br />
percentage <strong>of</strong> <strong>District</strong> area residents that described their health as "Very Good or Excellent" was 51.7%<br />
compared with 54.2% for the province. However, it is important to note that among participating Fraser Health<br />
communities, <strong>Mission</strong> (17.4%), had the second largest proportion <strong>of</strong> respondents rating their own general<br />
health as fair/poor. In <strong>Mission</strong>, there were little differences between the sexes in terms <strong>of</strong> general health<br />
ratings. Older respondents were more likely to rate their own health unfavourably than were younger<br />
respondents<br />
Figure 9: Self Reported General Health<br />
Self-Rated General Health<br />
Hope<br />
<strong>Mission</strong><br />
Source: BC Health & Wellness Survey, July 2006<br />
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4.2.4.3 Obesity<br />
Based also on the BC Health & Wellness study (2006), the prevalence <strong>of</strong> obesity in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> was<br />
24.2% versus 17.8% for the province. A total <strong>of</strong> 58% <strong>of</strong> adults between the ages <strong>of</strong> 18 to 34 year olds and<br />
63% <strong>of</strong> individuals between the ages <strong>of</strong> 35 to 54 had a body mass index (BMI) in the overweight and obese<br />
categories. A total <strong>of</strong> 69% <strong>of</strong> men and 53.7% <strong>of</strong> women reported BMIs in the overweight or obese ranges.<br />
Older respondents aged 55+ were less likely to report normal BMIs than the younger respondents. This will<br />
have a significant impact to the individual's health needs as they age as obesity has been linked to diabetes<br />
mellitus, hypertension, cardiovascular disease and certain types <strong>of</strong> cancers.<br />
4.2.4.4 Health Practices<br />
Overall, poor health practices are known to be related to increased risk <strong>of</strong> many chronic diseases, mortality<br />
and disability. The health practices discussed in further detail include tobacco use, alcohol consumption,<br />
physical activity, healthy eating and a sense <strong>of</strong> community/ social belonging.<br />
Tobacco Use<br />
Tobacco use and subsequent tobacco-related illness is the leading cause <strong>of</strong> preventable death in BC.<br />
Smoking causes up to 6,000 deaths each year in British Columbia alone. Smoking kills more people in BC<br />
than all other drugs, motor vehicle collisions, murder, suicide and HIV/AIDS combined'. Smoking is<br />
associated with ischemic heart disease, lung cancer, chronic lung disease and a number <strong>of</strong> other cancers.<br />
Exposure to environmental smoke is associated with a number <strong>of</strong> diseases including heart disease,<br />
respiratory problems and cancer. Efforts to reduce second-hand smoke include the encouragement <strong>of</strong> people<br />
to designate their homes as being smoke free. According to the BC Health & Wellness Survey (2006), 22.3%<br />
<strong>of</strong> <strong>Mission</strong> area residents admitted to daily or occasional smoking, compared with 20.9% for the province.<br />
23.4% <strong>of</strong> women and 21.2% <strong>of</strong> men in <strong>Mission</strong> reported that they are current smokers. The proportion <strong>of</strong><br />
<strong>Mission</strong> women reporting that they are current smokers was larger than in BC (<strong>19</strong>.8%), but the proportion <strong>of</strong><br />
men who are current smokers was smaller than in BC (22%). 42.5% <strong>of</strong> men and 39.4% <strong>of</strong> women<br />
respondents have never smoked. A smaller proportion <strong>of</strong> men (36.3%) than women (37.2% each) are former<br />
smokers. The 18-34 years age group exhibited the largest proportion (56.9%) <strong>of</strong> respondents who have never<br />
smoked. The 55+ years age group had the largest proportion <strong>of</strong> former smokers (47.9%) and the smallest<br />
proportion <strong>of</strong> current smokers (18.3%).<br />
Figure 10: Male and Female Smokers<br />
Male and Female Current Smokers, by Community<br />
• Males OFemales<br />
23.4% 23.4<br />
21.5% 22.8%<br />
<strong>19</strong>.8 8<br />
14 8%14 88<br />
11.7%<br />
8.5%<br />
Hope<br />
<strong>Mission</strong> Port Moody South Surrey/ New<br />
White Rock Westminster<br />
BC<br />
Source: BC Health & Wetness Survey, July 2006<br />
44 Tobacco-Free. Retrieved December 2008, from http://www.health.gov.bc.ca/tobacco/<br />
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Alcohol Use<br />
Alcohol use is associated with conditions such as acute intoxication causing death, injuries from drinking and<br />
driving, chronic conditions such as liver cirrhosis as well as addictions related medical, social and<br />
psychological problems. 8.1% <strong>of</strong> <strong>Mission</strong> area residents compared with 7.8% for the province reported<br />
consuming seven or more drinks each week and or drank alcohol while pregnant.<br />
Physical Activity<br />
Physical activity has been linked to the prevention <strong>of</strong> numerous diseases including ischemic heart disease,<br />
weight control and osteoporosis among elderly women. Increasing the physical activity <strong>of</strong> a population can<br />
also provide mental health benefits. 27.1% <strong>of</strong> <strong>Mission</strong> area residents reported spending 15 hours or more per<br />
week on sedentary activities such as watching television, which was higher compared to 25.8% for the<br />
province. Perception <strong>of</strong> the physical environment was similar for <strong>Mission</strong> area residents and the province,<br />
76.2% <strong>of</strong> <strong>Mission</strong> area residents reported the availability <strong>of</strong> free or low cost facilities nearby compared with<br />
76.8% for the province.<br />
Healthy Eating<br />
Canada's Food Guide to Healthy Eating recommends including five to ten servings <strong>of</strong> fruits and vegetables a<br />
day as part <strong>of</strong> a healthy diet. The lack <strong>of</strong> fruit and vegetable consumption has been linked to serious disease<br />
such as cancer and cardiovascular disease. 36.6% <strong>of</strong> <strong>Mission</strong> area residents compared with 39.3% for the<br />
province, reported consuming five or more servings <strong>of</strong> fruits and vegetables per day.<br />
Table 4: Health Practices<br />
Tobacco Use<br />
BC Health & Wellness Survey Indicators<br />
Alcohol Consumption (7 or more drinks per week)<br />
Sedentary Activities (15 hours or more per week)<br />
Healthy Eating (7 or more fruits and vegetables per<br />
day)<br />
Community Belonging<br />
Stress<br />
Source: BC Health & Wetness Survey, July 2006<br />
<strong>Mission</strong><br />
BC<br />
22.3% 20.9%<br />
8.1% 7.8%<br />
27.1% 25.8%<br />
36.6% 39.3%<br />
N/A<br />
N/A<br />
N/A<br />
N/A<br />
<strong>Mission</strong> Score<br />
Worse than<br />
Province?<br />
Yes<br />
Yes<br />
Yes<br />
Yes<br />
N/A<br />
N/A<br />
4.2.4.5 Chronic Conditions<br />
Chronic conditions place a high burden on the health care system and reduce the quality <strong>of</strong> life <strong>of</strong> those who<br />
suffer from these condition(s). The prevalence <strong>of</strong> chronic conditions in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> will increase with<br />
aging <strong>of</strong> the population and have a corresponding increase in the need for health services. These conditions<br />
are therefore important markers <strong>of</strong> the current and future health <strong>of</strong> the population. With the exception <strong>of</strong><br />
Chronic Obstructive Pulmonary Disease (COPD), the prevalence <strong>of</strong> many self-reported chronic conditions<br />
such as depression, high blood pressure, and diabetes are increasing. It is important to emphasize that these<br />
prevalence rates are self-reported and are <strong>of</strong>ten underreported due to survey bias.<br />
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Figure 11: Self-Reported Chronic Diseases<br />
25%<br />
Depression 22.2%<br />
20%<br />
High BP 15.0%<br />
- COPD<br />
-0-Stroke<br />
Chronic Kidney Disease<br />
Depression<br />
-K- Diabetes<br />
- -High Blood Pressure<br />
- Osteoarthntis<br />
- Rheumatoid Arthritis<br />
5%<br />
•<br />
Oste °arthritis 6.71%<br />
Diabetes 6.31%<br />
0%<br />
<strong>19</strong>98<strong>19</strong>9 <strong>19</strong>99/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06<br />
Fiscal Year<br />
The graph above depicts the age-standardized prevalence rate <strong>of</strong> selected chronic diseases in <strong>District</strong> <strong>of</strong><br />
<strong>Mission</strong> between fiscal years <strong>19</strong>98/99 and 2005/06. The prevalence rate is calculated based on the<br />
prevalence / population using a 3-year rolling average due to small population sizes (e.g., 2005/06 includes<br />
fiscal year 2004/05, 2005/06 and 2006/07).<br />
Similarly, the BC Health & Wellness Survey (2005) compared the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> and the province on<br />
several health status indicators. The survey collected information about respondents' general health status<br />
and about behavioural determinants <strong>of</strong> health. Between March and July <strong>of</strong> 2006, random samples <strong>of</strong> 400<br />
people aged 18 and older were surveyed in each participating community/LHA. Note that BC values do not<br />
represent the average for the overall BC population, but rather represent the average <strong>of</strong> all respondents to the<br />
survey. In terms <strong>of</strong> chronic diseases, <strong>Mission</strong> area residents appear to have higher incidence <strong>of</strong> diabetes<br />
(7.7%) compared with the province (5.8%) and similar prevalence <strong>of</strong> high blood pressure (17.9%) compared<br />
with the province (18.2%). The data regarding other chronic disease was limited.<br />
4.2.4.6 Infectious Diseases<br />
As seen in the past years, 2006 Hepatitis C incidence rates in <strong>Mission</strong> LHA were higher than Fraser Health<br />
and BC rates. The rates <strong>of</strong> other communicable diseases in <strong>Mission</strong> LHA were similar to Fraser Health and<br />
the BC average rates. Giardiasis, an intestinal infection caused by a single-celled parasite, has a rate at the<br />
LHA level that tends to be unstable from year to year given the small number <strong>of</strong> annual giardiasis cases, so<br />
this finding should be interpreted with caution.<br />
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Figure 12: Rate and Cases <strong>of</strong> Infectious Diseases<br />
Disease<br />
Cases<br />
<strong>Mission</strong> LHA<br />
Rate<br />
Fraser Health<br />
Cases Rate<br />
Cases<br />
Campylobacteriosis 14 35.3 556 37.1 1,592 36.9<br />
Salmonellosis 6 15.1 215 14.4 634 14.7<br />
Giardiasis 6 15.1 297 <strong>19</strong>.8 675 15.7<br />
Hepititis B NA NA 521 34.8 1,597 37.0<br />
Hepatitis C 77 <strong>19</strong>3.9 994 66.4 2,935 68.1<br />
Pertussis 0 0 48 3.2 302 7.0<br />
Source: PEOPLE 32 - Decision Support, Fraser Health - Community Pr<strong>of</strong>ile 2008 A Snapshot <strong>of</strong> Health & Its Determinants: <strong>Mission</strong> Local Health Area<br />
With regards to immunization rates, <strong>Mission</strong> is comparable to Fraser Health for the school year 2006/07.<br />
Meningococcal C vaccinations for grade 12 students are slightly below the Fraser Health percentage at 74.8%<br />
vs. 80.4% respectively.<br />
Table 5: Immunization Rates<br />
Immunization<br />
Kindergarten<br />
<strong>Mission</strong><br />
2006/07<br />
Fraser Health<br />
2006/07<br />
DaPTP 85.1% 76.2%<br />
Measles 83.7% 83.3%<br />
Mumps/ Rubella 88.7% 89.5%<br />
HIB N/A N/A<br />
Hepatitis B 79.4% 81.0%<br />
Varicella 67.6% 68.1%<br />
Grade 6<br />
Hepatits B 87.9% 87.7%<br />
Meningococcal C 92.1% 91.5%<br />
Varicella 87.9% 85.6%<br />
Grade 9<br />
Tdap 86.4% 86.7%<br />
Meningococcal C N/A N/A<br />
Grade 12<br />
Meningococcal C 74.8% 80.4%<br />
Source: Fraser Health, Communicable Disease Team<br />
BC<br />
Rate<br />
4.2.4.7 Mortality<br />
Life expectancy is a widely used indicator <strong>of</strong> the health <strong>of</strong> a population and refers to the expectant lifespan <strong>of</strong><br />
an individual. <strong>Mission</strong>'s life expectancy by gender (81.1 for females; 76.6 for males) was lower than BC and<br />
Fraser Health (83.2 and 78.6). Males in <strong>Mission</strong> were expected to live about 4 years less than females.<br />
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Mortality rates indicate the overall health <strong>of</strong> the population and are similar to what is measured by life<br />
expectancy. The difference between life expectancy and mortality rates is that life expectancy refers to the<br />
average life span <strong>of</strong> a population whereas mortality refers to the death rate <strong>of</strong> a population. The overall<br />
average mortality rate per 10,000 population between 2004 and 2006 for <strong>Mission</strong> was lower than the province<br />
but when adjusted for age, <strong>Mission</strong> (65.0) is higher than that <strong>of</strong> the region (53.4) and the province (52.5). The<br />
highest rates <strong>of</strong> mortality occurred in cancers (20.4) and diseases <strong>of</strong> the circulatory system (18.6). The<br />
proportion <strong>of</strong> all deaths that occurred for <strong>Mission</strong> residents before ages 65 (27.0%) and 75 (44.2%) are higher<br />
than that <strong>of</strong> the region (22.3% and 38.2%) and the province (21.9% and 38.0%).<br />
Potential years <strong>of</strong> life lost provide a measure <strong>of</strong> premature death; the number <strong>of</strong> years <strong>of</strong> life lost when a<br />
person dies prematurely from any cause before age 75. The potential years <strong>of</strong> life lost from these deaths per<br />
1,000 population between 2004 and 2006 for <strong>Mission</strong> (55.8) was greater than that <strong>of</strong> the region (41.4) and BC<br />
(44.7). Cancers and external causes were the highest contributors to this rate.<br />
Table 6: Mortality Rates<br />
Health Outcomes <strong>Mission</strong><br />
Fraser<br />
Health<br />
Mortality'<br />
Rates<br />
Total Crude mortality rate per 10,000 (2004-2006) 68.58 63.28 70.72<br />
Age-standardized mortality rate (total) per 10,000 (2004-2006) 65.01 53.42 52.53<br />
Age.Standardize mortality rate by{major clinical category, rate per 10,000 (2004-06)<br />
Cancers<br />
20.4 15.4 15.6<br />
Diseases <strong>of</strong> the circulatory system<br />
18.6 17.2 15.9<br />
Diseases <strong>of</strong> the respiratory system<br />
6.6 5.8 5.2<br />
External causes <strong>of</strong> death<br />
4.7 3.4 3.7<br />
Diseases <strong>of</strong> the digestive system<br />
3.5 2.0 2.1<br />
BC<br />
Deaths that occur before age 65 as % <strong>of</strong> all deaths (2004-2006) 27.0 22.3 21.9<br />
Deaths that occur before age 75 as % <strong>of</strong> all deaths (2004-2006) 44.2 38.2 38.0<br />
Total Potential Years <strong>of</strong> Life Lost (2004-2006), standardized rate per<br />
1,000 population. 55.8 41.4 44.7<br />
Potential Years <strong>of</strong> Life Lost:by major clinical category, standardized rate per 1.000 population (2004-<br />
2006)<br />
Cancers<br />
16.67 11.46 11.65<br />
External Causes<br />
14.5 9.9 10.98<br />
Diseases <strong>of</strong> the circulatory system<br />
5.49 5.5 5.6<br />
Symptoms, signs and abnormal finding NEC<br />
5.16 2.73 3.45<br />
Diseases <strong>of</strong> the digestive system<br />
3.79 1.55 1.67<br />
Source: Vista<br />
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Other causes <strong>of</strong> death include attempted suicide, suicide and illicit drug death.<br />
Attempted Suicide<br />
The attempted suicide rate has decreased from 11.1 in 2005 to 8.0 in 2006, but continues to be one <strong>of</strong> the<br />
highest rates among the other LHAs within Fraser Health.<br />
FH Attempted Suicide Rates<br />
Source: Fraser Health Decision Support<br />
Suicide<br />
The Suicide Age Standardized Mortality Rate (ASMR) was 1.08 in 2002 — 2006. The rate ranged from 0.64 in<br />
Delta to 1.9 in Hope. The ASMR adjust for age and measures the number <strong>of</strong> suicide deaths if all populations<br />
used in the comparison had the same age distribution.<br />
2.0<br />
Suicide 5-Year ASMRs, 2002-2006 by LHA<br />
1.5<br />
0.5<br />
0.0<br />
Hope Chwk<br />
Abb<br />
Miss<br />
Ag/ New<br />
Har West<br />
Bby<br />
Mpl<br />
Rdg<br />
1.90 1.13 0.93 1,0 1.25 1.24 0.77 1.12 0.73 0 84 0.64 0 87 1.11<br />
Coq<br />
Lngly<br />
Source: Fraser Health Decision Support<br />
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Illicit Drug Death<br />
According to the Coroners <strong>of</strong>fice, illicit drug deaths are placed in the region by where the 'injury' happened and<br />
may not reflect where the person lived. Rates are calculated per 100,000 population <strong>19</strong>-64 years <strong>of</strong> age. The<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> had a 7.6 illicit drug rate. The rates ranged from 1.8 to 20 among LHAs within Fraser<br />
Health.<br />
25<br />
Illicit Drug Death Rates Among <strong>19</strong>-64 Year Olds, 2006<br />
20 -<br />
8 15 -<br />
2 1 0-<br />
0<br />
5-<br />
0 I<br />
I I<br />
Source: Fraser Health Decision Support<br />
4.2.5 Utilization <strong>of</strong> Health Services<br />
The following sections identify the utilization <strong>of</strong> health services including acute care, maternal care, mental<br />
health and addictions, rehabilitation, home support, assisted living and residential care, adult day program,<br />
palliative/ end-<strong>of</strong>-life care, ambulatory care, primary care, and health human resources.<br />
4.2.5.1 Acute<br />
<strong>Mission</strong> Memorial Hospital (MMH) is the <strong>District</strong>'s sole community hospital and is located in the downtown<br />
portion <strong>of</strong> the community. MMH has 20 acute medical beds with an adjoining 10 bed hospice (Christine<br />
Morrison Hospice Residence) and a 75 bed extended care unit called the Dr. Stuart Pavilion. Two additional<br />
medical beds are slated for opening in 2008/09. The hospital has operated its beds at an average occupancy<br />
rate <strong>of</strong> 118%, and over 100% throughout 2007/08.<br />
Additional services provided by MMH include:<br />
• 24/7 Emergency Services (14 stretchers)<br />
• Surgical Daycare program<br />
• Ambulatory Care Services<br />
• Orthopaedic Clinic<br />
• Internal Medicine Clinic<br />
• Cardiology Clinic<br />
• Deep Vein Thrombosis Program<br />
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• Home IV<br />
• Respiratory Services<br />
• Seniors Clinic<br />
• Internal Medicine<br />
• Chronic disease management<br />
• Diagnostic support<br />
• Laboratory services<br />
Acute inpatient care represents a major part <strong>of</strong> health care expenditures. Although hospitalization measures<br />
capture utilization patterns it may not necessarily reflect population needs (i.e., hospital separations are a<br />
measure <strong>of</strong> both service use and availability <strong>of</strong> hospital beds).<br />
In 2006/07, there were 10,269 total patient days at <strong>Mission</strong> Memorial Hospital. Since 2004/05, <strong>Mission</strong><br />
Memorial Hospital acute care volume has experienced a marginal increase in the number <strong>of</strong> cases (8.3% and<br />
a significant increase in the number <strong>of</strong> patient days (24%). Both the overall average length <strong>of</strong> stay as well as<br />
the acute portion have increased substantially since 2004/05. The average length <strong>of</strong> stay (ALOS) was 7.0<br />
days and the acute average length <strong>of</strong> stay was 5.7 days. Further analysis is required to identify the specific<br />
cause for this increase in the number <strong>of</strong> cases as well as patient days.<br />
Inpatient utilization (i.e. patient days per 1,000 population) depict the true picture <strong>of</strong> utilization in a community;<br />
although it is greatly influenced by the age structure <strong>of</strong> the population. For example, an older population would<br />
likely have a higher crude rate for medical inpatient days whereas a younger population may have a higher<br />
crude rate for obstetric inpatient days. Conversely, age-standardized rates have the advantage <strong>of</strong> providing<br />
summary rates that allows different population age structures to be compared.<br />
When adjusted for age, <strong>Mission</strong> area residents have a higher hospitalization rate than the province. The rate<br />
has remained high over three fiscal years from 2004/05 to 2006/07.<br />
The number <strong>of</strong> age-standardized hospitalization day rates by Major Clinical Category for fiscal years 2004/05,<br />
20068/06, and 2006/07 are increasing and higher than the provincial average for the following:<br />
• Diseases and Disorders <strong>of</strong> the Circulatory System<br />
• Diseases and Disorders <strong>of</strong> the Respiratory System<br />
• Diseases and Disorders <strong>of</strong> the Hepatobiliary System and Pancreas<br />
• Multisystemic or Unspecified Site Infections<br />
• Lymphoma, Leukemia or Unspecified Site Neoplasms<br />
• Diseases and Disorders <strong>of</strong> the Skin, Subcutaneous Tissue and Breast<br />
• Diseases and Disorders <strong>of</strong> Blood and Blood Forming Organs and Immunological Disorders<br />
• undefined/not coded/ungroupable/unknown<br />
• Diseases and Disorders <strong>of</strong> the Male Reproductive System<br />
The rate for admissions due to Mental Diseases and Disorders decreased to 62.6 in 2006/07 from 88.1 in the<br />
previous year. In spite <strong>of</strong> this decrease, Mental health days continue to account for the highest proportion <strong>of</strong><br />
patient days for <strong>Mission</strong> residents (12.3%), which is lower than that for the province (14.9%).<br />
Market share refers to the proportion <strong>of</strong> a defined community that receives care at particular hospitals, also<br />
known as "commitment". Market share analyses can identify hospitals that are providing care to <strong>Mission</strong> area<br />
residents; including hospitals outside <strong>of</strong> the LHA (patient outflow).<br />
Market share for <strong>Mission</strong> Memorial has been increasing in the following major clinical categories: nerve, ENT,<br />
digestive endocrine, obstetrical and newborn, lymphoma, multi-system and burn disorders<br />
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The localization index refers to the percentage <strong>of</strong> population that receive health services locally. A higher<br />
localization index indicates more localized health services. However, it must be emphasized that the<br />
localization index is dependent on the geographic borders, and does not equate to access to service and/or<br />
access to closest service.<br />
In 2006/07, <strong>Mission</strong> area residents received most <strong>of</strong> their acute care from hospitals outside the <strong>District</strong>. 30.9%.<br />
<strong>of</strong> <strong>District</strong> <strong>of</strong> <strong>Mission</strong> residents requiring hospitalization received their care at <strong>Mission</strong> Memorial Hospital in<br />
2006/07. Where patients received care in another facility, it most <strong>of</strong>ten was at MSA Hospital (36.2%).<br />
Figure 13: Sources <strong>of</strong> Acute Care Services for <strong>Mission</strong> Area Residents<br />
Proportion <strong>of</strong> <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Residents Served<br />
Acute Care Services by Hospital, 2006/07<br />
Royal Columbian<br />
Hospital, 5.4%<br />
MSA General Hospital,<br />
36.2%<br />
Ridge Meadows<br />
Hospital, 10.2%<br />
<strong>Mission</strong> Memorial<br />
Hospital, 30.9%<br />
Source: BC Provincial Health Planning Database<br />
4.2.5.2 Maternal Care<br />
There has been a 6.3% increase in the number <strong>of</strong> births between 2004/05 and 2006/07. In comparison to BC<br />
as a whole, the 2006/07 age-standardized hospitalization day rates for pregnancy and childbirth for <strong>Mission</strong><br />
are slightly lower.<br />
Of the 439 deliveries by <strong>District</strong> <strong>of</strong> <strong>Mission</strong> mothers that occurred in 2006/07, over 60% were in MSA General<br />
Hospital in Abbotsford. A growing proportion <strong>of</strong> newborns are being delivered in Ridge Meadows Hospital (an<br />
increase <strong>of</strong> almost 90% since 2004/05)..<br />
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Table 7: <strong>Mission</strong> Resident Deliveries<br />
Location <strong>of</strong> Delivery<br />
Name<br />
M.S.A. General Hospital<br />
It<br />
2003/04<br />
294<br />
%<br />
71.2%<br />
;It<br />
2004/05<br />
278<br />
%<br />
64.8%<br />
#<br />
2005/06<br />
268<br />
°A)<br />
64.7%<br />
It<br />
2006/07<br />
267<br />
%<br />
60.8%<br />
Ridge Meadows Hospital 53 12.8% 78 18.2% 73 17.6% 100 22.8%<br />
Langley Memorial Hospital 12 2.9% 17 4.0% 21 5.1% 21. 4.8%<br />
Royal Columbian Hospital 18 4.4% 24 . 5.6% 22 5.3% 18 4.1%<br />
BC Women's Hospital 13 3.1% 9 2.1% 11 2.7% 11 2.5%<br />
Births at Home 5 1.2% 5 1.2% 5 1.2% 5 1.1%<br />
Chilliwack General Hospital 5 1.2% 3 0.7% 3 0.7% 4 0.9%<br />
Surrey Memorial Hospital 4 1.0% 5 1.2% 4 1.0% 3 0.7%<br />
Burnaby Hospital 6 1.5% 1 0.2% 1 0.2% 3 0.7%<br />
Royal Inland Hospital 0.0% 3 0.7% 0.0% 2 0.5%<br />
Richmond Hospital 0.0% 1 0.2% 0.0% 1 0.2%<br />
Peace Arch <strong>District</strong> Hospital 1 0.2% 0.0% 3 0.7% 1 0.2%<br />
Victoria General Hospital 0.0% 1 0.2% 0.0% 1 0.2%<br />
<strong>Mission</strong> Memorial Hospital 1 0.2% 0.0% 2 0.5% 1 0.2%<br />
Femie <strong>District</strong> Hospital 0.0% 0.0% 0.0% 1 0.2%<br />
St. Paul's Hospital 1 0.2% 3 0.7% 0.0% 0.0%<br />
Lions Gate Hospital 0.0% 0.0% 1 0.2% 0.0%<br />
'<br />
Prince George Regional Hospital 0.0% 1 0.2% 0.0% 0.0%<br />
1700 1- '` ,,.,4"; ._<br />
. - -<br />
, r ' 413 - ,. 00:0°/0-<br />
.<br />
ebidk';i, :, .--0,*.-<br />
. •ii,v.<br />
'N: 10 .99/4<br />
Sources: BC Perinatal Database Registry; BC Pennatal Healtn Program<br />
4.2.5.3 Mental Health and Addictions<br />
According to the Fraser Health's A Snapshot <strong>of</strong> Health: <strong>Mission</strong> Local Health Area (2008), Mental Health and<br />
Addiction Services within <strong>Mission</strong> provide a range <strong>of</strong> acute, in-patient and outpatient, community and<br />
residential services along a continuum <strong>of</strong> care organized in seven client service streams including:<br />
• Youth and Young Adult,<br />
• Adult,<br />
• Community Residential Short Stay and Treatment (specific populations),<br />
• Geriatrics,<br />
• Addictions,<br />
• Tertiary (most intensive services), and<br />
• Housing.<br />
There is a total <strong>of</strong> 21 Mental Health and Addictions direct service staff dedicated to the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
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Services in <strong>Mission</strong> are provided through:<br />
• A Community Mental Health Centre that provides client services to the seriously and persistently<br />
mentally ill through the Adult Community Support Services team (ACSS), to the seriously but acutely<br />
mentally ill through the Adult Short-Term Assessment & Treatment team (ASTAT), to the older<br />
mentally ill adult (through the Psychogeriatrics team), and to adults with both mental illness and<br />
substance addiction through the Concurrent Disorders Program.<br />
• The Mental Health Centre also supports a Community Residential Program that has six 24/7 care<br />
facilities (total 79 beds), two transitional or bridging houses (8 beds), one family care home (1 bed),<br />
and 24 Supported Independent Living subsidy units.<br />
• Consumer-run club house programs (<strong>Mission</strong> Club House Society).<br />
• Contracted service provider to <strong>of</strong>fer Concurrent Disorder programs to clients.<br />
• Aboriginal Mental Health case manager.<br />
• Two contracted outpatient alcohol and drug counselling/prevention services including a crisis line, one<br />
<strong>of</strong> which provides services to the Aboriginal population. Both agencies see adults and youth,<br />
substance users and substance affected clients (Fraser House and <strong>Mission</strong> Indian Friendship Centre).<br />
• A I/2 time Psychiatric Liaison Nurse in the Emergency Department based out <strong>of</strong> MSA Hospital.<br />
• A Psychiatric Day Program located at the Mental Health Centre.<br />
Based on data provided by Fraser Health Decision Support, a total <strong>of</strong> 318 <strong>District</strong> <strong>of</strong> <strong>Mission</strong> residents were<br />
admitted for mental health care between July 2007 and June 2008. Over 80% <strong>of</strong> the admitted patients were<br />
adult's agedl8-64; more women than men were admitted regardless <strong>of</strong> age group. Of the patients admitted for<br />
mental health care, 54% <strong>of</strong> patients were self-referred, while 20% were referred by a physician or psychiatrist,<br />
7% were referred by a community agency, and 5% by a psychiatric unit; the remaining 14% were referred by<br />
various sources.<br />
Of the 318 mental health admissions <strong>of</strong> <strong>Mission</strong> area residents that occurred between July 2007 and June<br />
2008, 57% resulted in a readmission for the patient. The proportion <strong>of</strong> readmissions was significantly higher<br />
for adults aged <strong>19</strong>-64 (60.8%) than for the elderly group (39.7%). Based on the available data, it is unclear<br />
how long after initial discharge did these readmissions take place.<br />
Figure 14: <strong>Mission</strong> Mental Health Admission and Readmission Rates<br />
<strong>Mission</strong> <strong>District</strong> Mental Health Readmissions<br />
300 -<br />
250<br />
200<br />
150<br />
100 —<br />
50<br />
0<br />
Adult Elderly<br />
Age Group<br />
■ Admission<br />
• Readmission<br />
Source: Fraser Health Decision Support<br />
The most frequent mental health services provided to <strong>District</strong> <strong>of</strong> <strong>Mission</strong> residents between July 2007 and<br />
June 2008 were: faMily therapy (24.0%); medication management (17.2%); individual therapy (12.4%); and<br />
education (11.0%). There was little difference between adults and the elderly patient population, with the<br />
exception <strong>of</strong> case work management, which was provided at a higher rate to the elderly population (11.8°/0)<br />
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Figure 15: Types <strong>of</strong> Mental Health Services Provided to <strong>Mission</strong> Area Residents<br />
Clinical Service<br />
Adult Elderly Total<br />
Male Female Total Male Female Total Male Female Total<br />
Family Therapy 24.1% 23.3% 23.6% 25.9% 25.3% 25.5% 24.4% 23.8% 24.0%<br />
Medication Management 16.0% 18.1% 17.3% 13.9% 18.3% 17.0% 15.7% 18.2% 17.2%<br />
Individual Therapy 11.7% 11.9% 11.8% 16.5% 14.2% 14.9% 12.5% 12.4% 12.4%<br />
Education 11.2% 12.3% 11.8% 8.9% 7.8% 8.1% 10.8% 11.2% 11.0%<br />
Consultation 8.6% 8.3% 8.4% 2.5% 3.9% 3.5% 7.6% 7.2% 7.4%<br />
Case Work/Management 5.5% 3.9% 4.5% 15.2% 10.3% 11.8% 7.1% 5.4% 6.0%<br />
Group Therapy 6.0% 6.5% 6.3% 1.9% 5.8% 4.6% 5.3% 6.3% 5.9%<br />
Short-Term Assessment & 5.6% 4.2% 4.7% 4.4% 3.6% 3.9% 5.4% 4.0% 4.6%<br />
Formal Assessment 5.1% 2.0% 3.3% 7.0% 5.3% 5.8% 5.4% 2.8% 3.8%<br />
Intake/Assessment/Refer 2.5% 5.0% 4.0% 0.6% 0.6% 0.6% 2.2% 4.0% 3.3%<br />
Formal Case Review 2.4% 2.6% 2.5% 1.9% 3.6% 3.1°/0 2.3% 2.9% 2.6%<br />
Crisis Intervention 1.4% 1.8% 1.6% 1.3% 1.4% 1.4% 1.3% 1.7% 1.6%<br />
Info/Advice/Referral 0.1% 0.1%,, 0.1% 0.0% 0.0% 0.0% 0.1% 0.1% 0.1%<br />
Total 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%<br />
Source: Fraser Health Decision Support<br />
The mental health admission <strong>of</strong> <strong>Mission</strong> area residents according to DSM grouping included 31% <strong>of</strong> admission<br />
related to mood disorders, 29% related to schizophrenia, 10% related to anxiety disorder, 8% related to<br />
delirium and dementia, another 8% related to personality disorder, 7% related to substance related disorders<br />
and the remaining 7% to various other disorders.<br />
For <strong>Mission</strong> Memorial Hospital alone there were a total <strong>of</strong> 61 inpatient Mental Health cases with a total <strong>of</strong> 383<br />
hospital days for an average length <strong>of</strong> stay <strong>of</strong> 6.28 days between July 2007 and June 2008.<br />
With regards to addictions services, there is limited information on <strong>Mission</strong> area residents; additional data<br />
should be gathered to more clearly understand the services to support the community. What is known is that<br />
although addictions outpatient clinics are set up to serve specific communities, the residential services are not<br />
community specific and take clients from across Fraser Health regardless <strong>of</strong> their address within Fraser<br />
Health. The same is true for the withdrawal management services<br />
Figure 16: Addictions Services within Fraser Health<br />
Modality<br />
Non residential treatment<br />
Withdrawal management<br />
services (detox)<br />
Residential addictions<br />
treatment and Stabilization<br />
& Transition Living<br />
Residential (STLR) beds<br />
Agency Location Clients<br />
..,<br />
.<br />
126 adults<br />
Fraser House outpatient<br />
Contracted<br />
59 youth<br />
15 adults<br />
<strong>Mission</strong> Indian Friendship Centre outpatient Contracted<br />
6 youth<br />
Creekside Withdrawal Management Surrey Memorial Hospital 23 clients<br />
Withdrawal Mgmt. Unit inpatient Chilliwack General Hospital 18 clients<br />
Kinghaven Treatment Centre<br />
Peardonville House Treatment Centre<br />
Maple Ridge Treatment Centre<br />
Contracted - Abbotsford<br />
co-located in Abbotsford<br />
Maple Ridge<br />
STLR programs Small scale private programs Contracted<br />
Source: Fraser Health Decision Support<br />
28 clients<br />
10 clients<br />
12 clients<br />
1/ adults<br />
1 youth<br />
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4.2.5.4 Rehabilitation<br />
Rehabilitation is an important part <strong>of</strong> the recovery process for many illnesses, injuries and surgical<br />
interventions that result in physical or neurological impairments.<br />
There are no inpatient rehabilitation facilities within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> however residents have access to<br />
six different facilities for inpatient rehabilitation treatment. Most attend the G.F. Strong Rehabilitation Centre in<br />
Vancouver. The average length <strong>of</strong> stay in 2006/07 was approximately 52 days, down from 71 for the prior<br />
year.<br />
Table 8: <strong>Mission</strong> Residents Rehabilitation Cases and Patient Days by Hospitals<br />
Hospital Data 04/05r 05/06 06/07<br />
114 Sunny Hill Hospital For Children Cases 1<br />
Days 2<br />
116 Surrey Memorial Hospital Cases 1<br />
Days 77<br />
118 Holy Family Hospital Cases 1 6<br />
Days 14 <strong>19</strong>0<br />
1<strong>19</strong> G.F. Strong Rehab Centre Cases 7 10 3<br />
Days 300 826 269<br />
136 Eagle Ridge Hospital Cases 2 2 1<br />
703 Prince George Hospital Cases 1<br />
Days 97 78 70<br />
Days 18<br />
'Total # <strong>of</strong> Cases 11 14 10<br />
Total Rehabilitation Days 417 995 529<br />
Source: Fraser Health Decision Support<br />
In addition, Home Health has a staff <strong>of</strong> physical therapists and occupational therapists that provide in-home<br />
assessments, consultations, treatment and education to clients and their families. These services sometimes<br />
referred to as rehabilitation therapy, have two main goals: to help clients restore, improve or maintain their<br />
physical capabilities, and, to ensure the home environment is organized to make daily tasks easier and safer.<br />
In 2006/07, there were a total <strong>of</strong> 120 physical therapy and 71 occupational therapy clients in <strong>Mission</strong>. These<br />
<strong>19</strong>1 clients averaged about seven visits per year for a total <strong>of</strong> 1,384 visits.<br />
4.2.5.5 Assisted Living and Residential Care<br />
Assisted living homes are self-contained apartments where residents receive hospitality and personal care<br />
services, such as meals, housekeeping and laundry services, recreational opportunities, assistance with<br />
medications, mobility and other care needs, as well as a 24-hour response system. Fraser Health provides<br />
funding for the personal care services." There are 40 units <strong>of</strong> assisted living in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> for<br />
people with moderate care needs at "The Cedars". There are a greater number <strong>of</strong> Assisted Living beds(<strong>19</strong>.4)<br />
in <strong>Mission</strong> compared to Fraser Health (15.7)<br />
45 Retrieved Dec 2008 from http://www.cmhc.ca/en/corpineroMere/2005/2005-04-08-1330.cfm<br />
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Table 9: Assisted Living Spaces per 1,000 population<br />
Pop 75+<br />
Assisted Assisted<br />
Living Sites Living Beds<br />
Assisted<br />
Living Beds<br />
/1,000<br />
<strong>Mission</strong> 2,057 1 40 <strong>19</strong>.4<br />
Fraser Health 89,334 32 1,406 15.7<br />
Source: Bed Matrix from Residential Services as <strong>of</strong> Feb 16, 2007<br />
Residential care provides continuing, medically complex and specialized services to both young and old—<br />
sometimes over extended periods <strong>of</strong> time. There are 151 residential care beds in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> for<br />
people with complex care needs. They are located at two different sites including <strong>Mission</strong> Memorial Hospital<br />
Dr. Stuart Pavilion (75 beds) and Pleasant View Care Home (76 beds). In 2006/07 the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> had<br />
a lower proportion <strong>of</strong> residential care beds per 1,000 population aged 75+ (73.4) in comparison with Fraser<br />
Health (80.6).<br />
Table 10: Residential Care Beds per 1,000<br />
Residential Care<br />
Beds<br />
Sites Beds Pop 75+<br />
Residential<br />
Beds<br />
/1,000<br />
<strong>Mission</strong> 3-2 151 2,057 73.4<br />
Fraser Health 77 7,200 89,334 80.6<br />
Source: Bed Matrix from Residential Services as <strong>of</strong> Feb 16, 2007<br />
Table 11: Bed Days per Residential Care Facilities<br />
2006/07<br />
Regular<br />
Respite<br />
Facility Name<br />
GRAND STREET<br />
MISSION MH-ECU<br />
PLEASANT VIEW<br />
<strong>Mission</strong> Total<br />
Utilization<br />
(days)<br />
# <strong>of</strong><br />
Beds<br />
Annual Bed<br />
Days<br />
- +,<br />
7,60T . ' 23 839 '<br />
27,947 75 27375<br />
27,171 76 27740<br />
Source: CCIMS LTC Service Plan Table, Bed. Days from Residential Services<br />
Capacity Utilization<br />
Utilization (days)<br />
91% -<br />
102%<br />
98%<br />
In 2007, a building review <strong>of</strong> all three residential care facilities including Pleasant View, Dr. Stuart Pavilion and<br />
Grand Street was conducted to identify their suitability to meet complex care requirements. The review<br />
identified that all three facilities were not suitable to meet complex care needs and all facilities need to be<br />
replaced within a reasonable time frame. The owner <strong>of</strong> Grand Street determined that it was not financially<br />
feasible to bring the building up to requirements, nor feasible to operate with only 23 funded beds and<br />
therefore decided to close the facility.<br />
With the closure <strong>of</strong> Grand Street, <strong>Mission</strong> will require additional residential beds in the near future, specifically<br />
an additional 24 beds will be required by 2015 based on the People 33 projections. The People 33 provincial<br />
population projections are published by BC STATS based on "demographic and economic trends, modified to<br />
take into consideration possible future changes"".<br />
" BC's Highlights Retrieved January <strong>2009</strong> from http://www.bcstats.gov.bc.ca/releases/info<strong>19</strong>97/in9731.pdf<br />
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Table 12: Projected <strong>Mission</strong> Residential Care Needs<br />
Year<br />
Population >75+ Funded Beds Funded Beds<br />
Provided Required<br />
Over/Under Target<br />
2008<br />
2010<br />
2012<br />
2.041 151 153 :ender 2<br />
2,115 151 159 under 8<br />
2,157 r 1 162 under 11<br />
2015<br />
2.327 '51 175 under 24<br />
2020 2,872 151 200 under 49<br />
1<br />
Source Fraser Heal~. Ba:k4rce-o::_• ?or <strong>May</strong>or & Co. ii Ret.ilertoal MIMiOn • Aprii 2, 2,„Nis<br />
The average wait time for placement in a res:dentiai care bed from the community is 35 days; for hospital<br />
discharges it is 20 days. As <strong>of</strong> August 5, 2008, there were 23 clients awaiting placement to residential care<br />
facilities.<br />
The amount <strong>of</strong> time that people wait for a Residential Care home cepends on their placement prioriteation<br />
category as well as a number <strong>of</strong> other factors such as whether the person is male or female, paying the basic<br />
or preferred rate, and whether they have specific needs when living in a home (i.e. people with dementia who<br />
wander and need a secure place to live). In addition, people may be placed in a home <strong>of</strong> their second or third<br />
choice while waiting for their firs: choice home. People waiting to transfer to their first choice home from<br />
another residential care home within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> appear to be wailing for newer homes or homes<br />
that <strong>of</strong>fer a continuum <strong>of</strong> care where more options may be aval[able for spouses to reside in the same vicinity.<br />
It is worth mentioning that there are several independent living facilities for seniors in the community including:<br />
• Wellton Towers — 60 affordable bachelor suites for low income men aged 55 — 65_<br />
■ Pieasant View Apartments — 40 apartments for seniors aged 55+.<br />
• Carrington House — private retirement community.<br />
4.2.5.6 Adult Day Programs<br />
For seniors who live at home or in the community, adult day programs can provide an opportunity to socialize<br />
with others their age and to obtain assistance with personal care needs, such as taking medications. They<br />
also give family members a break from their care giving responsibilities.<br />
Activities vary with each adult day centre. but may include personal care services, such as bathing programs<br />
and administering medications: therapeutic recreation and social activities; caregiver respite, education and<br />
support; and in some centres, meals and transportation may also be provided or arrahaed 47 .<br />
In the district <strong>of</strong> <strong>Mission</strong> there are 1.683 spaces funded for Adult Day programs. Between 2005106 aid<br />
2006107 the number <strong>of</strong> clients attending the <strong>Mission</strong> Adult Day Program has decreased by 2 (-5.3%) however<br />
the days have increased by 27 (3.1°,4 This may indicate more frequent visits by the same number <strong>of</strong><br />
individuals.<br />
Beier Care to! SCSIVT., RCIne'di:d Dec 2008 Ircert Itevc4',Vereve. NAM. acn. Ciulteary.ipubiuncesiyEriora.C61.mafetestwomcdf<br />
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Table 13: Adult Day Program Funded Spaces and Utilization<br />
Adult Day Funded<br />
Program spaces/year Clients<br />
2005/06 2006/07 % change<br />
Days DayslcInt Clients Days Days(clnt Clients Days<br />
<strong>Mission</strong> 1,683 38 875 23.0 36 902 25.1 -5.3% 3.1%<br />
Sources: CC Data Warehouse ADP Service Plan<br />
Based on an interview with a past Executive Director <strong>of</strong> Pleasant View, the Adult Day Program <strong>of</strong>fers 10<br />
spaces three days a week.<br />
4.2.5.7 End-<strong>of</strong>-Life Care<br />
End-<strong>of</strong>-life care preserves an individual's dignity, comfort and quality <strong>of</strong> life by supporting them during their<br />
remaining days, weeks or months. Supportive, compassionate care is provided in the home, in hospital,<br />
hospice, an assisted living residence or a residential care facility—wherever the individual may be 48 .<br />
Of the 254 admissions received at <strong>Mission</strong> Memorial Hospital Hospice in fiscal 2007/08, 51% were related to<br />
cancer. The majority <strong>of</strong> these admissions were referred from acute care. Because the large majority (95%) <strong>of</strong><br />
patients die while in hospital, the average length <strong>of</strong> stay ranges from one day to over six months.<br />
Similarly, for the <strong>Mission</strong> Palliative Care Community Team, 84% <strong>of</strong> patients die prior to discharge, with an<br />
average length <strong>of</strong> stay <strong>of</strong> 77 days. Palliative care services relieve, eliminate and/or control symptoms so those<br />
facing death and their loved ones can devote their energies to embracing the time they have together.<br />
4.2.5.8 Ambulatory Care<br />
A total <strong>of</strong> 45,739 ambulatory care visits were recorded in 2007/08. The volume <strong>of</strong> ambulatory care visits has<br />
increased by 2,012 or 4.6% over the past three fiscal years. Over 80% <strong>of</strong> the visits occur during the day shift<br />
(7:00 a.m. to 3:00 p.m.) and this has increased over the last three fiscal years.<br />
Figure 17: MMH Ambulatory Care Visits<br />
<strong>Mission</strong> Memorial Hospital<br />
Ambulatory Care Visits,<br />
2005/06 to 2007/08<br />
46,000<br />
45,500<br />
45,000<br />
44,500<br />
44,000<br />
43,500<br />
43,000<br />
42,500<br />
2005/06 2006/07 2007/08<br />
Fis cal Year<br />
Source: Fraser Health Decision Support<br />
" Ibid.<br />
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4.2.5.9 Emergency Department<br />
Emergency departments (EDs) are a key access point to the health care system. While ED utilization may<br />
reflect health status measures, it is also related to the availability, accessibility and integration <strong>of</strong> primary<br />
health care resources in a community. All patients presenting at an emergency departments are assessed by<br />
a health pr<strong>of</strong>essional upon arrival and assigned a Canadian Triage Acuity Scale (CTAS) level". The CTAS<br />
guides emergency department staff to prioritize patient care and consists <strong>of</strong> the following levels:<br />
• CTAS Level 1 - Patients need to be seen by a physician immediately 98% <strong>of</strong> the time.<br />
• CTAS Level 2 - Patients need to be seen by a physician within 15 minutes 95% <strong>of</strong> the time.<br />
• CTAS Level 3 - Patients need to be seen by a physician within 30 minutes 90% <strong>of</strong> the time.<br />
• CTAS Level 4 - Patients need to be seen by a physician within 60 minutes 85% <strong>of</strong> the time.<br />
• CTAS Level 5 - Patients need to be seen by a physician within 120 minutes 80 % <strong>of</strong> the time.<br />
There were <strong>19</strong>,623 ED visits for the hospital in 2007/08. Of these, 20.6% <strong>of</strong> the recorded visits did not have a<br />
triage level code. Of those that were assigned a CTAS code, 52.1% <strong>of</strong> ED visits were classified as CTAS 4<br />
and 5 or "less-urgent" or "non-urgent" respectively; there is no formal triage nurse position at <strong>Mission</strong> Memorial<br />
Hospital.<br />
Figure 18: Emergency Department Visits by CTAS Level<br />
<strong>Mission</strong> Memorial Hospital<br />
Emergency Department Visits by CTAS Level<br />
Fiscal 2005/06 to 2007/08<br />
18,000<br />
.r,<br />
16,000<br />
5<br />
E<br />
14,000<br />
12,000-<br />
,, . ,... ,<br />
10,000 ---,<br />
8,000<br />
6,000<br />
r;<br />
f/L .<br />
... tr<br />
eN<br />
6,053<br />
7,514<br />
ti<br />
0 N/A<br />
■ 5 - Non-Urgent<br />
0 4 - Less Urgent<br />
0 3 - Urgent<br />
■ 2 - Emergent<br />
m1 - Resuscitation<br />
4,000<br />
4,495<br />
2,000 2,818<br />
IIMMIIMI<br />
2005/06 2006/07 2007/08<br />
Fisca I Year<br />
Fraser Health Decision Support<br />
Only 6.9% <strong>of</strong> patients were admitted as an inpatient, the large majority (88.1%) <strong>of</strong> visitors were discharged<br />
home, 1.9% left the emergency department prior to being fully processed and the remaining 3.1% resulted in<br />
various other visit outcomes. Further investigation into the nature <strong>of</strong> the ED visits would inform an assessment<br />
<strong>of</strong> appropriate health care delivery options within the ED.<br />
49 CTAS National Guideline. Retrieved January <strong>2009</strong> from http://www.calgaryhealthregion.ca/policy/docs/1451/Admission_over-capacity AppendixA.pdf<br />
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4.2.5.10 Primary Care<br />
Another important priority is the planning and provision <strong>of</strong> primary care services for a growing and diverse<br />
population. Recent Fraser Health initiatives include the establishment <strong>of</strong> Integrated Health Networks called the<br />
iConnect Health Network. This new service delivery model facilitates collaboration among providers and<br />
community based services such as Home Health, Mental Health and Addictions, Eldercare and community<br />
agencies such as the Heart and Stroke Foundation and the Canadian Diabetes Association. Primary Care<br />
delivery within Fraser Health is guided by the BC Ministry <strong>of</strong> Health Services Primary Health Care Charter in<br />
order to achieve a strong, effective and accessible system that helps British Columbians stay healthy, get<br />
better, manage chronic conditions, and improve confidence to be partners in care". Clearly, strengthening<br />
primary care is a priority and linkages between primary care and other health sectors are needed to create an<br />
effective, integrated health care system. The supply <strong>of</strong> primary care health pr<strong>of</strong>essionals is discussed in the<br />
next section.<br />
4.2.5.11 Health Human Resources<br />
Health human resources issues influence access to, and utilization <strong>of</strong>, all health care services. High resident<br />
population growth and the aging <strong>of</strong> the health human resources population have the potential to lead to<br />
shortages that can affect access to care.<br />
<strong>Mission</strong> has a higher per capita ratio for general practitioners (1:1,073) than for the surrounding region (1:<br />
1,1<strong>19</strong>) but lower than that for the province (1:906). Most <strong>of</strong> the surrounding communities have significantly<br />
more GPs, specialists and supplementary benefit practitioners, suggesting that <strong>Mission</strong> may be under<br />
serviced in these types <strong>of</strong> human health resources. Supplementary benefit practitioners include chiropractors,<br />
massage therapists, naturopaths, physiotherapists, podiatrists and optometrists.<br />
Table 14: Number <strong>of</strong> Health Pr<strong>of</strong>essionals by Community<br />
Community<br />
<strong>Mission</strong> 37<br />
General<br />
Practitioners<br />
64% 0<br />
Specialists<br />
0% 21<br />
Supplementary<br />
Benefit Practitioners<br />
Hope 10 71% 0 0% 4 29%<br />
36%<br />
Chilliwack 82 47% 38 22% 54 31%<br />
Abbotsford 106 36% 79 27% 112 38%<br />
Langley 103 36% 64 22% 123 42%<br />
Delta 92 44% 28 14% 87 42%<br />
New Westminster 67 21% 185 57%<br />
72 22%<br />
Burnaby 184 37%<br />
130 26% 187 37%<br />
Maple Ridge 70 36% 37 <strong>19</strong>% 88 45%<br />
Coquitlam 157 41% 45 12% 184 48%<br />
Agassiz/ Harrison 5 56% 0 0% 4 44%<br />
Surrey 200 39% 148 29% 169 33%<br />
South Surrey/ White Rock 97 37% 70 26% 98 37%<br />
nmary Health Care Knowledge e, ... .<br />
5° Primary Care in Fraser Health. Retrieved January <strong>2009</strong> at http://www.fraserhealth.ca/SERVICES/PRIMARYCARE/Pages/default.aspx.<br />
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Based on the community consultations many <strong>Mission</strong> area residents do not have a family physician and are<br />
having difficulty finding one. Establishing an ongoing relationship with a regular medical doctor is believed to<br />
be important in maintaining health and ensuring appropriate access to health services. Furthermore, in areas<br />
that are under-serviced by family physicians, chronic conditions that are ideally managed through primary<br />
prevention and/or within the primary care system may become acute and result in ED visits and hospital<br />
admissions.<br />
In addition, <strong>Mission</strong> has no specialists in its local community however, visiting specialists are not new to the<br />
community. Currently, an Internist visits <strong>Mission</strong> twice a week as well as the "Seniors Team" which visits the<br />
community on a weekly basis, the team is comprised <strong>of</strong> a Medical Doctor, Nurse Practitioner and nurse.<br />
Table 15: Health Pr<strong>of</strong>essionals per Capita<br />
per Capita Ratios, 2006/07<br />
<strong>Mission</strong><br />
Fraser<br />
East<br />
BC<br />
Population<br />
39,714<br />
268,467<br />
4,310,452<br />
General Practitioners<br />
Specialists<br />
# 37 240 4,756<br />
per<br />
Capita* 1,073 1,1<strong>19</strong> 906<br />
# 0 117 3,870<br />
per<br />
Capita* 0 2,295 1,114<br />
Supplementary Benefit Practitioners<br />
Source: Quantum Analyzer, Primary Health Care Knowledge Base, V1.2<br />
# 21 <strong>19</strong>5 4,510<br />
per<br />
Capita* 1,891 1,377 956<br />
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4.3 Key Findings: Pubiic Survey<br />
