Insights - Spring 2008

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HPRAC Review: Interprofessional Collaboration and MRT Scope of Practice
Health Human Resource Planning – the CIHI health human resources database project
The CMRTO’s New Information Technology System
Professional Practice Issues
MSF results for 2007: How are we doing?
Allied Health Professional Development Fund Continues in 2008/2009
Suspended Members

HPRAC Review: Interprofessional Collaboration and MRT Scope of Practice
The Health Professions Regulatory Advisory Council (HPRAC) has been asked by the Minister of Health and Long-Term Care to recommend mechanisms to facilitate and support interprofessional collaboration between health Colleges.

HPRAC has suggested that collaboration initiatives should:
  • Assist health regulatory colleges and their members to work collaboratively and to learn from each other to:
    • improve patient care and facilitate better results for patients,
    • protect the public interest and ensure the highest standards of professional conduct and patient safety,
    • regulate the health professions in a manner that maximizes collective resources effectively and efficiently, while protecting the public interest,
    • optimize the skills and competencies of diverse health care professionals to enhance access to high quality and safe services,
    • ensure access to high quality and safe services no matter which health profession is responsible for delivering care or treatment, and
    • enhance scopes of practice to ensure that all regulated health professionals work to their maximum competence and capability.
HPRAC’s consultation discussion guide for this project can be found on its website at www.hprac.org. The College Council will be submitting comments in response to the guide by the deadline of May 31, 2008.

In addition, HPRAC has requested that the CMRTO, in collaboration with the Ontario Association of Medical Radiation Technologists (OAMRT), conduct a review of the scope of practice for MRTs to ensure that there are no legislative, regulatory, structural or process barriers to members of the profession working to the maximum of their scope of practice or to working in interprofessional settings or teams. The time-line for this review is short with the submission being requested for early summer, 2008. The College will collaborate with the OAMRT and will strive to solicit input from as many members and stakeholders as is possible given this short time-frame. This is an exciting time for the profession of medical radiation technology as we proceed with this review of the scope of practice of MRTs in light of current practice trends and patient safety.

Health Human Resource Planning – the CIHI health human resources database project
The Canadian Institute for Health Information (CIHI) has been collecting detailed information on physicians and nurses for a number of years. In response to demand from governments and stakeholders, CIHI is developing five new national databases for medical radiation technologists, occupational therapists, pharmacists, physiotherapists and medical laboratory technologists. The new databases will address data gaps by providing a rich source of high quality, comparable information on geography, demographics, education and employment for these health professionals. As part of this project, the College has been working with CIHI, CAMRT and other provincial regulatory bodies and associations in the development of a national minimum data set for medical radiation technologists. We are now in the latter phases of the development of this project and plan to gather the data from members in the summer and populate the database in late summer/early fall of 2008.

The College will collect each member’s information and enter it into a secure database housed at the College. Examples of questions that you will be asked include:
  • Where did you complete your MRT education?
  • What year did you graduate?
  • What additional certifications have you received after graduating as an MRT: e.g. PACS administrator, diagnostic medical sonography?
  • Have you completed additional formal education: e.g. health administration, business management, education, or marketing?
  • Are you currently employed as an MRT and is this a part-time or a full-time position?
  • In which areas of medical radiation technology do you practise: e.g. bone mineral densitometry, SPECT/CT, breast imaging, brachytherapy?
The College will assign a system-generated unique identifier number to each member’s information and will remove information that directly identifies an individual member prior to sending the information to CIHI to form part of the national database of medical radiation technologists.

The transfer of the information to CIHI will be governed by an agreement between the College and CIHI which addresses security and confidentiality of the information and the handling of the information in accordance with CIHI’s privacy and confidentiality policies. The national database will be used for statistical reporting and research purposes including pan-Canadian reports, analytical studies, an annual report and data/information requests from government and research organizations in accordance with the agreement and CIHI’s privacy and confidentiality policies.

CIHI protects personal information through a number of physical, technical and administrative safeguards that follow or exceed industry standards. CIHI has conducted a privacy impact assessment of the national database of medical radiation technologists. Further information on the privacy impact assessment conducted by CIHI and CIHI's privacy and confidentiality policies can be found on their website at www.cihi.ca.

In addition to working at the national level, the College is also working with the Ontario Ministry of Health and Long-Term Care in its initiative to develop an Allied Health Human Resources Database.

The CMRTO’s New Information Technology System
Over the past year the College has been working on developing and installing a new information technology system to respond to identified member needs and business requirements. The system went live internally in early March and the College staff has been trained and is now comfortable in using the new system.

This has been an extensive undertaking as there was no out-of-the-box system that could meet all the regulatory needs of the College. The Microsoft Dynamics program that was selected needed to be adapted to fit with the requirements for CMRTO business including many functions related to registration, quality assurance, complaints and discipline and most importantly, security of member information. The College now has a new customized database on a Microsoft platform which allows for full integration with office software that will support online member services.

