College of Homeopaths of Ontario 163 Queen Street East, 4th Floor, Toronto, Ontario, M5A 1S1 TEL 416-862-4780 OR 1-844-862-4780 FAX 416-874-4077 www.collegeofhomeopaths.on.ca IMPORTANT MEMO To: All Stakeholders Re: Formal Consultation on A. Bylaw 10.02 – Changes to Election Terms B. Bylaw 21 – Transparency Changes to the Public Register C. Proposed Spousal Exception Regulation – Treatment of Spouse Consultation Closing Date: August 8, 2015 This package outlines three significant developments for the College of Homeopaths of Ontario (the College or CHO). The College invites feedback from stakeholders on proposed changes to the Bylaw 10.02 on Election Date (for elections starting in 2016) and Bylaw 21 on the Public Register; and a proposed new regulation to allow a Registrant to treat his or her spouse. A description of the salient points and the rationale behind the development of each component of this consultation are included in this document. Part A Bylaw 10 – Amendment to Bylaw 10.02 Election Date Part B Bylaw 21 – Amendment to Bylaw 21 Public Register, Transparency Changes Part C Proposed Spousal Exception Regulation – Treatment of Spouse Your comments on these changes are welcome and may be submitted by electronic survey, email, or mail. If you have questions about these changes, please contact Janet Blanchard, Senior Manager, Quality Assurance, Patient Relations, and Communications at [email protected] or by phone at 416-862-4775 or 1-844-862-4780. We look forward to receiving your written comments by August 8, 2015. For more information about the College and its activities, please visit our website at www.collegeofhomeopaths.on.ca. College of Homeopaths of Ontario Formal Consultation Package Page 2 of 25 Closing Date: August 8, 2015 Part A Amendment to Bylaw 10.02 – Election Date Based on the College’s April 1, 2015 proclamation date, it is proposed that Bylaw 10.02 be amended so that the next election date (following the initial 2015 election) be one year later than originally specified for each district. As the Bylaw currently reads, an election will happen in 2015 then again in Spring 2016 (approximately eight months later) for four of the seven available professional seats. When Bylaw 10.02 was originally drafted, a proclamation date in 2014 was envisioned. The proposed change allows for a 20-month term prior to the second election. The one-year extension allows time for the new Council to establish itself, for individual Council members to learn the substantial volume of material required to be an effective Council member, and for Council members to work together effectively on behalf of the College. This change will also reduce training time and costs. Bylaw 10.02 – Election Date Proposed Change to Bylaw 10.02 Current Bylaw Rationale for Change Except for the first election, which shall take place as soon as possible after section 6 of the Act is proclaimed into force, an election of members to Council shall be held on a date determined by the Registrar between March and May, inclusive, of each year according to the following schedule: Except for the first election, which shall take place as soon as possible after section 6 of the Act is proclaimed into force, an election of members to Council shall be held on a date determined by the Registrar between March and May, inclusive, of each year according to the following schedule: This change allows for newly elected Council members in the East, North, Southwestern and Ontario districts to remain in place for approximately 20 months, following the first election of Council, before having to stand for re-election. Council members from Peel and Toronto would receive a full three-year term prior to having to run for re-election. (i) there shall be an election for the East and North electoral districts in 2017, and every third year after 2017; (i) there shall be an election for the East and North electoral districts in 2016, and every third year after 2016; (ii) there shall be an election for the Peel and Toronto electoral districts in 2018 and every third year after 2018; and (ii) there shall be an election for the Peel and Toronto electoral districts in 2017 and every third year after 2017; and(iii) there shall be an election for the Southwest and Ontario electoral districts in 2016, 2018 and every third year after 2018. (iii) there shall be an election for the Southwest and Ontario electoral districts in 2017, 2019 and every third year after 2019. The one year extension allows time for the new Council to establish itself, for individual Council members to learn the substantial volume of material required to be an effective Council member within a regulatory structure, and for Council members to work together effectively on behalf of the College. This change will also reduce training time and costs. College of Homeopaths of Ontario 163 Queen Street East, 4th Floor, Toronto, Ontario, M5A 1S1 TEL 416-862-4780 OR 1-844-862-4780 FAX 416-874-4077 www.collegeofhomeopaths.on.ca Part B Amendment to Bylaw 21 Public Register – Consultation on Transparency Increased focus on information sharing and transparency has been placed on the Government and its health regulatory colleges. Proposed changes to the Bylaws related to the Public Register reflect the College’s commitment to balancing the patient’s right to informed care and the registrant’s right to privacy, and are similar or identical to those recently adopted by the majority of Ontario’s health regulatory colleges. The proposed changes also integrate the College’s eight transparency principles adopted in December 2014. These principles can be found on the College’s website at www.collegeofhomeopaths.on.ca. Bold, Underline and Strikethrough indicate proposed changes. Source: College of Homeopaths of Ontario Bylaws, enacted November 18, 2013, amended December 5, 2014. Proposed Bylaw Current Bylaw Change 21.01 – Name in Register 21.01 – Name in Register No Change Subject to article 21.02, a Registrant’s Subject to article 21.02, a Registrant’s name in the register shall be the full name in the register shall be the full name indicated on the documents used name indicated on the documents used to support the Registrant’s initial to support the Registrant’s initial registration with the College. registration with the College. 21.02 – Exception for Name Change 21.02 – Exception for Name Change No Change The Registrar may enter a name, other The Registrar may enter a name, other than the name referred to in section than the name referred to in section 21.01, in the register if the Registrar: 21.01, in the register if the Registrar: (i) has received a written request (i) has received a written request from the Registrant; from the Registrant; (ii) is satisfied that the Registrant (ii) is satisfied that the Registrant has legally changed his or her has legally changed his or her name; and name; and (iii) is satisfied that the name (iii) is satisfied that the name change is not for any change is not for any improper purpose. improper purpose. 