Spring OMA council took place on May 3-5 in Ottawa and the predominant theme was that of organizational renewal and an improved member focus. The new CEO, Allan O’Dette is leading the charge with the new mission, vision and values and his focus on membership, mandate, management and modernizing the OMA.

To meet compliance with the new Ontario Not for Profit Corporations Act (ONCA) in 2020 the OMA will undergo significant changes including a smaller council and board and a change in function and responsibilities for council. Details on the new structure are yet to be finalized and will result in a more agile and responsive OMA.

Elections
Outgoing president Dr. Nadia Alam received a lengthy standing ovation at Council for her tremendous leadership and unwavering commitment over the last year.  Her address to council can be seen here: https://vimeo.com/335218815

Dr. Sohail Gandhi took over as President and Dr. Samantha Hill was elected as President-Elect by Council. They follow strong leadership by Dr. Shawn Whatley and Dr. Nadia Alam.

The OMA Governance Transformation Task Force 2020 (GT2020)
This task force introduced the “Better Together” Governance Transformation Plan and will form the basis for council and board structure reform in preparation for ONCA.  The plan is in its early stages and further input will still be sought before a final plan is presented in the fall of 2019.  The plan can be viewed here: https://www.oma.org/wp-content/uploads/private/04-OMA-PPT-May-3rd-Council-v24.pdf

CPSO Task Force
This task force presented on significant changes at the CPSO including a streamlined and improved complaints and an alternate dispute resolution process.  There will be a move away from peer assessments and this spring the CPSO launched a significantly revised website.  It is much more physician friendly and the patient compliant process has been revised requiring them to mail in a complaint by post an not submit anything online.  The “red complain button” has also been removed. 

Negotiations Committee Update
Phase I was reviewed
For the term April 1, 2017 to March 31, 2021 as specified by Binding Arbitration Framework there will be NO hard cap on the Physician Services Budget.  The payment discount of approximately 4% was eliminated on April 1st, 2019 and there will be normative fee increases of 3.5% over the contract in the amounts of 0.75%, 1.25%, 0.5% and 1% for years 1 to 4 respectively.

Phase II (Agreement in principle)
The Negotiation Committee has reached an agreement “in principle” the distribution of normative increases for years 1-3 of he PSA (2017/18-2019/20).  These will be a series of one time payments based on a physicians billings in that year and the normative increase that their specialty receives (specialties will receive an allocation proportional to their hybrid relativity score).  Calculations are still being finalized and details of when money will flow is forthcoming.

A formal bilateral fee setting body will determine allocation of year 4 increases into the Schedule of Benefits as well as other intra-sectional funding allocations.

Details are available here: https://www.oma.org/wp-content/uploads/private/Agreement-Principle-for-Years-1-to-3.pdf 

Relativity Review Committee (RAC)
RAC held a relativity education session on the Friday morning of Council and materials including a review of the new proposed relativity models are available for review on the OMA website: https://www.oma.org/sections/billings-and-agreement/research-analytics/relativity/ 

All sections are being consulted over the summer as they try to find a future approach to relativity which will be presented at the 2019 OMA Fall Council meeting.  If you have any questions about this, you should contact your section for further details.

Physician Services Committee (PSC)
The PSC is a bilateral OMA-MOHLTC committee focused on broad health system transformation and policy initiatives. It will also deal with implementation of the agreement and much needed future work on the schedule of benefits.

Charter Challenge
Continues and addresses the unilateral changes imposed for the period between April 1, 2014 and March 31, 2017. The first hearing is scheduled for June 2020.

CMA Presidents Update
Dr. Gigi Osler addressed council and fielded questions on the proceeds of the sale of MD Management and stated that a plan is being developed for the 2.6 billion dollar sale. There will be a shift in tone back to rededicating the CMA towards physicians and multiple council members advocated for increasing the relevance of the CMA.

For any questions or comments, I encourage you to reach out to your section or district representatives.  

Rohit Kumar MD, FRCP(C)

Anesthesiologist – Trillium Health Partners
Vice-Chair – Ontario’s Anesthesiologists
Vice President – THP Professional Staff Association
Delegate – OMA District 5
Lecturer – University of Toronto

Twitter: @RohitKumarRKV