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VANCOUVER – Recipients of the 12th annual BC Health Care Awards were announced today at a gala luncheon in Vancouver. Twelve Gold Apple and six Award of Merit recipients were honoured.Presented by the Health Employers Association of British Columbia (HEABC), the awards recognize British Columbians who are providing outstanding care and support. Awards are given in 11 categories to projects improving delivery through innovative and collaborative approaches and to people making a positive impact and inspiring those around them.”BC’s medical professionals – including support staff – genuinely care about delivering quality care to British Columbians,” said Michael McMillan, HEABC’s President and CEO. “The BCHC Awards are an opportunity to recognize and celebrate the individual and team contributions made by these individuals.”New this year – Dianna Mah-Jones Award of Excellence in Person-Centred CareNamed in honour of Dianna Mah-Jones, this award is for a team or project that makes use of leading practices to improve care for patients, residents or clients by focusing on the needs of the person rather than the needs of the system or service. Dianna Mah-Jones, an occupational therapist at GF Strong Rehabilitation Centre, was tragically killed, along with her husband Richard Jones, just three months after being named Provincial HC Hero at the 2017 awards. Our hope is that this ward will help to keep her memory and legacy alive by recognizing others who strive to deliver care that is respectful of the needs, values and preferences of individuals.2018 Gold Apple winners Provincial HC Hero & HC Hero – Provincial Health Services Authority Glenn Braithwaite – District Supervisor, Emergency Coordinator, BCEHSGlenn Jay Braithwaite is a Paramedic and District Supervisor at BC Ambulance Service, recognized for providing exceptional emergency response and for his clinical leadership abilities. He’s received several professional accolades for his heroic actions, and his outstanding commitment to patients, colleagues and the broader community.Provincial HC Hero & HC Hero – Island Health Dr. Ramm Hering – Physician Lead, Primary Care Substance Use, Island HealthBy passionately and effectively advocating for improved services for patients dealing with substance use and addiction, Dr. Hering has inspired his colleagues to work together to develop new programs and create an efficient, client-centred system of addiction services.HC Hero – Affiliate Dr. David Agulnik- Emergency Physician, St. Paul’s HospitalHC Hero – Fraser Health Mits Miyata – Pharmacy Manager, Lower Mainland Pharmacy ServicesHC Hero – Interior Health Lynda Martyn – Registered Speech-Language Pathologist, Coordinator Kelowna Cleft Lip/Palate ClinicHC Hero – Northern Health Debbie Strang – Health Services Administrator, QuesnelHC Hero – Provincial Health Services Authority Dr. Faisal Khosa – Associate Professor, Radiology, Vancouver General HospitalDianna Mah-Jones Award of Excellence in Person-Centred Care International Seating Symposium – Sunny Hill Health Centre for Children, Provincial Health Services AuthorityThe International Seating Symposium has created an international forum that fosters an exchange of ideas and a network of consumers, rehabilitation therapists, physicians, designers, and manufacturers of positioning and mobility equipment. This has inspired improvements in rehabilitation equipment and technology that have improved mobility, comfort and quality of life for people with disabilities.Dianna Mah-Jones Award of Excellence in Person-Centred Care Residential Care for Me: Megamorphosis – Seniors Care and Palliative Services, ProvidenceThe goal of Residential Care for Me: Megamorphosis is to change the residential care culture from an institutional to a social model of care, and improve quality of life for residents by rapidly testing and implementing changes that focus on emotional connections, allow residents to direct each moment, and create the feeling of home.Top Innovation SNIFF: C. Difficile Canine Scent Detection Program – Vancouver Coastal HealthAn innovative and dedicated team of people and a growing roster of pups known as the C. Difficile Scent Detection Program is pioneering a cost-effective method to improve and enhance C. Difficile surveillance and improve infection control and prevention practices.Workplace Health Innovation VGH Emergency Department Healthy Workplace Initiative – Vancouver Coastal HealthVancouver General Hospital’s emergency department formed a multi-disciplinary team with the goal of working together to improve workplace health and safety, leading to an improved working climate where staff report feeling engaged and better able to provide the type of quality care that emergency patients deserve.Collaborative Solutions Improving Indigenous Cancer Journeys: A Road Map – BC Association of Aboriginal Friendship Centres, BC Cancer (Provincial Health Services Authority), First Nations Health Authority, Métis Nation BCThe Indigenous Cancer Strategy is a collaborative strategy that will improve indigenous cancer outcomes by addressing all steps of the cancer journey, from prevention and treatment, through to survivorship and end-of-life care.This year’s Awards of Merit recipients are:Dianna Mah-Jones Award of Excellence in Person-Centred Care • Resources and Needs Review – Nanaimo Regional General Hospital, Island HealthTop Innovation • Symphony QuickCall – Workforce Management