Loading...
170919 Physician Recruitment MIN= Attendance: Chair Deputy Mayor Dave Beres Mayor Stephen Molnar Councillor Penny Esseltine David Calder Frank Deutsch Dr. Gerry Rowland Dr. Brian Holowachuk Lesley Ross Lana White 1. Call to Order The meeting was called to order at 12:07pm. 2. Adoption of Agenda Resolution #1 Moved By: Dr. Rowland Seconded By: Councillor Esseltine THAT the Agenda as prepared for the Physician Recruitment & Retention Committee meeting of September 19, 2017, be adopted. Carried 3. Disclosures of Pecuniary Interest and the General Nature Thereof Dr. Rowland declared an interest with respect to Agenda Item 5.1. 4. Adoption of Minutes of Previous Meetings – May 16, 2017 Resolution #2 Moved By: Councillor Esseltine Seconded By: F.Deutsch The Corporation of the Town of Tillsonburg PHYSICIAN RECRUITMENT & RETENTION Tuesday, September 19, 2017 12:00 noon Council Chambers 200 Broadway, 2nd Floor, Tillsonburg, ON N4G 5A7 MINUTES Physician Recruitment & Retention Committee, Minutes – September 19, 2017 - 2 - THAT the Minutes of the Physician Recruitment & Retention Committee Meeting of May 16, 2017 be approved. Carried 5. General Business & Reports 5.1. Report CAO-17-01 – Physician Recruitment Incentive – Request for Funding D.Calder reviewed his report, CAO-17-01, noting that staff have made a recommendation based on the model. Dr. Rowland spoke regarding payment to the clinic, as that was recommended by the recruit’s accountant. D.Calder noted that the intent of the program was to reimburse the recruit not the clinic, adding that he would like to look at the tax implications. Discussion was held to adopt the recommendation in principle, with opportunity for the CAO to research tax implications. Resolution #2 Moved By: Councillor Esseltine Seconded By: F.Deutsch THAT the Physician Recruitment & Retention Committee approve Report CAO-17-01 as amended, providing opportunity for the CAO to research tax implications. Carried L.Ross to facilitate signing of the agreement. 5.2. Update – Dr. Rowland – Oxford County Physician Recruitment Dr. Rowland provided an update. The Oxford County group will be going back to the County in October with a request for 2018 funding. An increase in funding will be requested. The group is reaching out to all physicians in the County, asking those physicians that are planning to retire in the next 3 years to let the group know so that a ‘confidential’ list can be compiled. Dr. Rowland reported on the group’s advertising campaign. 9 physicians have been placed within Oxford County. Physician Recruitment & Retention Committee, Minutes – September 19, 2017 - 3 - 5.3. Survey Results – Physician Recruitment – Oxford County Budget Survey Chair Beres reported on the survey conducted by Oxford County. 5.4. SWLHIN Physician Orientation Pilot Project (3 attachments) L. Ross reported. There is a new pilot project being developed in Elgin and Oxford. They are looking for support. 6. Other Business 7. Next Meeting The next meeting to be at the call of the Chair. 8. Adjournment Resolution #3 Moved By: L.Scott Seconded By: F.Deutsch THAT the Physician Recruitment & Retention Committee Meeting of September 19, 2017, be adjourned at 1:05p.m. = Attendance: Chair Deputy Mayor Dave Beres Mayor Stephen Molnar Councillor Penny Esseltine David Calder Frank Deutsch Lesley Ross Dr. Gerry Rowland Lana White 1. Call to Order The meeting was called to order at 12:10pm. 2. Adoption of Agenda Resolution #1 Moved By: Councillor Esseltine Seconded By: Frank Deutsch THAT the Agenda as prepared for the Physician Recruitment & Retention Committee meeting of May 16, 2017, be adopted. Carried 3. Disclosures of Pecuniary Interest and the General Nature Thereof Dr. Rowland declared an interest, Agenda Item 5. 4. Adoption of Minutes of Previous Meetings – February 14, 2017 Resolution #2 Moved By: Councillor Esseltine Seconded By: Mayor Molnar THAT the Minutes of the Physician Recruitment & Retention Committee Meeting of February 14, 2017 be approved. The Corporation of the Town of Tillsonburg PHYSICIAN RECRUITMENT & RETENTION Tuesday, May 16, 2017 12:00 noon Council Chambers 200 Broadway, 2nd Floor, Tillsonburg, ON N4G 5A7 MINUTES Physician Recruitment & Retention Committee, Minutes – May 16, 2017 - 2 - Carried 5. General Business & Reports 5.1. Implementation of Incentive Package D.Calder updated the Committee. Recommendations from the Physician Recruitment and Retention Committee went to Council April 24. Council passed the following resolution, approving the Incentive Program. THAT Council receives Report CAO 17-03 Shared Physician Recruitment Incentive Support Model; AND THAT the Town of Tillsonburg supports the Physician Recruitment and Retention Committee recommended “Shared Physician Recruitment Incentive Support Model”, as attached to Report CAO 17-03; AND THAT the Town of Tillsonburg agrees to fund its share of the Physician Recruitment Incentive Support Model in 2017 from reserves up to