The health industry is unique in its requirements. It relies mainly on:  Human behavior  Interaction For it to succeed, it has to be based on:  Honesty  Confidence  Trust which can be achieved through time and regulation. Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS INTRODUCTION

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS REGULATION Definition: UK: Any government measure or intervention that seeks to change the behavior of the individuals or group. ICN: All of those legitimate and appropriate means, governmental, private and individual whereby order identity, consistency and control are brought to the profession.

The purpose of health regulation is to:  Protect the patients.  Provide the standards for quality of services.  Minimize the ill effects of malpractice and illegal practice. PURPOSE Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS

SAFE AND EFFECTIVE HEALTH REGULATION INVOLVES: Regulator Client Provider

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS CHALLENGES  Diversification of practices  Demographics  Globalization of information accessibility  Evolving process  Shortage of health care workers and need shift roles to extend roles of practitioners

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS MODES OF REGULATION  Government Regulation  Self Regulation either:  Individual  Professional Body  Collaborative Regulation

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS REGULATION GOVERNMENT REGULATION  Needed when conduct will have significant impact on community.  Difficult to cover all possible eventualities.  Ambiguities in legislation may leave chance to exploitation.  High cost of enforcement.  Slow disciplinary action.

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS REGULATION SELF REGULATION  Flexibility to accommodate all evolutions  Rapid action  Compliance with rules of conduct from peers are more to be followed  Weak in the absence of the legislative

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS SELF REGULATION (cont.)  Less costly  Critical mass is needed - appropriate number of practitioners.  Design a Profession Specific Safety Standard.  Ensure client input.  Maintain standard. REGULATION

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS SELF REGULATION (cont.)  Ensure on-going competent quality of care.  Ensure understanding of all regulations.  Tailor-made specific to the needs of the profession. REGULATION

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS Norway, according to the legislation, the formal responsibility for regulation was under the Ministry of Health but it has been delegated to the National Medical Association. They experienced that:  If the responsibility was taken seriously and the tasks were discharged well, the government was content.  The system worked well because of the direct involvement of the large number of the members of the association.

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS REGULATION COLLABORATIVE REGULATION  May provide a comprehensive approach.  Joint efforts of regulator and provider.  Will provide a matrix of regulation with a horizontal and a vertical Relationship.

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS CURRENT PROBLEMS GOVERNMENT REGULATION – public perception of its failure to take action the procedures that are slow and inflexible. SELF REGULATION – perceived to be self-interest. PROFESSIONAL REGULATION – will need to address these and some other concerns.

DHA – EPSS To highlight the potential role of the Medical Society in assisting the regulatory bodies achieve their goals. Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS

EMIRATES PLASTIC SURGERY SOCIETY MISSION: To keep our members up-to-date with the global changes and advancements in practice within the medical field. VISION: To play a vital role in the continuous improvement in the quality of health care in the UAE, by being an integral part of the professional life of every physician. Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS

INTRODUCTION  Plastic Surgery is very much in-demand and can be a powerful attraction for medical tourists.  United Arab Emirates has 120 registered Plastic Surgeons, most of whom are in Dubai. For the size of the resident population, the UAE only needs 15 Plastic Surgeons but due to the requirement of the transit population the number is quite high.  This highlights the active Medical Tourism Sector particularly in Dubai. Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS

 Established in 2012 as a non-profit organization.  Our main initial role is to educate the Surgeons on how to avoid medical litigation through: a. culture awareness b. regulatory requirements c. exchange of experiences d. continuous education etc. EMIRATES PLASTIC SURGERY SOCIETY Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS

AIM 1. Create a positive practice environment. 2. Ensure safety of practice. 3. Better education of provider and client. 4. Flexible to accommodate trends.

ROLES OF THE MEDICAL SOCIETY  Self-regulation of its members.  Assist policy-makers by providing pointers to improve the health system.  Ensure competence of its members. Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS

ROLES OF THE MEDICAL SOCIETY  Provide public awareness.  Assist in problem and complaint-solving through arbitration and education of both patients and health care provider. Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS

- coherent vision of how licensure, registration, re-validation and accreditation would  Maintain public confidence  Ensure public input  Maintain standards  Deal with changes in emerging roles COLLABORATIVE CO-REGULATION

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS  Demonstrate accountability of practitioners and regulatory bodies  Ensure transparency in policy and practice  Ensure on-going competence  Emphasise quality and facilitation of access to care COLLABORATIVE CO-REGULATION

 These goals require the cooperation of all health professionals and organization.  The professional medical societies which are representative of the Physicians and Health Care Providers can be of great assistance. Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS CONCLUSION

Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS Thank You!

EMIRATES PLASTIC SURGERY SOCIETY Dr. Jamal Jomah, FRCSC, FRCSEd, ABHRS, FACS