1. College of Physicians and Surgeons of Ontario QUALITY PROFESSIONALS | HEALTHY SYSTEM | PUBLIC TRUST SOAR Annual Conference Access to Justice: Change the Culture, Shift the Paradigm November 6, 2014 Maureen Boon Senior Advisor, Executive Office Transparency

2. College of Physicians and Surgeons of Ontario Overview The CPSO Transparency Initiative Current approach Future plans

3. College of Physicians and Surgeons of Ontario Self-regulation A privilege granted by government to health professions, in law. Regulated Health Professions Act, 1991 CPSO regulates the profession in the public interest.

4. College of Physicians and Surgeons of Ontario Issue certificates of practice Set and maintain standards of practice Develop policies to guide the profession Respond to complaints

5. Public Trust Accountability Transparency

6. College of Physicians and Surgeons of Ontario Public Trust Information provided to the public (about processes, outcomes, or members) should enhance public trust and/or safety.

7. College of Physicians and Surgeons of Ontario Transparency ProcessesOutcomesMembers

8. College of Physicians and Surgeons of Ontario Processes

9. College of Physicians and Surgeons of Ontario Accessibility Awareness of the CPSO is relatively low However, Google….

10. College of Physicians and Surgeons of Ontario Making a Complaint Patients can call to discuss concerns Information about process is available on the website Complaints need to be made in writing or other permanent form (disc or tape)

16. College of Physicians and Surgeons of Ontario Members

17. College of Physicians and Surgeons of Ontario Name Address Phone Registration Status/Class Qualifications Terms, conditions & limitations Current allegations or previous findings CPSO Public Register

19. College of Physicians and Surgeons of Ontario Outcomes

20. College of Physicians and Surgeons of Ontario Inquiries, Complaints & Reports Committee (ICRC) - Outcomes o No further action o Written Advice o Specified Continuing Education or Remediation Programs (SCERPs) o Oral Caution o Referral to the Discipline Committee o Interim Suspension 20

21. College of Physicians and Surgeons of Ontario CPSO ICRC Outcomes

25. ‘ patients have no way of finding out from the colleges if their health care providers have been cautioned’ ‘…the balance has shifted unnecessarily away from transparency and openness.’ ‘…privacy laws are not an excuse to promote secrecy. All too often though, that is exactly what is happening.’

26. College of Physicians and Surgeons of Ontario Pressures: Media 26

27. College of Physicians and Surgeons of Ontario Advisory Group for Regulatory Excellence (AGRE) Colleges of PhysiciansNursesPharmacists DentistsPhysiotherapistsOptometrists

28. College of Physicians and Surgeons of Ontario AGRE Approach Complex issues need careful consideration Transparency is not just about member- specific information (processes and outcomes as well)

29. College of Physicians and Surgeons of Ontario AGRE Transparency Project 2013 Transparency Principles 2014 Recommendations

30. College of Physicians and Surgeons of Ontario Transparency Principles 1. Public trust requires information 2. More information improves choice and accountability 3. Information should support #2 4. How the information is provided matters

31. College of Physicians and Surgeons of Ontario Transparency Principles 5. Remediation protects the public and requires confidentiality 6. Balance * 7. More risk requires more transparency 8. Consistency

32. College of Physicians and Surgeons of Ontario Phase 1: Member-specific recommendations Information to be made public: 1. Date of referral to DC 2. DC Status 3. Full Notice of Hearing 4. Criminal findings of guilt (if relevant) 5. Bail conditions (if relevant) 6. Non-members practising illegally

33. College of Physicians and Surgeons of Ontario Phase 1: General Recommendations 7. Enhanced info on websites 8. Info available on website ASAP 9. Consistent approach to #/names of ICRC outcomes and definitions/criteria 10. External review of register search function to evaluate clarity of info and ease of search

34. College of Physicians and Surgeons of Ontario Phase 2: Member-specific Recommendations Information to be made public: 1. Names of former members 2. Health facility privileges 3. Criminal charges (if relevant) 4. Licences – other jurisdictions (if known) 5. Discipline findings – other jurisdictions (if known) 6. Discipline Committee – no findings

35. College of Physicians and Surgeons of Ontario Phase 2: Member-specific Recommendations 7. Undertakings 8. ICRC: Oral cautions 9. ICRC: SCERPS

36. College of Physicians and Surgeons of Ontario Phase 2: General Recommendation 10. Increased focus on data analysis to inform regulatory activities and public reporting

37. College of Physicians and Surgeons of Ontario Media 37

38. College of Physicians and Surgeons of Ontario Minister’s Letter – Oct 4, 2014 Make transparency a priority Take steps to develop and establish measures that will continuously increase transparency in College processes and decision-making Strengthen existing measures New measures to increase transparency

39. College of Physicians and Surgeons of Ontario Next Steps Responses to Minister by Dec 1/14 Usability review of CPSO register functions to be completed by end 2014 Implementation of recommendations in 2015

40. College of Physicians and Surgeons of Ontario Website Goals Creating meaningful links within the site Making information intuitive, easy to find, clear and easy to understand Plain language (easier said than done)

41. College of Physicians and Surgeons of Ontario www.cpso.on.ca