190521 Physician Recruitment MIN
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Attendance:
Chair Dave Beres
Mayor Stephen Molnar
Councillor Penny Esseltine
David Calder, CAO, Town of Tillsonburg
Sandy Jansen, CEO, TDMH
Dr. Jamie Cluett
Dr. Howard Lamb
Dr. Gerry Rowland
Lance Scott
Lana White, Executive Assistant/Deputy Clerk, Town of Tillsonburg
Regrets:
Dr. Brian Holowachuk
Lesley Ross, Recruitment Coordinator, TDMH
1. Call to Order
The meeting was called to order at 1:03pm.
2. Adoption of Agenda
Resolution
Moved By: Councillor Esseltine Seconded By: Dr. Cluett
THAT the Agenda as prepared for the Physician Recruitment & Retention Committee
meeting of October 16, 2018, be adopted.
Carried
3. Disclosures of Pecuniary Interest and the General Nature Thereof
There were no disclosures of pecuniary interest declared.
The Corporation of the Town of Tillsonburg
PHYSICIAN RECRUITMENT & RETENTION
Tuesday, October 16, 2018
12:00 noon
Council Chambers
200 Broadway, 2nd Floor, Tillsonburg, ON N4G 5A7
MINUTES
Physician Recruitment & Retention Committee, Minutes – October 16, 2018 - 2 -
4. Adoption of Minutes of Previous Meetings – June 19, 2018
Resolution
Moved By: Mayor Molnar Seconded By: Councillor Esseltine
THAT the Minutes of the Physician Recruitment & Retention Committee Meeting of June 19,
2018 be approved.
Carried
Discussion from the Minutes:
S.Jansen reported that the Hospitalist Program went live July 2018.
4 Hospitalists have been recruited. They work on a rotating basis, and cover in-patients
only.
Life of stay is decreasing in the hospital.
Generally, physicians are going to the office earlier, and able to see more patients.
It has been very positive.
The Ministry will continue to fund 8 beds on a temporary basis, to bridge over flue and winter
season. This is when volumes tend to increase.
Will continue to advocate for those beds to be made permanent.
Opportunity to show the new physicians around town was discussed. This is done in other
communities, sometimes with the Board Chair.
5. General Business & Reports
5.1. Update – New Internal Medicine Recruits – Drs. Hyatt and Naser
S.Jansen provided an update.
Two Internal Medicine Physicians have been recruited, beginning in November.
Both have families, and will be relocating to the area.
DIRECTION: D.Calder and S.Jansen to discuss incentives.
5.2. Update – New GP Physician, Tillsonburg Medical Centre – Dr. Haj Bakri
Dr. Lamb reported on the new recruit in the Tillsonburg Medical Centre.
Physician Recruitment & Retention Committee, Minutes – October 16, 2018 - 3 -
At this point, he won’t be a member of the practice. For 6 months he will work as a
locum, working in the office, and working in emerg at the Hospital.
He will be eligible for the incentive program.
Dr. Lamb is looking for guidance, to apply for the stipend now or in 6 months. The
difference between this locum and others is that this one is coming into a practice.
Discussion was held about the incentive of maximum $6,000 per month, with
receipts/backup. There have been variations on that amount, based on what’s been
submitted and supported by documentation.
It was noted that there is no incentive in terms of overhead for someone working in
the hospital, other than some relief in terms of rent at the hospital. There are also
recruit incentives for moving and housing.
DIRECTION: D.Calder and S.Jansen were asked to discuss incentives, and review
what it will take to attract family physicians, internal medicine physicians, etc.
As noted in the June19, 2018 Minutes, currently there is one incentive package used
for any recruits.
S.Jansen noted that the Hospital cannot add anything to the incentive program for
the coming year.
Discussion was held regarding reaching out to areas outside of Tillsonburg to offset
pressures on Tillsonburg. The Tillsonburg Multi-Service Centre has success in doing
that.
5.3. Oxford County Physician Recruitment Update (Dr. Rowland)
Dr. Rowland provided an update, and will be bringing more information to the
Committee at the next meeting.
Dr. Rowland, A.J. Wells and David Calder will be meeting.
Contributions from this group are encouraged.
