DECEMBER 1, 2020 - MARCH 31, 2021 - College of Paramedics of Manitoba - College of ...
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
College of Paramedics of Manitoba Protecting public interest through regulatory excellence in paramedicine DECEMBER 1, 2020 - MARCH 31, 2021
TABLE OF CONTENTS 04 About Us 04 Vision, Mission, Values R E P OR T ON G OV E R NA NCE 05 Message from the Transitional Council Chair 06 Report from Governance Committee 07 Report from Finance, Audit, Risk Committee 08 Transitional Council Members R E P OR T ON OP E R A T I ONS 09 Message from the Executive Director/Registrar 10 College Staff 11 Registration 11 Program of Continuing Competency 13 Quality Practice 14 Education Program Approval and Examination 15 Professional Conduct 16 Committees F I NA NCI A L S T A T E M E NT S 17 Link to Financial Statements The College of Paramedics of Manitoba is the regulatory body established by the Government of Manitoba on June 1, 2018. The purpose of the College is to serve and protect the public interest by fulfilling the legislated mandate and the authority granted to the organization, as part of the Regulated Health Professions Act. CPMB CPMBANNUAL ANNUALREPORT REPORT2020-21 2020-21|| 3
ABOUT THE COLLEGE VISION | MISSION | VALUES M E S S AG E F ROM T H E OF PARAMEDICS OF Vision, mission, and values are key foundational TRANSITIONAL COUNCIL CHAIR MANITOBA elements of all organizations. The College’s philosophies and strategic priorities are shaped In June 2018, the Tom, Jean and I, along with Trish, worked together The College of Paramedics of Manitoba is the by the vision, mission, and values. Transitional Council as the Executive Committee. regulatory body established by the Government was appointed by of Manitoba on June 1, 2018. The purpose of the As a newly formed College, the College staff Government, the Transitional Council and College the Government of College is to serve and protect the public interest and Transitional Council members have built a staff worked together towards the December 1, Manitoba, and I was by fulfilling the legislated mandate and the collaborative relationship that supports the 2020 enactment of the General Regulations of named the chair. The authority granted to the organization, as part of college vision, mission and values. the College of Paramedics of Manitoba. At this Transitional Council the Regulated Health Professions Act. time, the College officially became operational as Vision: Demonstrate our values and mission was comprised of five the self-regulating body for paramedicine in the The College became fully operational on to the public through exemplary and public members and province December 1, 2020 following changes to innovative regulatory practice. 10 paramedic members. regulations. Specifically, that involved As a new college, we were able to learn from Mission: To protect the public interest by I would like to recognize Reg Toews for his amendments to the Practice of Paramedicine the experience of other regulatory bodies and regulating the practice of paramedicine excellent early contributions. Reg was the Regulation, the Regulated Health Professions incorporate best practices. We are proud to in Manitoba in accordance with the consultant hired by the Government of Manitoba General Regulation, and enactment of the College have participated in the College’s evolution from Regulated Health Professions Act and to initiate the foundational elements needed to of Paramedics of Manitoba General Regulation a representative body focused on members’ the College of Paramedics of Manitoba appoint the Transitional Council and to initiate under the Regulated Health Professions Act. interests to a regulatory body with a primary goal General Regulation. the processes to have the College recognized as a to protect the interests of the public. The College of Paramedics of Manitoba protects formal entity. Values: Leadership (excellence, innovation and public interest by setting the requirements I would like to pay tribute to the hard work and embracing improvement), collaboration, The Transitional Council was fortunate to have for registration/practice/renewal; by setting many contributions of the Transitional Council, our accountability & transparency, and members of various backgrounds, all of whom the Standards of Practice and Code of Ethics Executive Director and the staff of the College. integrity (honesty, respect, diversity). contributed their talents and expertise. All Council for Paramedics; by setting the standards by members brought their professional and broad We look forward to the continuing evolution of which paramedics must demonstrate clinical Our regulatory objectives, in our mandate to talents to serve on various committees. the College of Paramedics of Manitoba to serve competency; by administering professional regulate the profession of paramedicine in the