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November 2015
ch
all
en
ge
Rep
ort
Bak
er-P
rice
ce
for
sk
y ta
istr
Min
Ch
ar
ter
Physician action
Volume 82 Number 10
www.oma.org
Negotiations/
unilateral action
OMA responds to members’ most
FREQUENTLY
ASKED
QUESTIONS
OMA Physician’s Toolkit
OMA campaign rolls out across Ontario: member
participation strongly encouraged!
Advocacy resources for members and staff: posters,
buttons, patient information cards, office petition
Utilization Update
Charter Challenge
Monitoring physician services budget growth
Timeline, brief summary of OMA position
Claims Reconciliation, RA Inquiries
Payment For Delegated Services
Steps to avoid errors leading to OHIP claims
rejection and processing delays
General overview of payment rules on billing OHIP
for procedures delegated to a non-physician
PM41144507
Editorial
Nov15_OMR_Cover_8.indd 1
Dedicated to Doctors. Committed to Patients.
11/20/15 12:03 PM
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KLI NIX
Executive, Board, Council,
Committee Chairs
Executive Committee
Board of Directors
President
District
Dr. M. Toth, Aylmer
1
Dr. A. Ng, Windsor
Dr. C. Jyu, Scarborough
President Elect
2
Dr. T. Jevremovic, London
Dr. C. Pinto, Toronto
Dr. V. Walley, Toronto
Dr. M. Toth, Aylmer
11 Dr. S. Chris, North York
Dr. L. Colman, Etobicoke
Dr. R. Forman, Toronto
Elected by Council
Past President
3
Dr. C. Cressey, Palmerston
Dr. K. Cherla, Georgetown
Dr. V. Tandan, Hamilton
4
Dr. V. Tandan, Hamilton
Dr. R. Mann, Peterborough
Dr. R. Tytus, Hamilton
Dr. J. Stewart, North Bay
Dr. L. Barron, Limehouse
Dr. V. Walley, Toronto
Dr. S. Whatley, Mount Albert
Dr. H. Yamashiro, Richmond Hill
Chair of the Board
Dr. S. Chris, North York
5
Honorary Treasurer
Dr. G. Beck, Ottawa
6
Dr. G. Athaide, Whitby
Secretary
7
Dr. A. Steacie, Brockville
Dr. J. Stewart, North Bay
8
Dr. G. Beck, Ottawa
Dr. A. Kapur, Ottawa
Academic Representative
Dr. J.R. Swenson, Ottawa
Council
Chair
9
Dr. P. Bonin, Sudbury
10 Dr. J. Johnsen, Thunder Bay
Dr. A. Hudak, Orillia
Vice-Chair
Dr. S. Acharya, Nepean
Committee Chairs
Agreement
(OMA-Ministry of Health and
Long-Term Care)
Agreement Board Co-ordinating
Committee
Dr. V. Tandan
Forms Committee
Dr. C. Pinto
Joint Committee on the Schedule
of Benefits
Dr. J. Harvey, Co-Chair
Medical Audit Oversight Committee
Dr. D. Hellyer
Physician Services Committee
Dr. V. Tandan, Pro Tempore
Workplace Safety & Insurance Board
Knowledge Transfer and Education
Subcommittee
Dr. C. Cressey, Interim Chair
Workplace Safety & Insurance Board
Steering Committee
Dr. J. Tracey, Interim Chair
Governance
Board Governance Committee
Dr. G. Beck
Audit Committee
Dr. A. Abdulla
Awards Committee
Dr. S. Kennedy
Board Insurance Committee
Dr. C. Cressey
Staffing Committee
Dr. A. Ng
Health Policy
Health Policy Committee
Dr. S. Whatley
eHealth Working Group
Dr. S. Chris
Hospital Issues Committee
Dr. A. Steacie
Board Planning Committee
Dr. L. Colman
Member Services
Budget Committee
Dr. G. Beck
Member Services Board Committee
Dr. R. Tytus
Committee on Committees
Dr. S. Acharya
Physician Health Program Advisory Panel
Dr. M. Judson
Council Committee on Structure & Bylaws
Dr. D. Weir
Public & Political Advocacy
Joint Governance Review Working Group
Dr. L. Colman, Co-Chair
Dr. D. Weir, Co-Chair
Nominations Committee
Dr. V. Tandan
Communications Advisory Committee
Dr. M. Toth
Outreach to Women Physicians Committee
Dr. C. Cannon
“THE ADVICE
I GET FROM
MD MAKES ME
FEEL SECURE.”
“MD offers a comprehensive package that
covers all aspects of business and personal
financial planning—specifically for doctors
and their families. MD makes me feel that
I’m taken care of in terms of preparing
for the future and planning for my family.
I’m confident that MD is looking after my
investments, which means I can focus on
what I do without worrying about day-today financial investments. I believe that MD
has my best interests in mind at all times.”
– Dr. Placide Rubabaza, Obstetrician and Gynecologist
EVERY PHYSICIAN HAS A STORY. HEAR MORE
FROM YOUR PEERS: MD.CMA.CA/MYSTORY
FOUR TIMES MORE PHYSICIANS TRUST MD.1
1
Fifty-three per cent of Canadian Medical Association members trusted MD Financial Management as their primary
financial services firm, four times more than the next closest individual competitor at twelve per cent. Survey respondents
(MD clients and non-MD clients) were also asked to identify their primary financial institution (MD or Other), and rate their
level of trust associated with that institution. MD received the highest trust rating compared with all other firms rated.
Source: MD Financial Management Loyalty Survey, June 2014.
MD Financial Management provides financial products and services, the MD Family of Funds and investment counselling
services through the MD Group of Companies. For a detailed list of these companies, visit md.cma.ca. Incorporation guidance
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tax and accounting advice regarding incorporation should be obtained in respect to an individual’s specific circumstances.
Banking products and services are offered by National Bank of Canada through a relationship with MD Management Limited.
November 2015
Volume 82 Number 10
www.oma.org
FEATURES
November 2015
ch
all
en
ge
8 Editorial: OMA campaign rolls out across Ontario —
member participation strongly encouraged!
Rep
ort
Bak
er-P
rice
e
forc
sk
y ta
istr
Min
Ch
ar
ter
Physician action
Volume 82 Number 10
www.oma.org
Negotiations/
unilateral action
FREQUENTLY
ASKED
QUESTIONS
Q
U
S IONS
ONS
S
UEST
STIO
AUE
SKED
OMA Physician’s Toolkit
Advocacy resources for members and staff: posters,
buttons, patient information cards, office petition
Utilization Update
Charter Challenge
Monitoring physician services budget growth
Timeline, brief summary of OMA position
Claims Reconciliation, RA Inquiries
Payment For Delegated Services
Steps to avoid errors leading to OHIP claims
rejection and processing delays
General overview of payment rules on billing OHIP
for procedures delegated to a non-physician
PM41144507
OMA campaign rolls out across Ontario: member
participation strongly encouraged!
14 OMA Responds to
Members’ Most Frequently
Asked Questions
In recent weeks, more than 1,500
members have attended OMA
community meetings and President’s Tour events. The Executive
has hosted four tele-town halls
and piloted an online live question-and-answer session. The
OMA continues to monitor and
respond to hundreds of questions and comments brought forward by members. A summary
of the most frequently asked
questions and corresponding
answers is presented by category, including negotiations/
unilateral action, the OMA Charter challenge, physician action,
the proposed government task
force on physician services, the
New Graduate Entry Program,
and the Baker-Price Report on
primary care reform in Ontario.
Publications Mail
Agreement # 41144507
Undeliverables, please return to:
Ontario Medical Review
150 Bloor St. West, Suite 900
Toronto, Ontario M5S 3C1
ONTARIO MEDICAL REVIEW
The OMA has launched the next phase of our ongoing comprehensive
strategic integrated communications plan — a provincewide campaign that
features a series of targeted, evidence-based ads delivered across multiple
platforms, including newspapers, radio, digital and transit. Our initial ads
focus on educating and motivating the public about the reality of government funding cuts, which threaten Ontarians’ access to the quality, patientfocused care they depend on. We’ve introduced weekly campaign updates
to keep members informed and active, and are asking all members to join the
campaign and strengthen our position.
10 Utilization update: monitoring physician services
budget growth
OMA Economics, Research and Analytics has used the latest billing claims
data to estimate growth in fee-for-service and primary care payments,
which comprise approximately 85% of the physician services global budget.
Overall, the OMA estimates that the total physician budget is growing at 3.2%
— above the Ministry of Health and Long-Term Care’s arbitrary growth target
of 2.7% per year.
13 Charter Challenge: timeline, brief summary of
OMA position
Legal Services has prepared a review of the events leading up to the OMA
launch of a constitutional challenge against the Government of Ontario, as
well as a summary of the details contained in the OMA filing to the Ontario
Superior Court of Justice.
22 Renew your OMA membership online at My Account
The OMA continues to improve My Account, the self-serve web-based tool
to manage your personal and professional information, and pay membership dues securely and easily. Several new features are being introduced to
help make the process of renewing your membership and updating personal
information easier than ever, including automatic renewal, membership cards
and dues receipts, an option to view/update affiliations, and links to the 2016
Fee Category Schedule and accompanying frequently asked questions.
27 Claims Reconciliation and Remittance Advice Inquiry
Processes: OMA Quick Reference Guide
A new OMA reference guide provides physicians and medical office staff
with a general overview of OHIP claims submission reports, claims requiring
documentation, and the remittance advice inquiry (RAI) process. By better
understanding these processes, steps can be taken to avoid errors leading
to claims being rejected and/or avoid delays in processing claims that
ultimately result in payment delays.
3
November 2015
Physician Health Program
Good Health Matters
BETTER HEALTH FOR YOU AND YOUR FAMILY
PHP EDUCATIONAL WORKSHOPS
The OMA Physician Health Program (PHP) is a
confidential service for physicians, residents, medical students and their family members.
Crucial Conversations®
Course Benefits
• Resolving disagreements by talking respectfully
and skillfully with co-workers in a safe way
• Building acceptance rather than resistance
• Speaking persuasively
• Fostering teamwork
Our caring, health-care professionals offer assistance to those who may be experiencing problems
ranging from stress, burnout, emotional or family
issues, through to substance abuse and psychiatric
illness.
The community of professionals interested in
their own health and well-being is growing.
The Physician Health Program staff and an
expanding resource network of professionals
are available to provide and/or support
health promotion and prevention, educational
presentations, seminars, or retreats throughout
the province.
Crucial Accountability™ Companion
Course Benefits
• Mastering performance discussions/appraisals
and reviews
• Motivating others without using power
• Managing projects without taking over
• Turning solutions into actions
For more information about PHP visit php.oma.org
or call confidential toll-free line: 1.800.851.6606
November 2015
Volume 82 Number 10
www.oma.org
Editor
Jeff Henry
Managing Editor
Elizabeth Petruccelli
FEATURES
32 OHIP Payments for Delegated Services: OMA Quick
Reference Guide
OMA Economics, Research and Analytics has prepared a Quick Reference
Guide to provide physicians and medical office staff with a general overview
of the payment rules on billing OHIP for a procedure delegated to a nonphysician. The guide addresses the following key areas: who can be a
delegate; what services can be delegated and paid by OHIP; and where and
when can a procedure be delegated.
Associate Editor
Mark Evans
Advertising/Circulation Co-ordinator
Kim Secord
Production Co-ordinator
Angelica Santacroce
Classifieds Co-ordinator
Vita Ferrante
Art Direction
Artful Dodger Communications Inc.
Publisher’s Notes
Published 11 times yearly by the
Ontario Medical Association
150 Bloor St. West
Suite 900
Toronto, Ontario
M5S 3C1
Tel. 416.599.2580 or
Toll-free: 1.800.268.7215
Fax: 416.340.2232
Email: [email protected]
OMA website: www.oma.org
CAPSULE NEWS/EVENTS
7
Physician’s Toolkit for Promoting Patient-Focused Care: office poster,
patient information cards, buttons, OMA petition and instructions
19 OMA End of Life Care Seminar to be held December 9 in London
19 OMA Early in Practice Seminar on The Secrets of Success in Family
Practice, to be held December 9 in Hamilton
20 Reports to Council available online at www.oma.org/council
21 GP Focus Practice Designation: applications due February 1, 2016
38 PSI Foundation Grants: 2015 Third-Quarter Report
ISSN 0030 302X
Any opinions expressed in articles and
claims made in advertisements are
the opinions of the authors/advertisers
and do not imply endorsement by the
Ontario Medical Association.
The Ontario Medical Review welcomes
readers’ views. Letters to the editor
should be addressed to Ontario Medical
Review, 150 Bloor St. West, Suite
900, Toronto, Ontario M5S 3C1; fax
416.340.2232; email: jeff.henry@oma.
org. Note: letters may be edited for
space and clarity. Please include name,
address and daytime phone number.
(Additional “Publisher’s Notes” appear
on page 47)
DEPARTMENTS
1
OMA Executive, Board, Council, Committee Chairs
6
OMA Constituency Groups: Sections, Forums, Medical Interest Groups
23 OMA Board Report: October 21-22, 2015
36 Health Policy Report
39 Classifieds
48 Medectoon
48 Advertisers’ Index
5
November 2015
Constituency Groups
SECTIONS
Medical Students
Mr. A. Damji, Ms. M. Stroz
FORUMS
Addiction Medicine Dr. R. Cooper
Nephrology Dr. C. Rabbat
Academic Medicine Forum
Dr. R. Swenson, Chair
Allergy and Clinical Immunology
Dr. B. Wong
Neurology Vacant
Neuroradiology Dr. S. Symons
Rural Medicine Forum
Dr. S. Cooper, Acting Chair
Cardiac Surgery Dr. C. Peniston
Neurosurgery Dr. F. Gentili
Cardiology Dr. J. Swan
Nuclear Medicine Dr. C. Marriott
Chronic Pain Dr. C. Giorshev
Critical Care Medicine Dr. M. Warner
Dermatology Dr. S. Gupta
Obstetrics and Gynecology
Dr. B. Mundle
Occupational and Environmental
Medicine Dr. P. Jugnundan
Diagnostic Imaging Dr. D. Jacobs
Emergency Medicine Dr. M. Haluk
Ontario’s Anesthesiologists
Dr. P. Tenenbein
Endocrinology and Metabolism
Dr. J. Shaban
Orthopedic Surgery Dr. S. Papp
Eye Physicians and Surgeons of Ontario
Dr. K. McReelis
Otolaryngology - Head and Neck Surgery
Dr. D. Hacker
Palliative Medicine Dr. D. Cargill
Clinical Hypnosis
Dr. M. Qaadri
College and University Student Health
Dr. D. Lowe
Community Health Centres (CHC) and
Aboriginal Health Access Centres (AHAC)
Dr. I. Tamari
Complementary and Integrative Medicine
Dr. S. Herr
Pediatrics Dr. S. Kao
Ontario Psychiatric Hospitals
Dr. S. Allain
Physical Medicine and Rehabilitation
Dr. D. Berbrayer
Sleep Medicine
Dr. A. Soicher
Plastic Surgery Dr. S. Krajden
Surgical Assistants
Dr. D. Esser
Gastroenterology Dr. I. Murray
General and Family Practice
Dr. L. Donohue
MEDICAL INTEREST GROUPS
General Internal Medicine Dr. C. Shaver
General Surgery Dr. J. Kolbasnik
Primary Care Mental Health Dr. M. Paré
General Thoracic Surgery Dr. M. Blitz
Psychiatry Dr. A. Freeland
Genetics Dr. C. Li
Public Health Physicians Dr. H. Shapiro
Geriatric Medicine Dr. A. Baker
Radiation Oncology Dr. R. Dinniwell
Hematology and Medical Oncology
Dr. T. Asmis
Reproductive Biology Dr. C. Librach
Hospitalist Medicine Dr. W. Coke
Respiratory Disease Dr. H. Ramsdale
Infectious Diseases Dr. N. Rau
Rheumatology Dr. P. Baer
Interns and Residents Dr. N. Snelgrove
Sport and Exercise Medicine Dr. A. Moldes
Laboratory Medicine Dr. N. MacNeill
Urology Dr. J. Kell
Long Term Care & Care of the Elderly
Dr. A. Moser
Vascular Surgery Dr. D. Kucey
6
November 2015
Physician’s Toolkit for
promoting patient-focused care
The OMA Physician’s Toolkit (enclosed and available online) is designed to help
physicians advocate on behalf of patients to protect the quality, patient-focused
care Ontario’s families deserve. See below for details.
Poster
Patient Information Card (double-sided)
The result?
A real and serious threat to
your ability to access quality
care in the coming years.
Pin Buttons
The result? A real and serious threat to your ability to access
quality care in the coming years. Just when you need it most.
TAKE ACTION NOW AT: PutOntarioPatientsFirst.com
TAKE ACTION
Just when you need it most.
PutOntarioPatientsFirst.com
WORKING TOGETHER, WE CAN PROTECT THE QUALITY PATIENT CARE
YOU AND YOUR FAMILY DESERVE AND DEPEND ON.
Have a smartphone?
1. Go to PutOntarioPatientsFirst.com and:
• speak your mind: email your MPP
TAKE ACTION NOW AT:
PutOntarioPatientsFirst.com
#PatientsFirst
Toolkit Guide
Toolkit Guide for Physicians and Staff
• share your story: tell us how funding cuts are impacting
you and your family
• stay informed: read news and updates about the future
of quality, patient-focused care in Ontario
2. Sign the OMA petition
Petition Instructions
Petition to the Legislative Assembly
INSTRUCTIONS
Every day Ontario’s doctors put Ontario patients first. This toolkit is designed to
help physicians advocate on behalf of patients to protect the quality, patientfocused care Ontario’s families deserve.
Buttons:
•
The pin buttons are designed to be a conversation starter. Please wear one and encourage a
colleague to do the same.
The OMA has developed a petition for members and the public to express their
opposition to the government’s unilateral action against physicians, and the
ongoing underfunding of the physician services budget, which threatens public
access to quality, patient-focused care. We encourage you to post the petition
prominently in your office. Instructions are provided below.
Petition
Petition to The Legislative Assembly of Ontario
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$1':+(5($6VLQFH)HEUXDU\WKH2QWDULRJRYHUQPHQWKDVPDGHDQDOPRVWSHUFHQW
XQLODWHUDOFXWWRSK\VLFLDQVHUYLFHVH[SHQGLWXUHVZKLFKFRYHUDOOWKHFDUHGRFWRUVSURYLGHWRSDWLHQWV
$1':+(5($6WKHGHFLVLRQV2QWDULRPDNHVWRGD\ZLOOLPSDFWSDWLHQWV¶DFFHVVWRTXDOLW\FDUHLQWKH
\HDUVWRFRPHDQGWKHVHFXWVZLOOWKUHDWHQDFFHVVWRWKHTXDOLW\SDWLHQWIRFXVHGFDUH2QWDULDQVQHHG
DQGH[SHFW
:(WKHXQGHUVLJQHGSHWLWLRQWKH/HJLVODWLYH$VVHPEO\RI2QWDULRDVIROORZV
7KH0LQLVWHURI+HDOWKDQG/RQJ7HUP&DUHUHWXUQWRWKHWDEOHZLWK2QWDULR¶VGRFWRUVDQGZRUNWRJHWKHU
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The petition can be filled out with as many names and original signatures as you can acquire.
Poster and patient cards:
•
The poster and patient cards are specifically designed to encourage awareness and immediate action
from patients in your office. Please display them prominently on the walls, message boards and
counters in your waiting area.
Message to patients:
If you are asked a question or to comment on the government’s unilateral action against physicians,
provided below are quick tips to help you educate your patients, support staff and colleagues.
•
Ontario’s growing and aging population is putting an increasing strain on our publicly-funded health
care system.
•
Ontario’s doctors are concerned by the government’s 7% cuts this year to the funding for the care
we provide you.
•
The decisions Ontario makes today will impact patients’ access to quality care in the years to come.
•
The Ontario government is providing less funding for the doctors we rely on. Do you think that will
make them more available in the future?
Please note that physicians should not initiate the conversation in the context of providing
patient care.
Actions:
•
Encourage patients to go to PutOntarioPatientsFirst.com to learn more.
•
Copy and post the OMA petition for patients and colleagues to sign. See petition and
instructions enclosed.
Questions? Call: 1.800.268.7215 (press 0)
Please be sure to sign the petition yourself. You can also ask friends and family to sign the petition, in addition to
putting it out for signature in your office(s).
The petition is specifically formatted and must be filled out correctly or it will not be accepted by the Legislative
Assembly of Ontario.
In the left column, names (first and last) must be printed in block capital letters. In the middle column, the address
must also be printed in block capital letters. In the right hand column, a signature is required.
Only petitions with original signatures (no scans or photocopies) can be submitted to the Legislative Assembly.
Once you’ve accumulated signatures, it can be submitted to your local MPP
or you can mail the original back to the OMA:
Attn: Amber Anderson
150 Bloor Street West, Suite 900
Toronto, Ontario
M5S 3C1
Please send the petition on to the OMA or your MPP as each page is completed.
When the petition is received by a member of the legislature, they will be able to read it into the record during the
daily routine proceedings.
The more petitions that are filled out, the more times our message will be read aloud in the legislature, repeating our
request to the MPPs present and the staff watching the proceedings. Also, the Minister of Health and Long-Term
Care is required to respond in writing each time the petition is read into the record.
PETITION ENCLOSED: PLEASE MAKE AS MANY COPIES AS YOU NEED
Questions? Call: 1.800.268.7215 ext 2947
Visit www.oma.org to download
Questions? [email protected]/1.800.268.7215 (press 0)
)XOO$GGUHVVSULQWHG
6LJQDWXUH
EDITORIAL
OMA Campaign Rolls Out Across Ontario:
member participation strongly encouraged!
T
he OMA has launched the next phase of our ongoing comprehensive strategic
integrated communications plan — a provincewide campaign that features a series
of targeted, evidence-based ads delivered across multiple platforms, including newspapers, radio, digital and transit.
The campaign, which will roll out in
stages in the coming months, reflects
extensive research undertaken with the
public and our membership.
Our initial ads focus on educating
and motivating the public about the reality of government funding cuts, which
threaten Ontarians’ access to the quality, patient-focused care they depend
on, both today and in the future.
