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Welcome to IHP/OHP News from the College of Physicians and Surgeons of Ontario

OHP Annual Fee Introduced

On October 1st, the College implemented a new annual fee of $825 per member for OHPs. This fee pays for the ongoing costs of administering and overseeing the Premises Inspection Program, including initiatives such as updating the OHP Standards and developing adverse events reporting protocols.

Each physician affiliated with an OHP is responsible for paying this annual fee. The Medical Director of the premises will continue to be responsible for the one-time application fee required when notifying the College of the opening of a new OHP, plus all direct inspection-assessment fees.

The College is committed to a transparent and fair fee structure. In support of this objective, we have retained an external firm to conduct a broad review of program fees to ensure consistency, fairness and sound modeling. We expect that this will result in future changes. Program participants will be informed of our progress.

Members must notify the College by email at ohp@cpso.on.ca when their affiliation with an OHP ends to ensure that they will not be charged the annual fee.

A description of the College's financial assumptions for the program for the upcoming year is posted on our website: Available here.

IHF Program Becomes Self-Supporting

As of April 1, 2012, funding for the Independent Health Facilities Program by the Ministry of Health and Long-Term Care ended, and the IHF Program became self-supporting. The Ministry announced a new fee model in October 2012, and the College followed up with a letter explaining this fee model to IHFs throughout the province. The proposed funding model includes an annual fee and an assessment fee.

As of November 1, 2012, each IHF was invoiced the annual fee of $860, billed to the licensee/owner/operator and due by December 12, 2012.

Core program infrastructure is required to support the administration and provide oversight of the assessment process, which includes staff and technology support. The annual fee will pay for these ongoing costs.

Resources are also required to support program initiatives, including developing new or updating exisiting Clinical Practice Parameters and Facility Standards, and the individual IHF Facility Review Panels.

The College is committed to a transparent and fair fee structure. In support of this objective, the College has retained an external firm to conduct a broad review of program fees to ensure consistency, fairness and sound modeling. We expect that this information will lead to future changes. We will keep program participants informed of our progress.

Please view Frequently Asked Questions on the College website or contact us for more information. 

Adverse Events Reporting:
By-Law Consultation 

The College's Premises Inspection Committee (PIC), which oversees the OHP program, has identified that OHPs should be required to report adverse events to the College for the purpose of:

1. patient safety;
2. maintaining public confidence; and
3. monitoring quality improvements within OHPs.

The PIC proceeded by developing a “two-tiered” system for reporting adverse events. Specifically, it is proposed that OHPs be required to report “Tier 1” events to the College as set out in the proposed draft by-law, which has been approved by Council for consultation with the public, the profession and other stakeholders. The proposed draft by-law defines the types of events that physicians must report to the College within 24 hours of learning of the event.

The requirements to report “Tier 2” events will be outlined in the OHP Standards document when it is updated. The OHP Standards are currently under review and Tier 2 event reporting is not included in this consultation.

Draft By-law

51(3.1)(a) In this section “premises” and “procedure” have the definitions that are set out in s. 44(1) of Ontario Regulation 114/94 made under the Medicine Act 1991;
(b) Every member who performs a procedure in a premises subject to inspection under Part XI of Ontario Regulation 114/94 shall report to the College, within 24 hours of learning of any of the following events:
    (i) Death within the premises;
    (ii) Death within 10 (ten) days of a procedure performed at the premises;
    (iii) Any procedure performed on wrong patient, site, or side; or
    (iv) Transfer of a patient from the premises directly to a hospital for care.
(c) In addition to reporting the event, the member shall provide all information underlying the event to the College in the Adverse Events Reporting form approved by the College.

Once the by-law has been approved by Council, notification and a copy of the finalized by-law will be posted on the College’s website. If you have not already responded, please forward your feedback by email to: ohp@cpso.on.ca.

November 2012

A Newsletter for Independent Health Facilities and Out-of-Hospital Premises from the College of Physicians and Surgeons of Ontario

If you are not already receiving this newsletter subscribe here

A Doctor shares his OHPIP experience













Dr. David Jordan,
an ophthalmologist who
specializes in oculoplastic
surgery

Read Dialogue article here



PROGRAM UPDATES

IHF Assessment Tools now available on our website 

> pre-visit questionnaires
> protocols for the various modalities

Available in fillable PDF format − can be used for ongoing quality assurance purposes

View here



Task Force Updates

The Ophthalmology Clinical Practice Parameters and Facility Standards are now finalized and have been mailed out in CD format. The College will no longer provide printed versions. If you did not receive your CD please contact trybarczyk@cpso.on.ca.

The Pulmonary Function Clinical Practice Parameters and Facility Standards are due to be updated and the College will be convening a Task Force. Work will begin in the new year and will take most of 2013 to complete.

The Sleep Medicine Task Force met recently to review the new revised scoring rules from the AASM. As a result of these new scoring rules, the CPPFS will be updated to reflect the change. Revised pages will be mailed out toward the end of November.



OHP Standards Revision

The Out-of-Hospital Premises Inspection program (OHPIP) has been in place for two years and more than 250 assessments have been completed using the original Standards document. A review and update of the document is underway to reflect our experience to date.

The initial core OHP Standards document was developed in 2010 by a task force of physicians and nurses from a variety of specialties including, anesthesia, gastroenterology, ophthalmology, general surgery, cosmetic surgery, urology and nurses with expertise in anesthesia and surgery. The Standards are applied to the physical premises and to the procedural care of patients.

External consultation of the draft OHP Standards has concluded and the Premises Inspection Committee is in the process of reviewing all feedback. A revised OHP Standards document will be available in early 2013 and will be applied to all future assessments.




Talk to us

Please send us your comments and feedback

qmdnewsletters@cpso.on.ca



PA&E Staff – IHF & OHP Programs

Associate Director
Wade Hillier

Managers
Maureen Gans
Shandelle Johnson

Supervisors
Christine Grusys
Tracey Marshall

Assessment Coordinators
Kimberly Mystysyn
Katrina Rosero
Tanya Rybarczyk
Mary Simpson
Fai Chen

Program Assistants
Alden Cudanin
Aleks Todorovic
Ashley Hyde



IHF/OHP News is produced by the College of Physicians and Surgeons of Ontario.
Please visit our website at www.cpso.on.ca


 
Copyright © 2012 College of Physicians and Surgeons of Ontario, All rights reserved.