Manitobans. conduct concerns through the receipt of Province of Manitoba, are: Tom Wallace was named Chair-Elect and Chair of complaints, investigating complaints and Governance Committee, which led the Council’s Dr. John Wade • Use right touch regulation in all of our work: work to rendering appropriate decisions to protect visionary work. Jean Cox chaired the Finance Audit Transitional Council Chair be a pro-active regulator; use proportionate decision the public, including those of discipline; and by and Risk Committee and provided superb financial making; be principled and consistent. setting the standards for education and training leadership. of paramedics in the Province of Manitoba. • Be risk focused: use environmental scans to stay current in regulation; be nimble and adaptable as Our first task as a Council was to recruit an The College works cooperatively with other a regulator. Executive Director/Registrar. After a broad search, Manitoba health care regulators, paramedic we were able to hire Trish Bergal. Trish has proved • Be outcomes focused: in order to demonstrate employers, unions, and professional associations. to be an outstanding leader who has guided us our value to the public we need to know that as a Pan Canadian standards for regulation of through transition. regulatory college we make a difference! We will paramedics are established through our practice outcome focused regulation by defining participation as a member of the Canadian our intended impacts, identifying our results, and Organization of Paramedic Regulators (COPR). analyzing and adapting our processes as needed. 4 | CPMB ANNUAL REPORT 2020-21 CPMB ANNUAL REPORT 2020-21 | 5
R E PO RT F ROM R E P OR T F ROM GOVERNANCE COMMITTEE FINANCE, AUDIT, RISK COMMITTEE Submitted by Tom Wallace, Transitional Council This form of governance assists Council to place Submitted by Jean Cox, Transitional Council Treasurer/Chair, The Committee has worked diligently to fulfill the Chair-Elect/Chair, Governance Committee Finance Audit and Risk Committee emphasis on: responsibilities set out for FAR in the Terms of In October 2018, I was appointed Chair-Elect of The Finance, Audit and Risk (FAR) Committee Reference. The following are the more significant An outward vision rather than internal accomplishments of FAR to date: the College of Paramedics of Manitoba Transitional assists Council to fulfill its fiduciary responsibilities preoccupation Council and Chair of the College of Paramedics for financial reporting, setting of internal controls, • FAR worked with the Executive Director of Manitoba Governance Committee. The time Encouragement of diversity of viewpoints and recommends the appointment of an external to develop a multi-year operating budget. since then has been a real period of learning auditor to assess the financial condition of the Committee members supported the Executive Strategic leadership vs. administrative detail and professional development for me and the organization on an annual basis. Director in the establishment of budget Committee. Clear distinction of Council and Executive These functions ensure the organization operates assumptions including projections for the Director (staff) roles The Governance Committee is one of several in a financially prudent manner with appropriate number of registrants. FAR sought and Collective decisions (one voice) received approval of the Transitional Council committees of Council. The Governance controls, checks and balances to mitigate financial Committee ensures effective Council governance Future focused vs. past or present risks. for the multi-year operating budget, including by advising the Council on matters related to the (within reason) the fee schedule. Council’s governance structure and processes, The FAR Committee is chaired by the Treasurer. • FAR members assisted the Governance Proactive vs. reactive decision making evaluation of Council effectiveness, and includes When the Committee was first established in Committee in drafting governance policies recruitment, education, and evaluation of Council Structure and consistency in governance is guided 2018, Brenna Eastman served as Treasurer. that related to financial matters, including: members. by governance policy development, executive In September 2019, Jean Cox was appointed Budgeting, Financial Reporting and Monitoring director expectation policy development, and Treasurer, serving alongside Council members Policy; Investment and Reserve Funds Policy; Like most aspects of the College, the work of the executive director council relationship policy Ryan Youngson, Sarah Peto, and David Dreidger, Vendor Relations and Procurement Policy; Governance Committee is heavily informed by the development. and non-Council members Vern Tessier, Julia Insurance and Asset Protection Policy; and Regulated Health Professions Act (RHPA), which all Peemoeller, Matt Maruca, and Pamela Grift Signing Authority Policy. These policies were registrants should become familiar with. The Governance Committee, to date, has written (resigned 2020). ultimately presented to Transitional Council for and obtained Transitional Council approval for The College has adopted the Richard Chait, Policy approval. 