21.03 – Exception for Alternate Name 21.03 – Exception for Alternate Name No Change In addition to the name entered under In addition to the name entered under article 21.01 and 21.02, the Registrar article 21.01 and 21.02, the Registrar Rationale This provision is a requirement under the Health Professions Procedural Code, Schedule 2, Regulated Health Professions Act, 1991 under section 23.(2). College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw may enter in the register as an alternative name used by the Registrant any nicknames or abbreviations that the Registrant uses in any place of practice. 21.04 – Business Address A Registrant’s business address in the register shall be the address for receiving business communications designated by the Registrant, which address may be different than the Registrant’s address for communications with the College. If the Registrant does not designate a business address, the Registrar may assign any address for the Registrant known to the College as the business address. A Registrant’s business address shall include the name of the business or entity that employs the Registrant or, if the Registrant is selfemployed or is not practising, the Registrant’s business address shall include a notation to that effect. 21.05 – Business Telephone Number A Registrant’s business telephone number shall be the telephone number for receiving business communications designated by the Registrant, which telephone number may be different than the Registrant’s telephone number for communications with the College. If the Registrant does not designate a business telephone number, the Registrar may assign any telephone number known to the College as the business telephone number. Page 4 of 25 Closing Date: August 8, 2015 Current Bylaw may enter in the register as an alternative name used by the Registrant any nicknames or abbreviations that the Registrant uses in any place of practice. 21.04 – Business Address A Registrant’s business address in the register shall be the address for receiving business communications designated by the Registrant, which address may be different than the Registrant’s address for communications with the College. If the Registrant does not designate a business address, the Registrar may assign any address for the Registrant known to the College as the business address. A Registrant’s business address shall include the name of the business or entity that employs the Registrant or, if the Registrant is selfemployed or is not practising, the Registrant’s business address shall include a notation to that effect. 21.05 – Business Telephone Number A Registrant’s business telephone number shall be the telephone number for receiving business communications designated by the Registrant, which telephone number may be different than the Registrant’s telephone number for communications with the College. If the Registrant does not designate a business telephone number, the Registrar may assign any telephone number known to the College as the business telephone number. Change Rationale No Change This provision is a requirement under the Health Professions Procedural Code, Schedule 2, Regulated Health Professions Act, 1991 under section 23.(2). No Change This provision is a requirement under the Health Professions Procedural Code, Schedule 2, Regulated Health Professions Act, 1991 under section 23.(2). College of Homeopaths of Ontario Formal Consultation Package Page 5 of 25 Closing Date: August 8, 2015 Proposed Bylaw 21.06 – Register Information Required by the Code The Registrar shall maintain a register in accordance with section 23 of the Code. Current Bylaw 21.06 – Register Information Required by the Code The Registrar shall maintain a register in accordance with section 23 of the Code. 21.07 – Additional Register Information In addition to the information set out in subsection 23(2) of the Code, and subject to article 21.08, the register shall contain the following information, which is designated by the College as public pursuant to subsection 23(5) of the Code and must be publicly accessible: 21.07 – Additional Register Information In addition to the information set out in subsection 23(2) of the Code, the register shall contain the following information with respect to each Registrant: Change No Change Rationale This provision is a requirement under the Health Professions Procedural Code, Schedule 2, Regulated Health Professions Act, 1991 under section 23.(2). 21.07 – Additional Register Section 21.08 permits the Information College to withhold certain In addition to the information set out in information from the register subsection 23(2) of the Code, and in certain circumstances. subject to article 21.08, the register Referencing section 21.08 shall contain the following information here makes it clear that the with respect to each registrant, which following information may be is designated by the College as withheld in certain public pursuant to subsection 23(5) circumstances. of the Code and must be publicly This wording makes it clear accessible: that the additional information required below will be public. Since information about professional corporations is required under this section and therefore the information is not restricted only to Registrants, the word “Registrant” should not be used. No Change Original Bylaw # 21.07 (i) (i) if there have been any changes to the (i) if there have been any changes to the Registrant’s name since the date of the Registrant’s name since the date of the Registrant’s initial application for Registrant’s initial application for registration, the former names of the registration, the former names of the Registrant; Registrant; Original Bylaw # 21.07 (ii) Change term from “clients” to (ii) the name, address and telephone the name, address and telephone “patients.” number of every business entity that number of every business entity that Make consistent with standard language used by the College. College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw employs the Registrant as a practitioner of homeopathy and, if the Registrant is self-employed as a practitioner of homeopathy, the address and telephone number of the locations where the Registrant practises other than addresses of individual patients; (iii) the Registrant’s business email address; (iv) the Registrant’s registration number; (v) the date of the Registrant’s initial registration with the College; (vi) the date on which each class of registration that the Registrant holds or held was obtained and, if applicable, the date on which each terminated; (vii) if the Registrant ceased to be a Registrant, a notation of the fact, specifying the reason for the termination of registration and the date upon which the Registrant ceased to be a Registrant; DELETED Page 6 of 25 Closing