Solutions, Provincial Health Services Authority• Fall-unteers: A Volunteer-Based Falls Prevention Strategy in Residential Care – Holy Family Hospital Residential Care, ProvidenceWorkplace Health Innovation • Reducing Workplace Injuries through Leading Practices – Menno PlaceCollaborative Solutions • Regional Strategy for Reducing Ambulance Turnaround Times – BC Emergency Health Services, Provincial Health Services Authority, Fraser Health• Vancouver Shared Care Team – Doctors of BC, Providence, Vancouver Coastal HealthSince the awards launched in 2007, more than 200 Gold Apples and Awards of Merit have been awarded to health employees who are improving BC’s healthcare system and patient care.The 2018 BCHC Awards are generously supported by Great-West Life, Healthcare Benefit Trust, and Pacific Blue Cross.Visit BCHealthCareAwards.ca,to learn more about the 2018 awards winners.The Health Employers Association of British Columbia (HEABC) is the accredited bargaining agent for most publicly funded health employers in the province, representing denominational, proprietary and affiliate health employers, as well as the province’s six health authorities. HEABC coordinates the labour relations interests of 250 publicly funded healthcare employers and negotiates five major provincial agreements covering more than 120,000 unionized employees. Media contactRoy Thorpe-DorwardHEABC Communications604.767.2307 or [email protected]

So, What Exactly Affiliate Marketing Is?Affiliate marketing involves referring other people to purchase the product of a specific company. Whenever any person purchases your referral, the company will give you a commission. Now, this seems to be a simple process or technique of earning money conveniently.Let’s just take an example. Suppose you promote a smartphone brand such as Samsung, you can easily provide a link to the product through your social media handles. When any of your followers click on that referral, and if any of them buys the smartphone, you will be paid a commission by Samsung for every sale.How Affiliate Marketing Works?Note that affiliate marketing is a part of digital marketing. When you do affiliate marketing, you play the role of a marketer.When it comes to affiliate marketing, you act as an online salesperson whosells the products of a certain company. Of course, you are not going to be an employee of that company. The person who owns the product is called a trader or merchant; on the other hand, the person who promotes it is called the affiliate marketer.You might be wondering how you can connect with the trader; then, you need to understand that affiliate networks help you achieve that.Also, whenever anyone purchases the product via your referral, it is a win-win situation for you(the marketer), the merchant and the affiliate network.The reason why affiliate marketing in India is trending nowadays is that many people or businesses have profited a lot from this whole ecosystem. It is worth mentioning here that even an ordinary person can become a millionaire with the help of affiliate marketing.Let’s discuss further in detail about four major players involved in this ecosystem of affiliate marketing. This is highly important if you want to be a successful affiliate marketer.1. Owner of the product-Merchant or Trader
As said earlier, the owner of the product is called a merchant. When we talk about e-commerce giants such as Amazon, Flipkart, etc, these also come in the category of merchants.Brands like Samsung,Apple,Intex,Dell,etc are also merchants.2. The Affiliate
Next comes the affiliate marketers who can also be called as the publisher. The affiliate is the one who receives a commission for every sale via his or her referral. It would help if you understood that you don’t require any significant investment to get a website created. That is why we said earlier that if you are looking for a passive income, nothing can be easier and cheaper than affiliate marketing.Through videos, blogs, and social media posts, you can easily promote the product.One of the most critical pieces of advice for you is that you should promote products that are in accordance with the kinds of blogs you post, the videos you post, etc. If you post educational content on your blogs, it would be inappropriate to promote fashion stuff.3. Affiliate Network
the publisher or the affiliate can connect with the merchant or trader with the help of an affiliate network.An affiliate network can be better understood as the link between the affiliate and the merchant.It’s crucial to understand that the affiliate network provides payment processing tools to the publisher.On the other hand, the affiliate network provides ad tracking tools to the merchants.If you are curious to know how affiliate networks will help you in earning money, then you need to understand that there is something called CPC.Besides, CPC(Cost Per Click), there are other ways like CPI(Cost Per Install) and CPS(Cost Per Sale).4. Customers or Consumers
The last player of the whole ecosystem is the customers. Whether the above three players will be profited only if the consumers buy products, anyone can be a customer. It is the responsibility of the affiliate to influence the customers to buy a particular product. As said earlier, for this content marketing can be used by the affiliate, even YouTube videos can be used to influence the customers. The tracking mechanism works as soon as the customer follows the affiliate link to make a purchase.Where To Begin?
