The initial duration of the Framework Agreement with Doctors and ancillary contracts runs from 1 April 2006 to 31 March 2012. The Framework Agreement with Physicians replaces the second amended Framework Agreement, the Labour Agreement, the 2002 Memorandum of Understanding, the 2003 Memorandum of Understanding, the 2006 Letter of Understanding and the 1993 Contributory Occupational Retirement Savings Plan Agreement. The original framework agreement was a complex document between the BCMA and the provincial government, first concluded in 1993, that set out the parameters of the working relationship between physicians and government. It has put together essential elements to ensure a balance between the needs of physicians who provide care and services to the people of British Columbia and the government responsible for managing the conditions under which they purchase those services. The Framework Agreement with Physicians addresses the economic relationship and arrangements between the Government of British Columbia and physicians in British Columbia. The agreement is in effect until March 31, 2022. In British Columbia, physicians have a unique opportunity to participate in system transformation through Joint Collaborative Committees (JCCs) – a unique partnership in Canada between Doctors of BC and the Government of British Columbia. CCMs bring together physicians, governments, health authorities, patients and families, health professionals and other stakeholders to improve access to care by focusing on patients and families, building physician capacity, and coordinating system services. Under their framework agreement with physicians, physicians of British Columbia and the Government of British Columbia allocate funds to four committees, each with a specific purpose and mandate: The CMA was in effect until March 31, 2019. • Establish the government`s commitment to improving and maintaining public health, enacting health laws, and providing funding. • Recognizes that health authorities are responsible for regional planning, operations and resource allocation to serve residents. • Recognizes bcma`s objectives of maximizing physician job satisfaction and achieving equitable economic compensation.
• Includes a new framework for conflict resolution. • Recognizes and implements measures that support compliance by all parties with the terms of the agreement. In light of these principles, the framework agreement with physicians provides: • Compensation issues – including general increases, parameters for reopening the benefit, funding for new fees, and the amount available. • Disputes – Describes local and provincial disputes, dispute resolution teams and defines general principles of dispute resolution. • Information Technology – Office of eHealth and Information Technology Physicians. • Joint Committees • Medical Readiness Program – Payment of coverage, levels, regional distribution and challenges for this distribution. • Renegotiation of agreements. • Withdrawal of services. A number of related agreements may be of interest to you, including: The current agreement was ratified by members in the spring of 2019. The 3-year contract (from April 1, 2019 to March 31, 2022) includes new funding for the areas of intervention identified after extensive consultation. The new funding will be: Outreach networks engage family physicians and medical specialists, municipalities/departments and partners to jointly improve the coordination of care for priority population groups at the local and provincial levels. A maternity network was the first to be created in 2017 to improve interprofessional collaboration and maternity care delivery in British Columbia.
Since then, the network has expanded to 25 communities/departments and is becoming a community of practice. Other dissemination networks cover adult mental health and substance use, chronic pain, coordination of care for the elderly, and palliative care. For more information, visit sharedcarebc.ca/our-work/spread-networks. In rural British Columbia, where surgical care is provided by primary care physicians who have improved their surgical skills or solo general surgeons, the Rural Surgical and Obstetric Networks (NRN) initiative stabilizes, supports and enhances the delivery of surgical and obstetric care to the local population. The initiative is based on a five-pillar framework: reach and volume, remote presence technology, clinical coaching, continuous quality improvement and evaluation. NRNs leverage local, regional and provincial relationships to improve care provided by and between teams. Teams include members of interdisciplinary surgical and maternity teams supported by a local community coordinator and with support from the CBRC. These networks are supported in Creston, Fernie, Golden, Hazelton, Port Alberni, Revelstoke, Smithers and Vanderhoof and are being developed in Powell River and Sechelt. For more information, visit enews.rccbc.ca/tag/rson. • General Practice Agreement • Specialist Agreement • Rural Agreement • Alternative Payments Agreement • Benefits Agreement This article is the opinion of the Joint Collaboration Committees (JCC) and has not been reviewed by the BCMJ Drafting Committee. The Consensus Decision of the Allocation Committee (AC) documents the Board`s consensus decision to make adjustments to the salary agreement and the margins of the service contracts established under the Alternative Payments Subsidiary Agreement […].