Date: August 8, 2015 Current Bylaw employs the Registrant as a practitioner of homeopathy and, if the Registrant is self-employed as a practitioner of homeopathy, the address and telephone number of the locations where the Registrant practises other than addresses of individual clients; Original Bylaw # 21.07 (iii) (iii) the Registrant’s business email address; Original Bylaw # 21.07 (iv) (iv) the Registrant’s registration number; Original Bylaw # 21.07 (v) (v) the date of the Registrant’s initial registration with the College; Original Bylaw # 21.07 (vi) (vi) the date on which each class of registration that the Registrant holds or held was obtained and, if applicable, the date on which each terminated; Original Bylaw # 21.07 (vii) (vii) if the Registrant ceased to be a Registrant, a notation specifying the reason for the termination of registration and the date upon which the Registrant ceased to be a Registrant; Change Rationale No Change No Change No Change No Change Addition of “of the fact” Original Bylaw # 21.07 (viii) DELETED (viii) for every matter that has been referred by the Inquiries, Complaints and Reports Committee to the Discipline Committee under section 26 of the Code and has not been finally resolved, until the matter has been resolved, a. a notation of that fact, including the Clarification of legal terminology. This bylaw has been replaced and expanded with bylaw 21.07(xxiii). College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw (viii) where the College is satisfied based upon reliable information that a person ceased to be a Registrant as result of his or her death, a notation to that effect and the date upon which the person ceased to be a Registrant if that date is known to the College; Page 7 of 25 Closing Date: August 8, 2015 Current Bylaw date of the referral, b. a summary of each specified allegation, and c. any hearing dates, including dates for the continuation of the hearing; New (ix) unless otherwise required by the Code, information required to be kept in the register with regard to a former Registrant who is deceased may be removed from the register two years after the date of the former Registrant's death; (x) the Registrant’s gender; New (xi) any language in which a Registrant is able to communicate and provide services to patients; (xii) the name of any regulatory body involving the delivery of health care of which the Registrant is a member; New (xiii) a notation, including the date of the referral, for every matter that has been New New Original Bylaw # 21.07 (ix) (ix) a notation, including the date of the referral, for every matter that has been Change Rationale ADDED: (viii) where the College is satisfied based upon reliable information that a person ceased to be a Registrant as result of his or her death, a notation to that effect and the date upon which the person ceased to be a Registrant if that date is known to the College; ADDED: (ix) unless otherwise required by the Code, information required to be kept in the register with regard to a former Registrant who is deceased may be removed from the register two years after the date of the former Registrant's death; ADDED: (x) the Registrant’s gender; Meets increased transparency requirement. ADDED: (xi) any language in which a Registrant is able to communicate and provide services to patients; ADDED: (xii) the name of any regulatory body involving the delivery of health care of which the Registrant is a member; No change. Meets increased transparency requirement. Promotes increased transparency. Promotes enhanced customer service for patients. This would mean that any license related to delivery of health care from any other jurisdiction would appear on the Public Register. Meets increased transparency requirement. College of Homeopaths of Ontario Formal Consultation Package Page 8 of 25 Closing Date: August 8, 2015 Proposed Bylaw referred by the Inquiries, Complaints and Reports Committee to the Fitness to Practice Committee under section 61 of the Code and has not been finally resolved, until the matter has been resolved; Change Current Bylaw referred by the Inquiries, Complaints and Reports Committee to the Fitness to Practice Committee under section 61 of the Code and has not been finally resolved, until the matter has been resolved; Original Bylaw # 21.07 (x) (xiv) any information jointly agreed to be (x) any information jointly agreed to be placed on the register by the College placed on the register by the College and the Registrant; and the Registrant; Original Bylaw # 21.07 (xi) (xv) where the Registrant’s certificate of (xi) where the Registrant’s certificate of registration is subject to any terms, registration is subject to any terms, conditions and limitations, the reason for conditions and limitations, the reason for them, the date they took effect, and them, and the date they took effect; where applicable, the Committee responsible for the imposition of those terms, conditions and limitations; (xvi) where applicable, a summary of New any restriction on a Registrant’s right to practise: a. resulting from an undertaking given by the Registrant to the College or an agreement entered into between the Registrant and the College; or b. of which the College is aware and which has been imposed by a court or other lawful authority, in which event the summary of the restriction shall also include the source and nature of the restriction; Rationale No change ADDED: “and where applicable, the Committee responsible for the imposition of those terms, conditions and limitations;” Meets increased transparency requirement. ADDED: (xvi) where applicable, a summary of any restriction on a Registrant’s right to practise: a. resulting from an undertaking given by the Registrant to the College or an agreement entered into between the Registrant and the College; or b. of which the College is aware and which has been imposed by a court or other lawful authority, in which event the summary of the restriction shall also include the source and nature of the restriction; Meets increased transparency requirement. This provision is from the Health Professions Procedural Code, Schedule 2, Regulated Health Professions Act, 1991 under section 3.