160427 Physician Recruitment MIN=
Attendance
Chair and Deputy Mayor Dave Beres, Mayor Stephen Molnar, Councillor Penny Esseltine, Dr.
Mohamed Abdalla, Dr. Howard Lamb, Dr. Gerry Rowland, Crystal Houze, Lance Scott, Lana
White
Jane Tillman
Regrets: David Calder
1. Call to Order
2. Adoption of Agenda
Moved By: C.Houze Seconded By: P.Esseltine
Resolution
THAT the Agenda as prepared for the Committee meeting of April 27, 2016, be adopted.
‘Carried’
3. Disclosures of Pecuniary Interest and the General Nature Thereof
None
4. Adoption of Minutes of Previous Meeting – March 30, 2016, including ‘Frequently Used
Acronyms and Definitions’ attachment
The Minutes were not discussed or adopted - deferred to the next meeting.
5. Delegations and Presentations
5.1. Jane Tillmann, Health Force Ontario – Areas of High Physician Need
Jane Tillman met with the Physician Recruitment Committee and presented the
attached powerpoint presentation.
The Corporation of the Town of Tillsonburg
PHYSICIAN RECRUITMENT & RETENTION
April 27, 2016
12:00noon
Council Chambers
200 Broadway, 2nd Floor, Tillsonburg, ON N4G 5A7
MINUTES
Physician Recruitment and Retention Committee Minutes – April 27, 2016 - 2 -
Timeframe – They have to apply for legislature change for LHINs to take over this area.
The first reading should be in May; then the earliest it will go forward will be October.
We are likely looking at next year for rollout. The LHINs are preparing for this.
Discussion was held about the Oxford Sub LHIN, and the various models.
Patients First mean the patient chooses where he/she wishes to go.
It was noted that Brant and Norfolk have been deemed high needs as well.
J.Tillman noted that last year, when she met with this Committee, LHINs didn’t have a
means of determining high needs, and Tillsonburg was not on the list. Tillsonburg is
now on the list, and that was based on the communication from Tillsonburg through
herself. They will be putting things on the website showcasing what was looked at and
how high needs is defined. This is being implemented next month. Doctor to
population will be determined.
LHINs will listen to the community. Tillsonburg is on the list because it’s proactive and
engaged. Tillsonburg is on the high needs list, so LHINs wants to hear what our
recruitment plan is. What is our catchment population? 50-60,000 has historically been
used. It was noted that retail consultant reports have said it is as high as 90,000.
Comment was made – One factor that never gets accounted for is, when a community
is asking for more doctors the entire community means we need doctors, despite what
the numbers says.
It was noted that physicians are a limited supply, so LHINs needs to make sure they go
where they are needed.
With respect to gathering dates, privacy has to be considered. Postal codes can be
submitted. Discussion was held about a survey, asking such questions as…do you
have a family physician?...if you do, do you drive?...if we brought an additional
physician to the community would you roster to that physician?
Physician Recruitment and Retention Committee Minutes – April 27, 2016 - 3 -
Discussion was held to clarify the high needs designation. Tillsonburg is now currently
high needs. Any of our 3 physician groups can recruit more physicians. A new FHO
can also be started.
The Ministry has not said when the next high needs list will be out, but it’s not expected
for 6 months.
The Income Stabilization program was discussed, along with restrictions. J.Tillman to
provide information on Income Stabilization and options, as well as examples of what
communities are offering.
Noted was that incentives we have previously offered often ease pressure on the FHO
rather than the physician.
J.Tillman commented that there is a benefit to having someone, a point person, where
all 3 FHOs can be explored, as well as options.
Clarification was given with respect to FHOs. No one owns a FHO. It’s an agreement
between the Ministry and the physicians. One physician is assigned to be the lead.
Discussion was held regarding a coordinator, to work with the 3 FHOs, the hospital,
medical doctors, the Town, etc. If we had a coordinator that, through this community,
reported to the LHINs, would that be something the province would look at and
appreciate? J.Tillman responded that a number of communities do that, and that would
be helpful. She can speak more to members about that.
Mayor Molnar suggested a couple generic job descriptions would be helpful for the next
meeting, as well as incentive information on what we did in the past.
Further to the coordinator position, if we want a recruitment plan it needs to be clear.
The value of having someone, a coordinator, is so we can dig down and see where we
can recruit in Tillsonburg.
