AGENDA - Caslpo · 6/12/2015 · *New Pragmatic Teleconference Dial-In Number: 1-855-392-2520...

*New Pragmatic Teleconference Dial-In Number: 1-855-392-2520 (toll free) Attachment Provided CASLPO•OAOO version 1

AGENDA COUNCIL MEETING DATE June 12, 2015 SCHEDULED

TIME 9:30am-3:45pm

LOCATION Meissner Fishbein Room, Suite 5055, CASLPO

FACE-TO-FACE

TELECONFERENCE* CONFERENCE ID

4899468#

NOTE

No SUBJECT DOC ACTION

01 Adoption of Agenda Decision

02 Declaration of conflict of interest

03 Approval of Council Minutes of March 6, 2015 Decision

04 Business arising from minutes Discussion

05

President’s Remarks Information

05.1 Evaluation of March 6, 2015 Council Meeting Discussion

05.2 Sexual Abuse Prevention Task Force Session with Public Members Discussion

06 Registrar’s Report Information

06.1 Re-Appointment of Public Member Information 06.2 CAASPR Report Information 06.3 Council Elections Update Information

07 Transparency: Proposed By-law changes Decision

Break 11:00am – 11:15am 08 Quarterly Financial Report – 2nd Quarter 2014-15 Information

09 Performance Evaluation of Registrar [In-Camera] Information

Lunch 12:00 – 1:00pm:

10 Risk Management Plan - Overview Information

10.1 Risk Policy Decision

10.2 Risk Tolerance Profile Decision

*New Pragmatic Teleconference Dial-In Number: 1-855-392-2520 (toll free) Attachment Provided CASLPO•OAOO version 1

11 Regulation of Clinics – Joint Rehabilitation College Working Group – Update from President and Registrar Information

12 Revised Position Statement on Concurrent Intervention Decision

13 Election of Officers and Executive Committee Decision

14

Committee Reports a) Executive b) Registration c) Quality Assurance d) ICRC e) Discipline f) Finance g) SLP PAC h) AUD PAC; i) Fitness To Practice* j) Patient Relations

*No Report

Information

15 Next meeting: October 1-2, 2015 CASLPO, Meissner Fishbein Room

Information

16 Other Business Information

17 Meeting duration Information

18 Adjournment Decision

CASLPO Council Meeting – March 6, 2015 Draft Meeting Minutes as at March 26, 2015; lg

MINUTES COUNCIL MEETING DATE Friday March 6, 2015 TIME 9:30am – 3:45pm

LOCATION CASLPO - Meissner Fishbein Room

PARTICIPANTS

S. Whyte, President & Chair, B. Kroll, Vice‐President, SLP, D. Zelisko, Vice‐President, AUD, T. D’Agnillo, F. Dezenhouse, P. Faubert, R. Fisher, S. Singh Johal, J Lagacé, M. Moussa‐Elaraby, V. Papaioannou, R. Penny, J. Rowlands, S. Singbeil, M. Suddick, V. Vaillancourt, S. Wilson

ABSENT None

REGRETS

OBSERVERS:

Mary Cook, Executive Director, Ontario Association of Speech‐Language Pathologists and Audiologists (OSLA)

STAFF

B. O’Riordan, Registrar; C. Bock; Deputy Registrar, A. Carling‐ Rowland, R. Cimerman, C. Myrie, J. Ostroff, I. Samson, M. Willems, L. Gibson (Scribe)

No SUBJECT ACTION/MOTION

01 Adoption of Agenda M: Approve the agenda as amended.

S. Whyte, President, welcomed Council and Mary Cook, Executive Director, Ontario Association of Speech-Language Pathologists and Audiologists (OSLA) to the meeting. Item 07 Governance Matters was re-designed from an information item to an approval item.

Moved D. Zelisko Seconded V. Papaioannou Carried

02 Declaration of Conflict of Interest

None.

03 Approval of Council Minutes of December 12, 2014 M: Approve the Council minutes of December 12, 2014 as amended.

Change Item 16 PSG on Acquired Cognitive Communication Disorders, by adding the word ‘health’ to the last sentence to now read “as a regulatory health college’.


Moved B. Kroll Seconded V. Vaillancourt Carried

04 Business arising from minutes

None.

05 President’s Remarks

The President shared his perspective on the March 5, 2015 Strategic Planning session noting that as suggested by the Facilitator, insight came to him after having reasonable time to consider the input overnight. Consensus was that positive innovative ideas and thought leadership was shared at the facilitated session.

05.1 Follow-up Re Strategic Planning

It was noted that the Facilitator will summarize the input, and with staff’s additional guidance, tie it to strategy for Council to review the plan at the June Council meeting. Council members were asked to block one additional day Thursday June 11, 2015, to add to the previously planned Council meeting Friday June 12, 2015.

05.2 Evaluation of December 12, 2014 Council Meeting

Move In-Camera

This portion of the meeting proceeded in camera pursuant to section 7(2)(d) of the Health Professions Procedural Code, being Schedule 2 to the Regulated Health Professions Act, 1991 as personnel matters were discussed.

As a result of discussion, consensus was to retain current process, and for Executive to advise on content of summary to be shared with Council.

M: Approval to go in-camera to discuss evaluation of December 12, 2014 Council meeting.

Moved D. Zelisko Seconded R. Penny Carried

05.2 Arise from In-Camera

M: Arise from in-Camera.

Moved R. Penny Seconded D. Zelisko Carried

05.3 Council on Licensure, Enforcement and Regulation (CLEAR) Mid-Year Meetings

The President, S. Whyte, reported his attendance at a recent CLEAR meeting was beneficial as it illustrated that other regulators, including health care, continue to face the same issues such as privacy and transparency. The Registrar reported that future Toronto CLEAR meeting dates will be shared.


06 Registrar’s Report

The Registrar summarized the highlights of the report previously distributed to Council including membership statistics.

The new staff, Ruth Cimerman, Director of Finance and Operations, and Iris Samson, Assistant to the Deputy Registrar and the Director of Professional Conduct and General Counsel, were formally welcomed to the College.

06.1 Resignation of Council Member

The Registrar reported that Carolyn Moran, CASLPO Council Member resigned from her position for personal reasons with her resignation being effective January 15, 2015.

06.2 Appointment of new Public Member

The Registrar formally welcomed Satpaul Singh Johal as the new public member, appointed January 28, 2015 replacing E. Tolentino.

06.3 Professional Member Election Date: 2015 for Districts 2, 4 and 5.

M: Approve the election date of May 25, 2015.

Moved S. Johal Seconded M. Moussa-Elaraby

Carried

06.3 Approval of re-appointment of academic members.

R. Fisher declared a conflict of interest.

J. Lagacé declared a conflict of interest.

The Registrar reported that on February 10, 2015, input was solicited and received in advance of the requested date of May 22, 2015, by the University department heads. Their recommendation that R. Fisher (SLP) and J. Lagacé (AUD) be reappointed to council as academic members was considered by Council.

M: Approve the re-appointment of Randi Fisher (SLP) and Josée Lagacé (AUD) as academic members for second three-year terms beginning June 1, 2015

Moved D. Zelisko Seconded V. Papaioannou Carried

07 Governance Matters

The Deputy Registrar summarized the report circulated in advance. Executive consensus was to encompass governance within the Executive Committee terms of reference. Executive acknowledged this change would impact the Executive Committee budget to reflect any

M: Approve in principle the creation of a Governance function within the terms of reference for the Executive Committee.


potential additional meetings. To be determined is the notion of either adding separate Executive Committee meetings focused on governance, or alternatively, including a governance portion within each Executive Committee meeting agenda to enable governance to be acknowledged in a more formal way. Based on this decision, the terms of reference will be reviewed.

Council consensus was to include ‘Governance’ as a standing item within all Executive and Council meeting agendas.

Moved V. Vaillancourt Seconded M. Moussa-Elaraby

Carried

08 Report 2015 Self-Assessment Tool: Membership Compliance

New this year, 2015, was the requirement that members document 15 Continuous Learning Activity Credits (CLACs) on the Self-Assessment Tool to help meet their 2014 Learning Goals. Once again, 99% compliance was achieved. Congratulations to the Quality Assurance Committee and Alex Carling-Rowland and her team for their hard work, multi-pronged communication approach and continued commitment to enable achievement of these significant results for the College.

09 “Transparency” – Update (Presentation)

The Registrar presented an in-depth review of the status of the CASLPO projects in progress. It was noted that staff are looking at the implementation plan for all of the items reported on. Council will be advised if needed, if any by-laws will be amended.

The Registrar reminded Council that the June meeting is expected to be expanded to two days, June 11-12, 2015, considering, the Strategic Plan input session, potential By-law review for change, election of Executive and performance review of the Registrar. Council was reminded that any By-law not approved for stakeholder approval at the June meeting will not be able to be implemented until 2016. This is due to the fact that there is not enough time for implementation following the October meeting.