(2). College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw (xvii) where the Registrant’s certificate of registration is subject to an interim order, a notation of that fact, the nature of the order and the date that the order took effect; (xviii) where a suspension on a Registrant’s certificate of registration is lifted or otherwise removed, the effective date of the lifting or removal of that suspension and, where applicable, the Committee responsible for the lifting or removal of the suspension; (xix) where the Registrant’s certificate of registration is subject to a suspension for failure to pay a fee, the reason for the suspension and the date of the suspension in addition to the fact of the suspension; (xx) where the Registrar confirms whether the College is investigating a Registrant because there is a compelling public interest in disclosing this information pursuant to 36(1)(g) of the RHPA, the fact that the Registrant is under investigation; Page 9 of 25 Closing Date: August 8, 2015 Current Bylaw Original Bylaw # 21.07 (xii) (xii) where the Registrant’s certificate of registration is subject to an interim order, a notation of that fact, the nature of the order and the date that the order took effect; New Original Bylaw # 21.07 (xiii) (xiii) where the Registrant’s certificate of registration is subject to a suspension for failure to pay a fee, the reason for the suspension and the date of the suspension in addition to the fact of the suspension; New (xxi) where a panel of the Investigations, New Complaints and Reports Committee requires a Member to appear before a panel of the Committee to be cautioned, a. a notation of that fact, b. a summary of the caution, Change No change Rationale ADDED: (xviii) where a suspension Meets increased transparency on a Registrant’s certificate of requirement. registration is lifted or otherwise removed, the effective date of the lifting or removal of that suspension and, where applicable, the Committee responsible for the lifting or removal of the suspension; No change ADDED: (xx) where the Registrar confirms whether the College is investigating a Registrant because there is a compelling public interest in disclosing this information pursuant to 36(1)(g) of the RHPA, the fact that the Registrant is under investigation; ADDED: (xxi) where a panel of the Investigations, Complaints and Reports Committee requires a Member to appear before a panel of the Committee to be cautioned, a. a notation of that fact, Meets increased transparency requirement. Meets increased transparency requirement. College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw Current Bylaw c. the date of the panel’s decision, and d. if applicable, a notation that the panel’s decision is subject to review and therefore is not yet final, which notation shall be removed once the review is finally disposed of; Page 10 of 25 Closing Date: August 8, 2015 Change b. a summary of the caution, c. the date of the panel’s decision, and d. if applicable, a notation that the panel’s decision is subject to review and therefore is not yet final, which notation shall be removed once the review is finally disposed of; (xxii) where, a panel of the New ADDED: (xxii) where, a panel of the Investigations, Complaints and Reports Investigations, Complaints and Committee takes other action requiring Reports Committee takes other a member to complete a specified action requiring a member to continuing education or remediation complete a specified continuing program, education or remediation program, a. a notation of that fact, a. a notation of that fact, b. a summary of the continuing b. a summary of the continuing education or remediation program, education or remediation c. the date of the panel’s decision, program, and c. the date of the panel’s decision, d. if applicable, a notation that the and panel’s decision is subject to d. if applicable, a notation that the review and therefore is not yet panel’s decision is subject to final, which notation shall be review and therefore is not yet removed once the review is finally final, which notation shall be disposed of; removed once the review is finally disposed of; Original Bylaw # 21.07 (xx) (xx) for every matter that has been (xxiii) for every matter that has been (xx) for every matter that has been referred by the Inquiries, Complaints referred by the Inquiries, Complaints referred by the Inquiries, Complaints and Reports Committee to the Discipline and Reports Committee to the Discipline and Reports Committee to the Discipline Committee under section 26 of the Committee under section 26 of the Committee under section 26 of the Code and has not been finally resolved, Code and has not been finally resolved, Code and has not been finally resolved, until the matter has been resolved, until the matter has been resolved, until the matter has been resolved, provide: provide: a. a notation of that fact, including the a. a notation of that fact, including the Rationale Meets increased transparency requirement. The base of this Bylaw is from the Health Professions Procedural Code, Schedule 2, Regulated Health Professions Act, 1991 under section 23.(2). Additional information has College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw a. a notation of that fact, including the date of the referral, b. a summary of each specified allegation, c. the notice of hearing, d. any hearing dates, if the date has been set, e. the status of the hearing, including the date of commencement, continuation or adjournment, f. if the hearing has been adjourned and no future date has been set, the fact of the adjournment, and g. if the hearing of evidence and arguments is completed and the parties are awaiting a decision of the Discipline Committee, a statement of that fact; (xxiv) if a finding of professional misconduct or incompetence has been made, a. the date of the finding, and b. a summary of the facts on which the finding was based; (xxv) where the College is aware that a finding of professional misconduct or incompetence or similar finding has been made against the Registrant by a body that governs a profession, inside or outside of Ontario, and that finding has not been reversed on appeal, a. a notation of the finding, Page 11 of 25 Closing Date: August 8, 2015 Current Bylaw date of the referral, b. a summary of each specified allegation, and c. any hearing dates, including dates for the continuation of the hearing; New Original Bylaw # 21.07 (xiv) (xiv) where the College is aware that a finding of professional misconduct or incompetence or similar finding has been made against the Registrant by a body that governs a profession, inside or outside of Ontario, and that finding has not been reversed on appeal, a. a notation of the finding, Change date of the referral, b. a summary of each specified allegation, and c. the notice of hearing, d. any hearing dates, including dates for the continuation of the hearing if the date has been set, e. the status of the hearing, including the date of commencement, continuation or adjournment, f. if the hearing has been adjourned and no future date has been set, the fact of the adjournment, and g. if the hearing of evidence and arguments is completed and the parties are awaiting a decision of the Discipline Committee, a statement of that fact; ADDED: (xxiv) if a finding of professional misconduct or incompetence has been made, a. the date of the finding, and b. a summary of the facts on which the finding was based; REMOVE: “brief” Rationale been required to increase transparency to the public. Meets increased transparency requirement. This allows the College to provide