23 governance policies, 14 executive director as Leadership, governance framework which has expectation policies, and two Council-Executive • FAR reviewed and presented to Transitional three primary areas of focus: policies. Council quarterly the Financial Monitoring Reports prepared by the Executive Director. 1. Generative thinking - envisioning the future The Governance Committee has also established • FAR conducted a Request for Proposal for 2. Strategic thinking - moving toward the future review cycles for the Committee to revisit and audit services for the College, received and 3. Fiduciary duties - stewarding resources update all governance policies. Monitoring, evaluated the proposals, and recommended assigned to advance the organization toward learning and continuous improvement are the engagement of an audit firm to Transitional the future foundational to the work of the College in ensuring Council. “right-touch” regulation. While the College is a new regulatory body, we have learned a great deal from As Treasurer, I would like to express my thanks to other colleges such as the College of Physicians the members of the Committee, all of whom have and Surgeons, the College of Registered Nurses of been engaged and actively working to fulfill the Manitoba, as well as non-health professions such Terms of Reference for the Committee. as the Engineers and Geoscientists of Manitoba. The networking and relationships with these organizations have been invaluable in moving the College forward from drafting our initial bylaws to our first appointment of our new Council. 6 | CPMB ANNUAL REPORT 2020-21 CPMB ANNUAL REPORT 2020-21 | 7
2 0 18-2021 M E S S AG E F ROM T H E TRANSITIONAL COUNCIL MEMBERS EXECUTIVE DIRECTOR / REGISTRAR The following individuals were appointed by the Government of Manitoba to serve on the inaugural It is with great pleasure Transitional Council was fortunate to be guided Transitional Council of the College of Paramedics of Manitoba: and honour that we by the excellent chairmanship of Dr. John Wade. Paramedic Members Public Members present the first annual Dr. Wade’s extensive experience in the health care report of the College of sector in Manitoba along with a genuine interest Brenna Leah Dr. John Paramedics of Manitoba. in the profession of paramedicine guided our work, Eastman Braun Wade It is my hope that when day in and day out over the past three years. the public and members This annual report is our first opportunity to of the paramedic demonstrate to the citizens of Manitoba our profession review commitment to regulate to the highest possible this inaugural report, our work will stand out as standard. We are committed to ensure the relevant and ahead of its time. College’s values of leadership (excellence, Bryan Marilyn David The perseverance of paramedic leaders in innovation and embracing improvement), Jacobsen McNeil Driedger Manitoba, along with the support of the provincial collaboration, accountability and transparency, government, led to the establishment of the and integrity (honesty, respect, diversity) are Practice of Paramedic Regulation on June 1, 2018. reflected in the outcomes we generate in our On December 1, 2020 the College of Paramedics regulatory work. of Manitoba became operational as the self- We are excited to be part of a precipice of change regulatory College in Manitoba, with the in the profession of paramedicine in this province. Jean enactment of the College of Paramedics of Cam Ryan We are excited to work with the Government of Ritzer Youngson Cox Manitoba General Regulation. Manitoba and all the service delivery organizations Many long hours have been invested to ensure to support the provision of patient care in new that the College was established in accordance and innovative ways. We are excited to support with best practices in regulation and adopted paramedics as an important provider within an modern and nimble business practices. Due to inter-professional collaborative model of care. a strong partnership between the College staff Trish Bergal Christine Sarah Jeff and Transitional Council members, foundational Executive Director and Registrar Greer Peto McConnell Council and College policies have been developed. The General Regulations, Reserved Acts, Standards of Practice for Paramedic Profession and practice directions lay the groundwork for quality professional practice. Karen Tom Madeleine Martin Wallace Baril 8 | CPMB ANNUAL REPORT 2020-21 CPMB ANNUAL REPORT 2020-21 | 9
