HPRRI

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HPRRI

• Code for?

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Health Professions Regulatory Reform Initiative
(HPRRI)

• 2008 AGM Member Forum

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• A brief presentation by
• Ann Booth, COTM Legislation Committee Chair
• Sharon Eadie, COTM Executive Director COTMs
  representative to the MB Health HPRRI Working
  Group

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What does the MB Government Want Change?

• The 2 stated purposes of the HPRRI are
• to develop a single, common statute to replace
  multiple stand-alone health profession acts (e.g.
  The Occupational Therapists Act, The Medical Act,
  etc.),
• to develop a common integrated regulatory
  (organization and structure) framework.

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What is the Government trying to achieve ?

• Key objectives of the development of a new
  regulatory framework are
• to achieve improved public accountability and
  public protection, and
• to remove barriers to interdisciplinary practice
  while continuing to include a strong commitment
  to the principle of self-regulation.

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Why a Common Statute?

• Currently B.C., Alberta, Ontario have one piece
  of health legislation for all / most regulated
  health professions
• Quebec has one piece of legislation for all /
  most regulated professions
• MB is attempting to learn from the first 3
  provinces to create a made in MB health statute

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What it would look like?

• The HPA would create / confirm the 21 or so
  colleges, as they currently exist
• All other MB health profession statutes would be
  replaced by HPA
• It would create a process for the regulation of
  not yet regulated health professions such as
  Massage Therapy

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What it would look like (contd)

• The OT Act would be replaced by the Health
  Professions Act ( exact title to be determined)
• The current Occupational Therapy Regulation would
  be revised

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What it would look like (contd)

• The HPA would look a great deal like the current
  OT Act
• The OT Regulation would look much like it does
  now with profession-specific provisions
  referenced generically in the HPA
• The recent passage of the OT Act means that it
  already incorporates many features of modern
  health professions legislation

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How would the HPA OT Act be different?

• There will need to be more generic references
  with broad enabling provisions
• There will be some options in process presented
  to accommodate the various sizes of the colleges
  (the very small such as podiatry and the very
  large such as nursing)

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How would the HPA OT Act be different?

• There is likely to be a section related to the
  establishment of professional corporations
• There will be a list of restricted actions that
  removes high risk activities from the public
  domain

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What are restricted actions?

• As implied, restricted actions are acts which are
  high risk if done by a person without established
  skills
• In some provinces known as restricted acts,
  controlled acts, etc.
• To date the list is in draft form

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Restricted actions (contd)

• It will cover such items as spinal manipulation,
  diagnosing, psychological intervention,
• Each restricted act will be precisely drafted by
  government with input from regulators

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Restricted actions (contd)

• Each restricted action will be assigned to one or
  more health professions via the legislation
• Each assigned health profession will describe the
  restricted action from that professions scope of
  practice
• Each health profession will determine which of
  its registrants can perform the restricted act

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Why is this happening?

• Greater consistency in registration and
  complaints investigation will assist colleges,
  registrants, the public, and those that assist us
  (our legal counsel)
• Greater public protection interprofessional
  collaboration with controlled acts
• One piece of legislation is much easier to amend
  than 20 or so individual statutes

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What is COTMs Role?

• As a regulated profession, OT has one seat at the
  HPRRI table
• COTM is represented by Sharon Eadie, COTM
  Executive Director
• Sharon also attends the meetings of MB regulators
  who meet regularly, between meetings with MB
  Health

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• Sharon acts as liaison with COTM Legislation
  Committee
• Sharon reports on HPRRI work to COTM Council as
  well
• COTM Council have developed a strategic direction
  related to participation in this regulatory
  reform process

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How can I be involved?

• As a member of COTM there will be the
  opportunity to
• join the COTM Legislation Committee
• participate in COTM consultations
• take part in public consultations held by MB
  Health
• At present you can view documents at
• http//www.gov.mb.ca/health/hprri/index.html