documentation for adequate public knowledge and transparency. College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw b. the name of the governing body that made the finding, c. a summary of the facts on which the finding was based, d. the penalty and any other orders made relative to the finding, e. the date the finding was made, and f. information regarding any appeals of the finding; (xxvi) where the College is aware that a finding of incapacity or similar finding has been made against the Registrant by a body that governs a profession, inside or outside of Ontario, and that finding has not been reversed on appeal, a. a notation of the finding, b. the name of the governing body that made the finding, c. the date the finding was made, d. a summary of any order made, and e. information regarding any appeals of the finding, unless the body that governs a profession making the finding has not made the finding public; (xxvii) where a decision of the Discipline Committee has been published by the College with the Registrant’s name or former name including, a. a notation of that fact, and b. identification of the specific publication of the College which Page 12 of 25 Closing Date: August 8, 2015 Current Bylaw b. the name of the governing body that made the finding, c. a brief summary of the facts on which the finding was based, d. the penalty and any other orders made relative to the finding, e. the date the finding was made, and f. information regarding any appeals of the finding; Change Original Bylaw # 21.07 (xv) No change (xv) where the College is aware that a finding of incapacity or similar finding has been made against the Registrant by a body that governs a profession, inside or outside of Ontario, and that finding has not been reversed on appeal, a. a notation of the finding, b. the name of the governing body that made the finding, c. the date the finding was made, d. a summary of any order made, and e. information regarding any appeals of the finding, unless the body that governs a profession making the finding has not made the finding public; Original Bylaw # 21.07 (xvi) No change (xvi) where a decision of the Discipline Committee has been published by the College with the Registrant’s name or former name including, a. a notation of that fact, and b. identification of the specific Rationale College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw contains the information; DELETED (xxviii) if an application to the Discipline Committee for reinstatement has been scheduled, a. the dates on which the application is scheduled to be heard, b. if the hearing has been adjourned and no future date has been set, the fact of that adjournment, c. if the decision is under reserve, that fact, and d. if an application to the discipline committee for reinstatement has been decided, the decision of the discipline committee; Page 13 of 25 Closing Date: August 8, 2015 Current Bylaw publication of the College which contains the information; Original Bylaw # 21.07 (xvii) (xvii) where, during or as a result of a proceeding under section 25 of the Code a Registrant has resigned, a notation of that fact; New (xxix) where a Registrant agreed to New resign to avoid a proceeding before the Discipline or Fitness to Practise Committee or resigned while a discipline or fitness to practise proceeding was outstanding, a notation of that fact; (xxx) any of the information in respect of a former Registrant that was on the register just before the registration terminated, for a period of at least two years after the termination of Original Bylaw # 21.07 (xix) (xix) any of the information in respect of a former Registrant that was on the register just before the registration terminated, for a period of at least two Change Rationale DELETED This bylaw has been replaced and expanded with bylaw 21.07(xxix). ADDED: (xxviii) if an application to the Discipline Committee for reinstatement has been scheduled, a. the dates on which the application is scheduled to be heard, b. if the hearing has been adjourned and no future date has been set, the fact of that adjournment, c. if the decision is under reserve, that fact, and d. If an application to the discipline committee for reinstatement has been decided, the decision of the discipline committee; ADDED: (xxix) where a Registrant agreed to resign to avoid a proceeding before the Discipline or Fitness to Practise Committee or resigned while a discipline or fitness to practise proceeding was outstanding, a notation of that fact; No change Meets increased transparency requirement. Meets increased transparency requirement. College of Homeopaths of Ontario Formal Consultation Package Page 14 of 25 Closing Date: August 8, 2015 Proposed Bylaw registration, except for any information related to discipline proceedings in Ontario, in which case it shall be entered on the register for a period of fifty years after the termination of membership; Change Rationale ADD: “the date of which the certificate of authorization was issued, and any revisions to the certificate of authorization;” Meets increased transparency requirement. ADDED: (xxxii) where a certificate of authorization is revoked, suspended, cancelled or otherwise terminated, a notation of the effective date of every revocation, suspension, cancellation or other termination; ADDED: (xxxiii) a summary of any findings against a Registrant of which the College is aware in respect of a federal or provincial offence that the Registrar believes is relevant to the Registrant’s suitability to practise; ADDED: (xxxiv) a summary of any currently existing charges against a Registrant of which the College is aware in respect of a federal or This provision is from the Health Professions Procedural Code, Schedule 2, Regulated Health Professions Act, 1991 under section 23.(2). Current Bylaw years after the termination of registration, except for any information related to discipline proceedings in Ontario, in which case it shall be entered on the register for a period of fifty years after the termination of membership; (xxxi) in addition to the name of every Original Bylaw # 21.07 (xviii) health profession corporation of which (xviii) in addition to the name of every the Registrant is a shareholder, the health profession corporation of which business address, business telephone the Registrant is a shareholder, the number, business email address, if business address, business telephone there is one, any operating names of the number, business email address, if health profession corporation, the date there is one, and any operating names of which the certificate of of the health profession corporation; authorization was issued, and any revisions to the certificate of authorization; (xxxii) where a certificate of New authorization is revoked, suspended, cancelled or otherwise terminated, a notation of the effective date of every revocation, suspension, cancellation or other