The We want to know what you think! public survey was posted on the <strong>Mission</strong> <strong>District</strong> website and made<br />
available in paper format and distributed throughout the <strong>Mission</strong> community. The survey was open to residents<br />
over a 44 day period from Friday, August 15, 2008 to Friday, September 26, 2008, and was supported by a full<br />
communication strategy to encourage community participation. Assistance was provided to some residents to<br />
complete the survey, and paper surveys were uploaded to the web-based format.<br />
The objective <strong>of</strong> the survey was to gather information and perceptions from <strong>Mission</strong> residents about health<br />
related services, either existing or expected, that are required to optimize their health and the health <strong>of</strong> their<br />
families.<br />
The majority <strong>of</strong> survey respondents were in the 30 to 49 (42%) and 50 to 69 (44%) age categories, and 76%<br />
<strong>of</strong> respondents were female. English was identified as the predominant language spoken at home for more<br />
than 93% <strong>of</strong> survey respondents; <strong>of</strong> those who spoke a language other than English at home, the predominant<br />
languages spoken were German, Dutch, Spanish, French, Cree, Obijway and sign language. Almost half <strong>of</strong><br />
respondents (49%) were from a Caucasian background, while others indicated their ethnic background as<br />
Canadian, Aboriginal, South Asian, Scandinavian, German, Japanese and Dutch.<br />
Overall Perception<br />
The survey asked <strong>Mission</strong> residents to identify the three most important health related issues facing residents<br />
today. The themes surrounding this question included:<br />
• A lack <strong>of</strong> sufficient health human resources across all areas <strong>of</strong> health care, particularly family<br />
physicians, hospital staff, specialists, nursing staff, paramedics and radiologists was identified as the<br />
most important issue.<br />
• Access to hospital and community services was also identified as an important priority for residents,<br />
including access to surgeries and specific health services (e.g., mental health and addiction services,<br />
services related to seniors, maternity services, pediatric services), access to acute care services<br />
(heart and stroke, diabetes, asthma and obesity), access to equipment to conduct tests (CT scans,<br />
medical testing and lab services), and the availability <strong>of</strong> hospital and acute services within the<br />
community. Many residents stressed the need for a full service hospital in their community to help<br />
address some <strong>of</strong> the access issues and to support their growing community.<br />
• A third important health-related issue identified by residents was the need for an increased focus on<br />
prevention education and information supporting personal health and wellness, diet and exercise,<br />
smoking prevention and cessation, mental health and addictions, counseling, and an expansion <strong>of</strong><br />
community resources that support a healthy lifestyle.. Hospital accountability, 24/7 clinics and water<br />
quality were also identified as health-related issues <strong>of</strong> concern to residents <strong>of</strong> <strong>Mission</strong>. More than 50%<br />
<strong>of</strong> respondents said they were not confident that the supports they and their family require to stay<br />
healthy are available in or around <strong>Mission</strong>.<br />
Services by Population Group<br />
Questions then focused on the services provided to individual population groups (i.e., mothers, babies,<br />
children, youth, adults and seniors), and the perceived quality <strong>of</strong> these services based on the experience <strong>of</strong><br />
respondents who have utilized health care services for these population groups.<br />
Health services provided in <strong>Mission</strong> are most frequently accessed by residents in the community, the hospital<br />
or in doctor's <strong>of</strong>fices. Overall, there is a general lack <strong>of</strong> awareness <strong>of</strong> services available for mothers and<br />
babies, and seniors amongst those who responded, but a good awareness <strong>of</strong> services available for adults,<br />
supporting the demographic results that indicate the majority <strong>of</strong> respondents fall into the 'adult' category (ages<br />
30 to 69). Survey results indicate that seniors are using more health services than other population groups.<br />
The quality <strong>of</strong> physician services and internet/telephone services was consistently rated high across all<br />
population groups.<br />
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Mothers and Babies<br />
Services that support healthy mothers and babies are available across <strong>Mission</strong>, however, were most<br />
frequently accessed by residents in the community (42%) and at the doctor's <strong>of</strong>fice (41%). More than 32% <strong>of</strong><br />
respondents said they were unaware <strong>of</strong> where services that support healthy mothers and babies are available.<br />
During the past 12 months, more than 40% <strong>of</strong> respondents had accessed physician services, emergency<br />
services and internet/telephone support for health-related issues concerning mothers and babies, and more<br />
than 71% <strong>of</strong> respondents rated physician services, immunization programs, community nursing and<br />
internet/telephone support as 'excellent' or `good' quality.<br />
Children & Youth<br />
The majority <strong>of</strong> services that support children and youth were accessed by residents in the community (49%)<br />
and in the doctor's <strong>of</strong>fice (41%). Just over 22% <strong>of</strong> respondents indicated they were unaware <strong>of</strong> where services<br />
that support healthy children and youth are available. During the past 12 months, more than 72% <strong>of</strong><br />
respondents had accessed physician services, recreational services, youth and training centres and disability<br />
services within their community, or at the doctor's <strong>of</strong>fice, and more than 79% rated physician services,<br />
internet/telephone support, information/support services and recreational services as `excellent' or `good'<br />
quality.<br />
Adults<br />
Services that support healthy adults are also available across <strong>Mission</strong>, and the majority <strong>of</strong> services related to<br />
this population group were also accessed in the community (62%) and at the doctor's <strong>of</strong>fice (68%). Less than<br />
10% <strong>of</strong> survey respondents indicated they were unaware <strong>of</strong> where services that support healthy adults are<br />
available. During the past 12 months, more than 73% <strong>of</strong> respondents accessed information/support services,<br />
treatment clinics, physician services and internet/telephone services within their community, at the doctor's<br />
<strong>of</strong>fice, or on the internet, and more than 70% rated information/support services, treatment clinics, physician<br />
services and internet/telephone services as `excellent' or `good' quality.<br />
Seniors<br />
The majority <strong>of</strong> services that support healthy seniors were accessed most frequently by this population group<br />
in the community (48%) and at the doctor's <strong>of</strong>fice (44%). However, more than 24% <strong>of</strong> survey respondents<br />
were unaware <strong>of</strong> where services that support healthy seniors are available. During the past 12 months, more<br />
than 71% <strong>of</strong> respondents from this population group accessed treatment clinics, physician services, home<br />
care, community nursing, internet/telephone services, senior day care facilities, disability services, and<br />
assisted/supported living services, within their community, at the doctor's <strong>of</strong>fice or at the hospital. More than<br />
70% <strong>of</strong> survey respondents from this population group rated information/support services, treatment clinics,<br />
physician services, community nursing, internet/telephone services, senior day care facilities and<br />
assisted/supported living as `excellent' or `good' quality.<br />
Services that Contribute to Health<br />
Only 50% <strong>of</strong> respondents felt there was reasonable access to the services that they need to get or stay<br />
healthy, however, 99% <strong>of</strong> survey respondents felt services that contribute to the health <strong>of</strong> <strong>Mission</strong> residents<br />
could be improved.<br />
Residents identified the lack <strong>of</strong> health human resources, access issues and the need for education and<br />
prevention as the three (3) most important health care issues facing <strong>Mission</strong> residents, as well as important<br />
services needed to improve the health <strong>of</strong> <strong>Mission</strong> residents. Residents also identified access to a full service<br />
hospital with expanded emergency services and access to diagnostic and screening services as two <strong>of</strong> three<br />
important services that need to be <strong>of</strong>fered locally.<br />
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Survey respondents said that increasing the availability <strong>of</strong> health human resources such as physicians and<br />
other health care positions, providing access for residents to a full service hospital within <strong>Mission</strong>, and<br />
improving public health and health promotion would help to improve the health <strong>of</strong> <strong>Mission</strong> area residents. The<br />
need for timely access to family physicians, specialists, nursing staff and other health care pr<strong>of</strong>essionals is<br />
needed closer to home, while a full-service hospital is needed in <strong>Mission</strong> to support the growing community, to<br />
reduce access issues to health services and testing, and to reduce the need for residents to commute to gain<br />
access to required services. Public health promotion was identified by a number <strong>of</strong> survey respondents as<br />
important in helping to improve the health <strong>of</strong> <strong>Mission</strong> residents.<br />
The top three (3) services that respondents identified as services that must be provided in <strong>Mission</strong> were a fullservice<br />
hospital with expanded emergency services, mental health and addictions services, and diagnostic<br />
and screening services, while they thought it would be reasonable to travel 20 minutes for cancer prevention<br />
and treatment services, diagnostic testing (MRI, CT scan, and x-ray services) and specialist services. Some<br />
respondents indicated they would not be willing to travel to a major centre for health services due to age<br />
and/or lack <strong>of</strong> access to transportation, however, most respondents identified life threatening surgeries<br />
(emergency, heart, transplants), cancer, and specialist referrals as three health related services for which they<br />
would be willing to travel to a larger centre such as New Westminster or Vancouver.<br />
More than one-third (34%) <strong>of</strong> <strong>Mission</strong> residents said that the quality <strong>of</strong> health related services currently<br />
delivered in <strong>Mission</strong> is very good or excellent, however, more than one-third (34%) disagreed, and 32%<br />
responded as 'neutral'. Almost half <strong>of</strong> respondents (49%) agreed that health-related services in <strong>Mission</strong> are<br />
provided in a culturally-sensitive manner (regardless <strong>of</strong> religion, culture or ethnicity). Only 9% disagreed and<br />
43% responded 'neutral'. More than 61% said they feel safe and comfortable when using local health-related<br />
services that contribute to healthy living, while almost 17% disagreed, and 22% responded 'neutral'. Finally,<br />
over 41% <strong>of</strong> <strong>Mission</strong> residents who responded to the survey agreed that information on health-related services<br />
provided in <strong>Mission</strong> is easy to find; 35% disagreed, and 24% responded as 'neutral'.<br />
4.4 Key Findings: Community-based Health Service Providers<br />
This section provides information community-based health services within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. The findings<br />
are based on the Health Service Provider survey, conducted specifically for the Community Health Plan for<br />
<strong>Mission</strong> B.C. project. Complete responses from the health service provider survey are published separately in<br />
the Technical Appendix to this project. This section is divided into categories <strong>of</strong> providers including<br />
• Primary Health Care<br />
• Health Promotion and Disease/Injury Prevention<br />
• Community Support Services,<br />
• Community Mental Health and Addictions,<br />
• Home Health, and<br />
• Assisted Living and Residential Care.<br />
Each category provides an overview <strong>of</strong> the type <strong>of</strong> provider, as well as information that was collected and<br />
analyzed for the health system planning project.<br />
The final section presents key findings across all categories <strong>of</strong> community providers <strong>of</strong> particular relevance to<br />
Community Health Plan for <strong>Mission</strong> B.C. project.<br />
Data Limitations<br />
It is important to note, that the data obtained from the Health Service Provider Survey is limited in terms<br />
number <strong>of</strong> responses and missing or estimated values.<br />
• A total <strong>of</strong> 40 health service providers received the survey however only 40% or 16 providers<br />
responded.<br />
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• Community health service providers do not use a standard health information system resulting in<br />
incomplete data. Given the lack <strong>of</strong> standardized data capture, some organizations have<br />
comprehensive and accurate information, while others do not. Therefore, in some cases, the<br />
respondents left a blank value or in other cases provided estimates.<br />
4.4.1 Primary Care<br />
Community primary care clinics and family practices deliver primary health and health promotion programs for<br />
individuals, families and communities.<br />
Only three out <strong>of</strong> 12 primary care practices responded to the survey. These three practices indicated that<br />
there were no partnerships or integration among providers and community services despite similar service<br />
<strong>of</strong>ferings. All three clinics operated Monday to Friday 8:00am to 6:00pm with on-call back-up. At the <strong>Mission</strong><br />
Oaks Medical Centre there is a 10 person waitlist for addiction services.<br />
4.4.2 Health Promotion and Disease/ injury Prevention<br />
According to the Fraser Health <strong>Mission</strong> LHA Pr<strong>of</strong>ile (2008), there is one Health Promotion and Prevention<br />
health unit in <strong>Mission</strong>. Health Promotion and Prevention partners with people to optimize their health and live<br />
to their fullest potential. This is achieved through well planned health initiatives and programs that prevent<br />
disease, injury and disability, and lead to health improvement by providing services to promote a healthy start<br />
for all children and new moms, and encouraging healthy behaviours among members <strong>of</strong> all Fraser Health<br />
communities. Programs <strong>of</strong>fered in <strong>Mission</strong> include maternal and child health, communicable disease control,<br />
and early childhood development screening and assessment, as well as dental, nutrition and speech/language<br />
services.'<br />
Based on the survey response, the <strong>Mission</strong> health unit identified that the demand for certain services exceeds<br />
capacity as indicated by the following wait times:<br />
• Dental and nutrition program - 30 person wait list<br />
• Child immunization -1 week wait<br />
• Speech Therapy — 80 person waitlist<br />
4.4.3 Health Enabling Support Services<br />
An inventory <strong>of</strong> health enabling services available to <strong>Mission</strong> area residents was compiled to understand the<br />
extent <strong>of</strong> available health enabling support services within the <strong>District</strong>.<br />
According to the 2006 <strong>Mission</strong> Directory, the health enabling services included:<br />
• 36 Parks with trail amenities<br />
• 3 Assistance programs for kids from low income homes<br />
• 25 Sports clubs & associations<br />
• 6 Literacy related programs<br />
• 9 Vocational Training Services<br />
• 6 Aboriginal services<br />
• 18 Support Groups<br />
• 4 Group Homes for mentally and physically challenged<br />
• 5 Transportation related services<br />
A complete list <strong>of</strong> health enabling services are published separately in the Technical Appendix to this project.<br />
51 Fraser Health (2008) A Snapshot <strong>of</strong> Health: <strong>Mission</strong> Local Health Area<br />
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4.4.4 Community Mental Health and Addictions<br />
There were four mental health and addictions organizations that responded to the survey. The survey<br />
responses revealed that there is growing demand for mental health and addictions services with the <strong>District</strong> <strong>of</strong><br />
<strong>Mission</strong>. All four respondents provide similar services but to different target populations, they each belong to<br />
partnerships for the delivery <strong>of</strong> care. Two <strong>of</strong> the three responding organizations have limited after hours<br />
services.<br />
Table 16: Community Programs Offering Mental Health and Addictions Services<br />
FH — <strong>Mission</strong> Mental<br />
Fraser House<br />
<strong>Mission</strong> Community<br />
<strong>Mission</strong> Friendship<br />
Health<br />
Society<br />
Services Society<br />
Centre<br />
Eligibility<br />
Youth & Adult<br />
Seniors and low<br />
Aboriginal/ Metis<br />
income<br />
Utilization 127<br />
250<br />
"FY07/08<br />
I<br />
Projected Utilization ■ 135<br />
325<br />
FY 08/09<br />
Wait list 20<br />
12<br />
<strong>19</strong><br />
Utilization by Care Category amongst all;programs<br />
Information 120<br />
1300<br />
2661 2650<br />
Referral 120 800 2475 1225<br />
Health Promotion/<br />
Disease Prevention<br />
3000 7417 450<br />
Case Management 600<br />
Mental Health 449 40 16784 150<br />
Addictions <strong>19</strong>2 1700<br />
Crisis 20 1<strong>19</strong>30<br />
Transportation 465<br />
Other 48-80<br />
-Hours <strong>of</strong> Operations Mon-Fri 8:30am -<br />
Mon-Fri 8:30am -<br />
Most programs<br />
N/A<br />
5:30pm<br />
4:30pm<br />
operate 24/7<br />
Evenings and<br />
Weekends covered<br />
Evenings and<br />
Weekends varies<br />
by Abbotsford<br />
Source: Health Service Provider Survey Results, 2008<br />
4.4.5 Home Health<br />
Home Health is the local point <strong>of</strong> access to government funded home and community-based health care<br />
services to promote independence and quality <strong>of</strong> life. Home Health <strong>of</strong>fers a comprehensive range <strong>of</strong><br />
supportive health care services delivered by home care nurses, physical therapists, occupational therapists,<br />
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case managers, social workers, community health workers, and other health care pr<strong>of</strong>essionals. Home Health<br />
also refers people to community resources that provide important supplementary services and programs.<br />
Services currently provided by <strong>Mission</strong> Home Health" include:<br />
• Care Coordination<br />
• Referral to Home Health and Community services<br />
• Referral to an assisted living or residential care facility<br />
• Referral to a hospice palliative care facility<br />
• In-Home Services<br />
• Nursing care<br />
• Home support (help with activities <strong>of</strong> daily living)<br />
• Rehabilitation (Physical and occupational therapy)<br />
• Respite<br />
• Hospice palliative care<br />
• Social work<br />
• Services provided in community settings<br />
• Home Health Clinics (location)<br />
• Concussion Clinic (Coquitlam)<br />
• Seniors Clinic<br />
• Day Programs for Older Adults<br />
• Other specialized programs and services<br />
• Community Respiratory Service (Langley)<br />
• Acquired brain injury (Coquitlam)<br />
• Health services for Community Living (?location)<br />
• Lifeline<br />
Table 17: Home Health Service Utilization by Hours<br />
Services Utilization 2006/07 (Hours)<br />
AverageWisitsper<br />
JrulividualServed<br />
<strong>Mission</strong><br />
364<br />
Care Coordination<br />
Fraser Health<br />
Percent <strong>of</strong> Fraser Health Volume<br />
<strong>Mission</strong><br />
312<br />
92,901<br />
298<br />
Home support<br />
Fraser Health<br />
8,723<br />
1,950,853<br />
224<br />
Percent <strong>of</strong> Fraser Health Volume<br />
Source: Health Service Provider Survey Results, 2008<br />
3.5%<br />
4.7%<br />
52 Fraser Health - Hone Health: Supportive health care services that promote independence and quality <strong>of</strong> life. Retrieved October 2008 from<br />
http://www.fraserhealth.ca/Services/HomeandCommunityCare/Documents/HomeHealth.pdf<br />
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Table 18: Home Health Service Utilization by Visits<br />
Services Utilization 2006/07 (Visits)<br />
Service<br />
Home Health<br />
Individuals<br />
Served<br />
Visits<br />
Average Visits per<br />
Individual Served<br />
<strong>Mission</strong><br />
375<br />
4,605<br />
12.3<br />
In-home Nursing<br />
care<br />
Fraser Health 11,127 228,845 20.6<br />
Percent <strong>of</strong> Fraser Health<br />
2.9% 2% /<br />
Volume<br />
<strong>Mission</strong> 131 370 2.8<br />
Physical Therapy<br />
Fraser Health ? ? ?<br />
Percent <strong>of</strong> Fraser Health<br />
Volume<br />
? ? /<br />
Occupational<br />
Therapy<br />
<strong>Mission</strong> 71 1,012 24.6<br />
Fraser Health ? ?<br />
Percent <strong>of</strong> Fraser Health<br />
Volume<br />
Source: Health Service Provider Survey Results, 2008<br />
? ? /<br />
The average number <strong>of</strong> visits per client were lower in <strong>Mission</strong> compared to Fraser Health.<br />
Information collected from the health service provider survey indicates that <strong>Mission</strong> Home Health currently<br />
does not have a wait list for any <strong>of</strong> its services. However, the perception from the community based on the<br />
consultation events, is that individuals in the community especially in the rural areas do not receive adequate<br />
support from Home Health in terms <strong>of</strong> frequency <strong>of</strong> visits and duration <strong>of</strong> visits.<br />
4.4.6 Assisted Living and Residential Care Facilities<br />
AsSisted Living is personal care services and hospitality services provided in a private housing unit with a<br />
lockable door. It is a middle option between home care, where people live in their family homes with home<br />
support brought in as needed, and residential care.<br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> has one assisted living facility called the "Cedars", with 40 assisted living units.<br />
Currently, the Cedars is operating at capacity and has an approximate wait list <strong>of</strong> 10 individuals. The <strong>District</strong> <strong>of</strong><br />
<strong>Mission</strong> has a relatively higher proportion <strong>of</strong> assisted living spaces per 1,000 population at <strong>19</strong>.4 in comparison<br />
to Fraser Health with 15.5 beds per 1,000.<br />
Residential care services are for adults who can no longer live safely or independently at home because <strong>of</strong><br />
their complex health care needs. Residential care <strong>of</strong>fers 24-hour personal care assistance and support, skilled<br />
nursing care, a safe and secure living environment , nutritious meals, basic linen and personal laundry<br />
services and recreational and activity programs.<br />
The <strong>Mission</strong> <strong>District</strong> currently provides 151 beds for its residents in-three two residential care facilities, since<br />
the closure <strong>of</strong> the Grand Street facility. The occupancy rates for these facilities ranges between 88% and<br />
100%, indicating that the residential care facilities are operating at or near capacity. The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> has<br />
84.6 residential care beds per 1,000 population aged 75+ in comparison to Fraser Health which has 80.6 beds<br />
per 1,000 seniors aged 75+.<br />
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The average wait time for placement in a residential care facility from the community is 35 days; versus 20<br />
days for hospital discharges. As <strong>of</strong> August 5, 2008, there were 23 clients awaiting placement to residential<br />
care facilities.<br />
The amount <strong>of</strong> time that people wait for a Residential Care facility depends on their placement prioritization<br />
category in addition to a number <strong>of</strong> other factors such as whether the person is male or female, paying the<br />
basic or preferred rate, and whether they have specific needs when living in a. home (e.g. people with<br />
dementia who wander need a secure area to live). In addition, people may be placed in a home <strong>of</strong> their<br />
second or third choice and are waiting for their home <strong>of</strong> first choice. People waiting to transfer to their first<br />
choice home from another residential care facility within the <strong>Mission</strong> <strong>District</strong> appear to be waiting for newer<br />
homes, or homes that <strong>of</strong>fer a continuum <strong>of</strong> care where more options may be available for spouses to reside in<br />
the same vicinity as a loved one.<br />
4-A.7 Overall Commtunity-baed Health Service Provider Findings<br />
Services and funding were two common areas relevant to multiple community-based service providers, so<br />
these are discussed in detail below.<br />
4..4.7.1 Services<br />
A review <strong>of</strong> the following findings from the health service provider survey gives insight on the alignment <strong>of</strong><br />
services with the needs <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> area residents today and in the future.<br />
• The most frequently reported services provided by each Health Service Provider included:<br />
• Information" (63% <strong>of</strong> respondents)<br />
• Health Promotion/ Disease Prevention (63% <strong>of</strong> respondents)<br />
• Referral (56% <strong>of</strong> respondents)<br />
• Mental Health (56% <strong>of</strong> respondents)<br />
• Survey respondents were asked to indicate the Multi-Organizational Networks or Partnerships that<br />
they are part <strong>of</strong> for the provision <strong>of</strong> service. 75% <strong>of</strong> the respondents reported belonging to Networks or<br />
Partnerships for the delivery <strong>of</strong> care, less four missing values.<br />
• There is significant provision <strong>of</strong> service after regular business hours, evidenced by the following:<br />
• 33% indicated they are open in the evenings<br />
• 26% indicated they are open on weekends<br />
• 33% indicated they have some 24/7 services including on-call back-up<br />
• There was 1 missing value<br />
• With regards to capacity to serve the needs <strong>of</strong> consumers, many community service organizations<br />
(64%) currently maintain a wait list; there were two missing values. This indicates that there may be a<br />
capacity issue at many <strong>of</strong> these organizations, however, the methodology that community-based<br />
providers used to calculate waitlists should be analyzed in more detail to understand the full extent <strong>of</strong><br />
capacity issues.<br />
4.4..2 Fun6ing,<br />
For survey respondents that disclosed financial information (excluding FH Assisted Living), total funding<br />
ranged from $85,000 to $4,500,000. The following table shows a comparison <strong>of</strong> total funding and number <strong>of</strong><br />
respondent community service provider organizations (43% <strong>of</strong> the respondents did not include their total<br />
funding):<br />
53 Provision <strong>of</strong> information about health services and/or health issues. Information can be provided by telephone, online or in written form.<br />
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Table <strong>19</strong>: Approximate Funding <strong>of</strong> Respondents<br />
Approximate Total Funding (all sources)<br />
Less than $200,000<br />
$200,000 to $500,000<br />
$900,000 to $1 million<br />
$1 million to $2 million<br />
$3 million to $5 million<br />
Source: Health Service Provider Survey Results, 2008<br />
Number <strong>of</strong> <strong>Mission</strong> Health Service Providers<br />
2<br />
2<br />
0<br />
2<br />
2<br />
The table above shows half <strong>of</strong> community provider organizations operating with less than $500,000, indicating<br />
many <strong>of</strong> the <strong>Mission</strong> providers are quite small organizations with funding ranging from $85,000 to $430,000.<br />
The largest organizations are operated by Fraser Health with funding between $1.2 million and $4.5million.<br />
In addition to funding from Fraser Health, other funding sources identified most frequently by community<br />
service providers included:<br />
• BC Ministry <strong>of</strong> Health Services (18%)<br />
• BC Housing (6%)<br />
• <strong>District</strong> <strong>of</strong> <strong>Mission</strong> (12%)<br />
• Federal Government (6%)<br />
• Fundraising (18%)<br />
• Ministry <strong>of</strong> Children and Family Development (18%)<br />
• Ministry <strong>of</strong> Education (6%)<br />
• Private dollars (6%)<br />
• Other (18%)<br />
This data provides insight on one dimension <strong>of</strong> risk to which the community-based organizations are<br />
vulnerable. The number <strong>of</strong> agencies relying on fundraising, to support service delivery is troublesome as these<br />
streams <strong>of</strong> funding are not guaranteed and generally must be renewed annually. Furthermore this data<br />
demonstrates the importance <strong>of</strong> the partnership between the Fraser Health and the municipality. Further<br />
examination <strong>of</strong> the funding issue will be necessary to ensure that mitigation strategies are in place given the<br />
tenuous nature <strong>of</strong> the funding streams for some agencies. Per capita spending is one measure to assess the<br />
distribution <strong>of</strong> funding ...<br />
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4.5 Key Findings: Liommunit Engagement<br />
4.5.1 Public Community Engagement Findings<br />
Participants were asked to comment on access challenges for health services in each <strong>of</strong> the four life cycle age<br />
groups. The following summarizes the major themes heard from public community engagement participants<br />
4.5.2 Mothers & Babies<br />
When asked what is working well in <strong>Mission</strong> in terms <strong>of</strong> available services and supports that promote and<br />
maintain the wellbeing <strong>of</strong> mothers and babies, attendees at the public sessions stated that the Public Health<br />
Unit is doing a good job in terms <strong>of</strong> running prenatal classes, the baby clinic, the immunization program, and<br />
home evaluation by nurses on baby's health. Respondents also mentioned that the public health unit was a<br />
good place for mothers to connect with one another. Other comments around the services that promote the<br />
well being <strong>of</strong> mothers and babies included the high-school daycare program, recreation centre activities and<br />
care within First Nations community. The Gospel <strong>Mission</strong> was found to be a good source as it provides low<br />
income mothers with formula and diapers. The Babies Best Chance program provides mothers with education<br />
related to health promotion and disease/ injury prevention. The Friendship Centre <strong>of</strong>fers awareness and<br />
provides information on health programs and other available resources for mothers and babies. The Head<br />
Start program, run by Stolo Health, is excellent however the spaces are limited. The Transition House for<br />
crisis mothers was also noted as being a good program for mothers and babies despite separating families.<br />
Attendees also noted that there are many health enabling programs for mothers and babies, many <strong>of</strong> which<br />
are unknown or are located in Abbotsford.<br />
When asked what is not working well in <strong>Mission</strong> in terms <strong>of</strong> promoting and maintaining the wellbeing <strong>of</strong><br />
mothers and babies, the attendees stated that there is a lack <strong>of</strong> awareness regarding available services and<br />
no point <strong>of</strong> contact to obtain information. Attendees also stated that there is limited access to multidisciplinary<br />
care including Obstetricians and nurses in the community. Some individuals reported transportation<br />
challenges in seeking care outside <strong>of</strong> the community resulting in decreased access by some women. There<br />
were also a few comments surrounding the high costs <strong>of</strong> prenatal care, baby food, transportation and shelter<br />
that pose challenges to low income families.<br />
4.5.3 Chiidrer. & Youth<br />
When asked what is working well in <strong>Mission</strong> in terms <strong>of</strong> available services and supports that promote and<br />
maintain the wellbeing <strong>of</strong> children and youth, the attendees identified the immunization programs within<br />
schools, the Strong Start program, the pre school literacy program that also encourages adult literacy, all day<br />
kindergarten to the Aboriginal community, the public library program, and the recreation centre especially in<br />
terms <strong>of</strong> low income children and youth. Other programs include dry grads, church youth groups, cubs and<br />
scouts, camp Jubilee programs for kids in trouble, skate-board park, school programs. The crisis team dealing<br />
with suicidal teens was cited, however this service is not well known or well advertised. Overall there are good<br />
community programs for children and youth with special care needs. A compete list <strong>of</strong> services identified at<br />
the consultation event is published separately in the Technical Appendix to this project.<br />
When asked what is not working well in <strong>Mission</strong> in terms <strong>of</strong> promoting and maintaining the wellbeing <strong>of</strong><br />
children and youth the public forums identified access to fitness, facilities and programs for rural individuals,<br />
transportation for services, cost for programs, limited availability <strong>of</strong> Mental Health & Addiction services, and<br />
lack <strong>of</strong> awareness <strong>of</strong> available services as issues. Other weaknesses included parenting skills training, limited<br />
community supports, lack <strong>of</strong> health services, lack <strong>of</strong> community based specialists, outreach and beds, as well<br />
as limited police enforcement.<br />
It has also been identified that there are long wait list for designating a child with special needs, once the child<br />
is designated there are many supports available but getting designated is a challenge.<br />
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4.5.4 Adults<br />
When asked what is working well in <strong>Mission</strong> in terms <strong>of</strong> available services and supports that promote and<br />
maintain the wellbeing <strong>of</strong> adults, the public forum identified the lab services that include instant blood tests and<br />
facilities that are open 24/7. Other good programs include Lydia House for addicts, community living for those<br />
with special needs, the recreation centre wellness programs for low income adults, parks, and a neighbourly<br />
downtown area. One individual commented on the availability <strong>of</strong> transportation including the West Coast<br />
Express (Monday to Friday) with the West Coast Bus on the weekends. The <strong>Mission</strong> Clubhouse provides<br />
information as well as some good programs and is a good meeting forum for adults. <strong>Mission</strong> Association for<br />
Community Living supports adults with mental health issues, the Red Card program, and the 24/7 crisis line.<br />
One individual also commented that the <strong>Mission</strong> Memorial Hospital (MMH) emergency department is quite<br />
good.<br />
When asked what is not working well in <strong>Mission</strong> in terms <strong>of</strong> promoting and maintaining the wellbeing <strong>of</strong> adults<br />
the public identified that there is a lack <strong>of</strong> physicians in the community and therefore it is hard to be linked with<br />
a Family Physician. There is a lack <strong>of</strong> services, diagnostics, beds, urgent care, ED backup and specialists at<br />
<strong>Mission</strong> Memorial Hospital. <strong>Mission</strong> area residents cannot access certain health services after hours.<br />
Awareness in terms <strong>of</strong> available services also seems to be a challenge. Transportation issues were noted as a<br />
reason for decreased access to services. The community has decreased mental health & addiction services<br />
and supports despite the growing mental health and addictions needs. There also was a sense <strong>of</strong> a lack <strong>of</strong><br />
integration and communication amongst providers.<br />
4.5.5 Seniors<br />
When asked what is working well in <strong>Mission</strong> in terms <strong>of</strong> available services and supports that promote and<br />
maintain the wellbeing <strong>of</strong> seniors, the attendees identified two excellent residential care facilities, the assisted<br />
living facility (however, there is a one year wait for public space), and Meals-on-Wheels (however, it is only run<br />
three days a week and little time is spent with the individuals). Other programs included home support for<br />
those unable to bathe, seniors clinic with access to a Geriatrician (however, this clinic is only run two days a<br />
week). Participants also cited a small volunteer force, adult day care at Pleasant View, community based<br />
activities/celebrations, a Hospital Liaison Officer, and mental health programs through the Friendship Centre<br />
as helpful services.<br />
When asked what is not working well in <strong>Mission</strong> in terms <strong>of</strong> promoting and maintaining the wellbeing <strong>of</strong><br />
seniors, the participants stated that there are long wait-times for healthcare services, limited residential care/<br />
assisted living space, limited home supports especially for residents living in the rural areas (a portion <strong>of</strong> the<br />
allotted time per individual is used towards the commute for rural clients). There is also limited specialized<br />
senior care and services, limited awareness <strong>of</strong> services and/or an ability to navigate through the system, lack<br />
<strong>of</strong> ethnic food in hospitals, and some reported language barriers and cultural sensitivity as being an issue.<br />
Transportation issues were also noted as a significant barrier to accessing services.<br />
4.5.6 From the perspective <strong>of</strong> all life cycles<br />
When presented with the question, what are the top five health enabling services and supports that must be<br />
provided within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> the public identified transportation, housing (specifically for seniors),<br />
navigation and awareness <strong>of</strong> available services, mental health services, and a community health centre with a<br />
multidisciplinary approach.<br />
The full report <strong>of</strong> the public community engagement events is published separately in the Technical Appendix<br />
to this project.<br />
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4.5.7 Health Service Provider Community Engagement Findings<br />
According to the health service providers present at the session, challenges <strong>of</strong> accessing health services in<br />
<strong>Mission</strong> included a lack <strong>of</strong> awareness <strong>of</strong> available services including a lack <strong>of</strong> navigation through the system,<br />
transportation challenges, limited HandyDART capacity, and limited bus service in rural areas. It was also<br />
perceived that there is a lack <strong>of</strong> communication and integration among programs and health service providers.<br />
Other perceptions included limited health services in terms <strong>of</strong> mental health, providers working in silos, lack <strong>of</strong><br />
primary care physicians (especially with existing doctors not accepting new patients), and no specialists in the<br />
community. In terms <strong>of</strong> mental health services, <strong>Mission</strong> has a by-law against needle exchange which has led<br />
to an increase in Hepatitis C. Also there is a by-law against methadone clinics which is an important<br />
component <strong>of</strong> mental health and addictions treatment. There are no psychiatry clinics or visiting psychiatrists<br />
in the community. Some community services exist but provision is downtown which presents access issues for<br />
the effected mental health and addictions community as well as challenges for some local business.<br />
When asked what opportunities exist to improve the health and well being <strong>of</strong> <strong>Mission</strong> area residents, the<br />
respondents identified neighbourhood hubs <strong>of</strong> services or collocation <strong>of</strong> services that would facilitate<br />
partnerships between providers and enhance communication. This integration <strong>of</strong> providers could also be<br />
supported by an electronic health record. Physicians also identified that they must be paid in such a way that<br />
does not provide a disincentive for them to integrate care amongst other providers. Participants also<br />
discussed an opportunity to enhance the awareness <strong>of</strong> available programs within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> by<br />
developing a community wide repository <strong>of</strong> health enabling services. This repository could have some sort <strong>of</strong><br />
search capabilities that would allow health providers as well as the members <strong>of</strong> the public to obtain information<br />
about available services within the community.<br />
Another significant item for discussion was the need for appropriate housing and programs for seniors. An<br />
opportunity to improve the well-being <strong>of</strong> seniors could be the development <strong>of</strong> a Campus <strong>of</strong> Care for seniors<br />
that would allow seniors to live in the community despite their changing care needs. The Campus <strong>of</strong> Care<br />
includes independent housing, assisted living housing and complex care beds. The Campus <strong>of</strong> Care could<br />
house adult day programs as well as a children's day care with the potential for some seniors to volunteer at<br />
the day care.<br />
With regards to the large number <strong>of</strong> CTAS 4 and 5 cases seen in the emergency department it was suggested<br />
that an alternate care model be development to ensure that the individuals requiring non-urgent care can seek<br />
care from a provider other then the emergency department.<br />
It was also suggested that the transportation system be enhanced to ensure access within <strong>Mission</strong>, especially<br />
for rural residents and for individuals requiring to travel outside the community to receive care. Another option<br />
service the rural population included outreach and a health-mobile.<br />
There were some comments made about opportunities to enhance the Meals <strong>of</strong> Wheels program more than<br />
three days a week and to introduce more programs and activities for children and youth.<br />
The participants were then asked to identify the health services that are required for the rural areas <strong>of</strong> the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong>. In addition to the above, suggestions included home care and in-home support, Meals on<br />
Wheels, Mental Health & Addiction services, better transportation capabilities, help with navigation through the<br />
system despite constraints, better supports for families, nutritional programs geared to at risk populations such<br />
as those with diabetes, screening and outreach.<br />
When the health service providers were asked to identify the three highest priority health services that are<br />
currently accessed outside <strong>Mission</strong> that should be provided locally, they answered with a multidisciplinary<br />
clinic such as a polyclinic that included services that focus on senior care, mental health & addiction services,<br />
and prenatal and post maternity care.<br />
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5 Synthesis <strong>of</strong> the Key Findings<br />
The following is a summary <strong>of</strong> the key drivers <strong>of</strong> the recommended options based on the information gathered<br />
from the leading practices, quantitative data, and qualitative information.<br />
5.1 Leading Practices<br />
5.1.1 Practices in services and service delivery:<br />
The synthesis <strong>of</strong> the leading practice findings are focused at the health system level, but a number <strong>of</strong> the<br />
findings from the program and population level support the following:<br />
• Expanded role <strong>of</strong> primary healthcare and group practices through collocation and networks,<br />
• Link patients to a polyclinic or integrated health network,<br />
• Shift to community-based services with a focus on reducing the number <strong>of</strong> acute inpatient beds,<br />
• Increased focus on promotion, prevention and the management <strong>of</strong> chronic diseases,<br />
• Localize where possible, centralize where necessary,<br />
• Increased use <strong>of</strong> self management,<br />
• Enhance care coordination and system performance,<br />
• Intensive case management for complex clients and case manage high risk patients,<br />
• Increased focus on service delivery during the evenings and weekends — access to health services<br />
needs to be provided in the community outside <strong>of</strong> business hours but not a 24/7 operation,<br />
• Utilize telemedicine, Tele-homecare including tele-psychiatry and EMR, and<br />
• Increased emphasis on culturally competent service delivery.<br />
5.1.2 Practices in providers working for a common goal:<br />
From the literature, the transformation <strong>of</strong> the health system requires providers to work differently and the<br />
following synthesizes the key findings, including:<br />
• Greater integration across providers and sectors to improve quality and access at reduced costs<br />
• Increased use <strong>of</strong> tele-homecare and telemedicine technology,<br />
• Greater focus on ensuring that the right resource is providing the services by maximizing the use <strong>of</strong><br />
inter-pr<strong>of</strong>essional care, and<br />
• Health sector leading partnerships with other sectors to influence social and environmental factors<br />
that influence health.<br />
5.2 Population, Demographic, Health Status<br />
These finding summarize the overall health and demographic pr<strong>of</strong>ile <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>:<br />
• Overall the residents <strong>of</strong> <strong>Mission</strong> enjoy relatively good health,<br />
• <strong>Mission</strong>'s population distribution is younger than that <strong>of</strong> the province with almost 63% <strong>of</strong> residents<br />
under the age <strong>of</strong> 45 years compared to 57% for the province,<br />
• In 2008 10.9% <strong>of</strong> the population is over 65, however in ten years this number will grow to nearly 14%<br />
implying that the current service delivery models will not meet the shift in demand for associated<br />
services,<br />
• Population has increased significantly by10.3% from 2001 to 2006 and is expected to increase by<br />
24% over the next ten years (i.e. 2008 to 2018),<br />
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• Most <strong>of</strong> <strong>Mission</strong> residents live in the urban centre however, 20% <strong>of</strong> the total population live in rural<br />
areas <strong>of</strong> the <strong>District</strong>,<br />
• <strong>Mission</strong> ranks poorly on such indicators as life expectancy, breast cancer screenings, as well as<br />
reproductive and infant health including low birth weight babies and teen pregnancy,<br />
• As per the self-reported survey, more people in <strong>Mission</strong> smoke, consume alcohol, and engage in long<br />
periods <strong>of</strong> sedentary activities, such as watching television, than in the rest <strong>of</strong> the province, These<br />
practices represent known risk factors for a myriad <strong>of</strong> conditions that reduce an individual's health<br />
status and precipitate health service utilization,<br />
• <strong>Mission</strong> has a significantly higher prevalence <strong>of</strong> obesity with over half <strong>of</strong> all residents reporting<br />
themselves in the overweight and obese ranges. This will have a significant impact on the future<br />
health delivery system as obesity has been linked to diabetes mellitus, hypertension, cardiovascular<br />
disease and certain types <strong>of</strong> cancers,<br />
• <strong>Mission</strong> has a significantly higher proportion <strong>of</strong> low birth weight babies, premature births per 1000, and<br />
infant mortality,<br />
• Age adjusted mortality rates for <strong>Mission</strong> show that higher rates <strong>of</strong> death occur before age 65 from that<br />
<strong>of</strong> the rest <strong>of</strong> the province. The major causes <strong>of</strong> death were as a result <strong>of</strong> cancers, diseases <strong>of</strong> the<br />
circulatory system, diseases <strong>of</strong> the respiratory system, external causes <strong>of</strong> death (e.g. accidents), and<br />
diseases <strong>of</strong> the digestive system. The implications <strong>of</strong> these higher mortality rates, for health planning<br />
are higher demand for health services,<br />
• The education levels and median income levels are consistent with the province overall and the<br />
incidence <strong>of</strong> families living in poverty is lower than provincial figures, and<br />
• Ethno-cultural diversity is lower in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>; however there are some 15% <strong>of</strong> residents<br />
who are immigrants to Canada. Two thirds <strong>of</strong> the immigrant population is <strong>of</strong> South Asian origin. Ethnocultural<br />
diversity presents access challenges to healthcare delivery in terms <strong>of</strong> language and cultural<br />
barriers.<br />
5.3 Service Utilization<br />
The following summaries the key findings with respect to how residents access service and the approach to<br />
delivery <strong>of</strong> services, including<br />
• <strong>Mission</strong> residents received nearly 31% <strong>of</strong> their acute care services at <strong>Mission</strong> Memorial while another<br />
46.4% was received at MSA General Hospital (36.2%) and Ridge Meadows (10.2%). Therefore,<br />
nearly 80% <strong>of</strong> acute services are received within Fraser East, however, travel is required to access<br />
such services,<br />
• <strong>Mission</strong> residents have a higher hospitalization rate in comparison to that <strong>of</strong> the province, yet are<br />
considered to be relatively healthy by comparison. Thus residents are not deterred from travelling to<br />
access services. The reasons for the higher rate require further investigation,<br />
• Acute inpatient care at <strong>Mission</strong> Memorial has experienced only a margin increase in cases, but a<br />
significant increase in both patient days and average length <strong>of</strong> stay. This means that only a few more<br />
patients are entering hospital but they are staying longer. The reason for the increase in length <strong>of</strong> stay<br />
requires further investigation,<br />
• <strong>Mission</strong> has fewer general practitioners per capital than the province overall,<br />
• <strong>Mission</strong> has no specialists within the community and fewer supplementary benefit practitioners.<br />
Specialist services are provided by "visiting specialists",<br />
• There are no inpatient rehabilitation facilities within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>,<br />
• <strong>Mission</strong> has a higher proportion <strong>of</strong> assisted living beds but a lower proportion <strong>of</strong> residential care beds,<br />
• The average wait time for placement in a residential care bed from the community is 35 days; for<br />
hospital discharges it is 20 days. As <strong>of</strong> August 2008 there were 23 clients awaiting placement to<br />
residential care facilities,<br />
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• <strong>Mission</strong> will require an additional 24 residential care beds by 2015 to accommodate the predicted<br />
growth in demand,<br />
• Key findings on community-based services are extremely limited due to the weak response to the<br />
survey and very limited centrally collected data.<br />
• Over 50% <strong>of</strong> patients presenting at <strong>Mission</strong> Memorial Hospital Emergency Department are classified'<br />
