MARCH 24, 2015
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11.B.2 - CW ACTION
Committee of the Whole
Meeting Date:
March 24, 2015
Submitted by:
A.C. [Tony] Orvidas, Strathmere Lodge Administrator
Subject:
Strathmere Lodge Medical Director Agreement
BACKGROUND:
Each Long Term Care Home in Ontario is required to engage a local physician as
Medical Director for the Home in order to meet Ministry of Health and Long Term Care
requirements ensuring that appropriate medical services are provided to all residents of
that Home.
First appointed as Medical Director in 2000, Dr. Paul Ferner oversees the medical care
for the Strathmere Lodge resident population and is currently attending physician to
some 39 of its residents.
He provides advice to nursing staff, is an active member of the Home’s Resident Care
Conference Group, Quality Improvement, and Infection Control and Pharmacy Advisory
[ICPAC] Committees, chairs the Medical Advisory Committee and provides an annual
report to County Council.
Compensation for Dr. Ferner’s services as Medical Director is based on the daily rate of
$0.36 per bed. This rate was originally established by the Ministry of Health and Long
Term Care and is funded through the Nursing and Personal Care envelope.
ANALYSIS:
The Home is well served by Dr. Ferner’s appointment. Both nursing and administration
staff benefit from Dr. Ferner’s expertise and support, particularly in securing timely
access to specialized medical care when required.
The current contract with Dr. Ferner expires June 30, 2015 and it is proposed to renew
for a further year. Dr. Ferner had originally planned to retire this year but has deferred
his retirement to mid-2016.
MARCH 24, 2015
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11.B.2 - CW ACTION
RECOMMENDATION:
That the appointment of Dr. Paul Ferner as Medical Director at Strathmere Lodge be
confirmed for an additional one year period ending June 30th, 2016; and that the
Strathmere Lodge Administrator be authorized to sign a Letter of Agreement with Dr.
Ferner.
Attachment
MARCH 24, 2015
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11.B.2 - CW ACTION
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MEDICAL DIRECTOR AGREEMENT
THIS AGREEMENT effective the 1st day of July, 2015.
BETWEEN:
DR. PAUL FERNER
(hereinafter referred to as the “Medical Director”)
and
STRATHMERE LODGE
(hereinafter referred to as the “Home”)
WHEREAS The Ontario Ministry of Health Long Term Care Facilities Program Manual
requires that there be an agreement between the Home and its Medical Director
AND WHEREAS the Medical Director wishes to enter into an Agreement with the Home
to perform the services described below
NOW THEREFORE in consideration of the covenants and agreements hereinafter
contained, the parties hereto agree as follows:
1.0
2.0
The Home shall:
1.1
Pay a fee for the administrative services provided by the Medical Director
in the amount of $0.36 per funded resident day, which amount may be
more than, but shall not be less than, the amount as established from time
to time and as approved by the Ministry of Health and Long Term Care.
Adjustments to this fee, as approved by the Ministry of Health and Long
Term Care, will be passed on to the Medical Director immediately,
retroactive to effective date;
1.2
Make available to the Medical Director copies of applicable legislation and
policies;
The Home agrees to indemnify and save harmless the Medical Director from any
claims, demands, damages or actions brought against the Medical Director in
relation to the provision of service by employees of the Home who are not acting
under the instructions of or under the direction of the Medical Director.
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11.B.2 - CW ACTION
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3.0
The Medical Director shall:
3.1
Be a legally qualified medical practitioner licensed to practise medicine in
Ontario;
3.2
Be familiar with all applicable legislation and policies.
3.3
Obtain and maintain in full force and effect during the term of this
Agreement current and valid malpractice protection;
3.4
Direct and organize the Home’s medical services as required by
applicable legislation and Home policies, including but not limited to the
areas of medical service provision, administration and education;
3.5
Be responsible, accountable and have the authority to monitor and
evaluate the medical care and services by physicians, and to take action
when standards are not met.