In the summer of this year the College will launch the second phase of the project. It will enable members to pay fees by credit card, and to renew their registration and check their registration status online. In the next few months the College will be sending you detailed information on how to access the system online using a unique temporary password.

Professional Practice Issues
Self-regulation—more than just public protection
Colleges that regulate professionals, like the CMRTO, have a very clear mandate to protect the public. What may not be obvious is that there are many aspects of self-regulation in the public interest that by extension also assist MRTs in their practice.

First, many MRTs will find themselves in the role of patient at some point in their professional career. In addition, our family members and loved ones rely on the health care system. As patients and consumers of health care services, it is comforting to know that the health professionals who provide these vital services are regulated, that there are standards of practice and guidelines setting out the expectations of practice and that there is somewhere to go to report any concerns you have about the care you have received.

Through regulation of medical radiation technology the College’s role is to register those individuals who meet the entry-to-practice requirements. This not only protects the public from harm, but it also means that MRTs have the knowledge, skill and judgment to practise safely. Regardless of where an MRT received his or her initial training or how long he or she has been in practice, employers and colleagues can expect MRTs to possess the competence to practise safely. Self-regulation means that if ever an employer or colleague is concerned that another MRT is not practising according to the standards, there is somewhere for them to report their concerns and a process to address those concerns.

Another College responsibility under the model is the development of standards of practice. The standards of practice and essential competencies, developed by the College in consultation with members, are not only useful to the public’s understanding of the profession, but they also provide guidance and assistance to members. Medical radiation technology is a complex profession that is not easily understood and the public may sometimes have unrealistic expectations of MRTs. MRTs can rely on the standards and competencies for guidance and can also refer to these documents when explaining aspects of their practice to members of the public or colleagues. MRTs can also take comfort in the fact that these are the documents that guide the investigations and decisions made by the College’s Complaints, Executive and Discipline Committees. Clear standards of practice, accessible to all members and providing a common understanding of the expectations of practice, can help clear up any concerns regarding what constitutes appropriate practice.

MSF results for 2007: How are we doing?
In 2007, 80 MRTs participated in the multisource feedback system of the Quality Assurance Program. The questionnaires used a five point Likert scale with five being a rating of “among the best” and four being “in the top half”. Sample questionnaires can be accessed on the CMRTO website at http://www.cmrto.org/quality/practice.asp.

The College’s QA Committee is pleased to report on the aggregate results for MRTs participating in the 2007 MSF program.

Questionnaires completed by peers (other MRTs)
Category Mean Score
Equipment and materials 4.63
Relationship with patients 4.62
Legislation, standards, ethics and safe practice 4.51
Records and reporting 4.57
Professional development 4.43

Questionnaires completed by co-workers (receptionists, radiologists, oncologists, nurses, etc.)
Category Mean Score
Records and reporting 4.73
Relationship with patients 4.79
Team work 4.76

Questionnaires completed by patients
Category Mean Score
Relationship with patients 4.78
Communications 4.65

Allied Health Professional Development Fund Continues in 2008/2009
For the third consecutive year, the government is providing financial support for health professionals through the Allied Health Professional Development Fund. Practising members of nine allied health professions will be able to apply for as much as $1500 for professional development courses and programs.

The purpose of the fund is to develop skills and enhance knowledge and leadership capacity among allied health professionals. This year, the $2.5 million fund will provide grants for professional development opportunities completed from April 1, 2008 - March 31, 2009. The eligible allied health professions are: Medical Laboratory Technology, Physiotherapy, Medical Radiation Technology, Occupational Therapy, Speech Language Pathology, Audiology, Dietetics, Pharmacy and Respiratory Therapy.

To further support professional development, the Fund has invested in a three-year subscription to an electronic health library that will be made available to practising members of the eligible allied health professions. This library will give health professionals access to the most recent health care literature to help determine the best approach to evidence-based practice.

What’s Next?
The guidelines and application form for the Fund and information on the library service will be made available in upcoming weeks at: www.ahpdf.ca.

The government recognizes and values the important contribution made by allied health professionals to the health care system. The Allied Health Professional Development Fund is a HealthForceOntario initiative. This innovative health human resources strategy is designed to ensure the people of Ontario have access to the right number and mix of health care professionals, now and in the future.

Suspended Members
The following are the people whose certificates of registration were suspended between January 1, 2008 and March 31, 2008 for failure to pay their fees in accordance with section 24 of the Health Professions Procedural Code. A person whose certificate of registration has been suspended is not a member of the College unless and until the suspension is removed.

09945 Tang, Yui - Kai
11654 Parris, Adunola Abosede
12096 Sidial, Nalisha

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