COLLEGE STAFF REGISTRATION PROGRAM OF CONTINUING COMPETENCY The first College registration period was completed A Council must establish, by regulation, a December 1, 2020 to January 31, 2021. Renewals continuing competency program to maintain the for the ‘21/’22 practice year were completed competence of the members and to enhance the between February 1, 2021 and March 15, 2021. practice of the regulated health profession. The College Program of Continuing Competency was The current number of paramedics registered with approved by Transitional Council in December Trish Bergal Christine Ewacha Leith Saunders Sharon Connors the College of Paramedics of Manitoba are: 2020. Registrants have been provided the new Executive Director/ Coordinator of Coordinator of Quality Executive Assistant Registrar Regulatory Practices and Standards program requirements. Normally, the continuing Registration Level Member Total competency requirements must be submitted with Trish joined the College of Chris joined the College of Leith Saunders joined the Sharon’s work experience Emergency Medical Responder the annual renewal, but this was not possible due Paramedics of Manitoba Paramedics of Manitoba College of Paramedics of includes administrative 330 (EMR) to the timing of the general regulation coming into (CPMB) on August 27, 2018. in March of 2019 in the Manitoba on June 1, 2020 roles at several large Trish is a registered nurse position of Coordinator as the Coordinator of organizations. Before joining force. As a result, registrants will submit the first Primary Care Paramedic (PCP) 1,631 who has worked in the health of Regulatory Practices. Quality and Standards. the College, Sharon spent components of the new program by June 30, 2021. care sector in Manitoba for Chris began her EMS the last three years as Advanced Care Paramedic (ACP) 274 Leith’s work experience The continuing competency requirements from 38 years. career in 1998 in rural includes 31 years in EMS Executive Assistant to the Critical Care Paramedic (CCP) 17 Manitoba Health Seniors and Active Living are Manitoba. While working environments in rural Chief Nursing Officer/Chief Trish practiced medical- as a rural paramedic, she Health Operations Officer compared to the new requiremens developed by surgical and intensive Manitoba. Leith has held Total 2,252 demonstrated leadership positions at both an EMR at the Winnipeg Regional the College. care nursing at the Health in her roles as an educator, Health Authority. Sciences Centre (HSC) and level (volunteer) with Of the 1,631 PCPs, 333 hold the notation of “charge medic”, committee This change in program content is described in the has held leadership positions member, and public Portage Ambulance Service PCP-Intermediate Care (PCP-IC). and PCP/ICP level with table on the next page. at HSC in Rheumatology/ presenter. Chris was one Orthopedic Surgery and Central Regional/Southern The College continues to work with our regulatory of the paramedics assigned Health-Santé Sud Regional Adult Emergency, and with to the pilot project of software vendor to further reconcile registrant Health Authority. Leith has the WRHA Emergency Southern Air Ambulance information and extract reports that provide Program team. Trish was also taught in the Red River Program (SAAP) and then College PCP Program since greater profiling of College registrants. also the Regional Director was employed as an 2009. Leith is a former board of Patient Access and Operations Supervisor New requirements for paramedics, under Transition with the WRHA member with the Paramedic for five years. Association of Manitoba and the Regulated Health Professions Act are: the for 16 years. Trish holds a has served on provincial and requirement to have their own certificate of Master of Nursing from the national paramedic exam professional liability insurance; to submit all University of Manitoba; a Fellowship from the EXTRA committees. information digitally; and to pay the required program from the Canadian In addition to paramedic registration fee. Health Services Research education and experience, Foundation, and holds the Leith has a Master of Divinity designation of Certified and is an Ordained Minister Health Care Executive from in the United Church of the Canadian College of Canada. Health Leaders. Trish served on Council of the College of Registered Nurses of Manitoba from 2013-2020, including fulfilling the roles of Chair-Elect and Council Chair. 10 | CPMB ANNUAL REPORT 2020-21 CPMB ANNUAL REPORT 2020-21 | 11
