Dialogue Volume 14 Issue 4 2018 - Page 25

GOVERNANCE Helping Shape Governance Reform C ouncil has put forward several recom- mendations that, if adopted, will signifi- cantly change the governance structure of this College. Over the last several years, there has been an in- creasing call to modernize the oversight of regulatory bodies around the world. The recommendations put forward by Council are intended to ensure the College has a role in helping shape governance reform. There appears to be a universal understanding that change is necessary, said Dr. Peeter Poldre, the Col- lege’s new President, noting that the legislation which governs health-care professionals is more than 25 years old. And while it is ultimately up to the government Council has given itself a timeline of three years to put a new model fully in place. The College is recommending the following changes: Smaller Boards (12-16 members) Smaller-sized groups are believed to be able to communicate more effectively and reach decisions more efficiently than larger ones. The current size of Council is 33. to decide how it will proceed, the College’s extensive experience can help inform the government’s deci- sions, he said. “I think a real danger exists if we stand on the side- lines and simply watch changes unfold without provid- ing our input or participation. It is much better that we are involved earlier, when we can proactively influence the process of change,” he said. The College of Nurses of Ontario (CNO) has been leading the charge on governance reform, and while the CPSO and the CNO share a similar vision in many respects, there is one significant difference. The CPSO’s plan for reform envisions a board which re- tains some elected positions of professional members. Board Composition (50/50 public member/ physician member board) Literature suggests that councils that regulate health professions have, as a minimum, an equal number of public and professional members, to ensure that purely professional concerns are not thought to dominate their work. Currently, there are 14 public members and 19 physician members. Separation between Board and Statutory Committees Council has previously advocated for this separation, believing that the adoption of an entirely independent adjudication process promotes public confidence and clarity of roles. A separation also allows the board to focus on strategy and oversight. Continued on next page... ISSUE 4, 2018 DIALOGUE 25