a maximum of $60,000 (2 Physicians); AND THAT the Physician Recruitment Incentive Support Model associated funding be part of the 2018 budget. The Hospital has dealt with the Physician Incentive Support Model and funding at their level. F.Deutsch confirmed $60,000 in the Hospital’s budget as well. The report has been provided as information. Opportunity was given for comments and questions. Clarification was given with respect to the funding allocation. $60,000 is the budgeted figure for 2017. D. Calder reiterated Council has allocated the funds, and it is up to the Committee to determine how to use the money. If we have additional doctors and need more funding that would need to go back to Council. Discussion was held regarding the process. An application will not be required. Receipts will be. Clarification was given that funds go to the recruit. With receipts, invoice(s) to be paid, to a maximum of $6000/month to the recruit, who pays the clinic. D.Calder and L.Ross to coordinate. Physician Recruitment & Retention Committee, Minutes – May 16, 2017 - 3 - The following resolution was passed. Resolution #3 Moved By: Mayor Molnar Seconded By: Councillor Esseltine THAT the two CAOs of the partnered agencies, assisted by the facilitator, act as the recommending arm for any and all correspondence that requests participation in the Tillsonburg Recruitment Program; AND FURTHER THAT the recommendation be circulated to members of the Committee for approval. Carried It was noted that a member of the FHO would not vote on an application from the same FHO. As outlined in the resolution, completed agreements to be reviewed by the Committee. Operationally speaking to that, they will be reviewed on the merits of what the program is, and make a sound recommendation to the Physician Recruitment and Retention Committee. It was noted, not every decision or FOE would use the maximum funding. It was also noted, this is a program that will remain in position until a decision is made otherwise. D.Calder has talked to the Chamber of Commerce, in terms of a funding partnership. If we receive donations from individuals, we can provide a receipt. 5.2. Correspondence from Tillsonburg Medical Clinic dated May 1, 2017 Dr. Rowland asked for clarification regarding funding, with respect to funding multiple recruits with the $60,000 or less. It was confirmed that would be acceptable. Dr. Rowland noted he would be happy to confidentially share with the CAO and F.Deutsch a projection of costs, along with receipts. Physician Recruitment & Retention Committee, Minutes – May 16, 2017 - 4 - 5.3. Draft Communication to Family Physicians, regarding Incentive Package The draft letter was reviewed. The following resolution was passed. Resolution #4 Moved By: Mayor Molnar Seconded By: Councillor Esseltine THAT the letter to Family Physicians regarding the incentive package be approved, as amended with the removal of the second last paragraph. Carried L.Ross to forward the letter electronically, as soon as possible. 6. Other Business 6.1. CPSO Council Award 2018 Dr. Rowland commented. Note to receive as information and file. 6.2. Information/Program Update L.Ross noted that the Hospital puts out a Report to the community each spring. Welcoming new physicians is included. D.Calder suggested a broader communication, not using names, to serve as a general update on the program. 7. Next Meeting It was discussed and decided that there would be no June meeting. D.Calder to email the 3 recommendation. If he or F.Deutsch do not here any objections, they will proceed. The definition of approval is not objecting. 8. Adjournment Resolution #5 Moved By: P.Esseltine Seconded By: L.Ross THAT the Physician Recruitment & Retention Committee Meeting of May 16, 2017, be adjourned at 1:05 p.m. Carried New Physician Orientation Dr. _________________ Congratulations on choosing to practice in ________________, a community in the South West LHIN. The New Physician Orientation program has been designed to help you create an efficient and effective practice. If you choose to participate, you will receive support throughout the first year of your practice. Program Content EMR Support – Partnering for Quality  Onsite digital health coach will guide you through setting up your EMR and help provide templates, preventative and chronic care billing and management solutions  Support will be provided over the year as needed  Competencies assessed by physician self-assessment Health System and Community Supports  Half day orientation session within first 3 months of practice o Content to include information on:  Practice community  Primary care in the South West LHIN  Health status of local population and practice obligations for public health reporting  Community support agencies that you identify as a priority  Overview of Agency  Supports provided  Patient access  Physician communication  Additional sessions at physician’s office throughout the year to introduce additional