Then and Now QUALITY PRACTICE Manitoba Continued Competency Program for Paramedics (MCCPP) College of Paramedics of Manitoba Program for Continuing Competency (PCC) Manitoba Health Seniors and Active College of Paramedics of Manitoba As per The Regulated Health Professions Act Practice expectations support the Code of Ethics Living Process (MCCPP) Process (PCC) (RHPA), the Council is required to develop a and the Standards of Practice for Paramedic Cycle Based on a 3-year licensing cycle with Annual cycle (April - March) Code of Ethics and Standards of Practice for Profession by addressing examples of behaviors annual submissions Paramedic Profession. Both of these documents that may inadvertently put a paramedic at risk of Call volume/ Discontinued in 2017 No requirements at this time. are found on the College website under the violation. Practice expectations set the behavioral patient contact hours Professional Practice tab: https://collegeparamb. standard for those aspects and activities of ca/continuing-competency/code-of-ethics/ and paramedic practice that are not specifically Annual status Required annually; submitted 60 days Self-assessment document and two completed learning form prior to license renewal/issue date goals are required to be submitted at each annual https://collegeparamb.ca/continuing-competency/ defined within the RHPA or its associated renewal of registration. standards-of-practice-for-paramedic-profession/ regulations. Compliance with approved practice Application Submitted with Annual Status Form Renewal of registration is done annually following the expectations will provide guidance in areas to renew (Year 3) College fiscal year. At that time, fees, proof of personal Registrants have been made aware of these where professionalism may be inadvertently license Liability insurance, self-assessment and preliminary documents and are asked to read them as part of portion of two learning goals required to complete compromised. The first practice expectation their requirements as self-regulated professionals. registration and renew the Certificate of Practice. developed for registrants relates to appropriate Point system Optional Continuing Competency There are no points/credits designated for learning Practice directions set out requirements related use of social media. opportunities activities. PCC requirements between the sub-register to specific aspects of the RHPA, regulations and EMR – 40 credits | PCP – 60 credits practice levels. (EMR, PCP, ACP, CCP) are the same. More information can be found here: ACP – 75 credits paramedic practice. Practice directions also explain, add, or guide paramedics with respect Practice Expectations: https://collegeparamb.ca/ Mandatory Completed through employer or 1-2 mandatory learning opportunities/units annually as learning Paramedic Association of Manitoba (PAM). determined by the College. These opportunities/units to the subject matter described in the regulation continuing-competency/practiced-expectations/ modules The number was designated by MHSAL. will reflect emerging and important issues. Resources to or any other matter relevant to the practice of Proof of completion submitted with complete the opportunities/units will be identified by paramedicine. Council has approved the following Annual Status Form. the College. practice directions: Optional Accessed through employer or PAM. Resources for learning are not provided/determined by modules MHSAL pre-assigned credit value and the employer or PAM. There are no “optional” learning provided a list for each license level. goals. Learning goals are determined by each registrant Paramedic Scope of Practice as revealed with the completion of the self-assessment documentation tool. Two (2) goals are required to be Approved Circumstances for Setting a identified and completed annually. Dislocation of a Joint Pre-approved List provided with accompanying credit There are no “pre-approved” education sources or points ongoing value. A mechanism was in place to apply assigned for individual activities. It is incumbent on each Approved Circumstances for Point-of-Care education to have an Education Program recognized registrant to ensure resources accessed to enhance Ultrasound programs and assigned point value knowledge and practice are credible. The annual audit process will confirm credible learning. Additional Training for Reserved Acts Proof of Annual Status Form submitted Each registrant establishes their learning goals and completion/ objectives on the electronically imbedded forms in documentation the registrant portal. Registrants will need to produce Registrant and Employer Responsibilities a completed PCC at the time of annual renewal of membership. More information can be found here: Failure to Reminders of late submission and/ College of Paramedics of Manitoba General comply or suspension of license until MCCPP Regulations 6.6 Practice Directions: https://collegeparamb.ca/ completed and submitted satisfactorily. https://collegeparamb.ca/wp-content/uploads/2020/11/ Some registrants received suspension General-Regulation.pdf continuing-competency/practice-directions/ after extensive warnings Quality Registrant feedback opportunities are included with assurance documentation tools. Submissions will be reviewed during the PCC Committee annual audit process. 12 | CPMB ANNUAL REPORT 2020-21 CPMB ANNUAL REPORT 2020-21 | 13
