Medical Imaging and Radiation Therapy Professionals Act and Regulations - PowerPoint PPT Presentation

Loading...

PPT – Medical Imaging and Radiation Therapy Professionals Act and Regulations PowerPoint presentation | free to download - id: 67af41-NzlhN



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Medical Imaging and Radiation Therapy Professionals Act and Regulations

Description:

Medical Imaging and Radiation Therapy Professionals Act and Regulations A presentation to the NSAMRT and NSSDMS Marjorie Hickey,QC marjorie.hickey_at_mcinnescooper.com – PowerPoint PPT presentation

Number of Views:124
Avg rating:3.0/5.0
Slides: 41
Provided by: nsamrtCaa
Learn more at: http://nsamrt.ca
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Medical Imaging and Radiation Therapy Professionals Act and Regulations


1
  • Medical Imaging and Radiation Therapy
    Professionals Act and Regulations
  • A presentation to the NSAMRT and NSSDMS
  • Marjorie Hickey,QC
  • marjorie.hickey_at_mcinnescooper.com
  • June 24, 2010

2
Purpose of Todays Meeting
  • Purpose is to approve in principle the Medical
    Imaging and Radiation Therapy Professionals Act
    and Regulations, and to authorize the Act and
    Regulations to be forwarded to external
    stakeholders for comment and to Government for
    introduction in the Fall sitting of the
    Legislature

3
Topics to be Covered
  • Structure of Act, Regulations and ByLaws
  • The Purpose of the College and Composition of
    Board
  • Framework that incorporates
  • Medical Imaging Technology and Radiation Therapy
  • Five Disciplines (MR Tech Nuclear Medicine Rad
    Tech Diagnostic Ultrasound and Radiation
    Therapy)
  • Scopes of Practice for 5 disciplines
  • Protection of Titles
  • Protection of Practice (including grandparenting
    provisions and exemptions)
  • Registration and Licensing
  • Complaints and Discipline
  • Professional Corporations
  • Where do we go from here?
  • Questions?

4
Proposed Structure for Governance
  • The Act
  • Creates College and provides that the Board is
    the governing entity
  • Sets out objects of College
  • Sets out principal activities of regulatory body
  • Regulations
  • Provides details of registration and complaints
    processes
  • Bylaws
  • Largely deal with internal operational matters
    such as nomination of members of the Board,
    holding of annual meetings, etc.
  • Policies
  • Provides guidelines to various individuals and
    committees exercising functions under the Act and
    Regulations

5
New Names
  • Nova Scotia Association of Medical Radiation
    Technologists changes to...
  • The Nova Scotia College of Medical Imaging and
    Radiation Therapy Professionals
  • Assets/liabilities of NSAMRT roll into new
    College
  • NSSDMS remains a separate Society, with the
    regulatory function for sonographers taken on by
    new College
  • Council changes to
  • Board
  • Radiation Therapy Technologist changes to
  • Radiation Therapist

6
New Names contd
  • Radiographic Technologist changes to
  • Radiological Technologist
  • Magnetic Resonance Technologist
  • A new discipline
  • Registered Ultrasound Professional
  • Someone who engages in the practice of diagnostic
    ultrasound technology (other titles relating to
    ultrasound are protected)

7
Purpose or Objects of New College
  • Current purpose of NSAMRT
  • Section 6
  • Increase the knowledge, ability and competence of
    its members
  • Improve the standards of the practice of medical
    radiation technology so as to ensure that the
    public at all times receives the services of
    proficient and competent medical radiation
    technologists of high ethical standards
  • Do such lawful things as are incidental to or
    conducive to the attainment of such objects.

8
Proposed New Objects
  • The proposed new objects are as follows
  • Section 4 In order to
  • serve and protect the public interest in the
    practice of the profession
  • preserve the integrity of the profession and
  • maintain public confidence in the ability of the
    profession to regulate itself,
  • the College shall

9
Proposed New Objects contd
  • the College shall
  • d) regulate the practice of medical imaging
    technology and radiation therapy
  • govern its members in accordance with this Act
    and the Regulations
  • establish, develop and promote standards of
    practice among its members
  • establish, develop and promote a Code of Ethics
    for its members
  • subject to Clauses (a) to (g), and in the public
    interest, advance and promote the practice of the
    profession and
  • do such other lawful acts and things as are
    incidental to the attainment of the purposes and
    objects set out in this section.