as "less-urgent" or "non-urgent". This statistic may be related to the lower than average number <strong>of</strong><br />
General Practitioners per capita in the community. A health plan should look at alternative community<br />
resources for these types <strong>of</strong> cases.<br />
5.4 Community Engagement<br />
The following is a synthesis <strong>of</strong> the key !earnings from the seven community engagement events.<br />
• Members <strong>of</strong> the public and providers are passionate about healthcare and the services in their<br />
community,<br />
• Mental Health and addictions services were identified as having a significant gaps across all<br />
populations by both the public and the providers,<br />
• Transportation to health services was identified as an inhibitor to the public assessing necessary<br />
services across the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> and across all populations,<br />
• Both members <strong>of</strong> the public and the providers identified a lack <strong>of</strong> awareness <strong>of</strong> available services<br />
across all populations, service categories, as well as across the <strong>District</strong>,<br />
• Housing and care for Seniors through a "campus <strong>of</strong> care for seniors" was identified as a priority by<br />
both the public and the providers,<br />
• Transition housing and care for addicts and <strong>of</strong>fenders was identified as lacking. The public indicated<br />
that re-siting <strong>of</strong> these services was important so that they are not clustered in the downtown core with<br />
a negative impact on business, and<br />
• Multidisciplinary care (polyclinic) was discussed by both the public and providers as a convenient and<br />
easily accessible delivery concept for many health services.<br />
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6 Recommendations: Options for<br />
Implementation<br />
The following options were developed based on key findings obtained from the leading practices research,<br />
data analysis, public and health service provider engagement events, public survey and the health service<br />
provider survey as described in detail in the sections above. The draft options were validated with the Steering<br />
Committee which is made up <strong>of</strong> personnel from both Fraser Health and the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. The options<br />
were later validated with the public and the health service providers before they were finalized for the inclusion<br />
in this report.<br />
Figure <strong>19</strong>: Option Development Process<br />
Public & Provider<br />
Consultation Events<br />
Data Analysis<br />
Public Survey<br />
Leading Practice<br />
Research<br />
Health Service<br />
Provider Survey<br />
Steering Committee<br />
Validation<br />
Public Validation<br />
Health Service<br />
Provider Validation<br />
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6.1 Alignment <strong>of</strong> Options<br />
The options that follow are aligned with the visions <strong>of</strong> the Ministry <strong>of</strong> Health Services, <strong>District</strong> <strong>of</strong> <strong>Mission</strong> as<br />
well as the vision and goals <strong>of</strong> Fraser Health.<br />
Ministry <strong>of</strong>-Health Services Vision:<br />
"A health system that supports people to stay healthy, and when they are sick provides high<br />
quality publicly funded health care services that meet their needs."<br />
<strong>District</strong>:<strong>of</strong> <strong>Mission</strong> Vision:<br />
To build a safe, healthy and inclusive community, abundant in economic, recreational and cultural<br />
opportunities.<br />
Fraser Health Vision:<br />
Fraser Health's Goals Include:<br />
• A healthier population,<br />
Better Health, Best in-Health Care<br />
• A sustainable, responsive, high quality, well integrated health system <strong>of</strong>fering<br />
equitable access to care,<br />
• A health care system that's focused on the needs <strong>of</strong> patients, clients and residents,<br />
and<br />
• A safe place for our employees and physicians to provide care and services.<br />
The options for implementation are based on two fundamental components: community based services, and<br />
acute care services. These are aligned with the values and/ or goals <strong>of</strong> the Ministry <strong>of</strong> Health Services, the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> and Fraser Health, as well as the concept <strong>of</strong> integration at the system, geographic area and<br />
community levels. The working definition for integration states:<br />
An Integrated Health System is defined as "a network <strong>of</strong> organizations that provides or arranges to provide a<br />
coordinated continuum <strong>of</strong> services to a defined population and is held clinically and fiscally accountable for the<br />
outcomes and health status <strong>of</strong> the population served.'<br />
Shortell et al. further described the critical components <strong>of</strong> integration as follows:<br />
• Developing clinical protocols, pathways, and case management systems;<br />
• Linking cross-institutional clinical services for programs for cardiovascular care, oncology care,<br />
behavioral medicine, and women's health;<br />
• Accelerating clinical applications <strong>of</strong> continuous quality improvement and expansion to the entire<br />
continuum <strong>of</strong> care;<br />
54 Shortell, S.M., Gillies, R.R., & Anderson, D. (<strong>19</strong>94). The new world <strong>of</strong> managed care: Creating organized delivery systems. Health Affairs. 13:5 p. 46.<br />
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• Developing and validating outcome measures and other methods <strong>of</strong> evaluating performance through<br />
the use <strong>of</strong> balanced scorecards;<br />
• Shifting the focus from acute inpatient care to community based care;<br />
• Consolidating community programs and services;<br />
• Expanding the number <strong>of</strong> primary health care providers; and<br />
• Accelerating the growth <strong>of</strong> group practices for primary and specialty group practices.'<br />
6.2 Aspiration for the Health System within <strong>Mission</strong><br />
The health system within <strong>Mission</strong> is fundamentally linked to that <strong>of</strong> Fraser East, Fraser Health and to those<br />
services that may be available in only one location in the province due to their highly specialized nature. Thus<br />
the health system within <strong>Mission</strong> is not an island unto itself and must be integrated with those required<br />
services that are beyond the regional boundaries <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. There is a lack <strong>of</strong> awareness <strong>of</strong><br />
available services at the local level, however awareness <strong>of</strong> services outside <strong>of</strong> <strong>Mission</strong> appears to be equally<br />
lacking. Therefore, it is incumbent upon the health service leaders to increase awareness through the service<br />
directory (an option discussed later) and then to develop strong linkages to services that are required by the<br />
residents <strong>of</strong> <strong>Mission</strong> as well as processes <strong>of</strong> access through referral, and potentially telemedicine.<br />
The health system needs to proactively link to the other service providers across the social determinants <strong>of</strong><br />
health, including education, social services and justice to name a few <strong>of</strong> the key players in <strong>Mission</strong>. This<br />
leadership will be critical to support the community health plan for the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. To address the<br />
needs <strong>of</strong> the community it was clearly recognized that the solutions were beyond healthcare, Fraser Health<br />
and the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. However, given the focus on the Community Health Plan it is incumbent upon<br />
Fraser Health and the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> to take on a leadership role in this area.<br />
Community-based Services:<br />
Community based health services, and particularly primary health care, are envisioned to be the first point <strong>of</strong><br />
contact for the residents <strong>of</strong> <strong>Mission</strong>, as well as ongoing support in staying out <strong>of</strong> specialized accommodation<br />
for as long as possible. The goal is to provide more services which support health and well-being closer to<br />
where people live, including promotion and prevention. The health service providers <strong>of</strong> <strong>Mission</strong> need to deliver<br />
services in a more coordinated and integrated fashion to provide a more positive experience and influence<br />
better outcomes across the continuum <strong>of</strong> care.<br />
Community-based health service providers should become the central point <strong>of</strong> contact for health services in<br />
the future and thus will require supporting infrastructure and the willingness to collaborate in making the<br />
transition. At the community-based provider level a more integrated approach to service delivery is <strong>of</strong><br />
paramount importance, as a more comprehensive approach across the continuum <strong>of</strong> care is needed to better<br />
address the needs <strong>of</strong> citizens. This includes better linkages and possible co-location <strong>of</strong> primary care providers<br />
including those involved with child and youth mental health services. In addition, one <strong>of</strong> the fundamental<br />
performance targets should be a focus on independent living, as residential care homes should be the<br />
destination <strong>of</strong> last resort. Community-based health service providers need to enhance their capacity to<br />
improve access to services but also to mitigate the demand for acute care.<br />
Certainly, as the population ages and grows, and as people live longer, many will acquire multiple<br />
morbidities/chronic conditions that need management. Not only does the capacity <strong>of</strong> community services<br />
(e.g. home care, # <strong>of</strong> psychiatrists, etc.) need to expand to address this demand, but the response needs to<br />
be configured differently than it has been in the past, more integrated and comprehensive, to tap the full<br />
potential <strong>of</strong> community-based services.<br />
Acute Care Services:<br />
Based on comments received through the public and provider consultation events and surveys, it is clear that<br />
<strong>Mission</strong> Memorial Hospital (MMH) plays a significant role in the community. Not only does MMH provide<br />
55 Shorten, S.M., Gillies, R.R., & Anderson, D. (<strong>19</strong>94). The new world <strong>of</strong> managed care: Creating organized delivery systems. Health Affairs. 13:5 p. 46.<br />
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health care services but it is also a place <strong>of</strong> employment for many. Community members feel a sense <strong>of</strong><br />
ownership for the hospital and many support it through various volunteer activities. There is no doubt that<br />
MMH has an integral role within the community.<br />
<strong>Mission</strong> Memorial Hospital has a complementary role to community based and specialized hospital care by<br />
providing ambulatory and inpatient services to prevent, manage or treat chronic disease and acute episodes<br />
closer to the homes <strong>of</strong> <strong>Mission</strong> area residents. Providing these ambulatory services within the community<br />
eliminates the need for lengthy travel for the patients, and potential need for admission as a consequence <strong>of</strong><br />
travel logistics, as well as it provides quicker treatment or diagnosis for the patient.<br />
<strong>Mission</strong> Memorial Hospital is also positioned to provide intermediate inpatient care for clients that are too ill to<br />
be cared for at home but who do not require the specialized skills and equipment that is available at more<br />
specialized hospitals such as Abbotsford Regional Hospital. Care within the community has many advantages<br />
but most importantly maintaining the community link for the patients and their families is key especially for the<br />
frail elderly at risk for functional deterioration.<br />
The acute care services at <strong>Mission</strong> Memorial Hospital will continually evolve in order to meet the care needs <strong>of</strong><br />
<strong>Mission</strong> area residents, based on ongoing population based planning for Fraser East. It is important to note<br />
that a more detailed analysis is required to define the role <strong>of</strong> <strong>Mission</strong> Memorial Hospital, however potential<br />
services appropriate for community hospitals could include:<br />
• Minor surgical procedures provided by local General Physicians or visiting specialist,<br />
• Pre-admission services including surgical preparation such as blood work and other necessary<br />
intervention prior to admission to a larger hospitals such as those in Abbotsford or Vancouver,<br />
• Post-operative inpatient care, rehabilitation or follow up for those individual that are not well enough to<br />
be discharged home yet do not required the highly specialized care <strong>of</strong> a tertiary hospital,<br />
• Diagnostics for example ultrasound and X-ray, as well as microbiology and cytopathology testing,<br />
• Adult day care and rehabilitation programs that support people who are living in the community,<br />
• Clinics for travelling specialists such as a psychiatrists, paediatricians or obstetricians,<br />
• Emergency services for seriously ill patients not requiring the highly specialized care <strong>of</strong> a larger acute<br />
centre,<br />
• Stabilising the patient prior to being transferred to a specialised tertiary hospital, antepartum care for<br />
higher risk pregnancies;<br />
• Urgent care for individuals with non-life threatening illnesses or injuries (e.g. allergies, asthma, broken<br />
bones, sprains and strains, cuts, minor burns, infections, pain) thereby reducing the dependence on<br />
the emergency department for non-emergent care, and<br />
• Telemedicine to access specialist care within the community. Given the lack <strong>of</strong> specialists and other<br />
health pr<strong>of</strong>essionals in the community and the resulting access issues for patients who have to travel,<br />
it is recommended that through partnerships with other facilities, the telemedicine capability that is<br />
currently available at <strong>Mission</strong> Memorial Hospital be utilized more frequently. The enhanced use <strong>of</strong><br />
telemedicine may promote access to specialist care within the community.<br />
It is important that <strong>Mission</strong> Memorial Hospital ensure that processes are in place for effective and efficient<br />
transfer from <strong>Mission</strong> to the other key transfer hospitals in Fraser East, Fraser Health and Vancouver.<br />
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Options<br />
The options, along with some supporting references, are described in the tables below. (It should be noted<br />
that the numbering does not reflect prioritization.)<br />
Option 1 — Tele-homecare (including Tele-psychiatry)<br />
The use <strong>of</strong> new technologies to provide rural in-home healthcare for the provision <strong>of</strong> disease<br />
monitoring and management, patient support, and education. Tele-homecare visits may include the<br />
following service provision via telephone, two-way voice and video conferencing:<br />
• Patient consultation<br />
• Clinical instruction and education to the patient and or their caregiver.<br />
• Physical assessment <strong>of</strong> the patient's heart, lung and bowel sounds<br />
• Obtaining vital signs such as blood pressure and pulse. blood oxygen saturation, temperature,<br />
breath sound auscultation<br />
• Other clinical data such as blood glucose, lung capacity, patient's weight, EKG<br />
This Tele-homecare capability provides benefits to the patients and to the health providers including:<br />
Benefit to the Patient<br />
The Tele-homecare patient gets to stay at home as opposed to traveling to a health facility.<br />
• Patient access to health services within their homes reduces travel time and costs for patients and<br />
families especially in rural locations.<br />
The Tele-homecare patient is empowered to manage his/her health needs.<br />
• Tele-homecare monitoring <strong>of</strong> patients helps them to remember needs that are specific to them.<br />
For example, a patient who must take medication daily can receive a reminder "visit" from his<br />
home health provider to reinforce daily routines, such as taking medication.<br />
• • Clinical trials in Pennsylvania show that patients learned to better manage their health. "They<br />
bring the log they use to record blood sugars to share during the video visit. Others bring the<br />
diabetic education packet given to them on admission.<br />
• Tele-homecare facilitates independent living.<br />
• The Tele-homecare patient receives increased emotional support.<br />
• A Telemedicine Today article notes that <strong>of</strong>ten, "patients suffering from chronic diseases enter the<br />
hospital because they crave the emotional support and company that they may lack at home.<br />
Video visits from nurses, nutritionists, social workers, and physicians can provide that support far<br />
more cost effectively than hospital admissions can."<br />
• Virtual visits usually allow face-to-face contact, which enhances the nurse-patient relationship.<br />
Clinical trials in Pennsylvania reveal patients look forward to the virtual visits. "In anticipation <strong>of</strong><br />
being seen on video, most patients prepare for the video visit with more elaborate grooming.<br />
Patients style their hair and women apply cosmetics to enhance their video appearance."<br />
The Tele-homecare patient experiences a decrease in home care costs.<br />
• Tele-homecare patients have experienced a decrease in cost <strong>of</strong> home care. This has been shown<br />
in numerous studies. However, cost also has been an issue that has deterred some providers<br />
from embarking on Tele-homecare, especially since reimbursement for such services is limited.<br />
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• Benefits for Providers<br />
The home health care provider is more productive through Tele-homecare than with traditional home<br />
visits.<br />
• Tele-homecare allows providers to see more patients in a shorter amount <strong>of</strong> time. For example,<br />
Tele-homecare visits across the United States have averaged 18 minutes; whereas the traditional<br />
home visit averages 45 minutes.<br />
• Nurses literally can perform 15 to 20 "virtual visits" a day. Traditional home visits limit nurses to<br />
five visits a day.<br />
• Essentially, Tele-homecare reduces the number <strong>of</strong> trips a home health provider makes and makes<br />
those "virtual" visits more productive.<br />
• Tele-homecare allows health care providers to better monitor patients.<br />
• Several studies have shown Tele-homecare tools to assess the health conditions <strong>of</strong> patients<br />
before those conditions became dangerous.<br />
• Dr. Jay Sanders, Telemedicine Director at the Medical College <strong>of</strong> Georgia, notes, "Telemedicine<br />
home health care could save hospitals money by avoiding admissions and improving outcomes<br />
through early intervention."<br />
• Tele-homecare allows home health care providers to focus more on prevention, not rescue, a<br />
home health nurse maintains. Dr. Khalid Mahmud, a medical oncologist, says Tele-homecare "will<br />
enhance the ability to control the rate <strong>of</strong> disease progression. This should allow health care<br />
workers to fine-tune patient care so that their problems don't accumulate to serious levels between<br />
visits to the physician's <strong>of</strong>fice. It should reduce emergency visits and hospitalizations, and will<br />
become a very powerful instrument in health care."<br />
The Tele-homecare provider also experiences a decrease in cost <strong>of</strong> home care.<br />
• Tele-homecare providers have experienced decreases in home care costs. This has been shown<br />
in numerous studies and in various pilot projects. "<br />
• A report from the United States Council <strong>of</strong> Competitiveness suggests that the daily cost <strong>of</strong><br />
supporting a patient through home telemedicine is $US30, compared with $US74 for home visits,<br />
$US100 for nursing home care, and $US820 for inpatient hospital care."<br />
Source: htto://iml.iou.ufi.edu/proiects/Fa112000/Landers/benefits.htm<br />
Tele-homecare - United States<br />
Examples<br />
A Tele-homecare visit is defined as a two-way interactive audio-visual communication between a<br />
health care provider and a patient in his/her place <strong>of</strong> residence. The most commonly provided<br />
services include the provision <strong>of</strong> patient care, consultations, clinical instruction and education to the<br />
patient and or their caregiver. This "virtual" home visit involves the physical assessment <strong>of</strong> the<br />
patient's heart, lung and bowel sounds and obtaining vital signs such as blood pressure and pulse. At<br />
the present, some other parameters being measured and in various stages <strong>of</strong> implementation are<br />
blood oxygen saturation, blood glucose, lung capacity, patient's weight and temperature.<br />
Tele-homecare also involves a comprehensive patient/family health education program with a strong<br />
component <strong>of</strong> self-management <strong>of</strong> chronic illnesses. Topics like medication management,<br />
understanding the disease(s) process, home safety, nutrition and health promotion are taught to<br />
patients and their caregivers. Since many <strong>of</strong> these patients have advanced chronic illnesses, end <strong>of</strong><br />
life planning and emotional health issues are also part <strong>of</strong> the program.<br />
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Other, less complex, non-interactive technology may be used for the purposes <strong>of</strong> providing patients<br />
the opportunity to report, via Internet, modem or telephone, disease specific symptoms.<br />
Types <strong>of</strong> Patients<br />
Patients with advanced or end-stage chronic illnesses who live at a distance from the medical center<br />
are the primary target population for this program. In addition, those patients who historically have<br />
demonstrated a pattern <strong>of</strong> excessive healthcare utilization, due to many factors, are also projected to<br />
benefit from this technology.<br />
Types <strong>of</strong> Providers<br />
The most frequent provider <strong>of</strong> Tele-homecare is a registered nurse. Physicians, social workers,<br />
dieticians, therapists and other healthcare disciplines also use this technology depending on patient<br />
needs.<br />
Length <strong>of</strong> Visits<br />
Studies have proven a usual "virtual" home visit including documentation lasts from 20 to 30 minutes.<br />
Many <strong>of</strong> these visits also require additional time spent on behalf <strong>of</strong> the patient. Discussions with<br />
patient's primary care provider, contacting pharmacy or other services, and making referrals are some<br />
<strong>of</strong> these issues.<br />
Frequency <strong>of</strong> Visits<br />
Typically, one home visit is made to evaluate and instruct the patient in the Tele-homecare program.<br />
This home visit usually lasts about 2 to 3 hours. Travel time from the hospital to the patients home<br />
may be as long as 2 and a half hours one way. Following this initial home visits, "virtual" home visits<br />
are made on a weekly basis for a period <strong>of</strong> 2-3 months. Once the patient demonstrates the ability to<br />
manage his/her chronic illness the frequency <strong>of</strong> visits is reduced to twice or once per month. Patients<br />
may be discharged from the Tele-homecare program when the team, in conjunction with the patient's<br />
primary care provider, determine that maximum benefits have been reached<br />
Capital Investment<br />
Depending on the specific type <strong>of</strong> telemedicine equipment chosen, costs vary from $1,800 to $10,000.<br />
Additionally, Internet capability may have recurring monthly costs per patient ranging from $35 to<br />
$150. It should be noted that not all telemedicine equipment is interactive or has an electronic<br />
stethoscope and sphygmomanometer. The normal life expectancy for Tele-homecare equipment is 7<br />
to 10 years with upgrades every 3 years as the technology improves. Warranties are generally one<br />
year and extendable up to 3 years. Equipment is highly portable and can be relocated from one place<br />
<strong>of</strong> residence to another.<br />
Source: http://www1.va.qov/HCBC/paqe.cfm?pci=33<br />
Tele-psychiatry - United States<br />
Staff psychiatrists at Southwestern Virginia Mental Health Institute use the technology to provide<br />
follow-up care to mentally ill patients who have been treated in the hospital and then discharged into<br />
the care <strong>of</strong> the community service board in their community.<br />
The Appal-Link Network serves the poorest and most rural section <strong>of</strong> Virginia. A shortage <strong>of</strong><br />
psychiatrists (only one per 16,000 people) has contributed to a high relapse rate for chronically<br />
mentally ill patients residing here. Before this project began, the region had the highest hospitalization<br />
rate in the state<br />
Patients treated through the Appal-Link Network have chronic and severe mental illnesses, including<br />
major depressive disorder, schizophrenia, bipolar disorder, and schizoaffective disorder. The network<br />
•rovides an o• •ortuni for these •atients to remain in their communities while still receivin• lon•-term<br />
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medication management from the same psychiatrist. The project also uses the network for treatment<br />
planning conferences, discharge planning, family visits, and commitment hearings. Generally, the<br />
hospital treatment team and a case manager from the local community service board conduct a<br />
discharge planning conference with the patient over the network to introduce all the participants to the<br />
technology.<br />
By <strong>May</strong> <strong>19</strong>97, consortium members had conducted 1,023 medication management appointments over<br />
the Appal-Link Network, as well as 357 case conferences addressing treatment plans, 60 family visits,<br />
42 commitment hearings, and two forensic evaluations. The tele-psychiatry clinic currently follows 83<br />
patients.<br />
Source: www.raconline.orq/success/success details.php?success id=238<br />
Option 2 — Evolving Service Definition <strong>of</strong> <strong>Mission</strong> Memorial Hospital<br />
Optimize acute care services within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> by continually evolving the service<br />
definition <strong>of</strong> <strong>Mission</strong> Memorial Hospital.<br />
With consideration to:<br />
• Relocating services that can be accommodated within community settings (i.e. residential care)<br />
• Developing low acuity, high volume niches in appropriate ambulatory settings (e.g. low risk<br />
antenatal care, paediatrics and psychiatry)<br />
• Expanding services such as:<br />
■<br />
■<br />
■<br />
■<br />
■<br />
■<br />
■<br />
Clinics for specialists<br />
Minor surgical procedures<br />
Pre-admission services<br />
Post-operative inpatient care and follow-up<br />
Diagnostics,<br />
Urgent care,<br />
Telemedicine, etc.<br />
• Working with community-based service providers in the development <strong>of</strong> clinical pathways and<br />
performance metrics to ensure optimal service delivery<br />
• Faster diagnosis and treatment<br />
• Increased care within the community<br />
• Reduced travel and costs by providing non-life threatening services locally such as diagnostics,<br />
minor surgical procedures, pre-admission services and post-operative care, etc<br />
• Decreased dependence on the emergency department<br />
• Enhanced access to specialist care<br />
Expanding the vision <strong>of</strong> community hospitals - Scotland<br />
In urban settings there is still a need for local provision <strong>of</strong> services away from large acute and<br />
specialist hospitals. This may not include a need for inpatient beds depending on the identified needs<br />
<strong>of</strong> each area. Urban communit hosiitals have the •otential to make a real difference to local areas<br />
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with significant health needs.<br />
There is a growing number <strong>of</strong> such community-based centres in urban settings, for example:<br />
The Links Unit in Aberdeen City: a 24-bed urban community-based facility <strong>of</strong>fering GPs an altemative<br />
to admission to the acute sector for medically stable older people. It provides nurse-led, GPsupported<br />
care with a focus on the promotion <strong>of</strong> independence through rehabilitation and co-ordinated<br />
health and social care.<br />
The Leith Community Treatment Centre in Edinburgh provides healthcare for local people in the<br />
centre <strong>of</strong> their community. As well as providing a range <strong>of</strong> diagnostic services and outpatient clinics,<br />
including paediatrics, it also <strong>of</strong>fers rehabilitation assessment for older people and services such as<br />
dietetics, physiotherapy, midwifery and community dentistry. Co-located services include social work,<br />
psychiatric nursing, voluntary services and school nursing. There are no inpatient beds.<br />
Planned care<br />
Community hospitals will strengthen the primary-secondary care interface by providing intermediate<br />
care. They are well positioned to facilitate timely discharge <strong>of</strong> people from larger hospitals and to<br />
provide pre-admission and post-discharge care from these hospitals. Community hospital staff has an<br />
important role in supporting the proactive management <strong>of</strong> long-term conditions and the prevention <strong>of</strong><br />
crisis episodes.<br />
Admission to a large acute hospital can have adverse effects on individuals, especially older people,<br />
such as undermining personal confidence, and the dislocation <strong>of</strong> local support structures and family<br />
networks. Community hospitals <strong>of</strong>fer the ideal environment in which to provide care and treatment for<br />
patients with health needs who cannot be cared for at home, but who do not require the level <strong>of</strong><br />
specialist care provided in an acute hospital. By providing services more locally, it is anticipated that<br />
the length <strong>of</strong> admission might be shortened by the improved co-ordination <strong>of</strong> discharge planning and<br />
the positive effects <strong>of</strong> maintaining community links for the patient.<br />
In addition, community hospitals could provide more ambulatory services locally avoiding lengthy<br />
journeys for individuals and potentially preventing admissions to acute hospitals for diagnosis and<br />
treatment merely because <strong>of</strong> the logistics <strong>of</strong> travel.<br />
More specifically planned care services could include:<br />
(a) Day case surgery<br />
The vision <strong>of</strong> community-based services set out in Delivering for Health and the expansion <strong>of</strong> day<br />
case surgery now <strong>of</strong>fer opportunities for a greater number <strong>of</strong> planned surgical procedures to be<br />
carried out locally in a community hospital.<br />
Examples <strong>of</strong> day case surgery already being delivered are:<br />
• A day case vasectomy service at Kincardine Community Hospital in Stonehaven through a locally<br />
based accredited GP<br />
• Plastic surgery day case services such as melanoma removal at Brechin Community Hospital,<br />
provided by a visiting specialist plastic surgeon<br />
• Minor surgery services at many community hospitals provided by local GPs.<br />
(b) Pre-admission assessment and post-operative aftercare<br />
The individual's journey for elective surgery in larger hospitals would be improved through the<br />
provision <strong>of</strong> pre-admission assessment and post-operative aftercare in community hospitals.<br />
Investi•ative •rocedures such as x-ra s and blood tests could be •erformed before admission to<br />
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larger hospitals and patients could be discharged to the local community hospital for inpatient postoperative<br />
care and rehabilitation or outpatient follow up. Many community hospitals already admit<br />
orthopaedic and other post-operative surgical patients.<br />
(c) Planned day care and rehabilitation<br />
This could include people requiring palliative and terminal care, ante-natal and post-natal care and<br />
patients requiring rehabilitation for conditions such as stroke. Community hospitals could provide and<br />
develop rehabilitation services, supporting people at home or providing a homelike environment for<br />
patients within their own locality.<br />
(d)Diagnostics and treatment<br />
The list <strong>of</strong> possible diagnostic and treatment services which could be delivered by community<br />
hospitals ranges from complex high technology services, through endoscopy and diagnostic<br />
ultrasound/x-ray, to simple near-patient testing and anticoagulant monitoring.<br />
(e) Outreach clinics and GPs/health pr<strong>of</strong>essionals with special interest<br />
Many community hospitals in Scotland already have outpatient clinics so that patients do not have to<br />
travel far for appointments. These clinics can be run by visiting consultants, but consideration should<br />
be given by NHS Boards to provision <strong>of</strong> services by GPs, nurses and other health pr<strong>of</strong>essionals with<br />
special interests, for example mental health and speech and language therapists.<br />
Unplanned care<br />
Many people are admitted as emergencies to hospital to receive diagnostic services or to treat an<br />
exacerbation <strong>of</strong> a long-term condition. The nature <strong>of</strong> someone's problem should always dictate where<br />
he or she is treated, and some people will always require the expertise and resources <strong>of</strong> a specialist<br />
acute centre. Others, however, could safely and effectively be cared for locally at community hospitals<br />
with appropriate resources <strong>of</strong> personnel, equipment and telecommunications capability. Nurses and<br />
allied health pr<strong>of</strong>essionals have opportunities to develop their role further to meet people's needs in<br />
these areas. More specifically, new community hospitals might provide the following type <strong>of</strong><br />
unscheduled care services:<br />
(a)Community casualty units<br />
Delivering for Health made a commitment that NHS Boards would develop practitioner-led community<br />
casualty units. The vision is that hospital-based specialist emergency centres will deal with serious<br />
and life-threatening emergencies, while community casualty units, led by a range <strong>of</strong> practitioners such<br />
as GPs, nurses and paramedics, could provide for the approximately 70% <strong>of</strong> current attendances at<br />
accident and emergency departments that do not require hospital attendance.<br />
Some community hospitals already have practitioner-led minor injury units, so adopting community<br />
casualty unit status could be a logical next step. The<br />
co-location and integration <strong>of</strong> a community casualty unit with a local OOHs service in a community<br />
hospital would make sense in a number <strong>of</strong> areas.<br />
(b) Investigations before, or instead <strong>of</strong> transfer<br />
Extending primary care pr<strong>of</strong>essionals' access to community hospital investigative and diagnostic<br />
facilities would enable patients presenting as emergencies to be diagnosed and possibly treated<br />
locally, with links and referral to specialist centres as appropriate. This service development would be<br />
enhanced by the possibilities <strong>of</strong> telehealth with the capacity for remote consultation and results<br />
reporting as described later. Those patients requiring transfer to the specialist centre may be<br />
considered for post-discharge treatment and/or rehabilitation at the community hospital.<br />
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(c)Stabilization prior to transfer<br />
Community hospitals in many remote and rural areas <strong>of</strong> Scotland already provide essential treatment<br />
to people, stabilising their condition prior to transfer to a specialist centre. Local GPs and teams at<br />
community hospitals <strong>of</strong>fer, for example, thrombolytic therapy to patients who have suffered a heart<br />
attack. This function could be considered in other community hospitals as part <strong>of</strong> the overall planning<br />
<strong>of</strong> unscheduled care.<br />
(d)Local special skills development<br />
It may be possible to develop this model further, for instance the local extended primary care team at<br />
the Mid Argyll Hospital in Lochgilphead, provides treatment to seriously ill emergency patients,<br />
including airway management and assessment and management <strong>of</strong> head injuries, prior to transfer via<br />
the Rapid Retrieval Team to the acute unit at the Southern General Hospital in Glasgow.<br />
Source: http://www scotland gov uk/Publications/2006/12/18142322/3<br />
Option 3 — Integrated Health Network<br />
An integrated health network (IHN) links patients, family physicians, primary care providers and<br />
communities with existing Fraser Health and community services. Together, with the patient or client,<br />
they create coordinated care that is focused on the holistic needs <strong>of</strong> the population.<br />
• With integration, providers work together in interdisciplinary teams and across the spectrum <strong>of</strong><br />
services, to share and coordinate care, as well as proactively plan for an individual's range <strong>of</strong><br />
health needs over the long term. This ultimately leads to better care, and better health.<br />
• An integrated health network is effective for people living with multiple or complex chronic<br />
conditions. They receive coordinated care for their range <strong>of</strong> conditions, along with disease<br />
prevention strategies and guidance in self-management to help them gain confidence and control<br />
over their health<br />
Accountability for results lies collectively with all members <strong>of</strong> the Integrated Health Network (patient,<br />
practitioners, and administrators). Health care results will be clearly measured, assessed and<br />
communicated to all partners. The family physician is the most responsible provider (the quarterback <strong>of</strong><br />
care).<br />
Benefits to Individuals, Patients & Families<br />
An integrated health network:<br />
• Improves a patient / client's experience and satisfaction with better efficiency and continuity <strong>of</strong> care,<br />
less run-around and stronger relationships with care providers.<br />
• Increases a patient / client's confidence and sense <strong>of</strong> control as they are guided and gain<br />
knowledge to manage their own health.<br />
Benefits to Health Care Providers<br />
An integrated health network:<br />
• Saves time and duplication by reducing disjointed encounters between the patient and the health<br />
care system, and identifies and bridges gaps in care.<br />
• Improves health. Planned, coordinated care for a patient as a whole, rather than separate services<br />
res•ondin. to isolated health issues, o•timizes health and hel ss reduce the load on individual<br />
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providers.<br />
• Improves health pr<strong>of</strong>essional satisfaction when GPs and their teams know that their patients are<br />
well taken care <strong>of</strong> and getting better results. They also have access to an interdisciplinary team for<br />
support, and experience less duplication and improved feedback with fewer communication gaps.<br />
Benefits to the Health Care System<br />
An integrated health network:<br />
• Results in better use <strong>of</strong> health care dollars from more effective use <strong>of</strong> resources.<br />
• Increases mutual respect <strong>of</strong> resources including primary care, local and regional resources through<br />
effective integration and understanding <strong>of</strong> roles, methods and priorities <strong>of</strong> care.<br />
There are 25 different Integrated Health Networks within five Health Authorities in British Columbia.<br />
Within Fraser Health, there are three Integrated Health Networks currently in operation including White<br />
Rock/ South Surrey, New Westminster and Surrey Memorial Hospital. Examples <strong>of</strong> the type <strong>of</strong> services<br />
and programs <strong>of</strong>fered include<br />
• Integrated Health Services - Physician referral needed<br />
• Chronic disease care coordination<br />
• Assessments & Care Planning<br />
• Cardiac rehabilitation<br />
• Diabetes education<br />
• Specialty Exercise<br />
• Healthy Living Classes for Chronic Disease Management - no referral needed (contact iConnect<br />
Health Centres directly)<br />
• Nutrition education<br />
• Healthy weight loss<br />
• Managing blood pressure<br />
• Managing cholesterol<br />
• Medication management<br />
• Prevention and Self-Care<br />
The existing IHN model is likely to evolve beyond its' current focus to become more comprehensive,<br />
engaging all citizens and all providers.<br />
Option 4 — Electronic Medical/ Health Record<br />
Description<br />
Develop a fully integrated Fraser Health-wide electronic health record across the providers <strong>of</strong> the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> to enable the exchange <strong>of</strong> information to support well managed transitions and<br />
enhance the patient experience. An electronic medical/health record (EMR/EHR) is a s<strong>of</strong>tware tool<br />
used to store a patient's clinical and personal information.<br />
The EMR/EHR may be used for various purposes including:<br />
Registering patients<br />
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• Scheduling appointments<br />
• Billing<br />
• Computerized prescriptions<br />
• Lab tests<br />
• Diagnostic measures<br />
• Progress notes<br />
• Research and quality improvement<br />
• Electronic medical record systems improve the quality <strong>of</strong> patient care and decrease medical errors<br />
compared to traditional paper-based medical records.<br />
• One study reported a net benefit from using an electronic medical record for a 5-year period <strong>of</strong><br />
86,400 US dollars per provider.<br />
• Benefits accrue primarily from savings in drug expenditures, improved utilization <strong>of</strong> radiology tests,<br />
better capture <strong>of</strong> charges, and decreased billing errors.<br />
• A five-way sensitivity analysis with the most pessimistic and optimistic assumptions showed<br />
results ranging from a 2300 US dollars net cost to a 330,900 US dollars net benefit.<br />
• Implementation <strong>of</strong> an electronic medical record system in primary care can result in a positive<br />
financial return on investment to the health care organization.<br />
Source: http://www.ncbi.nlm.nih.clov/pubmed/12714130<br />
United States<br />
There are, several successful examples <strong>of</strong> EMR implementations in large hospitals, usually<br />
hospital systems, that have had years <strong>of</strong> experience developing custom EMRs, for example<br />
the Veterans Administration hospital system, Kaiser Permanente's HealthConnect and the<br />
VistA Electronic Medical Record in the United States.<br />
Option 5 — Introduction <strong>of</strong> a Navigator Role (clinical pathways)<br />
Introduce a Health Navigator role to help clients with complex needs access and navigate the health<br />
system. The Patient Navigator seeks to alleviate barriers that patients may encounter when trying to<br />
access healthcare services including financial, language/communication and information. The<br />
Navigator also acts as the patient's advocate in the interval between screening, diagnosis or<br />
treatment, and assists with practical issues such as paperwork, as well as childcare or transportation<br />
problems.<br />
This role supports the highly complex patient that generally has multiple conditions and requires<br />
support across a variety <strong>of</strong> providers. This role is utilized most in chronic disease management<br />
including mental health and addressing the needs <strong>of</strong> the frail elderly population.<br />
Other responsibilities include:<br />
• Coordinating appointments with providers for diagnostic and treatment services.<br />
• Fostering communication with patients, families and healthcare providers to ensure patient<br />
understanding and satisfaction.<br />
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• Ensuring that appropriate medical records are available at scheduled appointments.<br />
• Facilitating linkages to follow-up and specialty services in an acute care setting and within the<br />
community.<br />
• Providing access to outreach and education programs.<br />
• Coordinating transportation to and from medical visits.<br />
The patient navigation system is built around case-management. The system ensures that patients<br />
are accessing the appropriate services and, as a result, frees up other medical services. The patient<br />
will know who to call in case <strong>of</strong> an emergency and will be informed <strong>of</strong> where to go for care. This<br />
approach prevents re-admittance and limit unnecessary emergency room visits.<br />
Alberta, Canada<br />
The Alberta government is establishing a patient navigation system across Alberta. Patient navigators<br />
help physicians and other health care providers to manage the care <strong>of</strong> patients with complex needs.<br />
This includes patients who require services from multiple health pr<strong>of</strong>essionals and agencies in a<br />
variety <strong>of</strong> service settings, or who may need services provided in different locations across the<br />
province or by different government departments.<br />
Patient navigation is centred on the needs <strong>of</strong> the patient and family. Through the assistance <strong>of</strong> a<br />
navigator (case manager), the physician can link to services across the health care system. The<br />
navigator provides access to care, and identifies and monitors resources required by the patient.<br />
Responsibilities <strong>of</strong> a patient navigator include assessment, service coordination, referral <strong>of</strong> clients to<br />
services, navigating clients from one service to another, ensuring there are no gaps to services,<br />
evaluation <strong>of</strong> outcomes <strong>of</strong> services and preparing discharge and transition planning.<br />
British Columbia, Canada<br />
A new program designed to help Aboriginal patients access and navigate their way through<br />
Vancouver Coastal Health was launched with the introduction <strong>of</strong> three new patient navigators.<br />
The Aboriginal Patient Navigator Program will contribute directly to improved health outcomes for<br />
Aboriginal people by bridging the gap between healthcare providers and the Aboriginal patients they<br />
serve.<br />
Aboriginal Patient Navigators will provide referral, advocacy and support to patients to ensure access<br />
to appropriate health care and community services. This could range from helping a patient get<br />
benefits to cover the cost <strong>of</strong> prescription drugs to connecting a visiting family member to local housing<br />
resources.<br />
The navigators will also act as a resource for Vancouver Coastal Health staff to help them understand<br />
and accommodate Aboriginal health practices and beliefs. This can include arranging for a spiritual<br />
healer or working with staff on culturally appropriate discharge plans.<br />
Nova Scotia, Canada<br />
Cancer Patient Navigators (CPN) work with children, adolescents and adult cancer patients and their<br />
families to address a wide range <strong>of</strong> physical, social, emotional and practical needs. They serve as the<br />
link between the patient and the cancer system. They also work closely with the Patient Navigation<br />
Community Liaison to improve access to cancer services and better meet the needs <strong>of</strong> diverse<br />
communities, including African Nova Scotians, First Nations and Immigrant communities.<br />
CPNs work with family physicians, community-based specialists, oncologists and other cancer health<br />
•r<strong>of</strong>essionals to coordinate services for the •atient. The •rovide an added source <strong>of</strong> cancer ex•ertise<br />
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for health pr<strong>of</strong>essionals in the community and promote teamwork and communication among health<br />
care providers. They help to ensure that patient's have access to supportive and rehabilitative care,<br />
palliative care, volunteers and other supports in their home communities.<br />
They work to improve the quality and consistency <strong>of</strong> cancer care within health districts by informing<br />
senior leaders <strong>of</strong> gaps in cancer services. They work with the district cancer committees and others to<br />
improve their community's capacity to care for cancer patients.<br />
United States<br />
A Patient Navigator demonstration program has been funded to improve health care outcomes for<br />
people with cancer and/or other chronic diseases by helping them make their way through the health<br />
care system.<br />
Patient Navigators, help people learn about chronic disease, such as cancer, diabetes, cardiovascular<br />
disease, obesity and asthma, then steer them into screening and treatment as needed. In addition,<br />
navigators assist people in finding and using community services that will help them beat chronic<br />
disease for longer, healthier lives.<br />
Option 6 — No Wrong Door Protocol (link with cross sectoral partners)<br />
• Create an environment where residents can access health care and health enabling services<br />
despite their point <strong>of</strong> entry. No Wrong Door is premised on the principle that every door in the<br />
health care system should be the 'right' door.<br />
• Each provider within it has a responsibility to address the range <strong>of</strong> client needs wherever and<br />
whenever a client presents for care. When clients appear at a facility that is not qualified to<br />
provide some type <strong>of</strong> needed service, those clients should carefully be guided to appropriate,<br />
cooperating facilities, with follow-up by staff to ensure that clients receive proper care 56 .<br />
• Practically this means that providers must be equipped with the necessary training and access to<br />
information pertaining to available health services.<br />
• Increased access to Home and Community-based services<br />
• Decrease in unnecessary institutional placements<br />
• Financial savings<br />
• Improved Outcomes<br />
• Enables patients to access services faster<br />
• Less frustration<br />
• Greater Opportunity for Consumer direction<br />
• Web-based<br />
United States<br />
No Wrong Door is the Commonwealth <strong>of</strong> Virginia's approach to one-stop for adult health and human<br />
services. The vision <strong>of</strong> the No Wrong Door initiative is to have Resource Centers in every community<br />
servin• as Mehl visible and trusted daces where individuals can turn for information on the full ranee<br />
56Paving the way to a No Wrong Door Service System, 2006. Retrieved on January <strong>2009</strong> at<br />
http://www.health.vic.gov.au/pcps/downloads/careplanning/paving_the_way nov2006.pdf<br />
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<strong>of</strong> long-term support options and entry to public long-term support programs and benefits.<br />
Virginia's No Wrong Door system is a collaborative public/private effort between the Virginia<br />
Department for the Aging (VDA), Department <strong>of</strong> Rehabilitative Services, Department <strong>of</strong> Medical<br />
Assistance Services, Department <strong>of</strong> Social Services, Department <strong>of</strong> Mental Health, Mental<br />
Retardation and Substance Abuse Services, Office <strong>of</strong> the Attorney General, Virginia Board for People<br />
with Disabilities, Community Integration for People with Disabilities, 2-1-1 Virginia, Senior Navigator,<br />
non-pr<strong>of</strong>it organization, select Area Agencies on Aging (AAAs) and their local governments and local<br />
providers..<br />
The development <strong>of</strong> this initiative is being guided by the No Wrong Door Resource Team. This team<br />
is chaired by the Deputy Commissioner <strong>of</strong> the Virginia Department for the Aging. It includes<br />
representatives from departments within the Health and Human Resources Secretariat, private<br />
groups such as the State Association for Centers for Independent Living, 2-1-1 Virginia, and Senior<br />
Navigator, Area Agencies on Aging, private providers and self advocates.<br />
The No Wrong Door system will benefit providers and the citizens that need these services by:<br />