If you want to start affiliate marketing, go through these simple steps.1. Signing up for an Affiliate Program
First and foremost, to become an affiliate marketer, signing up for an affiliate marketer program is required.Some of the options which work best for beginners are Amazon Associates, Flipkart Affiliate, BIGROCK Affiliate, etc.The reason such types of big affiliate programs are recommended is that they already have a wide customer base.2. Affiliate Link
An affiliate link customized specifically for your username related to the product you will promote for them.3. Influencing Potential Customers
Now comes your turn as an affiliate marketer to promote the product through various social media or online platforms. In order to publicize the product, blogs, along with the affiliate link will work best.Even Facebook, LinkedIn, Instagram posts,etc can be beneficial.So, this was all about how you can easily set yourself up as an affiliate.How To Be A Successful Affiliate Marketer?
There are a lot of affiliate marketers out there, so it can be quite difficult to be successful as an affiliate. Don’t worry; we will help you to stand out in the crowd.1.Choosing the most profitable niche
You need to understand that the most profitable niches can vary from time to time. So, staying updated is going to help you throughout the journey of affiliate marketing.Besides this, it is very significant to choose a particular niche, so that you can target a particular audience for greater conversion.With your blog posts, you will not only be delivering useful content to your audience but also you can promote them to buy certain products with the help of a referral.Some of the most profitable niches which have a lot of scopes are the beauty industry, health and wellness industry, travel, adventure sports, etc.2.Choosing the right niche for your blog posts
Some of you might be wondering what exactly a niche is? So, let’s say if you have a lot of knowledge about beauty related products or basically if beauty is your industry, then beauty products can be your niche. You should make sure that your interest and expertise in that niche is enough to ensure your audience trusts your recommendations.3.Selecting the product, you will promote
This is the most crucial step; for instance, you have chosen electronics and your niche. Let’s take an example of laptops; then, you can find various brands in the markets.Firstly, you can select a product based on its popularity and brand name, in this case, you will go for big brands.The second technique involves choosing the product to promote based on your individual opinions.If you choose to promote products of big brands, then we all know that these brands already have a good reputation. So, all you need to do is focus on creating quality content that can persuade the customers to buy the product.On the other hand, if you have decided to promote products based on your personal preferences, you need to develop content with extra effort. When you are promoting products about which a customer may or may not have much liking as the brand may or may not be big, you need to develop content that strongly encourages customers to click on the link. Of-course, the level of persuading skills you require is much greater than that required for the first case.Also, remember in digital marketing, relevant stuff will always be valued.These were the three steps that can take your affiliate marketing strategies to the next level. With our tips, we are sure that you will be able to fetch good traffic to the trader or the merchant’s site.Conclusion
So, we have reached the end of this article. We hope that you got an insight into how to set yourself up as an affiliate marketer.You should follow all of these tips to be successful as an affiliate. Remember that there is immense scope for affiliate marketers in India, as very few bloggers are doing it. So, this is the right time to start. With smart work, no one can stop you from becoming a profitable affiliate marketer. Besides, this following the latest marketing strategies and long-term planning will help you a lot.