10 CASLPO 101 Session (Presentation )

C. Bock provided Council with an informative interactive session focusing on two functional areas and Committees, Registration and Quality Assurance. Council members were reminded about the importance of declaring a potential


conflict within any of the Committees. If a potential conflict or perception of bias is felt, ideally if time allows, it would be declared to a chair or staff member beforehand. If not, it would be ideal to declare a conflict at the onset of the meeting.

11 Quarterly Financial Report

R. Cimerman summarized the calendar view monthly report, noting that in future the quarterly financial reports to Council will be updated to trend ‘seasonally’ over 12 months. Consensus was to look at teleconference opportunities as opposed to in person meetings where possible. Overall, it was noted that CASLPO is in a good financial place. The Registrar reported that financial restraints are ongoing with the most recent example being the renewal of lower accommodation rates secured for out of town Council members at the Eaton Chelsea Hotel.

12 Council Member Appreciation Presentations

The President, Scott Whyte, formally presented certificates of appreciation to three Council members that recently completed their terms; Mary Suddick (current Council Member), Pauline Faubert and Carolyn Moran who joined the meeting for this presentation only.

13.1 Sexual Abuse Prevention – Response to Minister

The Registrar reported that the College responded on January 22, 2015 to a letter from the Minister received December 17, 2014.

13.2 Letter from Minister’s Task Force

The Registrar reported that all Regulatory health Colleges received a letter February 6, 2015 advising Colleges about the status of the new Task Force established to examine and provide advice and recommendation how to best strengthen the Regulated Health Professions Act, 1991, provisions related to sexual abuse of patients. The Registrar further shared that the Ontario Premier reported at recent press conferences March 5-6, 2015, that a significant fund has been allocated to the cause of sexual abuse prevention. M. Willems reported, that the College, after review of all cases from 2004 to date has not identified any complaints related to sexual abuse, boundary violations of a sexual nature or other matters that pertain to the mandate of the Task Force in relation to a patient. It was noted that the College is in line with other Colleges in terms of use of the Health


Professions Advisory Review Board (HPARB) process should a complaint be disputed. The College’s response of March 4, 2015 to questions sent to Colleges from the Task Force was distributed to Council.

14 Regulation of Clinics – Joint Rehabilitation College Working Group

The Registrar reported that CASLPO along with other rehabilitation professional Colleges was approached by the College of Physiotherapists of Ontario with a proposal to form a joint working group to consider issues related to clinic regulation. It is understood that today, considering that business is driving behavior, the concept is to ‘regulate the clinic’ not just the member. Council consensus is this is a good initiative in terms of issues in private practice specific to audiology and may be worth exploring within the speech-language pathology area. Council was in agreement to consider resources in staff and any financial ramifications. The benefit is it would cost more if we were to do this on our own.

M: Endorse CASLPO involvement in Clinic Regulation Working Group. (Phase 1)

Moved D. Zelisko Seconded V. Vaillancourt

15

Committee Reports S. Whyte asked Council to raise any questions as he mentioned each Committee report.

M. Willems reported that the two noted HPARB cases within the ICRC report are at the early stage and although it appears to be two cases, it is the same complaint so can be considered one case.

16

Registrar Performance Evaluation Process [In-Camera] This agenda item 16 was moved to follow item 18.

This portion of the meeting proceeded in camera pursuant to section 7(2)(d) of the Health Professions Procedural Code, being Schedule 2 to the Regulated Health Professions Act, 1991 as personnel matters were discussed.

M: Move in-camera to discuss the Registrar Performance Evaluation Process

Moved V. Papaioannou Seconded B. Kroll Carried

16 Move out of in-camera session. M: Move out of in-camera session.

Moved V. Vaillancourt Seconded T. D’Agnillo Carried

17 Next Meeting


Friday June 11-12, 2015 Council Meeting CASLPO, Meissner Fishbein Room Council was reminded of the reasons to hold two days for this meeting that will include strategic planning and potential for By-law changes.

18 Other Business

Council agreed to formally assign new appointed public member, Satpaul Singh Johal to the following committees: Registration, Patient Relations, Discipline, Speech-Language Pathology Practice Advisory.

M: Council approves Satpaul Singh Johal appointments to the committees identified.

Moved M. Moussa-Elaraby

Seconded R. Penny Carried

18 Inter-Professional Record-Keeping Resource

C. Bock, Deputy Registrar, summarized the report provided, identifying ways to explore and develop an inter-College approach to standards.

19

Meeting Duration 9:30am – 3:45pm

20

Adjournment The meeting adjourned at 3:45 pm

M: The meeting adjourns.

Moved V. Vaillancourt Seconded B. Kroll Carried

REPORT TO COUNCIL BRIAN O’RIORDAN MEETING DATE June 12, 2015

REPORT DATE June 2, 2015

INTRODUCTION It has been a very busy Spring with a continuing focus on matters of:

- Transparency – implementation issues - Sexual Abuse Prevention - Clinic Regulation - 3-Year strategic Plan - Launch of ex·press - Announcement of CASLPO Forums - College Professional Member Elections

OPERATIONAL MATTERS a) Presentations, in-person, or via webinar, to all four Universities (Toronto, Ottawa,

Western and Laurentian) were completed in March.

b) Re-appointment of Public Member. Please be advised that Ferne Dezenhouse has been re-appointed for a one-year term to Council.

c) Current College membership statistics are attached to this report. d) FHRCO – See attachments to this report regarding the new Executive Committee

and FHRCO Annual Highlights. As part of the FHRCO Executive, I participated in FHRCO’s meeting on April 20 with the government’s Task Force on the Sexual Abuse of Patients. As well, FHRCO also met with the Treasury Board of Cabinet review committee concerning the mandate of the Health Professions Regulatory Advisory Council (HPRAC).

e) On May 4, Carol Bock, Colleen Myrie and myself participated in our annual review meeting with the Office of the Fairness Commissioner, which went very smoothly.

f) On May 6, I appeared in a segment of the Rogers Cable Toronto TV program, The

Point, concerning the “Transparency” discussion. g) Working Group meetings on Clinic Regulation are continuing and a new update is

being provided to Council on this important issue. h) Orientation of new Council member, Yvonne Wyndham (SLP). i) I participated in a very successful CASLPO Forum launch at our offices on May 28,

with a total of over 40 members participating in-person and via webinar.

CASLPO COMMITTEE MEETINGS RECETLY ATTENDED:

Quality Assurance Inquiries, Complaints, Reports Committee (SLP and AUD Panels and Full Committee) Registration Discipline (Transparency Discussion) Patient Relations Finance

EXTERNAL MEETINGS: I represented the College at the following external meetings:

Accessibility for Ontarians with Disabilities Act (AODA) Re 10th Anniversary of Legislation

Federation of Health Regulatory Colleges of Ontario (FHRCO) Executive Committee

FHRCO Board Meeting FHRCO Legislative and Policy Issues Committee (Chair) Registrars Meeting of CAASPR (April 14, 2015) Board Meeting, CAASPR (May 11-13) The Ontario Association of Speech-Language Pathologists and Audiologists

(OSLA) (Insurance Billings)

As always, I invite any member of Council to contact me in between Council meetings with any questions, comments or concerns.

Thank You.

FOR IMMEDIATE RELEASE: Toronto, Ontario – Wednesday, May 6, 2015 – The Federation of Health Regulatory Colleges of Ontario (FHRCO) recently announced the election of its Officers for the 2015-2016 year:

• Mr. Marshall Moleschi, Ontario College of Pharmacists – President • Mr. Brian O’Riordan, College of Audiologists and Speech-Language Pathologists of

Ontario – Vice-President • Ms. Brenda Kritzer, College of Kinesiologists of Ontario – Treasurer

In addition to the officers, the following comprise the Executive Committee:

• Ms. Linda Gough, College of Medical Radiation Technologists of Ontario – Past President

• Ms. Shenda Tanchak, College of Physiotherapists of Ontario – Member • Mr. Kevin Taylor, College of Respiratory Therapists of Ontario – Member • Ms. Kathy Wilkie, College of Medical Laboratory Technologists of Ontario – Member

The Federation continues to advance its mandate to maintain a strategic focus on regulatory matters while it promotes effective communication and cooperation among its members – Ontario’s health regulatory Colleges. Members of the Federation want the public to know We Care About Your Care. Regulatory Colleges have the statutory mandate to protect the public interest; to this end, the Federation website, www.regulatedhealthprofessions.on.ca, provides information for the public to be better informed consumers of the healthcare system. The Federation is comprised of Ontario’s 25 health regulatory colleges, which govern over 300,000 health professionals. The colleges support these health care professionals in providing the people of Ontario with safe, competent, and ethical health care; and they hold them accountable for their conduct and practice. For more on how the health regulatory colleges protect you, and a list of all colleges, contact the Federation at www.regulatedhealthprofessions.on.ca.