• Collecting the Uniform Assessment Instrument (UAI) in an automated system. (The UAI is a<br />
standard tool used by Virginia Health and Human Resource agencies).<br />
• Maintaining a comprehensive directory <strong>of</strong> service providers used to coordinate the best available<br />
services for clients.<br />
• Tracking referrals and service delivery. .<br />
• Coordination <strong>of</strong> services.<br />
• Measuring outcomes.<br />
• Evaluating gaps in service.<br />
Currently, the system is being implemented throughout 6 communities:<br />
Source: htto://wvvw.vda.viroinia.clov/nowronodoor.asp<br />
Helen is 84, widowed for a little less than a year. She suffered a stroke two months ago and, with her<br />
only daughter living several hundred miles away, she is alone. Though living alone is very difficult for<br />
Helen, she does not wish to move away from the home she and her husband lived in for almost 50<br />
years. With continued encouragement from her daughter, Helen decided to contact the local Area<br />
Agency on Aging (AAA) to see if she could receive any assistance that would allow her to continue<br />
living at home. The care coordinator from the AAA visited Helen at home and conducted an<br />
assessment, which is entered into No Wrong Door's HIPAA-compliant shared client database. The<br />
evaluation revealed that she has mild memory loss, is incontinent, and is lonely. The information<br />
collected interfaces with Senior Navigator (a service provider database) and returns matches<br />
according to her needs. Helen and the care coordinator discussed which <strong>of</strong> the available long-term<br />
supports would best suit Helen's situation. She explained to the care coordinator that she wants her<br />
daughter to have access to any <strong>of</strong> the information collected about her and this information is<br />
documented in Helen's electronic file. Helen decided that if she could go to an adult daycare center,<br />
she might be able to make new friends, and the nursing staff there would attend to her health needs.<br />
The care coordinator used the No Wrong Door technology to make an electronic referral to the adult<br />
daycare center and also arranged transportation for her intake appointment. Helen asked if they could<br />
call her daughter to inform her <strong>of</strong> the decision. Helen's daughter was delighted and supportive <strong>of</strong> her<br />
mother's decision. Two days later the transportation service picked Helen up and delivered her to the<br />
intake meetin• at the adult da care center. When Helen met the social worker at the center, the social<br />
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worker had already received and assessed Helen's information; Helen was relieved that she did not<br />
have to re-tell her story or review her medical problems with the social worker. The two <strong>of</strong> them<br />
discussed what types <strong>of</strong> activities she would like to be involved in at the center, and Helen decided to<br />
attend three days a week. Concerned about her ability to cook for herself, the social worker asked if<br />
Helen would be interested in home delivered meals. Helen was grateful to receive the help and a<br />
referral was made to Meals on Wheels. The social worker set up transportation arrangements with<br />
Helen, the referral to the transportation agency again being made through the No Wrong Door<br />
system. Having attended the adult daycare center for only four weeks, Helen is thriving and excited to<br />
be in a new environment. She is interacting with new friends, is knitting again, and has recently<br />
decided to take part in a weekly trip to read to the 2nd graders at a local elementary school. The<br />
social interaction has boosted Helen's morale and the cognitive interaction provided by the activities<br />
at the center is helping to keep her mind sharp with no significant memory lapse to note. The nurses<br />
at the center are making sure that Helen's incontinence is kept under control and her overall status is<br />
being documented in her electronic file in the No Wrong Door database, allowing the original care<br />
coordinator to view Helen's current status. Through No Wrong Door, Helen has been able to<br />
coordinate and receive long-term supports from four different service providers. Not only is Helen able<br />
to navigate the system, but every provider is also able to access her information prior to their<br />
interaction with her. Because <strong>of</strong> the community collaboration and the dedication <strong>of</strong> the long-term care<br />
providers, Helen is happy, healthy, and continues to live at home.<br />
Source: htto://www.vcu.edu/vcoa/ageaction/aciewinter08.pdf<br />
Option 7 — Multi-Purpose Interdisciplinjary Health Centre<br />
Develop an inter-pr<strong>of</strong>essional or interdisciplinary health services facility (or facilities) that will colocate<br />
health services and provide care using an inter-pr<strong>of</strong>essional service delivery model. This<br />
supports the Integrated Health Network option discussed earlier.<br />
The inter-pr<strong>of</strong>essional delivery model will ensure the following:<br />
• • Increase in access to services that are wellness oriented and proactively manage chronic disease<br />
• Increase and broadened inter-pr<strong>of</strong>essional team-based service delivery<br />
• Strengthened capacity to deliver culturally competent services<br />
• Integration among providers<br />
• Access to rotating specialists for high volume services<br />
Benefits<br />
• Clinics that focus on chronic disease management, geriatrics, mental health and addictions,<br />
rehabilitation, women's health, children's health, newborns, etc.<br />
• Continuity <strong>of</strong> care and information sharing<br />
• Standardized care aimed at providing better health outcomes<br />
• Access to diagnostics<br />
• Access to multidisciplinary pr<strong>of</strong>essionals in one location<br />
• Navigators to appropriately support residents with complex needs.<br />
• Support Tele-homecare capabilities within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
• Full scope <strong>of</strong> practice for Nurse Practitioners<br />
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• Increased service delivery at the local level through greater coordination and deployment <strong>of</strong> health<br />
resources at the Fraser Health level. The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> lacks any specialist care in the<br />
community, a coordinated approach <strong>of</strong> deploying specialists and other health pr<strong>of</strong>essionals can<br />
help meet the needs <strong>of</strong> the residents.<br />
The Polyclinic - United States<br />
The Polyclinic is a physician-led (or nurse practitioner led in Ontario) multi-specialty group practice<br />
located in downtown Seattle. It was established in <strong>19</strong>17 and employs 107 physicians, including more<br />
than 30 primary care physicians and more than 70 specialists in most areas <strong>of</strong> medicine. The majority<br />
<strong>of</strong> its physicians are full-time, resulting in a full-time equivalent <strong>of</strong> about 98 doctors. The main campus<br />
includes an array <strong>of</strong> on-site services such as laboratory and X-ray services and outpatient surgery.<br />
A remodeled downtown location and the adoption <strong>of</strong> an "open access" strategy have helped to<br />
cement the patient-centered qualities <strong>of</strong> the practice. Open access is also known as advanced access<br />
or same-day scheduling. The transition to open-access scheduling required that the practice leaders<br />
work together in new ways and reinforced the team approach to meeting patient needs. The practice<br />
is not without challenges, however, which include competitive pressures for market share from other<br />
organizations in the downtown market and an ongoing need to sustain their patient-centered culture<br />
as the demands <strong>of</strong> expansion lead the practice to add new physicians and support staff.<br />
Source: http://vvww.commonwealthfund.orWinnovations/innovations show.htm?doc id=700904<br />
BelfaSt Wellbeing and Treatment Centre —The One Stop Shop - United Kingdom<br />
One <strong>of</strong> the Health and Wellbeing Centres is a unique development undertaken in partnership<br />
between North and West Belfast Trust, Belfast City Council & Belfast Education & Library Board that<br />
will allow each agency not only to deliver its own services in a purpose built environment but enable<br />
the development to be more than the sum <strong>of</strong> its parts.<br />
Examples<br />
One Stop Shop for treatment, care and information providing a range <strong>of</strong> services including:<br />
• Podiatry<br />
• Physiotherapy<br />
• Occupational Therapy<br />
• Speech and Language Therapy<br />
• Community Dental Services<br />
• Community Paediatrics<br />
• GP and treatment room services<br />
• GP out-<strong>of</strong>-hours services<br />
• Social work & nursing services for:<br />
■<br />
■<br />
■<br />
■<br />
■<br />
■<br />
Elderly People<br />
Families and Children<br />
People with Sensory Impairment<br />
People with Physical Disabilities<br />
People with Mental Health problems<br />
People with Learning Difficulties<br />
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Care Management<br />
The Wellbeing and Treatment Centre is also a One Stop Shop for health and wellbeing information,<br />
houses a citizens advice bureau, and is great opportunity to share and collaborate with other<br />
Agencies<br />
Source: htto://www.nhsconfed.orq/issues/issues-3227.cfm<br />
Option 8 – Campus <strong>of</strong> Care for Seniors Living<br />
The campus <strong>of</strong> care model <strong>of</strong>fers a range <strong>of</strong> housing and care options in one location, from<br />
independent housing to assisted living and complex care.<br />
Description<br />
Campuses <strong>of</strong> care minimize the transition for seniors when their care needs change. Aging in place<br />
allows couples, family members and friends to remain on the same site when their levels <strong>of</strong> care are<br />
different. Many Campus <strong>of</strong> Care are in various stages <strong>of</strong> development across British Columbia<br />
including in communities such as Surrey, Vancouver, Parksville Port Coquitlum , White rock, Prince<br />
George, etc.<br />
The development <strong>of</strong> a Campus <strong>of</strong> Care for seniors will provide:<br />
• Independent housing, assisted living and residential care.<br />
• Increased affordable housing capacity allowing seniors to remain within <strong>Mission</strong><br />
• Minimized transition for seniors when their care needs change.<br />
• Potential close proximity to services<br />
• Comprehensive and easily accessible programs and activities<br />
Benefits<br />
• Potential capacity to host other community services (e.g. a children's day care with potential for<br />
senior volunteers)<br />
Some studies demonstrate that moves from the family home or between institutions have negative<br />
health outcomes for the frail elderly, including increased risk <strong>of</strong> death.<br />
As well, studies also show that seniors who are engaged with their community stay healthier longer,<br />
and every move—away from friends, social networks, family and even possibly a spouse—breaks<br />
this valuable connection, increasing their risk <strong>of</strong> isolation and decline.<br />
The combination <strong>of</strong> different levels <strong>of</strong> care on the same site enables a resident to minimize the need<br />
to move, thereby decreasing both these effects.<br />
Source: http://www.seniorsincommunities.ca/upload/dcd114 CampusCareArticle.pdf<br />
Examples<br />
Campus <strong>of</strong> Care - Vancouver, British Columbia<br />
Vancouver's Westside (previously home to St. Vincent's Hospital is being redeveloped into a<br />
'Campus <strong>of</strong> Care' for seniors. When the Campus <strong>of</strong> Care is complete, Providence will be able to <strong>of</strong>fer<br />
a broad range <strong>of</strong> residential and non-residential services for seniors, allowing them to age-in-place in<br />
a community <strong>of</strong> choice.<br />
A Campus <strong>of</strong> Care supports seniors to 'age in place' rather than have to move as their care needs<br />
increase through a broad range <strong>of</strong> health and housing options, which could include:<br />
• Independent living;<br />
• Supported Living-housing and optional hospitality services (meals, etc.)<br />
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• Assisted Living — personal care, housing and hospitality services (meals and<br />
cleaning)<br />
• Complex or Extended Residential Care — round-the-clock care<br />
• Rehabilitative services;<br />
• Palliative care; and,<br />
• Special outpatient clinics<br />
While most <strong>of</strong> the individual components <strong>of</strong> the Campus have not yet been confirmed, it will provide<br />
seniors in the community with:<br />
• Easy access to on-site clinics;<br />
• Support services such as meals or rehabilitation;<br />
• Health and wellness programs;<br />
• Independence;<br />
• Choice/flexibility and opportunities for companionship;<br />
• Normalcy and engagement;<br />
• Encouragement for intergenerational relationships;<br />
• Easy access to health and supportive services;<br />
• Support <strong>of</strong> spirituality, reflection and growth; and,<br />
• Support <strong>of</strong> physical and intellectual growth.<br />
Each person's physical, emotional and spiritual needs will be supported through Providence's Eden<br />
Care philosophy — a holistic-care focus that reduces the loneliness, helplessness and boredom<br />
facing many seniors, and provides them a more home-like environment.<br />
Source: http://www.providencehealthcare.orp/ledacy blueprint.html<br />
Option 9 – Community Service Directory<br />
Description<br />
To address the lack <strong>of</strong> awareness <strong>of</strong> local health services by the general public as well as health<br />
service provider a web-based and paper community service directory is recommended. The<br />
directory is recommended to be supported by a central community information <strong>of</strong>fice and/or<br />
information "hot-line". To promote the availability <strong>of</strong> the community service directory a public<br />
awareness campaigns are recommended in conjunction with education on available programs/<br />
services for <strong>Mission</strong> residents with an emphasis on health promotion and disease prevention,<br />
including screening and healthy living.<br />
The Community Directory is a vital tool for the successful implementation <strong>of</strong> the Navigator role and<br />
the No Wrong Door protocol options.<br />
• Increased awareness <strong>of</strong> available services<br />
• Better referral to the most appropriate programs and services<br />
• Assists with the navigation through local services<br />
• Web-based search capabilities<br />
Examples<br />
Ontario, Canada<br />
The Mental Health Service Information Ontario MHSIO is an online Service Directo is a<br />
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searchable database <strong>of</strong> mental health service programs <strong>of</strong>fered by organizations in Ontario,<br />
Canada.<br />
Listing <strong>of</strong> any organization in this directory does not imply legitimization, authorization or<br />
endorsement by Mental Health Service Information Ontario. All information included in this<br />
directory is self-reported by participating mental health service organizations to MHSIO.<br />
Assistance is also available via telephone 24 hours a day, seven days a week.<br />
Source:<br />
http://www.mhsio.on.ca/DART/owalive/mhsio program info v2.show orociram?o orqsitepro<br />
gram=10134187328&v_dir_type=MHSIO<br />
Option 10 — Further Study <strong>of</strong> Health and Community Services Locale and Configuration<br />
Conduct a strategic capacity and configuration review <strong>of</strong> services for persons with mental health<br />
and addiction needs.<br />
• Configure services such that they enhance access for <strong>Mission</strong> area residents<br />
Benefits<br />
• Decreased clustering <strong>of</strong> mental health services near local businesses<br />
• Where appropriate separating mental health services from addiction services<br />
Option 11 — Transport Strategy<br />
Based on the community engagement events and the public and provider surveys, transportation<br />
was seen as a key deterrent in accessing health care services both within <strong>Mission</strong> and outside <strong>of</strong><br />
the community. Health Service Providers and Municipal personnel have an opportunity to<br />
coordinate a transportation strategy that meets the needs <strong>of</strong> <strong>Mission</strong> area residents in terms <strong>of</strong><br />
accessing health care services as well as other services that contribute to the wellbeing <strong>of</strong> the<br />
population.<br />
Emphasis should be placed on:<br />
• Enhancing and coordinating bus/shuttle service from <strong>Mission</strong> to health services such as the<br />
Abbotsford hospital<br />
• Improving routing & scheduling to and from key locations<br />
• Providing awareness campaigns to promote the available transportation services and supports<br />
• Creating more accessible sidewalks for strollers and wheelchairs so that individuals can access<br />
bus/ shuttle routes as well as walk to key locations.<br />
• Improved and timely access to health services and key locations<br />
• Reduced costs associated with having to rely on costly transportation services to access health<br />
services outside <strong>of</strong> the community<br />
Option 12 — Joint Planning Amongst Non-Traditional Partners Fall Out <strong>of</strong> Planning<br />
Create a coordinated approach for health services planning among non-traditional partners such as<br />
the municipal government, health services, education, social services and justice in order to address<br />
fundamental •a es within the s stem. Health Service Providers will need to •Ian across or•anizations<br />
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to ensure that duplication <strong>of</strong> services is minimized and that service gaps are filled<br />
It is also recommended that a joint planning and implementation action group with non traditional<br />
partners be formed to address the cycle <strong>of</strong> addictions and crime by focusing on the following:<br />
• Housing issues, including regulation around standards<br />
• Counselling and support services<br />
• Improving outreach for mental health and addictions population<br />
• Working with Provincial/Federal governments on community placement<br />
• Promotion <strong>of</strong> vocational training<br />
• Counselling availability<br />
• Detox/Rehab centres<br />
• Promoting community involvement<br />
Determinants <strong>of</strong> health approach to health planning versus the traditional siloed approach to health<br />
planning<br />
United States<br />
Riverside County, California not only has the worst urban sprawl and fine-particle air pollution in the<br />
United States but is also one <strong>of</strong> the fastest growing counties in the nation with over one million new<br />
residents expected by 2020. The county also has high rates <strong>of</strong> cardiovascular disease, obesity, and<br />
physical inactivity. To address these concerns, Riverside County Department <strong>of</strong> Public Health<br />
(RCDOPH) incorporated "creating more liveable communities" as one <strong>of</strong> the department's 2003-2006<br />
strategic plan goals. A multi-disciplinary public health team was formed and works closely with nontraditional<br />
partners including County Planning, Transportation, Parks, Economic Development<br />
Agency, Fire, Associations <strong>of</strong> Governments, and real estate developers. RCDOPH and partners have<br />
created design guidelines given to developers at the initial phase <strong>of</strong> the planning process. RCDOPH<br />
also led the effort to develop a model pedestrian master plan for incorporation into the City <strong>of</strong><br />
Riverside's General Plan and developed a walking guide that identified 46 walking routes and trails<br />
throughout the city. They have also sponsored multiple trainings and conducted walkable community<br />
workshops countywide. Future goals <strong>of</strong> RCDOPH include incorporating health impact assessments in<br />
new and redevelopment projects. All Riverside County residents have the right to enjoy the highest<br />
quality <strong>of</strong> life. As the region continues to grow, RCDOPH will continue to be an active partner in the<br />
planning process to help build health into everyday life.<br />
Source: http://aoha.confex.com/aoha/134am/techprogram/paDer 128<strong>19</strong>6.htm<br />
Option 13 — Licensing for Existing Recovery/ Transition Housing (Cross-Sectoral Partners including the Municipality)<br />
Mental Health and Addictions as well as the cycle <strong>of</strong> addictions and crime were identified as a key<br />
finding resulting from this study. As there are many contributing factors that determine the health<br />
status <strong>of</strong> this population it is recommended that a joint planning and implementation action group be<br />
developed consisting <strong>of</strong> non traditional partners (e.g. municipal govemment, health services,<br />
education, social services, justice and community members) in order to address the cycle <strong>of</strong><br />
addictions and crime by funding appropriate housing, and regulating supportive housing for residents<br />
with addictions.<br />
Recove homes are an im•ortant as•ect <strong>of</strong> rehabilitation. There are over a hundred unlicensed<br />
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recovery homes in Fraser Health. Lack <strong>of</strong> licensing means a lack <strong>of</strong> standardized care which poses a<br />
risk for complex mental health clients with various health issues.<br />
• Recovery housing for <strong>Mission</strong> are a residents<br />
Benefits<br />
• Standardized care and supports<br />
• Safe and habitable housing<br />
Recovery Housing - United States<br />
The CCAR Recovery Housing Coalition is a group <strong>of</strong> individuals and companies that provide housing<br />
for those in the recovery community. The coalition <strong>of</strong>fers educational, advocacy, and organizational<br />
support for its members. Additionally, information about housing services <strong>of</strong>fered by coalition<br />
members is made available to recoverees and providers through the CCAR telephone contact<br />
program, as well as its website.<br />
Examples<br />
A significant goal <strong>of</strong> the coalition is to help assure that recoverees have safe and habitable housing.<br />
All houses must be managed in an ethical, honest, and reasonable fashion. The coalition has drafted<br />
minimum standards for recovery housing. Owners <strong>of</strong> recovery housing who adhere to the minimum<br />
standards are entitled to be members <strong>of</strong> the CCAR Recovery Housing Coalition.<br />
The process <strong>of</strong> establishing and monitoring minimum standards is an evolving one, intended to<br />
elevate the quality <strong>of</strong> recovery housing available to recoverees. There are three major components <strong>of</strong><br />
the standards which broadly include (1) operating structure (policies / procedures); (2) physical plant;<br />
and (3) evaluations and inspections.<br />
Source: htto://www.findrecoveryhousino.com/pdfs/ConsumerGuide odf<br />
Option 14 -- Public Education Campaigns for Health Promotion and Disease Prevention<br />
Development and distribution <strong>of</strong> information & education for healthy living across all ages. Emphasis<br />
on health promotion and disease prevention, including screening and healthy living in order to<br />
address the poor health outcomes <strong>of</strong> <strong>Mission</strong> area residents including:<br />
• Breast cancer screening<br />
• Teen pregnancy<br />
• Low birth weight babies<br />
Description<br />
• Obesity<br />
• Tobacco use<br />
• Alcohol use<br />
• Physical activity<br />
• Healthy eating<br />
• Suicide<br />
Benefits<br />
Examples<br />
Public education and support to enable residents to become increasingly pro-active in seeking care<br />
and health enabling programs/servicës as well as participating in better self-management practices.<br />
Patient education is a critical component <strong>of</strong> preventive medicine, particularly with regard to health<br />
issues that can be improved by lifestyle changes, such as obesity, smoking, and drug or alcohol<br />
abuse. The challenge <strong>of</strong> an •ublic education cam gaign is not onl to reach as man geode as<br />
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149<br />
possible, but to sustain a source <strong>of</strong> information that will continually contribute to common knowledge<br />
among the general population.<br />
One <strong>of</strong> the problems encountered when presenting educational information to the public in the form <strong>of</strong><br />
an ad campaign or a position paper is that interest levels eventually drop over time, and key<br />
information will be forgotten or overlooked as other priorities are introduced. In order to keep health<br />
issues current, national health issue "days" or "weeks" are <strong>of</strong>ten established by government to<br />
rekindle interest for a topic in the news media and the public forum (e.g., the fourth week in January is<br />
designated as National Non-Smoking Week. Timed, no doubt, to coincide with smokers' New Year's<br />
resolutions to quit the habit, the annual event has been celebrated for the past 20 years).<br />
These events are frequently accompanied by ad campaigns to promote awareness <strong>of</strong> the particular<br />
topic. Such campaigns may include television, radio or newspaper ads, as well as online advertising<br />
and posters, billboards or direct mail materials. For example, this year, Health Canada launched a<br />
second-hand smoke television ad campaign to complement National Non-Smoking Week.<br />
The Ontario Medical Association (OMA) has also published several papers and statements on the<br />
topic <strong>of</strong> smoking, second-hand smoke, and medications and therapy for quitting. While health<br />
research and advertising campaigns can be expensive, the OMA Health Policy Department minimizes<br />
operating costs by partnering with other stakeholders, and strategically planning avenues for public<br />
communication.<br />
For example, the OMA issued a press release in January calling for the protection <strong>of</strong> children from<br />
exposure to second-hand smoke in homes and cars. The release, which was timed to complement<br />
National Non-Smoking Week, helped to generate more than 3,200 visits to the "Smoking/Tobacco"<br />
issues area <strong>of</strong> the OMA website during January — a 17 per cent increase over traffic to that same<br />
area in December 2006. Keeping the public informed <strong>of</strong> health issues not only promotes healthy<br />
lifestyle decisions for individuals, it also helps to influence political decision-making based on public<br />
opinion. Changes in attitude toward smoking, for example, have lead to legislation limiting the sale<br />
and use <strong>of</strong> tobacco in public places.<br />
The Ontario Tobacco Research Unit (www.otru.org ) reported that support for a ban on smoking in<br />
vehicles carrying children in Ontario (as suggested in the recent OMA press release) increased from<br />
68 per cent in 2002 to 78 per cent in 2005. Some <strong>of</strong> the major benefits <strong>of</strong> hosting health education<br />
campaigns online include:<br />
Availability: users have access to information when they need it, or when they happen to be thinking<br />
about it, any time <strong>of</strong> day, any time <strong>of</strong> the year.<br />
Timeliness: the facts can be continually updated as they change and as new information becomes<br />
available.<br />
Appeal: the promotional material can be refreshed in terms <strong>of</strong> visual imagery or slogans, phrasing,<br />
etc., to reflect changing tone or perspectives <strong>of</strong> the intended audience.<br />
Distribution <strong>of</strong> materials: users can download and/or print the materials that they want at no cost.<br />
Queries: users may have questions not covered by the education material. These questions may be<br />
answered by compiling and posting a "frequently asked questions" document, or by an e-mail contact.<br />
Online discussion: users may take the opportunity to discuss the topics with others online, either<br />
though a topic-specific forum, or in a general forum, chat room, or instant messaging application.<br />
Direct links to further information: the topic materials may include links to online research, extended<br />
topic material on other sites, or expert opinions.<br />
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Easier to find: users can get to the topic information by using search engines, or from links on other<br />
related websites. Trusted health education websites can also serve as a reference point for<br />
physicians to direct their patients to reputable health information.<br />
Reduced costs: online education campaigns can be less costly than traditional print or media<br />
advertising, especially for long-running campaigns.<br />
Source: htto://www.oma.org/ocomm/omr/feb/07ww.htm<br />
Option 15 — Improve Utilization <strong>of</strong> Existing Facilities and Create Activities for Seniors and Youth<br />
Description<br />
The community consultation events and surveys identified that there are limited activities for youth<br />
and seniors. The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> has many facilities such as the Leisure Centre and the Heritage<br />
Park Secondary School that could be further utilized by developing appropriate activities and services<br />
for youth and seniors to address their unmet needs for socialization and physical activity.<br />
• Better utilization <strong>of</strong> available facilities<br />
• Reduced deterioration among seniors due to a lack <strong>of</strong> involvement and socialization in their<br />
community<br />
• Providing constructive activities for adolescence after school and on weekends to keep them out<br />
<strong>of</strong> trouble<br />
United States<br />
When organizers opened a child care center in mid-September near California, they realized that it<br />
really does take a village to raise a child. So, it seemed logical to name their new facility the Village.<br />
The center, which operates at the Center in the Woods near California, <strong>of</strong>fers a multigenerational day<br />
care and preschool experience, the Village prides itself on its ability to enable seniors to interact with<br />
toddlers and preschoolers.<br />
The amount <strong>of</strong> time the children spend with the senior citizens depends on the day's activities and the<br />
age <strong>of</strong> the child.<br />
The encounters are actually two-way streets. Jeannie Gillis-King, the Village's preschool director, said<br />
"the children love the encounters as much as the seniors and enjoy the special attention they get."<br />
Center volunteer Dolores Kozis, 74, <strong>of</strong> Newell, has nothing but praise for the new child care/senior<br />
relationships the Village has sparked.<br />
"I, for one, love seeing children in the facility," she said. 'The seniors get to talk to the children and get<br />
them to smile and laugh. The youngsters are like a breath <strong>of</strong> fresh air."<br />
Source: htto://vvvvw.Dost-ciazette com/og/08314/926003-58.stm?cmpid=neighborhoods.xml<br />
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The preceding options can also be presented in terms <strong>of</strong> which principal stakeholders would be engaged and<br />
whether they require new operating or capital investments. The eligibility <strong>of</strong> any <strong>of</strong> these options for access to<br />
the capital funding available from the Fraser Valley Hospital <strong>District</strong> will be determined by that body, but it<br />
would appear that options 7 and 8 are likely to be <strong>of</strong> the greatest interest. As such, there is some priority in<br />
getting a relatively firm estimate <strong>of</strong> the capitals costs associated with those options to inform the FVHD.<br />
Option<br />
1.Telehomecare<br />
Stakeholders<br />
FHA<br />
Investment required<br />
Operating Capital<br />
4<br />
2. <strong>Mission</strong> Memorial Hospital Role<br />
definition<br />
FHA & local stakeholders 4 4<br />
3. Integrated Health network FHA, municipality & local stakeholders 4<br />
4. Electronic Health Record FHA, local stakeholders and citizens 4 q<br />
5. Navigator Role Municipality & local stakeholders 4<br />
6. 'No Wrong Door' Cross-sectoral partners q<br />
7. Interdisciplinary Health Centre FHA, municipality & local stakeholders 4 4<br />
8. Campus <strong>of</strong> Care for Seniors FHA, municipality & local stakeholders 4 4<br />
9. Community Service Directory FHA, municipality & local stakeholders 4<br />
10. MH&A Services Strategy FHA, municipality & local stakeholders 4 4<br />
11. Transportation Strategy Municipality 11<br />
12. Cross-sectoral Planning Municipality & local stakeholders 4 4<br />
13. Recovery/Transition Housing Licensing Cross-sectoral stakeholders 4<br />
14. Promotion & Prevention Public<br />
education<br />
FHA, municipality and cross-sectoral partners<br />
q<br />
15. Public Facilities Use Municipality & cross-sectoral partners q<br />
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6.3 Sequencing <strong>of</strong> Options - Implementation Roadmap<br />
In light <strong>of</strong> the interdependencies across all options, the following sequencing has been designed so that<br />
planning can precede construction for capital projects. As well, the operational change projects have been<br />
sequenced to support the successful implementation <strong>of</strong> new approaches to service delivery.<br />
Phase 1 Phase 2 Phase 4<br />
Highest Level<br />
<strong>of</strong> Priority<br />
Lowest Level<br />
∎ <strong>of</strong> Priority<br />
Regional "No Wrong Door"<br />
Protocol<br />
Transportation Strategy<br />
Community Services)<br />
Configuration Study<br />
Integrated Health Network<br />
Regional Navigator Role<br />
Electronic Medical Record)<br />
Tele-homecare<br />
Interdisciplinary Health<br />
Centre<br />
77.7.11,-;<br />
•<br />
Community Directory<br />
Joint Planning Among Non-Traditional<br />
Partners<br />
Recovery and Transition<br />
Housing<br />
Public Education Campaigns :<br />
improve utilization <strong>of</strong><br />
Existing Facilities<br />
6.3.1 Next Steps for implementing the Options:<br />
The following outlines the high level actions that are needed to address Phase 1 <strong>of</strong> the implementation<br />
roadmap above. This provides direction for the leaders <strong>of</strong> Fraser Health and the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>, as it one<br />
will require leadership and decision making on establishing the objectives and involving the appropriate mix <strong>of</strong><br />
partners.<br />
The dedication <strong>of</strong> resources to operationalize the Phase 1 options must be the first order <strong>of</strong> business. Based<br />
upon our current understanding we believe there are human resources available to begin all three <strong>of</strong> these<br />
options. Additional support may be required along the way, but this can be identified in the initial project<br />
planning for each option.<br />
A brief overview <strong>of</strong> each Phase 1 option is outlined below. It needs to be acknowledged that the options<br />
identified in this report will benefit all <strong>of</strong> the citizens <strong>of</strong> the district <strong>of</strong> <strong>Mission</strong>, regardless <strong>of</strong> their culture or level<br />
<strong>of</strong> need. Once the community capacity is enhanced in the manner recommended, existing program targeted to<br />
the needs <strong>of</strong> special populations (e.g. aboriginal, rural, youth, etc.) should be even more effective than they<br />
have been to date.<br />
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6.3.1.1 Integrated Health Network<br />
Fraser Health has some experience leading the design and development <strong>of</strong> IHNs and thus needs to identify a<br />
leader and a team that will begin to formulate an Integrated Health Network for <strong>Mission</strong>, in cooperation with<br />
key physicians and health service providers that are supportive <strong>of</strong> this approach. This team will also need to<br />
address any provincial level requirements in order to secure funding for such an undertaking. Concurrent with<br />
this design initiative, the requirements for an interdisciplinary health centre will be completed and thus be the<br />
an input to the Infrastructure Analysis below.<br />
6.3.1.2 Infrastructure Analysis<br />
Fraser Health in cooperation with the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> needs to lead an Infrastructure review to identify the<br />
opportunities that exist with respect to addressing the capital requirements <strong>of</strong> the various options outlined<br />
above. The focus <strong>of</strong> the infrastructure analysis must be placed on the buildings, land and equipment that<br />
currently exist or could be made available to accommodate the requirements <strong>of</strong> implementing the various<br />
identified options. As part <strong>of</strong> the infrastructure analysis a financial feasibility analysis should also be conducted<br />
for any potential capital projects. Especially for the Campus <strong>of</strong> Care and the interdisciplinary health centre<br />
initiatives, a preferred direction should be identified as soon as possible so that the associated capital<br />
requirements can be documented and referred to the FVHD for funding consideration.<br />
6.3.1.3 Joint Planning Among Non-Traditional Partners<br />
Fraser Health and the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> need to co-lead this initiative. The importance <strong>of</strong> co-leading will be<br />
important to communicating to your partners that solutions for the community need to be developed and<br />
implemented collectively rather than in the traditional siloed approach. This will require gaining buy-in from<br />
other community leaders in the areas <strong>of</strong> education, social services, and justice to work collaboratively tp<br />
develop innovative solutions for the community <strong>of</strong> <strong>Mission</strong> and demonstrate that such partnerships can result<br />
in improvements for the community. This cross-sectoral working group will require a Terms <strong>of</strong> Reference that<br />
all partners can support and likely Fraser Health and <strong>Mission</strong> will need to develop a 'draft set' to gain the<br />
needed support from the other community partners. This Terms <strong>of</strong> Reference document can be used to garner<br />
support and the identification <strong>of</strong> the first members along with the identification <strong>of</strong> the first project from the<br />
Phase 1 list above. Selecting one that could be achieved as a 'quick win' will build momentum and<br />
demonstrate the power <strong>of</strong> this cross-sectoral approach.<br />
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FILE: FIN.AUD.VAG<br />
2008 Audit<br />
To: Chief Administrative Officer<br />
From: Deputy Treasurer/Collector<br />
Date: <strong>May</strong> 12, <strong>2009</strong><br />
Subject: 2008 Statements <strong>of</strong> Financial Information (SOH)<br />
Recommendation<br />
That the attached <strong>District</strong> <strong>of</strong> <strong>Mission</strong> 2008 Statements <strong>of</strong> Financial Information (SOFI reports) be<br />
approved.<br />
Report<br />
Per the Financial Information Act and related regulations, Council and the Director <strong>of</strong> Finance<br />
are required to approve the annual Statements <strong>of</strong> Financial Information (SOFT). The SOFI<br />
reports are attached and include the following:<br />
• Statement <strong>of</strong> Assets and Liabilities (includes notes to statements) (pages 1 & 5-14)<br />
• Operational Statements (includes Statement <strong>of</strong> Revenues & Expenditures and<br />
Consolidated Statement <strong>of</strong> Changes in Financial Position, as well as notes to<br />
statements) (pages 2-4 & 5-14)<br />
• Schedule <strong>of</strong> Debts (page 15)<br />
• Schedule <strong>of</strong> Guarantee and Indemnity Agreements (note 10 to statements satisfies this<br />
requirement) (pages 16 & 12&13)<br />
• Schedule <strong>of</strong> Remuneration and Expenses and Statement <strong>of</strong> Severance Agreements<br />
(paid to or on behalf <strong>of</strong> employees) (pages 17 & 18)<br />
• Schedule <strong>of</strong> Suppliers <strong>of</strong> Goods and/or Services (pages <strong>19</strong> - 22)<br />
The first three reports are part <strong>of</strong> our annual financial statements and have been reproduced for<br />
SOFT reporting purposes. The fourth report requirement (schedule <strong>of</strong> guarantee and indemnity<br />
agreements) is satisfied by referring to note 10 within the financial statement notes, per the<br />
Ministry.<br />
It is recommended that the attached <strong>District</strong> <strong>of</strong> <strong>Mission</strong> 2008 Statements <strong>of</strong> Financial<br />
Information (SOH) be approved. For your information, the SOFT reports will be available to the<br />
public for a nominal cost. It should be noted that the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Development<br />
Corporation's information is part <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> SOFT information, as the statements<br />
and other information produced represent the consolidated results <strong>of</strong> both organizations.<br />
Kern Onken CGA<br />
G:\FINANCE\Yearend\Yend2008\SOFI Report\SOFI memo to council.doc<br />
PAGE 1 OF 1
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DISTRICT OF MISSION<br />
STATEMENT OF FINANCIAL INFORMATION APPROVAL<br />
The undersigned, as authorized by the Financial Information Regulation, Schedule 1, subsection 9(2),<br />
approves all the statements and schedules included in this Statement <strong>of</strong> Financial Information,<br />
produced under the Financial Information Act .<br />
Ken Bjorgaard, CGA, MBA<br />
Director <strong>of</strong> Finance<br />
<strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
James Atebe<br />
MAYOR on behalf <strong>of</strong> Council<br />
<strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 9
156<br />
DISTRICT OF MISSION<br />
MANAGEMENT REPORT<br />
The Financial Statements contained in this Statement <strong>of</strong> Financial Information under the Financial<br />
Information Act have been prepared by management in accordance with generally accepted<br />
accounting principles or stated accounting principles, and the integrity and objectivity <strong>of</strong> these<br />
statements are management's responsibility. Management is responsible for all <strong>of</strong> the statements<br />
and schedules, and for ensuring that this information is consistent, where appropriate, with the<br />
information contained in the financial statements. Management is also responsible for implementing<br />
and maintaining a system <strong>of</strong> internal controls to provide reasonable assurance that reliable financial<br />
information is produced.<br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong>'s external auditors, BDO Dunwoody LLP, conduct an independent<br />
examination, in accordance with generally accepted auditing standards, and express their opinion<br />
on the financial statements. Their examination does not relate to the other schedules and<br />
statements required by the Act. Their examination includes a review and evaluation <strong>of</strong> the <strong>District</strong>'s<br />
system <strong>of</strong> internal control and appropriate tests and procedures to provide reasonable assurance<br />
that the financial statements are presented fairly. The external auditors have full and free access to<br />
all <strong>of</strong> the records and minutes <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
On behalf <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>,<br />
Ken Bjorgaard, CGA, MBA<br />
Director <strong>of</strong> Finance<br />
<strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 9
157<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
Statement <strong>of</strong> Assets and Liabilities<br />
as at December 31<br />
Actual<br />
2008<br />
Actual<br />
2007<br />
FINANCIAL ASSETS<br />
Cash $ 4,657,425 $ 2,808,409<br />
Portfolio and Mortgage Investments (Note 2) 36,907,873 30,550,624<br />
Receivables (Note 3) 5,129,995 5,279,550<br />
Deposits - Municipal Finance Authority (Note 4) 309,921 394,103<br />
Other Assets 94,934 90,140<br />
Log Inventory 380,498 285,572<br />
47,480,646 39,408,398<br />
LIABILITIES<br />
Accounts Payable and Accrued Liabilities (Note 5) 7,054,850 5,548,536<br />
Deferred Revenues 3,665,266 2,765,652<br />
Provision for Retirement (Note 6) 779,873 722,547<br />
Restricted Revenues 7,235,682 5,581,358<br />
Reserves - Municipal Finance Authority (Note 4) 309,921 394,103<br />
Deposits 1,774,605 2,091,417<br />
Long-Term Debt 21,162,610 22,571,410<br />
41,982,807 39,675,023<br />
NET FINANCIAL ASSETS (LIABILITIES) 5,497,839 (266,625)<br />
NON-FINANCIAL ASSETS<br />
Capital Assets (Note 7) <strong>19</strong>4,345,321 187,564,653<br />
NET MUNICIPAL POSITION $ <strong>19</strong>9,843,160 $ 187,298,028<br />
FUND POSITION<br />
Financial Equity<br />
Operating Surplus & Reserve Accounts $ 10,900,331 $ 9,270,200<br />
Reserve Funds 15,760,118 13,034,585<br />
26,660,449 22,304,785<br />
EQUITY IN NON-FINANCIAL ASSETS<br />
Equity in Capital Assets 173,182,711 164,993,243<br />
$ <strong>19</strong>9,843,160 $ 187,298,028<br />
Ken Bjorgaard, CGA, MBA<br />
Director <strong>of</strong> Finance<br />
James Atebe, <strong>May</strong>or<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 2<br />
To be read in conjunction with the Notes to the Consolidated Financial Statements
158<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
Statement <strong>of</strong> Revenues and Expenditures<br />
for the year ended December 31<br />
Budget<br />
2008<br />
(unaudited)<br />
Actual<br />
2008<br />
Actual<br />
2007<br />
REVENUES (Schedule 7)<br />
Taxation, Grants in Lieu, Utility Taxes (Net) $ 24,262,109 $ 24,243,408 $ 22,705,891<br />
Sales <strong>of</strong> Services 5,365,<strong>19</strong>4 5,358,083 5,163,794<br />
User Rates, Rentals, and Other Fees 7,847,333 7,628,427 6,651,157<br />
Permits and Licenses 858,935 896,189 990,062<br />
Return on Investments 346,931 1,147,771 1,169,982<br />
Contributions from Other Gov'ts & Agencies 4,120,709 3,338,360 3,317,529<br />
Municipal Forestry 3,442,000 1,979,156 5,248,089<br />
Other Revenue 1,591,784 6,890,296 3,231,705<br />
47,834,995 51,481,690 48,478,209<br />
EXPENDITURES (Schedule 8)<br />
General Government Services 6,042,837 6,017,858 3,420,753<br />
Parks, Recreation and Cultural Services 5,527,667 5,886,656 5,835,676<br />
Planning and Economic Development 1,203,902 1,218,657 1,048,143<br />
Protective Services 11,538,277 11,529,628 10,497,896<br />
Public Health and Welfare 230,383 186,176 160,021<br />
Sanitation and Waste Removal 7,166,799 2,525,557 3,212,259<br />
Transportation Services & Public Works 10,697,615 8,267,029 8,168,858<br />
Municipal Forestry 3,345,325 2,265,567 4,567,158<br />
Water and Sewer 13,079,999 6,579,451 4,939,700<br />
Long Term Debt Interest 1,<strong>19</strong>8,764 1,210,457 1,443,546<br />
Development Corporation 30,<strong>19</strong>1 30,<strong>19</strong>1 27,758<br />
60,061,759 45,717,227 43,321,768<br />
EXCESS (DEFICIENCY) OF REVENUES OVER<br />
EXPENDITURES (12,226,764) 5,764,463 5,156,441<br />
DEBT<br />
Long-Term Debt Principal Repaid (1,261,040) (1,261,040) (3,380,814)<br />
Long-Term Debt Actuarial (147,759) (147,759) (383,848)<br />
INCREASE (DECREASE) IN FINANCIAL EQUITY (13,635,563) 4,355,664 1,391,779<br />
CONSOLIDATED FINANCIAL EQUITY, Beginning <strong>of</strong> Year $ 22,304,785 $ 22,304,785 $ 20,913,006<br />
CONSOLIDATED FINANCIAL EQUITY, End <strong>of</strong> Year $ 8,669,222 $ 26,660,449 $ 22,304,785<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 3<br />
To be read in conjunction with the Notes to the Consolidated Financial Statements<br />
2
159<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
Consolidated Statement <strong>of</strong> Changes in Financial Position<br />
for the year ended December 31<br />
Actual Actual<br />
2008 2007<br />
CASH PROVIDED BY (USED FOR):<br />
OPERATING ACTIVITIES<br />
Excess <strong>of</strong> Revenues Over Expenditures 5,764,463 $ 5,156,441<br />
Deduct Items not Involving Cash<br />
Recognition <strong>of</strong> Restricted' Revenues (2,411,491) (1,049,142)<br />
Long-Term Debt Actuarial (147,759) (383,848)<br />
(2,559,250) (1,432,990)<br />
Changes in Non-Cash Operating Items<br />
Accounts Payable and Accrued Liabilities 1,506,314 633,626<br />
Provision for Retirements 57,326 (7,059)<br />
Deferred Revenue 899,614 116,962<br />
Deposits (316,812) 540,757<br />
Other Assets (4,794) 322,450<br />
Log Inventory (94,926) (145,332)<br />
Receivables 149,555 (<strong>19</strong>7,089)<br />
5,401,490 4,987,766<br />
FINANCING ACTIVITIES<br />
Collection <strong>of</strong> and Interest on Restricted Revenues 4,065,815 1,<strong>19</strong>6,130<br />
Long-Term Debt Principal Repaid (1,261,040) (3,380,814)<br />
2,804,775 (2,184,684)<br />
INVESTING ACTIVITIES<br />
Increase in Portfolio Investments (6,357,249) (4,732,922)<br />
DECREASE IN CASH 1,849,016 (1,929,840)<br />
CASH, BEGINNING OF YEAR 2,808,409 4,738,249<br />
CASH, END OF YEAR 4,657,425 $ 2,808,409<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 3<br />
To, be read in conjunction with the Notes to the Consolidated Financial Statements
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
160<br />
Statement <strong>of</strong> Changes in Financial Position - Capital Fund<br />
for the year ended December 31, 2008<br />
No financial equity is kept within Capital Funds.<br />
See notes and Statement <strong>of</strong> Assets and Liabilities for information regarding capital assets and related<br />
equity in capital assets.<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 3<br />
4
vllssion<br />
ON THE FRASER /0.111<br />
Notes to the Consolidated Financial Statements<br />
161<br />
for the year ended December 31. 2008<br />
General<br />
The notes and schedules to the Consolidated Financial Statements are an integral part <strong>of</strong> the statements.<br />
They provide detailed information and explain the significant accounting and reporting principles that form<br />
the basis for these statements. The notes and schedules also provide important supplementary<br />
information and explanations, which cannot be conveniently integrated into the Consolidated Financial<br />
Statements.<br />
The principal activities <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> (the <strong>District</strong>) include the provision <strong>of</strong> local govemment<br />
services to residents and businesses. The Community Charter <strong>of</strong> British Columbia requires revenue and<br />
expenditure to be in accordance with the five-year financial plan adopted annually by Council. The budget<br />
for each year <strong>of</strong> the plan must be balanced so that annual expenditures will not exceed the total <strong>of</strong><br />
revenue, transfers from reserves and surplus, and proceeds from debt. Budget information presented in<br />
the consolidated financial statements reflects the budget for the year 2008 <strong>of</strong> the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>'s 2008-<br />
2012 Five-Year Financial Plan adopted by Council Bylaw #4047-2008, and this budget information has not<br />
been audited.<br />
1. Significant Accounting Policies<br />
a) Basis <strong>of</strong> Presentation<br />
The Consolidated Financial Statements <strong>of</strong> the <strong>District</strong> are prepared in accordance with<br />
generally accepted accounting principles for local governments established by the Public<br />
Sector Accounting Board (PSAB) <strong>of</strong> the Canadian Institute <strong>of</strong> Chartered Accountants. The<br />
Consolidated Financial Statements reflect the combined results and activities <strong>of</strong> the <strong>District</strong><br />
and its wholly owned subsidiary, the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Development Corporation. All interfund<br />
and inter-company balances and transactions have been eliminated. The <strong>District</strong>'s<br />
general classification <strong>of</strong> funds and the purpose <strong>of</strong> those funds are shown below:<br />
i) Operating Funds<br />
Operating Funds are established for general, water, and sewer operations <strong>of</strong> the<br />
<strong>District</strong>. Operating Funds are used to record the costs associated with providing<br />
<strong>District</strong> services.<br />
ii)<br />
Capital Funds<br />
Capital Funds are established for g eneral, water, and sewer c apital. Capital<br />
Funds track the acquisition costs <strong>of</strong> various .capital assets and the financing <strong>of</strong><br />
those assets, including related debt.<br />
iii) Reserve Funds<br />
Under the Community Charter <strong>of</strong> British Columbia, Council may, by bylaw,<br />