Physician Recruitment and Retention Committee Minutes – April 27, 2016 - 4 -
It’s our job to start the wagon. The issue of professional courtesy is an issue, and that
is something a coordinator could deal with.
Funding and job description to be discussed by D.Calder and C.Houze.
C.Houze to email Fish.
6. General Business & Reports
6.1. Report from the CAO – March 30th Meeting Folllow-up
Deferred to the next meeting.
7. Correspondence
8. Other Business
9. Next Meeting – Tentatively the last Wednesday in May at noon.
Agenda items:
- Coordinator position – a couple generic job descriptions; members be prepared to
discuss the position
- Discussion regarding a Survey; and circulation through tax billing, etc.
- Discussion regarding the following ‘draft’ motion…
Recommendation to move forward with discussion and a request for information from
each of the 3 individual FHOs as they currently exist, asking if they are in a position to
accept or willing to entertain the addition of family doctors;
AND FURTHER, asking if they are willing to share their roster list by postal code.
- With the circulation of the Minutes, Mayor Molnar asked for circulation of the previous
incentive program, as information.
10. Adjournment
Moved By: C.Houze
Resolution
THAT the April 27, 2016 meeting be adjourned at 1:02pm.
=
Attendance
Chair and Deputy Mayor Dave Beres, Mayor Stephen Molnar, Councillor Penny Esseltine, Dr.
Mohamed Abdalla, Crystal Houze, Lance Scott, David Calder, Gaby Yang Teng from Hengshui
City - China, Lana White
1. Call to Order
2. Adoption of Agenda
Moved By: LScott Seconded By: D.Calder
Resolution
THAT the Agenda as prepared for the Committee meeting of March 30, 2016, be adopted,
with the addition of:
vi) Incentives.
‘Carried’
3. Disclosure of Pecuniary Interest
None
4. Minutes – March 9, 2016
5. Moved By: C.Houze Seconded By: D.Calder
Resolution
THAT the Physician Recruitment and Retention Committee Minutes dated March 9, 2016 be
adopted.
‘Carried’
The Corporation of the Town of Tillsonburg
Physician Recruitment and Retention
March 30, 2016
12:00pm
Annex Board Room, Corporate Office
200 Broadway, 2nd Floor, Tillsonburg, ON N4G 5A7
MINUTES
Physician Recruitment and Retention Committee Minutes – March 30, 2016 - 2 -
The Chair recapped items discussed at the March 9th meeting – disadvantages to doctors
when patients visit walk-in clinics; how many physicians are currently in town; how many
physicians are needed in town; how the designation through LHINS will allow more from the
Ministry of Health; and when a doctor chooses to work one day a week they are still
considered one spot by the Ministry of Health.
6. General Business
i) Introduction of Gaby
Chair Beres introduced Gaby Yang Teng from Hengshui City, China
visiting Tillsonburg for the purpose of a Hospital Administration shadowing
experience.
ii) Press Release
The Chair commented that he would like to provide the community with an update
from the Mayor.
With the support of this Committee, we will share the status within the next week or
two. To include comments from C.Houze and the medical staff, as well as a list of
physicians, and over what period of time new doctors have been recruited. D.Calder
noted the doctors should be contacted before doing that otherwise, in the press
release, just refer to the number of new doctors rather than naming them.
iii) Patients without a Family Physician
Discussion was held about a centralized waiting list and who would be the
gatekeeper. Perhaps there could be a campaign to identify those in need of a family
physician. Privacy issues have to be considered. With that in hand, we would be
prepared to provide new recruits with information, and also be prepared with high
needs information.
For purposes of the press release, provide the Ontario number of people without a
family physician - 8,000.
It was noted that we can’t really clarify what it means that we are high needs now.
Physician Recruitment and Retention Committee Minutes – March 30, 2016 - 3 -
All three existing family health organizations in Town can expand.
A request was made for an index of terminology. C.Houze will provide a list, to be
circulated with these Minutes.
The question was asked…is there an opportunity for another family health
organization to open up in town. Response was, if three were coming as a group,
they could apply to be a new family health organization.
Discussion was held regarding a recruiter/coordinator, and if this is something the
family health organization, or the Committee, should push for, as there are benefits
of having an individual organize visits. D.Calder knows of an individual identified as
a possibility.
iv) LHINS Update
Noted that Jane is going to discuss needing a business plan. The plan will be
reviewed every six months. We’ve already lost a month.
