July 2, 2026

Dear colleagues,


It’s been a special week for me, personally and professionally, as I take the helm as President and CEO at Nova Scotia Health. It is a privilege to continue to serve the people and healthcare professionals of Nova Scotia in this new capacity, and a responsibility that I take very seriously.


Whatever the future holds, Nova Scotians can count on me to continue to be there through opportunities and challenges. I will work hard to uplift and support our Nova Scotia Health employees, physicians, volunteers and partners. Working with all teams, we will continue to position our province as a leader in healthcare innovation, quality and system performance; together, we will ensure Nova Scotians have the access to care they deserve. I am excited for our continued collaboration to Work Smarter, advance Operational Excellence and create transformational change for our patients and communities across our health system.


I am grateful to the province and organization for their trust in me and want to thank the Nova Scotia Health team, former system leaders, and outgoing President and CEO Karen Oldfield, for laying a strong foundation for Nova Scotia Health’s continued success.


Thank you to everyone who joins us daily in the pursuit of healthcare excellence at Nova Scotia Health. I am proud to represent you, and I am excited about the impact our collective team will have on the Nova Scotia health system.


Sincerely,


Nicole

Welcome New Residents!

July 1 is always an exciting day at Nova Scotia Health, as we usher in a new cohort of medical residents in facilities across our four zones. Please keep an eye out and join me in welcoming our newest physicians.


Thank you to all incoming residents for choosing Nova Scotia Health. We are lucky to have you! 🎉🎉🎉

One Person One Record (OPOR) Program Updates

OPOR updates at a glance:



Note: Active network credentials for Nova Scotia Health or IWK Health are required to access links above and below, unless otherwise indicated. More information beneath.

Wave Two physicians are encouraged to visit the OPOR Hub regularly for the latest Change Notifications and Job Aids to support your use of the new system. Other resources include:


 

Important reminder on reducing duplicate documentation in Primary Care EMRs 

Primary Care Providers (PCPs) have reported receiving a high volume of duplicate documents in their EMR inboxes, creating added administrative burden. To help reduce unnecessary duplicates, please review the Automatic Documentation Routing resource, which outlines what documentation is automatically distributed to PCPs.


Remember:

  • Signed clinic and consult notes are automatically sent to PCPs' EMRs. Please confirm reports are accurate before signing to avoid duplicates.
  • Progress notes are not automatically distributed.
    

Help reduce duplicate documentation by:

  • Reviewing reports carefully before signing. Clinic and consult notes are automatically routed to the PCP's EMR when signed. Any subsequent modification or addendum to a signed note generates and sends another copy to the PCP, resulting in duplicate documents requiring review. Taking a moment to ensure your report is complete and accurate before signing can help minimize unnecessary duplicates.
  • Confirming recipients when manually copying documentation. If you are manually copying a colleague on documentation, verify that you have selected the correct provider and practice location to ensure the document is routed appropriately.

 

Using Future Orders in CIS for outpatient testing

Physicians are reminded that all outpatient investigations—including laboratory tests, diagnostic imaging (DI), ECGs and other diagnostic services—should be entered as Future Orders in the CIS rather than completed on paper requisitions.


A printed requisition is only required when the patient will be having the test outside the zone or at a private facility. For tests performed within the zone, the electronic Future Order in CIS is sufficient. Learn more here.

 

In case you missed it: OPOR Top Tips Webinar

On June 23, Dr. Ashley Miller hosted a webinar to help physicians navigate and leverage the CIS in their daily clinical practice. Dr. Miller shared top tips for using the new system, including demonstrations. View the webinar here (NSH login not required).

 

Wave Three Updates

Registration details for Wave Three training are coming soon. Please note that registration will begin in mid-July, with training beginning in August.


Call for Provider Peer Mentors

The OPOR team continues to seek Provider Peer Mentors in the Eastern, Northern and Western Zones.


Provider Peer Mentors play an important role in supporting colleagues through the transition to the CIS. They help promote readiness and provide local leadership before, during and after implementation. Participants will be remunerated for time spent on these activities.


Visit Provider Corner for details about the role and its responsibilities. Ready to participate? Complete the registration form.


Note: Active network credentials for Nova Scotia Health or IWK Health are required to access links above, unless otherwise indicated.

Physician Recruitment Annual Report - 2025-26

The Physician Recruitment team is excited to share their 2025-26 Annual Report. Last year, Nova Scotia recruited 278 physicians – 111 family doctors and 167 specialists, including 12 at the IWK.


This document, and our success, is a testament to everyone who joins us in our collective mission to recruit and support new physicians in our province. Thank you for your partnership and commitment to improve access to care for Nova Scotians.