10
Composition of the Board
  • Proposed composition
  •  a) such number of members as set out in the
    by-laws
  •  b) no fewer than 33 1/3 of public
    representatives appointed by the Board who
  • are not members of the College, and
  • have shown an interest in serving on the Board.
  • Criteria for election or appointment of members
    shall be prescribed in the by-laws (not yet
    determined)

11
Two Key Umbrella Terms
  • Medical Imaging Technology
  • Radiation Therapy

12
Five Distinct Disciplines
  • Diagnostic Ultrasound Technology
  • Magnetic Resonance Technology
  • Nuclear Medicine Technology
  • Radiation Therapy
  • Radiological Technology

13
Scope of Practice
  • Scope of practice defines the parameters of the
    profession or discipline as a whole
  • Proposed scope sets out specific illustrations
    for each discipline and then provides general
    catch all to relate to the practices and
    procedures taught in applicable education
    programs.

14
Scope of Practice, cont'd
  • "practice of medical imaging technology" means
  • the application of professional medical imaging
    technology knowledge, skills and judgment in the
    use of ionizing and non-ionizing radiation,
    magnetic fields, high frequency sound waves and
    other energy forms, in the provision of
    diagnostic and therapeutic modalities, in
    collaboration with other health care
    professionals, to achieve optimal health,
    wellness and functional performance, and includes
    the practice of
  • (i) diagnostic ultrasound technology,
  • (ii) magnetic resonance technology,
  • (iii) nuclear medicine technology,
  • (iv) radiological technology, and
  • (v) the practice of any other medical imaging
    technology discipline set out in the regulations.
  • and includes research, education, consultation,
    management, administration, information
    technology, regulation, policy or system
    development relevant to the foregoing.

15
Scope of Practice, cont'd
  • diagnostic ultrasound technology" means those
    aspects of the practice of medical imaging
    technology that include
  • (i) the application of high frequency sound waves
    to perform procedures and produce high quality
    diagnostic images
  • (ii) the education, advocacy and application of
    ultrasound field safety and the protection of
    patients, health care professionals and the
    public
  • (iii) the assessment of patients before, during
    and after the application of ultrasound
  • (iv) the use of pharmaceuticals in the
    performance of diagnostic interventions to
    enhance images
  • (v) the application of knowledge, skills and
    judgment in the evaluation and interpretation of
    diagnostic images distinguishing artifact from
    pathological process and communication of results
    to the reporting physician and
  • (vi) such other practices and procedures within
    the scope of practice of diagnostic ultrasound
    technology as taught in an approved education
    program.

16
Scope of Practice, cont'd
  • "magnetic resonance technology" means those
    aspects of the practice of medical imaging
    technology that include 
  • (i) the use of magnetic fields to obtain pulse
    sequence data sets and produce high quality
    diagnostic images
  • (ii) the education, advocacy and application of
    magnetic field safety and the protection of
    patients, health care professionals and the
    public
  • (iii) the assessment of patients before, during
    and after the application of magnetic resonance
    imaging
  • (iv) the use of pharmaceuticals in the
    performance of diagnostic interventions to
    enhance magnetic resonance images
  • (v) the application of knowledge, skills and
    judgment in the evaluation and interpretation of
    diagnostic images and
  • (vi) such other practices and procedures within
    the scope of practice of magnetic resonance
    technology as taught in an approved education
    program.

17
Scope of Practice, cont'd
  • "nuclear medicine technology" means those aspects
    of the practice of medical imaging technology
    that include
  • (i) the use of radiopharmaceuticals to produce
    high quality images for diagnosis and the
    treatment of disease
  • (ii) the education, advocacy and application of
    radiation safety in the protection of patients,
    healthcare professionals and the public
  • (iii) the assessment of patients before, during
    and after the application of nuclear medicine
    imaging and therapy
  • (iv) the use of pharmaceuticals in the
    performance of diagnostic interventions to
    enhance images
  • (v) the application of knowledge, skills and
    judgment in the evaluation and interpretation of
    diagnostic images and
  • (vi) such other practices and procedures within
    the scope of practice of nuclear medicine
    technology as taught in an approved education
    program

