Member input on future Ministry contract – Oct. 17 discussion document

Key themes that have emerged so far in AFHTO consultation with members – team culture, the relationship between physicians and the FHT, and how that relationship is influenced by the Ministry-FHT contract, Ministry-FHO contracts, and the formal or “unwritten” contract between FHT and FHO. This discussion document summarizes the background and issues in these and other topics arising from Ministry-FHT contracts. With indications that primary care contracts for FHTs, NPLCs, CHCs and AHACs will likely become standardized over the next few years, the content of the next FHT contract is important for all. AFHTO’s consultation process so far has involved the AFHTO board, Physician Leadership Council and Executive Director Advisory Council. Next step is discussion in the annual AFHTO Leadership Session, Monday, October 17, 10 AM – 12 noon, Westin Harbour Castle, Toronto. There are 175 leaders from AFHTO member FHTs and NPLCs registered so far, and room for up to 50 more. There is no charge to attend this session, but you MUST BE REGISTERED – click here to do so. FHT and NPLC board members are particularly encouraged to register to ensure the governance perspective is heard.

Key topics that have emerged so far from these consultations:

  • One standard Ministry-FHT contract, regardless of board makeup
  • Defining the “team” and fostering “teamwork”
  • Defining the “population” for which governors are accountable
  • Defining minimum standards of governance and addressing conflict of interest
  • Accountability and dispute resolution

These are complex topics. Hopefully you will find this discussion guide a helpful digest to inform and guide you and the leaders of your FHT or NPLC through these issues.

After the Oct. 17 Leadership Session:

AFHTO staff will compile the results into a meeting report to share with members and the AFHTO board.  AFHTO will continue to inform and consult with members to develop positions as issues emerge. These results will form the basis for what AFHTO will advocate for the next FHT contract template. Click here to access the discussion document.

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