Question about family health organizations. C.Houze explained that refers to an
organizational model provided for by the province. Further questions – Who owns a
family health organization? Who takes the lead? Is there a management structure
depending on ownership of facilities, etc.? C.Houze explained they all run a bit
differently. One model may be more attractive to a doctor, depending on what
he/she is looking for. She also noted there are no barriers to starting up a stand
alone/independent physician.
v) Next Steps
C.Houze noted that the Foundation and the Hospital are hosting a social for new
physicians to meet physicians.
D.Calder noted that when he recently met with a doctor, that individual was
interested in the community and what is offered. He was also impressed that the
Mayor and CAO would take time to meet.
Physician Recruitment and Retention Committee Minutes – March 30, 2016 - 4 -
With respect to the waiting list, is there an actionable item on this? Is there a formula
or a network where we can reach out? A sample-size mailing was suggested, or a
centralized aspect where people are added to a list.
There is also a provincial agency where people can leave their name for a list.
A survey was also suggested, similar to what was used recently for the Transfer
Station.
The CAO was asked to bring back a report with options on how to get it done, and
implementation of privacy. This approach will demonstrate leadership. We will need
to be careful as to how we reach out to outside our border, and also be careful not to
set expectations.
Mayor Molnar to draft a letter to the Minister regarding high needs status.
vi) Incentives
Mayor Molnar spoke about the programs that were previously in place. If we look
back at the incentive programs, and identify what worked, we can build from there.
Perhaps we need to put more of our own capital into the game, challenging the
Hospital, Real Estate Board, Chamber, public, etc. For the next meeting, it was
suggested we have pre-distributed agreements for review and discussion. We need
a solid strong sustainable program. The income stabilization part was questionable.
Other parts included moving expenses, house allowances, family health organization
support .
It was noted that the Sub-Committee had some of this material.
To proceed with this, Council would need to make a decision to get involved again.
With respect to the Hospital, C.Houze confirmed there is money available for this.
Doctors have the ability to tailor to a specific situation.
7. Next Meeting – Wednesday, April 27, 2016 at 12:00 noon
Noted that C.Houze and D.Calder are meeting next week.
Physician Recruitment and Retention Committee Minutes – March 30, 2016 - 5 -
If an update is crafted it can be circulated by email.
8. Adjournment
Moved By: C.Houze
Resolution
THAT the March 30, 2016 meeting be adjourned at 1:02pm.
1
AHI and TDMH JOINT BOARD OF DIRECTORS
FREQUENTLY USED ACRONYMS AND DEFINITIONS
ACRONYM MEANING DEFINITION
ACH Acute Care Hospital Acute care is a branch of secondary health care where a patient receives active but
short-term treatment for a severe injury or episode of illness, an urgent medical
condition, or during recovery from surgery.
ALC Alternate Level of Care A patient who no longer requires acute care.
ALOS Average Length of Stay Average length of stay is computed by dividing the (total) number of days in
inpatient or acute care institutions by the number of discharges (or admissions).
BBP Balanced Budget Plan A plan to balance budget.
BPSAA Broader Public Sector Accountability Act
The Broader Public Sector Accountability Act, 2010 (BPSAA) contains rules and
accountability standards for designated broader public sector organizations on
expenses, perquisites, and the procurement of goods and services. It also prohibits
designated organizations from paying for a consultant lobbyist with public funds, and
contains specific requirements for hospitals and Local Health Integration Networks,
such as reporting on the use of consultants.
CAW Canadian Auto Workers Union The Canadian Auto Workers is one of Canada's largest and highest profile labour
unions.
CBRN Chemical/Bio/Radiological/Nuclear Chemical, biological, radiological and nuclear defense is protective measures taken
in situations in which any of these four hazards are present.
CCC Complex Continuing Care Hospital-based continuing care serves individuals who may not be ready for
discharge from hospital but who no longer need acute care services. Also known as
extended care, chronic care or complex continuing care, it provides ongoing
professional services to a diverse population with complex health needs.
CCAC Community Care Access Centre The CCACs provide a simplified service access point and are responsible for:
1. professional and homemaker services provided at home and in publicly-
funded schools
2. determining eligibility for, and authorizing all admissions to long-term care
facilities (nursing homes and homes for the aged)
3. service planning and case management for each client
4. providing information on and referral to all other long-term care services,
including volunteer-based community services.