OMA radio ads are running in heavy
rotation in key markets throughout
Ontario. Our print ads have appeared
in the Globe and Mail and Toronto Star
(see sample, opposite). Also, we’ve
unveiled a revamped public website —
PutOntarioPatientsFirst.com — which
will serve as a focal point of the campaign.
We aim to maximize the power
of digital communications through
Facebook and display advertising to
establish an online army of core supporters that will amplify our message
and bring pressure to government.
Recently, we’ve introduced weekly
campaign updates to keep members
informed and active, and we are asking
all members to join the campaign and
strengthen our position.
Enclosed with this copy of the OMR,
you will find a Physician’s Toolkit that
contains a variety of resources for
physicians and staff (see p. 7). The kit
provides an office poster and buttons,
a guide with tips to educate patients
and colleagues, the OMA petition and
instructions, and information cards that
encourage patients to visit the OMA
website where they can register their
email address and participate in a number of advocacy initiatives.
In recent weeks, more than 1,500
members have attended over 50 OMA
information sessions, community meetings and President’s Tour events across
the province. We’ve hosted four teletown halls and piloted an online live
question and answer session.
The OMA Response Centre, staff
and elected officials have responded
to hundreds of email queries and calls
from members seeking updates and
clarifications about our situation with
government and related Association initiatives. Thank you to all members for
your questions and suggestions.
The OMA has stepped up its communications efforts and we are doing
our utmost to provide you with as much
8
information as possible in a timely and
effective manner. We are carefully tracking member interests and concerns,
and collating this material to inform our
ongoing strategy and planning.
This issue of the OMR features a
categorized summary of the most frequently asked questions from members on such issues as the negotiations
impasse and government’s unilateral
action, our Charter challenge against
government, physician action, the
Ministry’s proposed task force on physician services, the New Graduate Entry
Program, and the Baker-Price Report.
We will continue to log incoming questions and monitor issues as they evolve,
and provide updates to members
through our various communications
channels.
OMA Council convened November
21-22. A full report on the deliberations
and outcomes arising from the Council
meeting, and related physician leader
sessions, will be provided next month.
The complete Reports to Council are
available to all members on the secure
OMA website (see p. 20 for details).
Dr. Mike Toth
OMA President
November 2015
EDITORIAL
Print ad
Website: PutOntarioPatientsFirst.com
I am the designated decision maker for the health-care needs of my kids, my husband, my
parents and my in-laws. Now the Ontario government is providing less funding for the doctors
we rely on. Do you think that will make them more available in the future?
I am not an activist. But I know cutbacks won’t get us the health care we depend on.
It’s time to get active.
Go to PutOntarioPatientsFirst.com
The Canadian Press Images/Stephanie Lake
Transit shelter
9
November 2015
FEATURE
Physician services budget growth update
by Boris Kralj
OMA Economics, Research & Analytics
“Predictions are risky, especially when they concern the future.”
- Yogi Berra
I
n May 2015, OMA Council passed the following motion: “That the OMA provide
members with frequent and up-to-date utilization information so that members can
better manage their practices as the global budget approaches the cap.”
The following data provide an estimate
of growth in the main components of
the physician services global budget,
fee-for-service (FFS) payments and
primary care payments, based on billing claims data. These two payments
comprise about 85% of the entire
physician budget, and timely data is
available to track changes in these
components.
The Ministry of Health and LongTerm Care’s arbitrary growth target
for the physician budget is 2.7% per
year in total. The Ministry targets FFS
growth at 1.3%, and primary care
growth at 7.6%.
To date in 2015-16 (April-August
period), FFS payments are growing
at about 2.9% (i.e., above target) and
primary care payment growth is run-
ning at 4.5% (i.e., below target).
Overall, the OMA estimates that the
total physician budget is growing at
3.2% (i.e., above the Ministry target of
2.7%). At the same time, net physician
supply is growing at 3.2%.
OMA Economics, Research & Analytics monitors these payments regularly and provides updates to the Board
of Directors on a quarterly basis.
Physician Services Budget
FY2014/15 ($m), MOHLTC Interim Actuals
FFS and Primary Care payments
account for about 85% of the
Physician Services Budget.
Source: Ministry of Health and Long-Term Care
10
November 2015
Utilization Update
Fee-for-Service (FFS) Billings*
Total Change in Professional and Technical Fees
Source: OMA Economics, Research & Analytics
Fee-for-Service Billings
Total Change in Professional and Technical Fees
11
November 2015
Utilization Update
Fee-for-Service Billings
Change in Total Fees, by Assembly
Primary Care Billings
12
November 2015
FEATURE
Legal Update
OMA Charter Challenge:
timeline, brief summary of OMA position
by Jim Simpson, LLM
OMA General Counsel
O
MA Council resolved on May 2, 2015, “That the Ontario Medical Association
demand the Representation Rights Agreement be amended to add a binding
dispute resolution mechanism.”
The OMA gave notice to Minister
of Health and Long-Term Care Eric
Hoskins that we sought to amend the
Representation Rights Agreement on
May 19. The OMA met with government to discuss our request for mediation-arbitration in June and July. It
was our position that physicians had a
constitutional right to have the current
bargaining impasse resolved through a
binding dispute resolution mechanism.
The government disagreed.
On July 22, the OMA invoked the
Physician Services Committee (PSC)
Special Committee/Facilitation process contained in sections 18-20 of
the Representation Rights Agreement.
Dianne Gee was appointed as the
facilitator.
We met with the government
through this facilitated process in
September and October. These talks
ended on October 9 without agreement. As a final effort, we met with
Minister Hoskins on October 20. He
continued his government’s refusal to
agree to binding arbitration.
On October 29, we commenced
our Charter challenge against the
government (see https://www.oma.
org/Member/Resources/Documents/
NoticeofApplicationOct292015.PDF).
In this Charter challenge, we ask the
court for five orders:
1. A declaration that the Minister
breached the Representation
Rights Agreement during the 2014
Physician Services Agreement
negotiations and is required by the
Charter to engage in a process of
meaningful collective bargaining
with the OMA,
2. A declaration that the Ministry’s
refusal to agree to amend the
Representation Rights Agreement
to replace facilitation/conciliation
with a binding dispute resolution
mechanism violates the Charter
and an order that the Ministry must
establish a binding dispute resolution mechanism with the OMA
to resolve bargaining impasses in
respect of physician compensation
and related accountabilities,
3. A declaration that the 2.65% payment reduction in February and
the 1.3% payment reduction in
October violate the Charter, are
unconstitutional and are of no force
and effect,
13
4. An order that the binding dispute
resolution process (i.e. 2 above)
be used to determine the compensation to be paid to physicians
for their losses resulting from the
payment reductions (i.e. 3 above)
or damages etc. for breach of the
Charter,
5. A declaration that the “Managed
Entry” process for Primary Care
Patient Enrolment Models and the
“New Graduate Entry Program”
violate the Charter, are unconstitutional and are of no force and effect.
Section 2(d) of the Charter guarantees all Canadians the freedom of
association. As I wrote in the April
2015 OMR (available at omr.oma.org),
the Supreme Court of Canada recognized in its January 2015 decisions that
there needs to be a meaningful process of collective bargaining between
government and workers. When the
need to maintain essential public services does not allow for an effective
right to strike, there needs to be an
alternative mechanism for resolving
bargaining impasses. We ask the court
in our application to apply this principle
to Ontario physicians.
November 2015
FEATURE
FREQUENTLY
ASKED
QUESTIONS:
negotiations/unilateral action, Charter challenge, physician action,
Ministry task force, New Grad Entry Program, Baker-Price Report
T
he OMA continues to monitor and respond to hundreds of questions and comments
brought forward by members at the President’s Tour and community meetings, via
the OMA Response Centre, online, and direct to OMA departments and elected officials.
A summary of members’ most common questions and answers is provided below.
NEGOTIATIONS/
UNILATERAL ACTION
Did the OMA, in return for
being recognized as the sole
bargaining agent for physicians,
sign an Agreement in 2012
allowing the province to impose
settlements on physicians
unilaterally, without sending
them to binding arbitration?
The OMA is, and has always been,
categorically opposed to unilateral
action by the Ontario Government. It is
destructive to the relationship between
the parties and the health care system
in our province. The OMA did not agree
to unilateral action in return for sole bargaining rights.
In 2012, the OMA sought mediation-arbitration as a means to resolve
issues between the parties and to
conclude renewal Physician Services
Agreements. The Ontario Government
rejected the OMA request. In turn, we
negotiated the facilitation-conciliation
process. This then meant that government had to at least follow a process
with third-party neutrals. With the three
Supreme Court decisions from earlier
this year, the status quo is constitutionally deficient and we are again seeking
mediation-arbitration.
Mediation-arbitration is a very common process for resolving disputes, like
14
the current one involving the Ontario
Government and the OMA. The mediation-arbitration process runs throughout the Ontario public sector and,
more broadly, it is the process in place
to resolve disputes between medical
associations and governments in most
other provinces and territories throughout Canada. Why is final dispute resolution such a standard process in Ontario
and throughout Canada? It is a balanced process that produces fair and
reasonable results in stark contrast to
blunt, unilateral government action.
The OMA, on behalf of its members,
will continue in its efforts to conclude a
renewal Physician Services Agreement
(PSA) with the government through
November 2015
Members’ Frequently Asked Questions
mediation-arbitration. This is the right
way forward for the parties and, more
importantly, the patients of our province,
who are entitled to a sustainable and
responsive health care system. Ontario’s
physicians will not settle for less.
Did the government’s final offer
include funding increases to
cover growth in demand in the
system?
The government’s 1.25% increase
falls well short of the 2.7% growth in
2014/15 originally estimated by government, which increased to a 3.5%
growth in demand for physician services
in 2014/15. Worse yet, the government
has unilaterally limited funding for physician services by imposing a hard cap.
If physicians’ costs associated with
providing care to patients exceeds the
hard cap, the Ministry of Health and
Long-Term Care will take back those
additional dollars from physicians, presumably by either more fee cuts or
increasing the payment discount. There
are no limits on the frequency, timing or
extent of the defunding by the Ontario
Government of services offered by physicians.
Did the OMA reject a fair deal
from the government?
The OMA rejected the government’s
offer because it failed to fully fund the
necessary growth in the health care
system. Ontario’s physicians could
not accept an agreement that failed to
protect and strengthen patient-focused
care by ignoring the challenges precipitated by a growing and aging population. In fact, on January 15, 2015, the
OMA offered to freeze physician fees
for two years if the government agreed
to adequately fund growth and put
patients first. The government refused
the OMA’s counter-offer of freezing
physician fees for two years and went
ahead with unilateral action.
Did the OMA effectively ask for
unilateral action by failing to
accept the government’s offer?
The OMA couldn’t accept an agreeONTARIO MEDICAL REVIEW
ment that failed to protect and
strengthen patient-focused care by
ignoring the challenges precipitated by
a growing and aging population. We did
not ask for or agree to unilateral action.
Instead, the OMA remains committed to working with all stakeholders
within the health care system, including
the government, to restore and protect
the principles of patient-focused care.
What is the OMA’s plan to stop
the government from unilaterally
cutting fees and acting with
heavy-handedness?
Unfortunately, government has the legislative power to take any action it wants.
The only barrier is the Constitution. That
is why we are bringing the Charter challenge.
The other protection is to have a
Physician Services Agreement — that
is why we need patients and physicians
to let government know this must be a
priority.
Did the government ask the
OMA to provide feedback on
its proposed changes and
reductions, and the Association
chose not to?
The OMA sent the Ministry a comprehensive response to its proposed
changes on August 5, 2015. In fact, as
recently as September 17, 2015, the
OMA sent a letter to Minister Hoskins
detailing our concerns about the government’s unilateral cuts to funding for
physician services. Ontario’s physicians
are, and have always been, committed
to working with all stakeholders within
the health care system, including the
government, to restore and protect the
principles of patient-focused care.
Is it true that government has
been forced to implement this
second round of cuts because
physicians are too quickly
depleting the $11.6 billion they
have been budgeted for the
fiscal year?
Ontario’s population is growing and
aging. An estimated 140,000 people
15
come into the province every year, putting new demands on the health care
system. Patients are becoming more
complex and require more health care
services. Physicians are providing the
services to meet the increasing needs
of our growing and aging patient population.
My Section is being most
impacted by the latest cuts. Why
is the OMA not advocating for
my Section?
The OMA speaks for all Ontario physicians. Unilateral cuts to physician services by this government impact us all.
That’s why we’re asking the government to get back to the table and put in
place a deal that restores and protects
the principles of patient-focused care.
The OMA had the government’s
reconciliation plan in July, but
didn’t notify members until
September. Why?
In July, the Ministry presented the OMA
with a reconciliation proposal for comment. We provided the Ministry with our
concerns. In September, the Ministry
then advised us that it was proceeding
with its reconciliation plans, despite our
concerns and objections.
The OMA is committed to providing members with correct information
in a transparent manner. As soon as
we became aware of the government’s
plan to unilaterally cut funding for physician services, we shared that information with members.
Will there be a 10%-20%
clawback at the end of the year?
Current OMA expenditure growth
estimates are about 3% for 2015/16.
The unilateral action implemented by
the Ministry to date covers the difference between the 1.25% growth that
the Ministry will fund, and the current
estimated growth rate of 3%. If utilization continues at its current rate, the
government may implement additional
clawbacks or discounts. The magnitude of additional government actions
should not exceed 1%-2% based on
November 2015
current system growth estimates done
by the OMA.
Is it true that patients will not be
affected by the government’s
cuts to funding for physician
services?
With a growing and aging population,
Ontario’s publicly funded health care
system will be put under immense
strain. By cutting the necessary funding for physician services, the government is seriously impacting patients’
ability to access quality care in the years
to come. At a time when Ontario is
growing, and when demand for quality, patient-focused care is up, the government’s approach of cutting funding
for physician services is not the way to
solve the serious problems facing our
health care system.
Is it true that physicians are
simply asking for higher
compensation?
Ontario’s physicians are advocating
for an agreement that secures quality,
patient-focused care and fully funds
the increased demand for care. The
number of patients is increasing, the
number of physicians is increasing, and
the number of services is increasing.
Physicians are not looking for our pay
to increase — in fact, we offered a twoyear freeze on fees. We are looking for
government to fully fund this increased
demand. Effective October 1, 2015, the
government will have cut funding for
physician services by a total of 6.6%
since February 2015. In doing so, the
government is threatening access to
quality, patient-focused care.
What is the OMA’s advice to
members regarding participation
in Ministry activities during the
current negotiations impasse?
Officials from the Ministry and OMA
deal with each other frequently across
a range of physician services and health
system issues. These dealings occur on
an ad hoc basis (i.e., meetings between
senior officials in respect of a new initiative), through periodic meetings
between Ministry and OMA counterparts, and in forums like the Physician
Services Committee (PSC). These
interactions between the OMA and the
Ministry continue to serve as important vehicles for information exchange
and consultation between the parties,
despite the negotiations impasse and
the absence of a Physician Services
Agreement.
This may be through:
• Participation.
• Communication of government initiatives to physicians.
• Advocacy/implementation of OMA
initiatives.
The OMA is taking a responsible
and constructive approach to dealings
that occur in these forums, but will also
use them as opportunities to raise the
appropriate objections to the Ministry’s
plans.
Based on Board direction to date,
staff and committees have used the
following measures to determine the
OMA’s involvement:
• Is the activity not related to the
implementation of unilateral action?
[Participate]
• Is the activity directly related to clinical care? [Participate]
• Does the OMA need to be there to
present an alternate point of view,
protect the interests of physicians,
or rebut comments by government?
[Participate]
• Does the OMA need to advise its
members of activities that are being
undertaken? [Communicate]
Participating in activities with the
government — particularly activities
that position physicians as advocates
for our patients — is reasonable, consistent with our research findings, and
in line with OMA strategy.
CHARTER CHALLENGE
(2012 and 2015)
I heard that in 2012, the OMA
gave up on binding arbitration
when it dropped its Charter
challenge. Is that true?
The OMA did not give up on binding
arbitration when it settled the Charter
challenge in 2012. Quite the opposite
is true.
In 2012, the OMA launched a
Charter challenge in response to
the government’s rigid approach to
Physician Services Agreement negotiations and its May 2012 decision to
make unilateral cuts to the Schedule of
Benefits.
In the Charter challenge, the OMA
was seeking a court order that the
Ministry engage in a process of meaningful, good faith consultation and dialogue with the OMA to establish a PSA.
This was what the OMA was entitled to
under the Charter case law in effect at
that time.
Ultimately, the OMA and Ministry
entered into a “Representation Rights”
Agreement in which the Ministry explicitly acknowledged that it is required
to negotiate with Ontario physicians,
through the OMA, in respect of physician compensation and related issues.
The agreement also included several dispute resolution mechanisms
that required the Ministry to negotiate and work collaboratively with the
OMA in the future. These protections
are stronger than those contemplated
by the Charter case law in effect at that
time. In fact, even if the OMA’s Charter
challenge had been entirely successful, a court would not have found that
doctors or the OMA had these constitutional entitlements.
Although the OMA proposed and
fought hard for a mediation-arbitration process in 2012, the Ontario
Government was adamantly opposed
to such a system, and rejected the
The OMA speaks for all Ontario physicians. Unilateral cuts to
physician services by this government impact us all.
16
November 2015
OMA’s requests in this regard.
That was 2012. Today, as a result
of three Supreme Court decisions
released in late January 2015, representative associations now have much
stronger constitutional rights. It is with
the release of these recent Supreme
Court decisions, all of which were
released after the bargaining impasse,
that the OMA is now seeking a binding
dispute resolution mechanism.
Can we get the cuts to stop while
the Charter challenge is before
the courts?
It is not possible for the OMA (or
another party) to obtain an injunction
to stops the cuts. This is because the
Ontario courts are not permitted to
grant an injunction against the Crown.
As a result, in light of the fact that the
cuts are being imposed by way of regulations made by cabinet, they cannot
be the subject of an injunction.
Why did the OMA wait so long to
pursue legal options?
It was essential that we followed
through with the process to request
mediation-arbitration. We needed to
exhaust all non-legal avenues to obtain
mediation-arbitration.
What will the Charter challenge
actually get members?
The OMA is asking the Ontario Superior
Court of Justice to strike down the government’s unilateral action and find that
a binding dispute resolution process
must be established to resolve future
bargaining disputes between the OMA
and the government.
We anticipate that the challenge will
result in a permanent and stable framework in which Ontario’s doctors and the
government can work collaboratively
to make decisions about the future of
Ontario’s health care system.
PHYSICIAN ACTION
Why isn’t the OMA supporting
physicians who want to take
actions that limit patient
services?
Since January, the OMA Physician
Activities Working Group (PAWG) has
been developing physician activities
that do not impact patient services.
The OMA recommends that physicians do not take any actions that
limit patient services as the College of
Physicians and Surgeons of Ontario
(CPSO) policy on Providing Physician
Services During Job Actions is extremely
strict.
There are other activities, such as
petitions in offices, sharing impact stories and meeting with MPPs, that all
physicians can participate in, and the
OMA encourages that.
Any members who have questions
about the CPSO policy are encouraged to seek advice from the Canadian
Medical Protective Association (CMPA).
Can we close our offices with
enough notice? College rules
cannot stop us from closing our
offices one day a quarter.
The College policy requires that during
a service withdrawal you must:
1. Mitigate the adverse impact of the
job action on patients and/or the
public,
2. Provide,
a. urgent care; and
b. non-urgent care necessary to
prevent harm, suffering and/or
deterioration; and
3. Ensure health care concerns are
assessed and appropriately triaged
so that urgent and/or necessary
medical care can be obtained.
The original version of this policy only
required physicians to provide “emergency care and ensure that patients
are not abandoned” during a job
action. This policy has now been significantly tightened to require physicians
ensure that “health care concerns” are
assessed and appropriately triaged.
“Health care concerns” is a much more
onerous standard than “emergency
care.”
In the 2014 amendments to this
policy, the College removed all of the
qualifiers that previously applied to
these obligations. For example, the previous version of this policy only required
physicians to take “reasonable steps
where possible” to mitigate the adverse
impact of the service withdrawal. The
fact that these qualifiers have now been
removed informs us that the College
no longer accepts taking “reasonable
steps,” etc., to fulfill these obligations to
be sufficient.
If during an action any of these
requirements is not met, the physicians
who took part in the action may be subject to complaints, which the College
must investigate.
Outline the communication
between the OMA and CMPA
and CPSO regarding physician
action.
The CPSO does not provide advance
directions on actions proposed by
members. Instead, it monitors actions
and responds as it sees necessary.
If any member of the public makes
a complaint, the CPSO is required
to commence an investigation.
The CMPA advises members must
comply with the CPSO’s policy on
Providing Physician Services During
Job Actions, and that it is extremely
restrictive of any plan to withdraw services.
Further, it is not possible to tell
in advance whether a particular service withdrawal will result in College
complaints/discipline as it depends
upon the events that unfold. Members
should contact the CMPA if they wish
specific advice in this regard.
That’s why we’re asking the government to get back to the table and put in
place a deal that restores and protects the principles of patient-focused care.
17
November 2015
What actions should we
undertake?
The OMA will be providing opportunities for physicians to get more
involved in activities, as we have done
in various ways since January (note
the Physician’s Toolkit mailed with this
issue of OMR).
We encourage members to reach
out to your MPP and other local politicians with your concerns and your
stories of how patient care is being
impacted. Also, please share your stories on the OMA websites so we may
provide them to our media contacts.
The OMA can help you with preparing for meetings with local politicians
(materials and coaching). Please email
[email protected] for assistance.
If posting a petition is something
that might work better in your circumstances, please download the petition
and instructions from the OMA website
at www.oma.org/Resources/Pages/
Petition.aspx.
Why is the OMA not releasing the
full data set from the Physician
Activities Working Group
survey?
First, we need to seek the input of OMA
Council on results of the Physician
Action Survey. Once released, the
results from the survey could become
public, which would present a problem
as the raw data could be misconstrued
and end up in the media with out-ofcontext information. As such, we are
providing summary findings, which is
the same approach taken with all surveys done by the OMA.