6. Other Business
Physician Recruitment & Retention Committee, Minutes – October 16, 2018 - 4 -
7. Next Meeting – November 20, 2018
Item for next meeting:
- how to work more closely with the County Group in the future (Dr. Rowland)
8. Adjournment
Resolution
Moved By: Councillor Esseltine Seconded By: Mayor Molnar
THAT the Physician Recruitment & Retention Committee Meeting of October 16, 2018, be
adjourned at 12:52 p.m.
Carried
PRIVATE AND CONFIDENTIAL
BRIEFING NOTE - DRAFT
DATE: October 29, 2018
FROM: S. Jansen, President and CEO, Tillsonburg District Memorial Hospital
D. Calder, CAO, Town of Tillsonburg
TOPIC: Physician Recruitment Incentive
PURPOSE: The purpose of this briefing note is to propose an adjustment to the Physician Recruitment Incentive
currently in place.
BACKGROUND: In January 2016, a shared physician recruitment incentive support model was implemented
collaboratively between the Town of Tillsonburg and Tillsonburg District Memorial Hospital. At that time, it was
recognized that family physicians are critical to the town’s further growth and prosperity. Since that time, three
important factors have changed the landscape, necessitating a re-evaluation of the incentive framework. First, it has
become apparent that as the demographics of the population of our communities ages the health care needs of our
patient population have become increasingly complex necessitating the need to recruit physicians specially trained in
areas like cardiology, respirology and gerontology. Secondly, the acuity of patients seen in our Emergency Department
(ED) has increased. Lastly family physicians, with increasing frequency, are expressing the desire to limit their practice
to their offices and are opting out of providing coverage to the ED and hospitalized patients. This is driving the need to
recruit specialists in Internal Medicine, Hospitalists and ED trained physicians.
The pressures described above are creating an unprecedented pressure to recruit physicians into our community
however we are experiencing difficulty in attracting these skilled professionals. As highlighted in 2016, financial
incentives will increase the probability of physicians relocating to our Community.
OBJECTIVE: To ensure the ongoing sustainability and viability of the hospital it is imperative that physicians with
appropriate training are available to serve the community.
RECOMMENDATION: Given the need described above, it is recommended that the Recruitment and Retention
package originally implemented for Family Physicians moving to Tillsonburg be extended to Internal Medicine
Specialists and any other physician specialty deemed critical to support the healthcare needs of the communi ties and
the ongoing operations of the hospital where standard recruitment efforts have not been successful in attracting
candidates.
See attached proposed recruitment incentive proposal.
Briefing Note Page 2
(Organizational and Leadership Restructuring)
APPENDIX 1
SHARED PHYSICIAN
RECRUITMENT INCENTIVE
SUPPORT MODEL
FAMILY PHYSICIAN
SHARED PHYSICIAN
RECRUITMENT INCENTIVE
SUPPORT MODEL
INTERNAL MEDICINE
Contribute up to
$5,000.00 in moving
expenses for relocation
to Tillsonburg (with
appropriate receipts).
The physician recruit must
reside within 15
kilometers of Tillsonburg
for the moving stipend to
apply.
$5,000.00 Contribute up to
$5,000.00 in moving
expenses for relocation to
Tillsonburg (with
appropriate receipts). The
physician recruit must
reside within 15 kilometers
of Tillsonburg for the
moving stipend to apply.
$5,000.00
Six months of housing
support up to $7,350.00.
$7,350.00 Six months of housing
support up to $7,350.00.
$7,350.00
Up to $10,000 for Clinic
space and equipment
updates, to the Clinic that
will employ the physician
recruit (with appropriate
receipts) (i.e. Electronic
Medical Record, new
equipment)
$10,000.00 Clinic space including
payment for clerical
support to handle
bookings, office visits and
patient records for up to
three months at no cost
to the recruit. This is not a
permanent arrangement
and the Hospital will work
with the recruit to develop
a clinic within the hospital
that is cost neutral to the
Hospital.
$10,000.00
Maximum $6,000 per
month, for the first six
months, payable to the
physician recruit toward
clinic overhead costs
(with appropriate
receipts).
$36,000.00 A forgivable loan of
$30,000 based on a five-
year return of service
agreement for full service
to the hospital and
community;
A cash advance on the
recruit’s OHIP billings for
up to three months for
which the term of
repayment to the Hospital
will be established by both
parties. (estimated
$75,000.00)
$30,000.00
TOTAL INCENTIVE $58,350.00 $52,350.00