– 30 – For more information, please contact:

Beth Ann Kenny, Executive Coordinator Phone: 416-493-4076 Email: [email protected] Website: www.regulatedhealthprofessions.on.ca

Federation of Health Regulatory Colleges of Ontario (FHRCO) Suite 301 - 396 Osborne St, PO Box 244, Beaverton ON L0K 1A0

email: [email protected] web: www.regulatedhealthprofessions.on.ca

Phone: 416-493-4076/Fax: 1-866-814-6456

http://www.regulatedhealthprofessions.on.ca/http://www.regulatedhealthprofessions.on.ca/mailto:[email protected]://www.regulatedhealthprofessions.on.ca/mailto:[email protected]://www.regulatedhealthprofessions.on.ca/WHOWEARE/default.asp

The Federation of Health Regulatory Colleges of Ontario provides strategic leadership to health profession regulation within the changing health care system. The Federation’s activities include:

Collective work on many government priorities and regulatory issues

Provision of regulatory expertise on relevant issues for government and stakeholders

Stakeholder collaboration and project participation

Identification of priority initiatives for research and action and the sharing of promising practices

Repository of sector-specific issues and information

Communication on the role of the regulator to the public and stakeholders

Ongoing support for regulatory Colleges and mentoring of new Colleges

Development of tools and materials to support the healthcare system in regulatory areas

Education sessions for College council members, committees, and staff

Federation Statement of Purpose:

The Federation of Health Regulatory Colleges of Ontario (FHRCO) is an incorporated, not-for-profit organization comprised of 25 members who regulate 30 professions—over 300,000 health care practitioners. The Federation has a strategic focus on regulatory matters and it promotes effective communication and cooperation among its members. It is supported by an Executive Coordinator and an administrative team as well as expertise from its members. The Federation’s purpose is twofold; it serves to:

Promote effective communication and cooperation on matters and opportunities relating to regulation, administration, education and health care in a manner that enhances the work of the Colleges collectively and individually in regulating health professions in the public interest, and

Influence decision-makers on policy and legislative matters related to the creation and maintenance of an effective health professions regulatory system in Ontario.

A B O U T T H E F E D E R AT I O N

F e d e r a t i o n o f H e a l t h R e g u l a t o r y C o l l e g e s

o f O n t a r i o

2014-2015 Highlights

CONTENTS:

President’s Report 2

Committee Reports 4

Transitions 7

List of Members 8

FHRCO

Focusing on:

Training

Transparency

Trust

This report covers the Federation’s corporate year from the May 2, 2014 Annual Meeting to the April 23, 2015 Annual Meeting. Highlights of the past year include the following: LIAISING WITH THE MINISTRY OF HEALTH AND LONG-TERM CARE (MOHLTC) The Federation’s role with the Ministry continues to be a priority. Regular meetings and teleconferences were held with Ministry staff throughout the year, including presentations to the Executive Committee and Board of Directors. Many ongoing issues are included in discussions, and in 2014-2015, two were key priorities for both the Ministry and Federation members.

Transparency On October 4, 2014, Health and Long-Term Care Minister Hon. Dr. Eric Hoskins wrote individually to Federation members, requesting submissions to the Health Ministry regarding Colleges’ plans related to transparency, including what additional information could be made available on their public registers. The Advisory Group on Regulatory Excellence (AGRE) had been working on its multi-year Transparency Principles Project and AGRE provided information and support for Federation members on this important issue, including the “Implementation of Transparency Principles Forum” attended by over 50 staff members in February 2015. Prevention of Sexual Abuse of Patients On December 17, 2014, the Health Minister wrote to Federation members’ Presidents, Registrars and Executive Directors, announcing the establishment of a Task Force on the Prevention of Sexual Abuse of Patients. On April 20, 2015, representatives from the Federation met with Task Force Chair Marilou McPhedran and Sheila MacDonald to share information about the Federation and the mechanisms available within the Federation to provide training and information for Colleges’ Councils, committees, and staff.

The Federation wrote to the following on issues related to legislative priorities:

Minister of Health and Long-Term Care and Chair of the Standing Committee on General Government on Bill 8, Public Sector and MPP Accountability and Transparency Act, 2014 (dated November 26, 2014)

Minister of Health and Long-Term Care on Transparency Support (dated November 28, 2014)

Minister of Health and Long-Term Care and Chair of the Standing Committee on Social Policy on Bill 21, Safeguarding Health Care Integrity Act, 2014 (dated December 1, 2014)

P R E S I D E N T ’ S R E P O R T

Executive Committee:

Marshall Moleschi President

Linda Gough, Past President

Brian O’Riordan, Vice-President

Shenda Tanchak Treasurer

Brenda Kritzer, Member

Kathy Wilkie, Member

Catherine Yarrow, Member

Page 2


FHRCO

Focusing on:

Training

Transparency

Trust

PROVIDING SUPPORT FOR RHPA COLLEGES – THE FEDERATION’S MEMBERS The Federation continues to provide strategic leadership to health profession regulators within the changing health care system through a variety of activities. Planning took place in the 2014-2015 year to create educational modules for use by Federation members to support their Council, committee, and staff orientation and training programs. AUTO INSURANCE REGULATORY PRACTICES WORKING GROUP AND THE SERVICE PROVIDER BUSINESS LICENSING IMPLEMENTATION FORUM Brian O’Riordan and Shenda Tanchak continued to participate in activities related to the Ontario government’s implementation of a provider registry for the auto insurance sector. The Federation’s representatives continue to focus on ensuring that information is shared about healthcare practitioner regulation in the province and providing a general understanding about RHPA Colleges in Ontario. THE PRESIDENT, ON BEHALF OF THE BOARD OF DIRECTORS AND FEDERATION:

Brought greetings from the Federation to the College of Chiropractors of Ontario’s Annual General Meeting in June 2014.

Presented to the Council of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario in early 2015.

Attended portions of the Federation’s Basic and Advanced Discipline Orientation Sessions at the Osgoode Professional Development Centre in November 2014. More about that program can be found on page 4.

On behalf of the President, Vice-President Brian O’Riordan presented to the Coalition of Regulated Health Professional Associations (CORHPA) in March 2015.

Addressed the inaugural joint Council on Licensure, Enforcement and Regulation (CLEAR)-Federation Regulatory Council Member Training Session in March 2015.

Presenters to Federation Board of Directors/Executive Committee during 2014-2015 year:

Dr. Joshua Tepper, Chair, Health Quality Ontario

Thomas Corcoran, Chair, Health Professions Regulatory Advisory Council (HPRAC)

John Amodeo, Director, Health System Labour Relations and Regulatory Policy Branch, Health Human Resources Strategy Division, Ministry of Health and Long-Term Care

Connie Campbell (OCP) regarding streamlining of regulations processes

Anita Ashton (College of Physiotherapists of Ontario), Maureen Boon (CPSO), Kevin McCarthy (CNO), and Anne Resnick (OCP) as well as Federation Directors on behalf of AGRE, presented on priority topics as part of the FHRCO-AGRE Implementation of Transparency Principles Forum Page 3


P R E S I D E N T ’ S R E P O R T ( C O N T I N U E D )

Marshall Moleschi, President

List of Committee Members:

Carolyn Gora (CPSO), Chair

Anita Ashton (College of Physiotherapists of Ontario)

Barry Gang (College of Psychologists of Ontario)

Genevieve Plummer (OCP)

Tina Langlois (CMRTO)

Ravi Prathivathi (CNO)

Page 4


D I S C I P L I N E O R I E N TAT I O N C O M M I T T E E

Key Highlights: The Discipline Orientation Committee has a mandate to deliver a program of

comprehensive orientation and training for regulatory adjudicators. Over 10

years ago, the Federation initiated discipline orientation workshops to provide

training for those who would be participating in discipline hearings as panel

members or chairs as outlined in the RHPA. Basic training programs are available

twice each year for these regulatory adjudicators. Offered annually, Advanced

sessions were developed in response to the interest of professional and public

members who sit on discipline panels; the sessions build on knowledge and skills

they acquired by attending the basic session or participating in hearings.

May 5, 2014 – Basic Program Information Venue: Osgoode Professional Development Centre, Toronto

Registrants: 29 from 12 Colleges and one legal firm

November 3 & 4, 2014 – Basic and Advanced Program Information

Venue: Osgoode Professional Development Centre, Toronto

Registrants:

31 Basic from 14 Colleges and one legal firm

35 Advanced from 12 Colleges

Status of Current Projects:

The Committee continues to enhance the discipline orientation program, adding

new resources and revamping material to ensure information is current and

addresses new case law and legislative changes.