CCO Cancer Care Ontario Cancer Care Ontario is an agency of the provincial Government of Ontario that is
responsible for improving cancer services. It was created by the government of Bob
2
ACRONYM MEANING DEFINITION
Rae in April 1995, and was formally launched in 1997. The agency is governed under
the provisions of the Cancer Act.
CEO Chief Executive Officer A chief executive officer (CEO) is the highest-ranking corporate officer (executive)
or administrator in charge of total management of an organization. An individual
appointed as a CEO of a corporation, company, organization, or agency typically
reports to the board of directors.
CFO Chief Financial Officer Defined as the senior financial officer employed by the hospital who reports directly
to the administrator and is responsible for financial services provided in a hospital.
CHA Canadian Hospital Association A non-governmental, advocacy and policy organization representing the federation of
provincial and territorial hospital and health organizations across Canada. CHA’s
mission is to improve the delivery of health services in Canada through policy
development, advocacy and leadership.
CHC Community Health Centre A non-profit, community-based facility that offers medical care by family physicians
and health promotion services. CHCs receive an annual operating budget from the
province, and pay health care providers on a salary or sessional basis.
CIHI Canadian Institute of Health Information A not-for-profit corporation working with public and private sectors throughout
Canada to provide the information needed to better manage the Canadian health
system, and to promote the health of Canadians through more effective research,
better program management and improved public understanding of health issues and
concerns.
CMA Canadian Medical Association Mission is to serve and unite the physicians of Canada and be the national advocate,
in partnership with the people of Canada, for the highest standards of health and
health care.
CMG Case Mix Groupings A mechanism used to group inpatient cases of similar diagnoses, principal
procedures, ages and combined conditions or complications.
CNE Chief Nursing Executive Defined as the senior nurse employed by the hospital who reports directly to the
administrator and is responsible for nursing services provided in a hospital.
CON College of Nurses The College of Nurses of Ontario is the governing body for registered nurses (RNs),
registered practical nurses (RPNs) and nurse practitioners (NPs) in Ontario, Canada.
COS Chief of Staff Defined as the senior physician, appointed by the Board of Directors, to ensure that
the quality of the medical and dental care given to all patients of the Hospital is in
accordance with policies established by the Board.
CPSO College of Physicians & Surgeons of Ont. A self-regulating body for the province's medical profession. The College regulates
the practice of medicine to protect and serve the public interest. It issues certificates
of registration to doctors to allow them to practise medicine, monitors and maintains
standards of practice through peer assessment and remediation, investigates
3
ACRONYM MEANING DEFINITION
complaints against doctors on behalf of the public, and disciplines doctors who are
guilty of professional misconduct or incompetence.
CQI Continued Quality Improvement A management concept that encourages people to identify and resolve problems in
the operation of organizational systems.
CTA Consent to Treatment Act The Health Care Consent Act creates a uniform set of rules for consent to treatment.
These rules apply to all types of treatment, no matter where the treatment is given.
CTAS Canadian Triage Acuity Scale The CTAS levels are designed such that level 1 represents the sickest patients and
level 5 represents the least ill group of patients.
DI Diagnostic Imaging Use of electromagnetic radiation to produce images of internal body structures for
diagnosis.
DME Diagnostic Medical Equipment Specialized medical equipment designed to aid in the diagnosis and treatment of
medical problems.
DRG Diagnosis Related Group A mechanism developed and used in the United States of similar diagnoses and
resource use.
EAP Employee Assistance Program Employee Assistance Programs (EAPs) are employee benefit programs offered by
many employers. EAPs are intended to help employees deal with personal problems
that might adversely impact their work performance, health, and well-being. EAPs
generally include short-term counseling and referral services for employees and their
household members.
ED Emergency Department An emergency department (ED), also known as accident & emergency (A&E),
emergency room (ER), or casualty department, is a medical treatment facility
specializing in acute care of patients who present without prior appointment, either
by their own means or by ambulance. The emergency department is usually found in
a hospital or other primary care center.
EMR Electronic Medical Record A computer-based patient medical record.
ELOS Expected Length of Stay Calculation of expected length of stay for patients based on diagnosis.
ESA Employment Standards Act This Act regulates employment in the province of Ontario, including wages,
maximum work hours, and workplace health and safety. I
FHO Family Health Organization
A family physician practice model in the province that involves a group-based
practice and interdisciplinary teams.