Read the report here.

D&T Decisions Newsletter: June 2026

The Drugs and Therapeutics Committee is pleased to share their June 2026 D&T Decisions newsletter, which includes recently approved policies and changes to the Nova Scotia Health Hospital Formulary. Read the newsletter here.

Thank You: Survey Results Shaping Polypharmacy Improvement Efforts

The QIS team thanks everyone who completed their survey on inappropriate polypharmacy and deprescribing practices. Your feedback provided valuable insight into current challenges, opportunities and successful approaches being used across Nova Scotia Health. We learned that 94 per cent of respondents see polypharmacy as a relevant issue for the population that they serve, underscoring the need for some targeted work to support clinicians. We discovered innovative work already underway in many areas of the organization, most commonly involving medication reviews. 


Your input is directly shaping our next steps. Survey results have informed the priorities of our working group, including plans to develop education for clinicians, patients and families, as well as a centralized resource hub featuring evidence-based deprescribing algorithms and practical tools. We are also connecting with clinicians who shared their experiences to identify practices that could be adapted and spread across the system. Thank you for helping advance medication safety and improve care for patients across Nova Scotia. 

 

Questions or feedback about polypharmacy work can be directed to:

Nancy McLaughlin, QIS Leader at nancy.mclaughlin@nshealth.ca

LINK UPDATED: 2026 Year In Review: Advancing Frailty Care Together

This post originally appeared in the June 25 newsletter. The link to the report has since been updated.


This past year marked significant progress for the Frailty and Elder Care Network as we strengthened our system-wide approach to improving care for older adults—Nova Scotia Health’s largest and fastest-growing patient population. With 77 per cent of admitted patients over age 65, and many living with frailty, our work has never been more essential.


We are pleased to share the Frailty and Elder Care Network 2026 Year-in-Review that highlights Network activities and milestones for April 1, 2025–March 31, 2026. Please take a moment to review this summary and share any questions or feedback by emailing frailty@nshealth.ca.

Early morning traffic impacts near Halifax Infirmary – July 13 to Aug. 19

Please be advised of upcoming (temporary) traffic impacts related to construction activities for the QEII Halifax Infirmary Expansion Project.

 

From July 13 to Aug. 19, large structural beams will be delivered and installed to support construction of the new Acute Care Tower. Deliveries will occur on weekdays between approximately 3:30 a.m. and 6:00 a.m. and will require temporary closures on a section of Bell Road near the construction site.

 

What to expect:

  • Temporary early morning closures on a section of Bell Road
  • Traffic control personnel and detour signage will be in place
  • No impact to Halifax Transit bus routes
  • Continued access to the emergency department and hospital services
  • Sidewalks and pedestrian routes will remain open
  • Increased noise from trucks, cranes and construction activity during delivery and installation periods

 

Physicians and staff working in these areas should expect delays and are encouraged to plan accordingly. Clearly marked detour routes will be in place, and traffic control personnel will be on site to help maintain safe access for patients, visitors and emergency services. A map of the affected area is included for reference. In addition, a video of the detour routes can be found here.

 

Visit QE2Renew.ca for the most up-to-date information on the project. Thank you for your patience and co-operation as this important phase of construction progresses.

Dr. Sarah Fraser Finds Her Calling in Gender Affirming Care

"I've never had so many people tell me that I saved their life."


Family physician Dr. Sarah Fraser didn't set out to build a career in gender affirming care, but today, she and her team at Coastal Gender Affirming Care support more than 1,300 patients across Nova Scotia. She calls it the most rewarding work she has ever done.


Read how Dr. Fraser found her calling and what she has learned along the way.


Dr. Thomas Ransom: How Clinical Trials Shape Patient Care

The medications people take, and the guidelines doctors follow, are built on evidence gathered through clinical trials. For more than 25 years and 200+ trials, Dr. Thomas Ransom has contributed to that evidence as an endocrinologist and clinical trial investigator.


For Dr. Ransom, clinical research has never been about testing the next promising medication; it's about improving patient care. Read more.

Physician Learning Opportunities

Asynchronous Learning Opportunities through Medical Affairs

The summer months are a great opportunity to explore the many physician learning opportunities available through LearnUpon – Medical Affairs' learning management system (LMS).


This platform is easy to navigate; physicians can study and engage on their own time, on any device. Programming includes CPDME-accredited new physician and physician leader onboarding modules, as well as a robust course catalogue that can be accessed by anyone with a login.


Request a login today and start learning!

Physician Issues Hotline

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.


If you have an item to submit, please reply to this newsletter.