Future Discipline Orientation Program Dates:

Basic Sessions

May 21, 2015

October 22, 2015

Advanced Session:

October 23, 2015

Registration information can be found online on the Federation’s website.

Carolyn Gora (CPSO), Discipline Orientation

Committee Chair

Key Highlights: During the 2014-2015 year, the Communications Committee has continued its work on the “We Care about Your Care” public awareness campaign. The fol-lowing articles were written and distributed for local print media use:

“Beware of Imposters: When It Comes to Health Care, Titles Matter”

“Your One-Stop Resources for Questions or Concerns About a Health Care Professional”

“Accessing Records Is Part of Your Right to Your Health Story”

“Should You Listen to Dr. Google?”

“Health Care Professionals Don’t Judge—They Just Use Their Best Judgment”

“Online Registers Let You Check on Your Health Care Professional”

“For Confidence in Health Care Professionals and Public Protection, Regula-tion Matters”

“Setting Clear Boundaries Makes for Best Health Care”

“As Ontarians Seek Health Care from Wider Range of Professionals, Regulato-ry Colleges Serve Public Interest”

“Transparency a Priority for Health Care Regulators”

“Health Care Choice Depends on Informed Consent”

“Understand Your Health Care Rights”

C O M M U N I C AT I O N S C O M M I T T E E

Page 5



Jill Hefley (CPSO), Chair

Lori DeCou (OCP)

Lisa Gibson (CASLPO)

Deborah Jones (CNO)

Ryan Pestana (COKO)

Monique Poirier (College of Dietitians of Ontario)

Lisa Pretty (College of Physiotherapists of Ontario)

Co-Chairs

Melisse Willems (CASLPO) Mina Kavanaugh (College of

Optometrists of Ontario)

New in 2014-2015, the Investigations and Hearings Network has begun to provide Federation member staff with information and resources related to this area of College activity. Regular meetings and online resources help members with that information-sharing process.

Three sessions were held over the year, with topics including “Quality Assurance Referrals”, “Alternate Dispute Resolution: How to Make it Work”, “ICRC Training: Tips and Tools”, “HPARB Updates”, “Intake Process”, and “Transparency Principle Implementation”.

I N V E S T I G AT I O N S A N D H E A R I N G S N E T W O R K


Kathy Wilkie (CMLTO), Chair Brenda Kritzer (COKO) Brian O’Riordan (CASLPO) Jo-Ann Willson (CCO)

The Ad Hoc Risk Management Policy Development Committee has been monitoring work by the Health Insur-ance Reciprocal of Canada (HIROC), the insurance provider for the Feder-ation and many members. HIROC is developing risk management tools that will be reviewed by the Ad Hoc Committee.

A D H O C R I S K M A N A G E M E N T P O L I C Y D E V E L O P M E N T C O M M I T T E E

Page 6


2014-2015 saw an increase in the number of members of the Legislative and Policy Issues (L&PI) Committee, and robust discussions as well as excellent input was provided over the year on a number of key issues, including the following:

Bill 8, Public Sector and MPP Accountability and Transparency Act, 2014

Bill 21, Safeguarding Health Care Integrity Act, 2014

Task Force on the Prevention of Sexual Abuse

Transparency Principles

Federation policies

L E G I S L AT I V E A N D P O L I C Y I S S U E S C O M M I T T E E

In accordance with the By-Laws, the Nominations Committee facilitated the Call for Nominations for the Ex-ecutive Committee and Officers. Elections will be held at the Board Meeting on April 23, 2015. The ap-preciation of the Committee is ex-tended to all who are volunteering for these important positions.

N O M I N AT I O N S C O M M I T T E E


Brian O’Riordan (CASLPO), Chair Barbara Cadotte (OCP)

Joel Friedman (CCO) Mary Lou Gignac (College of Dietitians of Ontario)

Rod Hamilton (College of Physiotherapists of Ontario)

Brenda Kritzer (COKO) Tina Langlois (CMRTO)

Joyce Rowlands (CRPO) John Tzountzouris (CMLTO)

Louise Verity (CPSO)


Linda Gough (CMRTO), Chair Jo-Ann Willson (CCO)

Linda Gough, Chair

Brian O’Riordan,

Chair

Kathy Wilkie, Chair


FEDERATION MEMBERS Judy Rigby was appointed Registrar, CEO of the College of Dental Technologists

of Ontario in August 2014. Mary Lou Gignac, Registrar and Executive Director of the College of Dietitians of

Ontario, announced her retirement in March for July 2015. Brad Sinclair left his position as the College of Dental Hygienists of Ontario’s Reg-

istrar and CAE in April 2015. Lisa Taylor was appointed Acting Registrar of the College of Dental Hygienists of

Ontario in April 2015. The College of Homeopaths of Ontario was proclaimed on April 1, 2015. The College of Registered Psychotherapists (and Registered Mental Health Thera-

pists) of Ontario was proclaimed on April 1, 2015. EXTERNAL STAKEHOLDERS Dr. Bob Bell was appointed Deputy Minister of Health in June 2014. Janice Vauthier, appointed Chair of the Health Professions Appeal and Review

Board in June 2014. Dr. Eric Hoskins was appointed Minister of Health and Long-Term Care in July

2014. Suzanne McGurn was appointed to the position of Assistant Deputy Minister/

Executive Officer of the Ontario Public Drugs Programs, announced October 2014. Denise Cole was appointed as the Assistant Deputy Minister of Health for the

Health Human Resources Strategy Division in December 2014. Dr. Jean Augustine retired as Ontario’s Fairness Commissioner in March 2015. Deputy Minister Helen Angus was appointed as Interim Fairness Commissioner

in March 2015.

T R A N S I T I O N S

Educational and information-sharing opportunities for Federation members, initiated during the 2013-2014 year, continued in 2014-2015. Those included the following : October 2014 – Strategic Conversations

Facilitator: Misha Glouberman February 2015 – Transparency Principles Implementation Forum

Facilitator: Shenda Tanchak (College of Physiotherapists of Ontario) Panellists: AGRE Member representatives, including Anita Ashton (College of Physiotherapists of Ontario), Maureen Boon (CPSO), Irwin Fefergrad (RCDSO), Paula Garshowitz (College of Optometrists of Ontario), Kevin McCarthy (CNO), and Anne Resnick (OCP)

M E M B E R E D U C AT I O N A L A N D I N F O R M AT I O N - S H A R I N G

O P P O R T U N I T I E S

Suite 301 - 396 Osborne St

PO Box 244

Beaverton ON L0K 1A0

Phone: 416-493-4076

Fax: 1-866-814-6456

Email: bakenny@

regulatedhealthprofessions.on.ca

F e d e r a t i o n o f

H e a l t h

R e g u l a t o r y

C o l l e g e s o f

O n t a r i o

F e d e r a t i o n o f H e a l t h R e g u l a t o r y C o l l e g e s o f O n t a r i o


Members: College of Audiologists and Speech-Language Pathologists of Ontario (CASLPO)

College of Chiropodists of Ontario (COCOO)

College of Chiropractors of Ontario (CCO)

College of Dental Hygienists of Ontario (CDHO)

College of Dental Technologists of Ontario (CDTO)

College of Denturists of Ontario

College of Dietitians of Ontario (CDO)

College of Homeopaths of Ontario (CHO)

College of Kinesiologists of Ontario (COKO)

College of Massage Therapists of Ontario (CMTO)

College of Medical Laboratory Technologists of Ontario (CMLTO)

College of Medical Radiation Technologists of Ontario (CMRTO)

College of Midwives of Ontario (CMO)

College of Nurses of Ontario (CNO)

College of Occupational Therapists of Ontario (COTO)

College of Opticians of Ontario

College of Optometrists of Ontario

College of Physicians and Surgeons of Ontario (CPSO)

College of Physiotherapists of Ontario

College of Psychologists of Ontario

College of Registered Psychotherapists Therapists of Ontario (CRPO)

College of Respiratory Therapists of Ontario (CRTO)

College of Traditional Chinese Medicine Practitioners and

Acupuncturists of Ontario (CTCMPAO)

Ontario College of Pharmacists (OCP)

Royal College of Dental Surgeons of Ontario (RCDSO)

V I S I T: w w w. r e g u l a t e d h e a l t h p r o f e s s i o n s . o n . c a

REPORT TO COUNCIL CASLPO FORUM FROM

MEETING DATE

Alexandra Carling-Rowland

June 12, 2015

REPORT DATE June 5, 2015

CASLPO is constantly seeking to improve communications with its members.

The CASLPO Forum has replaced the Regional Seminars. We will still visit different areas of the province every year to meet with members, but, as a result of member feedback on the Regional Seminars, the focus will change.