establish Reserve Funds for specific purposes. Monies in a Reserve Fund and<br />
interest earned thereon must be used only for the purpose for which the Fund was<br />
established. If the amount in a Reserve Fund is greater than required, Council<br />
may, by bylaw, transfer all or part <strong>of</strong> the balance to another Reserve Fund.<br />
Prepared in accordance with FIR, Schedule 1<br />
5
<strong>Mission</strong><br />
DISTRICT C,<br />
ON THE FRASER T700°'<br />
Notes to the Consolidated Financial Statements<br />
162<br />
for the year ended December 31. 2008<br />
iv) Cemetery Perpetual Care Trust Fund<br />
This Fund is intended to provide earnings that can be used for the upkeep <strong>of</strong> the<br />
cemetery, and has been established pursuant to the Cemetery Care Act. Interest<br />
earnings on the Fund balance are transferred to general operations and are used<br />
for cemetery maintenance per the Act. The Cemetery Perpetual Care Fund is<br />
excluded from the <strong>District</strong>'s Consolidated Financial Statements, per PSAB<br />
guidelines.<br />
b) Basis <strong>of</strong> Accounting<br />
i) Revenues<br />
Revenues are recognized when they are earned using the accrual method <strong>of</strong><br />
accounting.<br />
ii)<br />
iii)<br />
iv)<br />
Expenditures<br />
Expenditures are recognized as they are incurred and when the goods<br />
and/or services are received and/or a legal obligation to pay is established.<br />
Deferred Revenues<br />
The <strong>District</strong> defers a portion <strong>of</strong> the revenue collected from permits, licenses and<br />
other fees, and recognizes such revenue in the year in which the related<br />
inspections or other related expenditures are incurred.<br />
Restricted Revenues<br />
Revenues or receipts, which are restricted by legislation or by agreement with<br />
external parties, are deferred and reported as restricted revenues. When<br />
qualifying expenditures are incurred, restricted revenues are recognized as<br />
revenues in order to fund the said expenditures.<br />
v) Government Transfers<br />
Government transfers are recognized as revenue in the period in which events<br />
giving rise to the transfer occurs, providing the transfers are authorized, and<br />
eligibility criteria have been met and reasonable estimates <strong>of</strong> the amounts can be<br />
made.<br />
c) Equity in Non-Financial Assets<br />
Equity in Non-Financial Assets reflects the excess <strong>of</strong> the accumulated historical cost <strong>of</strong><br />
assets acquired, constructed or developed by the <strong>District</strong>, over the <strong>District</strong>'s outstanding<br />
debt. The value <strong>of</strong> capital infrastructure constructed by developers and transferred to the<br />
<strong>District</strong> at no cost is reflected in Equity in Non-Financial Assets at fair market value. The<br />
costs <strong>of</strong> repairs and upgrading, which do not materially add to the value or the life <strong>of</strong> an<br />
asset, are recorded in the financial statements as operating expenditures. Disposals <strong>of</strong><br />
capital assets are recorded and relieved from Equity in Non-Financial Assets at cost.<br />
Prepared in accordance with FIR, Schedule 1<br />
6
ission<br />
MDISTRICT OF<br />
ON THE FRASER /,,,,00 01101'°V<br />
Notes to the Consolidated Financial Statements<br />
163<br />
for the year ended December 31. 2008<br />
d) Portfolio and Mortgage Investments<br />
Portfolio and Mortgage Investments are recorded at cost, including bonds, which are<br />
recorded net <strong>of</strong> premiums or discounts. Interest is accrued at the invested rate.<br />
Investments are written down to net realizable value when there has been, in the opinion<br />
<strong>of</strong> management, a decline in market value other than temporary.<br />
e) Use <strong>of</strong> Estimates<br />
The preparation <strong>of</strong> financial statements in conformity with generally accepted accounting<br />
principles for local governments established by PSAB requires management to make<br />
estimates and assumptions that affect the reported amounts <strong>of</strong> certain receivables and<br />
accrued liabilities at the date <strong>of</strong> the financial statements, and the reported amount <strong>of</strong><br />
related revenues and expenses during the reporting period. As such, actual results could<br />
differ from the estimates. Areas requiring the greatest degree <strong>of</strong> estimation include<br />
provision for retirements, assessment <strong>of</strong> contingencies, landfill closure and post-closure<br />
liabilities, and allowance for doubtful accounts receivable.<br />
f) Amortization<br />
Amortization <strong>of</strong> capital assets has not been provided for in these financial statements. See<br />
note 7 for additional information on capital assets.<br />
g) Inventory<br />
Forestry log inventory and land held for resale are valued at the lower <strong>of</strong> cost and net<br />
realizable value.<br />
h) Long-Term Debt<br />
Long-Term Debt is reduced annually by principal payments and actuarial earnings.<br />
Principal debt repayment is recorded in operating funds in the year that it is repaid.<br />
i) Employee Benefits<br />
The <strong>District</strong> and its employees make contributions to the Municipal Pension Plan, and the<br />
employees accrue benefits under this plan based on service. The <strong>District</strong>'s contributions<br />
to the Plan are expensed when incurred.<br />
In addition to the Municipal Pension Plan, other retirement benefits also accrue to the<br />
<strong>District</strong>'s employees. The employee benefits and the <strong>District</strong>'s liability related to these<br />
benefits are determined based on service, estimated retirement age, and expected future<br />
salary and wage rates.<br />
Prepared in accordance with FIR, Schedule 1<br />
7
Mi§r§frOfi,<br />
ON THE FRASER<br />
Notes to the Consolidated Financial Statements<br />
164<br />
for the year ended Decgmber 31. 2008<br />
2. Portfolio and Mortgage Investments<br />
Portfolio and Mortgage Investments as at December 31 were comprised <strong>of</strong> the following:<br />
Rate<br />
Maturity<br />
Date<br />
2008 2007<br />
M.F.A. Money Market Fund (a) Various N/A $27,222,253 $23,8<strong>19</strong>,466<br />
M.F.A. Intermediate Fund Various N/A 9,540,044 6,580,765<br />
Mortgage receivable from <strong>Mission</strong> Regional<br />
Chamber <strong>of</strong> Commerce, amortized over 25<br />
years, payable in monthly installments <strong>of</strong><br />
$1,068 including interest at 5.5% per annum,<br />
secured by general security agreement against<br />
debtor's property and by promissory note; due<br />
July 1, 2026. (a) 5.5% Jul. 1, 2026 144,9<strong>19</strong> 149,715<br />
(a) Held or partially held by Development Corporation<br />
Subtotal $36,907,216 $30,549,946<br />
Accrued Interest 657 678<br />
Totals $36,907,873 $30,550,624<br />
The carrying value <strong>of</strong> securities is based on the cost method whereby the cost <strong>of</strong> the security is<br />
adjusted to reflect investment income, which is accruing, and any decline in market value other<br />
than temporary. The market value <strong>of</strong> the investment portfolio as at December 31, 2008, is<br />
$36,907,873 (December 31, 2007, market value was $30,550,624).<br />
Included in the cash balance ($4,657,425) and portfolio investments ($36,907,873) is $15,760,118<br />
set aside for statutory reserve funds and $7,235,682 for restricted revenues.<br />
3. Receivables<br />
Receivables consist <strong>of</strong> the following:<br />
2008 2007<br />
Accounts Receivable (includes commercial utilities) $2,310,018 $2,797,576<br />
Development Cost Charge Receivables (note 12) 351,210 432,184<br />
Development Corporation Receivables 15,046 20,415<br />
Taxes Receivable (includes residential utilities) 2,453, 721 2,029,375<br />
Total $5,129,995 $5,279,550<br />
Prepared in accordance with FIR, Schedule 1<br />
8
<strong>Mission</strong><br />
ON THE FRASER<br />
Notes to the Consolidated Financial Statements<br />
165<br />
for the year ended December 31. 2008<br />
4. Municipal Finance Authority Debt Reserve Fund<br />
The <strong>District</strong> issues its debt instruments through the Municipal Finance Authority. As a condition <strong>of</strong><br />
these borrowings, a portion <strong>of</strong> the debt proceeds are withheld by the Municipal Finance Authority,<br />
in the Debt Reserve Fund. The <strong>District</strong> also executes demand notes in connection with each debt<br />
issue whereby the <strong>District</strong> may be required to loan certain amounts to the Municipal Finance<br />
Authority. These demand notes are contingent in nature. The balances <strong>of</strong> the cash deposits and<br />
demand notes as at December 31, 2008, are as follows (includes <strong>Mission</strong>'s share <strong>of</strong> regional<br />
utilities' cash deposits and demand notes):<br />
Cash Demand Total<br />
Deposits Notes Debt Reserve<br />
General Operating Fund $223,701 $543,964 $ 767,665<br />
Sewer Utility Operating Fund 42,905 99,878 142,783<br />
Water Utility Operating Fund 43,315 102,492 145 807<br />
Total $309,921 $746,334 $1,056,255<br />
5. Accounts Payable and Accrued Liabilities<br />
Accounts Payable and Accrued Liabilities consist <strong>of</strong> the following:<br />
2008 2007<br />
Accounts Payable $5,725,698 $4,331,616<br />
Wages and Benefits Payable 879,394. 777,366<br />
Landfill Closure and Post-Closure Care Costs 449,758 439,554<br />
Total $7,054,850 $5,548,536<br />
The <strong>District</strong>'s landfill site is regulated by the BC Ministry <strong>of</strong> Environment, and as such the <strong>District</strong> is<br />
subject to certain operating, closure and post-closure obligations at the site.<br />
The costs associated with landfill closure and post-closure care, are to be recognized over the<br />
operating life <strong>of</strong> the landfill site as per PSAB standards. The <strong>District</strong> has estimated and recognized<br />
a liability <strong>of</strong> $449,758 as at December 31, 2008, for future estimated closure and post-closure<br />
costs at the landfill site. The estimated total expenditures for closure and post-closure care are<br />
approximately $16.5 million, with approximately $16 million remaining to be recognized. There are<br />
currently no assets designated for settling the landfill closure and post-closure care liability.<br />
The landfill closure and post-closure care cost liability is based on the discounted costs associated<br />
with the phased closure <strong>of</strong> various landfill cells and environmental monitoring for 25 years after the<br />
landfill is closed. Approximately 70% <strong>of</strong> the landfill capacity remains, and the landfill is predicted to<br />
reach capacity around 2048. See note 11 (Landfill Leachate Breakout) for further information in<br />
relation to the landfill site.<br />
Prepared in accordance with FIR, Schedule 1
<strong>Mission</strong><br />
ON THE FRASER<br />
166<br />
Notes to the Consolidated Financial Statements<br />
for the year ended December 31. 2008<br />
6. PrOvision for Retirements<br />
<strong>District</strong> employees are eligible for retirement benefits, provided they retire in accordance with the<br />
provisions <strong>of</strong> the Pension (Municipal) Act. The amount <strong>of</strong> retirement benefit is determined by the<br />
number <strong>of</strong> full-time years <strong>of</strong> service the employee has accumulated upon retirement from the<br />
<strong>District</strong>. The significant actuarial assumptions adopted in measuring the <strong>District</strong>'s accrued<br />
Provision for Retirements are as follows:<br />
2008 2007<br />
Discount Rates 4.5% 4.5%<br />
Expected Wage and Salary Increases 2.5% 2.5%<br />
7. Tangible Capital Assets<br />
Tangible Capital Assets, at cost:<br />
2008 2007<br />
Buildings $ 36,870,418 $ 36,181,359<br />
Engineering Structures 68,072,965 65,525,006<br />
Land 7,025,824 6,950,824<br />
Machinery and Equipment <strong>19</strong>,006,375 18,411,478<br />
Sewer Utility Capital (Non-regional) 17,054,311 16,983,595<br />
Water Utility Capital (Non-regional) 16,297,353 16,216,920<br />
Sewer Utility Capital (Regional) 11,722,435 10,082,437<br />
Water Utility Capital (Regional) 18,295,640 17,213,034<br />
Total $<strong>19</strong>4,345,321 $187,564,653<br />
PSAB has issued a major new accounting standard, which comes into effect on January 1, <strong>2009</strong>.<br />
This standard requires that the <strong>District</strong> create and maintain a detailed listing <strong>of</strong> all <strong>of</strong> its Tangible<br />
Capital Assets (on a historical cost basis) and amortize the cost <strong>of</strong> these assets over their<br />
respective useful lives. A considerable amount <strong>of</strong> work will be required to comply with this<br />
standard and to meet the deadline. To date, the <strong>District</strong> has:<br />
• completed the necessary background research;<br />
• drafted a capital asset management policy;<br />
• formed an inter-departmental committee to oversee the implementation;<br />
• drafted a list <strong>of</strong> asset categories, expected useful lives and capitalization thresholds; and,<br />
• completed draft inventory collection procedures for all categories <strong>of</strong> capital assets.<br />
Prepared in accordance with FIR, Schedule 1<br />
10
167<br />
ON THE FRASER /0/01 111.'''''''.<br />
00<br />
Notes to the Consolidated Financial Statements<br />
for the year ended December 31, 2008<br />
8. Fair Market Value <strong>of</strong> Financial Assets and Financial Liabilities<br />
For certain <strong>of</strong> the <strong>District</strong>'s financial instruments, including cash, receivables, and accounts<br />
payable, the carrying amounts approximate fair market value due to the immediate or short-term<br />
maturity <strong>of</strong> these financial instruments.<br />
The fair market value <strong>of</strong> the Portfolio Investments approximates the carrying value (including<br />
accrued interest <strong>of</strong> the various instruments, based on quoted year-end market bid prices). The fair<br />
market value <strong>of</strong> the Mortgage Investments and the Long and Short-Term Debt approximates their<br />
carrying value, as the interest rates approximate borrowing rates available for loans under similar<br />
terms and maturities.<br />
9. Regional Water and Sewage Systems<br />
Prior to January 1, 2005, water supply and distribution and sewage treatment were provided to<br />
<strong>Mission</strong> and Abbotsford by the Fraser Valley Regional <strong>District</strong> (FVRD), who held the assets <strong>of</strong> the<br />
systems in trust for the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> and the City <strong>of</strong> Abbotsford. The assets, liabilities and<br />
equities <strong>of</strong> the existing systems were transferred from the FVRD to <strong>Mission</strong> and Abbotsford,<br />
effective January 1, 2005. <strong>Mission</strong> and Abbotsford now jointly govern and administer the systems,<br />
pursuant to the Water Supply and Distribution and Sewage Treatment Systems Ownership and<br />
Governance Agreement.<br />
For any given year, ownership <strong>of</strong> any portion <strong>of</strong> the assets <strong>of</strong> the systems constructed, partially<br />
constructed, or purchased during a year, is based on a percentage for each <strong>of</strong> <strong>Mission</strong> and<br />
Abbotsford, calculated by measuring the sewage flow for the sewage system, and the water flow<br />
for the water system for <strong>Mission</strong> and Abbotsford for the preceding year.<br />
Any disposition <strong>of</strong> assets <strong>of</strong> the joint water and sewer systems is permitted only with the joint<br />
consent <strong>of</strong> the parties, and the proceeds <strong>of</strong> such disposition is divided between <strong>Mission</strong> and<br />
Abbotsford ., based on <strong>Mission</strong>'s and Abbotsford's actual ownership <strong>of</strong> each asset <strong>of</strong> the system, as<br />
reflected in the financial statements <strong>of</strong> both <strong>Mission</strong> and Abbotsford.<br />
Operating revenues and expenditures for any year <strong>of</strong> the joint water services agreement is also<br />
based on a percentage calculated by measuring the water flow for each <strong>of</strong> <strong>Mission</strong> and Abbotsford<br />
for the preceding year. Operating revenues and expenditures for any year <strong>of</strong> the joint sewer<br />
services agreement is also based on a percentage calculated by measuring the sewage flow for<br />
each <strong>of</strong> <strong>Mission</strong> and Abbotsford for the preceding year.<br />
The <strong>District</strong>'s share <strong>of</strong> revenues and expenditures was as follows:<br />
2008 2007<br />
Water System 23.99% 22.12%<br />
Sewage System 20.76% 21.76%<br />
The <strong>District</strong>'s ownership share <strong>of</strong> the water and sewage capital assets was as follows:<br />
2008 2007<br />
Water System 21.68% 21.55%<br />
Sewage System 18 40% 18.07%<br />
Prepared in accordance with FIR, Schedule 1<br />
1 1
168<br />
<strong>Mission</strong><br />
ON THE FRASER<br />
Notes to the Consolidated Financial Statements<br />
for the year ended December 31. 2008<br />
10. Commitments and Contingencies<br />
(a)<br />
Pension<br />
The <strong>District</strong> and its employees contribute to the Municipal Pension Plan (the Plan), a jointly<br />
trusted pension plan. The Board <strong>of</strong> Trustees, representing the Plan members and<br />
employers, is responsible for overseeing the management <strong>of</strong> the Plan, including<br />
investment <strong>of</strong> the assets and administration <strong>of</strong> benefits. The Plan is a multi-employer<br />
contributory pension plan. Basic pension benefits provided are defined. The Plan has<br />
about 150,000 active members and approximately 54,000 retired members. Active<br />
members include approximately 32,000 contributors from local governments.<br />
Every three years an actuarial valuation is performed to assess the financial position <strong>of</strong> the<br />
Plan and the adequacy <strong>of</strong> Plan funding. The most recent valuation as at December 31,<br />
2006, indicated a surplus <strong>of</strong> $438 million for basic pension benefits. The next valuation will<br />
be as at December 31, <strong>2009</strong>, with results available in 2010. The actuary does not attribute<br />
portions <strong>of</strong> the surplus to individual employers. The <strong>District</strong> paid $821,1<strong>19</strong> for employer<br />
contributions to the Plan in fiscal 2008 ($766,037 in fiscal 2007). Employees contributed<br />
$747,885 to the Plan in fiscal 2008 ($686,898 in fiscal 2007).<br />
Due to severe market declines, the 2008 investment return on Plan assets to September<br />
30, 2008 was -6.86%, which is below the actuarial target and slightly below the<br />
benchmark. The Plan could be at an underfunded position in comparison to the 2006<br />
actuary reported surplus position. If there is an underfunded liability, the employer's<br />
contribution rate may increase. However, this increase may not be sufficient to keep the<br />
Plan fully funded.<br />
The Plan's Board <strong>of</strong> Trustees has reviewed its asset allocation and will be making changes<br />
to its Statement <strong>of</strong> Investment Policies and Procedures at its March <strong>2009</strong> Board meeting.<br />
(b)<br />
Legal Actions<br />
The <strong>District</strong> has been named as a defendant in various legal actions. No reserve or<br />
liability has been recorded regarding any <strong>of</strong> these legal actions or possible claims because<br />
the amount <strong>of</strong> loss, if any, is indeterminable. Settlement, if any, made with respect to<br />
these actions would be accounted for as a charge to expenditures in the period in which<br />
outcomes are known.<br />
(c) Silverdale Creek Estuary Wetlands Property Purchase<br />
In 2005, the <strong>District</strong> acquired a 25% interest in the Silverdale Creek Estuary Wetlands<br />
property. The <strong>District</strong> also entered into a co-purchase agreement with Ducks Unlimited<br />
Canada to acquire a further 25% interest in the property, for the amount <strong>of</strong> $300,000,<br />
divided equally over four years. To date, the <strong>District</strong> has purchased a $75,000 fractional<br />
interest in the property in each <strong>of</strong> 2006, 2007, and 2008, and is committed to purchase<br />
additional fractional interest in the amount <strong>of</strong> $75,000 in <strong>2009</strong>, as outlined in the Silverdale<br />
Creek Estuary Wetlands Purchase Agreement dated September 30, 2004.<br />
Prepared in accordance with FIR, Schedule 1<br />
12
ission<br />
MDISTRICT OF<br />
ON THE FRASER<br />
Notes to the Consolidated Financial Statements<br />
169<br />
for the year ended December 31. 2008<br />
(d) Agreements and Contracts<br />
The <strong>District</strong> has entered into various agreements and contracts for services and<br />
construction. The <strong>District</strong> has approximately $3.3 million in commitments as at December<br />
31, 2008, ($3.6 million as at December, 31, 2007), for capital projects which have not been<br />
recorded. The funding for the majority <strong>of</strong> these obligations has been set aside in reserves<br />
and deposits and will be used in the period the goods and/or services are constructed or<br />
acquired.<br />
11. Landfill Leachate Breakout<br />
In February <strong>of</strong> 2006, a leachate (contaminated water) breakout occurred at the <strong>District</strong>'s landfill site<br />
as a result <strong>of</strong> heavy rains and a rise in the ground water table. Since the breakout occurred, the<br />
<strong>District</strong> has completed various short-term remediation works at the site and has conducted<br />
numerous studies to determine a final resolution to this problem. As the final resolution, including<br />
costs, are yet to be determined, no provision has been made in these financial statements for this<br />
item. These amounts will be recorded in the year the goods and/or services are constructed or<br />
acquired.<br />
12. Letters <strong>of</strong> Credit<br />
In addition to the performance deposits reflected in cash balances, the <strong>District</strong> is holding<br />
irrevocable Letters <strong>of</strong> Credit in the amount <strong>of</strong> approximately $6.87 million as at December 31, 2008<br />
($6.75 million in 2007), which were received from various parties to ensure the parties complete<br />
various works within the <strong>District</strong>. These amounts are not reflected in the financial statements but<br />
are available to satisfy any liability arising from non-performance by the parties. The <strong>District</strong> is also<br />
holding irrevocable Letters <strong>of</strong> Credit as security against development cost charges receivable in<br />
the amount <strong>of</strong> $150,855 as at December 31, 2008 ($432,184 in 2007).<br />
13. Federal Gas Tax Agreement<br />
The following is a schedule <strong>of</strong> receipts and disbursements for the Federal Gas Tax Agreement<br />
funds:<br />
2008 2007<br />
Opening balance <strong>of</strong> unspent funds $979,490 $ 575,402<br />
Add: Amount received during the year 489,854 380,345<br />
Interest earned 54,200 39,742<br />
Less: Amount spent (55,603) (15,609)<br />
Amount spent on administration (1,390) (390)<br />
Closing balance <strong>of</strong> unspent funds $1,466,551 $979,490<br />
Gas Tax funding is provided by the Government <strong>of</strong> Canada. The use <strong>of</strong> the funding is established<br />
by a funding agreement between the <strong>District</strong> and the Union <strong>of</strong> British Columbia Municipalities. Gas<br />
Tax funding may be used towards designated public transit, community energy, water, wastewater,<br />
solid waste and capacity building projects, as specified in the funding agreement. For further<br />
information on the Gas Tax see schedule 5 (Reserve Funds).<br />
Prepared in accordance with FIR, Schedule 1<br />
13
170<br />
ON THE FRASER<br />
Notes to the Consolidated Financial Statements<br />
for the year ended December 31. 2008<br />
14. Segment Reporting<br />
Municipal services have been segmented by function, by combining activities that have similar<br />
service objectives (see schedule 9). Revenues and expenditures reported are directly attributable<br />
to the various segments, and may include internal transfers between segments that are recorded<br />
at fair value. The major services provided by each segment include:<br />
• General Government: property taxation, investments, general fund debt, municipal hall<br />
shared <strong>of</strong>fice services, insurance, municipal building operations and maintenance, library<br />
operations, transfers to reserves, and general cost recoveries.<br />
• Corporate Administration and Finance: general administration, financial administration,<br />
purchasing, human resources, information technology, grants provided to local<br />
organizations, restorative resolutions and social development.<br />
• Equipment Fleet: operations and maintenance <strong>of</strong> municipal vehicles and equipment,<br />
which are charged back to the user departments.<br />
• Parks, Recreation, and Cultural Services: leisure centre operations, arts and cultural<br />
services, parks, trails, and provision <strong>of</strong> a variety <strong>of</strong> lessons, public sessions, and programs.<br />
• Planning: land use planning for growth and development, and administration <strong>of</strong> the<br />
Official Community Plan (OCP) and zoning bylaws.<br />
• Economic Development: coordination <strong>of</strong> economic development, tourism, and film<br />
activities.<br />
• Police Services: general duty policing, community policing, community response, forensic<br />
identification, general investigations, police dog service, traffic and administrative support.<br />
• Fire & Emergency Services: emergency response, emergency planning, fire<br />
investigations, fire prevention, and public fire education.<br />
• Bylaw & Inspection Services: bylaw administration and enforcement, building permits<br />
and inspections, animal control services, business licenses, and public safety inspections.<br />
• Cemetery: cemetery operations and administration.<br />
• Refuse Collection and Landfill: curbside collection <strong>of</strong> refuse, compost, and recyclables;<br />
and landfill operations.<br />
• Engineering and Public Works: engineering administration, infrastructure planning, road<br />
maintenance, drainage, diking, and snow removal.<br />
• Transit Services: joint transit system with the City <strong>of</strong> Abbotsford providing bus service to<br />
<strong>Mission</strong> and Abbotsford, and participation in the West Coast Express train and train-bus<br />
service from <strong>Mission</strong> to Vancouver.<br />
• Forestry: administration <strong>of</strong> the <strong>Mission</strong> Tree Farm License, harvesting, tree planting, cone<br />
and seed collection, plantation brushing, tree spacing, pruning, forestry road construction,<br />
forest fire prevention, and trail building.<br />
• Water Utility: regional water supply and treatment systems with the City <strong>of</strong> Abbotsford,<br />
local water distribution, and system maintenance.<br />
• Sewer Utility: regional sewage treatment system with the City <strong>of</strong> Abbotsford, local sewage<br />
conveyance to the treatment plant, and system maintenance.<br />
Prepared in accordance with FIR, Schedule 1<br />
14
171<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
Schedule <strong>of</strong> Debts<br />
as at December 31<br />
L/A MFA Year <strong>of</strong><br />
Bylaw # Issue # Issue<br />
General Debt<br />
Purpose<br />
Stated Principal Principal<br />
Year <strong>of</strong> Interest Outstanding Outstanding<br />
Maturity Rate 31-Dec-08 31-Dec-07<br />
2983 68 <strong>19</strong>98<br />
Firehall/EOC building<br />
2018<br />
5.550<br />
$ 1,053,340<br />
$ 1,133,098<br />
3523 81 2004<br />
Leisure Center/Sports Park/Water Park<br />
2024<br />
4.860<br />
4,783,079<br />
4,975,631<br />
3523 85 2004<br />
3761 95 2005<br />
3523 99 2006<br />
Leisure Center/Sports ParkNVater Park<br />
Leisure Center/Sports ParkNVater Park<br />
Leisure Center/Sports Park/Water Park<br />
2024<br />
2025<br />
2027<br />
5.200<br />
4.170<br />
4.430<br />
1,739,301<br />
2,685,514<br />
5,868,407<br />
1,809,320<br />
2,794,480<br />
6,088,435<br />
Subtotal General Debt<br />
$ 16,129,641 $ 16,800,964<br />
Sewer Utility Debt<br />
Non-Regional Sewer Utility Debt<br />
Cedar Valley sewer extension local<br />
3355 75 2001 improvement 2021 5.690 $ 485,483 $ 511,586<br />
Regional Sewer Utility Debt<br />
- 533 63 <strong>19</strong>96 Regional sewer infrastructure 2016 4.000 146,460 161,067<br />
125/164/533 71 <strong>19</strong>99 Regional sewer infrastructure 20<strong>19</strong> 5.990 875,964 934,686<br />
125 75 # 2001 Regional sewer infrastructure 2021 5.690 143,017 150,707<br />
325 85 # 2004 Regional sewer infrastructure 2024 4.983 373,603 388,643<br />
Subtotal Regional Sewer Utility Debt 1,539,044 1,635,103<br />
Subtotal Sewer Utility Debt 2,024,527 $ 2,146,689<br />
Water Utility Debt<br />
Regional Water Utility Debt<br />
257 33 <strong>19</strong>83 Regional water infrastructure 2008 3.293 147,949<br />
166 68 <strong>19</strong>98 Regional water infrastructure 2018 5.550 - 296,458<br />
393 75 2001 Regional water infrastructure 2021 5.690 558,766 588,809<br />
393 80 2003 Regional water infrastructure 2023 4.775 1,733,<strong>19</strong>1 1,809,687<br />
393 83 2003 Regional water infrastructure 2013 4.345 222,390 266,868<br />
393 85 2004 Regional water infrastructure 2024 4.975 494,095 513,986<br />
Subtotal Regional Water Utility Debt $ 3,008,442 $ 3,623,757<br />
Total Long-Term Debt 21,162,610 $ 22,571,410<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 4<br />
15
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
172<br />
Schedule <strong>of</strong> Guarantee and Indemnity Agreements<br />
for the year ended December 31, 2008<br />
Information on all guarantees and indemnities are included in Note 10 to the Consolidated Financial Statements.<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 5<br />
16
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
173<br />
Schedule <strong>of</strong> Remuneration and Expenses<br />
for the year ended December 31, 2008 (1) REMUNERATION (2) EXPENSES TOTAL<br />
ELECTED OFFICIALS<br />
<strong>May</strong>or James Atebe $ 63,906.89 $ 7,211.09 $ 71,117.98<br />
Councillor Scott Etches 20,268.06 2,599.80 22,867.86<br />
Councillor Terry Gidda 23,073.52 1,077.00 24,150.52<br />
Councillor Paul Horn 21,849.52 82.00 21,931.52<br />
Councillor John Pearson 22,001.99 94.11 22,096.10<br />
Councillor Daniel Plecas 1,887.46 1,887.46<br />
Councillor Mike Scudder 1,887.46 1,887.46<br />
Councillor Jenny Stevens 21,849.52 901.33 22,750.85<br />
Councillor Heather Stewart 21,849.52 1,771.35 23,620.87<br />
SUBTOTAL - ELECTED OFFICIALS $ <strong>19</strong>8,573.94 $ 13,736.68 $ 212,310.62<br />
EMPLOYEES<br />
Employees with remuneration and expenses exceeding $75,000<br />
Allan, Kim $ 108,460.04 $ 4,623.55 113,083.59<br />
Bjorgaard, Ken 129,729.27 5,277.03 135,006.30<br />
Blumenauer, Robert 74,573.37 3,499.12 78,072.49<br />
Bomh<strong>of</strong>, Rick 135,560.48 1,922.21 137,482.69<br />
Boychuk, Ivan 99,647.96 1,994.74 101,642.70<br />
Clark, Dennis 136,679.07 1,708.99 138,388.06<br />
Dunham, Matt 78,829.92 480.86 79,310.78<br />
Endersby, Beverly 93,294.24 4,573.24 97,867.48<br />
Fitzpatrick, Ian 99,<strong>19</strong>2.48 8,316.94 107,509.42<br />
Fletcher, Sharon 113,499.46 1,682.51 115,181.97<br />
Fortier, Andy 75,621.38 186.99 75,808.37<br />
Giesbrecht, Michael 84,645.06 4,189.75 88,834.81<br />
Giles, Greg 88,441.68 542.98 88,984.66<br />
Herman, Ray 121,410.89 1,027.75 122,438.64<br />
Knowles, Chris 90,254.51 8,111.69 98,366.20<br />
McCormick, Wendy 94,878.47 1,234.61 96,113.08<br />
Melon, Elliott 77,788.81 693.60 78,482.41<br />
Nicholson, Roy 79,756.36 4,291.59 84,047.95<br />
O'Neal, Robert 92,038.21 1,401.93 93,440.14<br />
Onken, Kern 96,525.43 2,959.17 99,484.60<br />
Pitkethly, Barclay 89,595.18 2,270.23 91,865.41<br />
Poole, Kevin 89,579.13 8,352.37 97,931.50<br />
Ridley, Kelly 92,928.58 2,080.25 95,008.83<br />
Riecken, Douglas 110,142.12 913.42 111,055.54<br />
Robertson, Glen 164,070.57 2,479.64 166,550.21<br />
Ryan, Frank 123,743.68 1,055.60 124,799.28<br />
Vinnish, Dale 77,534.08 133.20 77,667.28<br />
Wallace, Twyla 74,909.44 686.16 75,595.60<br />
Younie, Mike 94,210.08 2,714.54 96,924.62<br />
Subtotal - employees exceeding $75,000 $ 2,887,539.95 $ 79,404.66 $ 2,966,944.61<br />
Consolidated total - employees whose remuneration is $75,000 or less $ 9,541,334.67 $ 142,497.89 $ 9,683,832.56<br />
SUBTOTAL-EMPLOYEES $ 12,428,874.62 $ 221,902.55 $ 12,650,777.17<br />
GRAND TOTAL $ 12,627,448.56 $ 235,639.23 $ 12,863,087.79<br />
(1) Includes any form <strong>of</strong> salary, wage, gratuities and taxable benefits, including applicable vehicle allowances paid to the employee<br />
or on behalf <strong>of</strong> the employee.<br />
(2) Includes travel expenses, memberships, tuition, relocation, vehicle reimbursements, and registration fees paid directly to an<br />
employee or to a third party on behalf <strong>of</strong> an employee.<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 6<br />
17
174<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
Statement <strong>of</strong> Severance Agreements<br />
for the year ended December 31, 2008<br />
There was 1 severance agreements under which payment commenced between the <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
and its non-unionized employees during 2008. This agreement represents 4 months <strong>of</strong> compensation.<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Subsection 6(8)<br />
18
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
175<br />
Schedule <strong>of</strong> Suppliers <strong>of</strong> Goods or Services<br />
Excludes transfers to other taxing authorities and organizations<br />
for the year ended December 31, 2008<br />
AGGREGATE<br />
AMOUNT PAID TO<br />
SUPPLIER<br />
AGGREGATE PAYMENTS EXCEEDING $25,000<br />
0714002 BC LTD<br />
A2Z ARENA PRODUCTS LTD<br />
ABBOTSFORD CHRYSLER LTD<br />
ABBOTSFORD COMMUNITY SERVICES<br />
AL DAVIES RADIO & T.V.<br />
ANDREW SHERET LTD<br />
ASSOCIATED ENGINEERING (B.C.) LTD.<br />
B A BLACKWELL & ASSOCIATES LTD<br />
B SHARP DEVELOPMENTS LTD.<br />
BC HYDRO - MASTER BILLING<br />
BC LIFE & CASUALTY COMPANY<br />
BC TRANSIT<br />
BELZONA MOLECULAR (B.C.) LTD.<br />
BLACK PRESS GROUP LTD<br />
BOARDWALK COMMUNICATIONS LTD.<br />
BOILEAU ELECTRIC & POLE LINE LTD.<br />
BRIDGEWATER PROPERTIES INC.<br />
BRISSON SECURITY INC.<br />
CANSEL SURVEY EQUIPMENT<br />
CENTRAL VALLEY TREE & ARBORIST SERVICES<br />
CHEVRON CANADA LTD<br />
CITY OF ABBOTSFORD<br />
CONESTOGA-ROVERS & ASSOCIATES<br />
CONSOLIDATED ENVIROWASTE IND. INC.<br />
CORIX WATER PRODUCTS INC.<br />
DAMS FORD LINCOLN SALES LTD.<br />
DAVIES SAND & GRAVEL LTD.<br />
DELL CANADA INC.<br />
DENBOW<br />
DEOL, TINGY<br />
DIRECT ENERGY MARKETING LIMITED<br />
DIVERSE FOREST CONTRACTING LTD.<br />
DOUGNESS HOLDING LTD. C/O BILL CAMERON<br />
DUCKS UNLIMITED<br />
E LEES & ASSOCIATES CONSULTING LTD.<br />
EAGLE WEST TRUCK & CRANE INC.<br />
ECHOLOGICS ENGINEERING INC.<br />
ENVISION INSURANCE<br />
27,014.44<br />
36,355.38<br />
54,350.47<br />
135,404.91<br />
37,170.00<br />
46,200.89<br />
52,843.10<br />
27,380.24<br />
152,315.25<br />
655,285.30<br />
160,018.92<br />
874,580.00<br />
28,454.72<br />
138,267.60<br />
27,643.30<br />
30,520.18<br />
350,000.00<br />
61,<strong>19</strong>4.00<br />
35,315.26<br />
37,921.94<br />
566,806.09<br />
3,377,271.39<br />
<strong>19</strong>7,924.17<br />
51,886.30<br />
35,406.38<br />
51,592.46<br />
149,353.33<br />
29,018.91<br />
207,108.12<br />
28,751.75<br />
208,838.16<br />
33,768.00<br />
230,335.37<br />
75,000.00<br />
80,866.31<br />
37,614.65<br />
30,141.84<br />
84,575.00<br />
Page Subtotal $ 8,444,494.13<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 7<br />
<strong>19</strong>
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
176<br />
Schedule <strong>of</strong> Suppliers <strong>of</strong> Goods or Services (continued)<br />
Excludes transfers to other taxing authorities and organizations<br />
for the year ended December 31, 2008<br />
AGGREGATE<br />
AMOUNT PAID TO<br />
SUPPLIER<br />
AGGREGATE PAYMENTS EXCEEDING $25,000<br />
ESC AUTOMATION INC<br />
ESRI CANADA LIMITED<br />
FRASER VALLEY REGIONAL DISTRICT<br />
FRASER VALLEY REGIONAL LIBRARY<br />
FRIESEN EQUIPMENT LTD<br />
GEHLEN, DARRYL<br />
GENSTAR DEVELOPMENT COMPANY<br />
GOLDER ASSOCIATES INNOVATIVE APP.INC.<br />
GOLDER ASSOCIATES LTD<br />
GRANDVIEW BLACKTOP LTD<br />
H & C LOGGING LTD. '<br />
HAWKEYE REFORESTATION LTD.<br />
HB LANARC<br />
HONEYWELL LIMITED<br />
IMPERIAL PAVING LIMITED<br />
INGVALLSEN, LISA<br />
KEEP & SON LOGGING<br />
KONICA MINOLTA BUS.SOLUTIONS(CANADA)LTD<br />
L D CONSULTING INC<br />
L I T AQUATICS LTD.<br />
LANDO & COMPANY "IN TRUST- )<br />
LARIBE ESTATES LTD.<br />
LOBLAW PROPERTIES LIMITED<br />
LORDCO PARTS LTD.<br />
MAINROAD MAINTENANCE PRODUCTS<br />
MDT TECHNICAL SERVICES INC.<br />
MILLS PRINTING & STATIONERY CO. LTD.<br />
MINISTER OF FINANCE<br />
MINISTER OF FINANCE-MIN.OFTRANSPORTATION<br />
MISSION ANIMAL CONTROL SERVICE<br />
MISSION CONTRACTORS LTD.<br />
MISSION FIGURE SKATING CLUB<br />
MISSION HERITAGE ASSOCIATION<br />
MISSION REGIONAL CHAMBER OF COMMERCE<br />
MISSION SEARCH AND RESCUE<br />
MITECH SERVICES LTD.<br />
MUNICIPAL INSURANCE ASSOCIATION OF B.C.<br />
MUNICIPAL PENSION PLAN<br />
50,510.86<br />
69,050.92<br />
2,439,750.95<br />
1,023,458.00<br />
26,318.33<br />
31,559.63<br />
27,973.00<br />
43,356.59<br />
85,144.63<br />
114,451.08<br />
673,971.02<br />
36,035.07<br />
332,167.97<br />
30,380.08<br />
616,132.03<br />
56,578.20<br />
79,436.55<br />
26,659.12<br />
29,400.00<br />
28,251.10<br />
50,000.00<br />
62,144.45<br />
49,745.87<br />
81,034.53<br />
43,312.34<br />
26,976.52<br />
45,541.89<br />
189,739.76<br />
52,950.63<br />
262,795.27<br />
50,742.83<br />
28,483.26<br />
126,094.50<br />
36,801.98<br />
46,965.07<br />
59,426.60<br />
379,242.02<br />
1,571,222.39<br />
Page Subtotal $ 8,983,805.04<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 7<br />
20
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
177<br />
Schedule <strong>of</strong> Suppliers <strong>of</strong> Goods or Services (continued)<br />
Excludes transfers to other taxing authorities and organizations<br />
for the year ended December 31, 2008<br />
AGGREGATE<br />
AMOUNT PAID TO<br />
SUPPLIER<br />
AGGREGATE PAYMENTS EXCEEDING $25,000<br />
NETWORK PAPER AND PACKAGING LTD 31,223.14<br />
NEW WEST GYPSUM RECYCLING (B.C.) INC. 58,995.50<br />
NILEX INC 48,528.73<br />
NORTHVIEW ENTERPRISES LTD. 288,549.33<br />
PACIFIC BLUE CROSS 398,<strong>19</strong>2.53<br />
PACIFIC REGENERATION TECHNOLOGIES INC. 39,451.44<br />
PAYMENTECH 26,<strong>19</strong>4.51<br />
PHIL'S JANITOR SERVICE 83,075.16<br />
PITNEYWORKS PREPAID 25,200.00<br />
PROFESSIONAL ENV REC CONSULTANTS LTD. 31,321.50<br />
PROFIRE EMERGENCY EQUIPMENT 25,545.03<br />
RAINCOAST VENTURES LTD. 25,593.78<br />
RECEIVER GENERAL FOR CANADA 660,223.36<br />
RECEIVER GENERAL FOR CANADA - RCMP COMM. 6,125,338.08<br />
REVENUE SERVICES OF BRITISH COLUMBIA 153,594.00<br />
RITEWAY TREE SERVICE LTD. 33,453.20<br />
ROCKY MOUNTAIN PHOENIX 34,637.03<br />
S S G HOLDINGS LTD. 581,653.73<br />
S&S TITAN DEVELOPMENT GROUP INC. 59,570.75<br />
SCADA CONTROLS CENTRAL LTD 31,041.51<br />
SCOTT RESOURCE SERVICES 172,<strong>19</strong>3.21<br />
SECURITY RESOURCE GROUP INC 49,628.76<br />
SFE LTD. 61,844.73<br />
SHADES TANKERS LTD. 99,854.45<br />
SINGLETON URQUHART LLP IN TRUST 1,300,000.00<br />
SMART SAFE 29,165.22<br />
SMITHRITE DISPOSAL LTD. 1,013,755.03<br />
SMS EQUIPMENT 146,699.62<br />
SOETISNA, JEFF 42,085.00<br />
SOFTCHOICE CORPORATION 82,957.28<br />
STAVE LAKE QUARRIES INC 29,452.82<br />
SUTTON ROAD MARKING LTD. 138,291.73<br />
TELUS COMMUNICATIONS (B.C.) INC. 105,493.10<br />
TELUS MOBILITY (BC) 48,161.83<br />
TEMPLE CONSULTING GROUP LTD. - TCG 25,497.18<br />
TERASEN GAS 118,323.89<br />
TIEGEN, JASON 161,089.09<br />
TRANSLINK 156,212.10<br />
Page Subtotal $ 12,542,087.35<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 7<br />
21
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
178<br />
Schedule <strong>of</strong> Suppliers <strong>of</strong> Goods or Services (continued)<br />
Excludes transfers to other taxing authorities and organizations<br />
for the year ended December 31, 2008<br />
AGGREGATE<br />
AMOUNT PAID TO<br />
SUPPLIER<br />
AGGREGATE PAYMENTS EXCEEDING $25,000<br />
TRANSWOOD TIMBER LTD 25,200.43<br />
TRU WAY RESCUE SERVICES INC. 42,020.69<br />
UNITED DEFENSE SECURITY LTD. 118,518.05<br />
VALLEY GEOTECHNICAL ENGINEERING SERVICES 30,373.56<br />
VALLEY RITE MIX LTD. 37,453.14<br />
VALLEY WEST BUILDERS 32,000.00<br />
VANTAGE CONTRACTING LTD. 79,063.50<br />
W J WINDEBANK LTD. 45,995.56<br />
WADE & ASSOCIATES LAND SURVEYING LTD. 29,035.33<br />
WESTERN AERIAL APPLICATIONS LTD. 84,359.70<br />
WILLIS CANADA VANCOUVER 134,553.00<br />
WOLSELEY WATERWORKS GROUP-BC REGION_ 25,469.26<br />
WOOD WYANT INC. 28,681.48<br />
WOODWARD WALKER BARRISTERS & SOLICITORS 124,171.79<br />
WORKERS' COMPENSATION BOARD OF B.C. 140,067.60<br />
Subtotal $ 976,963.09<br />
Grand Total - Aggregate Payments exceeding $25,000 $ 30,947,349.61<br />
CONSOLIDATED TOTAL PAID TO SUPPLIERS WHO RECEIVED AGGREGATE<br />
PAYMENTS OF $25,000 OR LESS<br />
-Paid by <strong>District</strong> <strong>of</strong> <strong>Mission</strong> $ 4,157,753.88<br />
-Paid by <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Development Corporation 3,762.35<br />
Subtotal $ 4,161,516.23<br />
CONSOLIDATED TOTAL PAID TO SUPPLIERS FOR GRANTS & CONTRIBUTIONS $ 416,621.34<br />
TOTAL PAYMENTS MADE FOR THE PROVISION OF GOODS AND SERVICES $ 35,525,487.18<br />
Prepared in accordance with Financial Information Regulation, Schedule 1, Section 7<br />
22
2003 COMMUNITY CHARTER SBC CHAP. 26<br />
179<br />
(b) give notice <strong>of</strong> the availability <strong>of</strong> the schedule in accordance with section 94 [public notice] at<br />
least once a year.<br />
(2) Subject to subsection (4), notice <strong>of</strong> a special council meeting must be given at least 24 hours<br />
before the time <strong>of</strong> meeting by<br />
(a) posting a copy <strong>of</strong> the notice at the regular council meeting place,<br />
(b) posting a copy <strong>of</strong> the notice at the public notice posting places, and<br />
(c) leaving one copy for each council member at the place to which the member has directed<br />
notices be sent.<br />
(3) The notice under subsection (2) must include the date, time and place <strong>of</strong> the meeting, describe in<br />
general terms the purpose <strong>of</strong> meeting and be signed by the mayor or the corporate <strong>of</strong>ficer.<br />
(4) Notice <strong>of</strong> a special council meeting may be waived by unanimous vote <strong>of</strong> all council members.<br />
.2003-26127.<br />
Electronic meetings and participation<br />
by members<br />
128. (1) If this is authorized by procedure bylaw and the requirements <strong>of</strong> subsection (2) are met,<br />
(a) a special council meeting may be conducted by means <strong>of</strong> electronic or other communication<br />
facilities, or<br />
(b) a member <strong>of</strong> council or a council committee who is unable to attend at a council meeting or a<br />
council committee meeting, as applicable, may participate in the meeting by means <strong>of</strong><br />
electronic or other communication facilities.<br />
(2) The following rules apply in relation to a meeting referred to in subsection (1):<br />
(a) the meeting must be conducted in accordance with the applicable procedure bylaw;<br />
(b) the facilities must enable the meeting's participants to hear, or watch and hear, each other;<br />
(c) for a special council meeting referred to in subsection (1) (a),<br />
(i) the notice under section 127 (2) [notice <strong>of</strong> special meetings] must include notice <strong>of</strong> the<br />
way in which the meeting is to be conducted and the place where the public may attend<br />
to hear the proceedings that are open to the public, and<br />
(ii) except for any part <strong>of</strong> the meeting that is closed to the public, the facilities must enable<br />
the public to hear, or watch and hear, the meeting at the specified place, and a<br />
designated municipal <strong>of</strong>ficer must be in attendance at the specified place;<br />
(d) for a meeting referred to in subsection (1) (b), except for any part <strong>of</strong> the meeting that is<br />
closed to the public, the facilities must enable the public to hear, or watch and hear, the<br />
participation <strong>of</strong> the member.<br />
(3) Members <strong>of</strong> council or a council committee who are participating under this section in a meeting<br />
conducted in accordance with this section are deemed to be present at the meeting.<br />
2003;26-128.<br />
Quorum for conducting busin ess<br />
129. (1) Subject to an order under subsection (3) or (4), the quorum is a majority <strong>of</strong> the number <strong>of</strong><br />
members <strong>of</strong> the council provided for under section 118 [size <strong>of</strong> council].<br />
(2) The acts done by a quorum <strong>of</strong> council are not invalid by reason only that the council is not at the<br />
time composed <strong>of</strong> the number <strong>of</strong> council members required under this Act.<br />
(3) If the number <strong>of</strong> members <strong>of</strong> a council is reduced to less than a quorum, the minister may either<br />
(a) order that the remaining members <strong>of</strong> the council constitute a quorum until persons are elected<br />
and take <strong>of</strong>fice to fill the vacancies, or<br />
(b) appoint qualified persons to fill the vacancies until persons are elected and take <strong>of</strong>fice to fill<br />
them.<br />
(4) The municipality may apply to the Supreme Court for an order under subsection (5) if, as a result<br />
<strong>of</strong> section 100 [disclosure <strong>of</strong> conflict], the number <strong>of</strong> council members who may discuss and vote on a matter falls below<br />
(a) the quorum for the council, or<br />
(b) the number <strong>of</strong> council members required to adopt the applicable bylaw or resolution.<br />
Ian. 1/04<br />
48 Quickscribe Services Ltd.
disRon Memo<br />
180<br />
To: Chief Administrative Officer<br />
From: Manager <strong>of</strong> Inspection Services<br />
Date: <strong>May</strong> 5, <strong>2009</strong><br />
Subject: Inspection Services Department Report — January to April <strong>2009</strong><br />
. BUILDING PERMITS<br />
Please refer to the attached statistical reports.<br />
2. BUSINESS LICENCES<br />
To-date a total <strong>of</strong> 1621 business licenses have been issued in <strong>2009</strong>.<br />
3. BYLAW ENFORCEMENT<br />
87 written complaints were received which included 27 untidy premises, 34 traffic, 6 building,<br />
5 noise, 3 zoning, 1 secondary suites, 2 business licence, 1 second dwelling, and 8<br />
miscellaneous.<br />
4. MTI TICKETS<br />
138 tickets were issued.<br />
Beverly Endersby<br />
G:\inspect\chris\chadmin.doc<br />
FILE: ADM.REP.INS PAGE 1 OF 1<br />
Month End Building
DISTRICT OF MISSION BUILDING REPORT<br />
COMPARISON OF TOTAL PERMITS FOR MONTH OF JANUARY 2005 - <strong>2009</strong><br />
MONTH OF JANUARY 2005 2006 2007 2008 2008NALUE <strong>2009</strong> <strong>2009</strong>NALUE<br />
Residential Units 11 10 16 7 $1,569,915.00 3 $559,803.00<br />
Duplex Units 0 0 0 1 $211,200.00 0 $0.00<br />
Multi-Family Units 0 1 138 0 $0.00 0 $0.00<br />
Mobile 0 0 0 0 $0.00 0 $0.00<br />
TOTAL RESIDENTIAL UNITS 11 11 154 8 $1,781,115.00 3 $559,803.00<br />
.<br />
Res. Additions & Alterations 3 1 3 1 $26,000.00 0 $0.00<br />
Institutional 0 0 0 1 $<strong>19</strong>5,000.00 0 $0.00<br />
Commercial 1 2 2 0 $0.00 0 $0.00<br />
Industrial 0 0 0 0 $0.00 3 $125,000.00<br />
Miscellaneous 0 4 1 18 $386,835.00 2 $53,340.00<br />
Demolitions 0 0 3 2 0<br />
TOTAL PERMITS FOR MONTH 15 18 163 30 $2,388,950.00 8 $738,143.00<br />
COMPARISON OF TOTAL'PERMITS FOF1 YEAR TO DATE 2005 - <strong>2009</strong><br />
YEAR TO DATE 2005 2006 2007 2008 2008NALUE <strong>2009</strong> <strong>2009</strong>NALUE<br />
Residential Dwellings 11 10 16 7 $1,569,915.00 3 $559,803.00<br />
Duplex Units 0 0 0 1 $211,200.00 0 $0.00<br />
Multi-Family Units 0 1 138 0 $0.00 0 $0.00<br />
Mobile 0 0 0 0 $0.00 0 $0.00<br />
TOTAL RESIDENTIAL TO DATE 11 11 154 8 $1,781,115.00 3 $559,803.00<br />
Res. Additions & Alterations 3 1 3 1 $26,000.00 0 $0.00<br />
Institutional 0 0 0 1 $<strong>19</strong>5,000.00 0 $0.00<br />
Commercial 1 2 2 0 $0.00 0 $0.00<br />
Industrial 0 0 0 0 $0.00 3 $125,000.00<br />
Miscellaneous 0 4 1 18 $386,835.00 2 $53,340.00<br />
Demolitions 0 0 3 2 0<br />
TOTAL YEAR TO DATE PERMITS 15 18 163 30 $2,388,950.00 8 $738,143.00<br />
Completions to Date 17 9 13 7 9<br />
oo
DISTRICT OF MISSION BUILDING REPORT<br />
COMPARISON OF TOTAL PERMITS FOR MONTH OF FEBRUARY 2005 - <strong>2009</strong><br />
MONTH OF FEBRUARY 2005 2006 2007 2008 2008NALUE <strong>2009</strong> <strong>2009</strong>NALUE<br />
Residential Units 7 7 28 10 $2,010,747.00 1 $130,361.00<br />
Duplex Units 0 0 0 0 $0.00 0 $0.00<br />
Multi-Family Units 0 0 0 0 $0.00 0 $0.00<br />
Mobile 0 0 0 0 $0.00 0 $0.00<br />
TOTAL RESIDENTIAL UNITS 7 7 28 10 $2,010,747.00 1 $130,361.00<br />
Res. Additions & Alterations 3 3 0 4 $96,484.00 1 $25,141.00<br />
Institutional 0 0 0 0 $0.00 0 $0.00<br />
Commercial 0 0 1 0 $0.00 0 $0.00<br />
Industrial 0 0 0 0 $0.00 3 $23,000.00<br />
Miscellaneous 1 3 10 7 $158,410.00 1 $27,638.00<br />
Demolitions 3 0 2 0 2<br />
TOTAL PERMITS FOR MONTH 14 13 41 21 $2,265,641.00 8 $206,140.00<br />
compARISo . OPTOfAL PERMITS FOR. YEAR TO DATE 2005 . - <strong>2009</strong><br />
YEAR TO DATE 2005 2006 2007 2008 2008NALUE <strong>2009</strong> <strong>2009</strong>/VALUE<br />
Residential Dwellings 18 17 44 17 $3,580,662.00 4 $690,164.00<br />
Duplex Units 0 0 0 1 $211,200.00 0 $0.00<br />
Multi-Family Units 0 1 138 0 $0.00 0 $0.00<br />
Mobile 0 0 0 0 $0.00 0 $0.00<br />
TOTAL RESIDENTIAL TO DATE 18 18 182 18 $3,791,862.00 4 $690,164.00<br />
Res. Additions & Alterations 6 4 3 5 $122,484.00 1 $25,141.00<br />
Institutional 0 0 0 1 $<strong>19</strong>5,000.00 0 $0.00<br />
Commercial 1 2 3 0 $0.00 0 $0.00<br />
Industrial 0 0 0 0 $0.00 6 $148,000.00<br />
Miscellaneous 1 7 11 25 $545,245.00 3 $80,978.00<br />
Demolitions 3 0 5 2 2<br />
TOTAL YEAR TO DATE PERMITS 29 31 204 51 $4,654,591.00 16 $944,283.00<br />
Completions to Date 31 <strong>19</strong> 26 23 23
DISTRICT OF MISSION BUILCIING REPORT<br />
COMPARISON OF TOTAL PERMITS FOR MONTH OF MARCH 2005 - <strong>2009</strong><br />
MONTH OF MARCH 2005 2006 2007 2008 2008NALUE <strong>2009</strong> <strong>2009</strong>NALUE<br />
Residential Units 29 23 13 16 $3,266,495.00 2 $599,746.00<br />
Duplex Units 0 0 0 0 $0.00 0 $0.00<br />
Multi-Family Units 0 0 0 0 $0.00 0 $0.00<br />
Mobile 0 0 0 0 $0.00 0 $0.00<br />
TOTAL RESIDENTIAL UNITS 29 23 13 16 $3,266,495.00 2 $599,746.00<br />
Res. Additions & Alterations 8 3 7 2 $213,959.00 0 $0.00<br />
Institutional 1 0 0 1 $6,572,807.00 0 $0.00<br />
Commercial 2 2 1 1 $140,000.00 2 $20,000.00<br />
Industrial 1 0 0 3 $27,500.00 1 $12,000.00<br />
Miscellaneous 5 9 1 14 $680,377.00 11 $399,106.00<br />
Demolitions 0 1 1 2 0<br />
TOTAL PERMITS FOR MONTH 46 38 23 39 $10,901,138.00 16 $1,030,852.00<br />
COMPA , 0Ni bF TOTAL PERMITS FOR YEAR TO DATE-, 2005 - <strong>2009</strong><br />
YEAR TO DATE 2005 2006 2007 2008 2008NALUE <strong>2009</strong> <strong>2009</strong>NALUE<br />
Residential Dwellings 47 40 57 33 $6,847,157.00 6 $1,289,910.00<br />
Duplex Units 0 0 0 1 $211,200.00 0 $0.00<br />
Multi-Family Units 0 1 138 0 $0.00 0 $0.00<br />
Mobile 0 0 0 0 $0.00 0 $0.00<br />
TOTAL RESIDENTIAL TO DATE 47 41 <strong>19</strong>5 34 $7,058,357.00 6 $1,289,910.00<br />
Res. Additions & Alterations 14 7 10 7 $336,443.00 1 $25,141.00<br />
Institutional 1 0 0 2 $6,767,807.00 0 $0.00<br />
Commercial 3 4 4 1 $140,000.00 2 $20,000.00<br />
Industrial 1 0 0 3 $27,500.00 7 $160,000.00<br />
Miscellaneous 6 16 12 39 $1,225,622.00 14 $480,084.00<br />
Demolitions 3 1 6 4 2<br />
TOTAL YEAR TO DATE PERMITS 75 69 227 90 $15,555,729.00 32 $1,975,135.00<br />
Completions to Date 48 35 31 40 36
HIS I RIC I Of MISSION BUILDING REPORT<br />
COMPARISON OF 101 1 I.PIRMECS FOR MONTH OF 1PR1L 2005 -<strong>2009</strong><br />
MONTH OF APRIL 2005 2006 2007 2008 2008NALUE <strong>2009</strong> <strong>2009</strong>NALUE<br />
Residential Units 20 17 <strong>19</strong> 12 $2,608,682.00 4 $690,041.00<br />
Duplex Units 0 0 0 0 $0.00 0 $0.00<br />
Multi-Family Units 0 0 0 0 $0.00 0 $0.00<br />
Mobile 0 0 0 0 $0.00 0 $0.00<br />
TOTAL RESIDENTIAL UNITS 20 17 <strong>19</strong> 12 $2,608,682.00 4 $690,041.00<br />
Res. Additions & Alterations 4 2 2 3 $117,975.00 3 $37,920.00<br />
Institutional 1 0 0 0 $0.00 0 $0.00<br />
Commercial 1 1 2 2 $5,807,500.00 1 $5,000.00<br />
Industrial 1 0 0 0 $0.00 0 $0.00<br />
Miscellaneous 9 2 2 10 $317,176.00 13 $349,314.00<br />
Demolitions 0 0 1 2 2<br />
I OTAL PERMITS FOR MONTH 36 22 26 29 $8,851,333.00 23 $1,082,275.00<br />
CO PAR1SON OF TOTAL FtfM1TS FOR YEAR TO DATE 2005 - <strong>2009</strong><br />
YEAR TO DATE 2005 2006 2007 2008 2008NALUE <strong>2009</strong> <strong>2009</strong>/VALUE<br />
Residential Dwellings 67 57 76 45 $9,455,839.00 10 $1,979,951.00<br />
Duplex Units 0 0 0 1 $211,200.00 0 $0.00<br />