GOVERNMENT TASK FORCE
Why has the OMA agreed to sit
on the Ministry task force on
physician services?
On October 22, Minister Hoskins
announced a task force to make recommendations for improving and funding physician services. The OMA has
not yet received details of the task force
proposed by the Minister.
The OMA will participate. We believe
this should be a future-oriented task
force designed to study the long-term
sustainability of Ontario’s health care
system, including systemic changes
necessary to ensure the system’s ability to deliver the quality care Ontarians
deserve well into the future.
We are participating in this task force
because we believe it is our responsibility to find both immediate and
long-term solutions to protect quality,
patient-focused care.
The OMA can better influence and
direct this task force if we are at the
table than not. The Ministry of Health
and Long-Term Care will claim what
it wants, but given the fact that we
have commenced litigation against the
Ministry, the current level of co-operation between us should be apparent.
We can actively try and develop the
terms of reference for what the OMA
believes the task force needs to look
at. And if we cannot influence — we
will be at the table to voice any objections.
NEW GRADUATE ENTRY
PROGRAM (NGEP)
The OMA has serious concerns with the
New Graduate Entry Program (NGEP)
and the problems it poses for new family physicians.
This program is an untested model
that has been unilaterally imposed by
the government. The NGEP should
have been negotiated as part of the
Physician Services Agreement, which is
a requirement under the Representation
Rights Agreement.
The OMA is taking action to address
the Ministry’s Managed Entry Program
and NGEP in Section 1 (h-j) of our
Charter challenge notice of application.
The NGEP is government’s attempt
to fix problems with the Managed Entry
Program that it introduced as part of
the imposed unilateral action in January
2015. The OMA has issued a news
release that outlines our concerns
regarding NGEP’s restrictions on new
family physicians (https://www.oma.
org/Mediaroom/PressReleases/Pages/
restrictionsonnewfamilydocs.aspx).
18
BAKER-PRICE REPORT
Can the OMA comment on the
Baker-Price Report?
Ontario physicians share many of the
principles found in the Baker-Price
Report, including: access to a family physician for all Ontarians, equitable access to interprofessional care,
effective integration of patient care,
and timely and appropriate access.
However, we also have some serious
concerns with the report:
1. The report represents a significant change in how primary care
is organized in Ontario at a time
when the government has made it
clear it won’t work with physicians
and won’t fund the full cost of the
growing medical needs of patients
across the province.
2. The report proposes another layer of
administration in the form of Patient
Care Groups (PCG) — in a time
when health care resources are
limited. We wonder if this will mean
less resources going into actual
patient care.
3. As detailed in the report, many
elements of the PCG role, including the ability to determine physician funding, violate the OMA’s
Representation Rights Agreement
as set out in the 2012 Physician
Services Agreement.
4. The government has had the report
for nearly a year and needs to
clearly say what parts of the report
it intends to implement.
5. We know that it’s best for patients
for the health care system to build
on success — not throw the system
into chaos.
This is a report that is long on
concepts and short on implementation strategy. What patients need is a
stronger health care system — not just
more concepts.
The OMA recognizes that there is
work to be done, but patients can’t
wait for the government to reorganize
primary care — AGAIN.
November 2015
End of Life Care Seminar
London, ON
Wednesday, December 9
Topics include: Advanced Care
Planning and Billing, Palliative
Care and Billing, and Tools and
Community Resources.
Early in Practice
Seminar:
The Secrets of
Success in
Family Practice
Hamilton, ON
Wednesday,
December 9
Topics include: Starting or Taking Over a Practice, Building and
Managing Your Practice, Improving Practice Management and
Efficiencies, and Ensuring Your Financial Future.
To register for either seminar, please call 1.800.268.7215, ext. 2850,
or email [email protected].
19
November 2015
Reports to Council available online
The Reports to Council documents for the OMA Council Meeting (held November 21-22) are now accessible to all
members on the secure OMA website at www.oma.org/council. The site includes copies of documents forwarded to
Delegates in advance of Council, as well as supplementary reports. The website has been revamped to facilitate access
to Council-related materials, and new features were added prior to Council. The following items have been posted.
• Nominations and Elections
• Board Report to Council, includes:
- Update: Physician Services Committee
• OMA Council Committee on Structure and Bylaws
- Update: Negotiations Impasse
• Governance Review: Joint Governance Review
Working Group Report
- Update: Comparison of Average Net Daily Income
• Ontario Medical Student Bursary Fund
(CANDI) Technical Review
- For Information: Budget 2016
• OntarioMD
- Update: Health Policy Committee
• List of Delegates to Council
- Bylaw Revisions for Ratification
• Glossary of Acronyms
- Update: Insurance Services
• Summary of Proposed Council Motions
- Update: Recommended Fee for Adjustments to
• Supplementary Reports to Council/Notes/Motion
Forms
OMA Guide and Schedule of Fees
- Update: Strategic Planning
- Update and Actions Taken in Response to
Resolutions from the May 2015 Council Meeting
In need of medical-legal advice?
OMA Legal Services can provide advice to
members on the following issues relating to
practice:
Inquiries should be directed to
OMA Legal Services:
Jim Simpson
Tel. 416.340.2940 or 1.800.268.7215, ext. 2940
• general medical-legal matters
• health legislation
• group practice agreements for FHNs, FHTs,
FHGs, CCMs and fee-for-service arrangements
Robert Lee
Tel. 416.340.2934 or 1.800.268.7215, ext. 2934
• unincorporated associations, partnerships and
practice plan development and support
Adam Farber
Tel. 416.340.2894 or 1.800.268.7215, ext. 2894
• alternative funding and payment plan negotiation
assistance
• advice on contracts with hospitals, universities,
clinics or other institutions as employees or
independent contractors
Jennifer Gold
Tel. 416.340.2889 or 1.800.268.7215, ext. 2889
• incorporation and annual renewal for physicians
• incorporation of Family Health Teams and other
physician structures
20
November 2015
GP Focus
Practice Designation:
applications due
February 1, 2016
Family physicians may now apply
for a GP Focus Practice Designation for the upcoming fiscal year.
Application packages are available
on the OMA website (https://www.
oma.org/ Member/Resources/
PrimaryCareModels/Pages/
GPFocusedPracticeDesignation.
aspx), and the application deadline
is February 1, 2016.
For successful applicants,
selected fee and diagnostic
codes representative of their
focus area will be exempt from
access bonus negation. Eligible
focus areas include specialties
and sub-specialties recognized
by the Royal College of Physicians
and Surgeons of Canada, as well
as Sports Medicine, Allergy, Pain
Management, Sleep Medicine, and
Addiction Medicine. All other areas
must be approved by the Physician
Services Committee (PSC).
N e w a p p l i c a n t s a re a s k e d
to submit their completed
applications to:
Conrad Pinto, Economics,
Research & Analytics Dept.
c/o Ontario Medical Association
150 Bloor Street West
Suite 900
Toronto, ON M5S 3C1
Fax: 416.340.2248
Currently designated GP
Focus Practice physicians may
be contacted at a future date to
provide evidence of continuing
professional development in their
Focus Practice area — no action is
required at this time.
Questions regarding the GP
Focus Practice Designation
may be sent to Kate Damberger,
Economics, Research & Analytics
Department, at kate.damberger@
oma.org.
Have a question?
Contact the OMA Response Centre:
A knowledge-based team who can respond
to a variety of questions directly, or connect you
to the person who can answer your question.
[email protected]
1.800.268.7215
(press 0)
21
November 2015
FEATURE
Renew your 2016 OMA membership online
at My Account:
new features simplify renewal processes
by Julieta Varga
OMA Membership Operations
T
he OMA continues to improve My Account, the self-serve web-based tool to
manage your personal and professional information and pay your membership
dues securely and easily. More new features are being introduced for 2016, making the
process of renewing your membership and updating contact information or personal
preferences easier than ever.
New Features
• Automatic Renewal is available to
renew your membership dues by
credit card on the first business day
in January each year. Last year, more
than 5,000 members expressed
interest in having the membership
dues automatically charged to their
credit card. You can opt in or out of
this option at any time by choosing
Yes or No for the Annual Automatic
Payment option. Choosing the Yes
option ensures you’ll never miss the
deadline again.
• Membership Cards and Dues receipts
will be available online immediately
after your payment is processed.
You will be notified by email when
your membership card and receipt
are available. You can view, save and
print your current membership card
and dues receipts for the previous
three years on the “Membership Card
and Dues Receipts” page.
• The confirmation page now provides a more detailed breakdown of
your payment.
• The “Affiliations” page lets you view or
update your affiliations, including Sections and the newly formed Medical
Interest Groups, Academic Medicine
Forum, and Rural Medicine Forum.
• Links to the 2016 Fee Category
S c h e d u l e a n d c o m p re h e n s i v e