A forum is defined as “a place or opportunity to discuss a subject”. We want to make CASLPO Forum more interactive and give members an opportunity to discuss their issues as they relate to the College, regulations and standards of practice.

Our three goals are:

To provide members with the latest updates from the College including new projects, processes and documents

To answer the members’ questions and discuss their issues

To discuss common practice issues through authentic clinical scenarios

We have recorded four short vignettes which are available on the website. This information used to be part of the Regional Seminar.

The role of Regulatory Colleges and CASLPO’s Mission, Vision and Values

The importance of Self-Regulation

CASLPO services

The difference between the College and an Association

The first CASLPO Forum took place at the CASLPO Offices, Toronto on May 28th 2015. Twenty two members attended in person, and eleven joined by webinar. Sixteen members (50%) completed a feedback survey. Please find the Survey Monkey results below:

COMMENTS FROM ATTENDEES

I only had time to watch one (video), but appreciated lots of time for Q and A

It was only the first time. This should continue. I'm hoping this will take place more often. The issue of testimonials dragged on.

Due to lack of time, I was unable to ask questions.

Better to do it in the Fall (at the beginning of the school year for those of us working in school boards); I'm not sure whether attendees had to pay for parking; otherwise a very convenient location

Keep asking members for questions

Have more Forums

SUGGESTIONS FOR E-FORUMS

Electronic record and confidentiality

Screening. Support personnel especially when the SLP's and CDA's do not work in the same site

Q1 The short videos on the website providing an overview of CASLPO and the role of the College is a good initiative allowing more time for questions.

Strongly Agree/Agree – 70% Neither - 6% Disagree/Strongly - 6% Did not view - 18%

Q2 The Updates about CASLPO's new projects, processes and documents were informative

Strongly Agree/Agree – 94% Neither - 4% Disagree/Strongly - 0%

Q3 It was positive and informative to meet all of CASLPO's staff in person


Q4 Discussion and Questions

Sending in questions before the Forum is a good method of engaging the membership • Strongly Agree/Agree – 81% • Neither - 12%

CASLPO were open to answering questions and discussing issues

Strongly Agree/Agree – 78% Neither - 0%

Disagree/Strongly - 12%

I personally felt comfortable to ask questions


The discussions were relevant to my work


I received answers to my questions


Q5 Joining the Forum by Webinar

It was easy to join the Forum by webinar


I felt included in the discussions


The method of including webinar participants was effective


Q6 CASLPO Forum Logistics

The timing of the Forum was convenient


The location of the seminar was satisfactory


It is important for openness and member engagement to come to CASLPO's offices


Q7 Future CASLPO Forums

I would consider attending a Forum in the future


I would recommend the Forum to a colleague


I would attend an 'area of practice' E-Forum via webinar


CASLPO●OAOO Page 1 of 3

MEMORANDUM COUNCIL ELECTIONS – DISTRICTS 2, 4 AND 5 TO Council

FROM Brian O’Riordan

DATE June 2, 2015 MEETING DATE June 12, 2015

The College held elections for Council seats within District 2 Central Ontario, District 4 Northwestern Ontario and District 5 Northeastern Ontario, for election to a three-year term of office, beginning May 25, 2015.

The College requested members from District 2, District 4 and District 5 to cast their electronic vote in this election for their applicable district:

- One Audiologist Member and One Speech-Language Pathologist Member for

a three-year term of office (District 2- Central Ontario)

The election date is May 25, 2015 at which time the results will be known.

- One Speech-Language Member or one Audiologist for a three-year term of office (District 4 – Northwestern Ontario) *For the Audiologist or Speech-Language Pathologist Member position for District 4, Northwestern Ontario, Sandi Singbeil, Speech-Language Pathologist had been acclaimed due to only one nomination being received for the seat by the nomination deadline. Congratulations Sandi!

- One Speech-Language Pathologist or one Audiologist Member for a three-

year term of office (District 5 – Northeastern Ontario)

There being no nominations for either an audiologist or speech-language pathologist in District 5, the nomination process was ‘re-opened with a new nomination deadline of June 12, 2015. Electronic voting will take place starting Monday June 29, 2015 and the deadline for receipt of completed electronic ballots will be Friday July 29, 2015. The newly elected members of Council will take office that day.

Every member in District 2 had the right to two votes on the ballot, one for an audiologist; one for a speech-language pathologist.

Every member in District 4 had the right to one vote on the ballot, for an audiologist or a speech-language Pathologist.


Every member in District 5 had the right to one vote on the ballot, for an audiologist or a speech-language Pathologist and will again when the vote is re-opened Monday June 29, 2015 with a close date of Wednesday July 29, 2015.

The e-voting email was sent to members from an outsourced vendor called ‘Big-Pulse’. They specialize in secure, protected e-Voting needs. The email ‘From’ line appeared as if the message was being sent from Brian O’Riordan, Registrar and included the subject line: 2015 Elections for Members of Council.

Members were reminded that their vote strengthens the principle of self-regulation of the health professions in Ontario is their chance to take advantage of the personally and professionally rewarding opportunity to participate in the self-regulation of the professions in the public interest.

The opportunity to electronically review the list of Candidates within District 2, 4 and 5 and the Election Process was provided by clicking a link.

A ballot and biographical material (prepared by the Candidates) could be accessed by every eligible voter. All material for the vote was accessible in both English and French.

RESULTS OF DISTRICT 2 CASLPO COUNCIL MEMBER ELECTION The electronic ballots have been counted for the election for the seats in District 2 (Central Ontario) for one Audiologist Member and One Speech-Language Pathologist Member for a three-year term of office. The College is pleased to announce the re-election of Vicky Papaioannou, (AUD) of Mississauga. Number of voters: 319. Group size: 1517 Rank Nominee Voters

1 Papaioannou, Vicky Ann 170

2 Banks, Rex 87

3 Saunders, Tracy J. 35

4 Asghar, Mohammad Shafique 27 The College is also pleased to announce the election of Yvonne Wyndham, (SLP) of Toronto. Number of voters: 349. Group size: 1517 Rank Nominee Voters

1 Wyndham, Yvonne Marie 137

2 Hayes, Stephanie Marian 126

3 Wolff, Talya Jennifer 70

4 Kothavale, Reshma 16


Vicky's and Yvonne's terms are effective immediately and they will serve until the spring of June 2018. The College thanks all candidates for their participation in the democratic process and also expresses its thanks to all those members who took the time to cast a ballot.

There were no spoiled ballots recorded.

RESULTS OF DISTRICT 4 CASLPO COUNCIL MEMBER ELECTION In District 4 (AUD or SLP), the results were:

Sandi Singbeil, Speech-Language Pathologist had been acclaimed

There were no spoiled ballots recorded.

STATUS OF DISTRICT 5 CASLPO COUNCIL MEMBER ELECTION In District 5 (AUD or SLP), the re-opened nomination closes Friday June 12, 2015.


REGISTER PROVISIONS IN CODE

EXCERPTS FROM THE HEALTH PROFESSIONS PROCEDURAL CODE, BEING SCHEDULE 2 TO

THE REGULATED HEALTH PROFESSIONS ACT, 1991

CONTENTS OF REGISTER

23(2) The register shall contain the following:

1. Each member’s name, business address and business telephone number, and, if

applicable, the name of every health profession corporation of which the member

is a shareholder.

2. The name, business address and business telephone number of every health

profession corporation.

3. The names of the shareholders of each health profession corporation who are

members of the College.

4. Each member’s class of registration and specialist status.

5. The terms, conditions and limitations that are in effect on each certificate of

registration.

6. A notation of every matter that has been referred by the Inquiries, Complaints and

Reports Committee to the Discipline Committee under section 26 and has not been

finally resolved, until the matter has been resolved.

7. The result, including a synopsis of the decision, of every disciplinary and incapacity

proceeding, unless a panel of the relevant committee makes no finding with

regard to the proceeding.

8. A notation of every finding of professional negligence or malpractice, which may or

may not relate to the member’s suitability to practise, made against the member,

unless the finding is reversed on appeal.

9. A notation of every revocation or suspension of a certificate of registration.

10. A notation of every revocation or suspension of a certificate of authorization.

11. Information that a panel of the Registration, Discipline or Fitness to Practise

Committee specifies shall be included.

12. Where findings of the Discipline Committee are appealed, a notation that they are

under appeal, until the appeal is finally disposed of.

13. Where, during or as a result of a proceeding under section 25, a member has

resigned and agreed never to practise again in Ontario, a notation of the

resignation and agreement.

14. Information that is required to be kept in the register in accordance with the by-

laws.

