Sonohysterography and Echovist Usage
Some IHFs received a short email from the IHF Program branch on September 7, 2018, relating to sonohysterography and Echovist usage [see text of email below].
The IDCA received a number of enquiries regarding the Ministry request, with some operators asking the IDCA to facilitate communication among IHF providers. Some believe that there may be billing implications and changes to fee codes within the OHIP Schedule of Benefits.
The IDCA is asking IHFs operators to let us know if you have received the Ministry email and whether you wish to communicate with others who may also have received the request. We do not know, at this time, what steps the Ministry may be contemplating in connection with fee code changes, but want to give you the opportunity of speaking to others, to develop and coordinate an IHF sector response.
Please feel free to call or email me at your earliest opportunity.
Executive Director, IDCA
The Independent Health Facilities (IHF) Clinical Practice Parameters and Facility Standards for Diagnostic Imaging have been updated, and are now available on the CPSO website at the following link: https://www.cpso.on.ca/P
Please be advised that the College of Physicians and Surgeons of Ontario (CPSO) has recently made further changes to the Independent Health Facilities (IHF) Diagnostic Imaging parameters. This is in follow-up to the July 2018 notice announcing the updated parameters that was circulated to all stakeholders last month.
The CPSO has made a decision to move away from speaking to credentialing requirements in its IHF documents that relate to regulated health professionals (RHPs) overseen by other regulatory health colleges. Historically, we have included credentialing requirements for (non-physician) RHPs for a variety of reasons in our documents. However, we are now at a point in time where we will no longer be taking on this role but instead we will defer to the other regulatory heath colleges. For example, in the DI parameters, any credentialing requirements related to Medical Radiation Technologists (MRTs) and Diagnostic Medical Sonographers (DMSs) will be the purview of the College of Medical Radiation Technologists of Ontario (CMRTO). There is also greater responsibility on IHF licensees and Quality Advisors to be accountable for ensuring that RHP staff have the appropriate qualifications for the specific services and procedures they perform.
In light of the above decision, we have made some revisions to the DI parameters (the amended DI parameters are now posted to the CPSO website). The changes are as follows:
- Chapter 1 – Staffing a Facility –
- 1.1. Overview – The third bullet in this section is new. The licensee in collaboration with the QA must ensure that facility staff (i.e. regulated health professionals (RHPs)) have the appropriate education and experience including any certifications, examinations, courses and/or other training to perform their specific services and procedures. [Please refer to the section for detailed wording.]
- 1.8 MRTs – The following BMD and mammography requirements have been removed:
- MRTs performing BMD must obtain either the Accredited Densitometry Technologist (ADT) designation through the Ontario Association of Radiologists (OAR) or the Certified Bone Densitometry Technologist (CBDT) designation from the International Society of Clinical Densitometry (ISCD).
- MRTs performing mammography must successfully complete specific courses, which fulfill the requirements of CAR-MAP (Canadian Association of Radiologists – Mammography Accreditation Program).
- Chapter 3 – Policies & Procedures – 3.3.2 Facility Staff –
- Bullets #3 and 4 have been revised to make it clear that facilities must have policies and procedures in place to ensure a) review of all RHPs’ education and experience in order to ensure that they have the necessary knowledge, skills and judgement to perform their specific services or procedures, b) supervision of those staff who may be in the process of pursuing specialized training. [Please refer to the section for detailed wording.]
- Last bullet in this section has been slightly modified to clarify that facilities must have policies and procedures in place to ensure that there is an annual review of continuing professional development (CPD) of all regulated health professionals to ensure each RHP’s CPD meets their regulatory body’s CPD requirements. Documentation that confirms the aforementioned must be kept up-to-date and on site.
**Note: Given the above content changes, the page numbering of the DI parameters has also changed. Therefore, any printed copies of the document should be replaced in their entirety with the latest version of the DI parameters available online. The document is best printed in a double-sided format.**
Deadline to submit OTHP claims
In 1999, the Minister of Health and Long-Term Care referred the issue of the regulation of diagnostic sonographers to the Health Professions Regulatory Advisory Council (HPRAC). In 2000, HPRAC recommended that diagnostic sonographers be regulated under the Regulated Health Professions Act, 1991 (RHPA) within the College of Medical Radiation Technologists of Ontario (CMRTO). Regulation did not occur at that time, however. In 2007, HPRAC was asked to reference its 2000 report and make recommendations on the currency of the advice provided. In 2013, the Minister noted that there may be additional considerations related to the regulation of the profession and further directed HPRAC to conduct a broad public consultation with key groups and stakeholders within the diagnostic sonographer community.