Dialogue Volume 13 Issue 4 2017 - Page 13

REPORTS FROM COUNCIL Study Supports Effectiveness of Alternative Registration Pathways Bill Consolidates Out of Hospital Facilities and Services Council was provided with an overview of key findings from the College’s multi-year evaluation of the Registration Pathways Program. Overall, the evaluation findings support the effectiveness of the College’s alternative regis- tration pathways and policies, based on three performance measures – peer assessments, pri- mary care quality indicators and multisource feedback. The primary care quality indicators were developed and analyzed by the Institute for Clinical Evaluative Sciences. The evaluation sought to determine if per- formance differences exist between practising physicians who were registered through alter- native routes to registration (ARPs) and those who were registered through the traditional route (TRPs) (i.e., physicians fully trained in Canadian residency and qualified in Cana- dian examinations). The findings suggest that there are few performance differences between ARPs and TRPs on most validated primary care quality indicators and in multisource (360) feedback assessments. There are some differences noted on peer re-assessments ordered by the Quality Assurance Committee, however the re-assess- ments reflected record-keeping and/or minor quality concerns that are not a risk to patient safety. We will have an article about the evalua- tion’s findings in the next issue of Dialogue. Council received an update on a Bill that will enhance and consolidate oversight for On- tario’s out of hospital facilities and services, better ensure patient safety, and take impor- tant steps to increase transparency and public reporting. Bill 160 is a significant Bill containing ten schedules. The focus of the College’s attention is on Schedule 9, Oversight of Health Facilities and Devices Act, 2017 as it creates a new legis- lative framework for health facilities. The OHFDA seeks to establish a single legislative framework for: • community health facilities (including Independent Health Facilities (IHFs), Out-of-Hospital Premises (OHPs), private hospitals, and other facilities prescribed in regulation, and • energy applying and detecting medical devices (e.g. conventional X-rays, CTs and fluoroscopy, MRIs, ultrasounds, nuclear or molecular imaging devices). The OHFDA's focus on patient safety, transparency, and public reporting are vital changes to a new regulatory system of oversight for community health facilities in Ontario. Inspection bodies – of which the College w ill be one - will be provided with the tools to take action to protect the public where quality and safety issues are identified. Recently, the College made a submission to the Standing Committee on General Govern- ment regarding the College’s support for the Bill and suggested amendments to Schedule 9 to ensure clarity and alignment with the objectives of the legislation. The submission can be found on our website. MD ISSUE 4, 2017 DIALOGUE 13