Elements of the Cause of Action for AbandonmentEach of the following five elements must be present for a patient to have a proper civil cause of action for the tort of abandonment:1. Health care treatment was unreasonably discontinued.2. The termination of health care was contrary to the patient’s will or without the patient’s knowledge.3. The health care provider failed to arrange for care by another appropriate skilled health care provider.4. The health care provider should have reasonably foreseen that harm to the patient would arise from the termination of the care (proximate cause).5. The patient actually suffered harm or loss as a result of the discontinuance of care.Physicians, nurses, and other health care professionals have an ethical, as well as a legal, duty to avoid abandonment of patients. The health care professional has a duty to give his or her patient all necessary attention as long as the case required it and should not leave the patient in a critical stage without giving reasonable notice or making suitable arrangements for the attendance of another. [2]Abandonment by the PhysicianWhen a physician undertakes treatment of a patient, treatment must continue until the patient’s circumstances no longer warrant the treatment, the physician and the patient mutually consent to end the treatment by that physician, or the patient discharges the physician. Moreover, the physician may unilaterally terminate the relationship and withdraw from treating that patient only if he or she provides the patient proper notice of his or her intent to withdraw and an opportunity to obtain proper substitute care.In the home health setting, the physician-patient relationship does not terminate merely because a patient’s care shifts in its location from the hospital to the home. If the patient continues to need medical services, supervised health care, therapy, or other home health services, the attending physician should ensure that he or she was properly discharged his or her-duties to the patient. Virtually every situation ‘in which home care is approved by Medicare, Medicaid, or an insurer will be one in which the patient’s ‘needs for care have continued. The physician-patient relationship that existed in the hospital will continue unless it has been formally terminated by notice to the patient and a reasonable attempt to refer the patient to another appropriate physician. Otherwise, the physician will retain his or her duty toward the patient when the patient is discharged from the hospital to the home. Failure to follow through on the part of the physician will constitute the tort of abandonment if the patient is injured as a result. This abandonment may expose the physician, the hospital, and the home health agency to liability for the tort of abandonment.The attending physician in the hospital should ensure that a proper referral is made to a physician who will be responsible for the home health patient’s care while it is being delivered by the home health provider, unless the physician intends to continue to supervise that home care personally. Even more important, if the hospital-based physician arranges to have the patient’s care assumed by another physician, the patient must fully understand this change, and it should be carefully documented.As supported by case law, the types of actions that will lead to liability for abandonment of a patient will include:• premature discharge of the patient by the physician• failure of the physician to provide proper instructions before discharging the patient• the statement by the physician to the patient that the physician will no longer treat the patient• refusal of the physician to respond to calls or to further attend the patient• the physician’s leaving the patient after surgery or failing to follow up on postsurgical care. [3]Generally, abandonment does not occur if the physician responsible for the patient arranges for a substitute physician to take his or her place. This change may occur because of vacations, relocation of the physician, illness, distance from the patient’s home, or retirement of the physician. As long as care by an appropriately trained physician, sufficiently knowledgeable of the patient’s special conditions, if any, has been arranged, the courts will usually not find that abandonment has occurred. [4] Even where a patient refuses to pay for the care or is unable to pay for the care, the physician is not at liberty to terminate the relationship unilaterally. The physician must still take steps to have the patient’s care assumed by another [5] or to give a sufficiently reasonable period of time to locate another prior to ceasing to provide care.Although most of the cases discussed concern the physician-patient relationship, as pointed out previously, the same principles apply to all health care providers. Furthermore, because the care rendered by the home health agency is provided pursuant to a physician’s plan of care, even if the patient sued the physician for abandonment because of the actions (or inactions of the home health agency’s staff), the physician may seek indemnification from the home health provider. [6]ABANDONMENT BY THE NURSE OR HOME HEALTH AGENCYSimilar principles to those that apply to physicians apply to the home health professional and the home health provider. A home health agency, as the direct provider of care to the homebound patient, may be held to the same legal obligation and duty to deliver care that addresses the patient’s needs as is the physician. Furthermore, there may be both a legal and an ethical obligation to continue delivering care, if the patient has no alternatives. An ethical obligation may still exist to the patient even though the home health provider has fulfilled all legal obligations. [7]When a home health provider furnishes treatment to a patient, the duty to continue providing care to the patient is a duty owed by the agency itself and not by the individual professional who may be the employee or the contractor of the agency. The home health provider does not have a duty to continue providing the same nurse, therapist, or aide to the patient throughout the course of treatment, so long as the provider continues to use appropriate, competent personnel to administer the course of treatment consistently with the plan of care. From the perspective of patient satisfaction and continuity of care, it may be in the best interests of the home health provider to attempt to provide the same individual practitioner to the patient. The development of a personal relationship with the provider’s personnel may improve communications and a greater degree of trust and compliance on the part of the patient. It should help to alleviate many of the problems