3.6
Provide advice and be accountable for the areas of administrative medical
services and policies in the Home, including:
3.6.1 development, implementation and evaluation of medical services,
3.6.2 an annual review of the medical policies,
3.6.3 preparation of an annual report summarizing the strengths and
areas of concern within the medical services program,
3.6.4 involvement in Home-wide issues, such as infectious disease
outbreak management; and
3.6.5 participation in the process to develop the mission, philosophy,
goals and objectives of the Home.
4.0
3.7
Provide advice to the Committee of Management of the Home on matters
pertaining to medical care and services;
3.8
Provide such other services in relation to the provision of medical services
in the Home that are reasonably required and which are jointly agreed
upon by the Medical Director and the Administrator.
The Medical Director, or his designate, shall:
4.1
Actively participate as a member of the Infection Control and Pharmacy
Advisory Committee and shall make himself available to attend such other
committees as mutually agreed upon between the Medical Director and
the Administrator.
4.2
Be committed to continuing medical education and maintaining current
knowledge and practice in geriatrics and gerontology.
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11.B.2 - CW ACTION
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4.3
Visit the Home regularly, at least once per week in order to carry out his
responsibilities under this Agreement;
4.4
Advise the Home on emergency medical services for residents when the
Medical Director is not available personally;
4.5
Complete all forms pertaining to the medical services program as
required;
4.6
Advise the Administrator, in cooperation with the Medical Officer of
Health, of the steps to be taken in the event of an outbreak of
communicable disease;
4.7
Provide, or arrange for medical services to be provided for all residents
who do not have an Attending Physician identified.
5.0
In the event that the Medical Director is temporarily unable to attend the Home at
any time, the Medical Director shall notify the Administrator of the Home of the
name of his designate in advance of such absence.
6.0
The Medical Director shall, when reasonably required:
6.1
Participate in the review of new resident applications;
6.2
Be involved in resident issues that may put other residents, staff or visitors
at risk;
6.3
Assist in staff development as required and as jointly negotiated with the
Administrator or his designate;
6.4
Participate in in-service education programs each year for Home staff
and/or Attending Physicians;
6.5
Provide medical liaison with local hospital(s) and other appropriate health
care organizations or facilities;
6.6
Cooperate with and/or be available during Ministry compliance reviews
pertaining to medical issues, including inquiries made by the compliance
advisor, advocates, family members, and persons conducting coroner’s
investigations; and
6.7
Sign an Attending Physician’s Agreement if the Medical Director is also an
Attending Physician at the Home.
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7.0
The Medical Director shall:
7.1
Review expectations for Attending Physicians with those physicians in
accordance with the Home’s Attending Physician Agreements;
7.2
Monitor and evaluate the medical care and services provided by Attending
Physicians; and
7.3
Review with the Administrator any Attending Physician non-compliance
with the Attending Physician Agreements and jointly determine any action
to be taken.
8.0
The Medical Director shall not undertake research projects involving residents of
the Home without the approval of the Administrator of the Home. The Medical
Director will not utilize any research data collected from the Home for
professional publication or discussion without prior approval of the Administrator
of the Home. Any research undertaken must be consistent with current ethical
research and standards. Approval by the Administrator shall not be
unreasonably withheld.
9.0
The Medical Director agrees to indemnify and save harmless the Home from any
claims, demands, damages or actions brought against the Home directly relating
to the provision of services by the Medical Director pursuant to this Agreement.
10.0 This Agreement shall remain in effect for one year from the date first written
above, or until either one of the parties gives 90 days written notice to the other
party to terminate or renegotiate the Agreement, unless there is a fundamental
breach of this Agreement by the Medical Director or by the Home, in which case
the Agreement may be terminated upon 30 days written notice by the party not in
default of the Agreement.
11.0
This Agreement may be amended by written agreement signed by the parties
and attached hereto, and such amendments shall be adhered to and have the
same force as if they had originally formed part of this Agreement.
IN WITNESS WHEREOF the parties hereto have executed this Agreement, on this __
day of _________, 2015.
Medical Director:
Witness:
Strathmere Lodge:
Witness:
A.C. [Tony] Orvidas, Administrator