Performance

Enhancing the role of the College (4) – Revalidation
The College should expedite its efforts in implementing a process for physician revalidation. The Ministry should consider timelines for the introduction
of revalidation, how to effectively performance manage the College if this task is mandated and establish an accountability framework for delivery and
rollout of the revalidation program.
Redefining the College’s stewardship of quality
The College needs to consider how it can engage with the system, especially the HAs, consulting with stakeholders and seeking to consolidate its
mandate and build greater awareness of the function of the College, its commitment to quality and to build the relationships and understanding that will
underpin the development of a performance management framework.
Realignment of the role of the College - Credentialing and privileging
Responsibility for credentialing for diagnostic imaging and non-hospital surgical medical facilities should be transferred to another organization. For this to
occur:
The Ministry needs to confirm that the entity that undertakes this responsibility are also signatories to the performance management framework
(see below) so that they have the ability to communicate and share concerns for NHMSFs across the system; and
All MSP-related activity for restricted activities should be performed through existing mechanisms;
The Ministry and College should work together to review whether the amendments being proposed in the Out-of-Hospital Premises Inspection Program
in Ontario could be applicable in addressing the gaps in NHMSFs in BC; and
The Ministry should consider the support the College requires to enable all of the above changes to take place. This would include providing independent
support to the Board as required and in establishing a plan for managing change.
Clinical leadership
The role of clinical leaders and their recruitment needs to be reviewed so that their role can be defined and standardized across the Province. The review
needs to consider how to make these roles attractive to the right leaders through a combination of various levers including remuneration, the bestowing
of real authority and the ability to contribute to the wider change agenda.
The Ministry should work with all HAs to agree clinical leadership models that can be installed across the Province, with physicians taking far greater
responsibility for the management of services and the modernization agenda generally. These models should then be linked to broader accountability
frameworks so that real local accountability and performance management structures can be agreed across the system, with escalation policies in place
that inform Boards and provide impetus to the service improvement agenda of all HAs.
Ministry of Health 12
Provincial Review of Physician Licensing, Credentialing, Privileging & Performance Management
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