---

ACCESS TO INFORMATION BY THE PUBLIC

(5) All of the information required by paragraphs 1 to 13 of subsection (2) and all

information designated as public in the by-laws shall, subject to subsections (6), (7), (8),

(9) and (11), be made available to an individual during normal business hours, and shall be

posted on the College’s website in a manner that is accessible to the public or in any other

manner and form specified by the Minister.

BY-LAW NO. 2011-6

College of Audiologists and Speech-Language Pathologists of Ontario

A By-law relating to The Register of the College

TABLE OF CONTENTS

Article 1 INTERPRETATION Article 2 NAME IN REGISTER Article 3 CHANGE OF NAME Article 4 BUSINESS ADDRESS Article 5 BUSINESS TELEPHONE NUMBER Article 6 MAINTAINING THE REGISTER Article 7 OTHER INFORMATION FOR THE REGISTER Article 8 PROVIDING INFORMATION TO THE COLLEGE Article 9 NOTIFICATION OF CHANGES OF INFORMATION

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1

1 INTERPRETATION 1.1 The Definitions set out in By-law No. 2011-1 shall apply to this By-law. 1.2 In this By-law, unless the context otherwise requires, the singular number or the

masculine gender shall include the plural number or the feminine gender, as the case may be.

1.3 Each provision of this or any other By-law and any part thereof of the College shall be

interpreted in a manner consistent with the RHPA, Code, ASLPA and Regulations, and where an inconsistency is found to exist, and where practical, the inconsistent provision shall be severed from such By-law or any part thereof.

1.4 In this By-law, “Professional Corporation” means a corporation incorporated or continued

under the Ontario Business Corporations Act that holds a valid certificate of authorization or other authorizing document issued by the College.

2 NAME IN THE REGISTER 2.1 Subject to Article 3, a member’s name in the Register shall be the full name indicated on

the documents used to support the member’s initial registration with the College.

3 CHANGE OF NAME 3.1 The Registrar may enter a name other than the name referred to in Article 2, in the

Register if the Registrar: 3.1.1 has received a written request from the member; 3.1.2 is satisfied that the member has legally changed his or her name; and 3.1.3 is satisfied that the name change is not for any improper purpose.

4 BUSINESS ADDRESS 4.1 A member’s business address in the Register for the purposes of paragraph 1 of Section

23(2) of the Code shall be: 4.1.1 where the member is employed or self-employed as an audiologist or a speech-

language pathologist, if the member is only employed at one location in Ontario. In the event that the member is employed in more than one location in Ontario, the member’s business address shall be the location where the member generally works, or anticipates to work, the most hours.

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4.1.2 where the member is not employed or self-employed in Ontario as an Audiologist or Speech-Language Pathologist, the Registrar shall enter the member’s business address as the location designated by the member or any other address approved by the Registrar.

5 BUSINESS TELEPHONE NUMBER 5.1 A member’s business telephone number in the Register of the College shall be the

telephone number associated with the location referred to in Article 4 or such other telephone number designated by the member.

6 MAINTAINING THE REGISTER

6.1 The Registrar shall maintain a Register in accordance with section 23 of the Code.

7 OTHER INFORMATION FOR THE REGISTER 7.1 In addition to the information set out in subsection 23 (2) of the Code, the Register shall

contain the following information available to the public (subject to the requirements of the Code and to where the Registrar is satisfied that it would jeopardize the safety of any individual) with respect to each member: 7.1.1 If the member uses a name that is different from their legal name or an

abbreviation of their legal name in the course of offering or providing professional services, such name or abbreviation used;

7.1.2 All other business addresses and business telephone numbers where the member is employed or self-employed as an audiologist or speech-language pathologist;

7.1.3 The member’s registration number;

7.1.4 The dates on which each class of registration that the member holds was obtained and, if applicable, the dates on which each terminated;

7.1.5 If the member ceased to be a member, a notation specifying the reason for the termination of membership and the date upon which the member ceased to be a member;

7.1.6 For every matter that has been referred by the Inquiries, Complaints and Reports Committee to the Discipline Committee under section 26 of the Code and has not been finally resolved, until the matter has been resolved,

7.1.6.1 a notation of that fact, including the date of the referral;

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7.1.6.2 a summary of each specified allegation; and 7.1.6.3 any hearing dates, including dates for the continuation of the hearing.

7.1.7 A notation, including the date of the referral, for every matter that has been

referred by the Inquiries, Complaints and Reports Committee to the Fitness to Practice Committee under section 61 of the Code and has not been finally resolved, until the matter has been resolved;

7.1.8 Any information jointly agreed to be placed on the Register by the College and

the member;

7.1.9 Where the member is subject to an interim order, a notation of that fact, the nature of the order and the date that the order took effect;

7.1.10 Where the member’s certificate of registration is subject to a suspension for

failure to pay a fee, the reason for the suspension and the date of the suspension in addition to the fact of the suspension;

7.1.11 Where the College is aware that a finding of professional misconduct or

incompetence or similar finding has been made against the member by a body that governs a profession, inside or outside of Ontario, and that finding has not been reversed on appeal, 7.1.11.1 a notation of the finding,

7.1.11.2 the name of the governing body that made the finding,

7.1.11.3 a brief summary of the facts on which the finding was based,

7.1.11.4 the penalty and any other orders made relative to the finding,

7.1.11.5 the date the finding was made, and

7.1.11.6 information regarding any appeals of the finding.

7.1.12 Where the College is aware that a finding of incapacity or similar finding has

been made against the member by a body that governs a profession, inside or outside of Ontario, and that finding has not been reversed on appeal,

7.1.12.1 a notation of the finding,

7.1.12.2 the name of the governing body that made the finding,

7.1.12.3 the date the finding was made,

7.1.12.4 a summary of any order made as per sections 23(8) and (9) of the

Code, and

7.1.12.5 information regarding any appeals of the finding.

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7.1.13 Where a decision of the Discipline Committee has been published by the College with the member’s name or former name included,

7.1.13.1 a notation of that fact, and

7.1.13.2 identification of the specific publication of the College which

contains the information.

7.1.14 Where, during or as a result of an investigation, inquiry or proceeding under section 25 of the Code a member has resigned, a notation of that fact;

7.1.15 In addition to the name of every professional corporation of which the member is

a shareholder, the business address, business telephone number, business e-mail address, if there is one, and any operating names of the professional corporation;

7.1.16 Any of the information in respect of a former member that was on the Register

just before the membership terminated, for a period of at least two years after the termination of registration, except for any information related to discipline proceedings in Ontario, in which case it shall be entered on the Register for a period of fifty years after the termination of registration.

8 PROVIDING INFORMATION TO THE COLLEGE 8.1 If requested, the member shall immediately provide the College with the following

information, in the form and manner requested by the College:

8.1.1 Information required to be maintained in the Register in accordance with subsection 23 of the Code and Article 7.6;

8.1.2 The address and telephone number of the member’s primary residence in

Ontario and, if the member does not reside in Ontario, the address and telephone number of the member’s primary residence;

8.1.3 The preferred e-mail address for the member; 8.1.4 The member’s gender; 8.1.5 The member’s date of birth; 8.1.6 The member’s citizenship or immigration status; 8.1.7 The member’s preference to communicate with the College in English or French; 8.1.8 The languages in which the member provides and/or delivers professional

services; 8.1.9 Proof of personal professional liability insurance in accordance with By-law No. 7

of the College;

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8.1.10 The member’s areas of practice and categories of clients seen; 8.1.11 Information regarding the member’s employment including:

8.1.11.1 the member’s title and position, 8.1.11.2 a description of the member’s role, duties, and responsibilities, and 8.1.11.3 the member’s employment category and status.

8.1.12 If there have been any changes to the member’s name since the date of the

member’s initial application for registration, the former names of the member;

8.1.13 Information about the member’s registration with any other body that governs a profession, whether inside or outside of Ontario, including the name of the governing body, the member’s registration or license number and the date the member first became Registered;

8.1.14 Information about any finding of professional misconduct or incompetence or

similar finding that has been made against the member by a body that governs a profession, inside or outside of Ontario, where that finding has not been reversed on appeal, including:

8.1.14.1 the finding, 8.1.14.2 the name of the governing body that made the finding, 8.1.14.3 a brief summary of the facts on which the finding was based, 8.1.14.4 the penalty and any other orders made relative to the finding, 8.1.14.5 the date the finding was made, and 8.1.14.6 information regarding any appeals of the finding.

8.1.15 Information about any finding of incapacity or similar finding that has been made

against the member by a body that governs a profession, inside or outside of Ontario, where that finding has not been reversed on appeal, including:

8.1.15.1 the finding,

8.1.15.2 the name of the governing body that made the finding, 8.1.15.3 the date the finding was made, 8.1.15.4 a summary of any order made, and 8.1.15.5 information regarding any appeals of the finding.

