Performance

These eight initiatives are mainly systemic in nature and their successful implementation will be critical to addressing some of the issues and gaps identified in
this review. Broadly, projects 2, 3 and 4 relate to systems and processes for licensing, privileging and credentialing, with projects 5, 6, 7 and 8 concentrating
predominantly on performance management, concentrating on accountability. Each of the initiatives are addressed in turn below.
Review of the provincial system
This report addresses this initiative.
Provincial Physician Registry
In January 2012, a rfp was issued to procure a common physician registry which all of the HAs would use. The rfp documentation 16 states that “it is envisioned
that the following modules will be part of a provincial medical affairs performance management system:
Credentialing & Privileging;
Peer and In-depth Review;
Performance Management;
Scheduling and Related Compensation;
Sessional Compensation; and
Contract Management”
To address the systemic gaps identified in this report (mainly variances in processes and standards as well as breakdowns in communication), interviewees felt it
imperative that:
This be a single, Province-wide solution;
The procurement includes the participation of the College; and
The procurement ensures that the system is scalable and capable of including physicians working throughout the Province, whether at facilities run by
HAs or other bodies, including denominational and private facilities.
Discussions are underway to address issues related to governance, who will own the single license and how it will be paid for. In addition, some of the datasets
required by the different users of the system (Ministry, HAs and College) have yet to be finally agreed. If the system is to be used for different uses including
performance management, these datasets may need to be further discussed and agreed prior to any further decisions being made on the procurement.
16 Health Shared Services BC. Request for Proposal for practitioner credentials and performance management. RFP# HSSBC-00529, issued on December 14, 2011. Received
electronically by the Ministry of Health.
Ministry of Health 26
Provincial Review of Physician Licensing, Credentialing, Privileging & Performance Management
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