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070626 Physician Recruitment MINMINUTES: Meeting for the Committee "Physician Recruitment and Retention Committee" CALL TO ORDER APPROVAL OF AGENDA Moved by Dr. Lamb Seconded by Dr. Rowland THAT the Agenda be adopted with the following addition: 0 Supporting Statistics - Verbal Report (Dr. Rowland) (under'Business Arising from the Minutes'). "Carried" APPROVAL OF MINUTES MINUTES May 29 2007.doc Moved by Dr. Rowland Page 1 MINUTES: Meeting for the Committee "Physician Recruitment and Retention Committee" Seconded by Dr. Lamb THAT the Physician Recruitment and Retention Committee Minutes dated May 29, 2007 be adopted. "Carried" BUSINESS ARISING FROM THE MINUTES 1. Proposed Incentive Program • Discussion was held regarding the government standard of individuals without a family doctor vs. the realistic numbers, being considerably higher, and how to work towards achieving the government standard. • Dr. Lamb wondered if it would be reasonable to say the new physician would assume that at least half of his/her patients would be new patients. • Dr. Rowland commented that the goal isn't to get someone in to make the current doctors' jobs easier, but rather to serve the public. • Dr. Roth commented regarding not .putting a firm number on the number of new patients, but say that we will serve some new patients. • Mayor Molnar commented that this initiative is about bringing new physicians into the community, that will satisfy those individuals that don't have doctors, and also about making economic development more attractive. • Dr. Lamb suggested wording along the lines of..."It is anticipated a new physician will spend a significant amount f time caring for new patients." • Dr. Rowland commented regarding his concerns with the quality of care being offered (because of the current lack of physicians), as well as succession planning. He added that, all agree around the table that the purpose of recruitment is to provide for better medical care in Tillsonburg, and that includes addressing the need for people that do not have doctors. This Committee is committed to that. • D. Morris noted that, at the end of the day, one way or another, every time we bring a new doctor into Town, it will help the situation. • J. Moylan agreed with Dr. Lamb's suggested wording. • Dr. Roth pointed out a potentially new problem ... if a doctor leaves after a year, the clinic will be left with a number of new patients. • Discussion continued regarding wording. • Mayor Molnar noted that the wording to replace the second last paragraph of the draft document , as suggested by Dr. Lamb at the last meeting, and incorporated into the Minutes of May 29th (attached), needs a mover and seconder to get it into the final document. • Following discussion, it was: • • Moved by Dr. Lamb • Seconded by Dr. Rowland THAT the 3rd last paragraph of the 'Financial Incentive' document be amended by replacing it with: "The recruit and the clinic would agree that the rostering of new patients is a priority"; AND THAT the 2nd last paragraph of the 'Financial Incentive' document be amended by replacing it with: "The recruit would be expected to pursue a full-time practice, involving hospital and/or ER coverage with hours of work and holiday time agreeable to all parties involved." "Carried" • These changes are to be incorporated into the 'Financial Incentive' document. • Discussion under'Business Arising from the Minutes' continued. • Mayor Molnar reported that relative to Schedule A -'Model for Financial Incentive to Attract New Family Practice Physicians to Tillsonburg', this appeared on the Council Agenda last evening in Executive - Closed Session, for the purpose of giving Staff and Committee direction. The following direction was given by Council at that time: Page 2 MINUTES: Meeting for the Committee "Physician Recruitment and Retention Committee" "THAT Council endorse funding formula for physician recruitment that provides for up to 50% funding for these positions for a maximum contribution of $90,000 per annum. • Discussion was held. • J. Moylan suggested $96,000 and getting 'three' recruits on board. He advised that there will be a motion at the Hospital Board Meeting this evening for three recruits. • J. Moylan also noted that St. Thomas recently hired a recruiter, which will cost them $96,000 in fees alone. • Supporting Statistics - Verbal Report (Dr. Rowland) • Discussion continued with respect to the number of Tillsonburg and area residents that do not have a local doctor. • Dr. Rowland provided a verbal report and noted that his findings are based on calls to the Emergency Department, and show that 1 in 6 do not have a family doctor. It was noted that 1 in 10 is the Provincial average. Dr. Rowland to email his 'supporting statistics' in detail to L. Lund, to provide to the Committee. • • Tracking of new patients was discussed, and it was suggested this could be done on a monthly basis through billing codes. 