Multi-Family Units 0 1 138 0 $0.00 0 $0.00<br />
Mobile 0 0 0 0 $0.00 0 $0.00<br />
TOTAL RESIDENTIAL TO DATE 67 58 214 46 $9,667,039.00 10 $1,979,951.00<br />
Res. Additions & Alterations 18 9 12 10 $454,418.00 4 $63,061.00<br />
Institutional 2 0 0 2 $6,767,807.00 0 $0.00<br />
Commercial 4 5 6 3 $5,947,500.00 3 $25,000.00<br />
Industrial 2 0 0 3 $27,500.00 7 $160,000.00<br />
Miscellaneous 15 18 14 49 $1,542,798.00 27 $829,398.00<br />
Demolitions 3 1 7 6 4<br />
TOTAL YEAR TO DATE PERMITS 111 91 253 1<strong>19</strong> $24,407,062.00 55 $3,057,410.00<br />
Completions to Date 80 44 37 56 42
Report: M:\live\bl\bltrissx.p <strong>District</strong> <strong>of</strong> <strong>Mission</strong> 1 85<br />
Page: 1 <strong>of</strong> 1L<br />
Version: 010000-L58.65.00 BL Trade Licence Issued Report Date: 05/05/09<br />
User ID: cdelaet Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>) Time: 09:24:43<br />
Open Date Business Name / Address / Location<br />
Type <strong>of</strong> Business<br />
05/01/<strong>2009</strong> MISSION MONTESSORI PRESCHOOL (FERNDALE) RESIDENT<br />
33447 DEWDNEY TRUNK ROAD<br />
MISSION BC<br />
PRESCHOOL<br />
V2V6Y3 Phone : (604) 820-4986<br />
Location: 33940 DLUGOSH AVENUE<br />
Owner(s): MISSION MONTESSORI PRESCHOOL INC<br />
06/01/<strong>2009</strong> PERRY KLASSEN MANAGEMENT INC. NON RESIDENT<br />
2933 MCBRIDE STREET<br />
ABBOTSFORD BC<br />
CONTRACTOR-DRYWALL<br />
V3G1H4 Phone : (604) 855-2351<br />
Location: NON-RESIDENT<br />
Owner(s): PERRY KLASSEN MANAGEMENT INC<br />
07/01/<strong>2009</strong> SPUZZUM-MAN AUCTIONS<br />
33731 GREWEL CRESCENT<br />
MISSION BC<br />
V2V7B7 Phone : (604) 820-2564<br />
Location: 33731 GREWAL CRESCENT<br />
Owner(s): NIEDZIELSKI, JOHN<br />
HOME OCCUPATION<br />
E-BAY<br />
AUCTIONS-INTERNET<br />
08/01/<strong>2009</strong> NORDIC RV REPAIR NON RESIDENT<br />
11750 SYLVESTER ROAD<br />
MISSION BC<br />
MOBILE RV REPAIR<br />
V2V4J1 Phone : (604) 615-6271<br />
Location: NON-RESIDENT<br />
Owner(s): 07237<strong>19</strong> BC LTD<br />
08/01/<strong>2009</strong> HAVA JAVA COFFEE 2008 INC<br />
216-32530 LOUGHEED HIGHWAY<br />
MISSION BC<br />
V2V1A5 Phone : (604) 820-9621<br />
Location: 216-32530 LOUGHEED HIGHWAY<br />
Owner(s): HAVA JAVA COFFEE 2008 INC<br />
RESIDENT<br />
RESTAURANT/COFFEE<br />
SHOP<br />
08/01/<strong>2009</strong> CAMEO BUILDING SERVICES HOME OCCUPATION<br />
33896 CHERRY AVENUE<br />
MISSION BC<br />
CONTRACTOR-REPAIR AND<br />
V2V6B2 Phone : (778) 834-7006<br />
MAINTENANCE<br />
Location: 33896 CHERRY AVENUE<br />
Owner(s): D'ARCY, DEL<br />
09/01/<strong>2009</strong> WIGGLES AND WAGS DOG GROOMING<br />
33669 CHERRY AVENUE<br />
MISSION BC<br />
V2V2V7 Phone : (604) 287-1122<br />
Location: 33669 CHERRY AVENUE<br />
Owner(s): KARMASON, ARLENE<br />
HOME OCCUPATION<br />
DOG GROOMING<br />
12/01/<strong>2009</strong> R DOWKER CONSULTING HOME OCCUPATION<br />
110-33599 2ND AVENUE<br />
MISSION BC<br />
BUSINESS CONSULTING<br />
V2V6J3 Phone : (604) 309-1595<br />
Location: 110-33599 2ND AVENUE<br />
Owner(s): DOWKER, ROGER<br />
12/01/<strong>2009</strong> STORMX CONSTRUCTION LTD.<br />
8380 JUDITH STREET<br />
MISSION BC<br />
V2V7N2 Phone : (604) 616-9482<br />
Location: 8380 JUDITH STREET<br />
Owner(s): STORMX CONSTRUCTION LTD<br />
12/01/<strong>2009</strong> HERBAL MAGIC<br />
103-32423 LOUGHEED HIGHWAY<br />
MISSION BC<br />
V2V7B8 Phone : (604) 826-5305<br />
Location: 103-32423 LOUGHEED HIGHWAY<br />
Owner(s): HERBAL MAGIC INC.<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
RESIDENT<br />
WEIGHT LOSS &<br />
NUTRITION CENTRE<br />
12/01/<strong>2009</strong> INTERWRAP PAPERS LTD. RESIDENT<br />
7163 BEATTY DRIVE<br />
MISSION BC<br />
PAPER MANUFACTURER<br />
V2V6C4 Phone : (604) 826-1811<br />
Location: 7163 BEATTY DRIVE<br />
Owner(s): INTERWRAP PAPERS LTD
Report: MAlive\bItItrissx.p<br />
Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
Page: 2 <strong>of</strong> 1.4<br />
1 86<br />
Date: 05/05/09<br />
Time: 09:24:43<br />
Open Date Business Name / Address / Location<br />
Type <strong>of</strong> Business<br />
13/01/<strong>2009</strong> PACIFIC ENVIRONMENTAL NON RESIDENT<br />
1336 MAIN STREET<br />
NORTH VANCOUVER BC<br />
ENVIRONMENTAL<br />
V7J1C3 Phone : (604) 980-3577<br />
CONSULTANTS<br />
Location: NON-RESIDENT<br />
Owner(s): HANSEN & ASSOC. ENVIRO CONSULT SERV. LTD<br />
13/01/<strong>2009</strong> ZHA ZHA SPA<br />
8093 WAXBERRY CRESCENT<br />
MISSION BC<br />
V2V5C3 Phone : (604) 820-1080<br />
Location: 32757 LOGAN AVENUE<br />
Owner(s): JAMES, KACIA<br />
13/01/<strong>2009</strong> ANY LANE RECORDS/COLLECTABLES<br />
1-33223 1ST AVENUE<br />
MISSION BC<br />
Phone : (604) 751-0165<br />
Location: 1-33223 1ST AVENUE<br />
Owner(s): CULLEN, LES<br />
13/01/<strong>2009</strong> J. BOND & SONS LTD<br />
C&D-7116 BEATTY DRIVE<br />
MISSION BC<br />
V5B1R3 Phone : (604) 856-16<strong>19</strong><br />
Location: C&D-7116 BEATTY DRIVE<br />
Owner(s): J. BOND & SONS. LTD<br />
14/01/<strong>2009</strong> HORNE STREET PETRO CANADA<br />
7285 HORNE STREET<br />
MISSION BC<br />
V2V3Y4 Phone : (604) 814-0311<br />
Location: 7285 HORNE STREET<br />
Owner(s): OCEANS RETAIL INVESTMENTS INC.<br />
15/01/<strong>2009</strong> ACROSS TOWN PLUMBING & HEATING<br />
17915 94TH AVENUE<br />
SURREY BC<br />
V4N4A1 Phone : (604) 720-0423<br />
Location: NON-RESIDENT<br />
Owner(s): ACROSS TOWN-PLUMBING & HEATING LTD<br />
15/01/<strong>2009</strong> FRASER CITY PAINTING & DECORATING LTD.<br />
3642 HURST CRESCENT<br />
ABBOTSFORD BC<br />
V2S6G8 Phone : (604) 302-3841<br />
Location: NON-RESIDENT<br />
Owner(s): FRASER CITY PAINTING & DECORATING LTD<br />
16/01/<strong>2009</strong> MOBIL 1 MECHANICAL<br />
35073 EWERT AVENUE<br />
MISSION BC<br />
V2V6S7 Phone : (778) 228-4<strong>19</strong>0<br />
Location: 35073 EWERT AVENUE<br />
Owner(s): HENNING, JEFFREY<br />
<strong>19</strong>/01/<strong>2009</strong> CLEAR CHOICE GLASS CONSTRUCTION<br />
33389 RAINBOW AVENUE<br />
ABBOTSFORD BC<br />
V2S1E6 Phone : (604) 854-4388<br />
Location: NON-RESIDENT<br />
Owner(s): BROUWER, MIKE<br />
RESIDENT<br />
SPA SERVICES<br />
RESIDENT<br />
COLLECTABLES<br />
RESIDENT<br />
EQUIPMENT<br />
MANUFACTURING<br />
RESIDENT<br />
GAS STATION AND<br />
CONVENIENCE STORE<br />
15/01/<strong>2009</strong> WEIGHT TO GO IV PRODUCTIONS INC NON RESIDENT<br />
350-889 HARBOURSIDE DRIVE<br />
NORTH VANCOUVER BC<br />
FILM PRODUCTION<br />
V7P 3S1 Phone : (604) 982-9285<br />
Location: NON-RESIDENT<br />
Owner(s): ANAID PRODUCTIONS INC<br />
NON RESIDENT<br />
CONTRACTOR<br />
15/01/<strong>2009</strong> AIR 1 QUALITY INSPECTION LTD. NON RESIDENT<br />
2431-349 WEST GEORGIA STREET<br />
VANCOUVER BC<br />
AIR QUALITY<br />
V6B3W7 Phone : (604) 910-9976<br />
INSPECTION<br />
Location: NON-RESIDENT<br />
Owner(s): AIR 1 QUALITY INSPECTION LTD<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
MECHANICAL<br />
SERVICES-MOBILE ONLY<br />
NON RESIDENT<br />
CONTRACTOR
Report: MAlivetN)Itrissx.p<br />
.Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
Page: 3 <strong>of</strong> 1L 1 87<br />
Date: 05/05/09<br />
Time: 09:24:43<br />
Open Date Business Name / Address / Location<br />
21/01/<strong>2009</strong> SETHI CONSTRUCTION LTD<br />
32496 ABERCROMBIE PLACE<br />
MISSION BC<br />
V4S0B1 Phone : (604) 854-2803<br />
Location: 32496 ABERCROMBIE PLACE<br />
Owner(s): SETHI CONSTRUCTION LTD.<br />
21/01/<strong>2009</strong> VALLEY AUDIO AND RECREATION<br />
32618 LOGAN AVENUE<br />
MISSION BC<br />
V2V6C7 Phone : (604) 820-8694<br />
Location: 32618 LOGAN AVENUE / 102-32859 MISSION WAY<br />
Owner(s): VALLEY AUDIO AND RECREATION LTD<br />
21/01/<strong>2009</strong> WOODENNICKEL SOLUTIONS<br />
33444 BALSAM AVENUE<br />
MISSION BC<br />
V2V5W6 Phone : (604) 557-8987<br />
Location: 33444 BALSAM AVENUE<br />
Owner(s): BURNS, PAUL<br />
21/01/<strong>2009</strong> KODIAK FENCE INSTALLATIONS LTD.<br />
33440 HAWTHORNE AVENUE<br />
ABBOTSFORD BC<br />
V2S1B8 Phone : (604) 853-2094<br />
Location: NON-RESIDENT<br />
Owner(s): KODIAK FENCE INSTALLATIONS LTD<br />
22/01/<strong>2009</strong> FLETCHER JANITORIAL<br />
3<strong>19</strong>86 ROBIN CRESCENT<br />
MISSION BC<br />
V2V5L4 Phone : (604) 820-1318<br />
Location: 3<strong>19</strong>86 ROBIN CRESCENT<br />
Owner(s): KRISHNA, VISHA<br />
23/01/<strong>2009</strong> PEACE COUNTRY FIRE PROTECTION LTD.<br />
<strong>19</strong>749 CONNECTING ROAD<br />
PITT MEADOWS BC<br />
V3Y1Z1 Phone : (604) 460-0996<br />
Location: NON RESIDENT<br />
Owner(s): PEACE COUNTRY FIRE PROTECTION LTD<br />
23/01/<strong>2009</strong> MEDLEY COSMETICS & AESTHETICS<br />
155-33751 7TH AVENUE<br />
MISSION BC<br />
V2V7C2 Phone : (604) 826-4403<br />
Location: 155-33751 7TH AVENUE<br />
Owner(s): MEDLEY, VAL<br />
26/01/<strong>2009</strong> DYNAMIC REHAB<br />
4-34252 MARSHALL ROAD<br />
ABBOTSFORD BC<br />
V2S1L9 Phone : (604) 854-2084<br />
Location: NON-RESIDENT<br />
Owner(s): CBI HEALTH<br />
27/01/<strong>2009</strong> TAP TO DRAIN PLUMBING SERVICES LTD<br />
24106 102ND AVENUE<br />
MAPLE RIDGE BC<br />
V2W1J1 Phone : (604) 317-4454<br />
Location: NON-RESIDENT<br />
Owner(s): TAP TO DRAIN PLUMBING SERVICES LTD.<br />
Type <strong>of</strong> Business<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
RESIDENT<br />
ELECTRONIC SALES<br />
HOME OCCUPATION<br />
BOOKKEEPING SERVICES<br />
NON RESIDENT<br />
CONTRACTOR<br />
21/01/<strong>2009</strong> CALIENTE CONSTRUCTION LTD. HOME OCCUPATION<br />
7558 SIMON STREET<br />
MISSION BC<br />
CONTRACTOR-HOME<br />
V2V3E8<br />
RENOVATIONS<br />
Location: 7558 SIMON STREET<br />
Owner(s): CALIENTE CONSTRUCTION LTD<br />
22/01/<strong>2009</strong> REACTIVE REHABILITATION LTD. NON RESIDENT<br />
111-16033 108TH AVENUE, P.O. BOX 74007<br />
SURREY BC<br />
PHYSICAL<br />
V4N5H9 Phone : (604) 589-5994<br />
REHABILITATION<br />
Location: NON-RESIDENT<br />
Owner(s): REACTIVE REHABILITATION LTD.<br />
HOME OCCUPATION<br />
JANITORIAL SERVICES<br />
NON RESIDENT<br />
FIRE PROTECTION<br />
INSTALLATION &<br />
HOME OCCUPATION<br />
COSMETIC SALES -<br />
OFFICE ONLY FROM HOME<br />
NON RESIDENT<br />
OCCUPATIONAL THERAPY<br />
& REHAB<br />
NON RESIDENT<br />
CONTRACTOR-PLUMBING
Report: M:Uivetbllbltrissx.p<br />
Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
Page: 4 <strong>of</strong> 1) 88<br />
Date: 05/05/09<br />
Time: 09:24:43<br />
Open Date Business Name / Address / Location<br />
27/01/<strong>2009</strong> WHITE SPOT RESTAURANT<br />
152-32555 LONDON AVENUE<br />
MISSION BC<br />
V2V6M7 Phone : (604) 820-6642<br />
Location: 152-32555 LONDON AVENUE<br />
Owner(s): VISCOUNTS MISSION RESTAURANT LTD<br />
29/01/<strong>2009</strong> MEDALLION HEALTHY HOMES<br />
22362 DEWDNEY TRUNK ROAD<br />
MAPLE RIDGE BC<br />
V2X3J2 Phone : (604) 6<strong>19</strong>-6655<br />
Location: NON-RESIDENT<br />
Owner(s): FRESH AIR SPECIALISTS INC<br />
02/02/<strong>2009</strong> GENESIS CREATIONS & RENOVATIONS<br />
16761 61ST AVENUE<br />
SURREY BC<br />
V3S1W2 Phone : (778) 881-7245<br />
Location: NON-RESIDENT<br />
02/02/<strong>2009</strong> BLUE MATRIX CUSTOM METAL<br />
3227 STN MAIN<br />
MISSION BC<br />
V2V4J4<br />
Location: 8498 DOERKSEN DRIVE<br />
Owner(s): WASYLUK, JUSTIN<br />
04/02/<strong>2009</strong> ELITE DETAILING<br />
8.33167 LONDON AVENUE<br />
MISSION BC<br />
V2V4P9 Phone : (604) 820-2999<br />
Location: 8-33167 LONDON AVENUE<br />
Owner(s): POWERS, RANDY<br />
05/021<strong>2009</strong> MISSION SECURITY SERVICES<br />
7528 JAMES STREET<br />
MISSION BC<br />
V2V3W1 Phone : (778) 997-45<strong>19</strong><br />
Location: 7528 JAMES STREET<br />
Owner(s): D'ONOFRIO, LUIGI<br />
05/02/<strong>2009</strong> WALLBANK, KEN<br />
34312 KIRKPATRICK AVENUE<br />
MISSION BC<br />
V2V6B2 Phone : (604) 820-0102<br />
Location: 34312 KIRKPATRICK AVENUE<br />
Owner(s): WALLBANK, KEN<br />
10/02/<strong>2009</strong> O'NEILL MECHANICAL SOLUTIONS<br />
13156 240TH STREET<br />
MAPLE RIDGE BC<br />
V4R0A9 Phone : (604) 765-4579<br />
Location: NON-RESIDENT<br />
Owner(s): O'NEILL, MIKE<br />
10/02/<strong>2009</strong> SEMPLE CONTRACTING CORPORATION<br />
BOX 2024 STATION MAIN<br />
CHILLIWACK BC<br />
V2R1A7 Phone : (604) 798-7654<br />
Location: NON-RESIDENT<br />
Owner(s): SEMPLE CONTRACTING CORPORATION<br />
10/02/<strong>2009</strong> JUST YOU ESTHETICS<br />
32906 BOOTHBY AVENUE<br />
MISSION BC<br />
V2V7R3 Phone : (604) 768-5944<br />
Location: 32906 BOOTHBY AVENUE<br />
Owner(s): WILLS, TANYA<br />
10/02/<strong>2009</strong> MAPLE RIDGE MECHANICAL LTD.<br />
32806 3RD AVENUE<br />
MISSION BC<br />
V2V1 M7 Phone : (604) 768-3027<br />
Location: 32806 3RD AVENUE<br />
Owner(s): MAPLE RIDGE MECHANICAL LTD<br />
Type <strong>of</strong> Business<br />
RESIDENT<br />
RESTAURANT<br />
NON RESIDENT<br />
CONTRACTOR-INDOOR AIR<br />
QUALITY SPECIALIST<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONTRACTOR-METAL<br />
WORKING<br />
RESIDENT<br />
AUTO DETAILING<br />
HOME OCCUPATION<br />
SECURITY PATROL -<br />
OFFICE ONLY<br />
HOME OCCUPATION<br />
HOBBY KENNEL<br />
05/02/<strong>2009</strong> HOMA RENOVATIONS INC NON RESIDENT<br />
1<strong>19</strong>71 232ND STREET<br />
MAPLE RIDGE BC<br />
CONTRACTOR<br />
V2X6T2 Phone : (604) 466-8867<br />
Location: NON-RESIDENT<br />
Owner(s): HOMA RENOVATIONS INC<br />
NON RESIDENT<br />
CONTRACTOR-PLUMBING<br />
NON RESIDENT<br />
CONTRACTOR-ELECTRICAL<br />
HOME OCCUPATION<br />
ESTHETIC SERVICES<br />
HOME OCCUPATION<br />
CONTRACTOR-MECHANICAL
Report: MAlive\bitltrissx.p<br />
Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
Page: 5 <strong>of</strong> 14 1 89<br />
Date: 05/05/09<br />
Time: 09:24:43<br />
Open Date Business Name / Address / Location<br />
10/02/<strong>2009</strong> PURE FITNESS<br />
33236 1ST AVENUE<br />
MISSION BC<br />
V2V1G3 Phone : (604) 307-1275<br />
Location: 33236 1ST AVENUE<br />
Owner(s): GIBSON, NATASHA<br />
10/02/<strong>2009</strong> WHITE MAPLE PHOTOGRAPHY<br />
35-33925 ARAKI COURT<br />
MISSION BC<br />
V2V7R5 Phone : (604) 302-5675<br />
Location: 35-33925 ARAKI COURT<br />
Owner(s): GIMSON, MARK<br />
10/02/<strong>2009</strong> MISSION METAL SALES LTD<br />
33431 THOMPSON AVENUE<br />
MISSION BC<br />
V2V2W9 Phone : (604) 968-1436<br />
Location: 33431 THOMPSON AVENUE<br />
Owner(s): MISSION METAL SALES LTD<br />
12/02/<strong>2009</strong> RWBOS CONTRACTING<br />
202-2469 PAULINE STREET<br />
ABBOTSFORD BC<br />
V2S3S1 Phone : (604) 852-2389<br />
Location: NON-RESIDENT<br />
Owner(s): RWB INDUSTRIES LTD<br />
12/02/<strong>2009</strong> LSL MANAGEMENT LTD.<br />
23740 110TH AVENUE<br />
MAPLE RIDGE BC<br />
V2W1 E7 Phone : (778) 688-9937<br />
Location: NON-RESIDENT<br />
Owner(s): LSL MANAGEMENT LTD.<br />
16/02/<strong>2009</strong> BROOKSHAW ELECTRICAL INSTALLATIONS LTD.<br />
8965 QUEEN MARY BLVD<br />
SURREY BC<br />
V3V6R2 Phone : (604) 599-4113<br />
Location: NON-RESIDENT<br />
Owner(s): BROOKSHAW ELECTRICAL INSTALLATIONS LTD.<br />
16/02/<strong>2009</strong> C.D. DRYWALL<br />
13327 233RD STREET<br />
MAPLE RIDGE BC<br />
V4R2W6 Phone : (604) 467-<strong>19</strong>09<br />
Location: NON-RESIDENT<br />
Owner(s): MACLEAN, DARREN<br />
17/02/<strong>2009</strong> ALLEYCAT HEMLINES<br />
33239 BEST AVENUE<br />
MISSION BC<br />
V2V5V5 Phone : (604) 820-0528<br />
Location: 1-33225 1ST AVENUE<br />
Owner(s): MAKKONEN, KATJA<br />
17/02/<strong>2009</strong> G.M. MECHANCIAL INC<br />
1273 COUTTS PLACE<br />
PORT COQUITLAM BC<br />
V3C5Y9 Phone : (604) -<br />
Location: NON-RESIDENT<br />
Owner(s): G.M. MECHANICAL INC<br />
17/02/<strong>2009</strong> MATSQUI ELECTRIC INC.<br />
3164 SWALLOW PLACE<br />
ABBOTSFORD BC<br />
V2T5K9 Phone : (604) 832-1768<br />
Location: NON-RESIDENT<br />
Owner(s): MATSQUI ELECTRIC INC<br />
17/02/<strong>2009</strong> CIMPLY CHARMING NOVELTIES<br />
32350 GREBE CRESCENT<br />
MISSION BC<br />
V2V4J4 Phone : (604) 820-9318<br />
Location: 32350 GREBE CRESCENT<br />
Owner(s): LAPSANSKY, NORMAN<br />
Type <strong>of</strong> Business<br />
RESIDENT<br />
FITNESS STUDIO<br />
HOME OCCUPATION<br />
WEDDING PHOTOGRAPHY<br />
RESIDENT<br />
RETAIL STEEL<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR-ELECTRICAL<br />
NON RESIDENT<br />
CONTRACTOR-ELECTRICAL<br />
NON RESIDENT<br />
CONTRACTOR-DRYWALL<br />
RESIDENT<br />
TAILOR/ALTERATIONS<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR-ELECTRICAL<br />
HOME OCCUPATION<br />
INTERNET / MAIL ORDER
Report: MAlivetItItrissx.p<br />
Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
Page: 6 <strong>of</strong> 12 1 90<br />
Date: 05/05/09<br />
Time: 09:24:44<br />
Open Date Business Name / Address / Location Type <strong>of</strong> Business<br />
18/02/<strong>2009</strong> TUSCAN HOMES INC<br />
12240 270TH STREET<br />
MAPLE RIDGE BC<br />
V2W1C2 Phone : (604) 462-7292<br />
Location: NON RESIDENT<br />
Owner(s): TUSCAN HOMES INC.<br />
18/02/<strong>2009</strong> 0-YAHOO HAIR STUDIO <strong>2009</strong> LTD.<br />
33124 DALKE AVENUE<br />
MISSION BC<br />
V2VOA3 Phone : (604) 807-9221<br />
Location: 33050 1ST AVENUE<br />
Owner(s): 0-YAHOO HAIR STUDIO <strong>2009</strong> LTD<br />
<strong>19</strong>/02/<strong>2009</strong> APLIN & MARTIN CONSULTANTS LTD.<br />
101-33230 OLD YALE ROAD<br />
ABBOTSFORD BC<br />
V2S 2J5 Phone : (778) 880-0577<br />
Location: NON-RESIDENT<br />
Owner(s): APLIN & MARTIN CONSULTANTS LTD<br />
<strong>19</strong>/02/<strong>2009</strong> LGI CONTRACTING<br />
4890 DUMFRIES STREET<br />
VANCOUVER BC<br />
V5N3T9 Phone : (604) 992-6991<br />
Location: NON-RESIDENT<br />
Owner(s): LIONS GATE INNOVATIONS INC<br />
<strong>19</strong>/02/<strong>2009</strong> FIDDLY BITS CONSTRUCTION<br />
32305 BOBCAT DRIVE WEST<br />
MISSION BC<br />
V2V6M9 Phone : (604) 755-2157<br />
Location: 32305 BOBCAT DRIVE WEST<br />
Owner(s): HOWARD, BRIAN<br />
20/02/<strong>2009</strong> SMARTSET MOBILE HAIR<br />
P.O. BOX 80039<br />
BURNABY BC<br />
V5H3X1 Phone : (604) 420-9339<br />
Location: NON-RESIDENT<br />
Owner(s): BROMLEY, ROBERT<br />
20/02/<strong>2009</strong> CANAM ELECTRIC<br />
BOX 2545<br />
ABBOTSFORD BC<br />
V2T6R3 Phone : (604) 866-7468<br />
Location: NON-RESIDENT<br />
Owner(s): CANAM ELECTRIC LTD<br />
20/02/<strong>2009</strong> LEGACY (ON THE RUN) PROD. INC.<br />
1600 E. BROADWAY STREET<br />
NORTH VANCOUVER BC<br />
V7J1B5 Phone : (604) 980-5225<br />
Location: NON-RESIDENT<br />
Owner(s): LEGACY FILMWORKS LTD.<br />
23/02/<strong>2009</strong> GOLDER ASSOCIATES LTD<br />
202-2790 GLADWIN ROAD<br />
ABBOTSFORD BC<br />
V2T4S8 Phone : (604) 850-8786<br />
Location: NON-RESIDENT<br />
Owner(s): GOLDER ASSOCIATES LTD.<br />
24/02/<strong>2009</strong> TOP TO BOTTOM CONTRACTING<br />
26360 128TH AVENUE<br />
MAPLE RIDGE BC<br />
V2W1 C6 Phone : (604) 462-0280<br />
Location: NON-RESIDENT<br />
Owner(s): KELLEWAY, KATRINA<br />
24/02/<strong>2009</strong> KEVSCO RENOVATIONS<br />
33731 APPS COURT<br />
MISSION BC<br />
V2V6Z8<br />
Location: 33731 APPS COURT<br />
Owner(s): TAYLOR, KEVIN<br />
NON RESIDENT<br />
CONTRACTOR<br />
RESIDENT<br />
HAIR SALON<br />
NON RESIDENT<br />
CIVIL ENGINEER /<br />
SURVEYOR<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
NON RESIDENT<br />
MOBILE HAIRDRESSING<br />
NON RESIDENT<br />
CONTRACTOR-ELECTRICAL<br />
NON RESIDENT<br />
FILM PRODUCTION<br />
NON RESIDENT<br />
ENGINEERING &<br />
ENVIRONMENTAL<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONTRACTOR
Report: MAliyetlthltrissx.p<br />
Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
Page: 7 <strong>of</strong> 1 <strong>19</strong>1<br />
Date: 05/05/09<br />
Time: 09:24:44<br />
Open Date Business Name / Address / Location Type <strong>of</strong> Business<br />
24/02/<strong>2009</strong> MAPLE RIDGE CONCRETE LTD.<br />
PO BOX 385<br />
MAPLE RIDGE BC<br />
V2X8K9 Phone : (604) -<br />
Location: NON RESIDENT<br />
Owner(s): MAPLE RIDGE CONCRETE LTD.<br />
24/02/<strong>2009</strong> ADDITIONAL VIRTUAL ASSISTANT<br />
32522 BEST AVENUE<br />
MISSION BC<br />
V2V2S6 Phone : (604) 814-3107<br />
Location: 32522 BEST AVENUE<br />
Owner(s): BELL, CHERYL<br />
25/02/<strong>2009</strong> GOLDEN EARS SIDING<br />
10379 248TH STREET<br />
MAPLE RIDGE BC<br />
V2W0A1 Phone : (604) 467-1814<br />
Location: NON-RESIDENT<br />
Owner(s): BOL, JACK<br />
26/02/<strong>2009</strong> RJ ROOFING<br />
11690 209TH STREET,<br />
MAPLE RIDGE BC<br />
V2X7S4 Phone : (604) 831-2522<br />
Location: NON-RESIDENT<br />
Owner(s): JUDGE, HARJIT<br />
26/02/<strong>2009</strong> KEYWEST ASPHALT LTD<br />
7231 120TH STREET, P.O. BOX 443<br />
DELTA BC<br />
V4C6P5 Phone : (604) 572-0732<br />
Location: NON-RESIDENT<br />
Owner(s): KEYWEST ASPHALT LTD<br />
26/02/<strong>2009</strong> CORAL CREATIONS<br />
32887 14TH AVENUE<br />
MISSION BC<br />
V2V2P1 Phone : (604) 751-4454<br />
Location: 32887 14TH AVENUE<br />
Owner(s): EUNSON, KRISTY<br />
27/02/<strong>2009</strong> SILVERDALE SHELL<br />
29677 LOUGHEED HIGHWAY<br />
MISSION BC<br />
V4S1H3 Phone : (604) 820-<strong>19</strong>82<br />
Location: 29677 LOUGHEED HIGHWAY<br />
Owner(s): SILVERDALE ENTERPRISES LTD.<br />
02/03/<strong>2009</strong> M.A.C. HUMAN RESOURCES CONSULTANTS<br />
32690 TUNBRIDGE AVENUE<br />
MISSION BC<br />
V4S0A4 Phone : (604) 217-5089<br />
Location: 32690 TUNBRIDGE AVENUE<br />
Owner(s): ARTHUR, MARK<br />
03/03/<strong>2009</strong> ROCKIN ON THE RIVER<br />
33066 1ST AVENUE<br />
MISSION BC<br />
V2V1G3 Phone : (604) 814-1083<br />
Location: 32670 DYKE ROAD<br />
Owner(s): ROCKIN RIVER PRODUCTIONS INC.<br />
03/03/<strong>2009</strong> TONI'S MINI MARKET<br />
7007 BRIDGE STREET<br />
MISSION BC<br />
V2V2X5<br />
Location: 33025 1ST AVENUE<br />
Owner(s): OCH, MIGUEL<br />
03/03/<strong>2009</strong> TOTAL BLAST PRESSURE WASHING CO.<br />
33186 MYRTLE AVENUE<br />
MISSION BC<br />
V2V5W1 Phone : (604) 302-9174<br />
Location: 33186 MYRTLE AVENUE<br />
Owner(s): SIEMENS, JOEL<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CLERICAL - OFFICE<br />
ONLY<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR-PAVING<br />
HOME OCCUPATION<br />
ARRANGING &<br />
DISTRIBUTING WEDDING<br />
RESIDENT<br />
GAS<br />
STATION/CONVENIENCE<br />
HOME OCCUPATION<br />
H.R. CONSULTING<br />
RESIDENT<br />
MUSICAL CONCERT<br />
RESIDENT<br />
CONVENIENCE STORE<br />
HOME OCCUPATION<br />
CONTRACTOR
Report: MAlivetbltrissx.p<br />
Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
Page: 8 <strong>of</strong> 1) 92<br />
Date: 05/05/09<br />
Time: 09:24:44<br />
Open Date Business Name / Address / Location Type <strong>of</strong> Business<br />
04/03/<strong>2009</strong> VALLEY GEOTECHNICAL ENGINEERING SERVICES LTD.<br />
15-62 FAWCETT ROAD<br />
COQUITLAM BC<br />
V3C6J2 Phone : (604) 527-8475<br />
Location: NON RESIDENT<br />
Owner(s): VALLEY GEOTECHNICAL ENGINEERING SERVICES<br />
11/03/<strong>2009</strong> SPICK 'N' SPAN CLEANING<br />
3<strong>19</strong>62 HILLCREST AVENUE<br />
MISSION BC<br />
V2V1K9 Phone : (604) 615-6185<br />
Location: 3<strong>19</strong>62 HILLCREST AVENUE<br />
Owner(s): FULLER, AMANDA<br />
11/03/<strong>2009</strong> CHRISTOFF-EXQUISITE FASHION ACCESSORIES<br />
32685 GREENE PLACE<br />
MISSION BC<br />
V4S0A6 Phone : (604) 417-7129<br />
Location: 32685 GREENE PLACE<br />
Owner(s): CHRISTOFF, HILDA & CATHY<br />
12/03/<strong>2009</strong> DRAGON AIRE COOKING TECHNOLOGIES INC.<br />
5-32912 MISSION WAY<br />
MISSION BC<br />
V2V5X9 Phone : (604) 826-6550<br />
Location: 5-32912 MISSION WAY<br />
Owner(s): DRAGON AIRE COOKING TECHNOLOGIES INC<br />
13/03/<strong>2009</strong> GENESIS PAINTING<br />
33080 MYRTLE AVENUE<br />
MISSION BC<br />
V2V5W1 Phone : (604) 556-4745<br />
Location: 33080 MYRTLE AVENUE<br />
Owner(s): NEMETH, DEREK<br />
17/03/<strong>2009</strong> PERSONA CONSTRUCTION LTD<br />
185 67A STREET<br />
DELTA BC<br />
V4L1 L2 Phone : (604) 943-0855<br />
Location: NON-RESIDENT<br />
Owner(s): PERSONA CONSTRUCTION LTD<br />
17/03/<strong>2009</strong> ENVOY ELECTRICAL SYSTEMS LTD.<br />
8952 156TH STREET<br />
SURREY BC<br />
V3R4K8 Phone : (604) 812-9978<br />
Location: NON-RESIDENT<br />
Owner(s): ENVOY ELECTRICAL SYSTEMS LTD<br />
17/03/<strong>2009</strong> BAMBOO TRADITIONAL CHINESE MEDICINE<br />
202-33395 1ST AVENUE<br />
MISSION BC<br />
V2V1G9 Phone : (604) 217-4323<br />
Location: 202-33395 1ST AVENUE<br />
Owner(s): JASWAL, SALLY<br />
18/03/<strong>2009</strong> OFFICEWORKS ADMINISTRATIVE MANAGEMENT<br />
35028 FISHER PLACE<br />
MISSION BC<br />
V2V6S8 Phone : (604) 790-9591<br />
Location: 35028 FISHER PLACE<br />
Owner(s): CAMPBELL, CINDY<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
HOUSE CLEANING<br />
HOME OCCUPATION<br />
INTERNET SALES OF<br />
FASHION ACCESSORIES<br />
12/03/<strong>2009</strong> UNITECH CONSTRUCTION MANAGEMENT LTD NON RESIDENT<br />
400-1530 56TH STREET<br />
DELTA BC<br />
CONSTRUCTION<br />
V4L2A8 Phone : (604) 943-8845<br />
MANAGEMENT<br />
Location: NON-RESIDENT<br />
Owner(s): UNITECH CONSTRUCTION] MANAGEMENT LTD<br />
RESIDENT<br />
MANUFACTURER OF<br />
COMMERCIAL OVENS<br />
HOME OCCUPATION<br />
CONTRACTOR-PAINTING<br />
16/03/<strong>2009</strong> ADVANCED DECKING LTD. NON RESIDENT<br />
1793 JENSEN AVENUE<br />
PORT COQUITLAM BC<br />
CONTRACTOR<br />
V3B2E2 Phone : (604) 230-3029<br />
Location: NON-RESIDENT<br />
Owner(s): ADVANCED DECKING LTD<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR-ELECTRICAL<br />
RESIDENT<br />
CHINESE MEDICINE -<br />
ACUPUNCTURE<br />
HOME OCCUPATION<br />
ADMINISTRATIVE<br />
PROJECT MANAGEMENT
Report: MAlivethltiltrissx.p<br />
Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> '<br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
Page: 9 <strong>of</strong> 11 93<br />
Date: 05/05/09<br />
Time: 09:24:44<br />
Open Date Business Name / Address / Location<br />
18/03/<strong>2009</strong> YARD GNOMES HOME MAINTENANCE<br />
7468 COTTONWOOD STREET<br />
MISSION BC<br />
V2V3E9 Phone : (604) 613-1035<br />
Location: 7468 COTTONWOOD STREET<br />
Owner(s): MADSEN, KEVIN<br />
<strong>19</strong>/03/<strong>2009</strong> PROFILE SUPPLY<br />
13854 SPRATT ROAD<br />
MISSION BC<br />
V2V4J1 Phone : (888) 310-2579<br />
Location: NON-RESIDENT<br />
Owner(s): HEMSWORTH, MELANIE<br />
<strong>19</strong>/03/<strong>2009</strong> ALL IN ONE RESIDENTIAL CONTRACTING<br />
32751 RICHARDS AVENUE<br />
MISSION BC<br />
V2V7E6 Phone : (604) 824-0711<br />
Location: 32751 RICHARDS AVENUE<br />
Owner(s): BOYDELL, JUSTIN<br />
23/03/<strong>2009</strong> RIDGELINE ELECTRIC<br />
2175 PI7 RIVER ROAD<br />
PORT COQUITLAM BC<br />
V3C1 R5 Phone : (778) 386-5829<br />
Location: NON-RESIDENT<br />
Owner(s): CAMPBELL, SAM<br />
23/03/<strong>2009</strong> ROC-ON MASONRY<br />
32897 12TH AVENUE<br />
MISSION BC<br />
V2V2M5 Phone : (604) 782-4443<br />
Location: 32897 12TH AVENUE<br />
Owner(s): NADESSAN, CHARLENE<br />
23/03/<strong>2009</strong> APX ALARM SECURITY SOLUTIONS INC.<br />
5132 N. 300 W.<br />
OREM UT<br />
84604 Phone : (801) 377-9111<br />
Location: NON-RESIDENT<br />
Owner(s): APX ALARM SECURITY SOLUTIONS INC<br />
26/03/<strong>2009</strong> QP PRODUCTIONS & ASSOCIATES INC.<br />
900-555 BURRARD STREET<br />
VANCOUVER BC<br />
V7X1M8 Phone : (604) 615-8573<br />
Location: 32732 LIGHTBODY COURT<br />
Owner(s): OP PRODUCTIONS & ASSOCIATES INC<br />
26/03/<strong>2009</strong> RAY'S MAINTENANCE<br />
7561 CEDAR STREET<br />
MISSION BC<br />
V2V4W1 Phone : (604) 832-3397<br />
Location: 7561 CEDAR STREET<br />
Owner(s): RAY, HARVEY<br />
27/03/<strong>2009</strong> MOUNTAIN RIDGE INSTALLATIONS LTD<br />
32728 BEST AVENUE<br />
MISSION BC<br />
V2V2S6 Phone : (604) 302-1710<br />
Location: 32728 BEST AVENUE<br />
Owner(s): MOUNTAIN RIDGE INSTALLATIONS LTD.<br />
Type <strong>of</strong> Business<br />
HOME OCCUPATION<br />
YARD MAINTENANCE<br />
NON RESIDENT<br />
BUILDING PRODUCTS-ON<br />
LINE SALES ONLY<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
23/03/<strong>2009</strong> SWEET REPEATS KIDS CONSIGNMENT RESIDENT<br />
8158 WAXBERRY CRESCENT<br />
MISSION BC<br />
CHILDREN'S<br />
V2V5S5 Phone : (604) 690-0681<br />
CONSIGNMENT<br />
Location: 33046A 1ST AVENUE<br />
Owner(s): RUTLEDGE, ASHLEY<br />
NON RESIDENT<br />
CONTRACTOR<br />
23/03/<strong>2009</strong> LUMIDYNE SCIENCES RESIDENT<br />
4-33111 LONDON AVENUE<br />
MISSION BC<br />
RESEARCH &<br />
V2V4P9 Phone : (604) 820-8808<br />
DEVELOPMENT<br />
Location: 4-33111 LONDON AVENUE<br />
26/03/<strong>2009</strong> TIMMERMANS LANDSCAPING LTD NON RESIDENT<br />
<strong>19</strong>00 INTER-PROVINCIAL HWY<br />
ABBOTSFORD BC<br />
CONTRACTOR<br />
V3G2H7 Phone : (604) 504-5381<br />
Location: NON-RESIDENT<br />
Owner(s): TIMMERMANS LANDSCAPING LTD<br />
HOME OCCUPATION<br />
CONSULTING PRINTING<br />
SERVICES<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONTRACTOR
Report: MAliyelbl \bltrissx.p<br />
Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
Page: 10 <strong>of</strong> 1 <strong>19</strong>4<br />
Date: 05/05/09<br />
Time: 0924:44<br />
Open Date Business Name / Address / Location<br />
27/03/<strong>2009</strong> ICARUS<br />
112 WEST 6TH AVENUE<br />
VANCOUVER BC<br />
V5Y1K6 Phone : (604) 623-3369<br />
Location: NON-RESIDENT<br />
Owner(s): ICARUS BC PRODUCTIONS INC<br />
30/03/<strong>2009</strong> RICH-MAR ELECTRIC LTD.<br />
7179 10TH AVENUE<br />
BURNABY BC<br />
V3N2R6 Phone : (604) 526-4774<br />
Location: NON-RESIDENT<br />
Owner(s): RICH-MAR ELECTRIC LTD<br />
31/03/<strong>2009</strong> MEREDITH EGAN<br />
32469 MITCHELL AVENUE<br />
MISSION BC<br />
V4S0B2 Phone : (604) 832-0954<br />
Location: 32469 MITCHELL AVENUE<br />
Owner(s): EGAN, MEREDITH<br />
01/04/<strong>2009</strong> MIKES DISPOSAL<br />
33039 DEWDNEY TRUNK ROAD<br />
MISSION BC<br />
V4S1C2 Phone : (604) 614-7312<br />
Location: 33039 DEWDNEY TRUNK ROAD<br />
Owner(s): M N 0 ENTERPRISES LTD.<br />
06/04/<strong>2009</strong> SAN CONTRACTING & EXCAVATING LTD<br />
6574 HOLLY PARK DRIVE<br />
DELTA BC<br />
V4K4Y7 Phone (604) 537-3664<br />
Location: NON-RESIDENT<br />
Owner(s): SAN CONTRACTING & EXCAVATING LTD<br />
06/04/<strong>2009</strong> SYMMETRY INJURY REHABILITATION<br />
35723 CANTERBURY AVENUE<br />
ABBOTSFORD BC<br />
V3G1G2 Phone : (604) 751-0280<br />
Location: NON-RESIDENT<br />
Owner(s): SYMMETRY INJURY REHABILITATION LTD<br />
06/04/<strong>2009</strong> TOWN N' COUNTRY CURBING<br />
3-34332 MACLURE ROAD<br />
ABBOTSFORD BC<br />
V2S7S8 Phone : (604) 852-<strong>19</strong>95<br />
Location: NON-RESIDENT<br />
Owner(s): WIEBE, TIM<br />
06/04/<strong>2009</strong> GH MAINTENANCE & REPAIRS<br />
34642 BALDWIN STREET<br />
ABBOTSFORD BC<br />
V2S5H9 Phone : (778) 868-1267<br />
Location: NON-RESIDENT<br />
Owner(s): HAQQ, GLENN<br />
08/04/<strong>2009</strong> KARAM CONSTRUCTION LTD.<br />
15057 76A AVENUE<br />
SURREY BC<br />
V3M5P1 Phone : (604) 614-4804<br />
Location: NON-RESIDENT<br />
Owner(s): KARAM CONSTRUCTION LTD.<br />
Type <strong>of</strong> Business<br />
NON RESIDENT<br />
FILM PRODUCTION<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONSULTING<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
03/04/<strong>2009</strong> M.E.M REINFORCEMENT NON RESIDENT<br />
3659 <strong>19</strong>7A STREET<br />
LANGLEY BC<br />
CONTRACTOR<br />
V2V3A1B8 Phone : (604) 615-4955<br />
Location: NON RESIDENT<br />
Owner(s): MCINTYRE, MATTHEW<br />
06/04/<strong>2009</strong> PHANTOM STEEL & WELDING LTD NON RESIDENT<br />
8970 CORONA PLACE<br />
BURNABY BC<br />
CONTRACTOR<br />
V3J7A5 Phone : (604) 970-5498<br />
Location: NON-RESIDENT<br />
Owner(s): PHANTOM STEEL & WELDING LTD<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
KINESIOLOGY<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR
Report: MAlivetl\bltrissx.p<br />
Version: 010000-L58.65.00<br />
User ID: cdelaet<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
BL Trade Licence Issued Report<br />
Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>)<br />
<strong>19</strong>5<br />
Page: 11 <strong>of</strong> 12<br />
Date: 05/05/09<br />
Time: 09:24:44<br />
Open Date Business Name / Address / Location<br />
09/04/<strong>2009</strong> L.D.P. DRYWALL SERVICES LTD<br />
2-9718 MENZIES STREET<br />
CHILLIWACK BC<br />
V2P5Z7 Phone : (604) 792-0141<br />
Location: NON-RESIDENT<br />
Owner(s): L.D.P. DRYWALL SERVICES LTD<br />
14/04/<strong>2009</strong> DIAMOND PARKING SERVICES<br />
817 DENMAN STREET<br />
VANCOUVER BC<br />
V6G2L7 Phone : (604) 681-8797<br />
Location: NON-RESIDENT<br />
Owner(s): DIAMOND PARKING LTD<br />
16/04/<strong>2009</strong> ADL FORMS LTD.<br />
20932 83 AVENUE<br />
LANGLEY BC<br />
V2Y2C4 Phone : (604) 881-2321<br />
Location: NON RESIDENT<br />
Owner(s): ADL FORMS LTD<br />
20/04/<strong>2009</strong> TRANSWEST ROOFING LTD.<br />
13415 COMBER WAY<br />
SURREY BC<br />
V3W5V8 Phone : (604) 596-7448<br />
Location: NON-RESIDENT<br />
Owner(s): TRANSWEST ROOFING LTD.<br />
20/04/<strong>2009</strong> SILVERMERE LANDSCAPING<br />
34540 FERGUSON AVENUE<br />
MISSION BC<br />
V2V6P7 Phone : (604) 820-0581<br />
Location: 34540 FERGUSON AVENUE<br />
Owner(s): HUFFMAN, CORY<br />
20/04/<strong>2009</strong> A GROWING CONCERN LANDSCAPE CO.<br />
12295 AINSWORTH STREET<br />
MISSION BC<br />
V4S1 L4 Phone : (604) 768-8452<br />
Location: 12295 AINSWORTH STREET<br />
Owner(s): WEBSTER, JANICE<br />
20/04/<strong>2009</strong> C.C. CONTRACTING<br />
11759 WILSON STREET<br />
MISSION BC<br />
V4S1 B6 Phone : (604) 209-1525<br />
Location: 11759 WILSON STREET<br />
Owner(s): CRUICKSHANK, CRAIG<br />
21/04/<strong>2009</strong> RIDER WATERSPORTS INC<br />
12010 232ND STREET<br />
MAPLE RIDGE BC<br />
V2X6T3 Phone : (604) 476-7433<br />
Location: NON-RESIDENT<br />
Owner(s): RIDER WATERSPORTS INC<br />
Type <strong>of</strong> Business<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
PARKING SERVICES<br />
NON RESIDENT<br />
CONTRACTOR<br />
17/04/<strong>2009</strong> 0742434 BC LTD. HOME OCCUPATION<br />
8114 MANSON STREET<br />
MISSION BC<br />
CONTRACTOR<br />
V2V6P7 Phone : (604) 351-3631<br />
Location: 8114 MANSON STREET<br />
Owner(s): 0742434 BC LTD<br />
20/04/<strong>2009</strong> POLAR ELECTRIC INC. NON RESIDENT<br />
34670 WALKER CRESCENT<br />
ABBOTSFORD BC<br />
CONTRACTOR<br />
V2S1J3 Phone : (604) 850-7522<br />
Location: NON-RESIDENT<br />
Owner(s): POLAR ELECTRIC INC.<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
PROJECT MANAGEMENT<br />
NON RESIDENT<br />
WAKEBOARD & WATER SKI<br />
SCHOOL<br />
21/04/<strong>2009</strong> INTUITIVE INDEPENDENCE OT SERVICES NON RESIDENT<br />
3-9457 BROADWAY STREET<br />
CHILLIWACK BC<br />
REHABILITATION<br />
V2P5T8 Phone : (604) 799-1834<br />
SERVICES<br />
Location: NON-RESIDENT<br />
Owner(s): HODSON, MICHELLE
Report: M:\liyaNDItrissx.p <strong>District</strong> <strong>of</strong> <strong>Mission</strong> 1 96<br />
Page: 12 <strong>of</strong> 1c<br />
Version: 010000-L58.65.00 BL Trade Licence Issued Report Date: 05/05/09<br />
User ID: cdelaet Business Licences (01/01/<strong>2009</strong> - 30/04/<strong>2009</strong>) Time: 09:24:44<br />
Open Date Business Name / Address / Location<br />
23/04/<strong>2009</strong> ROCKY MOUNTAIN ESTATES LTD.<br />
4151 184TH STREET<br />
MISSION BC<br />
V3X0L5 Phone : (604) 603-7707<br />
Location: NON-RESIDENT<br />
Owner(s): ROCKY MOUNTAIN ESTATES LTD<br />
23/04/<strong>2009</strong> WOODTEK INDUSTRIES INC.<br />
120-2700 SIMPSON ROAD<br />
RICHMOND BC<br />
V6X2P9 Phone : (604) 231-5811<br />
Location: NON-RESIDENT<br />
Owner(s): WOODTEK INDUSTRIES INC<br />
27/04/<strong>2009</strong> MANUEL MECHANICAL<br />
8041 CARIBOU STREET<br />
MISSION BC<br />
V2V5R1 Phone : (604) 820-1418<br />
Location: 8041 CARIBOU STREET<br />
Owner(s): MANUEL, RICHARD<br />
27/04/<strong>2009</strong> LS SECURITY SYSTEMS INC<br />
4-10004 29A AVENUE<br />
EDMONTON AB<br />
T6N1A8 Phone : (780) 988-7233<br />
Location: NON-RESIDENT<br />
Owner(s): LIBERTY SECURITY SYSTEMS INC<br />
27/04/<strong>2009</strong> FAIRFAX MECHANICAL<br />
32642 WILLIAMS AVENUE<br />
MISSION BC<br />
V2V2H1 Phone : (604) 329-4666<br />
Location: 32642 WILLIAMS AVENUE<br />
Owner(s): FAIRFAX, BRIAN<br />
28/04/<strong>2009</strong> SUMMIT STEEL CLADDING INC.<br />
5-20678 DUNCAN WAY<br />
LANGLEY BC<br />
V3A7A3 Phone : (604) 533-4001<br />
Location: NON-RESIDENT<br />
Owner(s): SUMMIT STEEL CLADDING INC.<br />
28/04/<strong>2009</strong> MAINLINE ELECTRIC<br />
8368 TINDALL TERRACE<br />
MISSION BC<br />
V2V6S2 Phone : (604) 649-1479<br />
Location: 8368 TINDALL TERRACE<br />
Owner(s): SCHOUTEN, JOHN<br />
Type <strong>of</strong> Business<br />
NON RESIDENT<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
NON RESIDENT<br />
SALE OF SECURITY<br />
SYSTEMS-DOOR TO DOOR<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
NON RESIDENT<br />
CONTRACTOR<br />
HOME OCCUPATION<br />
CONTRACTOR<br />
28/04/<strong>2009</strong> JAMES HUMBOLDT & DRYWALL INC NON RESIDENT<br />
11595 256TH STREET<br />
MAPLE RIDGE BC<br />
CONTRACTOR<br />
Phone : (604) 462-7056<br />
Location: NON-RESIDENT<br />
Owner(s): JAMES HAWBOLDT & DRAYWALL INC<br />
28/04/<strong>2009</strong> LYLE SELVEY EXALT HOME SERVICES<br />
11870 285TH STREET<br />
MAPLE RIDGE BC<br />
V2W1 L9 Phone : (604) 720-2696<br />
Location: NON-RESIDENT<br />
Owner(s): SELVEY, LYLE<br />
NON RESIDENT<br />
CONTRACTOR<br />
29/04/<strong>2009</strong> CEDAR VALLEY PHYSIOTHERAPY & PAIN CLINIC RESIDENT<br />
112-32423 LOUGHEED HIGHWAY<br />
MISSION BC<br />
PHYSIOTHERAPY CLINIC<br />
V2V7B8 Phone : (604) 814-3336<br />
Location: 112-32423 LOUGHEED HIGHWAY<br />
Owner(s): MARK MANDELSTAM PHYSIOTHERAPIST CORP<br />
**Total Records Printed = 133<br />
*** End <strong>of</strong> Report***
<strong>19</strong>7<br />
MDISTRICT OF ii<br />
ON THE FRASER<br />
Engineering and Public Works<br />
Memorandum<br />
File Category: GOV.REG.FVR<br />
File Folder: Air Quality Management<br />
To: Chief Administrative Officer<br />
From: Manager <strong>of</strong> Environmental Services<br />
Date: April 27, <strong>2009</strong><br />
Subject: Air Quality Monitoring Station in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
Recommendation<br />
That this report be accepted as information.<br />
Background<br />
A recommendation was made at the April 7, <strong>2009</strong> joint meeting <strong>of</strong> the City <strong>of</strong> Abbotsford Council and the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Council for staff to write a letter to the Minister <strong>of</strong> Environment requesting that the<br />
province cover the costs <strong>of</strong> installing an air quality monitoring station within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. The<br />
attached letter was mailed on <strong>May</strong> 4, <strong>2009</strong>.<br />
As background information, the GVRD completed a special monitoring study <strong>of</strong> air quality within the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> based on a monitoring station located on top <strong>of</strong> <strong>Mission</strong> Senior Secondary school in<br />
<strong>19</strong>99. That study determined that a station was not warranted in <strong>Mission</strong> as the air quality was similar to<br />
that already monitored in Maple Ridge.<br />
Currently, Metro Vancouver (MV) operates the air quality network within MV and the FVRD. The FVRD<br />
pays MV for operating the 3 stations within the FVRD. A review <strong>of</strong> the lower mainland's monitoring<br />
network, completed in 2007 and funded by FVRD and MV, recommended adding 3 more stations in the<br />
FVRD to monitor particulate matter and ozone. It is very likely that one <strong>of</strong> these stations will be placed<br />
within <strong>Mission</strong> and the FVRD will work with the <strong>District</strong> to identify the best location. Typically, stations are<br />
located on publically owned infrastructure to ensure longer monitoring times at one location. In this case,<br />
the Leisure Centre may make sense due to the existence <strong>of</strong> previous data from the nearby high school<br />
and the fact that the elevation represents the mid point <strong>of</strong> <strong>Mission</strong>'s urban area. The final<br />
recommendations for locations will be made by the experts at the FVRD in conjunction with <strong>District</strong> staff<br />
and those recommendations will come back to Council in a subsequent memo.<br />
Mike Younie<br />
Manager <strong>of</strong> Environmental Services<br />
F:\ENGINEER\MYOUNIE\Memos\Air Quality Monitoring Study.docx<br />
Page 1 <strong>of</strong> 2
ission<br />
MDISTRICT OF<br />
ON THE FRASER<br />
<strong>19</strong>8<br />
April 29, <strong>2009</strong><br />
Ministry <strong>of</strong> Environment<br />
PO BOX 9047 STN PROV GOVT<br />
Victoria, BC V8W 9E2<br />
Attention: Honourable Barry Penner<br />
Dear Sir:<br />
Re: Air Monitoring Station<br />
At the April 7, <strong>2009</strong> joint meeting between the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Council and the City <strong>of</strong> Abbotsford<br />
Council, a resolution was passed to request that the Ministry <strong>of</strong> Environment fund the purchase <strong>of</strong> an air<br />
quality monitoring station to be located within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>. We understand that a recent review<br />
<strong>of</strong> the air quality monitoring network within the Fraser Valley Regional <strong>District</strong> ("FVRD") and Metro<br />
Vancouver recommended that 3 additional stations be located within the FVRD. <strong>Mission</strong> is an ideal<br />
location for one <strong>of</strong> these stations.<br />
We also understand that the province has funded air quality monitoring stations within other areas <strong>of</strong> the<br />
province outside <strong>of</strong> Metro Vancouver and the FVRD. While we understand the reason for not funding<br />
stations within Metro Vancouver, it is not clear why stations within the FVRD are not funded by the<br />
province. We respectfully request that the province consider providing funds for a new station within the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
Air quality within Abbotsford, <strong>Mission</strong> and the entire FVRD remains <strong>of</strong> utmost concern to the local<br />
governments and residents. There is a need for a well distributed network <strong>of</strong> air quality monitoring<br />
stations across the region to quantify air quality and to measure positive or negative trends that occur in<br />
response to different management strategies. The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> is taking steps to improve air<br />
quality and would gladly work with staff from the province, Metro Vancouver and the FVRD to find a<br />
suitable location for a new station within <strong>Mission</strong>.<br />
Thank you for considering this request and we look forward to your forthcoming reply.<br />
Yours truly,<br />
James Atebe<br />
MAYOR<br />
Pape 2 <strong>of</strong> 2
<strong>19</strong>9<br />
MDISTRICT OF<br />
ission/00<br />
ON THE FRASER<br />
Engineering and Public Works<br />
Memorandum<br />
File Category: INF.ENV.ENV<br />
File Folder: Environmental Charter<br />
To: Chief Administrative Officer<br />
From: Manager <strong>of</strong> Environmental Services<br />
Date: <strong>May</strong> 6, <strong>2009</strong><br />
Subject: Restricting Bottled Drinking Water Use in Municipal Facilities — Follow-up<br />
and Correspondence<br />
Recommendation<br />
That this report be received as information.<br />
Background<br />
Council passed the following resolution at the April 20, <strong>2009</strong> regular meeting:<br />
That bottled drinking water, not including water sold in vending machines, is no longer provided<br />
at functions within municipal facilities where potable tap water is available.<br />
Council also asked that staff follow-up with the province to see what measures were being<br />
considered regarding bottled drinking water at a provincial level.<br />
Staff contacted provincial staff who responded that, at this time, the province is not actively<br />
working on anything to do with bottled drinking water at least at a policy level in Victoria. The<br />
Interior Health Authority has recently taken the same approach as the <strong>District</strong> in terms <strong>of</strong><br />
supplying drinking water from the tap at functions in its facilities. The IHA has also issued a<br />
newsletter encouraging the use <strong>of</strong> reusable containers for carrying tap water and warning<br />
people <strong>of</strong> the Health Canada guidelines around plastic containers and exposure to Bisphenol A.<br />
The attached correspondence was received by staff and the <strong>May</strong>or very quickly after the<br />
resolution was passed. While the letter to the mayor, written by the president <strong>of</strong> Nestle Waters<br />
Canada was congratulatory in nature, the letter to staff from the Director <strong>of</strong> Corporate Affairs<br />
raised concerns about where this initial resolution may lead to.<br />
Mike Younie<br />
Manager <strong>of</strong> Environmental Services<br />
P\ENGINEER\MYOUNIE\Memos\Bottled Water Ban correspondence.docx<br />
Page 1 <strong>of</strong> E
201<br />
NESTLE WATERS CANADA<br />
101 Brock Road South, Guelph, Ontario NM 6H9 TEL 5<strong>19</strong>-763-9462 FAX 5<strong>19</strong>-763-8156<br />
April 22, <strong>2009</strong><br />
Mr. Mike Younie<br />
Manager <strong>of</strong> Environmental Services<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
8645 Stave Lake Street<br />
Post Office Box 20<br />
<strong>Mission</strong>, British Columbia<br />
V2V 4L9<br />
Dear Mr. Younie;<br />
The purpose <strong>of</strong> my writing is to follow-up on <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Council's recent decision to<br />
reduce its use <strong>of</strong> bottled water in its facilities.<br />
While we are fully supportive <strong>of</strong> Council's decision to use municipal tap water in pitchers during<br />
Council meetings and at all other internal staff meetings within your civic facilities and<br />
undertake other environmentally sustainable measures, and appreciate the fact that you are<br />
continuing to sell bottled water in your facilities, we are concerned about where it may evolve<br />
from there — and wish to be involved in any further discussions related to this matter.<br />
In our view, banning the sale <strong>of</strong> bottled water will remove the public's rightful access to the most<br />
healthful choice. Quite frankly, given the facts, removing it is nothing more than political<br />
greenwashing, environmental symbolism and bad public policy.<br />
In our position as one <strong>of</strong> British Columbia's larger employers and Canada's largest manufacturer<br />
and distributor <strong>of</strong> bottled water, the possibility <strong>of</strong> a ban is troubling to our employees, customers<br />
and business partners who live and conduct commerce in your community.<br />
Given the current uncertain economic environment that exists across this province and this<br />
country, we are <strong>of</strong> the view that a ban would impact the current employment outlook for our<br />
industry as well as future job creation, environmental stewardship and industry investment<br />
prospects.-<br />
It is important to note that plastic beverage containers, including bottled water, account for less<br />
than one-fifth <strong>of</strong> 1 percent <strong>of</strong> the waste stream. If the bottled water industry' was to disappear<br />
tomorrow, there would be no appreciable reduction in the amount <strong>of</strong> refuse going to landfill.
202<br />
-2-<br />
Bottled water is proving to be particularly helpful at a time when the incidence <strong>of</strong> obesity and<br />
diabetes are on a significant increase amongst young Canadians born after 2000. More than 60<br />
percent <strong>of</strong> Canadians consume bottled water each and every day because it is a portable,<br />
accessible and healthy choice. They are not choosing bottled water over tap water. They are<br />
choosing bottled water over other bottled beverages that do not have the same health benefits as<br />
bottled water does. Today, less than 1 percent <strong>of</strong> municipal tap water is consumed for hydration<br />
purposes. If the bottled water ceased operations tomorrow, there would be no noticeable increase<br />
in the volume <strong>of</strong> tap water consumed by local residents.<br />
I have attached the following information for your perusal:<br />
• Copy <strong>of</strong> correspondence <strong>of</strong> March 9, <strong>2009</strong>, with Brock Carlton, Chief Executive Officer,<br />
Federation <strong>of</strong> Canadian Municipalities, setting the record straight with respect to the<br />
FCM resolution about bottled water; and<br />
• Copy <strong>of</strong> Nestle Waters Canada's The Facts About Bottled Water document.<br />
With respect to Metro Vancouver's Tap Water Declaration, I would like to correct information<br />
contained in a number <strong>of</strong> the paragraphs:<br />
"Whereas Metro Vancouver's tap water is strictly regulated by British Columbia's<br />
Drinking Water Protection Act and is tested over 25,000 times per year and bottled water<br />
is regulated by the Food and Drug Act."<br />
This is incorrect. Nestle Waters Canada performs more than 850 tests daily on its water supply at<br />
its Hope, British Columbia, plant -- or more in one month than Metro Vancouver does in one<br />
year. A copy <strong>of</strong> our testing activities is available upon request. Testing is also conducted via<br />
surprise inspections by the Canadian Food Inspection Agency, Health Canada, the Canadian<br />
Bottled Water Association and NSF. Nestle Waters Canada takes a multi-barrier approach to<br />
water safety. The Company subjects its finished products and source water to microbiological<br />
analysis every day that exceeds the microbiological requirements outlined in the Safe Water<br />
Drinking Act, which governs both municipal tap water and bottled water. Nestle Waters Canada<br />
is required to test for 160 compounds in both source and finished product for coliform, E-coli<br />
(daily), coliform, E-coli (weekly), chemicals (quarterly) and metals, chemicals and minerals<br />
(annually). Water samples are also sent to a third party independent lab for analysis every week.<br />
Basic chemical and physical analysis <strong>of</strong> bottled water is completed daily. Annually, we conduct a<br />
full spectrum analysis on each water source for primary inorganics, secondary inorganics,<br />
radiologicals, volatile organic compounds, organics, disinfection byproducts, pesticides,<br />
herbicides, physical contaminants as well as several other potential chemical contaminants. In<br />
addition to the tests identified above, there are many on-line quality checks performed by our<br />
operators on an hourly basis to ensure the chemical, microbiological and physical safety <strong>of</strong> the<br />
finished goods produced at our plants. Our testing levels meet or exceed all requirements <strong>of</strong><br />
Health Canada and other governing bodies. The annual monitoring reports are conditions <strong>of</strong> our<br />
peiuiits and are submitted to the province and other public agencies. As such, they become<br />
public documents upon receipt.
203<br />
-3-<br />
"Whereas bottled water <strong>of</strong>ten costs more than an equivalent volume <strong>of</strong> gasoline, equivalent<br />
to 2,000 times more than tap water."<br />
This is incorrect. A 500 ml. bottle <strong>of</strong> Nestle Pure Life costs, on average, about 250 times more<br />
than a glass <strong>of</strong> tap water. Sold by convenience store retailers one bottle at a time, it costs between<br />
90 cents and a dollar. Sold in bulk by grocers, it costs between 30 and 40 cents a bottle. More<br />
than 95 percent <strong>of</strong> Nestle Pure Life products are sold in bulk to Canadian consumers. One litre <strong>of</strong><br />
<strong>of</strong> Nestle Pure Life typically costs 60 to 80 cents. A gallon <strong>of</strong> regular unleaded gasoline costs 90<br />
cents a litre.<br />
"Whereas up to 40 percent <strong>of</strong> bottled water on the market comes from municipal water<br />
systems."<br />
This is incorrect. According to independent market research firm A.C. Nielsen as <strong>of</strong> March <strong>2009</strong>,<br />
less than 9 percent <strong>of</strong> bottled water in Canada originates from the municipal water system. Coke<br />
and Pepsi source their water products from municipal water systems and, together, have about a<br />
9 percent share <strong>of</strong> the Canadian bottled water market. More than 90 percent <strong>of</strong> bottled water in<br />
Canada emanates from springs on private property. Such is the case with Nestle Waters Canada,<br />
which has a 39 percent share <strong>of</strong> the Canadian market.<br />
"Whereas bottled water <strong>of</strong>ten travels many miles from the source, resulting in the burning<br />
<strong>of</strong> large amounts <strong>of</strong> fossil fuels, releasing CO2 and other pollution into the atmosphere."<br />
The bottled water industry has the lightest environmental footprint <strong>of</strong> any bottled beverage,<br />
whether measured by water volume, plastics/oil usage or overall greenhouse gas emissions. The<br />
bottled water available to Metro Vancouver comes from Hope, British Columbia, so shipment by<br />
air doesn't occur. There probably isn't another mass-produced food product available to Metro<br />
Vancouver that is in as close proximity as the bottled water produced by Nestle Waters Canada.<br />
"Whereas millions <strong>of</strong> single-use plastic water bottles end up in Metro Vancouver's<br />
municipal waste."<br />
This is incorrect. Encorp Pacific recently reported that it recovered 73 percent <strong>of</strong> all plastic<br />
beverage containers in British Columbia in 2007, including plastic water bottles. Plastic water<br />
bottles account for about one-fifth <strong>of</strong> one percent <strong>of</strong> the municipal solid waste stream in Canada.<br />
Plastic water bottles make up just 40 percent <strong>of</strong> the total volume <strong>of</strong> plastic beverage containers<br />
used by the beverage industry. Most plastic beverage containers contain s<strong>of</strong>t drinks and.<br />
sweetened juices. PET plastic water bottles are the third most recycled product in Canada, behind<br />
newspapers and aluminum. They are also the third most valuable item in a recycling program<br />
and, when recycled, become playground equipment, automobile parts, carpeting, fleece clothing,<br />
sleeping bags, shoes, luggage, other plastic containers, etc.