community supports not covered in orientation session  Identification of system expert to answer any questions arising throughout the first year  Physician to provide feedback on program New Physician Orientation West Elgin Community Health Centre and the South West LHIN jointly sponsored a study called Understanding Health Inequities and Access to Primary Care in the South West LHIN to gain a better understanding of the needs of those facing multiple barriers to accessing health care and the changing demographics of both the general population and the primary care providers. To accomplish this, several phases of research were conducted: (1) a literature review focusing on access and barriers to primary care, (2) geospatial and geostatistical analysis of the South West LHIN, (3) surveys of the population and health care providers to validate collected data and address gaps, and (4) focus groups to collect peoples’ lived experiences in accessing primary care. The following key questions guided the research: 1. How closely do primary care services in the South West LHIN meet the needs of the population based on the social determinants of health? 2. What does the evidence tell us about how the spectrum of social determinants of health that people experience effect their primary care needs? 3. How do the social determinants of health measures correlate with health service use (as a proxy of health service need)? The research focused on five specific vulnerable groups: i) Indigenous people; ii) ethno-cultural groups and recent immigrants; iii) rural residents; iv) people with low socioeconomic status; and v) seniors. Five recommendations with specific actions were developed based on the findings of the study. One of the recommendations is that timely, quality primary care will be available to people in the South West LHIN by ensuring the right mix and distribution of primary health care providers throughout the region. To support this, it was agreed that new physicians would benefit from supportive measures to enhance the utilization of currently available resources in the LHIN. Action 4.2 HealthForce Ontario in partnership with the LHIN and other key stakeholders will create an orientation for all primary care providers prioritizing new primary care providers to expedite and enhance their understanding of patient and provider resources available and facilitate ease of referral and collaboration. Based on the recommendation and action item, a working group was formed to develop and pilot a New Physician Orientation process for family physicians starting a new comprehensive primary care practice in the South West LHIN. New Physician Orientation Working Group Objective Design and implement an orientation for new family physicians to learn about processes and partners to support optimal management of their patient population. The orientation should be localized but replicable to all sub regions in the South West LHIN. Methodology  Identify current gaps and successes with physician referral, use of your agency  Identify scope of orientation  Identify core processes and partners  Content  Delivery  Physician engagement  Organization to be responsible  Feedback and Quality Improvement Timelines  Working group to develop process for July 2017 test in Elgin and Oxford  Incorporate feedback  Create template for Sub Region adaption by October 2017 Membership Organization Name Role Area Represented Partnering for Quality Rachel LaBonte Program Lead SW LHIN Partnering for Quality Kevin Newcombe ehealth coach SW LHIN Oxford County Public Health Laura Gibbs Public Health Planner Oxford Elgin County Physician Recruitment Cheryl Fish Physician Recruiter Elgin Health Force Ontario Jane Tillmann Regional Advisor SW LHIN SW LHIN Kristy McQueen Primary Care Lead SW LHIN TVFHT Keri Selkirk Executive Director Elgin and Oxford Healthlinks Michelle Penfold Healthlinks lead Oxford CMHA/Oxford Health System Planning Mike McMahon ED CMHA Oxford Oxford New Physician Orientation Half Day Orientation Agenda - Tillsonburg Time Length Topic Presenter 9:00 am 5 min Welcome and Opening Remarks Orientation Coordinator 9:05 am 15 min Primary Care in the SW LHIN Oxford Clinical Lead Physician 9:20 am 10 min Living and working in the City of Tillsonburg, Oxford County Mayor or municipal representative 9:30 am 20 min Health Status Oxford County, What are your public health responsibilities? MOH, Oxford 9:50 am 30 min #1 - Overview of Agency, Supports provided, patient access, physician communication Agency Representative 10:20 am 10 min Break 10:30 am 30 min #2 - Overview of Agency, Supports provided, patient access, physician communication Agency Representative 11:00 am 30 min #3 - Overview of Agency, Supports provided, patient access, physician communication Agency Representative 11:30 am 15 min Partnering for Quality – Review of Orientation Process and Next Steps Rachel LaBonte 11:45 am 15 min Questions All 12:00 pm 30 min Lunch All