FHT Family Health Team A Family Health Team (FHT) is an approach to primary health care that brings
together different health care providers to co-ordinate the highest possible quality of
care for the patient. The term primary health care refers to your first contact in the
health care system be it a doctor or nurse practitioner.
FIPPA Freedom of Information and Protection of Establishes rules that govern a hospital’s management of personal information and
4
ACRONYM MEANING DEFINITION
Privacy Act thus ensures that the privacy of individuals is protected in the day-to-day operations.
It also provides a right of access to information under the control of institutions.
H-SAA Hospital Services Accountability
Agreement
HAA outlines key principles for the relationship between Ontario Hospitals and the
Ministry. It also defines the role and responsibilities of the Ministry and the hospitals
to plan together, bargain in good faith, adhere to negotiated commitments and
manage performance in a manner that is mutually respectful and accountable.
HAPS Hospital Annual Planning Submission The introduction of the HAPS in fiscal 2005/06 was the next step in the evolution of
the multi-year planning submission. The HAPS links to the performance measures in
the HAA and facilitates planning over a longer horizon.
HERS Hospital Employee Relations Services The Hospital Employee Relations Services (HERS) of the Ontario Hospital
Association provides comprehensive and professional labour relations training
programs designed to be tailored to meet the needs of individual hospitals
IHSP Integrated Healthcare Strategic Plan
The Local Health Integration Network has developed an Integrated Healthcare
Strategic Plan for the southwest region.
PHIPA Personal Health Information Protection
Act
Purpose is to establish rules for the collection, use and disclosure of personal health
information about individuals that protect the confidentiality of that information and
the privacy of individuals with respect to that information, while facilitating the
effective provision of health care
HIRF Hospital Infrastructure Renewal Fund Established in 1999 to assist hospitals in renewing their healthcare facilities. In 2004,
the program was reformed to make minor capital project approvals more efficient and
to distribute infrastructure renewal funds to hospitals annually. The HIRF grant
supplements an institution's existing renewal program and helps healthcare facilities
address any renewal needs on a priority basis.
HIROC Hospital Insurance Reciprocal of Canada HIROC provides a stable, financially sound and practical alternative to meet the
health care industry's liability insurance needs.
HIS Hospital Information System Provides key information across the continuum of patient care.
HOOPP Hospitals of Ontario Pension Plan As a defined benefit pension plan, HOOPP provides eligible members with a
retirement income based on a formula that takes into account a member's earnings
history and length of service in the Plan. Once eligible members start receiving a
pension, they receive it for life. HOOPP's assets are actively managed using a
diversified, long-term investment strategy.
HUGO Healthcare Under Going Optimization A joint initiative involving regional hospitals to implement an electronic patient
record.
GCE Governance Centre of Excellence The Governance Centre of Excellence is an initiative of the Ontario Hospital
Association. Since 2005, we have been actively engaged in improving governance
by providing boards with resources ever more vital in our constantly changing health
5
ACRONYM MEANING DEFINITION
care environment. Our industry-leading services and educational programs,
including our authoritative Guide to Good Governance, are tailored to satisfy every
stage of the trustee lifecycle.
GBRHC Grey-Bruce Regional Health Centre Grey Bruce Health Services has six hospitals. Our hospital in Owen Sound provides
regional specialty services across Grey and Bruce counties. Our hospitals located in
Lion's Head, Markdale, Meaford, Southampton and Wiarton offer a wide range of
primary and ambulatory care services to their communities and to our many seasonal
visitors.
GP General Practitioner A general practitioner (GP) is a medical practitioner who treats acute and chronic
illnesses and provides preventive care and health education to patients.
HAB Hospital Appeal Board Appeal Board means the Health Professions Appeal and Review Board under the
Ministry of Health and Long-Term Care Appeal and Review Boards Act, 1998.
HBAM Health Based Allocation Model Funding is allocated to specific procedures based on a "price X volume" approach.