2. Up -Date on other Previous Action Items i) Professional Association of Internes & Residents of Ontario (PAIRO) Tour • It was noted that Tom McHugh had reported on this at the last meeting. • Dr. Roth noted that currently we have two physicians going to Kingston and Ottawa, and Dr. Rowland noted that he plans to go to Hamilton and London. • Dr. Roth added that beyond that, we don't have any firm commitment for other medical schools, but there will be more when the time comes. • Dr. Lamb questioned what could be offered to individuals when physicians attend these functions. • Mayor Molnar responded by noting again that the Town has approved this and hopefully the Hospital Board will this evening. • Dr. Roth reminded everyone that during the PAIRO Tours they see only 2 or 3 individuals that are in a position of actually looking. The majority of people seen are students at different stages of the 4-year program. • Discussion continued on how to collectively get the message out about this program. • It was noted that Dr. Rowland is working towards an opportunity to meet with individuals. He intends to approach this the first week in July. Perhaps an evening can be funded and a group of Tillsonburg Physicians and representatives can attend. • Mayor Molnar reiterated that the Town has made a decision, and suggested Mr. Morris and Mr. McHugh start to pull together what this Committee is endorsing... i.e. what the next steps are for the Town and Hospital; when mutual releases will be made to publicize the program (should be part of a press release); look at and involve other partners to make sure they are out there, aware and promoting; etc. He also commented regarding the development charges aspect, noting that this is more geared to capital, but there may be some opportunity for leverage. • J. Moylan commented regarding the promotional aspect, and cautioned against presenting this program to the municipality and others prematurely, as it's a good enough idea that it will be picked up and we will have competition in our search for new recruits. He suggested speaking about the program in general terms only at this time. He also commented that a wild press release may be more of a hindrance. He suggested wording it in such a manner that we don't give it away ... make it general enough that we aren't giving away details. • Dr. Rowland commented that J. Moylan had a good point. Page 3 MINUTES: Meeting for the Committee "Physician Recruitment and Retention Committee" • It was suggested that the week before the tour begins, an announcement be made that we are participating in the tour, and then start the marketing pitch after that. • Dr. Rowland noted that we don't have the solution ... we have part of the solution ... and this job won't be over until we have singed 3 new recruits and are working on the next 3. • Mayor Molnar noted that it is his understanding that the Hospital and Town are working together to develop backdrops and booths, bringing them up to date. He also questioned whether a brochure could be put together for marketing purposes. • D. Morris commented that we can put together some promotional material that shows positive action, without losing our competitive edge. We can show that the Town, Hospital and Doctors are working together towards a solution. • J. Moylan agreed with illustrating that the Doctors, Town and Hospital are all working together. • Dr. Rowland commented, as a note for future business, this group will need to get together to review appropriate contracts. He presented that as a recommendation for D. Morris and T. McHugh to work towards. • There will need to be some documentation that funding is being received from the Town. Either the Hospital and Town come together, or they will be three part agreements. • D. Morris suggested some sort of an admin agreement between the Town and Hospital. • It was suggested the agreement(s) be kept very simple. NEW BUSINESS i) Rnl INI-) TART F It was rioted that this program could be offered right away, pending Hospital Board approval. Mayor Molnar suggested an internal meeting, where T. McHugh and/or D. Morris outlined what the program is so that everyone hears the same information. NEXT MEETING Discussion was held regarding the date of the next meeting. The next meeting was tentatively scheduled for July 24th. This date to be confirmed with the Chair prior to sending out a formal invitation. ADJOURNMENT Meeting adjourned at 1:00 p.m. Page 4 MINUTES: Meeting for the Committee "Physician Recruitment and Retention Committee" Approval Received: (1 of 1) Lana Lund/Tillsonburg (Thursday July 05, 2007 10:24 AM) Clerk's Approval Received: Town of Tillsonburg Page 5