termination; (xxxiii) a summary of any findings New against a Registrant of which the College is aware in respect of a federal or provincial offence that the Registrar believes is relevant to the Registrant’s suitability to practise; (xxxiv) a summary of any currently existing charges against a Registrant of which the College is aware in respect of a federal or provincial offence that the New Meets increased transparency requirement. Meets increased transparency requirement. College of Homeopaths of Ontario Formal Consultation Package Page 15 of 25 Closing Date: August 8, 2015 Proposed Bylaw Registrar believes is relevant to the Registrant’s suitability to practise; Current Bylaw (xxxv) a summary of any currently existing conditions, terms, orders, directions or agreements relating to the custody or release of the Registrant in provincial or federal offence processes or subsequent to a finding of guilt and pending appeal, of which the College is aware and that the Registrar believes is relevant to the Registrant’s suitability to practise; New (xxxvi) a summary of any existing restriction on the Registrant's right to practise that has been imposed by a court or other lawful authority, if the College is aware of the restriction, including the name of the court or other lawful authority that imposed the restriction and the date the restriction was imposed; and New (xxxvii) information that is required to be kept in the register in accordance with the bylaws. New 21.08 – Information to be Withheld from Public All of the information referred to section 23 of the Code or as information recorded in the register in these bylaws is information designated to be withheld Original Bylaw # 21.08 All of the information referred to section 23 of the Code or as information recorded in the register in these bylaws is information designated to be withheld Change provincial offence that the Registrar believes is relevant to the Registrant’s suitability to practise; ADDED: (xxxv) a summary of any currently existing conditions, terms, orders, directions or agreements relating to the custody or release of the Registrant in provincial or federal offence processes or subsequent to a finding of guilt and pending appeal, of which the College is aware and that the Registrar believes is relevant to the Registrant’s suitability to practise; ADDED: (xxxvi) a summary of any existing restriction on the Registrant's right to practise that has been imposed by a court or other lawful authority, if the College is aware of the restriction, including the name of the court or other lawful authority that imposed the restriction and the date the restriction was imposed. ADDED: (xxxvii) information that is required to be kept in the register in accordance with the bylaws. No change Rationale Meets increased transparency requirement. Meets increased transparency requirement. This provision is from the Health Professions Procedural Code, Schedule 2, Regulated Health Professions Act, under section 23.(2). College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw from the public pursuant to subsection 23(6) of the Code such that the Registrar may refuse to disclose to an individual or post on the College’s website any or all of that information if the Registrar has reasonable grounds to believe that disclosure of that information may jeopardize the safety of an individual. 21.09 – Providing Requested Information to the College If requested, the Registrant shall immediately provide the College with the following information, in the form requested by the College: (i) information required to be maintained in the register in accordance with subsection 23(2) of the Code and these bylaws; (ii) the address and telephone number of the Registrant’s primary residence in Ontario and, if the Registrant does not reside in Ontario, the address and telephone number of the Registrant’s primary residence; (iii) the Registrant’s business email addresses and the Registrant’s preferred email address for communications with the College; (iv) the Registrant’s professional activities including the Registrant’s Page 16 of 25 Closing Date: August 8, 2015 Current Bylaw from the public pursuant to subsection 23(6) of the Code such that the Registrar may refuse to disclose to an individual or post on the College’s website any or all of that information if the Registrar has reasonable grounds to believe that disclosure of that information may jeopardize the safety of an individual. 21.09 – Providing Information to the College If requested, the Registrant shall immediately provide the College with the following information, in the form requested by the College: Original Bylaw # 21.09 (i) (i) information required to be maintained in the register in accordance with subsection 23(2) of the Code and these bylaws; Original Bylaw # 21.09 (ii) (ii) the address and telephone number of the Registrant’s primary residence in Ontario and, if the Registrant does not reside in Ontario, the address and telephone number of the Registrant’s primary residence; Original Bylaw # 21.09 (iii) (iii) the Registrant’s email addresses; Change Rationale ADD the word “Requested” to the title. Improves clarity of Bylaw. Original Bylaw # 21.09 (iv) (iv) the Registrant’s professional activities including the Registrant’s Change term from “clients” to “patients.” Make consistent with standard language used by the College. No change No change Reduce to one business email address. ADD “the Registrant’s preferred email address for communications with the College” Increased clarification on the meaning of the Bylaw and the expectation of the College. College of Homeopaths of Ontario Formal Consultation Package Page 17 of 25 Closing Date: August 8, 2015 Proposed Bylaw areas of practice and categories of patients seen; Change Current Bylaw areas of practice and categories of clients seen; Original Bylaw # 21.09 (v) (v) information regarding the (v) information regarding the Registrant’s employment including: Registrant’s employment including: a. the Registrant’s title and position, a. the Registrant’s title and position, and and b. a description of the Registrant’s b. a description of the Registrant’s role, role, duties, and responsibilities; duties, and responsibilities; Original Bylaw # 21.09 (vi) (vi) information about the Registrant’s (vi) information about the Registrant’s registration with any other body that registration with any other body that governs a profession, whether inside or governs a profession, whether inside or outside of Ontario, including the name outside of Ontario, including the name of the governing body, the Registrant’s of the governing body, the Registrant’s registration or licence number and the registration or licence number and the date the Registrant first became date the Registrant first became registered; registered; Original Bylaw # 21.09 (vii) (vii) information about the Registrant’s (vii) information about the