This involves providing evidence-based allocations to targeted clinical groups. The
price is structured to provide an incentive and adequately reimburse providers for
delivering high-quality care
HIRF Hospital Infrastructure Renewal Fund The Ministry of Health and Long-Term Care (ministry) established the Health
Infrastructure Renewal Fund (HIRF) in 1999 to assist hospitals in renewing their
hospital facilities. The HIRF program was reformed in 2004 to streamline minor (less
than $1 million) infrastructure renewal project approvals and to distribute
infrastructure renewal funds annually to public hospitals. The program changed in
2007 to reflect the ministry’s new stewardship role, and the establishment of Local
Health Integrated Networks (LHINs). The HIRF grant is to be used to supplement a
hospital’s renewal needs on a priority basis.
HIROC Healthcare Insurance Reciprocal of
Canada
HIROC is a non-profit organization that insures over 500 healthcare organizations in
Canada, including Midwives in
Ontario, Alberta, Saskatchewan and Manitoba and Nova Scotia.
HIS Hospital Information System A Hospital information system is a comprehensive, integrated information system
designed to manage all the aspects of a hospital operation, such as medical,
administrative, financial, legal and the corresponding service processing.
HOCC Hospital On Call Coverage The Hospital on-Call Coverage (HOCC) Program was developed to enhance and
stabilize the delivery of hospital on-call services to Ontario patients by providing
stability and predictability in physician on-call coverage across Ontario.
HOOPP Hospitals of Ontario Pension Plan Since its creation in 1960, the Healthcare of Ontario Pension Plan (HOOPP) has been
helping to build the foundation for a financially secure retirement for Ontario’s
6
ACRONYM MEANING DEFINITION
healthcare workers. The Plan is tailored to the healthcare sector and offers its
members retirement income for life.
HSMR Hospital Standardized Mortality Rate HSMR is an overall quality indicator and measurement tool that compares a
hospital's mortality rate with the average national experience, given the types of
patients cared for. It has been used by many hospitals worldwide to assess and
analyze mortality rates and to identify areas for improvement.
ICCU Intensive Coronary Care Unit A coronary care unit (CCU) or cardiac intensive care unit (CICU) is a hospital
ward specialized in the care of patients with heart attacks, unstable angina, Cardiac
dysrhythmia and (in practice) various other cardiac conditions that require continuous
monitoring and treatment.
ICES Institute for Clinical Evaluative Sciences A research centre established to examine the interface of clinical practice and health
policy decision making.
IHS Integrated Health System An organization or a network of organizations that provide or arrange to provide a
co-ordinated continuum of services to a defined community and is held clinically and
fiscally accountable for the outcomes and health status of those served.
IT Information Technology The study or use of systems (esp. computers and telecommunications) for storing,
retrieving, and sending information.
IUOE International Union of Operating
Engineers
The International union of Operating Engineers is a progressive, diversified trade
union that primarily represents Operating Engineers who work as heavy equipment
operators, mechanics and surveyors in the construction industry and Station
Engineers, who work in operations and maintenance in building and industrial
complexes, and in service industries. The IUOE also represents nurses and other
health industry workers as well as significant numbers of public employees engaged
in a wide variety of occupations.
JHSC Joint Health and Safety Committee A joint health and safety committee (JHSC) is a forum for labour and management
representatives to meet on a regular basis to deal with health and safety issues.
JMC Joint Management Committee A committee established as a result of the 1991 Ontario Medical Association
Agreement. This committee acts as the senior liaison and management mechanism
between the Ministry of Health and the Ontario Medical Association for the
management of medical and related health care services in the province.
JPPC Joint Policy and Planning Committee A partnership between the Ontario Hospital Association and the Ontario Ministry of
Health. Its role is to recommend and facilitate implementation of hospital reform
within the context of the broader health reform agenda.
LOS Length of Stay Length of time of inpatient stay in hospital from date of admission to date of
discharge.
7
ACRONYM MEANING DEFINITION
LHIN Local Health Integrated Network Mandate is local health system planning and community engagement, to provide
funding to a wide range of health service providers, and be largely responsible for
local health system integration.
LTC Long Term Care Long-term care is a variety of services which help meet both the medical and non-
medical need of people with a chronic illness or disability who cannot care for
themselves for long periods of time.
MAC Medical Advisory Committee A committee required by the Hospital Management Regulation to make
recommendations to the hospital board on the establishment of clinical and general
rules respecting the medical and dental staff.
MIS Management Information Systems A system that produces the necessary information in proper form, and at appropriate
intervals, for the management of a program or other activity.