Frequently Asked Questions are
provided on each page.
Changes In The Fee Category
Schedule for 2016
• Members age 75 on January 1,
2016, having been born in 1940 or
earlier, and having been OMA members in at least 10 of the previous 20
years, are eligible for complimentary
membership. Current complimentary
members are being grandfathered.
Login And Contact Information
To log in, you will need to input your
username, which is your seven-digit
OMA number, and your password,
which is your date of birth (yymmdd) —
unless you have already changed them.
Watch for your email notification
toward the end of November for more
details on the 2016 renewal process.
Please email any suggestions or comments
regarding My Account and the online membership renewal process to [email protected],
or call 1.800.268.7215/416.599.2580,
ext. 3333.
22
November 2015
BOARD REPORT
Summary of resolutions
OMA Board of Directors Meeting:
October 21-22, 2015
Policy
Board Appointments
District 11 Riding Proposal
• “That the OMA Board of Directors approve District 11’s
riding proposal for the purposes of electing geographic
delegates at the District level.”
Non-Board Members
Physicians’ Services Incorporated (PSI)
Foundation House of Delegates — OMA Nominees
- Dr. A. Gershon (reappointed)
- Dr. W.A. Hodge (reappointed)
- Dr. K.M. Moore (reappointed)
Reserves Policy
• “That the OMA Board of Directors approve the revised
Reserves Policy, dated October 20, 2015.”
Board Directors
Investment Policy – OMA and Subsidiaries
• “That the OMA Board of Directors approve the revised
Investment Policy, dated October 8, 2015.”
Family Health Team (FHT) Issues Committee —
Board member position
- Dr. R. Tytus
Information Confidentiality Policy
• “That the OMA Board of Directors approve the Information Confidentiality Policy, dated October 22, 2015.”
CORPORATE HOTEL DIRECTORY
OMA opens the door to
hotel discounts
The OMA Advantages Program has arranged an extensive listing of preferred 2015 rates for OMA
members at hotels located throughout Ontario. Rates are effective from January 1 to December 31,
2015, unless otherwise noted, and are subject to all applicable taxes.
To access the 2015 OMA Corporate Hotel Directory:
Please log in to the OMA Advantages website at
www.oma.org/Advantages
23
November 2015
Adventure
will see you now.
Experience the world of Platinum with an offer for OMA members.
Earn 60,000 bonus Membership Rewards® points when you make $1,000 in purchases in
the first three months of Cardmembership.1
OMA members’ exclusive benefits:
• One Free Platinum Supplementary
Card – $175 value.2
• Receive up to a $200 statement
credit towards your OMA
membership fees in the first year
of Cardmembership.3
• Earn an OMA Platinum Bonus
of 5,000 Membership Rewards
points when you charge $60,000
in purchases annually.4
Obtain your RSVP code at oma.org/Advantages/Amex
1. Offer subject to change. Account must be in good standing. To qualify for the 60,000 bonus Membership Rewards® points, you must have at least $1,000 in net purchases posted to your account in your first
annual fee for one Supplementary Platinum Card. Additional Platinum Supplementary Cards have an annual fee of $175 each and Gold Supplementary Cards have an annual fee of $50 each. Maximum of 9 Supplem
more Ontario Medical Association (OMA) membership fee purchase(s) charged to their American Express Platinum Card within the first 12 months of Cardmembership. A credit will be earned only on full dollar amo
up to the last day of the bonus period or until the maximum of $200 has been reached, whichever comes first. 4. If you reach an annual net purchase threshold of $60,000 before your Card anniversary date, you
prior to the Card anniversary date and must be posted to your account in order to be considered in the calculation of the net purchases threshold. On each Card anniversary date, the calculation of the applicable
the next annual period and not the previous annual period. Once an annual net purchases threshold is reached, please allow approximately 7 days for the bonus points to be credited. In the case of credits or re
previously earned may be deducted from points earned or from future issued points, and (ii) if we do not deduct such bonus points, you will not be eligible to earn additional bonus points for reaching the same a
the Ontario Medical Association may be changed or terminated at any time.
®, TM: Used by Amex Bank of Canada under license from American Express.
Realize
the
potential
TM
rst 3 months of Cardmembership. Purchases must be posted to your account on or before your three month anniversary date. Please allow up to six weeks for the Welcome Bonus to be awarded. 2. There is no
ementary Cards per account. Account must be in good standing. Supplementary Card applicant must be the age at majority. 3. To qualify for a credit, eligible American Express Platinum Cardmembers must have 1 or
mounts of each qualifying Ontario Medical Association (OMA) membership fee purchase up to maximum of $200. Any purchase amount less than $1 will carry forward and be added to the next qualifying purchase
ou will receive an additional 5,000 Membership Rewards points (“points”). Net purchases means purchases less returns and adjustments posted to your account. A purchase must have a transaction date that is
ble annual net purchases threshold resets to zero and you must qualify again for the new annual period. Purchases transacted on the Card anniversary date will be included in the calculation of net purchases for
r returns that reduce the amount of net purchases below the $60,000 threshold, for which bonus points were previously issued to your Membership Rewards Program account, (i) at our discretion, bonus points
e annual net purchases threshold previously reached. Any bonus points earned are also subject to the Membership Rewards Program Terms and Conditions. You acknowledge that the arrangement we have with
Travel Insurance
Nothing ever goes
wrong on vacation.
Except when something does. OMA Insurance has a wide variety of
flexible solutions for individuals and families, with preferred rates
through RSA, one of Canada’s most trusted providers. Plans can be customized
for any trip duration or for multi-trip coverage – saving you the hassle of
arranging coverage each time. And even if you already have coverage
elsewhere, OMA’s Travel Insurance can serve as a great top-up for coverage.
With no age limit and options such as zero deductible, trip cancellation/
interruption, and loss of baggage, it’s easy to support the association that
supports you – while packing peace-of-mind into your next vacation.
Visit OMAinsurance.com/travel to learn more
or contact RSA at 1.855.444.1488
Not for profit. All for doctors.
OMA Travel Insurance is underwritten by Royal & Sun Alliance Insurance Company of Canada and distributed in
some provinces by RSA Travel Insurance Inc., operating as RSA Travel Insurance Agency in British Columbia.
™ “RSA” and the RSA logo are trademarks owned by RSA Insurance Group plc, licensed for use by Royal & Sun
Alliance Insurance Company of Canada.
Claims Reconciliation and
Remittance Advice Inquiry
(RAI) Processes
Quick Reference Guide
YƵŝĐŬZĞĨĞƌĞŶĐĞ'ƵŝĚĞϭ͗
ůĂŝŵƐZĞĐŽŶĐŝůŝĂƚŝŽŶĂŶĚZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ/ŶƋƵŝƌǇ;Z/ͿWƌŽĐĞƐƐĞƐ
dŚĞƉƵƌƉŽƐĞŽĨƚŚŝƐƌĞĨĞƌĞŶĐĞŐƵŝĚĞŝƐƚŽƉƌŽǀŝĚĞĂŐĞŶĞƌĂůŽǀĞƌǀŝĞǁŽŶƚŚĞĐůĂŝŵƐƌĞĐŽŶĐŝůŝĂƚŝŽŶĂŶĚ
ƌĞŵŝƚƚĂŶĐĞĂĚǀŝĐĞŝŶƋƵŝƌǇƉƌŽĐĞƐƐĞƐ͘ǇƵŶĚĞƌƐƚĂŶĚŝŶŐƚŚĞƐĞƉƌŽĐĞƐƐĞƐ͕ƐƚĞƉƐĐĂŶďĞƚĂŬĞŶƚŽĂǀŽŝĚ
ĞƌƌŽƌƐůĞĂĚŝŶŐƚŽĐůĂŝŵƐďĞŝŶŐƌĞũĞĐƚĞĚĂŶĚͬŽƌĂǀŽŝĚĚĞůĂǇƐŝŶƉƌŽĐĞƐƐŝŶŐĐůĂŝŵƐƚŚĂƚƵůƚŝŵĂƚĞůǇƌĞƐƵůƚƐŝŶ
ĚĞůĂǇƐŝŶƉĂǇŵĞŶƚ͘
ZĞŵĞŵďĞƌ͕ĞǀĞŶŝĨǇŽƵĂƐƐŝŐŶĂƐƚĂĨĨƉĞƌƐŽŶŽƌŚĂǀĞĂďŝůůŝŶŐĂŐĞŶƚƐƵďŵŝƚĐůĂŝŵƐŽŶǇŽƵƌďĞŚĂůĨ͕ǇŽƵ
ĂƌĞƵůƚŝŵĂƚĞůǇƌĞƐƉŽŶƐŝďůĞĨŽƌƚŚĞĐůĂŝŵƐƐƵďŵŝƚƚĞĚƚŽĞŶƐƵƌĞĂƉƉƌŽƉƌŝĂƚĞĂŶĚƚŝŵĞůǇƉĂǇŵĞŶƚŽĨK,/W
ĐůĂŝŵƐ͘
dŚĞŐƵŝĚĞŝƐďƌŽŬĞŶĚŽǁŶŝŶƚŽƚŚĞĨŽůůŽǁŝŶŐƉĂƌƚƐ͗
;Ϳ K,/WůĂŝŵƐ^ƵďŵŝƐƐŝŽŶZĞƉŽƌƚƐ͖
;Ϳ ůĂŝŵƐZĞƋƵŝƌŝŶŐŽĐƵŵĞŶƚĂƚŝŽŶ͖ĂŶĚ
;Ϳ ZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ/ŶƋƵŝƌǇ;Z/ͿWƌŽĐĞƐƐ
͗K,/WůĂŝŵƐ^ƵďŵŝƐƐŝŽŶZĞƉŽƌƚƐ
dŽĞŶƐƵƌĞƉƌŽŵƉƚĂŶĚĐŽƌƌĞĐƚƉĂǇŵĞŶƚ͕ŝƚŝƐŝŵƉĞƌĂƚŝǀĞƚŽƌĞǀŝĞǁƚŚĞĨŽůůŽǁŝŶŐK,/WĐůĂŝŵƐƵďŵŝƐƐŝŽŶ
ƌĞƉŽƌƚƐŽŶĐĞĂǀĂŝůĂďůĞ͗
;ϭͿ ůĂŝŵƐĂƚĐŚĚŝƚZĞƉŽƌƚ
;ϮͿ ƌƌŽƌZĞƉŽƌƚ;ZͿ
;ϯͿ ZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ;ZͿ
dŚĞƐĞƌĞƉŽƌƚƐƉƌŽǀŝĚĞŝŶƐŝŐŚƚŽŶƚŚĞƐƚĂƚƵƐŽĨǇŽƵƌĐůĂŝŵƐĂŶĚ͕ǁŚĞƌĞĂĐůĂŝŵǁĂƐŶŽƚƉĂŝĚĂƐƐƵďŵŝƚƚĞĚ͕
ƚŚĞƌĞĂƐŽŶŝƚǁĂƐŶŽƚƉĂŝĚĂŶĚƚŚĞĂƉƉƌŽƉƌŝĂƚĞĐŽƵƌƐĞŽĨĂĐƚŝŽŶƚŽƌĞĐŽŶĐŝůĞƚŚĞĐůĂŝŵ͘
ůĂŝŵƐĚĂƚĂŵĂǇďĞƐƵďũĞĐƚƚŽƌĞũĞĐƚŝŽŶďǇƚŚĞDŝŶŝƐƚƌǇĂƚƚŚƌĞĞůĞǀĞůƐ͗
ZĞũĞĐƚŝŽŶŽĨĞŶƚŝƌĞĨŝůĞƐƵďŵŝƐƐŝŽŶ
ZĞũĞĐƚŝŽŶŽĨďĂƚĐŚǁŝƚŚŝŶĂĨŝůĞ
ZĞũĞĐƚŝŽŶŽĨĂĐůĂŝŵǁŝƚŚŝŶĂďĂƚĐŚ
;ϭͿ ůĂŝŵƐĂƚĐŚĚŝƚZĞƉŽƌƚƐ
/ĨĂĨŝůĞŝƐĂĐĐĞƉƚĞĚ͕ĂůĂŝŵƐĂƚĐŚĚŝƚZĞƉŽƌƚŝƐƐĞŶƚƚŽĂĐŬŶŽǁůĞĚŐĞƌĞĐĞŝƉƚŽĨĞĂĐŚďĂƚĐŚƐƵďŵŝƚƚĞĚ͘
dŚŝƐƌĞƉŽƌƚŝƐƐĞŶƚƚŽƚŚĞƵƐĞƌ/ĂŶĚŶŽƚĞƐǁŚĞƚŚĞƌŽƌŶŽƚƚŚĞďĂƚĐŚŝƐĂĐĐĞƉƚĞĚŽƌƌĞũĞĐƚĞĚ͘
ŶĞŶƚŝƌĞďĂƚĐŚŽƌĨŝůĞŵĂǇďĞƌĞũĞĐƚĞĚ͖ĐŽŶƐĞƋƵĞŶƚůǇ͕ŝƚŝƐƌĞĐŽŵŵĞŶĚĞĚƚŚĂƚďĂƚĐŚĞƐďĞŵĂŝŶƚĂŝŶĞĚĂƚ
ĂŵĂŶĂŐĞĂďůĞƐŝǌĞ;Ğ͘Ő͕͘ďĂƚĐŚĞƐƐŚŽƵůĚŶŽƚĞǆĐĞĞĚϱϬϬĐůĂŝŵƐĂŶĚĨŝůĞƐŝǌĞƐŚŽƵůĚŶŽƚĞǆĐĞĞĚϭϬDͿ͘
dŚĞŽƌŝŐŝŶĂƚŽƌǁŝůůďĞĂĚǀŝƐĞĚďǇƌĞĐĞŝƉƚŽĨĂůĂŝŵĂƚĐŚĚŝƚZĞƉŽƌƚǀŝĂƚŚĞDĞĚŝĐĂůůĂŝŵƐůĞĐƚƌŽŶŝĐ
ϭ
ŝƐĐůĂŝŵĞƌ͗ǀĞƌǇĞĨĨŽƌƚŚĂƐďĞĞŶŵĂĚĞƚŽĞŶƐƵƌĞƚŚĂƚƚŚĞĐŽŶƚĞŶƚƐŽĨƚŚŝƐ'ƵŝĚĞĂƌĞĂĐĐƵƌĂƚĞ͘DĞŵďĞƌƐƐŚŽƵůĚ͕ŚŽǁĞǀĞƌ͕ďĞĂǁĂƌĞƚŚĂƚƚŚĞ
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ŽƌĚŝĨĨĞƌĞŶĐĞƐŽĨŝŶƚĞƌƉƌĞƚĂƚŝŽŶŽĨĂƉƉůŝĐĂďůĞZĞŐƵůĂƚŝŽŶƐǁŝƚŚƚŚĞ'ŽǀĞƌŶŵĞŶƚŽĨKŶƚĂƌŝŽŝŶĐůƵĚŝŶŐďƵƚŶŽƚůŝŵŝƚĞĚƚŽƚŚĞDŝŶŝƐƚƌǇŽĨ,ĞĂůƚŚ
ĂŶĚ>ŽŶŐͲdĞƌŵĂƌĞ;DK,>dͿ͕ĂŶĚƚŚĞŽůůĞŐĞŽĨWŚǇƐŝĐŝĂŶƐĂŶĚ^ƵƌŐĞŽŶƐŽĨKŶƚĂƌŝŽ;W^KͿ͘DĞŵďĞƌƐĂƌĞĂĚǀŝƐĞĚƚŚĂƚƚŚĞƵůƚŝŵĂƚĞĂƵƚŚŽƌŝƚǇ
ŝŶŵĂƚƚĞƌƐŽĨŝŶƚĞƌƉƌĞƚĂƚŝŽŶĂŶĚƉĂǇŵĞŶƚŽĨŝŶƐƵƌĞĚƐĞƌǀŝĐĞƐ;ĂƐǁĞůůĂƐĚĞƚĞƌŵŝŶĂƚŝŽŶŽĨǁŚĂƚĐŽŶƐƚŝƚƵƚĞƐĂŶƵŶŝŶƐƵƌĞĚƐĞƌǀŝĐĞͿĂƌĞŝŶƚŚĞ
ƉƵƌǀŝĞǁŽĨƚŚĞŐŽǀĞƌŶŵĞŶƚ͘DĞŵďĞƌƐĂƌĞĂĚǀŝƐĞĚƚŽƌĞƋƵĞƐƚƵƉĚĂƚĞĚďŝůůŝŶŐŝŶĨŽƌŵĂƚŝŽŶĂŶĚŝŶƚĞƌƉƌĞƚĂƚŝŽŶƐʹŝŶǁƌŝƚŝŶŐʹďǇĐŽŶƚĂĐƚŝŶŐƚŚĞŝƌ
ƌĞŐŝŽŶĂůK,/WŽĨĨŝĐĞ͘
1
ĂƚĂdƌĂŶƐĨĞƌ;DdͿƚŚĂƚƚŚĞƌĞũĞĐƚĞĚĨŝůĞƐŽƌďĂƚĐŚĞƐŵƵƐƚďĞƌĞƐƵďŵŝƚƚĞĚ͘ĐůĂŝŵĨŝůĞƌĞũĞĐƚŝŽŶ
ŵĞƐƐĂŐĞŝƐƐĞŶƚǁŝƚŚƚŚĞƌĞĂƐŽŶ;ƐͿĨŽƌƌĞũĞĐƚŝŽŶƐĂŶĚŽŶĐĞĐŽƌƌĞĐƚĞĚƚŚĞƌĞũĞĐƚĞĚĨŝůĞƐŽƌďĂƚĐŚĞƐŵƵƐƚ
ďĞƌĞƐƵďŵŝƚƚĞĚ͘
;ϮͿ ƌƌŽƌZĞƉŽƌƚ;ZͿ
ZĞũĞĐƚĞĚŝŶĚŝǀŝĚƵĂůĐůĂŝŵƐͬŝƚĞŵƐƚŽďĞĐŽƌƌĞĐƚĞĚďǇƚŚĞŚĞĂůƚŚĐĂƌĞƉƌŽǀŝĚĞƌǁŝůůĂƉƉĞĂƌŽŶĂŶƌƌŽƌ
ZĞƉŽƌƚǁŝƚŚƚŚĞĂƉƉƌŽƉƌŝĂƚĞĞƌƌŽƌĐŽĚĞ;ƐͿ͘dŚĞůĂŝŵƐƌƌŽƌZĞƉŽƌƚŝƐƐĞŶƚƚŽƚŚĞDdƵƐĞƌ/