Registrant’s participation in the quality assurance participation in the quality assurance program; program; Original Bylaw # 21.09 (viii) (viii) information about the educational (viii) information about the educational institution where the Registrant obtained institution where the Registrant obtained any certificates, diplomas or degrees in any certificates, diplomas or degrees in homeopathy, the type of certificates, homeopathy, the type of certificates, diplomas or degrees obtained and the diplomas or degrees obtained and the date each was issued; and date each was issued; and Original Bylaw # 21.09 (ix) (ix) information for the purpose of (ix) information for the purpose of compiling statistical data. compiling statistical data. 21.10 – Notification of Changes College 21.10 – Notification of College The Registrant shall notify the College, The Registrant shall notify the College, Rationale No change No change No change No change No change REPLACE word “College’ with “Changes” to title Adds clarification to Bylaw. College of Homeopaths of Ontario Formal Consultation Package Proposed Bylaw in writing, of any changes to the following information within 30 days of the effective date of the change: (i) the Registrant’s name, (ii) the address and telephone number of the Registrant’s primary residence in Ontario and, if the Registrant does not reside in Ontario, the address and telephone number of the Registrant’s primary residence, (iii) the Registrant’s business address or business telephone number, (iv) the name, address or telephone number of any business or entity that employs the Registrant as a practitioner of homeopathy, and, if the Registrant is self-employed as a practitioner of homeopathy, any changes to the address or telephone number of the location where the Registrant practises other than addresses of individual patients, and (v) the Registrant’s business email address and the Registrant’s preferred e-mail address for communications with the College. 21.11 – Immediate Notification to College Page 18 of 25 Closing Date: August 8, 2015 Current Bylaw in writing, of any changes to the following information within 30 days of the effective date of the change: Original Bylaw # 21.10 (i) (i) the Registrant’s name, Original Bylaw # 21.09 (ii) (ii) the address and telephone number of the Registrant’s primary residence in Ontario and, if the Registrant does not reside in Ontario, the address and telephone number of the Registrant’s primary residence, Original Bylaw # 21.09 (iii) (iii) the Registrant’s business address or business telephone number, Original Bylaw # 21.09 (iv) (iv) the name, address or telephone number of any business or entity that employs the Registrant as a practitioner of homeopathy, and, if the Registrant is self-employed as a practitioner of homeopathy, any changes to the address or telephone number of the location where the Registrant practises other than addresses of individual clients, and Original Bylaw # 21.09 (v) (v) the Registrant’s email address. New Change Rationale No change No change No change Change term from “clients” to “patients.” Make consistent with standard language used by College. (v) the Registrant’s business email address and the Registrant’s preferred email address for communications with the College. ADDED new bylaw: 21.11 – Immediate Notification to College Change to clarify requirement of Registrant’s business email address or preferred email address for communication with the College. Provides clarification of new requirement for immediate notification to College. College of Homeopaths of Ontario Formal Consultation Package Page 19 of 25 Closing Date: August 8, 2015 Proposed Bylaw Current Bylaw A Registrant shall immediately notify the New College in writing or electronically of any currently existing conditions of release (not including any information subject to a publication ban) following a charge for a federal or provincial offence or subsequent to a finding of guilt and pending appeal and any variations to those conditions. Change ADD: A Registrant shall immediately notify the College in writing or electronically of any currently existing conditions of release (not including any information subject to a publication ban) following a charge for a federal or provincial offence or subsequent to a finding of guilt and pending appeal and any variations to those conditions. Rationale Increased transparency requirement. The onus is on the Registrant to notify the College of any bail conditions and any changes to bail conditions. It will be up to the College to decide whether those conditions are relevant to the Registrant’s practice. College of Homeopaths of Ontario 163 Queen Street East, 4th Floor, Toronto, Ontario, M5A 1S1 TEL 416-862-4780 OR 1-844-862-4780 FAX 416-874-4077 www.collegeofhomeopaths.on.ca Part C Consultation on Proposed Spousal Exception Regulation On November 6, 2013, Bill 70, Regulated Health Professions Amendment Act (Spousal Exception), 2013 – An Act to amend the Regulated Health Professions Act, 1991, (“RHPA”) received Royal Assent and became law. This amendment was a private member’s bill. Though not mandatory, it provides each regulatory College with the authority to create a regulation that permits members to treat spouses, exempting such treatment from the sexual abuse provision of the RHPA. The amendment leaves it up to individual Colleges to decide whether they wish to apply to the Government to allow a registrant to treat his or her spouse. Currently, subsection 1 (3) of the Health Professions Procedural Code1, which is Schedule 2 to the Regulated Health Professions Act, 1991, (RHPA) sets out a definition of “sexual abuse” that includes certain conduct, behaviour and remarks between a patient and a member of a regulated health profession. A new subsection [1(5)] of the Code provides for an exception where the patient is the member’s spouse and the conduct, behaviour or remark does not occur while the member is engaged in the practice of the profession. The exception is available to a member of a particular health profession only if the member’s College makes a regulation that adopts the exception. The Council of the College of Homeopaths of Ontario approved the circulation of the proposed Spousal Exception Regulation. Following public consultation, the proposed regulation will be submitted to the Government of Ontario for their consideration and approval. Currently, a CHO registrant is not permitted to treat his or her spouse and is in breach of the RHPA’s sexual abuse provisions if they do so. If approved by the Government of Ontario, the proposed regulation would create an exception and would allow registrants to treat their spouses. In the meantime, guidance on sexual abuse and appropriate boundaries has been provided to registrants under CHO Professional Practice Standard #16 – Therapeutic Relationships and Professional Boundaries. Proposed Spousal Exception Regulation under the Homeopathy Act, 2007 “Conduct, behaviours or remarks that would otherwise constitute sexual abuse of a patient by a member under the definition of “sexual abuse” in subsection 1(3) of the Health Professional Procedural Code of the Regulated Health Professions Act, 1991, shall not constitute sexual abuse, if a) The patient is the member’s spouse; and b) The member is not engaged in the practice of the profession at the time the conduct, behaviour or remarks occur.” RHPA, 1991 – Interpretations subsection 1(3) of the Health Professions Procedural Code (Schedule 2), Sexual abuse of a patient (3) In this Code, “sexual abuse” of a patient by a member means, (a) sexual intercourse or other forms of physical sexual relations between the member and the patient, (b) touching, of a sexual nature, of the patient by the member, or (c) behaviour or remarks of a sexual nature by the member towards the patient. 