that arise in the health care’ setting.If the patient requests replacement of a particular nurse, therapist, technician, or home health aide, the home health provider still has a duty to provide care to the patient, unless the patient also specifically states he or she no longer desires the provider’s service. Home health agency supervisors should always follow up on such patient requests to determine the reasons regarding the dismissal, to detect “problem” employees, and to ensure no incident has taken place that might give rise to liability. The home health agency should continue providing care to the patient until definitively told not to do so by the patient.COPING WITH THE ABUSIVE PATIENTHome health provider personnel may occasionally encounter an abusive patient. This abuse mayor may not be a result of the medical condition for which the care is being provided. Personal safety of the individual health care provider should be paramount. Should the patient pose a physical danger to the individual, he or she should leave the premises immediately. The provider should document in the medical record the facts surrounding the inability to complete the treatment for that visit as objectively as possible. Management personnel should inform supervisory personnel at the home health provider and should complete an internal incident report. If it appears that a criminal act has taken place, such as a physical assault, attempted rape, or other such act, this act should be reported immediately to local law enforcement agencies. The home care provider should also immediately notify both the patient and the physician that the provider will terminate its relationship with the patient and that an alternative provider for these services should be obtained.Other less serious circumstances may, nevertheless, lead the home health provider to determine that it should terminate its relationship with a particular patient. Examples may include particularly abusive patients, patients who solicit -the home health provider professional to break the law (for example, by providing illegal drugs or providing non-covered services and equipment and billing them as something else), or consistently noncompliant patients. Once treatment is undertaken, however, the home health provider is usually obliged to continue providing services until the patient has had a reasonable opportunity to obtain a substitute provider. The same principles apply to failure of a patient to pay for the services or equipment provided.As health care professionals, HHA personnel should have training on how to handle the difficult patient responsibly. Arguments or emotional comments should be avoided. If it becomes clear that a certain provider and patient are not likely to be compatible, a substitute provider should be tried. Should it appear that the problem lies with the patient and that it is necessary for the HHA to terminate its relationship with the patient, the following seven steps should be taken:1. The circumstances should be documented in the patient’s record.2. The home health provider should give or send a letter to the patient explaining the circumstances surrounding the termination of care.3. The letter should be sent by certified mail, return receipt requested, or other measures to document patient receipt of the letter. A copy of the letter should be placed in the patient’s record.4. If possible, the patient should be given a certain period of time to obtain replacement care. Usually 30 days is sufficient.5. If the patient has a life-threatening condition or a medical condition that might deteriorate in the absence of continuing care, this condition should be clearly stated in the letter. The necessity of the patient’s obtaining replacement home health care should be emphasized.6. The patient should be informed of the location of the nearest hospital emergency department. The patient should be told to either go to the nearest hospital emergency department in case of a medical emergency or to call the local emergency number for ambulance transportation.7. A copy of the letter should be sent to the patient’s attending physician via certified mail, return receipt requested.These steps should not be undertaken lightly. Before such steps are taken, the patient’s case should be thoroughly discussed with the home health provider’s risk manager, legal counsel, medical director, and the patient’s attending physician.The inappropriate discharge of a patient from health care coverage by the home health provider, whether because of termination of entitlement, inability to pay, or other reasons, may also lead to liability for the tort of abandonment. [8]Nurses who passively stand by and observe negligence by a physician or anyone else will personally become accountable to the patient who is injured as a result of that negligence… [H]ealthcare facilities and their nursing staff owe an independent duty to patients beyond the duty owed by physicians. When a physician’s order to discharge is inappropriate, the nurses will be help liable for following an order that they knew or should know is below the standard of care. [9]Similar principles may apply to make the home health provider vicariously liable, as well.Liability to the patient for the tort of abandonment may also result from the home health care professional’s failure to observe, examine, assess, or monitor a patient’s condition. [10] Liability for abandonment may arise from failing to take timely action, as well as failing to summon a physician when a physician is needed. [11] Failing to provide adequate staff to meet the patient’s needs may also constitute abandonment on the part of the HHA. [12] Ignoring a patient’s complaints and failing to follow a physician’s orders may likewise constitute a tort of abandonment for a nurse or other professional staff member.1. Lee v. Dewbre, 362 S.W.2d 900 (Tex. Civ. App. 7th Dist. 1962).2. Kattsetos v. Nolan, 368 A.2d 172 (Conn. 1976).3. 61 AM. Jur. 2d, Physicians and Surgeons § 237 (1981).4. See, e.g., Tripp v. Pate, 271 S.E.2d 407 (N.C. App. 1980).5. Ricks v. Budge, 64 P.2d 208 (Utah 1937).6. M.D. Nathanson, Home Healthcare Answer Book: Legal Issues for Providers 212 (1995).7. See, generally, E.P. Burnzeig, The Nurse’s Liability for Malpractice (1981).8. Sheryl Feutz-Harter, Nursing Caselaw Update: In appropriate Discharging of Patients, 2 J. Nursing L. 49 (1995).9. Id., 53.10. See, e.g., Pisel v. Stamford Hosp., 430 A.2d1 (Conn. 1980) (nurses were held liable for failing to monitor the condition of a patient).11. See, e.g., Sanchez v. Bay General Hosp., 172 Cal. Rptr. 342 (Cal. App. 1981); Valdez v. Lyman-Roberts Hosp., Inc. 638 S.W. 2d 111 (Tex. 1982).12. Czubinsky v. Doctors Hosp., 188 CAl. Rptr. 685 (1983).