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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 />

DiSTiiT r..)F MISSiON<br />

Date jckcT Date De.5.td Date Scanned<br />

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Fife Fotoer<br />

To<br />

..11)09 1A .001110Xmzirarr<br />

<strong>May</strong>or D cpunc.itirs, ylayorRBDtal rjExempt COW<br />

BRITISk COLUMBIA<br />

' •<br />

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 />

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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 />

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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 />

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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 />

riZsZtZgi :•,' Vats<br />

mate:4;<br />

41+■•■.14 1<br />

C1.14 io.<br />

111111,41 .<br />

,/ hiAni:I.Wie 1//// .4../(AV• /,'KeRrer/Y,1<br />

111111c r7M1<br />

'.444$6421.010VallitIMMOIA) CO 600<br />

.00011.11<br />

11,M1105-r.i -441%-i•ItY0 Wire ,'" 6- ;Al<br />

•<br />

11111111111111<br />

MEMNON<br />

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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

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 />

59<br />

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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

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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79<br />

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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

80<br />

• '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 />

public policy<br />

HEALTH SYSTEM<br />

Create<br />

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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 />

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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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

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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COmmuNiTY HEALTH PLAN FOR miSSION 5,C<br />

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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141<br />

<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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

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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COMMUNITY HEALTH PLAN FOR MISSION B.C.<br />

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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150<br />

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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152<br />

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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154<br />

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


155<br />

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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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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<strong>May</strong> 4, <strong>2009</strong><br />

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 />

C66)<br />

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 />

communtly Is d.g te get In the op.. T. U. and the wade haw M.Idualf and<br />

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wassite. show us how your community engages Me<br />

olymMc .nt and shoutd be named centosiewn20111.<br />

And a chance to win big!<br />

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Game... and Mg mom IBMS to out towards spares ar heaPPy woo h..<br />

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IPInd'Yourrormnu<br />

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Take the ActNow BC<br />

Healthy Living Pledge!<br />

The Healthy Living Pledge. It Counts Toot<br />

It Council TowOrwe you've OW your Gammas. Pref. Page, sou can essate an envy and make a<br />

SYmg oiedw .n, enb mcomattomnsameern.. Inctuding Wats.<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 />

irarerarna. WPother a :hart story, e leo pics or a via. clip, tr., wade<br />

oants to reel rinse vcur cOmmunity omen to ere In try spine'<br />

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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

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