ƐƉĞĐŝĨŝĞĚďǇƚŚĞƉƌŽǀŝĚĞƌĂƚƚŚĞƚŝŵĞŽĨĂƉƉůŝĐĂƚŝŽŶ͘dŚŝƐƌĞƉŽƌƚůŝƐƚƐƌĞũĞĐƚĞĚĐůĂŝŵƐ͕ǁŝƚŚƚŚĞ
ĂƉƉƌŽƉƌŝĂƚĞĞƌƌŽƌĐŽĚĞƐ͕ĨŽƌĐŽƌƌĞĐƚŝŽŶ͘dŚĞƐĞĐůĂŝŵƐĂƌĞƌĞũĞĐƚĞĚĨƌŽŵƚŚĞDŝŶŝƐƚƌǇ͛ƐƐǇƐƚĞŵĂŶĚŵƵƐƚ
ďĞĐŽƌƌĞĐƚĞĚĂŶĚƌĞƐƵďŵŝƚƚĞĚŝŶŽƌĚĞƌƚŽďĞĐŽŶƐŝĚĞƌĞĚĨŽƌƉĂǇŵĞŶƚ͘
ůĂŝŵƐǁŝƚŚŝŶĂďĂƚĐŚǁŝůůďĞƌĞũĞĐƚĞĚƚŽƚŚĞůĂŝŵƐƌƌŽƌZĞƉŽƌƚĨŽƌĂŶǇŽĨƚŚĞĨŽůůŽǁŝŶŐƌĞĂƐŽŶƐ͗
• DŝƐƐŝŶŐͬŝŶǀĂůŝĚĚĂƚĂĂƐƉĞƌƚŚĞĨŝĞůĚĚĞƐĐƌŝƉƚŝŽŶƐƉĞĐŝĨŝĞĚďǇĞƌƌŽƌĐŽĚĞ;ƐͿƉƌĞĨŝǆĞĚǁŝƚŚ͞s͟
• /ŶĞůŝŐŝďůĞƉĂƚŝĞŶƚͬŚĞĂůƚŚĐĂƌĞƉƌŽǀŝĚĞƌĚĂƚĂ;ƐƉĞĐŝĨŝĞĚďǇĞƌƌŽƌĐŽĚĞ;ƐͿƉƌĞĨŝǆĞĚǁŝƚŚ͟͞Ϳ
• DŝƐƐŝŶŐͬŝŶǀĂůŝĚĚĂƚĂĂƐƐƉĞĐŝĨŝĞĚŝŶƚŚĞ^ĐŚĞĚƵůĞƐŽĨĞŶĞĨŝƚƐ;ƐƉĞĐŝĨŝĞĚďǇĞƌƌŽƌĐŽĚĞ;ƐͿƉƌĞĨŝǆĞĚ
ǁŝƚŚ͟͞Ϳ
EKd͗&ŽƌĂŶĞǆŚĂƵƐƚŝǀĞůŝƐƚŽĨƌĞũĞĐƚƐ͕ƉůĞĂƐĞƌĞĨĞƌƚŽƚŚĞWŚǇƐŝĐŝĂŶƐZĞƐŽƵƌĐĞDĂŶƵĂů͘KŶĐĞĐŽƌƌĞĐƚĞĚ͕
ƚŚĞƐĞĐůĂŝŵƐŵĂǇďĞƌĞƐƵďŵŝƚƚĞĚĨŽƌƉĂǇŵĞŶƚŽŶĂƐƵďƐĞƋƵĞŶƚĨŝůĞ͘ŽƌƌĞĐƚĞĚĐůĂŝŵƐŵƵƐƚďĞ
ƌĞƐƵďŵŝƚƚĞĚǁŝƚŚŝŶƐŝǆŵŽŶƚŚƐĨƌŽŵƚŚĞĚĂƚĞŽĨƐĞƌǀŝĐĞ͘
;ϯͿ ZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ;ZͿ
ZĞŵŝƚƚĂŶĐĞĚǀŝĐĞŝƐĂŵŽŶƚŚůǇƐƚĂƚĞŵĞŶƚŽĨĂƉƉƌŽǀĞĚĐůĂŝŵƐĂŶĚŝƐŝƐƐƵĞĚŽŶŽƌĂďŽƵƚƚŚĞϱƚŚ
ǁŽƌŬŝŶŐĚĂǇŽĨƚŚĞŵŽŶƚŚ͕ƉƌŝŽƌƚŽƌĞĐĞŝƉƚŽĨƉĂǇŵĞŶƚ͘dŚĞZĞŵŝƚƚĂŶĐĞĚǀŝĐĞĨŝůĞĐŽŶƚĂŝŶƐĂĐĐŽƵŶƚŝŶŐ
ĚĞƚĂŝůƐŽĨĐůĂŝŵƐĂƉƉƌŽǀĞĚĚƵƌŝŶŐƚŚĞDŝŶŝƐƚƌǇ͛ƐƉƌĞǀŝŽƵƐĐůĂŝŵƐƉƌŽĐĞƐƐŝŶŐĐǇĐůĞ͘/ƚǁŝůůĂůƐŽĐŽŶƚĂŝŶ
ĞǆƉůĂŶĂƚŽƌǇĐŽĚĞƐƚŽĐůĂƌŝĨǇƉĂǇŵĞŶƚĞǆĐĞƉƚŝŽŶƐ͘
dŚĞZĞŵŝƚƚĂŶĐĞĚǀŝĐĞŵĂǇĂůƐŽĐŽŶƚĂŝŶŐĞŶĞƌĂůĐŽŵŵƵŶŝĐĂƚŝŽŶŽƌŵĞƐƐĂŐĞƐĨƌŽŵƚŚĞDŝŶŝƐƚƌǇ͘
hƉŽŶƌĞǀŝĞǁŽĨƚŚĞZ͕ƐŚŽƵůĚƚŚĞƌĞďĞĂŶǇŝŶƋƵŝƌŝĞƐƌĞŐĂƌĚŝŶŐĂŶŽǀĞƌƉĂǇŵĞŶƚ͕ƵŶĚĞƌƉĂǇŵĞŶƚŽƌĂ
ĐůĂŝŵƐƵďŵŝƐƐŝŽŶƚŚĂƚǁĂƐŵŽĚŝĨŝĞĚďǇƚŚĞDŝŶŝƐƚƌǇ͕ƚŚĞŝŶƋƵŝƌǇƐŚŽƵůĚďĞƐƵďŵŝƚƚĞĚƚŽǇŽƵƌDŝŶŝƐƚƌǇ
ĐůĂŝŵƐƉƌŽĐĞƐƐŝŶŐŽĨĨŝĐĞŽŶĂZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ/ŶƋƵŝƌǇ;Z/Ϳ;ĨŽƌŵηϬϵϭϴͲϴϰͿ͘WůĞĂƐĞƌĞĨĞƌƚŽƚŚĞ
͞ZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ/ŶƋƵŝƌǇ;Z/ͿWƌŽĐĞƐƐ͟ƐĞĐƚŝŽŶŽĨƚŚŝƐĚŽĐƵŵĞŶƚĨŽƌĂĚĚŝƚŝŽŶĂůŝŶĨŽƌŵĂƚŝŽŶ͘
͗ůĂŝŵƐZĞƋƵŝƌŝŶŐŽĐƵŵĞŶƚĂƚŝŽŶ
/ŶĐĂƐĞƐǁŚĞƌĞǇŽƵĂƌĞƌĞƋƵŝƌĞĚƚŽƐƵďŵŝƚƐƵƉƉŽƌƚŝŶŐĚŽĐƵŵĞŶƚĂƚŝŽŶĂŶĚͬŽƌŬŶŽǁǇŽƵĂƌĞƐƵďŵŝƚƚŝŶŐĂ
ĐŽŵƉůĞǆĐůĂŝŵƚŚĂƚǁŝůůůŝŬĞůǇƌĞƋƵŝƌĞƐƵƉƉŽƌƚŝŶŐĚŽĐƵŵĞŶƚĂƚŝŽŶ;Ğ͘Ő͕͘ĐůĂŝŵƐƵďŵŝƐƐŝŽŶŝŶǀŽůǀŝŶŐƐĞǀĞƌĂů
ĨĞĞĐŽĚĞƐͿ͕ƵƐĞǇŽƵƌďŝůůŝŶŐƐŽĨƚǁĂƌĞƚŽĨůĂŐƚŚĞĐůĂŝŵǁŝƚŚĂŵĂŶƵĂůƌĞǀŝĞǁŝŶĚŝĐĂƚŽƌ͘dŚŝƐǁŝůůŶŽƚŝĨǇ
ǇŽƵƌK,/WůĂŝŵƐƉƌŽĐĞƐƐŝŶŐŽĨĨŝĐĞƚŚĂƚƚŚĞĐůĂŝŵƐƵďŵŝƐƐŝŽŶƌĞƋƵŝƌĞƐƐƉĞĐŝĂůĂƚƚĞŶƚŝŽŶ͘
/ĨǇŽƵĂƌĞƵŶĐĞƌƚĂŝŶǁŚĞƚŚĞƌŽƌŶŽƚƚŽĨůĂŐĂĐůĂŝŵ͕ƉŚŽŶĞǇŽƵƌůŽĐĂůĚŝƐƚƌŝĐƚŽĨĨŝĐĞĨŽƌĂƐƐŝƐƚĂŶĐĞ͗
• KƐŚĂǁĂ͗ϭͲϴϱϱͲϮϱϬͲϯϲϵϲŽƌϵϬϱͲϱϳϲͲϮϴϳϬ
• dŽƌŽŶƚŽ͗ϭͲϴϱϱͲϲϰϱͲϭϮϴϮŽƌϰϭϲͲϯϭϰͲϳϳϳϬ
• ,ĂŵŝůƚŽŶ͗ϭͲϴϴϴͲϲϯϬͲϴϬϲϲŽƌϵϬϱͲϱϮϭͲϳϱϰϳ
/ĨĂŶŽƉĞƌĂƚŝǀĞƌĞƉŽƌƚŝƐŶĞĐĞƐƐĂƌǇƚŚĞDŝŶŝƐƚƌǇǁŝůůŵĂŬĞƚŚĞƌĞƋƵĞƐƚŽŶƚŚĞƌƌŽƌZĞƉŽƌƚƵƐŝŶŐĂŶ
ĞǆƉůĂŶĂƚŽƌǇĐŽĚĞ͘dŚĞĐůĂŝŵŵƵƐƚďĞƌĞƐƵďŵŝƚƚĞĚ͘
2
tŚĞŶĨĂǆŝŶŐĚŽĐƵŵĞŶƚƐƚŽƚŚĞDŝŶŝƐƚƌǇ͕ĞŶƐƵƌĞƚŚĂƚǇŽƵĂƌĞĨĂǆŝŶŐŝƚƚŽƚŚĞĂƉƉƌŽƉƌŝĂƚĞĐůĂŝŵƐ
ƉƌŽĐĞƐƐŝŶŐŽĨĨŝĐĞĂŶĚĞŶƐƵƌĞƚŚĂƚǇŽƵƌďŝůůŝŶŐŶƵŵďĞƌŝƐĐůĞĂƌůǇŝĚĞŶƚŝĨŝĞĚŽŶĞĂĐŚŽĨƚŚĞĚŽĐƵŵĞŶƚƐ͘
/ĚĞĂůůǇ͕ƐƵƉƉŽƌƚŝŶŐĚŽĐƵŵĞŶƚĂƚŝŽŶƐŚŽƵůĚďĞĨĂǆĞĚƚŚĞƐĂŵĞĚĂǇĂƐƚŚĞDdƐƵďŵŝƐƐŝŽŶƐŝŶĐĞŝƚŝƐ
ŶĞĞĚĞĚƚŽĐŽŽƌĚŝŶĂƚĞǁŝƚŚƚŚĞĐůĂŝŵƉƌŽĐĞƐƐŝŶŐ͘
͗ZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ/ŶƋƵŝƌǇ;Z/ͿWƌŽĐĞƐƐ
/ŶƋƵŝƌŝĞƐƌĞŐĂƌĚŝŶŐŽǀĞƌƉĂǇŵĞŶƚƐ͕ƵŶĚĞƌƉĂǇŵĞŶƚƐŽƌĐůĂŝŵƐƵďŵŝƐƐŝŽŶƐƚŚĂƚǁĞƌĞŵŽĚŝĨŝĞĚďǇƚŚĞ
DŝŶŝƐƚƌǇŵƵƐƚďĞŵĂĚĞǁŝƚŚŝŶĨŽƵƌŵŽŶƚŚƐŽĨƚŚĞĚĂƚĞŽĨƚŚĞƌĞŵŝƚƚĂŶĐĞĂĚǀŝĐĞ;ZͿŽŶǁŚŝĐŚƚŚĞ
ƉĂǇŵĞŶƚĂƉƉĞĂƌƐĨŽƌĂŶǇĂĚũƵƐƚŵĞŶƚƐƚŽƉĂǇŵĞŶƚƐƚŽŽĐĐƵƌ͘/ŶƋƵŝƌŝĞƐƐŚŽƵůĚďĞƐƵďŵŝƚƚĞĚƚŽǇŽƵƌ
DŝŶŝƐƚƌǇĐůĂŝŵƐƉƌŽĐĞƐƐŝŶŐŽĨĨŝĐĞŽŶĂZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ/ŶƋƵŝƌǇ;Z/Ϳ;ĨŽƌŵηϬϵϭϴͲϴϰͿ͘ŽŶŽƚ
ƌĞƐƵďŵŝƚƚŚĞĐůĂŝŵ͕ĂƐŝƚǁŝůůƐŝŵƉůǇŐĞƚƌĞũĞĐƚĞĚĂŶĚƌĞŵĂŝŶƵŶƌĞƐŽůǀĞĚ͘
ůĂŝŵƐƵďŵŝƐƐŝŽŶƐƚŚĂƚǁĞƌĞŵŽĚŝĨŝĞĚďǇƚŚĞDŝŶŝƐƚƌǇǁŝůůŚĂǀĞĂŶĂƐƐŽĐŝĂƚĞĚĞǆƉůĂŶĂƚŽƌǇĐŽĚĞƚŚĂƚ
ƉƌŽǀŝĚĞƐŝŶĨŽƌŵĂƚŝŽŶŽŶǁŚǇƚŚĞĐůĂŝŵƐƵďŵŝƐƐŝŽŶƉĂǇŵĞŶƚǁĂƐŵŽĚŝĨŝĞĚ͘/ĨǇŽƵĨĞĞůƚŚĂƚƚŚĞĐůĂŝŵǁĂƐ
ŶŽƚƉĂŝĚĂƉƉƌŽƉƌŝĂƚĞůǇĂŶĚͬŽƌǁŽƵůĚůŝŬĞĂĚĚŝƚŝŽŶĂůĐůĂƌŝĨŝĐĂƚŝŽŶŽŶƚŚĞƉĂǇŵĞŶƚ͕ƐƵďŵŝƚĂZ/ĨŽƌŵǁŝƚŚ
ĂĚĚŝƚŝŽŶĂůŝŶĨŽƌŵĂƚŝŽŶĂŶĚͬŽƌƌĞƋƵĞƐƚĨŽƌĐůĂƌŝĨŝĐĂƚŝŽŶ͘DŝŶŝƐƚƌǇƐƚĂĨĨǁŝůůƌĞǀŝĞǁƚŚĞŝŶƋƵŝƌǇĂŶĚƉƌŽǀŝĚĞ
ĂŶĞǆƉůĂŶĂƚŝŽŶďĂĐŬŽŶƚŚĞZ/ĨŽƌŵďǇŝŶĚŝĐĂƚŝŶŐWĂŝĚŽƌƌĞĐƚůǇ;W͘͘Ϳ͕ĚũƵƐƚŵĞŶƚZĞƋƵŝƌĞĚ;͘Z͘ͿŽƌ
&ŝŶĂůĞĐŝƐŝŽŶ;&͘͘Ϳ͘/ĨĂŵŽƌĞĚĞƚĂŝůĞĚDŝŶŝƐƚƌǇƌĞƐƉŽŶƐĞŝƐƌĞƋƵŝƌĞĚ͕ĂůĞƚƚĞƌǁŝůůďĞƐĞŶƚƚŽƚŚĞ
ƉŚǇƐŝĐŝĂŶ͘
/ŶƐŝƚƵĂƚŝŽŶƐǁŚĞƌĞĂƉŚǇƐŝĐŝĂŶĚŝƐĂŐƌĞĞƐǁŝƚŚƚŚĞƌĞƐƵůƚŝŶŐZ/ĂĚũƵĚŝĐĂƚŝŽŶŽĨƚŚĞĐůĂŝŵƐƵďŵŝƐƐŝŽŶ
;Ğ͘Ő͕͘ĚŝƐĂŐƌĞĞŵĞŶƚǁŝƚŚƌĞĂƐŽŶƐĨŽƌŶŽƚƉĂǇŝŶŐĂŶĚͬŽƌĂĚũƵƐƚŵĞŶƚŽĨĂĐůĂŝŵƐƵďŵŝƐƐŝŽŶͿ͕ĂƐƵďƐĞƋƵĞŶƚ
ƌĞƋƵĞƐƚĨŽƌƌĞĐŽŶƐŝĚĞƌĂƚŝŽŶǁŝƚŚŶĞǁŝŶĨŽƌŵĂƚŝŽŶƉƌŽǀŝĚĞĚƚŽƚŚĞDŝŶŝƐƚƌǇͿŝƐƌĞǀŝĞǁĞĚďǇĂŶ/ŶƚĞƌŶĂů
ZĞǀŝĞǁŽŵŵŝƚƚĞĞ;/ZͿ͖ƚŚŝƐƌĞƋƵĞƐƚŵƵƐƚďĞŵĂĚĞǁŝƚŚŝŶĨŽƵƌŵŽŶƚŚƐŽĨƌĞĐĞŝǀŝŶŐƚŚĞDŝŶŝƐƚƌǇ͛ƐZ/
ƌĞƐƉŽŶƐĞ͘
/ŶƚŚĞƐŝƚƵĂƚŝŽŶǁŚĞƌĞĂƌĞƐŽůƵƚŝŽŶĐĂŶŶŽƚďĞŚĂĚƚŚƌŽƵŐŚƚŚĞƉĂǇŵĞŶƚŝŶƋƵŝƌǇƉƌŽĐĞƐƐ͕ƚŚĞƉŚǇƐŝĐŝĂŶ
ŵĂǇƌĞƋƵĞƐƚĂƌĞǀŝĞǁďǇƚŚĞWŚǇƐŝĐŝĂŶWĂǇŵĞŶƚZĞǀŝĞǁŽĂƌĚ;WWZͿ͘ƚĂŶǇƉŽŝŶƚŝŶƚŚĞƉĂǇŵĞŶƚ
ŝŶƋƵŝƌǇƉƌŽĐĞƐƐ͕ƚŚĞDŝŶŝƐƚƌǇĐĂŶĚĞĞŵŝƚƐƉĂǇŵĞŶƚĚĞĐŝƐŝŽŶĂƐĨŝŶĂůĂƚǁŚŝĐŚƉŽŝŶƚƚŚĞƉŚǇƐŝĐŝĂŶŚĂƐϮϬ
ďƵƐŝŶĞƐƐĚĂǇƐĨƌŽŵƚŚĞĚĂƚĞŽĨƌĞĐĞŝƉƚŽĨƚŚĞŶŽƚŝĨŝĐĂƚŝŽŶŽĨĂĨŝŶĂůƉĂǇŵĞŶƚĚĞĐŝƐŝŽŶƚŽƐƵďŵŝƚƚŚĞŝƌ
ĂƉƉĞĂůƚŽƚŚĞWWZ͘
&ŽƌĂĚĚŝƚŝŽŶĂůĚĞƚĂŝůƐŽŶƚŚĞƉĂǇŵĞŶƚŝŶƋƵŝƌǇƉƌŽĐĞƐƐĂŶĚƚŚĞWWZĂƉƉĞĂůƐƉƌŽĐĞƐƐƉůĞĂƐĞƐĞĞ͗
• ZĞƐŽƵƌĐĞDĂŶƵĂůĨŽƌWŚǇƐŝĐŝĂŶƐ͕^ĞĐƚŝŽŶƐϯĂŶĚϰ͘
;ŚƚƚƉ͗ͬͬǁǁǁ͘ŚĞĂůƚŚ͘ŐŽǀ͘ŽŶ͘ĐĂͬĞŶŐůŝƐŚͬƉƌŽǀŝĚĞƌƐͬƉƵďͬŽŚŝƉͬƉŚǇƐŵĂŶƵĂůͬƉŚǇƐŵĂŶƵĂůͺŵŶ͘ŚƚŵůͿ
EŽƚĞƚŚĂƚƚŚĞĐŚĂŶŐĞƐƚŽƚŚĞŵĂŶƵĂůĂƌĞŝŶƉƌŽĐĞƐƐ͘
• /E&KƵůůĞƚŝŶηϰϲϱϴ͕dŝŵĞůŝŶĞƐĨŽƌ/ŶƋƵŝƌǇĂŶĚŝƐƉƵƚĞŽĨĂůĂŝŵƐWĂǇŵĞŶƚĞĐŝƐŝŽŶ͕KĐƚŽďĞƌϱ͕
ϮϬϭϱ
• W/ŶƚĞƌƉƌĞƚŝǀĞƵůůĞƚŝŶ͕sŽů͘ϲ͘EŽ͘ϯ͕dŚĞZĞǀŝƐĞĚDĞĚŝĐĂůƵĚŝƚWƌŽĐĞƐƐ
;ŚƚƚƉƐ͗ͬͬǁǁǁ͘ŽŵĂ͘ŽƌŐͬZĞƐŽƵƌĐĞƐͬŽĐƵŵĞŶƚƐͬϬϲϬϯWͺƵůůĞƚŝŶ͘ƉĚĨͿ
• /E&KƵůůĞƚŝŶηϰϱϭϭ͕dŚĞWŚǇƐŝĐŝĂŶWĂǇŵĞŶƚZĞǀŝĞǁŽĂƌĚďĞĐŽŵĞƐ&ƵŶĐƚŝŽŶĂů͕ƉƌŝůϯϬ͕ϮϬϭϬ
;ŚƚƚƉ͗ͬͬǁǁǁ͘ŚĞĂůƚŚ͘ŐŽǀ͘ŽŶ͘ĐĂͬĞŶͬƉƌŽͬƉƌŽŐƌĂŵƐͬŽŚŝƉͬďƵůůĞƚŝŶƐͬϰϬϬϬͬďƵůůĞƚŝŶͺϰϬϬϬͺŵŶ͘ĂƐƉǆͿ
• KDZĞĐĞŵďĞƌϮϬϭϮĂƌƚŝĐůĞ͞WŚǇƐŝĐŝĂŶWĂǇŵĞŶƚZĞǀŝĞǁŽĂƌĚ͗ŵĂŶĚĂƚĞ͕ƐƚƌƵĐƚƵƌĞ͕ĂŶĚĂƉƉĞĂůƐ
ƉƌŽĐĞƐƐ͟;ŚƚƚƉ͗ͬͬŽŵƌ͘ŽŵĂ͘ŽƌŐͬͿ
• WWZǁĞďƐŝƚĞ͗ǁǁǁ͘ƉƉƌď͘ŽŶ͘ĐĂ
3
/ĨǇŽƵƌĞƋƵŝƌĞĂƐƐŝƐƚĂŶĐĞŽƌŚĂǀĞƋƵĞƐƚŝŽŶƐ͕ƉůĞĂƐĞĐŽŶƚĂĐƚǇŽƵƌůŽĐĂůĐůĂŝŵƐƉƌŽĐĞƐƐŝŶŐŽĨĨŝĐĞŽƌ^ĞƌǀŝĐĞ
^ƵƉƉŽƌƚŽŶƚĂĐƚĞŶƚƌĞ͗
• KƐŚĂǁĂ͗ϭͲϴϱϱͲϮϱϬͲϯϲϵϲŽƌϵϬϱͲϱϳϲͲϮϴϳϬ
• dŽƌŽŶƚŽ͗ϭͲϴϱϱͲϲϰϱͲϭϮϴϮŽƌϰϭϲͲϯϭϰͲϳϳϳϬ
• ,ĂŵŝůƚŽŶ͗ϭͲϴϴϴͲϲϯϬͲϴϬϲϲŽƌϵϬϱͲϱϮϭͲϳϱϰϳ
• ^ĞƌǀŝĐĞ^ƵƉƉŽƌƚŽŶƚĂĐƚĞŶƚƌĞ͗ϭͲϴϬϬͲϮϲϮͲϲϱϮϰ
^ƵŵŵĂƌǇWŽŝŶƚƐ
9 ZĞǀŝĞǁďŽƚŚǇŽƵƌŵŽŶƚŚůǇZĞŵŝƚƚĂŶĐĞĚǀŝĐĞĂŶĚƌƌŽƌZĞƉŽƌƚƐ͖ƐŽŵĞƉŚǇƐŝĐŝĂŶƐŽŶůǇƌĞǀŝĞǁƚŚĞŝƌ
ZĞŵŝƚƚĂŶĐĞĚǀŝĐĞƌĞƉŽƌƚĂŶĚŵŝƐƐŝŵƉŽƌƚĂŶƚŝŶĨŽƌŵĂƚŝŽŶĐŽŶƚĂŝŶĞĚŝŶƚŚĞŝƌƌƌŽƌZĞƉŽƌƚ͘
9 ŝůŝŐĞŶƚůǇĨŽůůŽǁƵƉŽŶĂůůƵŶĚĞƌƉĂŝĚͬŽǀĞƌƉĂŝĚĐůĂŝŵƐ͖ĞƌƌŽƌĂŶĚĞǆƉůĂŶĂƚŽƌǇĐŽĚĞƐŚĞůƉĚĞƚĞƌŵŝŶĞ
ƚŚĞĂƉƉƌŽƉƌŝĂƚĞĐŽƵƌƐĞŽĨĂĐƚŝŽŶ͘
9 ^ĞŶĚƐƵƉƉŽƌƚŝŶŐĚŽĐƵŵĞŶƚĂƚŝŽŶƚŚĞƐĂŵĞĚĂǇĂƐǇŽƵƌĐůĂŝŵ;DdͿƐƵďŵŝƐƐŝŽŶʹƚŚŝƐŵĂŬĞƐŝƚ
ĞĂƐŝĞƌĨŽƌDK,ƐƚĂĨĨƚŽĐŽůůĂƚĞĂůůĂƉƉůŝĐĂďůĞĚŽĐƵŵĞŶƚƐ͘
9 /ĨƚŚĞĐůĂŝŵǁĂƐƌĞũĞĐƚĞĚƚŽƚŚĞĐůĂŝŵƐĞƌƌŽƌƌĞƉŽƌƚ͕ŽƌŝƚǁĂƐŶŽƚƉƌŽĐĞƐƐĞĚďǇƚŚĞK,/WŵĞĚŝĐĂů
ĐůĂŝŵƐƉĂǇŵĞŶƚƐǇƐƚĞŵ;Ğ͘Ő͕͘ĚƵĞƚŽĂƐƵďŵŝƐƐŝŽŶĞƌƌŽƌͿ͕ŵĂŬĞƚŚĞĂƉƉƌŽƉƌŝĂƚĞĐŽƌƌĞĐƚŝŽŶ;ƐͿƚŽƚŚĞ
ĐůĂŝŵĂŶĚƌĞƐƵďŵŝƚ͘
9 /ĨǇŽƵĨĞĞůƚŚĂƚƚŚĞĐůĂŝŵǁĂƐŶŽƚƉĂŝĚĂƉƉƌŽƉƌŝĂƚĞůǇŽŶǇŽƵƌZ͕ƐƵďŵŝƚĂZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ/ŶƋƵŝƌǇ
;Z/ͿĨŽƌŵǁŝƚŚĂĚĚŝƚŝŽŶĂůŝŶĨŽƌŵĂƚŝŽŶĂŶĚͬŽƌƌĞƋƵĞƐƚĨŽƌĐůĂƌŝĨŝĐĂƚŝŽŶ͘ŽŶŽƚƌĞƐƵďŵŝƚƚŚĞĐůĂŝŵ͕ŝƚ
ǁŝůůƐŝŵƉůǇŐĞƚƌĞũĞĐƚĞĚĂŶĚƌĞŵĂŝŶƵŶƌĞƐŽůǀĞĚ͘
9 <ĞĞƉĐŽƉŝĞƐŽĨǇŽƵƌZĞŵŝƚƚĂŶĐĞĚǀŝĐĞ͘
9 ZĞƚĂŝŶĂůůƌƌŽƌZĞƉŽƌƚƐƵŶƚŝůĐůĂŝŵƐĂƌĞƉĂŝĚ͘
This document was prepared by the OMA’s
Economics, Research & Analytics Department.
Questions can be forwarded to [email protected].
This document was last updated November 3, 2015.
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Quick Reference Guide
YƵŝĐŬZĞĨĞƌĞŶĐĞ'ƵŝĚĞϭ͗
K,/WWĂǇŵĞŶƚƐĨŽƌĞůĞŐĂƚĞĚWƌŽĐĞĚƵƌĞƐ
dŚĞƉƵƌƉŽƐĞŽĨƚŚŝƐƌĞĨĞƌĞŶĐĞŐƵŝĚĞŝƐƚŽƉƌŽǀŝĚĞĂŐĞŶĞƌĂůŽǀĞƌǀŝĞǁŽŶƚŚĞƉĂǇŵĞŶƚƌƵůĞƐĨŽƌďŝůůŝŶŐ
K,/WĂƉƌŽĐĞĚƵƌĞĚĞůĞŐĂƚĞĚƚŽĂŶŽŶͲƉŚǇƐŝĐŝĂŶ͘dŚĞK,/W^ĐŚĞĚƵůĞŽĨĞŶĞĨŝƚƐϮůĂǇƐŽƵƚƚŚĞƉĂǇŵĞŶƚ
ƌƵůĞƐŝŶƚŚĞ'ĞŶĞƌĂůWƌĞĂŵďůĞƵŶĚĞƌƚŚĞƐĞĐƚŝŽŶŚĞĂĚŝŶŐĞůĞŐĂƚĞĚWƌŽĐĞĚƵƌĞ͘
dŚĞŐƵŝĚĞŝƐďƌŽŬĞŶĚŽǁŶŝŶƚŽƚŚĞĨŽůůŽǁŝŶŐƉĂƌƚƐ͗
;Ϳ tŚŽĐĂŶďĞĂĚĞůĞŐĂƚĞ͍
;Ϳ tŚĂƚƐĞƌǀŝĐĞƐĐĂŶďĞĚĞůĞŐĂƚĞĚĂŶĚƉĂŝĚďǇK,/W͍
;Ϳ tŚĞƌĞĂŶĚǁŚĞŶĐĂŶĂƉƌŽĐĞĚƵƌĞďĞĚĞůĞŐĂƚĞĚ͍
WůĞĂƐĞŶŽƚĞƚŚĂƚƚŚĞŝŶĨŽƌŵĂƚŝŽŶĐŽŶƚĂŝŶĞĚŝŶƚŚŝƐŐƵŝĚĞƐƵƌƌŽƵŶĚŝŶŐƚŚĞĚĞůĞŐĂƚŝŽŶŽĨĂƉƌŽĐĞĚƵƌĞŝƐ
ƐƚƌŝĐƚůǇĨŽƌK,/WƉĂǇŵĞŶƚƉƵƌƉŽƐĞƐ͘
͗tŚŽĐĂŶďĞĂĚĞůĞŐĂƚĞ͍
dŚĞĚĞůĞŐĂƚĞŵĂǇďĞĂŶǇŶŽŶͲƉŚǇƐŝĐŝĂŶ;Ğ͘Ő͕͘ƉŚǇƐŝĐŝĂŶĂƐƐŝƐƚĂŶƚ͕ŶƵƌƐĞ͕ŶƵƌƐĞƉƌĂĐƚŝƚŝŽŶĞƌ͕ĞƚĐ͘ͿǁŚŽŝƐ
ƉƌŽƉĞƌůǇƚƌĂŝŶĞĚƚŽƉĞƌĨŽƌŵƚŚĞƉƌŽĐĞĚƵƌĞĂŶĚǁŚĞƌĞƚŚĞƉƌŽĐĞĚƵƌĞŝƐŽŶĞǁŚŝĐŚŝƐŐĞŶĞƌĂůůǇĂŶĚ
ŚŝƐƚŽƌŝĐĂůůǇĂĐĐĞƉƚĞĚĂƐĂƉƌŽĐĞĚƵƌĞǁŚŝĐŚŵĂǇďĞĐĂƌƌŝĞĚŽƵƚďǇƚŚĞŵĞĚŝĐĂůĂƐƐŝƐƚĂŶƚ͘
/ŶŽƌĚĞƌĨŽƌƚŚĞĚĞůĞŐĂƚĞĚƉƌŽĐĞĚƵƌĞƚŽďĞĞůŝŐŝďůĞĨŽƌƉĂǇŵĞŶƚďǇK,/W͕ƚŚĞĚĞůĞŐĂƚĞŵƵƐƚďĞ
ĞŵƉůŽǇĞĚďǇƚŚĞƉŚǇƐŝĐŝĂŶ͘ŵƉůŽǇĞĚŵĞĂŶƐƚŚĂƚƚŚĞƌĞŝƐĂŶĞŵƉůŽǇŵĞŶƚĐŽŶƚƌĂĐƚďĞƚǁĞĞŶƚŚĞ
ƉŚǇƐŝĐŝĂŶĂŶĚƚŚĞŝŶĚŝǀŝĚƵĂůĂŶĚĂŶĂĚĂZĞǀĞŶƵĞŐĞŶĐǇƌĞĐĞŝǀĞƐŝŶĐŽŵĞƐƚĂƚĞŵĞŶƚƐĨŽƌƚĂǆƉƵƌƉŽƐĞƐ͘
ƐƐƵĐŚ͕ĚĞůĞŐĂƚĞĚƉƌŽĐĞĚƵƌĞƐƉƌŽǀŝĚĞĚďǇĂŶŝŶĚŝǀŝĚƵĂůǁŚŽŝƐĞŵƉůŽǇĞĚďǇĂĨĂĐŝůŝƚǇŽƌŽƌŐĂŶŝǌĂƚŝŽŶ
ƐƵĐŚĂƐĂƉƵďůŝĐŚŽƐƉŝƚĂů͕ƉƵďůŝĐŚĞĂůƚŚƵŶŝƚ͕ŝŶĚƵƐƚƌŝĂůĐůŝŶŝĐƐ͕ůŽŶŐͲƚĞƌŵĐĂƌĞĨĂĐŝůŝƚŝĞƐŽƌ&ĂŵŝůǇ,ĞĂůƚŚ
dĞĂŵƐĂƌĞŶŽƚĞůŝŐŝďůĞĨŽƌƉĂǇŵĞŶƚďǇK,/W͘
͗tŚĂƚƐĞƌǀŝĐĞƐĐĂŶďĞĚĞůĞŐĂƚĞĚĂŶĚƉĂŝĚďǇK,/W͍
dŚĞK,/W^ĐŚĞĚƵůĞĂůůŽǁƐĂƉŚǇƐŝĐŝĂŶƚŽďŝůůK,/WĨŽƌĚĞůĞŐĂƚŝŶŐĂƉƌŽĐĞĚƵƌĞƚŚĂƚŝƐŐĞŶĞƌĂůůǇĂŶĚ
ŚŝƐƚŽƌŝĐĂůůǇĂĐĐĞƉƚĞĚĂƐĂƉƌŽĐĞĚƵƌĞƚŚĂƚĐŽƵůĚďĞƉĞƌĨŽƌŵĞĚďǇĂŶŽŶͲƉŚǇƐŝĐŝĂŶƵŶĚĞƌƚŚĞƐƵƉĞƌǀŝƐŝŽŶ
ŽĨĂƉŚǇƐŝĐŝĂŶ͘
WŚǇƐŝĐŝĂŶƐĞƌǀŝĐĞƐ͕ƐƵĐŚĂƐĂƐƐĞƐƐŵĞŶƚƐ͕ĐŽƵŶƐĞůůŝŶŐ͕ƚŚĞƌĂƉǇ͕ĐŽŶƐƵůƚĂƚŝŽŶƐĂŶĚĚŝĂŐŶŽƐƚŝĐƐĞƌǀŝĐĞ
ŝŶƚĞƌƉƌĞƚĂƚŝŽŶƐĐĂŶŶŽƚďĞĚĞůĞŐĂƚĞĚƚŽĂŶŽŶͲƉŚǇƐŝĐŝĂŶĨŽƌK,/WƉĂǇŵĞŶƚƉƵƌƉŽƐĞƐ͘dŚĞƐĞƐĞƌǀŝĐĞƐ
ŵƵƐƚďĞƉĞƌƐŽŶĂůůǇƌĞŶĚĞƌĞĚďǇƚŚĞƉŚǇƐŝĐŝĂŶƚŽďĞƉĂŝĚďǇK,/W͘
ϭ
ŝƐĐůĂŝŵĞƌ͗ǀĞƌǇĞĨĨŽƌƚŚĂƐďĞĞŶŵĂĚĞƚŽĞŶƐƵƌĞƚŚĂƚƚŚĞĐŽŶƚĞŶƚƐŽĨƚŚŝƐ'ƵŝĚĞĂƌĞĂĐĐƵƌĂƚĞ͘DĞŵďĞƌƐƐŚŽƵůĚ͕ŚŽǁĞǀĞƌ͕ďĞĂǁĂƌĞƚŚĂƚƚŚĞ
ůĂǁƐ͕ƌĞŐƵůĂƚŝŽŶƐĂŶĚŽƚŚĞƌĂŐƌĞĞŵĞŶƚƐŵĂǇĐŚĂŶŐĞŽǀĞƌƚŝŵĞ͘dŚĞKŶƚĂƌŝŽDĞĚŝĐĂůƐƐŽĐŝĂƚŝŽŶĂƐƐƵŵĞƐŶŽƌĞƐƉŽŶƐŝďŝůŝƚǇĨŽƌĂŶǇĚŝƐĐƌĞƉĂŶĐŝĞƐ
ŽƌĚŝĨĨĞƌĞŶĐĞƐŽĨŝŶƚĞƌƉƌĞƚĂƚŝŽŶŽĨĂƉƉůŝĐĂďůĞZĞŐƵůĂƚŝŽŶƐǁŝƚŚƚŚĞ'ŽǀĞƌŶŵĞŶƚŽĨKŶƚĂƌŝŽŝŶĐůƵĚŝŶŐďƵƚŶŽƚůŝŵŝƚĞĚƚŽƚŚĞDŝŶŝƐƚƌǇŽĨ,ĞĂůƚŚ
ĂŶĚ>ŽŶŐͲdĞƌŵĂƌĞ;DK,>dͿ͕ĂŶĚƚŚĞŽůůĞŐĞŽĨWŚǇƐŝĐŝĂŶƐĂŶĚ^ƵƌŐĞŽŶƐŽĨKŶƚĂƌŝŽ;W^KͿ͘DĞŵďĞƌƐĂƌĞĂĚǀŝƐĞĚƚŚĂƚƚŚĞƵůƚŝŵĂƚĞĂƵƚŚŽƌŝƚǇ
ŝŶŵĂƚƚĞƌƐŽĨŝŶƚĞƌƉƌĞƚĂƚŝŽŶĂŶĚƉĂǇŵĞŶƚŽĨŝŶƐƵƌĞĚƐĞƌǀŝĐĞƐ;ĂƐǁĞůůĂƐĚĞƚĞƌŵŝŶĂƚŝŽŶŽĨǁŚĂƚĐŽŶƐƚŝƚƵƚĞƐĂŶƵŶŝŶƐƵƌĞĚƐĞƌǀŝĐĞͿĂƌĞŝŶƚŚĞ
ƉƵƌǀŝĞǁŽĨƚŚĞŐŽǀĞƌŶŵĞŶƚ͘DĞŵďĞƌƐĂƌĞĂĚǀŝƐĞĚƚŽƌĞƋƵĞƐƚƵƉĚĂƚĞĚďŝůůŝŶŐŝŶĨŽƌŵĂƚŝŽŶĂŶĚŝŶƚĞƌƉƌĞƚĂƚŝŽŶƐʹŝŶǁƌŝƚŝŶŐʹďǇĐŽŶƚĂĐƚŝŶŐƚŚĞŝƌ
ƌĞŐŝŽŶĂůK,/WŽĨĨŝĐĞ͘
Ϯ
K,/W^ĐŚĞĚƵůĞŽĨĞŶĞĨŝƚƐ͕WŚǇƐŝĐŝĂŶ^ĞƌǀŝĐĞƐ͕DĂǇϭ͕ϮϬϭϱ
;ŚƚƚƉ͗ͬͬǁǁǁ͘ŚĞĂůƚŚ͘ŐŽǀ͘ŽŶ͘ĐĂͬĞŶŐůŝƐŚͬƉƌŽǀŝĚĞƌƐͬƉƌŽŐƌĂŵͬŽŚŝƉͬƐŽďͬƉŚǇƐƐĞƌǀͬƉŚǇƐƐĞƌǀͺŵŶ͘ŚƚŵůͿ͘
1
͗tŚĞƌĞĂŶĚǁŚĞŶĐĂŶĂƉƌŽĐĞĚƵƌĞďĞĚĞůĞŐĂƚĞĚ͍
/ŶŽƌĚĞƌĨŽƌĂĚĞůĞŐĂƚĞĚƉƌŽĐĞĚƵƌĞƚŽďĞĞůŝŐŝďůĞĨŽƌƉĂǇŵĞŶƚ͕ƚŚĞƉƌŽĐĞĚƵƌĞŵƵƐƚďĞƌĞŶĚĞƌĞĚŝŶƚŚĞ
ƉŚǇƐŝĐŝĂŶ͛ƐŽĨĨŝĐĞŽƌĐůŝŶŝĐ͘&ƵƌƚŚĞƌŵŽƌĞ͕ƚŚĞƉŚǇƐŝĐŝĂŶŵƵƐƚďĞƉŚǇƐŝĐĂůůǇƉƌĞƐĞŶƚƚŽĞŶƐƵƌĞƚŚĂƚƚŚĞ
ƉƌŽĐĞĚƵƌĞŝƐƉĞƌĨŽƌŵĞĚĐŽƌƌĞĐƚůǇĂŶĚŵƵƐƚďĞŝŵŵĞĚŝĂƚĞůǇĂǀĂŝůĂďůĞƚŽŝŶƚĞƌǀĞŶĞǁŚĞƌĞŶĞĞĚďĞ͘
dŚĞƌĞĂƌĞƉƌŽĐĞĚƵƌĞƐƚŚĂƚĚŽŶŽƚƌĞƋƵŝƌĞƚŚĞƉŚǇƐŝĐŝĂŶƚŽďĞƉƌĞƐĞŶƚ;ƐĞĞďĞůŽǁĞǆĐůƵƐŝŽŶůŝƐƚͿ͘&Žƌ
ƚŚĞƐĞƉƌŽĐĞĚƵƌĞƐ͕ŝŶĂĚĚŝƚŝŽŶƚŽƚŚĞĐƌŝƚĞƌŝĂĂďŽǀĞƚŚĞĨŽůůŽǁŝŶŐǁŽƵůĚĂůƐŽŶĞĞĚƚŽďĞŵĞƚ͗
ϭ͘ dŚĞĚĞůĞŐĂƚĞŝƐƉƌŽƉĞƌůǇƚƌĂŝŶĞĚƚŽƉĞƌĨŽƌŵƚŚĞƉƌŽĐĞĚƵƌĞĂŶĚƚŚĞƉƌŽĐĞĚƵƌĞŝƐƌĞŶĚĞƌĞĚŝŶ
ĂĐĐŽƌĚĂŶĐĞǁŝƚŚĂĐĐĞƉƚĞĚƉƌŽĨĞƐƐŝŽŶĂůƐƚĂŶĚĂƌĚƐĂŶĚƉƌĂĐƚŝĐĞ͖
Ϯ͘ dŚĞƉƌŽĐĞĚƵƌĞŝƐĐĂƌƌŝĞĚŽƵƚŽŶŚŝƐŽƌŚĞƌŽǁŶƉĂƚŝĞŶƚ͖ĂŶĚ
ϯ͘ dŚĞƐĞƌǀŝĐĞŵƵƐƚďĞĚŽĐƵŵĞŶƚĞĚŝŶƚŚĞƉĂƚŝĞŶƚ͛ƐĐŚĂƌƚ;ƐĂŵĞŵĞĚŝĐĂůƌĞĐŽƌĚƌĞƋƵŝƌĞŵĞŶƚƐ
