North East Local Health Integration Network (North East LHIN)
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2013-2016 IHSP


Health Care Leads

Providing Expert Advice to the NE LHIN

The NE LHIN is responsible for many different facets of health care.  In order to assist the organization in the decision making required to maintain the region’s health care priorities, the NE LHIN relies on the knowledge, advice and work of Leads.  Each Lead is responsible for a particular facet of health care and to support both the NE LHIN and the Ministry of Health and Long-Term Care (MOHLTC) in their work.  All Leads report directly to the NE LHIN CEO.

Shared critical care policies, protocols and procedures

Public Documents Password Protected Documents
 'Life or Limb' No Refusal Policy (4 hr)  General 
NE LHIN Surge Report  Airway & Respiratory 
NE LHIN Leaders Report  Coronary Care 
Critical Care Meeting Minutes  Critical Care 
Critical Care Leaders Contact List  Lines 
Moderate Surge Action Plan Epidural 
Repatriation Protocol  Quarterly Stats 
Login Information

Username: NE LHIN Critical Care          Password: NECriticalCare

Dr. Derek Manchuk - Critical Care Lead

Dr. ManchukDr. Derek Manchuk was named Critical Care Lead for the North East LHIN in May 2011.

Dr. Manchuk is currently a Staff Anesthesiologist/Intensivist at Healh Sciences North and has been a lecturer in the Clinical Faculty of Medicine, Northern Ontario School of Medicine (NOSM). He has held medical positions in many Northern communities including Timmins, Marathon, Thunder Bay, and Atikokan.

Since January 2010, Dr. Manchuk has been Chief of Critical Care at Healh Sciences North. In 2010, Dr. Manchuk was named NOSM Family Practice Anesthesia Preceptor of the Year.

As the Critical Care Lead, Dr. Manchuk is responsible for:

  • Helping to implement the province’s plan to improve timely access to critical care services.
  • Working collaboratively with the Critical Care providers across the NE LHIN, and the NE LHIN CEO, to develop plans on the best use of critical care resources across the region.
  • Working collaboratively with the other 13 Critical Care Leads across the province.
  • Bringing NE LHIN critical issues to the Critical Care Secretariat which provides strategic direction to the province’s growing critical care system.

Dr. Manchuk’s current priorities as Critical Care Lead include:

  • Critical Care Information System – understanding the data to help better manage the NE health care system.
  • Surge Planning for Critical Care Units.
  • Intensivist Led Level 3 Intensive Care Units.
  • Closing the Trauma Gaps in the North East.
  • Developing strategies to address the current gaps in emergency specialists' access across the North East.
  • Planning for a shared web-link resource of critical care policies and procedures on the NE LHIN website.
  • Chronic Ventilation Strategy.
  • E-ICU pilot project.

For more information, please contact Dr. Manchuk at:

Dr. Gary Bota - Emergency Department Lead

Dr. Bota, an emergency physician in Sudbury for the past 31 years, will work with the NE LHIN to continue to champion improvements in emergency service delivery for Northerners.  He began his role with the LHIN on April 1, 2014.Dr. Bota

Dr. Bota currently serves as the Section Chair of Emergency Medicine at NOSM.  As such, he represents the academic interests of all emergency physicians in Northern Ontario.  A previous medical director of the ED at Health Sciences North, Dr. Bota has filled administrative, teaching, research and academic roles.

His early research concentrated on Northern issues – in particular injury prevention on our roads, snowmobile trails and hockey rinks. He was also involved in addressing the issue of domestic violence – both its incidence and prevalence in NE Ontario.

With the help of several local agencies, he spearheaded the institution of the first ‘Do not resuscitate’ program in Ontario many years before this became common practice in the province.

Over the past decade, Dr. Bota has been involved in the field of Medical Informatics.  His activity has revolved around knowledge translation – using informatics to promote best practice. He has participated in ED informatics projects on three continents. 