MOH and LTC Ministry of Health and Long-Term Care The ministry is responsible for administering the health care system and providing
services to the Ontario public through such programs as health insurance, drug
benefits, assistive devices, care for the mentally ill, long-term care, home care,
community and public health, and health promotion and disease prevention. It also
regulates hospitals and nursing homes, operates psychiatric hospitals and medical
laboratories, and co-ordinates emergency health services.
MRI Magnetic Resonance Imaging Magnetic resonance imaging (MRI), nuclear magnetic resonance imaging (NMRI), or
magnetic resonance tomography (MRT) is a medical imaging technique used in
radiology to investigate the anatomy and function of the body in both health and
disease.
NP Nurse Practitioner A nurse practitioner (NP) is an advanced practice registered nurse (APRN) who has
completed advanced didactic and clinical education beyond that required of the
generalist registered nurse (RN) role.
OBSP Ontario Breast Screening Program The OBSP provides high-quality mammography services and meets Canadian standards for
the early detection of small invasive cancers.
OCCP Ontario Case Cost Project Mandate to develop more reliable case weight system than the 1985 New York**
charge-base Resource Intensity Weights (RIWs), more valid standards for the
comparison of hospitals and provide hospitals with better information for strategic
and operational planning and management, especially in an environment of
decreasing resources, increasing demand for service and greater emphasis on quality
and accountability.
OHA Ontario Hospital Association An organization of health care providers dedicated to the continued improvement of
health services in Ontario, through leadership, advocacy, education, commitment and
services.
8
ACRONYM MEANING DEFINITION
OHIP Ontario Health Insurance Plan The Ontario Health Insurance Plan (in French: Assurance-Santé de l'Ontario, and
commonly known in both languages by the acronym OHIP, pronounced "oh-hip") is
the government-run health insurance plan for the Canadian province of Ontario.
OHIP is funded by taxes paid by the residents and businesses of Ontario and by
transfer payments from the federal government.
OMA Ontario Medical Association Represents the political, clinical and economic interests of the province's medical
profession. Their mission is to represent and serve Ontario physicians, provide
leadership for an accessible, quality health-care system and advocate for the health of
Ontarians.
ONA Ontario Nurses Association ONA is the trade union that represents registered nurses and allied health
professionals working in hospitals, long-term care facilities, public health,
community agencies and industry throughout Ontario.
OPSEU Ontario Public Service Employees Union The Ontario Public Service Employees Union (OPSEU) is a trade union that
represents employees in the broader public service of the Province of Ontario,
Canada.
OHJEC Oxford Hospital Joint Executive
Committee
A committee comprised of senior leaders from the Oxford hospitals to oversee the
work of the Oxford Hospitals’ Joint Services Plan.
OHJOSC Oxford Hospital Joint Oversight
Committee
A committee comprised of the senior leaders and board executives from the Oxford
hospitals responsible for review and approval of joint initiatives.
OTN Ontario Telehealth Network Telehealth Ontario is a free, confidential telephone service you can call to get health
advice or general health information from a Registered Nurse.
PACS Picture Archive Communication System Involves computerized management and distribution of diagnostic images such as x-
rays, CT, and MRI.
PAIRO Professional Assoc. Of Interns and
Residents of Ontario
The Professional Association of Interns and Residents of Ontario is the official
representative voice for all medical doctors training in the province. PAIRO strives to
promote the optimal work and educational environment, thereby fostering excellence
in patient care.
PHIPA Personal Health Information Protection
Act
A new provincial law that will help keep the personal health information of patients
private, confidential and secure by imposing rules relating to its collection, use and
disclosure.
PIPEDA Personal Information Protection and
Electronic Documents Act
An Act to support and promote electronic commerce by protecting personal
information that is collected, used or disclosed in certain circumstances, by providing
9
ACRONYM MEANING DEFINITION
for the use of electronic means to communicate or record information or transactions
and by amending the Canada Evidence Act, the Statutory Instruments Act and the
Statute Revision Act
POC Point of Care Diagnostic testing at the patient bed side. Also known as “near patient testing”.
PHA Public Hospital’s Act The provincial Public Hospitals Act and its regulations set out the framework for the
operation of hospitals in Ontario.
QCIPA Quality of Care Information Protection
Act The Quality of Care Information Protection Act, 2004 (QCIPA), an important part of
the government's strategy for improving patient safety.
QRPS Quality, Risk, Patient Safety
A terms used to identify matters relating to quality, risk and patient safety.