204<br />
"Whereas decreasing and eventually eliminating bottled water from government use<br />
demonstrates the emphasis municipalities place on the quality <strong>of</strong> their tap water and<br />
decreases the impact <strong>of</strong> bottled water on municipal waste."<br />
-4-<br />
In our view, banning, decreasing or eventually eliminating bottled water in your facilities will<br />
have the effect <strong>of</strong> trading public health and a reduction in plastic beverage containers headed to<br />
landfill for what is nothing more than political green washing, environmental symbolism and bad<br />
public policy. Such a decision will not result in increased consumption <strong>of</strong> tap water, nor will it<br />
reduce the amount <strong>of</strong> plastic beverage container litter in those Vancouver facilities where it is<br />
being enacted. Simply taking bottled water out <strong>of</strong> a vending machine will not change human<br />
behaviour when it comes to drinking tap water instead <strong>of</strong> bottled water. According to a <strong>May</strong><br />
2008 survey <strong>of</strong> 2,260 Canadians by independent research firm Probe Research Inc., more than 70<br />
percent <strong>of</strong> Canadians don't view bottled water as competing with tap water. They drink both ..<br />
They drink tap water at home and they drink bottled water out-<strong>of</strong>-home, to support their busy,<br />
on-the-go lifestyles. That same survey indicated that 60 percent <strong>of</strong> Canadians drink bottled water<br />
every day — and 75 percent <strong>of</strong> them consume it because it is a portable, accessible and healthy<br />
choice. Survey respondents also said they are not choosing bottled water over municipal tap<br />
water. They are choosing bottled water over bottled beverages with higher calories. What should<br />
be <strong>of</strong> particular concern to Metro Vancouver is that the Probe study also indicated that about 60<br />
percent <strong>of</strong> bottled water drinkers said they will revert to less healthy alternatives found in plastic<br />
beverage containers if bottled water isn't available.<br />
Mr. Yonnie, should you have any further comments, questions or concerns, please feel free to<br />
contact me by telephone at 1 888 565-1445, Ext. 6441 or via email at<br />
iohn.challinor@waters.nestle.com .<br />
Sincerely,<br />
•••■■•••.,<br />
Jo allinor II APR<br />
Director <strong>of</strong> Corporate Affairs
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Memo<br />
205<br />
File Category: INF.WAS.WAS<br />
File Folder: Changes to Collection List <strong>2009</strong><br />
To: Chief Administrative Officer<br />
From: Environmental Coordinator<br />
Date: <strong>May</strong> 7th , <strong>2009</strong><br />
Subject: Reimbursement <strong>of</strong> Curbside Collection Fees for 10256 Dewdney Trunk Rd<br />
Recommendation<br />
THAT Council deny the request to reimburse collection service fees charged on the tax notice <strong>of</strong><br />
the subject property retroactively to <strong>19</strong>99.<br />
Background<br />
At its April 20th meeting, Council carried staffs recommendation to exclude the property located<br />
a 10256 Dewdney Trunk Road from the specific list <strong>of</strong> properties receiving curbside collection<br />
service, as per the owner's request. The staff report also recommended that the property owner<br />
be reimbursed for collection service fees retroactively to <strong>19</strong>99.<br />
Council requested confirmation that the subject property had indeed not been receiving<br />
collection services in previous years, and whether the reimbursement <strong>of</strong> taxes was in fact legal.<br />
Discussion<br />
Staffs initial recommendation to reimburse the property owner retroactively to <strong>19</strong>99 was based<br />
on a call from the property owner on March 23 rd, <strong>2009</strong>, during which he stated that the Chief<br />
Administrative Officer had committed a retroactive reimbursement to him during a prior<br />
telephone conversation. Staff requested an e-mail to confirm this, and received the e-mail<br />
attached to this memo on March 25 th, <strong>2009</strong>. The Chief Administrative Officer has no specific<br />
recollection <strong>of</strong> the conversation. However, the normal practice for such inquiries would have<br />
been to advise an individual to write to Council with the concern at hand and the requested<br />
outcome. A reimbursement for adjusted fees for <strong>19</strong>99 to 2008 would amount to $1425.84.<br />
In the past, Council has granted reimbursement <strong>of</strong> taxes collected on curbside collection<br />
services not rendered, but restricted the retroactivity to the current calendar year. In his<br />
September 18th, 2006 report to Council, the Manager <strong>of</strong> Environmental Services recommended<br />
against a reimbursement to property owners on First Avenue past the current calendar year,<br />
who had erroneously been charged for complete curbside collection services. The reasoning<br />
was that the "reimbursement <strong>of</strong> over-assessed fees is not common <strong>District</strong> practice and could<br />
set an unwanted precedent." Legal advice obtained at the time also included that "a court would<br />
likely determine that the owners should have paid something during previous years, although<br />
the appropriate amount would have to be determined."<br />
The 2006 situation was different in so far that the taxes for the current year's services had<br />
already been paid, resulting in a reimbursement, and that the lack <strong>of</strong> services could be proven.<br />
The <strong>2009</strong> tax notice for the property at 10256 Dewdney Trunk Road will already reflect the rural<br />
recycling rate, as per Council's April 20 th resolution, so no refund will be necessary for the<br />
current tax year.<br />
PAGE 1 OF 2
206<br />
Ascertaining whether the property at 10256 Dewdney Trunk Road had indeed not been serviced<br />
in the past would be virtually impossible, especially given the recent change in service<br />
providers.<br />
Finally, there is an onus on property owners to ensure they are in fact receiving the services<br />
they are paying for, and to request a refund within a reasonable time, if appropriate.<br />
9 ()4/t,e.(1;t<br />
Jennifer Meier<br />
Environmental Coordinator<br />
F:\ENGINEER\J MeienMemos \Specific Curbside Collection Addresses on Dewdney Trunk Road, Additional Change.doc<br />
FILE: [CLICK HERE TO TYPE EFS FILE CATEGORY] PAGE 2 OF 2<br />
[Click here to type EFS File Folder Name]
207<br />
Jennifer Meier<br />
From: rodstheone@shaw.ca<br />
Sent: Wednesday, March 25, <strong>2009</strong> 9:22 AM<br />
To: Jennifer Meier<br />
Subject: Curbside Collection <strong>of</strong> Waste<br />
In regards to our conversation <strong>of</strong> March 23, <strong>2009</strong>, I wish to opt out <strong>of</strong> the curbside collection <strong>of</strong> waste, as per your letter<br />
dated November 18, 2008. Also, as per the conversation with Glen Robertson, I wish to be reimbursed for the recycle fees<br />
I have paid since <strong>19</strong>99 for a service I did not recieve nor ask for.<br />
Thank-you for your time<br />
Rod Sims<br />
10256 Dewdney Trunk Rd<br />
<strong>Mission</strong>, V4S-1L1<br />
(604) 814-2299<br />
1
208<br />
ission<br />
MDISTRICT OF<br />
ON THE FRASER ffp<br />
Engineering and Public Works<br />
Memorandum<br />
File Category: GOV.FED.TRA<br />
File Folder: CPR Railway Crossing 84.46 Cascade Subdivision-Hatzic Crossing<br />
To: Chief Administrative Officer<br />
From: Director <strong>of</strong> Engineering and Public Works<br />
Date: <strong>May</strong> 7, <strong>2009</strong><br />
Subject: Whistle Cessation at Hatzic Crossing Mile 84.46 Cascade Subdivision<br />
Recommendation<br />
That Council declare its intention to adopt a resolution forbidding the use <strong>of</strong> train whistles at the Hatzic<br />
railway crossing at mile 84.46 Cascade Subdivision subject to the results <strong>of</strong> a detailed safety assessment<br />
and approval by CP Rail and Transport Canada; and<br />
That a notice <strong>of</strong> intention to adopt such a resolution be placed in the <strong>Mission</strong> City Record; and<br />
That staff give notice <strong>of</strong> the intention to carry out a detailed safety assessment for the purpose <strong>of</strong> whistle<br />
cessation to the relevant organizations listed in Transport Canada's "Procedure & Conditions For<br />
Eliminating Whistling at Public Crossings"; and<br />
That, notwithstanding the <strong>District</strong>'s Procurement Policy FlN.24, Delcan Corporation be hired to carry out<br />
the detailed safety assessment <strong>of</strong> the crossing in accordance with Transport Canada's Draft Grade<br />
Crossing Regulation at their quoted fee <strong>of</strong> $6,935.00 plus taxes and in accordance with the work program<br />
set out in their proposal dated April 27, <strong>2009</strong>; and<br />
That the detailed safety assessment be funded from Contingency; and<br />
That the <strong>District</strong>'s Financial Plan be amended accordingly.<br />
Background<br />
A number <strong>of</strong> reports dealing with whistle cessation dating back to March <strong>of</strong> 2007 have been presented to<br />
Council and are attached as background information. The previous reports related to safety<br />
assessments at all 5 public crossings in <strong>Mission</strong>. A 2008 spending package to provide funds to study all<br />
5 crossings was not approved by Council and requests from residents to deal with the Hatzic crossing<br />
only have been in limbo pending completion <strong>of</strong> safety improvements at that crossing,<br />
Now that the safety improvements have been completed, nearby residents are renewing their requests<br />
that train whistling be stopped at the Hatzic crossing. A written request dated March 16, <strong>2009</strong> is<br />
attached.<br />
This report deals with whistle cessation at the Hatzic crossing only; however, it is likely that requests for<br />
the other crossings will be received if the <strong>District</strong> is successful in stopping whistling at this crossing.<br />
As a note, CP Rail (CPR) staff have indicated that the <strong>District</strong> does not require CPR's concurrence in<br />
order to proceed with a whistle cessation process.<br />
The process for cessation <strong>of</strong> train whistling at a public crossing includes the following key steps:<br />
• Council passes a resolution <strong>of</strong> intent to initiate a whistle cessation process.<br />
• Staff notifies all relevant organizations <strong>of</strong> the intent to proceed. A list <strong>of</strong> the Relevant<br />
Page 1 <strong>of</strong> 3
209<br />
Organizations per Schedule C <strong>of</strong> Transport Canada's Procedure and Conditions For<br />
Eliminating Whistling At Public Crossings is attached.<br />
• The Municipality publishes a notice <strong>of</strong> intent to pass a whistle cessation resolution in the local<br />
newspaper to give the public an opportunity to comment.<br />
• A detailed safety assessment study is carried out at the <strong>District</strong>'s cost, reviewed by the<br />
municipality and CPR and cost estimates are prepared for any recommended improvements.<br />
The final decision as to whether to stop whistling will be made jointly by CPR and Transport<br />
Canada<br />
• If whistle cessation is supported by CPR and Transport Canada, the recommendations <strong>of</strong> the<br />
study are then implemented at the <strong>District</strong>'s cost.<br />
• Upon final acceptance <strong>of</strong> the improvements by CPR inspectors, Council adopts a resolution<br />
prohibiting whistling at the crossing.<br />
• CPR and the municipality enter into a joint liability agreement and ensure insurance coverage<br />
is in place.<br />
Staff have obtained a proposal from Delcan to carry out the necessary safety assessment at a fee <strong>of</strong><br />
$6,935.00 plus GST. Staff are unaware <strong>of</strong> other firms having specific expertise in carrying out rail<br />
crossing safety assessments. It is recommended that Delcan be hired to undertake the study and that<br />
the cost be funded from Contingency. A copy <strong>of</strong> the fee proposal is attached.<br />
Council should be aware that the safety study may identify further improvements that are needed at the<br />
crossing and that these improvements would have to be funded by the <strong>District</strong>. Until the safety<br />
assessment is completed, it is not possible to accurately estimate the costs <strong>of</strong> any improvements that<br />
may be recommended. Typically such requirements for fully signalized crossings can result in the need<br />
to install a fence along the tracks 400 metres in both directions from the crossing if there is significant<br />
pedestrian activity in the vicinity <strong>of</strong> the crossing. Such a fence, if required, would cost the <strong>District</strong> in the<br />
order <strong>of</strong> $35,000.<br />
Annual insurance costs have previously been estimated at $1,200 + which would be split equally<br />
between the <strong>District</strong> and CPR.<br />
F:\ENGINEERIDRIECKEN\Report Re Whistle Cessation Hatzic Crossing.doc<br />
End.<br />
I have reviewed the financial aspects <strong>of</strong> this report<br />
Ken Bjorgaard<br />
Page 2 <strong>of</strong> 3
210<br />
Relevant Organizations<br />
Mr. B. McDonagh<br />
National Representative<br />
CAW<br />
326-12th Street, 12th Floor<br />
New Westminster, B.C.<br />
V3M 4H6<br />
Mr. T. Secord<br />
Canadian Legislative Director<br />
United Transportation Union<br />
7th Floor - 71 Bank Street<br />
Ottawa, Ontario<br />
K1P 5N2<br />
Mr. M. Wheten<br />
National Legislative Director<br />
Teamsters Rail Conference Canada<br />
150 Metcalfe Street, Suite 1401<br />
Ottawa, Ontario<br />
K2P 1P1<br />
Mr. Brehl<br />
President<br />
Teamsters Rail Conference Canada (MWED)<br />
2775 Lancaster Road, Suite 1<br />
Ottawa, Ontario<br />
K1B 4V8<br />
Mr. K. Depuck<br />
National Advisor<br />
Teamsters Rail Conference Canada (MWED)<br />
2775 Lancaster Road, Suite 1<br />
Ottawa, Ontario<br />
K1B 4V8<br />
Page 3 <strong>of</strong> 3
211<br />
<strong>May</strong>or and Council,<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong>,<br />
8645 Stave St.<br />
V2V 4L9.<br />
Dear <strong>May</strong>or and. Council:<br />
Given that additional lights, signs and turn lanes have been installed at the Flatzic<br />
Crossing, we are requesting that council now take the necessary steps to eliminate train<br />
horns in Hatzic. The issue is not whether safety is a risk but whether noise pollution will<br />
he tolerated. There are many scholarly studies that have concluded that noise pollution is<br />
a health risk and should be dealt with as a. serious matter. It is not a frivolous issue.<br />
We quote an abstract <strong>of</strong> a study titled: NOISE POLLUTION: A MODERN PLAGUE.<br />
Abstract: *(Southern Medical Journal-Abstract Vol. 100(3) March 2007 p 287-294)<br />
Noise is defined as unwanted sound. Environmental noise consists <strong>of</strong> all the unwanted sounds in our<br />
communities except that which originates in the workplace. Environmental noise pollution, a form <strong>of</strong><br />
air pollution, is a threat to health and well-being. It is more severe and widespread than ever before<br />
and will continue to increase in magnitude and severity because <strong>of</strong> population growth, urbanization,<br />
and the associated growth in the use <strong>of</strong> increasingly powerful, varied, and highly mobile sources <strong>of</strong><br />
noise. It will also continue to grow because <strong>of</strong> sustained growth in highway, rail, and air traffic,<br />
which remain major sources <strong>of</strong> environmental noise. The potential health effects <strong>of</strong> noise pollution<br />
are numerous, pervasive, persistent and medically and socially significant. Noise produces direct<br />
and cumulative adverse effects that impair health and degrade residential, social, working, and<br />
learning environments with corresponding real (economic) and intangible (well-being) losses. It<br />
interferes with sleep, concentration, communication and recreation. The aim <strong>of</strong> enlightened<br />
governmental controls should he to protect citizens from airborne pollution, including those<br />
produced by noise.<br />
Key Points:<br />
* Noise pollution is a growing problem that remains unaddressed.<br />
* Society now ignores noise the way it ignored the use <strong>of</strong> tobacco products in the <strong>19</strong>50s<br />
*Until people at all levels recognize the inherent dangers <strong>of</strong> noise pollution, nothing will change.<br />
The above study is but one <strong>of</strong> dozens available to you via the Internet. Please take time to<br />
examine some <strong>of</strong> them. No studies defend the increasing noise such as that which is<br />
caused by the 24/7 train horns that blast through our community. This point has been<br />
accepted and acted upon by many communities in B.C. and across Canada. We would<br />
expect no less <strong>of</strong> <strong>Mission</strong>.<br />
Sincerely,<br />
Dave and. Bev Dixon, 35136 Henry Ave., V2V 6S6<br />
Peter and Linda Robson, 34610 Dann Ave., V2V 6P6<br />
Ed and Jennifer Swaren 34871 Brient Dr. V2V 6R8<br />
Rod and Tris Tucker 34656 Dann Ave., V2V 6P8
212<br />
Delcan<br />
1RothiSPO Mil I* thiFORMAVON 71THWOLOGY<br />
Suite 2300, Metrotower I, 4710 Kingsway<br />
Burnaby, British Columbia V5H 4M2<br />
Tel: 604.438.5300 • Fax: 604.438.5350<br />
www.delcan.com<br />
April 27, <strong>2009</strong><br />
OUR REF:SWADMIN<br />
Mr. Rick Bomh<strong>of</strong>, P.Eng<br />
Director <strong>of</strong> Engineering & Public Works<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> — Engineering and Public Works Department<br />
P.O. Box 20, 8645 Stave Lake Street<br />
<strong>Mission</strong>, BC<br />
V2V 4L9<br />
Dear Sir<br />
Re: Request for Quotation for Safety Assessment at Road/Railway<br />
Crossing in <strong>Mission</strong><br />
In response to our discussions on April 24, <strong>2009</strong>, we are pleased to submit this letter<br />
proposal for your consideration.<br />
1. Introduction<br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> (the "<strong>District</strong>") is interested in exploring if the Hatzic CP Rail crossing<br />
(East <strong>of</strong> Dewdney Trunk Road at Mile 84.46 Cascade Subdivision) could be a candidate for<br />
the cessation <strong>of</strong> train whistling in accordance with the requirements <strong>of</strong> the Rail Safety Act<br />
and the Canadian Rail Operating Rules.<br />
In order to pursue anti-whistling, Transport Canada requires a detailed safety assessment to<br />
be undertaken at the crossing in accordance with their "Canadian Road/Railway Grade<br />
Crossing Detailed Safety Assessment Guide". In response to this, the <strong>District</strong> has requested<br />
Delcan to submit a proposal to perform the rail crossing safety assessment.<br />
2. Scope <strong>of</strong> Work<br />
In accordance with the above, we understand the scope <strong>of</strong> work to include the following:<br />
• Conduct a Railway Grade Crossing Detailed Safety Assessment <strong>of</strong> the selected grade<br />
crossing that satisfies the guidelines, regulations, and standards established by<br />
Transport Canada and CP Rail for consideration <strong>of</strong> cessation <strong>of</strong> train whistles at grade<br />
crossings;<br />
• Review the rail pre-emption timing in accordance with the Texas Department <strong>of</strong><br />
Transportation standards recently adopted for use in BC.<br />
• If the crossing does not meet the safety standard required for approval <strong>of</strong> whistle<br />
cessation, provide recommendations and cost estimates for upgrades in order to<br />
satisfy that standard; and<br />
Integrated Systems<br />
and Infrast
213<br />
Page 2<br />
• Provide a written preliminary and final report.<br />
3. Resources<br />
Our team will be led by Ross McLaren, P.Eng., who will undertake most <strong>of</strong> the technical<br />
work associated with the assignment. He has recently undertaken detailed safety reviews in<br />
accordance with Transport Canada guidelines at a number <strong>of</strong> Lower Mainland crossings. He<br />
will be supported by Krista Falkner who will be responsible for liaising with the rail operators<br />
and collating the necessary train related information as well as assisting with the site<br />
reviews and document preparation as required.<br />
4. Work Plan<br />
In order to undertake this assignment we have broken it down into a number <strong>of</strong> clearly<br />
defined tasks as outlined below:<br />
Task 1 — Project Initiation<br />
We will meet with representatives from the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> to review the assignment<br />
requirements and obtain background information. During this meeting, we request that the<br />
following data be provided by the <strong>District</strong>:<br />
• Aerial photograph in digital format;<br />
• Cadastral information in digital format;<br />
• As-built plans (civil and electrical);<br />
• Traffic volume information (existing and future);<br />
• Traffic signal timing information; and<br />
• Any plans/reports relating to development in the vicinity <strong>of</strong> the crossing.<br />
Task 2 — Rail Data Collection<br />
Noting that this task can be time consuming and reliant on the rail authorities, we have<br />
identified this as a separate task. We will contact CP Rail and request all information that is<br />
required in terms <strong>of</strong> the Transport Canada guidelines. This will include the following data:<br />
• Daily train movements on each track;<br />
• Maximum operating speed;<br />
• Collision/Incident/Trespassing records;<br />
• Flashing light, bell and gate (FLBG) operation specifications;<br />
• Current whistling practices; and<br />
• Maintenance records.<br />
Task 3 — Detailed Safety Review<br />
A detailed on-site safety review will be undertaken during which time the sections <strong>of</strong> the<br />
guideline document relevant to anti-whistling will be completed. For more information<br />
please refer to Appendix C2 from the "Canadian Road/Railway Grade Crossing Detailed<br />
Safety Assessment Guide" available on Transport Canada's website. It is assumed that CP<br />
grate
214<br />
Page 3<br />
Rail will provide the necessary entry permits to access the tracks at no cost. In the event<br />
that a charge is levied, this will be passed on to the <strong>District</strong>.<br />
Task 4 —<br />
Pre-emption Timing Review<br />
Due to the close proximity <strong>of</strong> the new traffic signal on Lougheed Highway, the rail preemption<br />
sequencing and timing will require review. Recently, the Texas Department <strong>of</strong><br />
Transportation's pre-emption standards have been adopted for use in BC. The existing<br />
timings will therefore be assessed using the Texas calculation sheets to confirm acceptable<br />
operations. As part <strong>of</strong> this task, we will liaise with the Ministry <strong>of</strong> Transportation and<br />
Infrastructure who own this traffic signal.<br />
Task 5 - Issue Identification and Mitigation<br />
Based on information collected during the previous tasks, a list <strong>of</strong> issues will be identified<br />
and mitigation measures will be proposed for the crossing as appropriate. This task will<br />
identify issues/measures that relate primarily to anti-whistling, although other issues such<br />
as foliage overgrowth, surface maintenance, etc. will be reported if noted. If road<br />
improvements are required, conceptual drawings will be prepared on the aerial photograph<br />
base plan. Order <strong>of</strong> magnitude costs <strong>of</strong> improvements will also be prepared.<br />
Task 6 — Reporting<br />
A brief draft report will be prepared to document the assignment and provide<br />
recommendations. Copies <strong>of</strong> the completed Transport Canada guideline and Texas forms will<br />
be appended to the report. This draft report will be submitted to the <strong>District</strong> for review and<br />
confirmation <strong>of</strong> improvements, whereupon a final report will be issued.<br />
5. Schedule and Fees<br />
Assuming timely receipt <strong>of</strong> all data, we estimate that this assignment will take<br />
approximateiy two months to complete from time <strong>of</strong> authorization to proceed.<br />
Our level <strong>of</strong> effort and fee estimate to undertake the work in accordance with the above<br />
work plan is summarized below. All costs exclude applicable taxes.<br />
TASK<br />
Desert .tion $100 IIEMIIIIIIIMIIIIIIIIIMII 1=IIIIIII<br />
Pro'ect Initiation •1311111E111111111111111111111111111 $510 $50 $560<br />
Rail Data Collection MINI BMN9 s960 NE= 5960<br />
Detailed Satet Review 4 16 11.111 $2.240 S50 $2,290<br />
Si . nal Pre-em•tion Review Mall 11011118 $1,040 61,040<br />
Issue Identificatl niMilioation NM MIN 6 $720 $720<br />
6 Re•ortin. 1111111 8 111M11111131111MICEM 520 S1 .365<br />
TOTAL 14 42 5 61 56,815 5120 $ 6,935<br />
nfrastructure
215<br />
Page 4<br />
Should you be in agreement with our proposal we would appreciate written confirmation to<br />
proceed. A formal agreement will then be arranged.<br />
We appreciate your request <strong>of</strong> Delcan to submit a proposal for this assignment, and should<br />
you have any questions/comments, please contact the undersigned.<br />
Yours truly,<br />
Ross McLaren, P.Eng.<br />
Principal<br />
Q:\SW\<strong>Mission</strong> Rail Safety\Hatzic Crossing proposal.doc<br />
egrated Systems and Infras
216<br />
Memo<br />
File Category:<br />
File Folder:<br />
GOV.FED.TRA<br />
Hatzic Crossing Mile 84.46 Cascade Subdivision<br />
To: Chief Administrative Officer<br />
From: Director <strong>of</strong> Engineering and Public Works<br />
Date: April 23, 2008<br />
Subject: Hatzic Railway Crossing Mile 84.46 Cascade Subdivision<br />
In response to Council's request <strong>of</strong> April 7, 2008 the following summarizes the safety issues and<br />
preliminary cost estimates to improve the safety at the Hatzic Crossing and comments on the<br />
potential whistle cessation costs for this crossing.<br />
Safety Issue<br />
On June 8, 2006 in response to a safety inspection <strong>of</strong> the Hatzic Crossing by a Transport<br />
Canada Railway Safety Inspector, a Notice under the Railway Safety Act was issued to CPR<br />
and the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> asking both parties to develop a solution to the safety issue at the<br />
crossing.<br />
The safety issue relates to trucks in excess <strong>of</strong> 10 metres in length sitting over the tracks while<br />
waiting to turn onto the Lougheed Highway at the crossing. •<br />
On September 15, 2006 an Order under the Railway Safety Act was issued to CPR and the<br />
<strong>District</strong> requiring that signs be installed prohibiting left turns onto the highway for vehicles in<br />
excess <strong>of</strong> 10 metres in length and requiring trains to slow to 30 miles per hour at this crossing<br />
as an interim safety measure. Staff immediately posted the signs as specified in the Order.<br />
On October 15, 2006 a.Letter <strong>of</strong> Concern was issued to CPR, the <strong>District</strong>, and the Ministry <strong>of</strong><br />
Transportation (MoT) indicating that even vehicles turning right onto the highway were sitting<br />
over the tracks when there were insufficient gaps in the traffic on the highway to allow them<br />
immediate entry to the highway. The letter suggested that an acceleration lane be added to the<br />
highway to accommodate these vehicles.<br />
A series <strong>of</strong> discussions were subsequently held between staff, CPR, MoT and Transport<br />
Canada <strong>of</strong>ficials to identify a long term solution to this problem. It was determined that the best<br />
solution would be to install a traffic signal on the highway at the crossing which would be<br />
interconnected with the railway crossing signal. Preliminary costs were estimated by MoT at<br />
$300,000 to $320,000 and CPR estimated the interconnect costs at $36,750.<br />
In June <strong>of</strong> 2007 an application was submitted to Transport Canada for funding under the Grade<br />
Crossing Improvement Program. Under this program Transport Canada will fund up to 80% <strong>of</strong><br />
the costs with the balance to be funded 7.5% by CPR and 12.5% by the road authority.<br />
Because MoT is involved the road authority's share would be split evenly between DOM and<br />
MoT.<br />
In January 2008 CPR revised the interconnect cost estimate to $49,888 and a revision <strong>of</strong> the<br />
application was forwarded to Transport Canada. Based on the revised preliminary cost<br />
estimates <strong>of</strong> $349,888 to $369,688, the following cost sharing would apply in the event the<br />
requested funding is approved:<br />
PAGE 1 OF 2
217<br />
Transport Canada 80% $296,000<br />
CPR 7 .5°/0 $ 27,750<br />
MOT 6.25% $ 23,125<br />
DOM 6.25% $ 23.125<br />
$370,000<br />
It is anticipated that MoT would take the lead role in design and construction <strong>of</strong> the signal once<br />
funding approvals have been obtained.<br />
An email from Doug Younger, Manager <strong>of</strong> Public Works for CPR received on April 15 th <strong>of</strong> this<br />
year, copy attached, indicates that he believes our grant application has not made Transport<br />
Canada's grant list for 2008. A request for a status update on our funding application was sent<br />
to Dennis Maskell <strong>of</strong> Transport Canada on April 18 th; to date a reply has not been received.<br />
Whistle Cessation<br />
Mr. Younger has indicated that CPR will not entertain an application for whistle cessation until<br />
the safety issues noted above have been addressed.<br />
Last year staff received a quotation <strong>of</strong> $17,640 from Delcan to carry out safety studies in relation<br />
to whistle cessation at five crossings in <strong>Mission</strong>. To do a study at this crossing only, allowing for<br />
diseconomies <strong>of</strong> scale and inflation, the engineering cost would likely be in the order <strong>of</strong> $5,000<br />
to $6,000. This study may identify additional required works such as fencing and the cost <strong>of</strong><br />
such additional works would not be known until the study were completed. As well, there would<br />
be an annual insurance cost to the <strong>District</strong> in the order <strong>of</strong> $600.<br />
in view <strong>of</strong> CPR's stand, it would be pointless for the <strong>District</strong> to move forward with a whistle<br />
cessation study until such time as funding is in place for the fundamental safety improvements<br />
at the crossing.<br />
Rick Bornhdf2<br />
• F:\ENGINEER1DRIECKENlTraffic\ Report re Hatzic Crossing Mile 84.46 Cascade sd.doc<br />
End<br />
-112-<br />
PAGE 2 OF 2
218<br />
Regular Council Meeting Page 11 <strong>of</strong> 16<br />
<strong>May</strong> 5, 2008<br />
Discussion ensued regarding this year's harsher weather, and the additional<br />
kilometres <strong>of</strong> new roads that have been built through recent residential development.<br />
Staff were directed to provide further details regarding where the budget may be<br />
reduced in order to make up the shortfall.<br />
08/402 Hatzic Railway Crossing Mile 84.46 Cascade Subdivision<br />
A report from Rick Bomh<strong>of</strong>, director <strong>of</strong> engineering and public works, dated April 23,<br />
2008 regarding safety concerns and whistle cessation at the Hatzic railway crossing<br />
was provided for the committee's information.<br />
Staff were directed to provide a copy <strong>of</strong> this report to Mr. Lauchlan Glen.<br />
08/403<br />
LATE ITEM — Parking for West Coast Express Patrons<br />
A report from Rick Bomh<strong>of</strong>, director <strong>of</strong> engineering and public works, dated April 25,<br />
2008 regarding concerns about the parking <strong>of</strong> West Coast Express patrons along<br />
and south <strong>of</strong> Railway Avenue was provided for the committee's information.<br />
Council expressed concern regarding the possible perception <strong>of</strong> allowing private use<br />
<strong>of</strong> public land for parking, and the frequency <strong>of</strong> able-bodied motorists parking in the<br />
designated disabled spaces.<br />
Staff were directed to increase the amount <strong>of</strong> public parking in that area, if possible,<br />
and to increase monitoring and enforcement <strong>of</strong> disabled parking violations.<br />
08/404<br />
LATE ITEM — Manson Avenue (Councillor Stevens)<br />
Councillor Stevens expressed concern regarding the size <strong>of</strong> the machinery being<br />
used to install the storm sewer, in that the large holes being dug may be damaging<br />
the established trees in the immediate area, and are a public safety risk.<br />
The director <strong>of</strong> engineering and public works stated that the safety issues have been<br />
addressed, and that staff have been working with the property owner and have found<br />
a solution to preserve the trees.<br />
7. RESOLUTION TO RISE AND REPORT<br />
<strong>May</strong>or Atebe resumed the Chair.<br />
08/405<br />
Moved by Councillor Stevens, seconded by Councillor Horn, and<br />
RESOLVED: That the committee <strong>of</strong> the whole now rise and report.<br />
CARRIED<br />
8. ADOPTION OF COMMITTEE OF THE WHOLE REPORT<br />
08/406<br />
Moved by Councillor Etches, seconded by Councillor Gidda, and
Special Council Meeting (Administration & Finance) Page 2 <strong>of</strong> 7 2<strong>19</strong><br />
February 13, 2008<br />
Discussion took place on the following items:<br />
a. Security for library and museum. The director <strong>of</strong> corporate administration stated that<br />
he had been in contact with the security firm, and that they were decreasing the number<br />
<strong>of</strong> security staff, and looking at the hours. He continued explaining that staff wanted to<br />
slowly reduce security services and to see at what point services needed to be<br />
maintained to avoid previous security concerns. He estimated that approximately<br />
$20,000 could be saved by reducing security staff hours.<br />
b. Elimination <strong>of</strong> Transfer from Insurance Reserve for Insurance premiums (to<br />
eliminate subsidy from insurance reserve). The director <strong>of</strong> finance advised that this<br />
increase was instituted to eliminate the practice <strong>of</strong> the insurance reserve subsidizing<br />
insurance premiums. If this increase was eliminated, the insurance reserve would<br />
continue to subsidize insurance costs. It was agreed to leave this line item in the<br />
budget.<br />
c. Inflationary increases provided for rising departmental expenditures. Staff<br />
confirmed that salaries, projects not subject to inflation, and retirement accrual were not<br />
part <strong>of</strong> this inflationary increase. Discussion ensued around how long it took to include<br />
an inflationary increase for departments and council was not prepared to have it<br />
removed. It was agreed to leave this line item in the budget.<br />
d. Tax Presentation for the Public. Discussion ensued around the current projected tax<br />
increase percentages for <strong>2009</strong> and 2010, and how to present these numbers to the<br />
public, realizing that these numbers will mostly like change (possibly increase) between<br />
now and next year's budget discussions. It was suggested that the <strong>2009</strong> and 2010 tax<br />
increase percentages be referred to as the "base" estimates.<br />
e. Composite Fire Department tax increases. The director <strong>of</strong> finance reminded council<br />
that the composite fire department was coming on stream July 1, <strong>2009</strong>, and that the tax<br />
increase for this would be in addition to the tax increases required for other services.<br />
f. RCMP <strong>of</strong>ficer funding. Discussion ensued around the RCMP Strategic Plan and if the<br />
timing and subsequent funding <strong>of</strong> additional <strong>of</strong>ficers could be delayed. Staff stated that<br />
the Strategic Plan outlined by Inspector Walsh had been approved, but that if this wasn't<br />
council's wish, then staff requested that council provide a clear resolution on the RCMP<br />
Strategic Plan. Council suggested that this item be brought up at a Regular Meeting <strong>of</strong><br />
Council.<br />
The director <strong>of</strong> finance referred to Appendix "C" — Operating Spending Packages. The<br />
director noted that staff had discussed the operating spending packages at a department<br />
head meeting, and spending packages that were considered a corporate priority were<br />
identified with an asterisk. The following discussion took place:<br />
a. Ipsos Reid Survey - $5,000 one-time cost. Discussion ensued around whether the<br />
survey should be conducted every two or three years, and whether it should be<br />
considered as part <strong>of</strong> the budget. It was agreed to not go ahead with this spending<br />
package.<br />
b. Railway Crossing Whistle Cessation - $17,640 one-time and $3,000 ongoing costs.<br />
It was agreed to not go ahead with this spending package.<br />
File: ADM.COU.REG<br />
Minutes 2008
<strong>District</strong> <strong>of</strong> <strong>Mission</strong><br />
Spending Package Form<br />
2008 - 2012 Capital Budget Requests<br />
220<br />
Project Title: Whistle Cessation at Railway Crossings<br />
Division:<br />
Department:<br />
Existing Project #:<br />
(If Available)<br />
Year Requesting: 2008 <strong>2009</strong> 2010 2011 2012<br />
(Circle Year <strong>of</strong> Request)<br />
Descriptive Summary <strong>of</strong> Proposed Project<br />
To stop train whistling at five controlled railway crossings in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
Net Annual Financial Impact: $ 17,640 One-Time Costs<br />
$ 3,000 On-Going Costs<br />
Provide detailed calculations as to how the net annual financial impact was arrived at, including any <strong>of</strong>fsetting operating savings or<br />
revenue that would be generated as a result <strong>of</strong> proceeding with the project. Also state whether any operating expenditures would be<br />
required as a result <strong>of</strong> this project and the amount(s).<br />
Five public crossings — each crossing must have a safety assessment (est $5,000 per crossing) - 5 x $5,000 --- $25,000<br />
Added insurance policy - each crossing to have extra insurance (est $1200/year 50/50 Dom & CPR) — 5 x $600 = $ 3,000<br />
One-time costs would be $25,000 On-going costs would be $3,000<br />
April 2 COW - Council requested this request be submitted as a spending package<br />
August 20 COW — Council advised that Engineering had received a safety assessment quotation in the amount <strong>of</strong> $17,640<br />
Council requested Spending Package to be brought forward to Special Council Meeting — Administration & Finance<br />
Non-Monetary Benefits & Consequences <strong>of</strong> Not Proceeding with Project<br />
State the non-monetary or intangible benefits that would result from proceeding with this project and consequences <strong>of</strong> not proceeding<br />
with project.<br />
Organizational Priority Rating (M, N, D, or S) and Justification for Assigned Rating<br />
Departmental Priority (with #1 being the highest) and Explanation <strong>of</strong> Assigned Priority
221<br />
07/747 Whistle Cessation at 5 Railway Crossings in <strong>Mission</strong><br />
A report from Rick Bomh<strong>of</strong>, director <strong>of</strong> engineering and public works<br />
dated August 10, 2007 regarding the costs related to whistle cessation at<br />
<strong>Mission</strong>'s five railway crossings was provided for the committee's<br />
information.<br />
Moved by Councillor Horn, and<br />
RECOMMENDED:<br />
CARRIED<br />
August 20, 2007<br />
1. That staff take no further action on the cessation <strong>of</strong> train whistles at<br />
this time; and<br />
2. That the costs involved with cessation <strong>of</strong> train whistles within<br />
municipal boundaries be referred to an administration and finance<br />
meeting as a spending package.
222<br />
Memo<br />
File Category:<br />
File Folder:<br />
GOV.CAN.VAG<br />
Whistle Noiose<br />
To: Chief Administrative Officer<br />
From: Director <strong>of</strong> Engineering and Public Works<br />
Date: August 10, 2007<br />
Subject: Whistle Cessation at 5 railway Crossings in <strong>Mission</strong><br />
At the April 2, 2007 Council meeting, staff were requested to 'prepare a report on the costs <strong>of</strong><br />
doing safety assessments at the five railway crossings from the Nelson Street crossing to the<br />
Hatzic crossing near Dewdney Trunk Road and to determine costs <strong>of</strong> upgrading the crossings<br />
and providing liability insurance coverage. Staff was also requested to obtain information on the<br />
type and number <strong>of</strong> accidents at railway crossings in <strong>Mission</strong> over the last 10 years.<br />
Staff has obtained the attached quotation in the amount <strong>of</strong> $ 17,640 from Ross McLaren P. Eng.<br />
<strong>of</strong> Deicer) to do safety assessments at the five crossings. As whistle cessation is relatively new<br />
in this area there are not many consultants familiar with the Transport Canada guidelines.<br />
Delcan has recent experience completing safety reviews in local municipalities. Until the safety<br />
studies are completed it is not possible to estimate the crossing upgrading costs. The cost <strong>of</strong><br />
improvements will depend on the recommendations <strong>of</strong> the studies.<br />
There are no funds currently budgeted for the safety studies. If Council wishes to proceed with<br />
the studies a budget must be approved for the work. Insurance costs have previously been<br />
estimated at $600 per year for each crossing. CPR would have similar costs for each crossing.<br />
Staff has made requests to both Transport Canada and CPR for accident statistics at crossings<br />
in <strong>Mission</strong> but to date no response to the request has been forthcoming from either source.<br />
It is requested that Council give direction to staff on whether to proceed with the whistle<br />
station pfocess as detailed in the attached report dated March <strong>19</strong>, 2007<br />
'\\<br />
Rick'Bont f<br />
Note from Director <strong>of</strong> Finance<br />
As noted above there are currently no budgeted funds for this initiative. Council's 2007<br />
contingency budget is also entirely spent. If Council wishes to proceed with this initiative, I<br />
would recommend that we revisit the project after budget review time in the fall to see if there<br />
are available operating funds or submit the project as a 2008 spending package for<br />
consideration in 2008. There are sufficient funds in our Stabilization Reserve to fund this project,<br />
however, as there are a number <strong>of</strong> emergent issues which we are currently dealing with, the<br />
impact <strong>of</strong> which has not yet been determined, I am reluctant to recommend drawing funds for<br />
the project from Reserves or Surplus.<br />
Ken Bjorgaard<br />
F:\ ENGINEER \DRIECKEN \Whistle Cessation.doc<br />
PAGE 1 OF 1<br />
62
223<br />
ican<br />
Ctitidg.q-er •<br />
Suite 2300, Metrotower I, 4710 Kingsway<br />
Burnaby, British Columbia V5H 4M2<br />
Tel: 604.438.5300 ? Fax: 604.438.5350<br />
www.delcan.com<br />
August 14, 2007<br />
OUR REF;SWADMIN<br />
Mr Doug Riecken<br />
Deputy Director <strong>of</strong> Engineering<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> - Engineering and Public Works Department<br />
P.O. Box 20, 8645 Stave Lake Street<br />
° <strong>Mission</strong>, BC<br />
V2V 4L9<br />
Dear Sir<br />
Re: Request for Quotation for Safety Assessments. at Five Railway<br />
Crossings in <strong>Mission</strong><br />
I. Introduction<br />
In response to your letter dated August 1, 2007, we are pleased to submit this letter<br />
proposal for your consideration.<br />
The <strong>District</strong> <strong>of</strong> <strong>Mission</strong> (the "<strong>District</strong>") is interested in exploring if five rail crossings within<br />
the <strong>District</strong> could be candidates for the cessation <strong>of</strong> train whistling in accordance with the<br />
requirements <strong>of</strong> the Rail Safety Act and the Canadian Rail Operating Rules. The crossings<br />
under consideration are the CP Rail crossings located at the following locations:<br />
• Nelson Street (Mile 89.85 Cascade Subdivision);<br />
• Private Crossing - Duncan Avenue (Mile 88.80 Cascade Subdivision);<br />
• London Avenue (Mile 0.42 <strong>Mission</strong> Subdivision);<br />
• Private Crossing - CPR Yard (220m North <strong>of</strong> London Avenue, <strong>Mission</strong> Subdivision);<br />
• Hatzic Crossing - East <strong>of</strong> Dewdney Trunk Road (Mile 84.46 Cascade SubdiVision).<br />
In order to pursue anti-whistling, Transport Canada requires a detailed safety assessment to<br />
be undertaken at each crossing in accordance with their "Canadian Road/Railway Grade<br />
Crossing Detailed Safety Assessment Guide". In response to this, the <strong>District</strong> has requested<br />
Delon to submit a proposal to perform the rail crossing safety assessments.<br />
n . ar a S<br />
63
224<br />
Page 2<br />
2. Scope <strong>of</strong> Work<br />
In accordance with the above, we understand the scope <strong>of</strong> work to include the following:<br />
• Conduct a Railway Grade Crossing Detailed Safety Assessment <strong>of</strong> the selected grade<br />
crossings that satisfies the guidelines, regulations, and standards established by<br />
Transport Canada and CP Rail for consideration <strong>of</strong> cessation <strong>of</strong> train whistles at grade<br />
crossings;<br />
• For crossings that do not meet the safety standard required for approval <strong>of</strong> whistle<br />
cessation, provide recommendations and cost estimates for upgrades to those<br />
crossings in order to satisfy that standard; and<br />
• Provide a written preliminary and final report.<br />
3. Resources<br />
Our team will be led by Ross McLaren, P.Eng., who will undertake most <strong>of</strong> the technical<br />
work associated with the assignment. He has recently undertaken , detailed safety reviews in<br />
accordance with Transport Canada guidelines at a number <strong>of</strong> Lower Mainland crossings. He<br />
will be supported by Sheldon Cromwell who will be responsible for liaising with the rail<br />
operators and collating the necessary train related information. Junior technical staff will<br />
also assist with the site reviews and document preparation as required..<br />
4. Work Plan<br />
In order to undertake this assignment we have broken it down into a number <strong>of</strong> clearly<br />
defined tasks as outlined below:<br />
Task 1 — Project Initiation<br />
We will meet with representatives from the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>, CP Rail, and Transport<br />
Canada to review the assignment requirements and obtain background information. We<br />
have assumed that this meeting will be held at the <strong>District</strong> <strong>of</strong>fices and that the <strong>District</strong> will<br />
arrange invitations to stakeholders. At this meeting it is anticipated that the exact number<br />
and location <strong>of</strong> crossings to be assessed will be agreed upon. During this meeting, we<br />
request that the following data be provided by the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>:<br />
• Aerial photographs in digital format;<br />
• Cadastral information in digital format;<br />
• As-built plans if available; and<br />
• Any plans/reports relating to development in the vicinity <strong>of</strong> the crossings.<br />
Task 2 — Rail Data Collection<br />
Noting that this task can be time consuming and reliant on the rail authorities, we have<br />
identified this as a separate task. We will contact CP Rail and request all information that is<br />
required in terms <strong>of</strong> the . Transport Canada guidelines. This will include the following data: .<br />
AAS 015.13 .<br />
tons<br />
64
225<br />
Page 3<br />
• Daily train movements on each track;<br />
• Maximum operating speed;<br />
• Collision/Incident/Trespassing records;<br />
• Flashing light, bell and gate (FLBG) operation specifications;<br />
• Current whistling practices; and<br />
• Maintenance records.<br />
As requested by the <strong>District</strong>, we have provided an optional estimate to obtain additional<br />
traffic data that may be required. If required, we will undertake seven-hour traffic counts at<br />
all five crossings. Data pertaining to the following will be collected:<br />
• Vehicles by class (auto, truck, bus);<br />
• Pedestrians;<br />
• Cyclists; and<br />
• Trains.<br />
The data will be factored up to provide AADT estimates as required by the assessment<br />
guide.<br />
Task 3 — Detailed Safety Review<br />
Detailed on-site safety reviews will be undertaken during which time the sections <strong>of</strong> the<br />
guideline document relevant to anti-whistling will be completed. For more information<br />
please refer to Appendix C2 from the "Canadian Road/Railway Grade Crossing Detailed<br />
Safety Assessment Guide" attached to this letter. Representatives from CP Rail and the<br />
<strong>District</strong> will be invited to attend the site reviews.<br />
It is assumed that CP Rail will provide the necessary entry permits to access the tracks at<br />
no cost. In the event that a charge is levied, this will be passed on to the <strong>District</strong>.<br />
Task 4 — Issue Identification and Mitigation<br />
Based on information collected during the previous tasks, a list <strong>of</strong> issues will be identified<br />
and mitigation measures will be proposed for the crossings as appropriate. This task will<br />
identify issues/measures that relate primarily to anti-whistling, although other issues such<br />
as foliage overgrowth, surface maintenance, etc. will be reported if noted. If road<br />
improvements are required, conceptual drawings will be prepared on the aerial photograph<br />
base plan. Order <strong>of</strong> magnitude costs <strong>of</strong> improvements will also be prepared.<br />
Task 5 — Reporting<br />
A brief draft report will be prepared to document the assignment and provide<br />
recommendations. A copy <strong>of</strong> the completed Transport Canada guideline document will be<br />
appended to the report. This draft report will be submitted to the <strong>District</strong> for review and<br />
confirmation <strong>of</strong> improvements whereupon a final report will be issued.<br />
Inte<br />
e S<br />
65
226<br />
Page 4<br />
5, Schedule and Fees<br />
Assuming timely receipt <strong>of</strong> all data, we estimate that this assignment will take<br />
approximately two months to complete from time <strong>of</strong> authorization to proceed.<br />
Our level <strong>of</strong> effort and fee estimate to undertake the work in accordance with the above<br />
work plan is summarized below. All costs exclude applicable taxes. As requested, we have<br />
provided an estimate for the option to conduct the necessary traffic counts.<br />
131<br />
NZ Pro . - t l•il. ion 4 1111111111111111111111111111:11111 4t MIIMIIIII . '0<br />
IF/ - .rMrfa'rfMIIIIIIIIIIIIIIIIIIII 111111111111111111111111111111F13111IPIM<br />
inuii-MilMEIV!! -- MIIIIIIIIIIIIIIIIIIIIItalliFillIllitill<br />
11,111111111111111111111111 40 Wirrall<br />
WI -01121MIIIIIIIMIIIIMIIIII IllErall 4 441 IllrnllIllrflEall<br />
Subtotal 44 36 50 130 S14.340 $250 S14.590<br />
111116,51M111171; iitat ICT1111R141.IIIII.lrilliaillIllanIINIIMiirralIlNqrglIllrgrll<br />
TOTAL 46 36 52 130 $14,790 $2,850 $17640<br />
Descri • tion rerimirritimarammlimml<br />
Should you be in agreement with our proposal we would appreciate written confirmation to<br />
proceed. A formal agreement will then be arranged.<br />
We appreciate your request <strong>of</strong> Delcan to submit a proposal for this assignment, and should<br />
you have any questions/comments, please contact the undersigned.<br />
Yours truly,<br />
Ross McLa .ren<br />
Project Manager<br />
N: \Sw \<strong>Mission</strong> Rail Safety \MisSion Crossings.doc<br />
t..e g ra<br />
y s t iPstl*.s<br />
66
Memo<br />
227<br />
File Category:<br />
File Folder:<br />
GOV.CAN.VAG<br />
Whistle Noise<br />
To: Chief Administrative Officer<br />
From: Director <strong>of</strong> Engineering and Public Works<br />
Date: March <strong>19</strong>, 2007<br />
Subject: Whistle Cessation at Railway Crossings<br />
Background<br />
There have been a number <strong>of</strong> requests submitted. by Mr Don Gillis <strong>of</strong> 207 — 7440 Columbia St to<br />
stop train whistling at controlled railway crossings in the.<strong>District</strong> <strong>of</strong> <strong>Mission</strong>.<br />
There are 9 Canadian Pacific Railway (CPR) crossings within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> four <strong>of</strong><br />
which are private (three with stop signs only and one fully controlled with lights, bells & control<br />
arm). The remaining 5 are public crossings and are fully controlled as described above.<br />
Rick Posnik<strong>of</strong>f <strong>of</strong> CPR advised that the use <strong>of</strong> train whistles provides added safety at the<br />
crossings however there is a new guideline that has been approved where municipalities or<br />
private entities can request train whistling be stopped by doing the following:<br />
• A resolution must be made by Council approving <strong>of</strong> the request.<br />
• The public must be notified and given opportunity to provide input.<br />
• Each crossing must have a safety assessment completed by a pr<strong>of</strong>essional engineer<br />
(CPR advise that the estimated cost is $ 5000 per crossing) .<br />
• Each crossing must have an added insurance policy estimated at $ 1200/yr which is split<br />
50/50 between CPR & the municipality.<br />
• The municipality must agree to provide any necessary upgrades to the crossing<br />
identified by the safety assessment. One <strong>of</strong> the more expensive items noted by Mr<br />
Posnik<strong>of</strong>f was the possibility <strong>of</strong> required fencing along the railway for a distance <strong>of</strong> 400 m<br />
in both directions if it was determined that pedestrians cross the tracks on a regular<br />
basis within that zone.<br />
The final decision if whistling at crossing will be stopped is made by the CPR Public Works<br />
Engineer and the Transport Canada Engineer.<br />
A map showing the location <strong>of</strong> the crossings is attached.<br />
One <strong>of</strong> the private uncontrolled crossings is located on Beatty Dr which is fairly close to the<br />
downtown area Unless it is included in the whistle elimination application it will be less effective.<br />
It is also noted that some train whistle noise is also audible from the Abbotsford side <strong>of</strong> the river<br />
so train whistle noise will still be heard from that side <strong>of</strong> the river.<br />
Should Council wish to have staff pursue train whistle elimination at all public crossings it could<br />
be included as a spending package for 2008 or we could meet with Finance to review funding<br />
options to complete in 2007.<br />
Rick Bomh<strong>of</strong>
0)<br />
cr)
229<br />
1SS1OI<br />
MDISTRICT OF<br />
ON THE FRASER<br />
Parks, Recreation & Culture<br />
Memorandum<br />
File Category:<br />
File Folder:<br />
TYPE FILE CATEGORY HERE<br />
type File Folder Name here<br />
To: Chief Administrative Officer<br />
From: Director <strong>of</strong> Parks, Recreation & Culture<br />
Date: <strong>May</strong> <strong>19</strong>, <strong>2009</strong><br />
Subject: Renewal <strong>of</strong> <strong>Mission</strong> Granite Club Licence for Use <strong>of</strong> Curling Rink<br />
Recommendation<br />
That Council approve renewal <strong>of</strong> the Licence for Use <strong>of</strong> the Curling Rink and associated facilities by the<br />
<strong>Mission</strong> Granite Club for a four year term, with fees to be paid as follows:<br />
<strong>2009</strong>/2010 $10,500 plus GST<br />
2010/2011 $11,000 plus GST<br />
2011/2012 $11,500 plus GST<br />
2012/2013 $12,000 plus GST<br />
Background<br />
The current Licence for Use <strong>of</strong> the curling rink by the <strong>Mission</strong> Granite Club expires as <strong>of</strong> August 31, <strong>2009</strong>.<br />
Staff met with representatives <strong>of</strong> the Granite Club prior to the end <strong>of</strong> the past curling season in order to<br />
negotiate terms for a Licence renewal. The recommendation above includes the terms that were agreed<br />
upon in a very positive meeting.<br />
This past season the Granite Club's Licence fee was $10,000 plus GST. Listed below are the<br />
percentage increases per year <strong>of</strong> the proposed Licence:<br />
<strong>2009</strong>/2010 $10,500 (+ 500) 5.0%<br />
2010/2011 $11,000 (+500) 4.8%<br />
2011/2012 $11,500 (+500) 4.5%<br />
2012/2013 $12,000 (+500) 4.3%<br />
The Granite Club agreed that these increases were manageable, and are in keeping with our<br />
department's practice <strong>of</strong> ensuring fees are addressed annually to keep up with operating costs.<br />
All other terms within the current agreement are proposed to remain the same.<br />
Staff have an excellent working relationship with the Granite Club, and are supporting their efforts to build<br />
mbership.<br />
Ray Her an<br />
Director <strong>of</strong> Parks, Recreation & Culture<br />
Page 1 <strong>of</strong> 1
230<br />
MINUTES <strong>of</strong> the REGULAR MEETING <strong>of</strong> the COUNCIL <strong>of</strong> the DISTRICT OF<br />
MISSION held in the Council Chambers <strong>of</strong> the Municipal Hall, 8645 Stave Lake<br />
Street, <strong>Mission</strong>, British Columbia, on <strong>May</strong> 4, <strong>2009</strong> commencing at 6:30 p.m.<br />
Council Members Present: <strong>May</strong>or James Atebe<br />
Councillor Terry Gidda<br />
Councillor Paul Horn<br />
Councillor Plecas<br />
Councillor Scudder<br />
Councillor Jenny Stevens<br />
Councillor Heather Stewart<br />
Staff Members Present: Glen Robertson, chief administrative <strong>of</strong>ficer<br />
Kelly Ridley, deputy director <strong>of</strong> corporate administration<br />
Christine Brough, administrative clerk<br />
Jennifer Russell, administrative clerk<br />
1. RESOLUTION TO RESOLVE INTO COMMITTEE OF THE WHOLE<br />
RCO9/234 Moved by Councillor Pieces, seconded by Councillor Gidda, and<br />
MAY 4/09<br />
RESOLVED: That council now resolve itself into committee <strong>of</strong> the whole.<br />
CARRIED<br />
2. PROCLAMATIONS<br />
RC09/235<br />
MAY 4/09<br />
<strong>May</strong> <strong>2009</strong> as "Falun Dafa Month"<br />
Falun Data Association <strong>of</strong> BC<br />
Moved by Councillor Stewart, and<br />
RECOMMENDED: That <strong>May</strong>, <strong>2009</strong> be proclaimed as "Falun Dafa Month" within the<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong>; the <strong>District</strong> to assume no costs related thereto.<br />
CARRIED<br />
RC09/236 June 20, <strong>2009</strong> as "<strong>Mission</strong> Soapbox Derby Day"<br />
MAY 4/09<br />
<strong>Mission</strong> & <strong>District</strong> Soapbox Derby Association<br />
Moved by Councillor Pieces, and<br />
RECOMMENDED: That June 20, <strong>2009</strong> be proclaimed as "<strong>Mission</strong> Soapbox Derby<br />
Day" within the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>; the <strong>District</strong> to assume no costs related thereto.<br />
CARRIED<br />
RC09/237 <strong>May</strong> 1 through 7, <strong>2009</strong> as "Arson Awareness Week"<br />
MAY 4/09<br />
Larry MacDonald<br />
Moved by Councillor Horn, and
231<br />
Regular Council Meeting Page 2 <strong>of</strong> 15<br />
<strong>May</strong> 4, <strong>2009</strong><br />
RECOMMENDED: That the email correspondence from Larry MacDonald dated<br />
April 29, <strong>2009</strong> regarding Arson Awareness Week be received as information.<br />
CARRIED<br />
3. DELEGATIONS AND PRESENTATIONS<br />
RC09/238<br />
MAY 4/09<br />
Larry MacDonald<br />
Re: Juvenile Firesetting<br />
Mr. MacDonald did not appear.<br />
RC09/239 LATE ITEM — Ian Fitzpatrick, fire chief<br />
MAY 4/09<br />
Re: Swine Flu Virus Update/Emergency Preparedness Week<br />
Ian Fitzpatrick, fire chief, appeared before council to provide an update on the swine<br />
flu virus. He stated that the latest reports indicate that so far all confirmed swine flu<br />
cases in Canada are considered as mild.<br />
The fire chief noted that it is important not to panic, and that washing your hands is<br />
very important to help prevent further spread <strong>of</strong> any kind <strong>of</strong> flu. For further<br />
information, there is now a direct link to Fraser Health on the <strong>District</strong>'s webpage.<br />
The fire chief further updated council on the emergency preparedness display held at<br />
the fire hall on <strong>May</strong> 3, <strong>2009</strong> from12:00 to 5:00 p.m. He thanked the organizations<br />
who participated.<br />
The mayor thanked Chief Fitzpatrick for the information.<br />
4. PLANNING<br />
Councillor Stewart assumed the Chair.<br />
RC09/240 Rezoning Application R08-024 (Veres) — 31663 Townshipline Avenue<br />
MAY 4/09<br />
Moved by <strong>May</strong>or Atebe, and<br />
RECOMMENDED:<br />
1 That, in accordance with rezoning application R08-024 (Gavril Veres), the<br />
director <strong>of</strong> corporate administration prepare a bylaw to amend <strong>District</strong> <strong>of</strong><br />
<strong>Mission</strong> zoning bylaw 3143-<strong>19</strong>98 by rezoning the property located at 31663<br />
Townshipline Avenue and legally described as:<br />
Parcel Identifier: 001-038-508 Lot 13, Section 6, Township 18, New<br />
Westminster <strong>District</strong>, Plan 39727<br />
from RU-1 Rural One zone to RS-2A One Unit Rural Residential zone;<br />
2. That the bylaw be considered for first and second readings at the regular<br />
council meeting <strong>of</strong> <strong>May</strong> 4, <strong>2009</strong>; and
232<br />
Regular Council Meeting Page 3 <strong>of</strong> 15<br />
<strong>May</strong> 4, <strong>2009</strong><br />
3. That following such readings, the bylaw be forwarded to a public hearing on<br />
<strong>May</strong> 25, <strong>2009</strong>.<br />
CARRIED<br />
RC09/241 Landscape Requirement on Fairbanks Street and Egglestone Avenue<br />
MAY 4/09<br />
Moved by Councillor Horn, and<br />
RECOMMENDED: That the parks, recreation and culture department commence<br />
landscaping installation on the south side <strong>of</strong> Egglestone Avenue and the east side <strong>of</strong><br />
Fairbanks street, with all costs to be borne by the developer.<br />
CARRIED<br />
RC09/242 Deletion <strong>of</strong> <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Policy LAN.51 — Informational Requirements<br />
MAY 4/09<br />
for Certain Land Use Applications<br />
Moved by Councillor Scudder, and<br />
RECOMMENDED: That discussion regarding policy LAN.51 — Informational<br />
Requirements for Certain Land Use Applications be deferred until after the<br />
discussion regarding LAN.41 — Guide to Land Development, which is the next<br />
agenda item.<br />
CARRIED<br />
RG09/243 Site Assessment Policy Item<br />
MAY 4/09<br />
Moved by Councillor Horn, and<br />
RECOMMENDED: That an amendment to LAN. 41 - Guide to Land Development to<br />
permit the addition <strong>of</strong> the 'Site Assessment' to be required as part <strong>of</strong> rezoning,<br />
development permit and subdivision development applications be approved.<br />
OPPOSED: Councillor Scudder<br />
CARRI ED<br />
RC09/244<br />
MAY 4/09<br />
Moved by Councillor Stevens, and<br />
RECOMMENDED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> policy LAN.51 — Informational<br />
Requirements for Certain Land Use Applications be deleted.<br />
OPPOSED: Councillor Scudder<br />
CARRIED<br />
RC09/245 Excerpts from the Minutes <strong>of</strong> the Public Hearing held on April 28, 2008 and<br />
MAY 4/09<br />
Staff Reports dated March 7 and June 25, 2008 — Background for<br />
consideration <strong>of</strong> adoption <strong>of</strong> bylaw 4036-2008-3143(292) (R07-032)<br />
An excerpt from the minutes <strong>of</strong> the public hearing held on April 28, 2008 and staff<br />
reports dated March 7 and June 25, 2008 were provided for the committee's<br />
information to assist in the consideration <strong>of</strong> adoption <strong>of</strong> zone amending bylaw 4035-<br />
2008-3143(292).