EDUCATION PROGRAM APPROVAL PROFESSIONAL CONDUCT AND EXAMINATION The College Transitional Council granted approval COPR PCP/ACP Exam Statistics November 2020 The College is committed to approaching conduct issues from the regulatory framework of Right to the same education programs that has been Touch Regulation. The College will use conduct indicators to establish ourselves as a pro-active regulator. approved by Manitoba Health Seniors and Active We will use proportionate decision making in referrals to CIC and in our case management roles. Living. The programs approved for the period We will be principled and consistent in our processes. December 2020 to March 31, 2021 are: Twelve individuals (eight paramedics and four public members) were appointed to both the College PCP – 82 Complaints Investigation Committee and to the Inquiry Committee. Orientation was provided to each EMR: Manitoba Emergency Services College; Criticare; SMART ACP – 12 committee member. The Complaints Investigation Committee had its first meeting in January 2021. PCP: Red River College; Criticare; Manitoba Number of The College may receive complaints from the public, employers, or registrants. The College received Emergency Services College registrants: 94 12 complaints and 1 employer report between December 1, 2020 and March 31, 2021, as follows: ACP: Red River College; Winnipeg Fire Note: this sitting was particularly large as some Complaint Received From Nature of Complaint Status of Complaint Paramedic Service (WFPS) practicums were delayed in the spring of 2020 due to Covid-19. 1 Public Professionalism Resolved CCP: B.C. Emergency Health Services Critical Care Transport Program, (ii) STARS Induction Training, 2 Registrant Professional Conduct Under Investigation (iii) Ornge Critical Care Paramedic Program 3 Employer Professional Conduct Under Investigation COPR PCP/ACP Exam Statistics February 2021 4 Health Care Professional Professionalism Resolved The College has convened regular meetings with education providers in order to enhance 5 Registrant Professional Conduct Under Investigation collaboration and partnership related to education 6 Registrant Professional Conduct Under Investigation program approval. PCP – 42 7 Registrant Professional Conduct Under Investigation New paramedic graduates were required to write ACP – 6 8 Registrant Professional Conduct Under Investigation the entry to practice national exams in November 2020 and February 2021. Number of 9 Public Professional Practice Under Investigation The College of Paramedics of Manitoba is pleased registrants: 48 10 Registrant Professional Conduct Under Investigation to share with you that Kaden Arnason has been 11 Public Professional Practice Under Investigation recognized by the Canadian Organization of Paramedic Regulators for achieving the highest 12 Registrant Professional Conduct Under Investigation grade in Canada for the 2020 Primary Care 13 Public Professional Practice In Process Paramedic entry exam. Kaden graduated from the Criticare PCP program in December 2019, and now works with Shared Health Manitoba. 14 | CPMB ANNUAL REPORT 2020-21 CPMB ANNUAL REPORT 2020-21 | 15
COMMITTEES FINANCIAL STATEMENTS Committees of Council Statutory Committees Governance Committee Complaints Investigation Committee Click on the link for the financial statements: Chair: Tom Wallace Co-Chairs: Michelle Bessas (paramedic https://collegeparamb.ca/2021/05/cpmb-annual-general-meeting-june-29-2021-2/ Members: Karen Martin, Bryan Jacobsen; member) and Peter Hourihan Jeff McConnell and (public member) Madeleine Baril Paramedic Members: Eduard Friesen, Eric Glass, Erik McCall, Jason Little, Finance, Audit and Risk Committee Josh Frampton, Michelle Chair: Jean Cox Piwiniuk and Travis Mirus. Members: Ryan Youngson, Sarah Peto, Public Representatives: Kasia Kieloch, Lionel Boiteau David Driedger, Vern Tessier and Sarah Hill (non-Council paramedic member), Matt Maruca (public Inquiry Committee member) and Julia Peemoeller Chair: Christopher Cauthers (public member) (paramedic member) Paramedic Members: Annalynn Czarnecki, Appointments Committee Callum Melvin, Cory Parrott, Chair: Marilyn McNeil Donovan Fehr, Neil McDonald, Members: Cam Ritzer and Jeff McConnell Nicola Little and Travis Tannas Public Members: Dean Scaletta, Douglas Executive Director Performance Simpson, Kevin Toyne and Appraisal Committee Michael Foote Chair: Dr. John Wade College Operational Committees Members: Tom Wallace and Christine Greer Education Provider Working Group Chair: Leith Saunders Participants: Mike Mason (Criticare), Dave McMullen (SMART EMS), Dave Thiesen (Manitoba Emergency Services College), Lesley McGuirk (Red River College), Todd Reid (Winnipeg Fire Paramedic Service) and Ray Rempel (STARS) 16 | CPMB ANNUAL REPORT 2020-21 CPMB ANNUAL REPORT 2020-21 | 17
You can also read