8.1.16 Information about the member’s participation in the Quality Assurance program;

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8.1.17 Information for the purpose of compiling statistical data;

8.1.18 Information about any finding by a court made after June 3, 2009 that the

member is guilty of any of the following:

8.1.18.1 an offence under the Criminal Code of Canada;

8.1.18.2 an offence related to prescribing, compounding, dispensing, selling or administering drugs;

8.1.18.3 an offence that occurred while the member was practising or that

was related to the practice of the member (other than a municipal by-law infraction or an offence under the Highway Traffic Act);

8.1.18.4 an offence in which the member was impaired or intoxicated; or

8.1.18.5 any other offence relevant to the member’s suitability to practice

the profession.

8.1.19 Information about any finding by a court made after June 3, 2009 of professional negligence or malpractice against the member.

8.1.20 Information required by the Minister of Health and Long-Term Care.

9 NOTIFICATION OF CHANGES OF INFORMATION 9.1 The member shall notify the College, in writing, of any changes to the following

information within 30 days of the effective date of the change:

9.1.1 the member’s name, 9.1.2 the member’s citizenship or immigration status, 9.1.3 the address and telephone number of the member’s primary residence in Ontario

and, if the member does not reside in Ontario, the address and telephone number of the member’s primary residence,

9.1.4 the member’s business addresses or business telephone numbers, 9.1.5 the member’s preferred email address.

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Made by the Council of the College of Audiologists and Speech-Language Pathologists

of Ontario on the 6th day of June, 2014.

This By-law shall come into force and effect on the 7th day of June, 2014. Original effective date: January 1, 2011 Amended: June 6, 2014.

1671-01 (03/04) 7530-4658

Ministry of Health and Long-Term Care

Office of the Minister

10th Floor, Hepburn Block

80 Grosvenor Street Toronto ON M7A 2C4 Tel. 416 327-4300 Fax 416 326-1571 www.ontario.ca/health

Ministère de la Santé et des Soins de longue durée

Bureau du ministre

Édifice Hepburn, 10e étage

80, rue Grosvenor Toronto ON M7A 2C4 Tél. 416 327-4300 Téléc. 416 326-1571 www.ontario.ca/sante

Dear College Presidents and Registrars/Executive Directors: My duty as Minister under the Regulated Health Professions Act, 1991 (RHPA) includes ensuring that the health professions are regulated in the public interest. As part of that, my responsibility is to ensure that all Ontarians have access to information that is relevant and timely, useful and accurate -- information that evokes public confidence and enhances the public’s ability to make informed decisions about their care. It is the right thing to do. To deliver on my commitment to providing Ontarians with the information they need, I am asking you to share more information and make our system more transparent when it comes to regulating our health professions. I am asking you not only to improve transparency, but to work together with each other and with us to make this a reality. I know that many colleges are working individually or together through organizations such as the Advisory Group on Regulatory Excellence (AGRE) to improve transparency. I also know that many of you have dedicated resources to improve transparency. I am asking that all colleges move collectively to make transparency a priority. Specifically, I am asking each Council and transitional Council to:

1. Make transparency a priority objective in each of your strategic plans, if it is not yet a stated priority. This is crucial because it places transparency at the heart of what you do, and will ensure it remains a priority in the future.

2. Take concrete steps to develop and establish measures that will continuously increase transparency in College processes and decision-making, and that will make more information available to Ontarians.

Your transparency initiatives should include:

1. How you will be strengthening existing measures that the College or transitional Council has in place to enhance transparency; and,

…2

1671-01 (03/04) 7530-4658

-2- College Presidents and Registrars/Executive Directors

2. New measures that the Council or transitional Council will develop and implement to increase transparency in College processes, decision-making and information disclosure.

In the coming days, Suzanne McGurn, Assistant Deputy Minister, Health Human Resources Strategy Division, will be writing to you regarding these initiatives.

In addition, I ask Colleges with inspection programs to publicly disclose full, detailed, useful information with respect to each inspection they conduct. These reports should include, at a minimum:

- the purpose of the inspection; - the results of that inspection;

- the reasons for those results;

- any deficiencies identified by the inspectors and

- any conditions that apply. These publicly disclosed reports must bear in mind applicable principles of fairness and privacy. I appreciate that it may take time for some Colleges to adjust their processes and procedures so that they can fully disclose detailed information about their inspections and other transparency measures; this may include the introduction of new or the amending of existing by-laws. However, it is in the public interest for these measures to be undertaken as soon as possible. Making more detailed, timely, accurate and clear information relating to inspection reports publicly available, as well as other transparency measures, is important to maintaining confidence in Ontario’s health professions regulatory system, and in our health care system more broadly. Therefore, I ask that College Councils and transitional Councils report back to my Ministry by December 1, 2014, on the specific steps that will be taken to make all of these transparency measures possible. Please report back to the following ministry official: Suzanne McGurn, Assistant Deputy Minister Health Human Resources Strategy Division Ministry of Health and Long-Term Care 900 Bay Street Macdonald Block, 2nd Floor, Room M2-61 Toronto ON M7A 1R3 E-mail: [email protected]

mailto:[email protected]

1671-01 (03/04) 7530-4658

…3 -3-

College Presidents and Registrars/Executive Directors My hope is that we can work collaboratively to implement these steps as we work together to maintain the public’s trust in our health care system. However, as Ontario's Minister of Health and Long-Term Care, my ultimate responsibility is to the people of Ontario. I reserve the right to take any and all necessary measures to ensure that the public interest remains paramount, including exercising the powers reserved to me under subsection 5(1) of the RHPA including the ability to require Councils to do anything that, in my opinion, is necessary or advisable to carry out the intent of the RHPA and the health profession Acts. I am confident that all College Councils and transitional Councils will undertake these necessary initiatives to improve transparency in a way that serves and protects the public interest. I hope you will join with me to ensure that, together, we can maintain public confidence in Ontario’s health care system. That is our collective duty. Yours sincerely,

Dr. Eric Hoskins Minister

3080 Yonge Street, Suite 5060, Box 71, Toronto, Ontario M4N 3N1 www.caslpo.com Phone: 416‐975‐5347 • Toll Free: 1‐800‐993‐9459 (ON only) • Fax: 416‐975‐8394 [email protected]

November 28, 2014 Ms. Suzanne McGurn Assistant Deputy Minister Health Human Resources Strategy Division Ministry of Health and Long-Term Care 900 Bay Street MacDonald Block, 2nd Floor, Room M2-61 Toronto ON M7A 1R3 TRANSMITTED BY EMAIL Dear Ms. McGurn,

RE: CASLPO Current Transparency Practices and Planned Enhancements

As requested by the Minister, the Hon. Dr. Eric Hoskins, the College of Audiologists and Speech-Language Pathologists of Ontario (CASLPO), is pleased to report to you on the specific steps that we are taking to enhance public transparency measures, as outlined in the Minister’s letter of October 4, 2014 and your subsequent letter of October 28, 2014 sent to all College Presidents, Registrars and Executive Directors. We endorse very strongly the Minister’s commitment to transparency, and are prepared to build on our existing practices in this area. Our approach to transparency and accountability is always informed by our understanding of our role as a regulator: Within our available resources and knowledge base, we are strongly committed to minimizing adverse risks to patients treated by those practitioners whom we regulate. Our mandate is to ensure that all our registrants are committed to adhering to ethical, professional standards of practice and conduct. We are accountable to the people of Ontario for the trust which they have placed in us.