233<br />
Regular Council Meeting Page 4 <strong>of</strong> 15<br />
<strong>May</strong> 4, <strong>2009</strong><br />
5. ADMINISTRATION AND FINANCE<br />
Councillor Stevens assumed the Chair.<br />
RC09/246<br />
MAY 4/09<br />
Downhill Mountain Bike Race on Red Mountain — Arduun Challenge<br />
Moved by <strong>May</strong>or Atebe, and<br />
RECOMMENDED:<br />
1. That permission be granted to Mr. Greg Rector to hold the mountain bike race<br />
on Red Mountain in the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> on June 20 and 21, <strong>2009</strong> subject to<br />
Mr. Rector providing:<br />
(a)<br />
(b)<br />
(c)<br />
(d)<br />
(e)<br />
(f)<br />
comprehensive general liability insurance in the amount <strong>of</strong> at least<br />
$2,000,000. per occurrence and including the <strong>District</strong> <strong>of</strong> <strong>Mission</strong> as a<br />
named insured;<br />
advising the neighbourhood <strong>of</strong> the event dates and times;<br />
all site preparation including installation and removal <strong>of</strong> portable toilets as<br />
well as site clean up after the event is finished;<br />
<strong>of</strong>f street vehicle parking, define <strong>of</strong>f-street areas for participant parking and<br />
number <strong>of</strong> vehicles that can be accommodated at the site;<br />
on-site first aid services;<br />
all necessary traffic control; and<br />
2. That council grant permission for the event organizers to borrow traffic cones<br />
and barriers from the public works yard. Pick up and drop <strong>of</strong>f <strong>of</strong> these item to<br />
be arranged by the event organizers with district staff.<br />
CARRIED<br />
RC09/247<br />
MAY 4/09<br />
Manager <strong>of</strong> Engineering Design Services<br />
Moved by Councillor Plecas, and<br />
RECOMMENDED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> <strong>of</strong>ficers bylaw 3986-2007 be amended as<br />
follows to include the position <strong>of</strong> manager <strong>of</strong> engineering design services:<br />
1. by adding the position <strong>of</strong> Manager <strong>of</strong> Engineering Design Services as number<br />
(33) to section 1; and<br />
2. by adding the job description <strong>of</strong> Manager <strong>of</strong> Engineering Design Services to<br />
Schedule "A" as follows:<br />
"MANAGER OF ENGINEERING DESIGN SERVICES<br />
There shall be appointed a manager <strong>of</strong> engineering design services who shall,<br />
under the direction <strong>of</strong> the deputy director <strong>of</strong> engineering:
234<br />
Regular Council Meeting Page 5 <strong>of</strong> 15<br />
<strong>May</strong> 4, <strong>2009</strong><br />
(a)<br />
(b)<br />
(c)<br />
(d)<br />
(e)<br />
(f)<br />
(g)<br />
(h)<br />
(i)<br />
(j)<br />
manage, plan, coordinate, administer and evaluate the operations and<br />
programs related to municipal engineering design activities;<br />
in consultation with the manager <strong>of</strong> human resources, recruit, hire,<br />
discipline, lay <strong>of</strong>f and terminate staff as required, within known guidelines<br />
and following appropriate consultative practices;<br />
act for the municipality on matters relating to his/her department including<br />
union negotiations, and employee grievances, and submit confidential<br />
reports in connection therewith as required and give evidence on behalf<br />
<strong>of</strong> the municipality at hearings relating to labour relations;<br />
design municipal engineering projects, analyze infrastructure capacities<br />
and identify deficiencies, utilizing a variety <strong>of</strong> modelling s<strong>of</strong>tware, data<br />
collection equipment and techniques;<br />
perform research tasks, analyze technical data and prepare a variety <strong>of</strong><br />
comprehensive technical reports, cost estimates and recommendations<br />
which may impact department policies and standards;<br />
review and update engineering standards and specifications related to<br />
engineering design;<br />
prepare terms <strong>of</strong> reference for hiring consultants, review consultants'<br />
proposals, assist in selection, and monitor and follow up work completed.<br />
prepare draft policies and procedures related to engineering design for<br />
review and implementation;<br />
review and accept engineering drawings, reports and calculations for<br />
works and services in developments;<br />
be responsible for long range planning regarding engineering design,<br />
modelling <strong>of</strong> water, sewer and drainage system capacities, periodic<br />
review <strong>of</strong> development cost charges and special projects;<br />
(k) prepare the annual budget related to engineering design for the<br />
department and on approval, ensure that expenditures are in accordance<br />
with budgetary policy;<br />
(1) provide technical information, advice and assistance to other<br />
departments, government agencies and the public in a manner that is<br />
tactful, clear, concise and appropriate;<br />
(m)<br />
(n)<br />
prepare reports to council on engineering design matters and attend<br />
council meetings, public information meetings, and public hearings, if<br />
required;<br />
liaise with external consultants, regional, provincial, and federal agencies<br />
and utility companies. Obtain input from public, neighbourhood and<br />
community groups and respond to inquiries and complaints;
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(0) negotiate acquisition <strong>of</strong> right-<strong>of</strong>-ways, purchase <strong>of</strong> property, and<br />
approvals for works on private property in conjunction with construction<br />
projects;<br />
(p)<br />
(q)<br />
(r)<br />
(s)<br />
monitor and assess work performed to ensure that it meets a high<br />
standard <strong>of</strong> quality, efficiency and customer service, and is performed in<br />
compliance with WorkSafeBC regulations and appropriate risk<br />
management practices;<br />
provide verbal and/or written performance feedback and performance<br />
assessments <strong>of</strong> supervised staff, and provide advice and guidance to<br />
supervised staff on matters related to performance concerns;<br />
perform such other duties as may be required by statute, municipal bylaw,<br />
resolution or as may be delegated by the deputy director <strong>of</strong> engineering;<br />
and<br />
assume the duties and responsibilities <strong>of</strong> the deputy director <strong>of</strong><br />
engineering in his/her absence."<br />
CARRIED<br />
RC09/248 Walk/Run for Shelter — Women's Resource Society <strong>of</strong><br />
MAY 4/09<br />
the Fraser Valley<br />
Moved by Councillor Stewart, and<br />
RECOMMENDED:<br />
1. That permission be granted to the Women's Resource Society <strong>of</strong> the Fraser<br />
Valley to hold a fundraiser Walk/Run for Shelter at Heritage Park on Sunday,<br />
June 7th, <strong>2009</strong> between the hours <strong>of</strong> 9:30 to 11:00 am subject to them<br />
providing:<br />
(a)<br />
(b)<br />
(c)<br />
(d)<br />
comprehensive general liability insurance in the amount <strong>of</strong> at least<br />
$2,000,000. per occurrence and including the <strong>District</strong> <strong>of</strong> <strong>Mission</strong>, as a<br />
named insured;<br />
<strong>of</strong>f street vehicle parking, define <strong>of</strong>f-street areas for participant parking and<br />
number <strong>of</strong> vehicles that can be accommodated at the site;<br />
on-site first aid services;<br />
necessary traffic control; and<br />
2. That <strong>District</strong> staff be authorized to open the gate at the top <strong>of</strong> 7 th Avenue on St.<br />
Mary's Street between the hours <strong>of</strong> 8:00 am to 12:00 noon.<br />
CARRI ED<br />
RC09/249 Amendment to Policy STR.34 — Road Closure and Sale<br />
MAY 4/09<br />
Moved by Councillor Horn, and
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<strong>May</strong> 4, <strong>2009</strong><br />
RECOMMENDED: That policy STR.34 — Road Closure and Sale be amended by<br />
deleting section 3 (c) and replacing it with the following:<br />
CARRIED<br />
"c) pay a non-refundable deposit <strong>of</strong> $2000 or 10% <strong>of</strong> the purchase price<br />
(whichever is greater) payable within 14 days <strong>of</strong> Council's adoption <strong>of</strong> a<br />
resolution to proceed with the road closure and subsequent sale <strong>of</strong> the<br />
property. The deposit is deducted <strong>of</strong>f <strong>of</strong> the purchase price if the<br />
transaction is completed within 4 months <strong>of</strong> a Council resolution. If the<br />
transaction is not completed within this 4 month period, the deposit is<br />
forfeit;"<br />
RC09/250 Sale <strong>of</strong> <strong>District</strong> Road Right <strong>of</strong> Way — Larkspur Avenue<br />
MAY 4/09<br />
Moved by Councillor Gidda, and<br />
RECOMMENDED: That council resolution number 08/1030 be amended by<br />
changing the purchase price <strong>of</strong> the Larkspur Avenue road right <strong>of</strong> way to $70,825.00.<br />
CARRIED<br />
RC09/251 Repairs to 7547 Columbia Street<br />
MAY 4/09<br />
Moved by Councillor Horn, and<br />
RECOMMENDED:<br />
1. That repairs to 7547 Columbia Street up to $20,000.00 are authorized;<br />
2. That once the repairs are complete, the property continue to be rented until the<br />
housing market improves; and<br />
3. That the funds come from the stabilization reserve and that this fund be repaid<br />
from the collection <strong>of</strong> rent or sale <strong>of</strong> the property.<br />
CARRIED<br />
RC09/252 Rockin' on the River Concert<br />
MAY 4/09<br />
Moved by <strong>May</strong>or Atebe, and<br />
RECOMMENDED:<br />
1. That council resolution number RC09/007 be amended by changing the date <strong>of</strong><br />
the Rockin' on the River concert from August 14 and 15, <strong>2009</strong> to August 15<br />
and 16, <strong>2009</strong>; and<br />
2. That the playing <strong>of</strong> live music is authorized during the following hours:<br />
CARRIED<br />
Saturday, August 15, from 5:00 pm to 11:30 pm; and<br />
Sunday, August 16, <strong>2009</strong><br />
from 12:00 noon to 9:00 pm.
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RC09/253<br />
MAY 4/09<br />
Council Appointment to Fraser Valley Health Care Foundation<br />
Board <strong>of</strong> Trustees<br />
Moved by Councillor Horn, and<br />
RECOMMENDED: That <strong>May</strong>or Atebe be appointed to the Fraser Valley Health Care<br />
Foundation board <strong>of</strong> trustees.<br />
CARRIED<br />
RC09/254<br />
MAY 4/09<br />
Ticket Information Bylaw 2646-<strong>19</strong>93<br />
Moved by Councillor Scudder, and<br />
RECOMMENDED: That the director <strong>of</strong> corporate administration prepare a bylaw to<br />
amend Schedule 1, <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Ticket Information Bylaw 2646-<strong>19</strong>93 by adding<br />
pipelayer, utilities technician, truck driver and backhoe operator to the list <strong>of</strong><br />
designated bylaw enforcement <strong>of</strong>ficers under Water Bylaw 2<strong>19</strong>6-<strong>19</strong>90.<br />
CARRIED<br />
Staff were directed to provide a report containing options for an increasing fine scale<br />
similar to the false alarm bylaw, and providing fewer warnings prior to issuing fines<br />
during water restriction times.<br />
6. ENGINEERING AND PUBLIC WORKS<br />
Councillor Gidda assumed the Chair.<br />
RC09/255 Sports Park Drainage Outfall<br />
MAY 4/09<br />
Moved by Councillor Horn, and<br />
RECOMMENDED:<br />
1. That McElhanney Consulting Services Ltd. be hired to carry out the first phase<br />
<strong>of</strong> a drainage infiltration study at the <strong>Mission</strong> Sports Park at their quoted price<br />
<strong>of</strong> $17,130 plus GST;<br />
2. That the study be funded from developers' contributions for the Sports Park<br />
detention pond which have been deposited in GL account 13750-000;<br />
3. That the <strong>District</strong>'s capital plan be amended to include a budget <strong>of</strong> $17,987,<br />
which includes a 5% common service fee; and<br />
4. That the decision to proceed with the second phase <strong>of</strong> the study be deferred<br />
pending councils review <strong>of</strong> the outcome <strong>of</strong> the first phase.<br />
CARRIED
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RC09/256<br />
MAY 4/09<br />
Residential Metered Water Invoicing — Follow-up Report<br />
Moved by Councillor Stewart, and<br />
RECOMMENDED: That notwithstanding council resolution 09/208, which accepted<br />
the staff report on postponing residential metered water invoicing; staff are directed<br />
to proceed immediately with the following step to implement a meter reading and<br />
invoicing <strong>of</strong> all new residential service:<br />
(a)<br />
(b)<br />
(c)<br />
(d)<br />
CARRIED<br />
Residential water meters to be read manually by <strong>District</strong> staff on an interim<br />
basis until <strong>District</strong> has sufficient water meters to make it cost effective to<br />
proceed with reading by a more advance technology.<br />
Residential meters are read and invoiced annually in October.<br />
A water user charge <strong>of</strong> $0.84 per cubic meter is established for one and two<br />
family residential metered water.<br />
Staff prepares for council consideration all the necessary bylaw changes.<br />
Staff were directed to provide a report detailing the difference in metered water rates<br />
between Abbotsford and <strong>Mission</strong>.<br />
RC09/257 Organics Management at the Landfill<br />
MAY 4/09<br />
Moved by Councillor Plecas, and<br />
RECOMMENDED: That the landfill composting project be continued until<br />
September 1, <strong>2009</strong> in partnership with Denbow Transport Ltd. after which a new<br />
agreement will be entered into based on an upcoming request for proposals.<br />
CARRIED<br />
RC09/258 Harmonization <strong>of</strong> <strong>Mission</strong> and Abbotsford Sewer Bylaws<br />
MAY 4/09<br />
A report from the manager <strong>of</strong> environmental services dated March 23, <strong>2009</strong><br />
regarding the harmonization <strong>of</strong> <strong>Mission</strong> and Abbotsford sewer bylaws was provided<br />
for the committee's information.<br />
RC09/259<br />
MAY 4/09<br />
<strong>2009</strong> Fraser River Freshet Update<br />
A report from the manager <strong>of</strong> environmental services dated April 14, <strong>2009</strong> regarding<br />
the <strong>2009</strong> Fraser River freshet update was provided for the committee's information.<br />
RC09/260<br />
MAY 4/09<br />
Silverdale Creek Wetlands Enhancement Project Update<br />
A report from the manager <strong>of</strong> environmental services dated April 14, <strong>2009</strong> regarding<br />
the Silverdale Creek wetlands enhancement project update was provided for the<br />
committee's information.
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RC09/261 Low Flow Toilet Subsidy Program<br />
MAY 4/09<br />
A report from the manager <strong>of</strong> environmental services dated April 22, <strong>2009</strong> regarding<br />
a low-flow toilet subsidy program was provided for the committee's information.<br />
RC09/262 Mill Pond Compensation Plan Follow-up<br />
MAY 4/09<br />
A report from the manager <strong>of</strong> environmental services dated April 27, <strong>2009</strong> regarding<br />
the Mill Pond compensation plan was provided for the committee's information.<br />
RC09/263<br />
MAY 4/09<br />
Removal <strong>of</strong> Barrier on Nottman Street at Eggiestone/Dalke<br />
The committee reviewed a report from Rick Bomh<strong>of</strong>, director <strong>of</strong> engineering and<br />
public works, dated April 22, <strong>2009</strong> regarding the removal <strong>of</strong> the barrier on Nottman<br />
Street at Egglestone Avenue.<br />
Staff were directed to inform the residents in the area <strong>of</strong> the rationale behind the<br />
decision to remove the barrier, that it will be removed on a trial basis, and that their<br />
feedback is appreciated and encouraged.<br />
FiC09/264<br />
MAY 4/09<br />
Minutes <strong>of</strong> the Downtown Revitalization Task Force Meeting held on<br />
March 17, <strong>2009</strong><br />
The minutes <strong>of</strong> the downtown revitalization task force meeting held on March 17,<br />
<strong>2009</strong> were provided for the committee's information.<br />
RC09/265<br />
Minutes <strong>of</strong> the <strong>Mission</strong> Abbotsford Transit Committee Meeting held<br />
MAY 4/09<br />
on March 26, <strong>2009</strong><br />
The minutes <strong>of</strong> the <strong>Mission</strong> Abbotsford transit committee meeting held on March 26,<br />
<strong>2009</strong> were provided for the committee's information.<br />
Moved by Councillor Horn, and<br />
RECOMMENDED:<br />
1. That there be a non-voting advisory seat on the <strong>Mission</strong> Abbotsford transit<br />
committee for the University <strong>of</strong> the Fraser Valley student union society; and<br />
2. That the draft <strong>Mission</strong> Abbotsford transit committee terms <strong>of</strong> reference be<br />
forwarded to the City <strong>of</strong> Abbotsford and <strong>District</strong> <strong>of</strong> <strong>Mission</strong> councils for approval.<br />
CARRIED<br />
7. RESOLUTION TO RISE AND REPORT<br />
<strong>May</strong>or Atebe resumed the Chair.
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RC09/266<br />
MAY 4/09<br />
Moved by Councillor Stewart, seconded by Councillor Plecas, and<br />
RESOLVED: That the committee <strong>of</strong> the whole now rise and report.<br />
CARRIED<br />
8. ADOPTION OF COMMITTEE OF THE WHOLE REPORT<br />
RC09/267<br />
MAY 4/09<br />
Moved by Councillor Stevens, seconded by Councillor Scudder, and<br />
RESOLVED: That the recommendations <strong>of</strong> the committee <strong>of</strong> the whole, as<br />
contained in items RC09/234 to RC09/266, except items RC09/243 (LAN.41 — Guide<br />
to Land Development) and RC09/244 (LAN.51 - Informational Requirements for<br />
Certain Land Use Applications), be adopted.<br />
CARRIED<br />
RC09/268<br />
MAY 4/09<br />
Moved by Councillor Stevens, seconded by Councillor Horn, and<br />
RESOLVED: That the recommendation <strong>of</strong> the committee <strong>of</strong> the whole, as contained<br />
in item RC09/243 (LAN.41 — Guide to Land Development), be adopted.<br />
OPPOSED: Councillor Scudder<br />
CARRI ED<br />
C09/269 Moved by Councillor Stewart, seconded by Councillor Piecas, and<br />
RMAY 4/09<br />
RESOLVED: That the recommendation <strong>of</strong> the committee <strong>of</strong> the whole, as contained<br />
in item RC09/244 (LAN.51 - Informational Requirements for Certain Land Use<br />
Applications), be adopted.<br />
OPPOSED: Councillor Scudder<br />
CARRIED<br />
9. MINUTES<br />
RC09/270<br />
MAY 4/09<br />
Moved by Councillor Stevens, seconded by Councillor Gidda, and<br />
RESOLVED:<br />
1. That the minutes <strong>of</strong> the regular meetings <strong>of</strong> council held on March 16, and<br />
April 6, <strong>2009</strong>, and the minutes <strong>of</strong> the special meeting <strong>of</strong> council held on<br />
April 14, <strong>2009</strong>, be adopted;<br />
2. That the minutes <strong>of</strong> the regular meeting <strong>of</strong> council held on April 20, <strong>2009</strong> be<br />
amended at page 17 to read "Mineral Tenure Act" instead <strong>of</strong> "Mineral Rights<br />
Acf'; and<br />
3. That the minutes <strong>of</strong> the regular meeting <strong>of</strong> council held on April 20, <strong>2009</strong> be<br />
adopted, as amended.<br />
CARRIED
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<strong>May</strong> 4, <strong>2009</strong><br />
10.BUSINESS ARISING FROM THE MINUTES<br />
There was no business arising from the minutes.<br />
11.CHIEF ADMINISTRATIVE OFFICER'S REPORT<br />
The chief administrative <strong>of</strong>ficer recognized the efforts <strong>of</strong> the <strong>Mission</strong> Fire/Rescue<br />
service and staff during emergency planning week and the open house on Sunday,<br />
<strong>May</strong> 3rd.<br />
12.MAYOR'S REPORT<br />
The mayor reported on various activities, meetings and events attended since the<br />
last regular council meeting.<br />
13.COUNCILLOR'S REPORTS ON COMMITTEES, BOARDS AND ACTIVITIES<br />
Councillors Stevens, Scudder, Stewart, Horn and Gidda reported on various<br />
activities, meetings and events attended since the last regular council meeting.<br />
14. BYLAWS<br />
RC09/271 <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Zoning Amending Bylaw 4036-2008-3143(292)<br />
MAY 4/09<br />
(R07-032 — Gill) — 8556 Alexandra Street and 32578 Egglestone Avenue<br />
Moved by Councilior Horn, seconded by Councillor Stewart, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> zoning amending bylaw 4036-2008-3143(292)<br />
be adopted.<br />
CARRIED<br />
RC09/272<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Municipal Ticket Information Amending Bylaw<br />
MAY 4/09<br />
4092-2008-2646-(13)<br />
Moved by Councillor Scudder, seconded by Councillor Stevens, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> municipal ticket information amending bylaw<br />
4092-2008-2646-(13) be read a first, second and third time.<br />
CARRIED<br />
RC09/273<br />
MAY 4/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Zoning Amending Bylaw 4097-2008-3143(316)<br />
(R08-024 - Veres) — 31663 Townshipiine Avenue<br />
Moved by Councillor Gidda, seconded by Councillor Plecas, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> zoning amending bylaw 4097-2008-3143(316)<br />
be read a first and second time.<br />
CARRIED
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RC09/274<br />
MAY 4/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Water Rates Amending Bylaw 5021-<strong>2009</strong>-2<strong>19</strong>7(15)<br />
Moved by Councillor Stewart, seconded by Councillor Scudder, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> water rates amending bylaw 5021-<strong>2009</strong>-<br />
2<strong>19</strong>7(15) be adopted.<br />
CARRIED<br />
RC09/275<br />
MAY 4/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Sewer Rates Amending Bylaw 5022-<strong>2009</strong>-<strong>19</strong>22(15)<br />
Moved by Councillor Plecas, seconded by Councillor Gidda, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> sewer rates amending bylaw 5022-<strong>2009</strong>-<br />
<strong>19</strong>22(15) be adopted.<br />
CARRIED<br />
RC09/276<br />
MAY 4/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Floodplain Management Amending Bylaw<br />
5024-<strong>2009</strong>-4027(1)<br />
Moved by Councillor Plecas, seconded by Councillor Scudder, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> floodplain management amending bylaw 5024-<br />
<strong>2009</strong>-4027(1) be adopted.<br />
CARRIED<br />
RC09/277<br />
MAY 4/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Collection, Removal and Marketing <strong>of</strong> Recyclables<br />
Amending Bylaw 5025-<strong>2009</strong>-2639(13)<br />
Moved by Councillor Stewart, seconded by Councillor Gidda, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> collection, removal and marketing <strong>of</strong><br />
recyclables amending bylaw 5025-<strong>2009</strong>-2639(13) be adopted.<br />
CARRIED<br />
RC09/278<br />
MAY 4/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Subdivision Control Amending Bylaw 5026-<strong>2009</strong>-1500(33)<br />
Moved by Councillor Horn, seconded by Councillor Scudder, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> subdivision control amending bylaw 5026-<br />
<strong>2009</strong>-1500(33) be adopted.<br />
CARRIED<br />
RC09/279<br />
MAY 4/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Water Amending Bylaw 5027-<strong>2009</strong>-2<strong>19</strong>6(16)<br />
Moved by Councillor Stevens, seconded by Councillor Stewart, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> water amending bylaw 5027-<strong>2009</strong>-2<strong>19</strong>6(16) be<br />
adopted.<br />
CARRIED
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RC09/280<br />
MAY 4/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Refuse Collection and Disposal Amending Bylaw<br />
5028-<strong>2009</strong>-1387(44)<br />
Moved by Councillor Plecas, seconded by Councillor Gidda, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> refuse collection and disposal amending bylaw<br />
5028-<strong>2009</strong>-1387(44) be adopted.<br />
CARRIED<br />
RC09/281 <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Officers Amending Bylaw 5031-<strong>2009</strong>-3986(6)<br />
MAY 4/09<br />
Moved by Councillor Stewart, seconded by Councillor Horn, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> <strong>of</strong>ficers amending bylaw 5031-<strong>2009</strong>-3986(6) be<br />
read a first, second and third time.<br />
CARRIED<br />
15. CORRESPONDENCE<br />
RC09/282<br />
MAY 4/09<br />
Karen Nichol<br />
Re: Fireworks<br />
Moved by Councillor Horn, seconded by Councillor Gidda, and<br />
RESOLVED: That the letter dated March 30, <strong>2009</strong> from Karen Nichol regarding the<br />
use <strong>of</strong> fireworks in the <strong>District</strong> be received as information.<br />
CARRIED<br />
Staff were directed to provide a report with the following information:<br />
(a)<br />
(b)<br />
what the fireworks bylaws are in neighbouring communities;<br />
whether the fines set out in our bylaw are comparable to neighbouring<br />
communities; and<br />
(c) whether the RCMP is able to and likely to enforce our fireworks bylaw.<br />
Staff were also directed to send a response letter to Ms. Nichol.<br />
RC09/283<br />
MAY 4/09<br />
Windebank Elementary School<br />
Re: Request for Funding — Destination Imagination Team<br />
Moved by Councillor Horn, seconded by Councillor Scudder, and<br />
RESOLVED: That the letter from Windebank Elementary School dated April 21,<br />
<strong>2009</strong> regarding the Destination Imagination global competition be received as<br />
information.<br />
CARRIED<br />
Staff were directed to respond to Windebank principal Craig Smith and provide a<br />
copy <strong>of</strong> the resolution stating that council will not support funding teams or<br />
individuals.
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16. OTHER BUSINESS<br />
RC09/284<br />
MAY 4/09<br />
Development Variance Permit DV07-016 (R07-032 — Gill) — 8556 Alexandra<br />
Street and 32578 Egglestone Avenue<br />
Moved by Councillor Gidda, seconded by Councillor Horn, and<br />
RESOLVED: That development variance permit application DV07-016, in the name<br />
<strong>of</strong> S & S Titan Development Group Inc., for property located at 8556 Alexandra<br />
Street and 32578 Egglestone Avenue and legally described as Parcel Identifier:<br />
005-527-6<strong>19</strong>; Lot 49 Section 29 Township 17 New Westminster <strong>District</strong> Plan 56895<br />
and Parcel Identifier: 002-384-167; Lot 50 Section 29 Township 17 New Westminster<br />
<strong>District</strong> Plan 56895, to vary:<br />
1. Section 304.3 Lot Area, Width at Front Lot Line and Depth by reducing the<br />
minimum required:<br />
(a) Lot depth for proposed •Lot 8 from 25 metres (82 feet) to 21 metres (68.9<br />
feet);<br />
(b) Lot width at 6 metres back from the front property line for proposed Lot 8<br />
from 12 metres (39.37 feet) to 11 metres (36 feet);<br />
(c) Lot width at the mid-point from the front property line for proposed Lot 9<br />
from 16.2 metres (53.15 feet) to 15 metres (49.2 feet); and<br />
2.. Section 304.4 Setbacks by reducing the minimum required:<br />
(a) rear lot line setback from 7.5 metres (24.6 feet) to 3 metres (9.8 feet) on<br />
proposed Lot 8,<br />
be approved.<br />
CARRI ED<br />
17. QUESTION PERIOD<br />
There were no questions from the public.<br />
18. ADJOURNMENT<br />
Moved by Councillor Scudder, seconded by Councillor Gidda, and<br />
RESOLVED: That the meeting be adjourned.<br />
CARRIED<br />
The meeting was adjourned at 8:<strong>19</strong> p.m.<br />
JAMES ATEBE, MAYOR DENNIS CLARK, DIRECTOR OF<br />
CORPORATE ADMINISTRATION<br />
G:\clerk\minutes\rc090504.doc
245<br />
MINUTES <strong>of</strong> the SPECIAL MEETING <strong>of</strong> the COUNCIL <strong>of</strong> the DISTRICT OF<br />
MISSION held in the Conference Room <strong>of</strong> the Municipal Hall, 8645 Stave Lake<br />
Street, <strong>Mission</strong>, British Columbia, on <strong>May</strong> 11, <strong>2009</strong> commencing at 3:30 p.m.<br />
Council Members Present: <strong>May</strong>or James Atebe<br />
Councillor Terry Gidda<br />
Councillor Danny Plecas<br />
Councillor Mike Scudder<br />
Councillor Jenny Stevens<br />
Councillor Heather Stewart<br />
Council Members Absent: Councillor Paul Horn<br />
Staff Members Present:<br />
Glen Robertson, chief administrative <strong>of</strong>ficer<br />
Dennis Clark, director <strong>of</strong> corporate administration<br />
Ken Bjorgaard, director <strong>of</strong> finance<br />
Christine Brough, administrative clerk<br />
1. RESOLUTION TO RESOLVE INTO COMMITTEE OF THE WHOLE<br />
SC09/081<br />
MAY 11/09<br />
Moved by Councillor Plecas, seconded by Councillor Scudder, and<br />
RESOLVED: That council now resolve itself into committee <strong>of</strong> the whole.<br />
CARRIED<br />
2. ADMINISTRATION AND FINANCE<br />
Councillor Plecas assumed the Chair as the alternate for Councillor Stevens.<br />
SC09/082<br />
MAY 11/09<br />
<strong>2009</strong>-2013 Financial Plan and Tax Rate Bylaws<br />
Moved by <strong>May</strong>or Atebe, and<br />
RECOMMENDED:<br />
1. That the <strong>District</strong>'s <strong>2009</strong> - 2013 financial plan and <strong>2009</strong> tax rates bylaws [bylaws<br />
5029-<strong>2009</strong> and 5030-<strong>2009</strong>, respectively] receive first three readings; and<br />
2. That council has hereby considered its proposed tax rates for each property<br />
class in conjunction with its objectives and policies regarding the distribution <strong>of</strong><br />
property taxes among the tax classes, as set out within its <strong>2009</strong>-2013 financial<br />
plan bylaw [bylaw 5029-<strong>2009</strong>].<br />
CARRIED<br />
3. RESOLUTION TO RISE AND REPORT<br />
<strong>May</strong>or Atebe resumed the Chair.
246<br />
Special Council Meeting Page 2 <strong>of</strong> 3<br />
<strong>May</strong> 11, <strong>2009</strong><br />
SC09/083<br />
MAY 11/09<br />
Moved by Councillor Gidda, seconded by Councillor Stevens, and<br />
RESOLVED: That the committee <strong>of</strong> the whole now rise and report.<br />
CARRIED<br />
4. ADOPTION OF COMMITTEE OF THE WHOLE REPORT<br />
SC09/084<br />
MAY 11/09<br />
Moved by Councillor Scudder, seconded by Councillor Stewart, and<br />
RESOLVED: That the recommendations <strong>of</strong> the committee <strong>of</strong> the whole, as<br />
contained in items SC09/081 to SC09/083, be adopted.<br />
CARRIED<br />
5. BYLAWS<br />
SC09/085<br />
MAY 11/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Financial Plan Bylaw 5029-<strong>2009</strong> — a bylaw to establish the<br />
Financial Plan for the years <strong>2009</strong> to 2013<br />
Moved by Councillor Stevens, seconded by Councillor Gidda, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Financial Plan Bylaw 5029-<strong>2009</strong> be read a first,<br />
second and third time.<br />
CARRIED<br />
SC09/086<br />
MAY 11/09<br />
<strong>District</strong> <strong>of</strong> <strong>Mission</strong> Tax Rates Bylaw 5030-<strong>2009</strong> — a bylaw to establish the tax<br />
rates for <strong>2009</strong><br />
Moved by Councillor Scudder, seconded by Councillor Plecas, and<br />
RESOLVED: That <strong>District</strong> <strong>of</strong> <strong>Mission</strong> Tax Rates Bylaw 5030-<strong>2009</strong> be read a first,<br />
second and third time.<br />
CARRIED<br />
6. QUESTION PERIOD<br />
. There were no questions from the public.<br />
7. ADJOURNMENT<br />
Moved by Councillor Stewart, seconded by Councillor Gidda, and<br />
RESOLVED: That the meeting be adjourned.<br />
CARRIED<br />
The meeting was adjourned at 3:45 p.m.
247<br />
Special Council Meeting Page 3 <strong>of</strong> 3<br />
<strong>May</strong> 11, <strong>2009</strong><br />
JAMES ATEBE, MAYOR DENNIS CLARK, DIRECTOR OF<br />
CORPORATE ADMINISTRATION<br />
G:\clerk\minutes\sc090511.doc
BRITISH<br />
COLUMBIA<br />
rho Best MILL. on Earth<br />
Inside every B.C. Community there is a GamesTown spirit.<br />
Where does it shine the brightest?<br />
It starts with your story...<br />
We want to hear what your B.C. community is doing to get in the spirit. Tell us how individuals and organizations<br />
in your community are making a difference by supporting sport, healthy living, sustainable development and, <strong>of</strong><br />
course, the Olympic and Paralympic Games. Every community in B.C. is eligible to win great prizes.<br />
...told your way...<br />
Every B.C. community has its own GamesTown 2010 web address awaiting your input. You can upload<br />
stories, photos and YouTube video clips to your community's GamesTown 2010 page, showing everyone<br />
how your community embodies healthy living and the spirit <strong>of</strong> the Games, and why it deserves the title<br />
<strong>of</strong> GamesTown 2010.<br />
...and there's a chance to win big!<br />
There are some exciting prizes to be won by participating communities as part<br />
<strong>of</strong> GamesTown 2010. In January 2010, three B.C. communities will be named the<br />
Gold, Silver and Bronze medal winners <strong>of</strong> GamesTown 2010. They will receive cash<br />
awards <strong>of</strong> $100,000, $50,000 and $25,000, respectively, to put towards sport or<br />
healthy living facility improvements in their community. During the competition,<br />
there are also many other great prizes to be won, including tickets to the<br />
2010 Winter Games!<br />
See the full prize list at www.gamestown2010.ca/prizes<br />
de,<br />
vancouver 2010<br />
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11111%<br />
vancouver 2010<br />
www.ga mestown201 0.ca I actnow@gov.bc.ca<br />
BRITISH<br />
COLUMBIA<br />
HOST<br />
PROVINCE
Getting Started with GamesTown 2010<br />
Show Your Spirit<br />
Submitting entries to the GamesTown 2010 website is easy — all you need are good stories to share. A<br />
great place to start is to tell us about healthy living and environmental sustainability activities that involve<br />
individuals or local organizations in your community. Tell us how and why they contributed to the wellbeing<br />
<strong>of</strong> your community as a whole. And don't forget to tell us how you are having fun supporting our<br />
athletes and the 2010 Winter Games!<br />
BMI1SI I<br />
GamesTown201 0<br />
GamesTown2010<br />
It starts with your story.<br />
Frand Your Commainity<br />
After arriving at the homepage <strong>of</strong><br />
www.gamestown2010.ca , look for the orange "Find<br />
Your Community" button and you're on your way!<br />
lbe 4...down In Me 2010 Winter Pwra.tws begun...v..10 hems what your B.0<br />
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Take the ActNow BC<br />
Healthy Living Pledge!<br />
The Healthy Living Pledge. It Counts Toot<br />
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From your CommUnity Page, you can<br />
zeta worts I Sears, eommunnies Enena friend I Conrad Us I Mein<br />
take the Healthy Living Pledge. The<br />
number <strong>of</strong> people in your community<br />
who take the Pledge is automatically<br />
tallied online. This is just another way<br />
to demonstrate your commitment<br />
to healthy living.<br />
Visit www.actnowbc.ca to learn more.<br />
The GamesTown 2010<br />
Timeline<br />
March 11, <strong>2009</strong><br />
Early Bird Prize Draw<br />
April 15, <strong>2009</strong> <strong>May</strong> 13, <strong>2009</strong><br />
Early Bird Prize Draw Early Bird Prize Draw<br />
Feb <strong>2009</strong> Mar <strong>2009</strong> Apr <strong>2009</strong> <strong>May</strong> <strong>2009</strong> Jun <strong>2009</strong> July 200<br />
Feb 23, <strong>2009</strong><br />
Launch <strong>of</strong> GamesTown 2010
GamesTown201 0<br />
Search Garner.Town21i10<br />
010 aileron,<br />
AddYour Con.tenfr.<br />
The communty pages <strong>of</strong>fer limitless space for your submissions.<br />
We encourage you to help your community get involved and<br />
submit as many original stories, photos and videos as possible.<br />
Click on the "Create an Entry" button on your Community Page<br />
to get started.<br />
Panorama<br />
Thanks for visiting the Panorama pagelAny content you see below has been submined by GamesTo<br />
participants. how lit Pine to add yours. Check back <strong>of</strong>ten or more stories — {Mgt forget to bookmark<br />
Remember. it can take up to 48 hours for a posting to appear<br />
Step up to the challenge. :Lree.te Ynor<br />
Get those cream, ',tacos flowing erg to ere rim to make an entry tor<br />
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•<br />
Text<br />
Write a few words or a short story telling us why your<br />
community should be named GamesTown 2010.<br />
Photographs<br />
Upload pictures showing how your community is making a<br />
difference and supporting the spirit <strong>of</strong> the Games.<br />
\ Go for the Gold!<br />
Every community taking part in GarnesTown2010<br />
me the Gold Medal GamesTown2010 and brine<br />
a Out towards sports and healthy living tocilities.<br />
medal winners will take home y50,000 and<br />
\ely. Along with the medals, many other great<br />
on_<br />
A Pledge Wo<br />
If you're not ready to make a Game<br />
the Healthy Living Pledge. Taking th<br />
count towards your community's Ga<br />
and allows you to enter very special<br />
prizes incuding tickets to the 2010<br />
ceremonies. Tate t h e Menne!<br />
YouTube Videos<br />
Embed a YouTube video about your community or projects<br />
that are in the spirit <strong>of</strong> GamesTown 2010.<br />
TeH your friends<br />
More stories mean more success! Don't forget<br />
to encourage your friends, family, neighbours,<br />
co. workers and fellow British Columbians to<br />
play too. We make it easy — there's an<br />
"Email-A-Friend" button on the bottom <strong>of</strong><br />
every page <strong>of</strong> the GamesTown 2010 website.<br />
Use it well!<br />
Searcl;Communities I Email - A -Friend I Contact Us Help I World Challenge<br />
-<br />
11<br />
Early Bird Prize Draws for Everyone<br />
In March, April and <strong>May</strong> <strong>2009</strong>, participating communities will be awarded prizes to use as incentives<br />
to encourage their residents to take part in the contest. These prizes include tickets to the 2010<br />
Celebrity Panel<br />
Winter Games, ActNow BC prize packs, Winter Games promotional item prize packs and visits from<br />
an Olympic or Paralympic athlete.<br />
Some <strong>of</strong> B.C.'s<br />
To see all the prizes, go to www.gamestown2010.ca/prizes<br />
favourite athletes,<br />
like Olympians Steve<br />
Podborski, Simon<br />
Whitfield and Nancy<br />
Three B.C. communities will earn the honour <strong>of</strong> being named the Gold, Silver and Bronze medal<br />
winners <strong>of</strong> GamesTown 2010. Cash prizes will be awarded for the upgrading <strong>of</strong> a local sport or<br />
healthy living facility <strong>of</strong> the community's choosing.<br />
Greene Raine, will help<br />
decide the winners!<br />
Additional Prizes<br />
Make sure you vote<br />
All winners will receive additional prizes in recognition <strong>of</strong> their achievement,<br />
for your favourite<br />
including tickets to the Vancouver 2010 Olympic and Paralympic Winter Games<br />
community online:<br />
and an <strong>of</strong>ficial GamesTown 2010 plaque for their community. November 1st, <strong>2009</strong> —<br />
January 4th, 2070<br />
What Counts in GamesTown 2010<br />
Here are some ideas to get you started. Check online to see what other<br />
communities are doing and be creative!<br />
Healthy Living<br />
•Community or school nutrition,<br />
wellness and sports programs<br />
and initiatives<br />
•Local athlete and team<br />
accomplishments<br />
•Individuals setting healthy-living<br />
examples<br />
Environmental Sustainability<br />
•Waste recycling and composting<br />
initiatives<br />
•Programs which promote public<br />
transit, walking and cycling<br />
•Green space initiatives<br />
•Environmental education seminars<br />
2010 Winter Games Spirit<br />
• Local celebration activities<br />
• Participation in the World Healthy<br />
Living Challenge<br />
(visit www.actnowbc.ca for details)<br />
•School projects related to the<br />
Games or athletes<br />
WELCOME<br />
pop. up to. 5,000<br />
5,001 - 10,000<br />
10,001 - 25,000<br />
25,001 - 100,000<br />
pop. over 100,000<br />
Viewer's Choice Voting Period<br />
Yes, every community has an equal chance! No matter<br />
how small or how large, any community can win. Every<br />
online voter will choose their favourites from each <strong>of</strong> five<br />
population categories.<br />
vancouver zoio<br />
More Questions?<br />
,mikt<br />
vancouver zoio<br />
;LT:L7j=<br />
The GamesTown 2010 organizing team has compiled a set <strong>of</strong> answers to the most common questions<br />
we've received about the project so far. We hope it also serves as an incentive for your community to step<br />
up to the podium and get the word out on why your community should be voted GamesTown2010!<br />
Visit our FAQ section at www.GamesTown2010.cafiags<br />
261WO<br />
BRITISH<br />
COLUMBIA<br />
HOST<br />
PROVINCE<br />
www.gamestown2010.ca I actnow@gov.bc.ca
252<br />
<strong>May</strong> 04, <strong>2009</strong><br />
Dear <strong>May</strong>ors and Council Members,<br />
I find it very disturbing that the source <strong>of</strong> Pet Overpopulation has not been addressed;<br />
the "Uncontrolled Breeders". The breeding rate <strong>of</strong> puppies and kittens greatly exceed<br />
the number <strong>of</strong> homes available. (Maximum: 2 dog bylaw in some Municipalities)<br />
Municipalities must be part <strong>of</strong> the solution to Pet Overpopulation, by implementing and<br />
enforcing the following 2 bylaws that are currently in place in Whitehorse, Yukon and<br />
Richmond B.C.<br />
These 2 existing bylaws will reduce Pet Overpopulation as well as increase revenue<br />
for the Shelters. It's time the "Breeders" are held responsible for the cost <strong>of</strong> caring for<br />
and housing thousands <strong>of</strong> unwanted pets.<br />
4 We have approximately 61 overwhelmed Animal Welfare Organizations in the<br />
Lower Mainland<br />
4- The "Canadian Federation <strong>of</strong> Humane Societies" www.cfhs.ca Every year,<br />
-- dogs and cats are euthanized in humane societies, SPCAs<br />
and municipal pounds in Canada.<br />
4- As per BCSPCA Website: BC SPCA rescues hnr1s <strong>of</strong> animals each year<br />
from puppy mills across the province <strong>of</strong> BC.<br />
4- Currently on "Kgiji Vancouver" one <strong>of</strong> many free local online classified; they have<br />
1,514 ads selling dogs and puppies. (http://vancouverkijuica )<br />
BYLAW ONE: Whitehorse, Yukon has an excellent bylaw that promotes spay/neuter.<br />
> Lifetime dog or cat licence is $25.00 and can only be purchased for spayed or<br />
neutered animals (pro<strong>of</strong> <strong>of</strong> spaying or neutering will be required).<br />
• A yearly licence is required for dogs and cats that are not spayed or neutered.<br />
➢ Breeding Permits $500.00 (must be included)<br />
Benefits <strong>of</strong> a "Lifetime" license:<br />
4- Acknowledge responsible Pet Owners.<br />
4- Determine the number <strong>of</strong> dogs & cats in each community<br />
4- Community involvement-reporting abuse and unlicensed breeders
253<br />
BYLAW TWO: Richmond has an excellent Bylaw which definitely must include Dogs.<br />
City <strong>of</strong> Richmond Animal Control Bylaw NO.2.2.2 Cat Breeding Permits<br />
2.2.2.1 Every owner <strong>of</strong> an un-spayed cat, who <strong>of</strong>fers to sell, give away, or otherwise<br />
transfer ownership or dispose <strong>of</strong> the <strong>of</strong>fspring <strong>of</strong> such cat must:<br />
(a)Obtain a cat breeding permit in accordance with the provisions <strong>of</strong> subsection<br />
2.2.2.2; and<br />
(b)Include the number <strong>of</strong> such cat breeding permit in any advertisement regarding<br />
the <strong>of</strong>fspring.<br />
2.2.2.2 The Contractor may:<br />
(a) Prescribe the form <strong>of</strong> application required by any person who wishes to obtain a cat<br />
breeding permit; and<br />
2.2.2.3 The penalty for violating clause (c) <strong>of</strong> subsection 2.2.1.1 may be waived by the<br />
Contractor, upon having been provided pro<strong>of</strong>, within 30 days after the citation was<br />
issued, that the cat has been spayed or neutered.<br />
o Muni -<br />
Examples <strong>of</strong> the price <strong>of</strong> Puppies currently for sale on Kifyi Free local online classifieds;<br />
➢ Labradoodle pups $ 1,200.00 each<br />
➢ Bernese Mountain dog pups $1,375.00 each<br />
➢ English Bulldog pups $2,500.00 each<br />
each<br />
= $7,51;:;.,;<br />
ot<br />
Note: <strong>of</strong> the 1,514 current ads for dogs and puppies for sale on Vancouver free online<br />
classifieds ... just the last 3 ads above have produced 34 pups. Unfortunately dogs can<br />
be bred twice a year.
254<br />
currently do; dog walking, fostering, grooming, and Adoption<br />
counselling and adoption follow up. It's time to give the Volunteers the opportunity to<br />
eliminate pet overpopulation by networking with all Municipalities throughout B.C.,<br />
search the newspaper and Internet ads, mail or drop <strong>of</strong>f "Breeding Permit" application<br />
forms. Review applications for Breeding Permits. This will eliminate the door to door<br />
canvassing for licenses and focus on the cause <strong>of</strong> Pet overpopulation the excessive<br />
breeding <strong>of</strong> both cats and dogs.<br />
Breeding Permit Applications to include:<br />
✓<br />
✓<br />
Health certificates from a Veterinarian.<br />
Breeders Contract which includes: mandatory spay / neuter<br />
By applying in writing, we have the ability to oversee with care that Pit Bulls, Pit Bull X<br />
and Wolf Hybrid are being bred by knowledgeable Breeders and Puppy Mills are<br />
eliminated. This also keeps our neighbourhoods safe and keeps these innocent dogs <strong>of</strong>f<br />
death row.<br />
Attached:<br />
0.■ Wolf Hybrids for sale — one <strong>of</strong> many ads<br />
v Canadian Federation <strong>of</strong> Humane Societies — regarding Wolf-dog hybrids<br />
v Kennels<br />
Pet Overpopulation must be dealt with. Let's make B.C. the model for a Pet Friendly<br />
and Pet responsible Province.<br />
I would appreciate an appointment to meet with you regarding this serious problem.<br />
Please email me at jcgogal@hotmail.com or call 604 939 5757<br />
Sincerely,<br />
Julie Gogal
255<br />
kuvi<br />
Free local classifieds<br />
4 Timber and 4 Arctic Wolf hybrid pups, extreme high content!<br />
Ad ID: 100404063<br />
Price: $700.00<br />
Date Listed: 17-Jan-09<br />
We have chosen to sell the puppies for the family and friends price <strong>of</strong> $700.00 due to the current<br />
economic conditions. The puppies are 5 weeks old and have been hand raised. They are perfectly tame<br />
and ready to bond with you. Please do not consider one <strong>of</strong> these puppies if you are not prepared for a<br />
long term commitment. These puppies can live up tp 25 years and have approximately 10 times the<br />
intelligence <strong>of</strong> a domestic dog. They bond for a lifetime and will long for you their entire life if you give<br />
them away. It can take 2-3 years for them to bond with a second family. They are fun playful and loving.<br />
They can not be put outside on a chain other than for short periods. They must not be left by themselves<br />
in a dog run. In other words they must be part <strong>of</strong> the family or they can become very resentful. If you are<br />
ready for the commitment then call 778-239-9559.
256<br />
Canadian Federation <strong>of</strong> Humane Societies Home / CFHS / Position statements /<br />
Wolf-doq hybrids www.cfhs.ca<br />
Wolf-dog hybrids<br />
Position Statement<br />
CFHS is opposed to the keeping and breeding <strong>of</strong> wolf-dog hybrids.<br />
Definition <strong>of</strong> a Wolf-dog Hybrid<br />
A wolf-dog hybrid is an animal produced by breeding a domestic dog to a wolf or the subsequent<br />
breeding <strong>of</strong> these wolf-dog hybrids either to domestic dogs or to other wolf-dog hybrids. This includes any<br />
animal that is advertised, registered or otherwise described or presented as a wolf-dog hybrid by the<br />
owner.<br />
Definition <strong>of</strong> a Domesticated Dog<br />
A domesticated dog is one which tends to possess reliability <strong>of</strong> temperament, tractability, docility,<br />
predictability and trainability and which has adapted to life in intimate with humans. Animals achieve<br />
domesticated status through many generations <strong>of</strong> selective breeding for preferred attributes.<br />
Background/Rationale<br />
CFHS believes that wolf-dog hybrids:<br />
• cannot be successfully and safely integrated into a human<br />
environment because they must be confined at all times.<br />
This confinement does not meet the physical, social and<br />
psychological needs <strong>of</strong> the animal.<br />
• pose a threat to native wolf populations by diluting the<br />
gene pool, and the potential for introducing diseases and<br />
defects not currently found in the wild.<br />
• are not domesticated animals and as a result, can be<br />
dangerously unpredictable. They cannot be trusted with<br />
people, especially children, or other animals whose<br />
actions may trigger the predatory instincts <strong>of</strong> the wolf<br />
hybrid <strong>of</strong>ten with tragic consequences for all involved.<br />
Such behaviour in the wolf hybrid is genetically encoded<br />
and cannot be eliminated by socialization and training.<br />
CFHS acknowledges that some wolf hybrids are kept as pets. In those cases CFHS recommends that<br />
they be permitted to live out their lives provided that:<br />
• they are kept in suitable conditions that, to the extent<br />
possible, meet the animals' physical, social and<br />
psychological needs.<br />
• they are spayed or neutered and permanently identified<br />
with a microchip implant.<br />
• they receive proper veterinary care at all times, including<br />
preventive.<br />
• if they are presented to a humane society or animal<br />
control agency it is recommended that they not be placed<br />
elsewhere.
257<br />
We must work together to eliminate Pet Overpopulation. Please take a<br />
moment to view these local Kennels;<br />
Pit Bulls<br />
Presa Canario<br />
Wolfdogs<br />
Breeder <strong>of</strong> Goldendoodles (Standard, Mini* & Petite), Labradoodles, Golden Retrievers,<br />
Rottweilers, S<strong>of</strong>t Coated Wheaten Terriers, Whoodles, Portugese Water Dogs &<br />
Portugese Water Doodles
258<br />
1102 GROVER AVENUE • COQTJITLAM BC • CANADA V3J 301 • PHONE 604 939-5757<br />
JULIANNE GOGAL<br />
we see fear in their eyes<br />
they see betrayal in ours<br />
To:<br />
<strong>May</strong>or George W Peary & Council, Abbotsford<br />
<strong>May</strong>or Derek Corrigan & Council, Burnaby<br />
<strong>May</strong>or Sharon Gaetz & Council, Chilliwack<br />
<strong>May</strong>or Richard Stewart & Council, Coquitlam<br />
<strong>May</strong>or Lois E. Jackson & Council, Delta BC<br />
<strong>May</strong>or Fassbender & Council, Langley<br />
<strong>May</strong>or Ernie Daykin & Council, Maple Ridge<br />
<strong>May</strong>or James Atebe & Council, <strong>Mission</strong><br />
<strong>May</strong>or Wayne Wright & Council, New Westminster<br />
<strong>May</strong>or Darrell Mussatto & Council, North Vancouver<br />
<strong>May</strong>or Don MacLean & Council, Pitt meadows<br />
<strong>May</strong>or Greg Moore & Council, Port Coquitlam<br />
<strong>May</strong>or Joe Trasolini & Council, Port Moody<br />
<strong>May</strong>or Malcolm Brodie & Council, Richmond<br />
<strong>May</strong>or Dianne Watts & Council, Surrey<br />
<strong>May</strong>or Gregor Robertson & Council, Vancouver<br />
<strong>May</strong>or Dean Fortin & Council, Victoria<br />
<strong>May</strong>or Pamela Goldsmith-Jones & Council, West Vancouver