ĂƉƉůǇͿŶŽƚŝŶŐƚŚĂƚƚŚĞƉƌŽĐĞĚƵƌĞǁĂƐƌĞŶĚĞƌĞĚďǇƚŚĞĚĞůĞŐĂƚĞ͘
ǆĐůƵƐŝŽŶůŝƐƚŽĨƉƌŽĐĞĚƵƌĞƐƚŚĂƚĚŽŶŽƚƌĞƋƵŝƌĞƚŚĞƉŚǇƐŝĐŝĂŶƚŽďĞƉƌĞƐĞŶƚ͗
ŽŵŵŽŶWƌŽĐĞĚƵƌĂů
ĞƐĐƌŝƉƚŝŽŶ
sĞŶŝƉƵŶĐƚƵƌĞ
/ŶũĞĐƚŝŽŶƐĂŶĚŝŵŵƵŶŝǌĂƚŝŽŶƐ
hůƚƌĂǀŝŽůĞƚůŝŐŚƚƚŚĞƌĂƉǇ
ĚŵŝŶŝƐƚƌĂƚŝŽŶŽĨŽƌĂůƉŽůŝŽ
ǀĂĐĐŝŶĞ
^ŝŵƉůĞŽĨĨŝĐĞůĂďŽƌĂƚŽƌǇ
ƉƌŽĐĞĚƵƌĞƐ
ĂƌƐǇƌŝŶŐŝŶŐ͕ĐƵƌĞƚƚŝŶŐŽƌ
ĚĞďƌŝĚĞŵĞŶƚ
͘͘'͘ŝŶŽĐƵůĂƚŝŽŶ
^ŝŵƉůĞ^ƉŝƌŽŵĞƚƌǇĂŶĚ&ůŽǁ
sŽůƵŵĞ>ŽŽƉ
ĂƐƚƐ
ƉƉůŝĐĂďůĞ&ĞĞĐŽĚĞƐ
'ϰϴϬ͕'ϰϴϮ͕'ϰϴϵ
'ϯϳϮ͕'ϯϳϯ͕'ϱϯϴ͕'ϱϵϬ͕'ϴϰϬ͕
'ϴϰϭ͕'ϴϰϮ͕'ϴϰϯ͕'ϴϰϰ͕'ϴϰϱ͕
'ϴϰϲ͕'ϴϰϳ͕'ϴϰϴ
'ϰϳϬ
'ϰϲϮ
'ϬϬϭ͕'ϬϬϮ͕'ϬϬϰ͕'ϬϬϱ͕'ϬϬϵ͕
'ϬϭϬ͕'Ϭϭϭ͕'ϬϭϮ͕'Ϭϭϰ͕'ϰϴϭ
'ϰϮϬ
'ϯϲϵ
:ϯϬϭ͕:ϯϮϰ͕:ϯϬϰ͕:ϯϮϳ
ϭϵϴͲϮϬϵ͕Ϯϭϭ͕Ϯϭϯ͕Ϯϭϲ͕
ϴϳϯ
^ƵŵŵĂƌǇƉŽŝŶƚƐƚŽďŝůůK,/WĨŽƌĚĞůĞŐĂƚĞĚƉƌŽĐĞĚƵƌĞƐ
9 WŚǇƐŝĐŝĂŶƐĞƌǀŝĐĞƐ͕ƐƵĐŚĂƐĂƐƐĞƐƐŵĞŶƚƐ͕ĐŽƵŶƐĞůůŝŶŐ͕ƚŚĞƌĂƉǇ͕ĐŽŶƐƵůƚĂƚŝŽŶƐĂŶĚĚŝĂŐŶŽƐƚŝĐ
ƐĞƌǀŝĐĞŝŶƚĞƌƉƌĞƚĂƚŝŽŶƐĐĂŶŶŽƚďĞĚĞůĞŐĂƚĞĚƚŽĂŶŽŶͲƉŚǇƐŝĐŝĂŶĨŽƌK,/WƉĂǇŵĞŶƚƉƵƌƉŽƐĞƐ͘
9 dŚĞĚĞůĞŐĂƚĞŝƐĞŵƉůŽǇĞĚďǇƚŚĞƉŚǇƐŝĐŝĂŶ
9 dŚĞƉƌŽĐĞĚƵƌĞŝƐƉĞƌĨŽƌŵĞĚŝŶƚŚĞƉŚǇƐŝĐŝĂŶ͛ƐŽĨĨŝĐĞŽƌĐůŝŶŝĐǁŝƚŚƚŚĞƉŚǇƐŝĐŝĂŶƉƌĞƐĞŶƚĂŶĚŝƐ
ĂďůĞƚŽŝŵŵĞĚŝĂƚĞůǇŝŶƚĞƌǀĞŶĞ;ĞǆĐĞƉƚĨŽƌƚŚŽƐĞƉƌŽĐĞĚƵƌĞƐŝŶĐůƵĚĞĚŝŶƚŚĞĞǆĐůƵƐŝŽŶůŝƐƚͿ
9 dŚĞƉƌŽĐĞĚƵƌĞŝƐŐĞŶĞƌĂůůǇĂŶĚŚŝƐƚŽƌŝĐĂůůǇĂĐĐĞƉƚĞĚĂƐĂƉƌŽĐĞĚƵƌĞƚŚĂƚĐŽƵůĚďĞƉĞƌĨŽƌŵĞĚďǇ
ĂŶŽŶͲƉŚǇƐŝĐŝĂŶƵŶĚĞƌƚŚĞƐƵƉĞƌǀŝƐŝŽŶŽĨĂƉŚǇƐŝĐŝĂŶ͘
9 &ŽƌƉƌŽĐĞĚƵƌĞƐƚŚĂƚĚŽŶŽƚƌĞƋƵŝƌĞƚŚĞƉŚǇƐŝĐŝĂŶƚŽďĞƉƌĞƐĞŶƚ;ŝŶĐůƵĚĞĚŝŶƚŚĞĞǆĐůƵƐŝŽŶůŝƐƚͿ
ƚŚĞŶŝŶĂĚĚŝƚŝŽŶƚŽƚŚĞĐƌŝƚĞƌŝĂĂďŽǀĞƚŚĞĨŽůůŽǁŝŶŐǁŽƵůĚĂůƐŽŶĞĞĚƚŽďĞŵĞƚ͗
2
¾ dŚĞĚĞůĞŐĂƚĞŝƐƉƌŽƉĞƌůǇƚƌĂŝŶĞĚƚŽƉĞƌĨŽƌŵƚŚĞƉƌŽĐĞĚƵƌĞĂŶĚŝƐƌĞŶĚĞƌĞĚŝŶ
ĂĐĐŽƌĚĂŶĐĞǁŝƚŚĂĐĐĞƉƚĞĚƉƌŽĨĞƐƐŝŽŶĂůƐƚĂŶĚĂƌĚƐĂŶĚƉƌĂĐƚŝĐĞ͖
¾ dŚĞƉƌŽĐĞĚƵƌĞŝƐĐĂƌƌŝĞĚŽƵƚŽŶŚŝƐŽƌŚĞƌŽǁŶƉĂƚŝĞŶƚ͖ĂŶĚ
¾ dŚĞƐĞƌǀŝĐĞŵƵƐƚďĞĚŽĐƵŵĞŶƚŝŶƚŚĞƉĂƚŝĞŶƚƐĐŚĂƌƚ;ƐĂŵĞŵĞĚŝĐĂůƌĞĐŽƌĚƌĞƋƵŝƌĞŵĞŶƚƐ
ĂƉƉůǇͿŶŽƚŝŶŐƚŚĂƚƚŚĞƉƌŽĐĞĚƵƌĞǁĂƐƌĞŶĚĞƌĞĚďǇƚŚĞĚĞůĞŐĂƚĞ͘
&ŽƌĂĚĚŝƚŝŽŶĂůĚĞƚĂŝůƐŽŶK,/WƉĂǇŵĞŶƚƌƵůĞƐƌĞŐĂƌĚŝŶŐĚĞůĞŐĂƚĞĚƉƌŽĐĞĚƵƌĞƐƉůĞĂƐĞƐĞĞ͗
ϭ͘ K,/W^ĐŚĞĚƵůĞŽĨĞŶĞĨŝƚƐ͕'ĞŶĞƌĂůWƌĞĂŵďůĞŽŶĞůĞŐĂƚĞWƌŽĐĞĚƵƌĞƐ͗
ŚƚƚƉ͗ͬͬǁǁǁ͘ŚĞĂůƚŚ͘ŐŽǀ͘ŽŶ͘ĐĂͬĞŶŐůŝƐŚͬƉƌŽǀŝĚĞƌƐͬƉƌŽŐƌĂŵͬŽŚŝƉͬƐŽďͬƉŚǇƐƐĞƌǀͬƉŚǇƐƐĞƌǀͺŵŶ͘Śƚŵů
Ϯ͘ WĚƵĐĂƚŝŽŶƵůůĞƚŝŶsŽů͘ϵ͕EŽ͘ϭ͕WĂǇŵĞŶƚZĞƋƵŝƌĞŵĞŶƚƐĨŽƌĞůĞŐĂƚĞĚ^ĞƌǀŝĐĞƐ͗
ŚƚƚƉƐ͗ͬͬǁǁǁ͘ŽŵĂ͘ŽƌŐͬZĞƐŽƵƌĐĞƐͬŽĐƵŵĞŶƚƐͬϬϵϬϭϭWͺƵůůĞƚŝŶ͘ƉĚĨ
ϯ͘ W^KWŽůŝĐǇηϱͲϭϮ͕ĞůĞŐĂƚŝŽŶŽĨŽŶƚƌŽůůĞĚĐƚƐ͗ŚƚƚƉ͗ͬͬǁǁǁ͘ĐƉƐŽ͘ŽŶ͘ĐĂͬWŽůŝĐŝĞƐͲ
WƵďůŝĐĂƚŝŽŶƐͬWŽůŝĐǇͬĞůĞŐĂƚŝŽŶͲŽĨͲŽŶƚƌŽůůĞĚͲĐƚƐ
This document was prepared by the OMA’s
Economics, Research & Analytics Department.
Questions can be forwarded to [email protected].
This document was last updated June 17, 2015.
3
HEALTH POLICY REPORT
A summary of current health legislation and policy developments
• Auditor General of Ontario Report on Community Care Access Centres,
Financial Operations and Service Delivery
• Ministry Meeting with Hospital-Based Physician Groups on Physician
Leadership in Health System Funding Reform
• Changes to Pharmacy and Prescribing Payments and Policies
• End of Life Planning and Care in Ontario: iDECIDE Research Study
by OMA Health Policy Department
Auditor General of Ontario Report
on Community Care Access
Centres, Financial Operations
and Service Delivery
In September, the Auditor General
released its special report entitled
Community Care Access Centres Audit
and Service Delivery.
The report reiterates that there are
inconsistencies in home care provision
and service fees which vary depending
on where patients live. There are 16
recommendations that aim to address
inconsistencies in home care provision, service fees and home care eligibility criteria. The report suggests the
government analyze home and community care with a focus on identifying
the highest quality, cost-effective care.
OMA staff are monitoring implementation of the report. The full report can
be accessed at: http://www.auditor.
on.ca/en/reports_en/CCACs_en.pdf.
OMA Contact: Leianne Musselman (ext. 5587)
Ministry Meeting with HospitalBased Physician Groups on
Physician Leadership in Health
System Funding Reform
The Ministry of Health and Long-Term
Care has been holding meetings
around the province with various hosONTARIO MEDICAL REVIEW
pital medical staff groups to discuss
Physician Leadership in Health System
Funding Reform (HSFR).
The main topic of these sessions is
the potential impact that the quality of
clinical documentation has on patient
care and hospital funding through
HSFR. A component of these presentations is an explanation of the link
between clinical documentation, coding and abstracting, and hospital funding formulas such as Quality-Based
Procedures (QBPs). In its presentation,
the Ministry acknowledged that “while
the current crisis in health care necessitates cost control while striving for
improved quality of care, this does not
compromise the physician’s role as a
End of Life Planning and Care in Ontario:
iDECIDE Research Study
The OMA is participating in a three-year study funded by the Canadian
Institutes of Health Research (CIHR) aimed at improving communication
and decision-making about goals of care in late life for patients who have
serious illness.
The Improving Decision-Making During Serious Illness in Late Life
(iDECIDE) research study builds on findings from an earlier study. It found
that while patients who experience a serious illness late in life would prefer
treatment aimed at maximizing their quality of life rather than prolonging it,
too often there is no discussion with clinicians about patients’ goals of care,
which may result in more invasive and aggressive treatment than patients
would like.
The iDECIDE study proposes a set of interrelated studies that will generate the evidence needed to inform the development of a multifaceted suite of
tools to improve decision-making about goals of care for patients with serious illness. The research will create a bundle of tools to help patients, families
and clinicians make better decisions together so that patients receive the
compassionate care they want at this critical time in their lives.
For inquiries regarding End of Life Planning and Care, please contact [email protected].
36
November 2015
HEALTH POLICY REPORT
A summary of current health legislation and policy developments
compassionate advocate for patients
and families.” The message that has
been conveyed by the Ministry is that
all information, including assessments,
procedures and diagnoses, must be
adequately documented.
OMA staff are working with Ministry
staff to develop an educational piece on
this topic for physicians.
###
OMA Contact: Susanne Bjerno (ext. 2869)
Changes to Pharmacy and
Prescribing Payments and Policies
The Ministry of Health and Long-Term
Care is examining areas where expenditures in the Ontario Drug Benefit
(ODB) Program are outpacing normal
system growth. To generate savings,
the Ministry introduced amendments
to regulations under the ODB effective
October 1, 2015.
• First, the Ministry is limiting the number of dispensing fees paid to pharmacies for 15 categories of chronic
use medications, to a maximum of
five fees per recipient, per drug, per
year. There are exemptions for ODB
recipients who require more frequent dispensing due to a medical
condition. The full list of medications
subject to this rule can be found at
http://www.health.gov.on.ca/en/
pro/programs/drugs/opdp_eo/eo_
communiq.aspx.
• Second, the Ministry will only reimburse a higher-cost brand product
through a “no substitution” claim
when medically necessary and
where an ODB recipient has experienced an adverse reaction to a minimum of two interchangeable generic
products. An ODB recipient with a
valid “no substitution” prescription
that was filled prior to October 1,
2015, will be permitted to renew and
refill their brand therapy as directed.
The OMA is participating in the
Ministry’s Long-Term Care Medication
Management working group to ensure
that expert clinical opinions are sought
before any drugs are automatically
substituted.
OMA Contact: Martha Forestell (ext. 2984)
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37
November 2015
PSI Foundation Grants
For the Third Quarter of 2015
During the third quarter of 2015, the PSI Foundation approved nine research grants with a total value of $875,000. Listed below are the recipients,
with project titles and amounts awarded.
HEALTH RESEARCH GRANTS
PRINCIPAL INVESTIGATOR
PROJECT
Dr. S.L. Liu
Western University
CLEAR SIGHT: A Randomized Trial of Non-Mydriatic Ultra-Widefield
Retinal Imaging to Screen For Diabetic Eye Disease
$159,000
AMOUNT
Dr. I. Gilron
Queen’s University
Innovations in the Management of Musculoskeletal Pain
With Alpha-Lipoic Acid: The IMPALA Trial
$169,500
Dr. K.G. Kouyoumdjian
Dr. S.W. Hwang
St. Michael’s Hospital
Elucidating the Health Care Utilization of People Who Experience
Detention or Incarceration in Provincial Facilities in Ontario:
A Population-Based Study
$77,000
Dr. M.D. Bould
The Ottawa Hospital
Consolidating Tools For Outcomes in Resuscitation (CONTOUR)
$248,500
Dr. D. Grynspan
Dr. S. Bainbridge
Children’s Hospital of
Eastern Ontario
A Novel Histopathology Diagnostic Antibody Panel Capable of
Identifying Distinct Subclasses of Placental Disease in Preeclampsia
$166,500
RESIDENT RESEARCH GRANTS
PRINCIPAL INVESTIGATOR
PROJECT
Dr. R.A. Todd
Dr. M. Cusimano
St. Michael’s Hospital
A Dark Room: Documentary Film Based Education on the Psychiatric
Effects of Hockey Concussion
$20,000
Dr. D. El Rouby
Dr. D. Piquette
Sunnybrook Health
Sciences Centre
Physicians’ Lived Experience of End of Life Discussions During Acute
Hospitalizations: A Phenomenological Study
$4,500
Dr. J. Elliott
Dr. E. Greenblatt
Mount Sinai Hospital
Non-Invasive Genomic Analysis of Human Endometrial Receptivity
in Women with Polycystic Ovarian Syndrome
$19,500
Dr. A.J. Anton
Dr. N. Dudek
University of Ottawa
Beyond Walking: Using the Comprehensive High-Level Activity
Mobility Predictor (CHAMP) in Lower Extremity Amputees
$10,500
AMOUNT
38
November 2015
Classifieds
GENERAL INFORMATION
Advertisements are accepted by mail, email or
fax. Copy deadline, notice of cancellation and/
or changes to existing advertisements must
be submitted in writing no later than the 10th
of the month prior to the month of publication. A proof copy of your classified ad will be
faxed to your attention for approval prior to
publication.
