December 18, 2025

NOTE: The Physician Newsletter will be paused for two weeks over the holidays, unless urgent notices need to be issued. The newsletter will resume weekly on January 8, 2026.

Happy Holidays!

The holiday season is one of my favourite times of the year – an opportunity to reflect on the successes and challenges of the year gone by, while looking ahead with hope and optimism for what the new year will hold. 


In 2025, we continued to make strides across all zones to provide coordinated and integrated care for those who rely on us. Every day, we are getting closer to our goal of ensuring patients get timely access to the right care, in the right place, at the right time, delivered by the right provider – ultimately leading to improved outcomes for patients and better experiences for patients, families and healthcare professionals. 


In early December, we had two days with zero patients waiting more than 48 hours to return to their home hospital or zone and none nearing that 48-hour window. This is a testament to the collaboration between zone leaders, staff and physicians, and our Access and Flow and Care Coordination Centre (C3) teams.


Digital technology and infrastructure initiatives are also pivotal to supporting timely, appropriate access to care. This December, the One Person One Record clinical information system (OPOR-CIS) launched at IWK Health, along with the provincial roll-out of the Novari Medical Imaging Requisition Management tool. This is a transformational moment for healthcare in our province. I am excited to see this integrated system roll out across Nova Scotia in 2026, along with continued advancements to YourHealthNS, enhanced referral and centralized booking models. It furthers our commitment to improving care, supporting physician teams and strengthening our work across the province. 


Recruiting top talent to Nova Scotia is critical to our mandate and, I’m pleased to share, we’re continuing to move the needle on this front. We welcomed 216 physicians into practice between April 2025 to November 2025 (88 in Family Medicine and 128 in specialist roles), including eight at the IWK. Our Family Medicine physician recruitment numbers are up 12 per cent over last year and we aren’t slowing down, as we rise to meet the needs of the people and families in our province. 


Together, we’ve been able to reduce the numbers on Need a Family Practice Registry, as we work to meet the needs of Nova Scotia’s rising population. The Need a Family Practice Registry has significantly decreased from 110,456 Nova Scotians on January 2, 2025, to 69,420 as of December 1, 2025.


Nova Scotia has also seen meaningful progress reducing surgical wait times for key procedures – tying for first place in the country for cataract surgeries and ranking in the top three for hip and knee joint replacements and hip fracture repairs completed within benchmarks. There has been a significant decrease in all long waiters, and we continue to be very close to a targeted waitlist appropriate for the size of our province. Our surgical investments and initiatives are paying off, and our efforts must persist to further reduce wait times in these and other areas.


This year, Medical Affairs worked with our partners at DHW, CPSNS, DNS and others to strengthen supports for physicians, including the establishment of the PACE primary health care pathway and hospitalist assessment pathway, provincial program to support physician extenders and new supports for community physicians providing inpatient care. These enhancements reflect our steadfast commitment to easing barriers and finding solutions to allow you to do what you do best: providing exceptional care to Nova Scotians. 


We know physicians do their best work when they have the right tools, spaces and technologies. I am excited by the progress being made on the QEII Halifax Infirmary Expansion Project, including the signing of the project agreement for the new Acute Care Tower, adding critical infrastructure to the central zone. Redevelopment at the South Shore Regional Hospital will add a new dialysis unit and introduce the region’s first MRI, expanding health opportunities in the western zone as the hospital prepares for phased re-openings in early 2026. NS Health also realized important milestones in the Cape Breton Regional Municipality healthcare and Yarmouth Regional Hospital emergency department redevelopment projects.


I want to thank all physicians who took part in the Global Workforce Survey, a key component to the accreditation process. The valuable insights gleaned from this work will serve us now, and into the future, as we work together to provide the best care for patients and families in Nova Scotia.


These are just a few examples of the advancements we’ve made this year. Through our Operational Excellence framework and True North metrics, we will monitor, adjust and drive our performance to continue to improve care for Nova Scotians, side-by-side with our operational co-leads.

 

As you gather with friends and family over the coming days, I hope you will reflect on the changes, the successes, and the challenges. There are many opportunities ahead for us to continue to impact the lives of all Nova Scotians. 


Thank you for being part of this journey and cheers to another year of progress and growth. Wishing you a safe and happy holiday season and a joyful new year.

 

Warmly,


Nicole

 

Masking Now Required At All NS Health Facilities

Effective today, December 18, masking is required upon entry and throughout all Nova Scotia Health facilities.


Please review the 2025-2026 Respiratory Virus Masking Guidance Memo for more information, and visit the Emerging & Re-Emerging Infections Network (ERIN) Hub for a complete list of resources.

Preparing for the 2025-26 Influenza Season

Public Health, Department of Health and Wellness is closely monitoring influenza activity and emerging trends across Canada. Each season brings unique challenges. While influenza patterns cannot be predicted with certainty, early surveillance provides insights to our collective response. 


Here is a letter from Dr. Strang, Chief Medical Officer of Health, which outlines the current situation, why it matters and key actions to help protect Nova Scotians and system readiness. 

One Person One Record (OPOR) Program Updates

Referrals to the Pediatric Hematology Oncology Clinic at IWK Health

As part of the One Person One Record (OPOR) implementation at IWK Health, there is a new referral fax number for the pediatric hematology oncology clinic. All Nova Scotia Health and community provider referrals and supporting documents are to be faxed to 1-855-568-1293 effective immediately.


This change in fax number will support the use of a new referral management solution which is integrated with the clinical information system. IWK Health providers will refer patients using the clinical information system, not faxes.