1993, c. 37, s. 4. Exception (4) For the purposes of subsection (3), “sexual nature” does not include touching, behaviour or remarks of a clinical nature appropriate to the service provided. 1993, c. 37, s. 4. Exception, spouses (5) If the Council has made a regulation under clause 95 (1) (0.a), conduct, behaviour or remarks that would otherwise constitute sexual abuse of a patient by a member under the definition of “sexual abuse” in subsection (3) do not constitute sexual abuse if, (a) the patient is the member’s spouse; and (b) the member is not engaged in the practice of the profession at the time the conduct, behaviour or remark occurs. 2013, c. 9, s. 1 (1). 1 College of Homeopaths of Ontario Personal Contact Form Consultation Please return by August 8, 2015 163 Queen Street East, 4th Floor, Toronto, Ontario, M5A 1S1 TEL 416-862-4780 OR 1-844-862-4780 FAX 416-874-4077 www.collegeofhomeopaths.on.ca How to Provide Feedback The formal consultation process allows individuals to provide written comments on the proposed changes in general and to express opinions and/or concerns on any specific point raised in this package. When preparing your feedback, please be sure to indicate clearly the items on which you are commenting. . Submit feedback no later than 11:59 pm August 8, 2015 using ONE of the following methods: On-line survey (preferred): Check www.collegeofhomeopaths.on.ca for a link to the survey. Mail: Feedback, College of Homeopaths of Ontario 163 Queen Street East, Toronto, ON M5A 1S1 Fax: (416) 874-4077 Email: [email protected] (Word document) If submitting by mail or fax, please submit a copy of the Personal Contact Form with your feedback. The CHO extends its sincere thanks for taking the time to provide your feedback. Your participation promotes the continued quality of homeopathy care and public protection in Ontario. All written comments and feedback will be carefully considered by the College and its committees. Please complete both pages of this form and return them with your submission. The contact information below is collected for statistical purposes and to allow us to contact you in the future with your permission. You may decide to comment on all or selected sections of the proposed changes. Contact Information Full Name _______________________________________________________________________________ E-mail _______________________________________________________________________________ Phone ___________________________ Address _____________ __________________________________________________________________ City ___________________________ Province I am a: □ □ Member of the public Registrant Potential Registrant □ □ Alternative Phone ___________________________ _____ Postal Code Other health-care professional □ □ ______________ Student Other Explain: _____________ Guidelines for Posting Feedback To encourage transparency and open dialogue, feedback from individuals and organizations will be posted on the CHO website at the discretion of the College and according to the following guidelines: 1. The feedback form is complete, signed and returned to the College by e-mail, mail or fax, or submitted via the on-line survey with consent indicated. 2. Comments are related to the matter under consultation. 3. The response does not include abusive, derogatory, threatening or harassing comments about individuals or organizations. 4. Names of organizations submitting feedback will be posted; however, names of individuals will not. Submissions from individuals will be assigned a numerical code. 5. All feedback will be carefully considered by the College and its committees. CHO Consent for Posting of Written Submissions I understand that written submissions may be posted on the website of the College of Homeopaths of Ontario. (Note: For your submission to be posted on the site, you must indicate your consent below.) I understand that identifying information will be removed from submissions made by individuals. I understand that the names of organizations will be posted publicly. Contact information will not be posted. I understand that the College will review submissions and, at its discretion, may choose not to post submissions. □ □ □ I consent to having my submission posted publicly. On behalf of the organization listed below, I consent to having our group’s submission posted publicly. I do not wish to receive further information or updates from the College of Homeopaths of Ontario. Name ________________________________________ Date _________________________________ Organization, School or Association Submission □ I have authority to provide feedback on behalf of the school, organization or association below. Organization/Association/School ____________________________________________________________ Your position ___________________________________________ Number of people represented ______ E-mail _____________________________________________________________________________________ Address ____________________________________________________________________________________ City ____________________________ Province __________ Name ________________________________________ Date Postal Code ____________________ _________________________________ Please be sure to indicate the item(s) on which you are providing comments, and to include a copy of this contact form each time you make a submission. Thank you for your contribution to the work of the College of Homeopaths of Ontario. Comments Name:____________________ Comments on Part A proposed change to Bylaw 10.02 Election Date: ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Comments on proposed changes to Bylaw 21 Public Register (Please use separate sheet as required): ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Comments Name:_______________________ Do you support the proposed spousal exception regulation? ___ Yes ___ No ___ Unsure Comments on proposed new regulation Treatment of Spouse: 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