Payment: Payment is accepted by VISA, Mastercard or American Express. Please provide
credit card information by phone only to Vita
Ferrante 416.340.2263 or 1.800.268.7215,
ext. 2263, at time of booking.
Rates: $50 for first 4 lines (minimum), each line
approximately 35 characters; $5 per line thereafter; $5 for each line of contact information.
Spot colour billed at $20 per issue.
A Classified Advertisement Insertion Order
Form is posted online: www.oma.org/
Resources/Documents/AdOrder.pdf
OFFICE SPACE AVAILABLE
260 Lakeshore Road, St. Catharines,
ON: Pharmacy has clinic available
for physician. Great opportunity for
a family/walk-in practice. Ready to
move in. Clinic with reception area,
four examination rooms, accessible
washroom and nursing station.
Contact: Andy Deligianis
Tel. 905.934.2023
Email:portwellerpharmacy@
cogeco.net
2721 Jane Street walk-in/family
practice: This a beautiful clinic with
eight exam rooms and four offices on
the corner of Jane and Sheppard. This
is an extremely busy area and found in
the same plaza as TD Bank and Price
Chopper. Great incentives for relocation
and very low negotiable rent available!
Please call me.
Tel. 416.270.5976
3660 Hurontario Street, Mississauga,
ON: Great location across from Square
One mall. Mid-sized room with street
front view is available for a specialist physician welcome to join/share a psychiatrist and an internist in their office.
Tel. 647.821.4080 (cell)
Send advertisements to:
Vita Ferrante
150 Bloor Street West
Suite 900
Toronto, Ontario M5S 3C1
Tel. 1.800.268.7215, ext. 2263 or
416.340.2263
Fax: 416.340.2232
Following are the classified
advertising deadline dates
for the next six issues.
The Ontario Medical Review is required to comply with the provisions of the Ontario Human
Rights Code 1990 in its editorial and advertising policies, and assumes no responsibility or
endorses any claims or representation offered
or expressed by advertisers.
ISSUE
DEADLINE
January 2016
December 10
February 2016
January 11
March 2016
February 10
Added Value
Classified ads are posted online and accessible to OMA members and the general public:
https://www.oma.org/Pages/OMR.aspx
April 2016
March 10
May 2016
April 11
June 2016
May 10
AAA — four rooms left for family doctor
and walk-in clinic at Don Mills & Sheppard. Beside TTC subway. Very busy
residential & business area. Close to
major hospital, indoor free parking.
Tel. 647.818.2192
Bayview/Eglinton Medical Centre:
From 500 to 800 sq. ft. net rent, free
first year to general practice based on
a five-year lease. For inquiry or site visit,
please call or email.
Tel. 416.821.8148
Beautiful Richmond Hill location:
Bayview medical building is a brand
new state-of-the-art medical building
at 9160 Bayview Ave. in Richmond Hill.
Currently, there are five doctors practising on-site with space to add another
family physician. There is already a pharmacy, dental clinic, optometry, physio
and walking mobility on-site. With lab
and X-ray coming soon. Please feel free
to call me.
Tel. 416.270.5976
Bloor-Bathurst in downtown Toronto:
Gynecologist offers to share office
space and staff. Four exam rooms in
medical building in front of Bathurst
subway station. Great opportunity to
39
start a practice. Lots of patients, two
family doctors practising in the building
are going to retire soon.
Tel. 647.444.7761
Boxgrove Medical Centre: For lease.
Four storey, 60,000 sq. ft. medical
building located at 9th Line & Hwy. 407.
X-ray, lab, rehab & urgent care on-site.
Tel. 416.357.7509
Clinic space available for specialist
physicians, Toronto: Need clinic space
just to see patients? Come work parttime in our clinic designed by awardwinning architects. Fully equipped exam
rooms available at competitive rates.
Located in a busy family medicine clinic,
close to major downtown hospitals, and
accessible by transit. Contact us at our
website to learn more.
Website: www.magentahealth.ca
Doctors needed. New Hamburg/
Baden: Two units, 2,100 sq. ft. total for
medical, combined pharmacy/medical,
lab and/or X-ray. Well located 21,000 sq.
ft. new retail plaza. Main artery, dense
residential area adjacent to LCBO. Last
available space. Excellent position.
Tel. 905.881.0994
November 2015
Classifieds
Downtown Kingston office space for
rent: Bright and new with two exam rooms,
reception and waiting area. Great for a
health practitioner. Three days per week.
Contact: Heather
East Mississauga: Medical office/
walk-in, fully furnished, turnkey. Available
immediately. Low rent plus incentive.
High density area. Pharmacy next door.
Free ample parking. Please call or email.
Tel. 416.829.1875
Email: medicaloffi[email protected]
Guelph, ON — physicians/specialists
needed for growing medical centre:
A 22 exam room, turnkey family practice. Full-time positions available, using
Practice Solutions’ EMR. Knowledgeable, flexible staff, great modern work
environment. Currently seven practices
in well-established medical centre, in
addition to a pharmacy, physio/osteo
group, and LifeLabs. Very congenial
progressive-minded group, part of the
Guelph Family Health Team. Medical centre located within The Village
by the Arboretum, Guelph. The Village
is a development of 497 single-family
detached and townhomes, as well as
81 mid-rise condominiums and assisted-living units, built on a 112-acre
site located adjacent to the University of
Guelph’s 500 acre Arboretum. The VBA
offers an active adult lifestyle within the
Guelph city limits and near the cultural
offerings of a large university and a
vibrant urban community.
Location, location, location: AAA
brand new medical office in Toronto
(Dufferin & St. Clair). Move-in ready
medical clinic; ideal for physicians looking to relocate or start a new practice,
walk-in or family. Very dense neighbourhood. Established pharmacy on-site.
The clinic has four furnished exam rooms,
physician office, staff room and beautiful reception. For inquiry or site visit,
Tel. 647.686.9466
Markham, ON: Two fully furnished
exam rooms available in prime medical building. EMR and skilled secretary
available. Turnkey office space with
competitive split. Ideal for internists and
subspecialists.
Tel. 647.208.3307
Email: markhammedicaloffice@
gmail.com
Medical suite for lease — Ottawa:
$12/sq. ft., located in Westboro with high
patient traffic. 962 sq. ft. fully finished
suite with three exam rooms, consulting
room, reception & waiting room. Fully
serviced building.
Contact: Colleen Rushforth
Tel. 613.788.2502
Medical Centre at The Boardwalk on
the west side of K-W, a local initiative for
integrated health care. Exceptional building with turnkey space for grads and GPs
new to the region, specialist clinic, and
essential medical services (cardiac testing
imaging, lab, pharmacy). Now open.
Contact: Cynthia Voisin
Tel. 519.744.6464
or [email protected]
Medical suites available: Akron
Medical Building (Lakeshore Blvd.
— Parklawn). Souther n Etobicoke
(Mimico), high density, rapidly growing,
underserviced area of Toronto. All
services on-site including walk-in clinic.
Turnkey, risk-free rent.
Contact: Domenic Rando
Tel. 416.985.1396
Medical clinic available immediately:
Eglinton Ave. E./Victoria Park. Family
doctor has retired. Ample, free parking
space, very low rent plus incentives,
pharmacy next door. Please call or email
to discuss further.
Tel. 647.405.7338
Medical office space in Thornhill,
ON: 1,996 sq. ft., nine rooms, reception
area, large waiting area. Ample parking.
Five fully equipped rooms. Newly renovated, ready to move in. On-site pharmacy. Close to Hwy. 407/Hwy. 7. Suited
for family doctors/walk-in.
Contact: Rajiv Sharma
Tel. 416.302.0816
Email: summeridgepharmacy@
yahoo.ca
Medical space available in Markham
area: Excellent location, very reasonable
rent. New development up the road.
Contact: Vincent
Tel. 647.299.5384
Medical specialists building: Sports
medicine, orthopedic surgeon, radiation oncologist, etc. — Hamilton, ON.
Looking for medical specialists for a
new 13,000 sq. ft. clinic which will host
family medicine, pharmacy and multiple
specialists. Will provide turnkey operation with full support staff. Full EMR &
developing area to build a full practice.
Email for more information.
Email: hamilton@medicalmanagement.
consulting
40
Mississauga: Close to Square One
mall. Medical office/walk-in, fully furnished, turnkey. Available immediately.
Low rent plus incentive. Pharmacy next
door. Ample free parking. Please call or
email.
Tel. 416.829.1875
Email: medicaloffi[email protected]
Mississauga — excellent medical
office/walk-in: Fully furnished recently
renovated suites. Private underground
parking. Units have three-to-six spacious exam rooms, private reception
and common patient waiting area.
Great location inside a medical centre,
close to Credit Valley & Trillium Hospitals in a dense residential highrise and
commercial area. Lab services and
pharmacy on-site. Very low rent and
relocation incentives.
Tel. 416.587.9430
Mississauga, ON: Prime office space
a v a i l a b l e a t 2 3 3 8 H u ro n t a r i o S t . ,
Mississauga, ON (corner of Hurontario
St. & The Queensway). 1,000 sq. ft. and
2,000 sq. ft. average.
Contact: Sarah
Tel. 647.606.4399
November 2015
Classifieds
Niagara Falls is in need of family
physicians: Take your family practice
where it’s needed! Come check out
our professional medical buildings in
Niagara Falls. Currently available units
range in size from 754-1,600 sq. ft.
There are many benefits right on-site
such as medical laboratories, X-ray,
ultrasound, group practices, specialists & pharmacies. Let us work with
you in designing the most suitable
office space for your needs. We offer
attractive terms. Call for more information.
Contact: Alvin Schellenberg
Tel. 289.292.0526, ext. 31
NorthWest Healthcare Properties
REIT (TSX: NWH.UN) — Canada’s
healthcare landlord: We own fulls e r v i c e , p ro f e s s i o n a l l y m a n a g e d
medical office buildings in Ontario
and across Canada. Turnkey construction management available.
Competitive lease rates and attractive
building amenities. We help you help
your patients.
Contact: Dave Casimiro
Tel. 416.366.2000, ext. 4302
Website: www.nwhp.ca
Orchid Medical Centre Inc.: Brand new
comprehensive medical centre right in
the centre of Stouffville town. Clinic will
have all extended health including physiotherapy/chiropractic/massage therapy/
podiatry. Nine examination rooms. PS
SUITE EMR. Flexible hours. Underground parking. Very busy location with
retirement homes, nursing homes within walking distance. GO Station half a
block west of centre. New luxury condo
to be built in front of centre. Pharmacy,
radiologic imaging centre, dentistry, audiology, and optometry in same building.
Billing support. 80/20 split. Start date
February 2016. ROS designated area.
Located at 6212 Main Street, Stouffville.
Email if interested.
Email: familypractice@orchidmedical
centre.ca
Oshawa — 1,775 sq. ft. between a
pharmacy and a bank: Perfect space
for walk-in clinic or for medical doctors.
Rent is only $10/sq. ft.! Windstar Realty
Tel. 416.225.2226
Our boutique professional building
is one of the most desirable spaces for
health care professionals in Brantford,
ON. This space would be ideal for a family
physician or medical specialist. Advantages of this space: suite occupied by
recently retired doctor of 15 years, three
exam rooms, offices, secured reception area and a two-piece bathroom. No
start-up cost. Unit is ready to be taken
over with no expense to you. New floors,
move-in ready. Currently have two family
physicians and an ophthalmologist that
are very happy. Over 100 spaces of free
parking. Competitive lease rates —
excellent incentives, flexible rates.
Contact: Dr. Bob Mehdi
Tel. 647.505.2825
Email: dr.mehdi@torontopediatric
dentist.ca
St. Thomas, Ontario — new FHO:
We are designated as a “high physician
needs area” allowing us to start a new
FHO/FHT. Six (6) physicians required.
Practice located in a new 20,000 sq. ft.
medical centre opening in June 2016.
EMR, collaborative work environment.
Other allied health care providers onsite. Physician practice transitioning
available. For more details, please email.
Contact: Dr. Derek Haruta
PAR-Med Realty Ltd.: Specializing
in medical office building leasing,
property management, and building
sales. We have over 70 medical office
buildings in our portfolio throughout
Ontario. For leasing inquiries:
Contact: Brad Stoneburgh
Tel. 416.364.5959, ext. 403
Website: www.par-med.com
Therapist’s office, 180 Bloor Street
West: Professional, quiet and bright.
Full or part-time. Office is specially
constructed for maximum sound
privacy. Very close to TTC. Available
on or before March 2016.
Contact: Catherine Wood, PhD
Tel. 416.926.7216
Prime location in Kitchener, minutes
to Grand River & St. Mary’s Hospital:
Located on the main floor of a prestigious building. This 1,200 sq. ft. medical
office space has six exam rooms, two
washrooms, large reception, waiting
area and lunch/meeting room. Turnkey
clinic ideal for two to three family physicians. Free parking & pharmacy on-site.
Very attractive rent.
Contact: Sahar
Tel. 519.897.8564
Psychiatry office for lease, St. Clair
Avenue West: Prime central location and
designed to facilitate full-time professional
practice. Close to TTC. Includes Wi-Fi,
cable, indoor parking, and more.
Contact: Ed Brown
Tel. 416.922.2028
Rutherford/Keele — prime location:
Medical space available for family
doctors or any specialists. Visible to
traffic. Welcome new grads.
Contact: Nada
Tel. 416.666.6680
Contact: Nizar
Tel. 416.918.4614
41
Steeles Avenue/York University:
1,500 sq. ft. Ideal for specialists/walk-in
clinic/pharmacy/laboratory. Busy plaza
with ample parking, TTC service at the
door. Fronting on Steeles Ave. Low rent.
Contact: Sam
Tel. 416.629.7711
Thornhill walk-in clinic near Bathurst
Street & Centre Street is looking for specialists to join our team. Beautifully renovated, modern, and spacious office. Very
busy streetfront location. Full administrative support. Best EMR. Attractive split
and other high-income benefits. Close
to TTC. Ample parking. Relocate current
practice or build a new one. New grads
welcome. We create a great environment
to provide the best health care possible.
Contact: Karen
Tel. 416.893.1472 or 905.763.6333
Email: karen@pureflowhealthcare.com
Website: www.pureflowhealthcare.com
Unserviced — over 3,000 homes in
Brantford, ON: Brand new subdivision
looking for doctors. We are in the
process of constructing a retail plaza
(approx. 30,000 sq. ft.), in a newly
developed neighbourhood. Looking
for three to five doctors to occupy
3,000 to 5,000 sq. ft. medical office
space. We are currently working with
a pharmaceutical chain and medical
lab providers to come to our plaza.
Email us for details.
November 2015
Classifieds
REAL ESTATE
Located at prestigious World Shops
on Yonge @ 7163 Yonge Street:
New, spacious commercial suite in
medical building, attached to two large
residential condo towers & main retail
mall, w/residential foot traffic — 1,300
sq. ft. for multiple doctors’ rooms. Owner
will provide $25K toward reno costs.
Rent negotiable.
Tel. 416.473.9857
Mortgages from 1.90%: Secured lines
of credit, 1st & 2nd mortgages. Payoff
mortgage & tax arrears. Investment
opportunity available in secured 2nd
mortgages. High yield, secured on real
estate. 3-12 month terms, 10% to 14%
return upfront.
Contact: Shawn Allen (Broker)
Matrix Mortgage Global Lic# 11108
Tel. 1.888.907.5166
Website: www.matrixmortgage
global.com
Toronto — walk-in clinic for sale:
Clinic has successfully been in operation since 2003. Centrally located in
mid-town with established population of patients. Well-appointed and
equipped. EMR. Excellent opportunity
for an entrepreneurial family physician or as a satellite clinic for a larger
centre. Clinic staffed seven days per
week.
Tel. 647.282.0678
Vacant medical building for sale in
downtown Toronto. Over 7,000 sq.
ft. in the hospital zone. Fully furnished
in 2013. Call us for more info and
please ask about other off-market
opportunities.
Tel. 647.943.2823
LOCUM TENES
K-W Urgent Care Clinics, ON: Looking for a positive change or just starting out? The physicians at two wellestablished urgent care clinics are
currently seeking another teammate
or locum to join them. Stat lab, X-ray/
ultrasound and pharmacy on-site. Lots
of time off to enjoy family life, vacations, recreation. Flexible, guaranteed
hours with low overhead. No take
home paperwork, OB or night call. Located in Kitchener-Waterloo (one hour
from Toronto and London). World class
universities. Vibrant high-tech sector.
Voted one of Canada’s most livable
cities. No evening work, excellent
remuneration. For more information,
Contact: Ms. Shirley Wilton
Clinic Manager
Tel. 519.748.2542
Fax: 519.748.2576
Brampton, ON: Seeking family doctor(s)
with an interest in sports medicine or
CASEM certified. Full-time or part-time
physicians to share 20,000 sq. ft. medical
office space at busy integrated health care
clinic with physician urgent care, chronic
disease management, physiotherapy, massage, fitness centre and bracing. Suitable
for an existing or new growing practice.
Tel. 905.595.3482
POSITIONS VACANT
$250/hour: GP required immediately at Mississauga outpatient clinic.
Hours 8 a.m. to 11 p.m. seven days
a week.
Contact: Angela
Tel. 905.897.8928
$300 per hour minimum: Inter nal
medicine (general and subspecialist),
pediatrician, surgeon in busy outpatient
clinic in Mississauga.
Contact: Dr. Stein
Tel. 416.464.0238
Attention academic physicians: We
are an online test preparation service
for the Medical Council of Canada
licensing exams. We are hiring physicians to write high-quality cases
for the MCCQE Part 1 and MCCQE
Part 2 for our online question banks.
Please contact us or visit our website
for more details.
Website: www.canadaqbank.com/
careers.php
Beautiful Kanata clinic (FIG): One opening for a full-time family physician ready
to build up a practice. The clinic is supported by well-trained staff (RN on-site),
and is fully integrated with EMR-Practice
Solutions. Free parking. Overhead 25%+
HST. Locum available to try out the clinic.
Details discussed when contacted.
Contact: Dr. Morariu
Tel. 613.850.1565
Brampton — full-time, part-time
physicians and specialists required
for a very busy family practice/walk-in
clinic. Very modern and computerized
exam rooms, paperless. $200/hour
billing guarantee available.
Contact: William
Tel. 647.627.4170
Email: chinguacousy-medical@
hotmail.com
42
Brampton, Ontario: Full-time/parttime family physicians and GP psy cho thera pist required for busy family
practice/walk-in clinic. Attractive modern
office. Option to join FHG. High fee-forservice split or flat monthly rate. Best EMR.
Tel. 416.949.3830
Fax: 647.340.2586
Email: bramptonfamilyhealth@
gmail.com
Busy Oakville clinic seeks adult or
child/adolescent psychiatrist full or part
time. Integrated mental health care
clinic, must enjoy working with a multidisciplinary team.
Contact: Dr. Jane Gilbert
Tel. 905.844.4673
Cardiologist wanted with patients:
Fully set up facilities in central Toronto
and Woodbridge. Other opportunities
open all over Ontario. All services, ECG,
Echo, SE and Holter. Excellent management. Text, call or visit website.
Contact: Philip
Tel. 416.409.7771
Website: http://www.cardiostudy.ca
Citrus Medical Centre Toronto: Family
and walk-in physicians at two locations
in south Etobicoke (398 Royal York
Road, 2240 Lakeshore West). Renovated, modern office, EMR, full nursing/
billing support. Pharmacy/lab/physio/
chiropractor on-site. Competitive overhead in well-run clinic in an area surrounded by new condos and townhouses.
Contact: Dr. Hinal Sheth
Tel. 416.570.7297
Disera Medical Centre, Thornhill:
Family physician opportunity to join established and growing family health group.
Start your own practice or have sporadic
walk-in shifts at first. Fully equipped, spacious exam rooms with EMR. Well developed specialist’s support for referrals.
November 2015
Classifieds
We handle all administrative and billing
issues. Educational activities and
teaching opportunities are available.
Opportunity of transferring rostered
patients to guarantee a stable income.
Call for details.
Contact: Dr. Star
Tel. 416.312.1233
D o w n t o w n To ro n t o , B a r r i e a n d
Oakville: Lifestyle health & chronic disease management clinics are looking
for doctors with a particular interest in
lifestyle and preventive medicine, or psychotherapy to join our growing practice
F/T or P/T. Work with a multidisciplinary
team prescribing a broad range of evidence-based nutrition, exercise, stress
management and other interventions to
promote optimal physical, psychological and social well-being. Training will be
provided. Flexible hours. Turnkey. We
provide bright, modern offices, tools,
and all support systems. New grads
welcome. Competitive compensation.
Practise progressive medicine!
Tel. 905.595.3482
Downtown Toronto: Bay and Bloor,
part-time MD needed. We are a longestablished vein and cosmetic clinic in
the heart of Yorkville. We will provide
training in sclerotherapy for new doctors. It is an interesting and fast-paced
position with experienced nurses and
administrative staff support. Please contact us for more information.
Contact: Maria, DLC
Tel. 416.927.0533
Durham Doctors Housecall Service:
Currently seeking family physicians for
housecalls in Durham Region. Income
$250/hour plus bonus.
Contact: Lynn
Tel. 905.619.6641
Etobicoke: Seeking family physician
for established practice. Modern office,
EMR, full administrative and nursing
support, lab on-site. Part of FHG. Flexible
hours, competitive split.
Contact: Mary
Tel. 416.219.4063
Family physician — Aurora, ON:
Looking for a family physician for a new
clinic which will host family medicine
and specialists. Will provide turnkey
operation with full support staff. Full
EMR & developing area for a family
physician. Bonus & competitive split will
be offered. Email for more information.
Email: Aurora@medicalmanagement.
consulting
Family physician — Hamilton, ON:
Looking for a family physician for a new
13,000 sq. ft. clinic which will host family medicine and multiple specialists. Will
provide turnkey operation with full support
staff. Full EMR & developing area for a family physician. Email for more information.
