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The Regulated Health Professions Act

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What does the MB Government Want Change? The 2 stated purposes of the HPRRI are: ... Currently B.C., Alberta, & Ontario have one piece of health legislation for all ... – PowerPoint PPT presentation

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Title: The Regulated Health Professions Act


1
The Regulated Health Professions Act
2
The RHPA the Health Professions Regulatory
Reform Initiative (HPRRI)
  • 2009 AGM Member Forum

3
  • A brief presentation by
  • Sharon Eadie, COTM Executive Director COTMs
    representative to the MB Health HPRRI Working
    Group
  • on behalf of
  • Ann Booth, COTM Legislation Committee Chair

4
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.

5
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.

6
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 Health has reviewed the regulatory structure
    in the first 3 provinces to create a made in MB
    health statute

7
What it will accomplish?
  • The RHPA will create / confirm the 21 or so
    colleges, as they currently exist
  • All other MB health profession statutes would be
    replaced by the RHPA
  • It would create a process for the regulation of
    not yet regulated health professions such as
    Massage Therapy

8
Developing the Regulated Health Professions Act
of MB
  • During 2006 - 2008 the MB health colleges
    contributed to the drafting of the Complaints
    Discipline sections of the new Act
  • During 2007 2008 the colleges worked with MB
    Health to create the proposed list of reserved
    acts.

9
Developing the RHPA of MB
  • In December 2008 MB Health put out a consultation
    document which included a draft Regulated Health
    Professions Act
  • In January / February 2009 MB Health initiated a
    public consultation phase seeking input from
  • The public
  • The regulatory colleges
  • Other key partners

10
Developing the RHPA of MB (contd)
  • During this MB Health consultation phase COTM
    conducted consultations with
  • COTM members
  • Other Canadian OT regulatory colleges
  • Canadian Institute of Health Information (CIHI)
  • OT Leaders
  • MSOT Private Practice Group

11
Developing the RHPA of MB (contd)
  • COTM provided MB Health with feedback based on
    consultation, committee review and legal input

12
Key Structural Changes
  • The OT Act would be replaced by the Regulated
    Health Professions Act
  • The current Occupational Therapy Regulation would
    be expanded and revised to include some
    provisions that will exist for all colleges
    (Ministerial regulations) and some that are
    unique to OT (Council regulations)

13
What it would look like (contd)
  • The recent passage of the OT Act means that it
    already incorporates many features of modern
    health professions legislation

14
How would the RHPA 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)

15
How will the RHPA OT Act be different?
  • There is a section related to the establishment
    of professional corporations
  • There will be a list of reserved actions that
    removes high risk activities from the public
    domain

16
What are reserved actions?
  • As implied, reserved acts are acts which are high
    risk if done by a person without established
    skills
  • In some provinces known as reserved actions,
    controlled acts, restricted acts, etc.

17
Reserved acts (contd)
  • It covers such items as spinal manipulation,
    diagnosing, psychological intervention,
  • Each reserved act was precisely drafted by
    government with input from regulators

18
Reserved acts (contd)
  • Each reserved act will be assigned to one or more
    health professions via the legislation
  • Each assigned health profession will describe the
    reserved act from that professions scope of
    practice
  • Each health profession will determine which of
    its registrants can perform the reserved act

19
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 reserved acts
  • One piece of legislation is much easier to amend
    than 20 or so individual statutes

20
RHPA Implementation
  • The Regulated Health Professions Act is now a law
    as it was passed by the Legislature in June 2009
  • http//web2.gov.mb.ca/laws/statutes/2009/c01509e.p
    hp

21
RHPA Implementation (contd)
  • Will be implemented on a profession by profession
    basis as each College works with MB Health to
    have regulations drafted and approved
  • Will not affect a profession until its own
    regulations are approved

22
Reserved Acts
  • Examples of a few of the 21 reserved acts
  • 9. Administering a drug or vaccine by any
    method.
  • 12. Setting or casting a fracture of a bone or a
    dislocation of a joint.

23
Reserved Acts (contd)
  • 20. Performing a psycho-social intervention with
    an expectation of modifying a substantial
    disorder of thought, mood, perception,
    orientation or memory that grossly impairs
    judgment, behaviour, the capacity to recognize
    reality, or the ability to meet the ordinary
    demands of life.

24
Reserved Act Consultation
  • In the coming months COTM is learning more about
    reserved acts from the other OT regulatory
    colleges through a detailed survey
  • This information will assist COTM to begin its
    member consultation on the reserved acts watch
    for this in early 2010
  • What we learn will assist COTM to

25
Reserved Act Consultation (contd)
  • Provide feedback to other MB colleges
  • Lobby for those to assign to OT
  • Describe the OT role in a reserved act
  • Confirm which COTM members can perform the
    reserved acts assigned to OT
  • Determine the required level of skill, training,
    etc. for those to whom the reserved act is
    assigned

26
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

27
  • 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

28
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
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