Annual Report 2015 - Page 15

improving We are redesigning the peer assessment program to be: D  iscipline-specific; P  urpose-driven to promote quality improvement; C  onsistent i.e., ensure assessors are consistent in decision-making; T  ransparent i.e., any physician can readily see how the peer assessment program defines and evaluates “quality”; and R  elevant i.e., linked to other quality initiatives Dr. Caroline Hamm is a Windsor internal medicine assessor with a focused practice on medical oncology/hematology in Windsor. She is active in the peer assessment redesign currently underway. photo: trevor booth photography Facility-Based Assessments quality within the context of peer assessment assures that assessors provide physicians with relevant and consistent feedback. As the majority of practices have no significant gaps identified, this feedback can assist the physician to improve their practice from “good” to “better”. Before the new peer assessment tools and procedures are implemented, physicians within each discipline will have an opportunity to provide feedback on how quality care is defined and evaluated within their practice area. The peer redesign initiative will also link, where possible, to CanMEDS. The CanMEDS framework adopted by Council in 2015, describes the knowledge, skills and attitudes that physicians need across seven roles: Medical Expert, Communicator, Collaborator, Manager/Leader, Health Advocate, Scholar, and Professional. A significant proportion of medical procedures provided in Ontario are now occurring outside of hospitals. The College has played a lead role in both advocating for systems of quality and oversight in the out-of-hospital setting and in overseeing inspection and assessment programs. Independent Health Facilities (IHFs) The Independent Health Facilities Act (IHFA) specifies that facilities are considered Independent Health Facilities if they perform insured services and bill for a facility fee or if they have been identified as an IHF by the Ministry of Health and Long-Term Care. Under the IHFA, the College has specific responsibilities regarding the regulation of IHFs. In particular, the College develops the standards and tools for assessments and conducts assessments of IHFs. Currently, there are approximately 1,020 IHFs Annual Report 2015 15