   

Wave 2 Training coming soon

With Go-Live of OPOR’s Wave 2 scheduled for May 9, 2026 across Central Zone, mandatory training for all clinicians and providers delivering care here will be opening soon. This training will give future users hands-on experience with the Clinical Information System (CIS), helping ensure a smooth and confident transition at Go-Live. Dates and details are coming soon!

 

Central Zone Roadshows coming in January

In preparation for Wave 2, the OPOR will also be hosting Roadshow events across Central Zone in January. These drop-in events are designed to immerse future users in the CIS, with no registration required. Providers and clinicians can explore CIS functionalities at interactive stations and gain hands-on experience. Details coming soon!


Interested in getting involved? Become a Peer Mentor!

Active involvement of team members across Nova Scotia Health is key for successful implementation of the CIS. We are seeking Peer Mentors to help support their on-site peers through this exciting upcoming transition. After early training, these ‘go-to CIS experts’ can provide real-time support, basic troubleshooting and guidance on how connect with additional resources at the time of Go-Live. Learn more about becoming a Peer Mentor at the OPOR Hub.


Season’s Greetings from the OPOR Team

As the year ends, the OPOR team would like to extend our warmest wishes to all providers and clinicians across Nova Scotia. We thank you for your dedication, adaptability and commitment as we continue to implement OPOR across the province. We look forward to another year of collaboration and success in 2026. Happy Holidays! 

Care Coordination Centre (C3) Escalations Workshop

Join the provincial C3 team for a virtual workshop on escalation processes. This session will provide practical guidance and tools to help you use escalations effectively and ensure smooth coordination across care teams. This workshop is open to all frontline staff and physicians.


🗓 Date: January 15, 2026

🕚 Time: 11:00 a.m.–12:00 p.m.

💻 Location: Virtual

 

Join us to learn:

  • What an escalation is and when to use it
  • Practical steps before escalating
  • How escalations reduce your workload and improve patient flow
  • Real examples of changes driven by frontline escalations
  • Review how to escalate in the PM Tile, with a focus on the recently enhanced escalation features

 

Register here.

Seniors' Care Teams: Partners in Enhanced Emergency Care

This fall, Nova Scotia Health has launched Seniors’ Care Team (SCT) pilots in emergency departments at Dartmouth General, Cape Breton and Yarmouth Regional hospitals and Colchester East Hants Health Centre.

 

These interdisciplinary teams work collaboratively with emergency physicians to provide specialized assessments for patients aged 65+ living with frailty or at risk of becoming frail. Their goal? Prevent unnecessary admissions and help older adults return to the place they call home—by ensuring the right supports are in place and providing follow-up community home visits.

 

Why this matters to emergency physicians:

  • Streamlined decision-making: SCT assessments give you valuable insights to support clinical decisions.
  • Patient-centred care: Together, we ensure older adults receive care tailored to their needs.
  • Your role remains central: Admission and discharge decisions are always yours—the SCT is here to complement your expertise.

 

The Seniors’ Care Team will screen all patients aged 65+ during their working hours to identify those who would benefit from this new service and share information with the physician to assist in managing complex cases efficiently and improve patient outcomes.

 

Want to learn more?

A new Emergency Physician Guide is available to show how SCTs collaborate with emergency physicians and integrate into your workflow. This guide is also available on the Frailty and Eldercare Network section of the Physician Portal.

 

Questions?

Email frailty@nshealth.ca.

2025 Making Waves Awards

Congratulations to this year's recipients of the 2025 Making Waves Award! This program, proudly co-sponsored by belairdirect, is designed to honour the remarkable dedication of Nova Scotia Health team members and celebrate a shared commitment to vision, mission, values and strategic goals.


Visit the physician portal for a full list of this year's recipients, whose accomplishments will be profiled in the new year.

Physician Learning

Medical Affairs Inspired Leadership for Physicians Webinar Series: 

Understanding Grief and Grief Literacy (session 1 of 4)

 

Participants will learn to define different forms of grief in the context of medical practice and reflect on how grief is acknowledged – or not acknowledged – within clinical training and practice. Different examples of loss that physicians may encounter will be explored and discussed.


🗓 Date: January 22, 2026

🕚 Time: 5:00 p.m.–6:30 p.m.

💻 Location: Virtual  

 

This session will be facilitated by Dr. Sarah Burm, Associate Professor and Education Research Scientist in the Office of Continuing Professional Development and Medical Education at Dalhousie University, and Matt Fillier, Bereavement Practice Lead, Primary Health Care, Palliative Care Network, NS Health.

 

Register here.

This activity meets the certification criteria of the College of Family Physicians of Canada and has been certified by Dalhousie University Continuing Professional Development and Medical Education for up to 1.0 Mainpro+® Certified Activity credits per session. 


This activity is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by Dalhousie University Continuing Professional Development and Medical Education. You may claim a maximum of 1.0 hours per session (credits are automatically calculated). 


Educationally approved by Dalhousie University Continuing Professional Development and Medical Education.

Physician Wellness Resources

1-833-876-1724

If you're a physician seeking support for your practice or wishing to provide feedback, please reach out to our hotline. Our dedicated team is ready to assist you.


In the event we're engaged in another call, rest assured your voice message will be promptly addressed within one business day. Your concerns will be directed to the Medical Affairs team and our health system partners for resolution.


Our task force is committed to returning calls and scheduling meetings with practices at mutually convenient times.


Physician Wellness Resources

Wellness resources for physicians have been migrated to an actively monitored page on the Physician Information Portal. You can access it here.


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