As the LHIN’s ED Lead, Dr. Bota will:

  • Work closely with the Ministry’s Wait Times team.
  • Consult and participate on the Ontario ED Expert Panel.
  • Work with physician leads involved in various emergency department strategies.
  • Participate on the ED LHIN Leaders’ Provincial Table.
  • Contribute to a provincial analysis of ED data on a quarterly basis.
  • Support the ED Strategy and other system improvements.
  • Participate in ED human resource planning across the NE LHIN.
  • Chair the NE LHIN’s ED Network.

Dr. Paul Preston - Primary Care Lead

Dr. Paul Preston, a North Bay family physician, has been selected as the Primary Care Lead for the North East LHIN, effective April 2014. He will work closely with the LHIN to strengthen and align primary care planning and help build a more accessible system of care for Northerners. He will work closely with the North East LHIN to strengthen and align primary care planning and help build a more accessible system of care for Northerners.Dr. Preston

After graduating from the University of Toronto in 1985, Dr. Preston worked in various Northern Ontario centres and was a hospital emergency physician in North Bay between 1988 and 1995. Since then, he has been a family physician in North Bay and an active member of hospital staff.

  • Dr. Preston currently serves as Medical Director and Chief of Primary Care at North Bay Regional Health Centre. He was Chief of the Department of General and Family Practice there in 2012.
  • Dr. Preston has served as an assistant professor at the Northern Ontario School of Medicine since 2008.
  • His experience extends to serving as a medical director of Nipissing Manor Nursing Home from 2006 to the present, and as physician for the North Bay jail from1993 to 2014.
  • Dr. Preston is chair of the Blue Sky Family Health Team, North Bay.

Dr. Boji Varghese - Endocrinologist Lead for Diabetes

Dr. Boji VargheseDr. Varghese is a practicing Endocrinologist, based in Sudbury, who has provided diabetes and endocrinology care for patients across the North East for 10 years through his private practice and the Diabetes Program at Health Sciences North. Through the course of his patient-focused work, he has supported and collaborated with nurse practitioners, diabetes nurse educators, dieticians, social workers, pharmacists, and physiotherapists.

Dr. Varghese is equally committed to evidence based practice. He follows Canadian Diabetes’ guidelines in his practice and will work to highlight the changes to the revised guidelines across the region.

  • Dr. Varghese is the Medical Director of the Complex Diabetes Program and the Bariatric Program, in Health Sciences North’s Sudbury Outpatient Centre. During his time at the hospital he has developed the inpatient insulin protocol for patients at HSN.
  • He is also involved in teaching students from the Northern Ontario Medical School and regularly gives talks to family physicians, nurses and pharmacists throughout the north. In addition, Dr. Varghese has devoted himself to numerous research projects.

Barbara Kiely - Primary Care Lead for Diabetes/Chronic Disease Management

A Nurse Practitioner and Certified Diabetes Educator in Kirkland Lake, Barb Kiely has been involved with Barb Kielydiabetes issues in various capacities since 1989. She has played a leadership role in diabetes education, treatment and advocacy as a founding member of her local Canadian Diabetes Association chapter, and with the Northern Diabetes Health Network. 

Barb has worked with her local hospital, community agencies such as the Canadian Mental Health Association, Family Health Team, Community Living, the seniors’ Encore Club, First Nations groups, executive of the local chapter of the Registered Nurses I Association of Ontario, the Timiskaming Diabetes Program, and various other community agencies.

Barb is committed to sharing her knowledge, expertise and passion to work on a diabetes strategy made for Northern Ontario.

  • Barb graduated as a Nurse Practitioner in 2003 from Laurentian University, from which she also obtained a BS in Nursing in 1989.
  • She has extensive experience in board work with the Canadian Diabetes Association, the Ontario Lung Association, Timiskaming Palliative Care Program, and Victorian Order of Nurses.
  • Barb has participated in a diabetes medical mission to Nicaragua.