CASLPO Letter to Suzanne McGurn, Assistant Deputy Minister re Transparency November 28, 2014

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In this letter, we will review, for each area of College activity, our current transparency practices and the steps we are taking to put in place new measures and approaches to Transparency. Introduction The Minister asked that each College Council “make transparency a priority objective” in their strategic plans. Our most important core value is “accountability and transparency”, which we describe as follows: “The College is accountable to the public, the government and its members through governance and administrative processes that are open, fair, responsive, respectful and professional.” Our College was created in 1993, as provided for in the Regulated Health Professions Act, 1991, (“the RHPA”) and the Audiology and Speech-Language Pathology Act, 1991 (“ASLPA”). Our governing Council is constituted as follows:

7 Public Members 9 Professional Members

2 Academic Members We have an annual budget of $2.5 million and a staff of 10. The College has a current registration of 3,795 members, with 692 being Audiologists and 3,103 being Speech-Language Pathologists. Each year, we process approximately 170 to 200 applications for membership and 50-70 members retire from practice. Each year, the College on average receives between 25 and 35 complaints and reports concerning members. In 2013, we rendered decisions in 24 cases. Since its inception, the College has had a strong commitment to principles of public transparency and accountability. We have worked collaboratively with our stakeholders, the Ministry, counterpart regulators in other provinces, the Office of the Fairness Commissioner and our sister regulatory Colleges here in Ontario through the Federation of Health Regulatory Colleges of Ontario (FHRCO). Currently, our Registrar is the Vice-President of the Federation. These interactions provide access to many avenues of best practices with respect to transparency and accountability. Most notably, the work the Colleges affiliated with the Advisory Group for Regulatory Excellence (AGRE) completed regarding the development of a set of Transparency Principles has been most helpful. As with many other Colleges, our Council has endorsed this set of principles and we are fully committed to their realization within our own College and across the regulatory system. Change To Increase Transparency I am pleased to report that at our next meeting of Council on December 12, 2014, we will be considering an amendment to our current Strategic Plan that will enhance our existing commitment to transparency as an operating principle. The proposed amended goal would read “Advance Regulation in the Public Interest through Improved Transparency and Accountability” The current Strategic Plan is in its third and final year of operation. As we develop a new three-year strategic plan in the spring of 2015, Council will accord transparency goals and measures a


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very high priority. Our most recent Annual Report includes a summary of our current Strategic Plan, as well as the College’s vision, mission, mandate and core values. To view the Annual Report, click here. The vision, mission and mandate are inscribed on the walls of our Council boardroom and Discipline Hearing Room. We intend overall to increase our levels of public transparency, while remaining in compliance with Provincial privacy legislation. A) Council Activities We note that in your letter of October 28, 2014, you describe transparency and accountability as “pillars of good governance”, and you indicate that the Premier has stated that she wants her government “to be the most open and transparent government in the country”. We applaud these values and commitments and very much share them. Transparency must begin at the governance level. As with all Colleges, our quarterly council meetings are open to the public. Council meeting dates that are confirmed for the upcoming year are posted on the CASLPO website in advance of each meeting. The website indicates that the meetings are open to the public, and that Council meetings are used to address a broad spectrum of issues important to the provision of high quality audiology and speech-language pathology services and to develop policies to guide the professions. The confirmed Council meeting dates are also sent to the FHRCO administrator to circulate accordingly, and post on the FHRCO website along with other College Council meeting dates for the year. Following Council meetings, our website is updated in the ‘What’s New’ section with any significant information or milestones noted. Further, all Committee activity is published within the Annual Report accessible for the public and members via our website. The report is sent each year to the Minister and all MPPs, as well as a large number of stakeholders. A biography of each Council Member is posted on the College’s website. A list of statutory and non-statutory committees, including their terms of reference, are also described. Further, a chart identifying the committee compositions, including any non-Council professional members, is also posted. Changes To Increase Transparency In order to enhance the transparency of our governance decision-making, we will, beginning January 1, 2015, post on our website all Council meeting agendas and minutes as well as all meeting background materials (unless of an identified confidential nature as set out in Section 7 of the Procedural Code of the “RHPA”). Our Council members have been closely following developments concerning transparency initiatives in other jurisdictions and articles in the media concerning transparency matters including the investigative reporting of the Toronto Star, CBC and others. We realize the

http://caslpo.com/sites/default/uploads/files/PUB_EN_CASLPO_2013_Annual_Report.pdfhttp://caslpo.com/sites/default/uploads/files/PUB_EN_CASLPO_2013_Annual_Report.pdf


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importance of transparency in the development and furtherance of good governance and public accountability. We also note that increased levels of transparency must be accompanied by a strong re-commitment by regulators to improve associated governance procedures and operational processes, as well as decision-making and outcomes. Transparency, though important, is only one of several pillars in upholding the public trust and serving the public interest. Therefore, Council will be increasing in the coming year its existing focus on Council member orientation, training and continuing education to ensure that we all perform at the high levels required and expected. B) Regulations, By-Laws, Standards and Policies In accordance with the RHPA, the College circulates, to the membership and other relevant stakeholders when required, proposed changes to Regulations and By-Laws. The College also regularly engages members and other stakeholders for consultation regarding standards and policies and changes therein. The materials made available during the consultation process include drafts of the proposed documents along with supporting explanatory documents. These materials are made available on the College’s website. The College welcomes input from anyone, regardless of whether the individual or organization was originally designated for feedback. The College provides at least 60 days for feedback. This is then carefully reviewed and provided to the appropriate committees, if applicable, and ultimately to Council for final consideration. Change to Increase Transparency To improve our current engagement with the public, members and stakeholders, we will in future make available on the College’s website all consultation feedback received as well as a detailed summary of the consultation steps, processes and expected timelines for decisions. C) Public Register In recent years, there has been an increasing focus in the media and elsewhere on the information concerning individual College members which should appear on College Public Registers. Your letter of October 28 asks us to respond specifically, in this area. Our Public Register of members appears on our website. Our existing By-Law #6 (see attached) sets out what information must appear respecting members. This is information additional to that required by subsection 23(2) of the Procedural Code of the RHPA, which lists 14 categories of information which must appear in the Register respecting members. Our By-law #6 outlines an additional 16 categories of information which may appear respecting a member. However, no information is published, which the Registrar in his discretion, feels would jeopardize the safety of an individual. Changes To Increase Transparency As mentioned earlier, our Council has endorsed the Transparency Principles developed by AGRE. We are aware that some Colleges have also proceeded to draft and circulate By-law


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changes relating to enhancing transparency. Arguably, they have had the advantage of being able to study many such enhancements through their discussions over the last year under the auspices of AGRE. While timely response to issues of public interest and safety are very important, I am sure you would agree that in moving forward with enhanced transparency measures, particularly those relating to Complaints and Investigations, it is imperative that all Colleges do so in an informed, effective, consultative and democratic manner. Therefore, we are committed to review placing additional information on our Public Register relating to ICRC outcomes. Any By-law changes required will be the subject of a 60-day consultation with the public, members and stakeholders, with a view to implementing any changes by October of 2015 at the latest. In addition, we will consider placing relevant information about a member resulting from criminal proceedings, as well as additional information about members which is obtainable from other regulators. We will consider placing on the Public Register confirmations made under section 36(1)(g) of the RHPA when the College is investigating a member, where there is a compelling public interest in the disclosure of that information. Although not technically part of the Public Register, we will also examine placing information on our website about College prosecutions of unauthorized practise or “holding out” cases. D) Registration Process The College currently provides information about its registration requirements and processes on its website. The following information is highlighted: The homepage provides a prominently featured link for Applicants that outlines the

different pathways to becoming a member of CASLPO for: Canadian Graduates International Graduates Professionals from Other Regulated Provinces

The Fees section provides an outline of all the fees charged by the College relating to

the assessment of an application. The Application Timeline section provides a breakdown of the timelines associated with

processing an application. The Application materials are provided in both English and French and may be

downloaded from the website. The Office of the Fairness Commissioner (OFC) requires regulated professions to submit reports about their registration practices and their compliance with the provisions for fair access to regulated professions provided in the Health Professions Procedural Code (the Code) set out


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in Schedule 2 of the RHPA. CASLPO’s Fair Registration Practices Reports are posted on the College’s website annually. The College provides training in plain language writing to key staff involved in writing registration materials, policies, guidelines, decisions and other communication with applicants. The College, in compliance with Section 1b of the Code, provides to applicants, at their request, all of their relevant application information. Changes To Increase Transparency To enhance transparency regarding the College’s processes relating to registration assessment for applicants, the College will: Develop a survey to determine whether the College’s registration policies and criteria are

written in a way that makes it easy to interpret and apply them. If the College identifies concerns with the ease of understanding and interpretation of registration policies and criteria, the College will make necessary modifications to improve registration materials.

Develop a survey to determine whether the College’s written communication to

applicants – particularly decision letters and reasons – is clear for applicants. If the College identifies concerns with the clarity of its written communication to applicants, the College will make necessary modifications and improvements.

E) Complaints and Investigations Process The College provides information on its website about the complaints and investigation processes. It is intended to help both members and the public understand what to expect before, during and after a complaint is made. The website explains how to make a complaint, who at the college (staff and committees) is involved in the complaints and investigations processes and what options are available to the Inquiries, Complaints and Reports Committee (ICRC) when deciding how to dispose of a complaint. The information also lists the members of ICRC and its terms of reference. The process is transparent for the member and the complainant. The entire complaint, except in exceptional circumstances, is provided to the member. The member’s response is given to the complainant. If the complainant responds to this, this response is then provided to the member. Complete investigation reports and, when obtained, expert opinions, are also provided to the member who is given a reasonable opportunity to provide a written response. The ICRC decision is provided to the member and complainant and, if reasons are required, these are also provided to both parties. Complaints decisions (where the result is something other than a referral to discipline or a referral for an incapacity inquiry) may be appealed by either party to the Health Professions Appeal and Review Board (“HPARB”). HPARB decisions are available on the internet on the CanLII website.


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