RCPSC Royal College of Physicians and Surgeon
of Canada
The Royal College of Physicians and Surgeons of Canada is a national, private,
nonprofit organization established in 1929 by a special Act of Parliament to oversee
the medical education of specialists in Canada.
RIW Relative Intensity Weight The RIW system is a relative resource allocation methodology for estimating a
hospital's inpatient-specific costs for both acute and day procedure care. RIWs are
used to standardize the expression of hospital case volumes, recognizing that not all
patients require the same health care resources. Volume is then expressed as
"weighted cases".
RIS Radiology Information System Used by radiology departments to store, manipulate and distribute patient
radiological data and imagery. The system generally comprises of patient tracking
and scheduling, result reporting and image tracking capabilities.
RM Risk Management A management process which focuses on the anticipation and control of events which
might jeopardize the reputation, income, personnel, property and liability of the
facility (hospital).
RNAO Registered Nurses Association of Ontario The Registered Nurses Association of Ontario (RNAO) is the professional
association representing registered nurses in Ontario. It is the strong, credible voice
leading the nursing profession to influence and promote healthy public policy.
SEIU Service Employees International Union Focused on uniting workers in four sectors–-hospital systems, long term care,
property services and public services.
SPD Sterilization, Processing and Distribution Term used to sterilize, process and deliver hospital equipment to appropriate areas.
TVHPP Thames Valley Hospitals’ Planning
Partnership
The TVHPP coordinates and undertakes initiatives to improve the delivery of
hospital-based services within Thames Valley to enhance health care for these
residents. It is a voluntary partnership that includes the eight hospitals in the Thames
10
ACRONYM MEANING DEFINITION
Valley region.
UAP Underserviced Area Program The Underserviced Area Program (UAP) is one of a number of supports provided by
the Ministry to help underserviced communities recruit and retain health
professionals.
WAN Wide Area Network A computer network connected through public networks, leased lines or satellite that
span a relatively large geographical area. The largest WAN in existence is the
Internet.
WSIB Workers Safety Insurance Board The Workplace Safety and Insurance Board (WSIB) oversees Ontario's workplace
safety education and training system, provides disability benefits, monitors the
quality of health care, and assists in early and safe return to work.
WHMIS Workplace Hazardous Materials
Information Systems
WHMIS is a comprehensive plan for providing information on the safe use of
hazardous materials used in Canadian workplaces. Information is provided by means
of product labels, material safety data sheets (MSDS) and worker education
programs.
WHO World Health Organization WHO is a United Nations agency to coordinate international health activities and to
help governments improve health services.
WTS Wait Time Strategy Ontario’s Wait Time Strategy was developed to improve access to five key health
services by reducing wait times for cancer surgery, cardiac procedures, cataract
surgery, hip and knee replacement and MRI and CT scans.
Reviewed: December 2013
Confidential for Internal Use Only
C:\Users\llund\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\AVRFPY0D\Physician Recruitment and Retention Committee Memorandum.docx
The Corporation of the Town of Tillsonburg
MEMORANDUM
DATE: April 25, 2016
TO: Physician Recruitment and Retention Committee
FROM: David Calder
SUBJECT: MARCH 30TH MEETING FOLLOW UP
At its meeting of March 30th, the Physician Recruitment and Retention Committee requested the CAO to bring
back a report with options on how to get obtain information regarding local resident’s that may not have a
physician and linking to a waiting list. The intent was to gather data as to who may not have a local doctor.
On April 11, 2016, the CAO along with the CEO and staff of Tillsonburg District Memorial Hospital met with
Jane Tillmann, Regional Advisor, HealthForce Ontario. Ms. Tillmann provided a presentation regarding the
criteria around the High Needs Designation that Tillsonburg recently received. The intent was to discuss how to
leverage the Designation in order to recruit and retain physicians in Tillsonburg. Jane presented some data
specific to Oxford County associated with residents that do not currently have a local doctor. Rather than
duplicate effort, it would seem appropriate for Ms. Tillmann to present to the Tillsonburg Physician Recruitment
and Retention Committee before the Committee makes efforts to gather data that may already be available. As a
result, Ms. Tillmann will be presenting and providing information specific to Tillsonburg to the Tillsonburg
Physician Recruitment and Retention Committee on April 27th, 2016.
Depending on the material presented, the Committee can then decide if further information should be gathered.
Respectfully submitted by:
David Calder, CAO