Email: hamilton@medicalmanagement.
consulting
Family practice/walk-in/psychiatrist/
neurologist/pain specialist needed to
join our well-established medical centre
with 40 plus doctors in Scarborough.
Extremely busy and congenial work
atmosphere. Full EMR.
Contact: Dr. Thomas Van
Tel. 647.227.5088
F/T or P/T family physician required
to take over solo physician practice and
share office space with physician transitioning to a full-time sports medicine
practice. Central location, newly renovated office in Riverside Professional
Building. Modern, turnkey operation,
full EMR. Would suit P/T or expand to
F/T practice. Flexible terms. Admin. staff
provided or bring your own.
Full-time or part-time medical doctors
required for a busy walk-in located in
downtown Mississauga.
Contact: Adel
Tel. 416.904.2929, 905.897.6160 (office)
GP/GYN needed for a very busy clinic in
Scarborough. For more info, please call.
Tel. 416.565.2004
GP psychotherapists: Busy Bloor/
Dundas West clinic needs PT/FT active/
semi-retired MDs. Excellent computerized billing system. MCEDT or diskette
under your CPSO #. Billings include
last day before deadline. 100% proof
of submission/RA. You get paid for all
your services. Excellent services and
financial arrangements structured to
your requirements.
Tel. 416.516.6969
43
H o m e S w e e t H o m e H e a l t h c a re
Services o/a Bronte Harbour Walk-In
Medical Clinic, Oakville, ON — requires
two (2) family/general physicians (NOC
3112). Location: 11 Bronte Road
Oakville, ON L6L 0E1. Anticipated start
date: as soon as possible. Salary: fee for
service/commission. This is a full-time
position for 30-40 hours a week. Must
be available to work in the evenings and
on the weekend. Experience: Experience is an asset. Education: university
degree/doctor of medicine. Work setting: private practice. License: CCFP/
College of Family Physicians Certificate/
Licensure by provincial or territorial authorities/Medical Council of Canada
Qualifying Examination (MCCQE 1 and
MCCQE 2). Language: English. As a
family/general physician, your main duties are, but not limited to: examining patients and take their histories, order laboratory tests, X-rays and other diagnostic
procedures. Consult with other medical
practitioners to evaluate patients’ health.
Prescribe and administer medications
and treatments, inoculate and vaccinate
patients to prevent and treat diseases.
Advise patients on health care. Communicate health promotion/disease prevention to patients. Provide counselling and
support to patients and their families on
a wide range of health and lifestyle issues. Please apply by fax, email or mail:
11 Bronte Road Oakville, ON L6L 0E1.
Fax: 905.844.4749
Email: admin@bronteharbour
medical.com
Housecall physicians PT/FT: MedVisit
Doctors Housecall Service. Greater
Toronto/Ottawa/Oshawa/Ajax/Whitby/
Pickering/Mississauga/Brampton.
$200-$250/hour net plus bonus. Afternoon, evening or weekend shifts.
Choose when and where you work.
No overnight calls. Drivers available to
accompany physicians. Enjoy a professionally rewarding experience while
providing a much needed medical
service for your community.
Contact: Dr. Tom Burko
Tel. 416.631.0298 or 1.800.355.6668
Website: www.medvisit.ca/doctors
Internal medicine and/or subspecialties required immediately for outpatient
coverage in Mississauga. FT/PT locum.
No on-call. Top take-home pay.
Contact: Dr. Sekely
Tel. 416.464.0238
November 2015
Classifieds
family doctors, GPs, GP psychotherapists, psychiatrists, semi-retired, part
time or full time. We are open weekends
and weeknights. We provide comfortable offices, professional staff, excellent
financial arrangements, professional supervision, and CME programs are available.
Contact: Dr. Michael Paré
Tel. 416.229.2399
Website: www.medicalpsychclinic.org
Join the fast growing medical clinic
in Edmonton, Alberta with incentives to
build patient-centred medical homes.
Tel. 780.437.6446, ext. 0
Medical clinic in Hamilton: Wellestablished clinic looking for physician
(part & full time). 70/30 fee-for-service
split. All administration costs taken care
of with your 30%. No GST payment.
Contact: Meena
Tel. 905.308.0659
Mercury Disability Board (MDB):
Expressions of interest for physician
member. The MDB was established by
legislation in 1986 to oversee compensation for members of two First Nations who may be impacted by mercury expelled into the English-Wabigoon
river systems. Primary area of search is
Northern Ontario/Southern Manitoba.
The physician member participates
in board meetings (4x/year); reviews
neurological assessments, occasionally meet with claimants, supports the
Board’s initiative to improve the quality
of testing and knowledge on the impact of mercury on human health. In
addition to the social contribution of
this position, a daily stipend is provided. Please contact us directly or visit
the website for more information about
Medical office next to North York
General Hospital: Seeking full/parttime family MDs/specialists to join newly
renovated, established clinic in medical
building. Fully equipped, EMR, six exam
rooms. Currently two GPs & one GI.
Contact: Dr. David Hsu
Tel. 416.300.2598
Medical psychotherapy clinic: Our
clinic continues to thrive. We must be
doing something right! Physicians needed — enjoy medicine more. Enjoy medicine again! If you have an interest in
this important clinical area, we would
like you to join our busy clinic. We need
Full & Part-time Physicians Needed
RESEARCH
RELIEF
REAL MEDICINE
New graduates welcome: Supplement
your income with a low stress and highly
rewarding position. We have opportunities available all across Ontario. Work as
much or as little as you like with hours that
are convenient to you. We provide exceptional compensation that far exceeds
the industry average. No experience
required, no set up, no overhead. Our
team will handle everything to ensure you
have a relaxed stress-free environment.
Contact: Brian Warner
Tel. 647.271.4441
North of Richmond Hill (Toronto
GTA): Busy clinic, fully equipped, EMR,
ECG, lab & pharmacy inside looking for
FT/PT family, specialists, walk-in physician, and those who would like to relocate their office. Please phone or email.
Tel. 416.873.9080
North York & Scarborough clinics
located inside Loblaws and very busy
shopping mall. Very busy walk-in
clinics/family practice seeking family
physicians and specialists. Physicians
required for walk-in shifts as well as
opportunity to relocate an existing
practice or build a new practice. Flexible
hours and very attractive split.
Tel. 647.206.0790
Physician recruitment service: Global
Medics Canada have been successfully
placing family physicians in roles across
Canada for the last six years and are currently working with many Canadian and
CFPC-eligible physicians from the UK,
Ireland and Australia looking for short,
medium, long term and permanent roles
in Ontario. Company and service overview, plus many fantastic references
available on request. We can help you
recruit the perfect family physician for
your clinic and in the most efficient and
hassle-free way possible. If you’re interested or just keen for further information,
please contact us.
Contact: Phil Martin
Business Manager
Tel. 1.250.307.4352
Ottawa and Barrie Locations
To learn more contact:
e: [email protected]
t: 1-902-883-7426
the Board.
Contact: Margaret Wanlin, Chair
Tel. 807.624.1404
Website: www.mercurydisability
board.com
44
November 2015
Classifieds
PT/FT associate needed for FHO
in Richmond Hill: Multidisciplinary
clinic. EMR. Young patient population.
Attractive terms.
Contact: Dr. Araghi
Tel. 416.454.6399
Richmond Hill, ON: Busy pediatric walk-in clinic with fully equipped
EMR requires pediatricians for flexible hours 1 p.m. to 8 p.m., as well as
weekends.
Contact: Dr. M. Rezvani
Tel. 905.237.4632 (1 p.m.-7 p.m.)
Richmond Hill, Ontario: Richmond
Hill After-Hours Clinic requires physicians for daytime shifts 9 a.m. to
5 p.m., as well as evenings and weekends. Guaranteed minimum 70:30 split.
Contact: Dr. Ian Zatzman
Tel. 289.553.7711
Fax: 289.553.7722
Specialists — Brampton, Ontario:
Dermatologist, pediatrician, internist,
and psychiatrist required for medical centre with several GPs and large
patient base. Attractive modern office
with seven days/week reception service.
Fee-for-service split or low flat monthly
rate.
Tel. 416.949.3830
Fax: 647.340.2586
Email: bramptonfamilyhealth@
gmail.com
St. Thomas, ON: Central Community
Health Centre is currently recruiting for
one full-time family physician and one
part time. Our client base is currently
2,145 and growing. We offer salary, no
overhead costs, and an excellent benefit package including a pension plan
and paid vacation/statutory holidays.
St. Thomas is centrally located in the
middle of southwestern Ontario and
just minutes from the 401 corridor. It’s
a community known for friendly people
and inexpensive living with superb
recreational, health and educational
facilities.
Contact: Jackie Harris
Primary Care Co-ordinator
Central Community Health Centre
Tel. 519.633.6930, ext. 437
Stouffville medical centre requires
family physicians to join team of physicians for walk-in and family practice. This
new medical centre has a multidisciplinary
approach managed by medical doctors.
EMR. Flexible hours. Pharmacy, physiotherapy, and dentist on-site. Please call.
Contact: Sara
Tel. 905.479.2571
Telemedicine opportunities for physicians: Are you an MD seeking new
patients? Are you a newly retired physician unable to quite retire full time?
Are you a doctor interested in gaining
additional diverse experience? Are you
a newly qualifi ed MD? Are you knowledgeable in prescribing medical cannabis? We can provide you with exceptional remuneration, training and
choice of hours to fit with your own
schedule. Phone or email in strictest
confidence.
Contact: Alan Levin
Medical Access Canada
Tel. 1.844.518.7845
(Subject: Confidential Physician Enquiry)
Website: marijuanaaccesscanada.com
Thornhill family practitioner required
to replace an established physician in a
full service medical building at Bathurst
St. north of Steeles Ave.
Toronto — we are currently recruiting family physicians for walk-in shifts
and family practice. We have four fully
equipped and busy walk-in centres that
include EMR, labs, pharmacy, and imaging. We offer a competitive split with a
financial incentive to join our team. To
discuss opportunities, please email.
Contact: Jameet Bawa, MD
Two FHO positions available immediately in southwestern Ontario: Established general practice with full roster.
Hospital and ER available but not mandatory. Full specialist and ER backup.
Locum physician would be considered.
Physicians – Part Time Opportunities
Supplement your income with a low-stress and highly rewarding part-time position helping people
overcome obesity and related disease.
Improve your quality of life while improving the lives of others – without the stress of administrative
duties or working nights and weekends.
We have part-time physician opportunities available in Belleville, Peterborough, Ajax, Oshawa,
Newmarket & Barrie. We are seeking personable and enthusiastic physicians to work 1 to 2 days
per week, from 6:30 am to 2:30 pm.
The Bernstein Diet & Health Clinics is a medically supervised weight-loss organization with a stellar
40-year track record of patient success. Our patients achieve consistent, healthy, rapid weight loss
of up to 20 lbs. every month. Our program combines medical supervision, nutritional counseling,
EHKDYLRUPRGL¿FDWLRQFRXQVHOLQJDQGDJRRGVHOHFWLRQRIZHOOEDODQFHGJURFHU\VWRUHIRRGFKRLFHV
We never use diet pills, appetite suppressants or surgery.
2XUSK\VLFLDQV¿QGWKHLUZRUNUHZDUGLQJERWKSURIHVVLRQDOO\DQGSHUVRQDOO\7KH\HQMR\WKHEHQH¿WV
of having much less administrative work, so they can spend their time engaging motivated patients
whose health is improving as they lose weight.
To learn more about this opportunity, please contact me at your earliest convenience.
Michael McGuire
Bernstein Diet & Health Clinics
Director – Human Resources
Tel: 416.447.3438 ext. 232 Fax: 416.447.0835 Email: [email protected]
45
November 2015
Classifieds
We are seeking a medical doctor
to join our team in Vaughan: Our
multidisciplinary clinic is well established
with walk-in and family medicine. The
new doctor will be fully rostered within a
few months. To discuss opportunity and
compensation, please contact us.
Contact: Pindy
Tel. 416.731.6828
SERVICES AVAILABLE
Work close to home — Toronto,
N o r t h Yo r k , Va u g h a n : M u l t i p l e
locations available. High traffic, high
visibility locations, modern and fully
equipped, full EMR. Work alongside
orthopedic surgeons, sports medicine
doctors, physiatrists. Ideal for F/T or
P/T GPs looking to start or move their
practice and/or build a walk-in practice.
Full admin. and marketing support, very
attractive split.
Tel. 416.479.8699
Accountant (CA) GVP LLP: Medicine
professional corporations for doctors,
including tax planning, tax minimization,
income splitting, investment holding co.
Tel. 416.220.5717
York Region-Weston & Langstaff:
F/T or P/T associates required for
established medical practice. Physicians with particular interest in preventive medicine and chronic disease
management; large female roster.
EMR, competitive split.
PRACTICES
Allergy specialist: Busy established
allergy practice in Toronto seeking
associate. Suitable for individual seeking an office-based practice.
FHO position available July 1, 2016:
One hour north of Toronto. Physician retiring, willing to help with transition. Fully
computerized — EMR HRM. Favourable
gross with potential for more. Send C.V.
FHO position: Family practice in Bolton
— a vibrant community located within
easy commuting distance of Toronto.
Doctor retiring April 2016. Physician
required to transition and then assume
practice with full roster.
Contact: Melissa
Tel. 905.857.2759
Solo FHO physician in Unionville
retiring: OSCAR EMR, 1,300 patients.
Will help with transition.
A+ professional accounting and
tax services: Specially designed for
medical professionals. Special rate for
incorporating medicine professional
corporation.
Contact: Syed Raza, CPA, CGA
Tel. 647.999.5536
Website: www.cpa4medicalpro.com
Accountant in Toronto for physicians:
Jonathan Ruben, CPA, CA, LPA, CFP.
U.S. CPA (New York, Illinois, Michigan)
professional entrepreneurs count on us.
Website: www.jruben.com
Arya & Sher, health lawyers: Practice
focused on representing medical practitioners, clinics, hospitals, and health-care
companies. Business and regulatory
issues, including professional incorporations, business registrations, contracts,
partnership/shareholder issues, tax and
estate planning, employment, leasing,
medical real estate, and regulatory matters.
Contact: Kashif Sher, LLB, MBA
Tel. 416.218.8373
Website: www.aryasher.com
Billing agent — electronic data
transfer to MOHLTC for all practices,
specialties and locums. Medical Billing
and Secretarial Services.
Contact: Edith Erdelyi
Tel. 416.576.6788
Billing services: MOHLTC billing agent.
Comprehensive, efficient and reliable service for all specialties. Competitive flat rate
fee. Based in London, serving SW Ontario.
Contact: Melissa Cervinka
Website: onmedicalbilling.ca
Chan & Chow Chartered Accountants
focused on advising physicians and
medical clinics to structure their tax
affairs and their finances.
Tel. 416.551.8339
Website: www.chanchow.com
46
Closing your practice? DOCUdavit
Medical Solutions provides free paper
or electronic storage and practice closure services with no hidden costs.
DOCUdavit Solutions has achieved ISO
9001:2008 and ISO 2700:2013 certification validating our commitment to quality
management, customer service, and information security management systems.
Contact: Sid Soil
DOCUdavit Solutions
Tel. 1.888.781.9083, ext. 105
E-Med Billing: We offer OHIP, WSIB
and third-party billing. Complete billing
solution and guarantee maximum revenue. We charge 1.5%.
Tel. 416.887.3186
E-Transcription services offers secure
web-based, reliable and affordable
medical transcription with 24-hour turnaround time. Servicing over 400 physicians in the GTA. Guaranteed quality
and satisfaction. For a one week free
trial, please call.
Tel. 416.887.3186
Website: www.etranscription.ca
Focus on your patients, not your
computer systems: We’re here to give
you the peace of mind that everything
will work seamlessly while you’re dealing with important issues. Since 2010,
BlueBird has helped over 1,200 health
care professionals successfully transition to EMR, implement and maintain
their clinical IT systems, procure hardware/network equipment, store data,
and manage their clinical technology
infrastructure. Call today.
Tel. 416.931.2121
Website: www.bluebirdinc.com
Free record storage for closing
practices: RSRS is Canada’s leading
paper and digital storage provider. No
prohibitive fees to patients. Physician
managed since 1997.
Tel. 1.888.563.3732, ext. 230
Website: www.RSRS.com
November 2015
Classifieds
Medical Billing Clerks: Getting you
paid — on time, every time! Professional
and efficient. Specializing in OHIP
and all other types of medical claims
submission in all practice areas. Reasonable rates. Contact us today to get
your billings underway.
Contact: Kami
Tel. 416.888.6076
Medical records storage at no charge
for closing practices: Paper, EMR, hybrid
— we store it all for the full term with no
hidden fees. Comprehensive and compliant to regulations “Practice Closure”
service.
Tel. 1.800.775.0093
Medical transcription service s :
Te l e p h o n e d i c t a t i o n a n d d i g i t a l
recorder files. PIPEDA compliant;
excellent quality, next business day
service. All specialties, patient notes,
letters, reports, including medical-legal
and IME reports.
Tel. 416.503.4003 or 1.866.503.4003
Website: www.2ascribe.com
Moving or moved to EMR? Still have
lots of paper? RSRS scans your records
and offers full electronic access to your
active patient records. It’s easy and
affordable. PHIPA compliant.
Tel. 1.888.563.3732, ext. 230
Website: www.RSRS.com
OHIP billing specialist: Dynamic Medical Services provides OHIP billing with
free setup in our OHIP billing program
with no initial costs and no yearly fees.
OHIP billing review/recovery services
and physician information sessions
provided by our OHIP billing specialist
with over 25 years of experience.
Tel. 519.851.1184
Website: www.Dynamicmedical.ca
Start your own clinic — ON: Learn how
to start your own practice from A-Z. We
are a full-service medical management
team with lots of experience in starting
medical clinics. We will teach you how
to start your own clinic with low to zero
start-up costs. Get a free, no obligation
consultation. No medical management
experience required, low risk with high
reward.
Email: myclinic@medicalmanagement.
consulting
Systemic Healthcare Solutions: Practice management consulting; operation
and efficiency reviews. Practice mergers/
co-location plans. New practice startups. Clinic design consultation. Hourly
consultation advice.
Tel. 1.888.338.1306
Email: info@systemichealthcare
solutions.ca
Website: www.systemichealthcare
solutions.ca
Tax planning and financial advice:
Clark Westcott, CPA, CA, and his team at
Clark Westcott Professional Corporation,
serves medical professionals and their
families. Our goal is to help you maximize
your wealth. Our services are cost efficient, professional and confidential.
Tel. 705.645.1692
Website: www.cwcpa.ca
Woodbridge — are you looking to
retire or close your practice? Concerned about the transitioning of your
patients and who will take care of their
medical needs? Our family health team
is a well-established and progressive
medical office who can help. Succession
arrangements possible. Please call or
email.
Tel. 905.893.8085, ext. 202
UPCOMING EVENTS
Mindfulness in Medicine: Foundations
of Theory and Practice, January 30 –
February 6, 2016. Explore the theory,
evidence and practice of mindfulness
and meditation as it relates to your practice of medicine, for yourself and for your
patients. Join your physician colleagues
for this workshop during a seven day
cruise aboard the NCL Escape, their
newest and most modern ship. This
workshop has room for only 30 participants so register now. Workshop has
applied for 12 Mainpro C credits. Email
or visit our website for more info.
Website: www.bcalm.ca
47
Publisher’s Notes (continued from page 5)
REPRINTING OF ARTICLES
Material in the Ontario Medical
Review may not be reproduced in
whole or in part without the express
written permission of the Ontario
Medical Association. Requests for
reprinting or use of articles should
be forwarded in writing to the OMA
c/o the Editor.
SUBSCRIPTION RATES
The Ontario Medical Review is distributed to all members of the Ontario
Medical Association. Others may subscribe to the Review at the following
rates: in Canada $55; in the United
States $62; in other countries $79
(Canadian funds). Single copies are
$6, back issues $7. HST applicable.
DISPLAY ADVERTISING
Current display advertising rate
card, effective January 1, 2015,
available on request. Advertising
representative:
Marg Churchill
Keith Communications Inc.
1464 Cornwall Road, Unit 8, 2nd Floor
Oakville, ON L6J 7W5
Tel. 905.849.7777 or 1.800.661.5004
Fax: 905.849.1055
CLASSIFIEDS ADVERTISING
Classifieds advertising inquiries
should be directed to:
Vita Ferrante
Tel. 416.340.2263 or
1.800.268.7215, ext. 2263
Fax: 416.340.2232
The Ontario Medical Review is
required to comply with the provisions of the Ontario Human Rights
Code 1990 in its editorial and
advertising policies, and assumes
no responsibility or endorses any
claims or representation offered
or expressed by advertisers. The
Ontario Medical Review urges
readers to investigate thoroughly any
opportunities advertised.
November 2015
Copyright: Randy Glasbergen
Medec
“When I was a kid, I had a lazy eye
and it spread to the rest of my body.”
Advertisers’ Index
AHIP (Hear55+) ................................. IBC
American Express (AMEX) ..............24-25
CanAm Physician Recruiting................ 44
Dr. Bernstein Diet and
Health Clinic......................................... 45
Klinix Software....................................IFC
MD Financial Management .................... 2
Record Storage and Retrieval
Services .............................................. 21
Sea Courses Cruises ........................... 37
YES Medical System ........................... 37
OMA Programs and Services
OMA Advantage Program
(Affinity and Discounts) .................... OBC
48
OMA Corporate Hotel Directory ......... 23
OMA Insurance Services .................... 26
OMA Legal Services........................... 20
OMA Physician Health
Program ................................................ 4
OMA Response Centre ....................... 21
November 2015
OMA ADVANTAGES
Special offers & rates for you!
Take advantage of unique offers tailored to OMA members:
Supporting physician practices:
!
eMarketplace
Offers updated often!
NEW
OMA Advantages discounts and services are available for Wireless Communications,
Travel & Leisure, Auto, Fitness & Health, Moving & Relocation, Corporate Hotels,
Entertainment, and Office Services & Support.
Visit www.oma.org/Advantages to
access this exclusive affinity program.

View - Ontario Medical Review

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