18
Scope of Practice, cont'd
  • "radiation therapy" means the application of
    professional radiation therapy knowledge, skills
    and judgment in the use of ionizing radiation and
    other energy forms in the provision of therapy,
    in collaboration with healthcare professionals to
    achieve optimal health, wellness and functional
    performance, and includes
  • (i) the planning for and application of ionizing
    radiation to patients in accordance with a
    prescription and instructions from a radiation
    oncologist
  • (ii) the education, advocacy and application of
    radiation safety in the protection of patients,
    healthcare professionals and the public
  • (iii) the assessment of patients before, during
    and after the application of radiation therapy
    treatments
  • (iv) the use of pharmaceuticals in the
    performance of therapy interventions to enhance
    treatment
  • (v) the application of knowledge, skills and
    judgment in the evaluation and interpretation of
    treatment and
  • (vi) such other practices and procedures within
    the scope of practice of radiation therapy as
    taught in an approved education program

19
Scope of Practice, cont'd
  • "radiological technology" means those aspects of
    the practice of medical imaging technology that
    include
  • (i) the application of ionizing radiation to
    perform procedures and produce high quality
    diagnostic images
  • (ii) the education, advocacy and application of
    radiation safety in the protection of patients,
    healthcare professionals and the public
  • (iii) the assessment of patients before, during
    and after the application of radiological
    technology
  • (iv) the use of pharmaceuticals in the
    performance of diagnostic interventions to
    enhance images
  • (v) the application of knowledge, skills and
    judgment in the evaluation and interpretation of
    diagnostic images and
  • (vi) such other practices and procedures within
    the scope of practice of radiological technology
    as taught in an approved education program

20
Protection of Titles
  • Current title protection
  • None
  • Proposed title protection for the following
  • Registered Medical Imaging Technologist or
    Medical Imaging Technologist
  • Registered Medical Radiation Technologist or
    Medical Radiation Technologist
  • Diagnostic Ultrasound Technologist
  • Registered Ultrasound Professional
  • Registered Diagnostic Ultrasound Professional
  • Registered Ultrasound Technologist
  • Registered Sonographer
  • Sonographer
  • Registered Technologist, Magnetic Resonance or
    Magnetic Resonance Technologist
  • Registered Technologist, Nuclear Medicine or
    Nuclear Medicine Technologist
  • Registered Technologist, Therapy or Radiation
    Therapist
  • Registered Technologist, Radiological
    Technology
  • Radiological Technologist
  • X-ray Technologist
  • Or any derivations or abbreviations thereof.

21
Protection of Practice
  • No person shall engage in the practice of a
    discipline unless such person
  • holds a license endorsing the person as eligible
    to practice in that discipline
  • is a student in an approved education program in
    that discipline, and is engaging in training
    authorized by that program or
  • is otherwise authorized to engage in the practice
    of that discipline as set out in this Act or the
    Regulations.

22
Protection of Practice, contd
  • Section 21(2)
  • Notwithstanding any provisions of this Act or
    the Regulations, the Board may set out in the
    by-laws a process to authorize members licensed
    in one discipline to engage in the practice of
    designated aspects of another discipline

23
Protection of Practice, contd
  • Exemptions
  • See Section 67
  • Allows for exemptions from Act for various
    individuals including
  • the carrying out of specific tasks constituting
    part of the practice of medical imaging
    technology or radiation therapy by persons
    authorized under Section 21(2) of the Act
  • the conducting of ultrasounds of the eye by
    persons acting under the direction of a medical
    practitioner
  • the measuring of follicles and endometrial
    thickness as part of assisted reproduction
    therapy under the direction of a medical
    practitioner and
  • The continued practice of radiological technology
    by those persons authorized at the coming into
    force of the Act to engage in practice under
    Section 10(2) of the former Act, or as otherwise
    required by law.

24
Protection of Practice, contd
  • Grandparenting provisions
  • A member of the NSAMRT at the time of coming into
    force of the Act
  • A person certified to practice diagnostic
    ultrasound technology by ARDMS, and who has
    engaged in the practice of diagnostic ultrasound
    technology in the Province during the twelve
    month period prior to Act coming in force.
  • Every person who, at time of coming into force of
    Act, has engaged in the practice of diagnostic
    ultrasound technology in the Province for a
    period of time during each of the past five
    consecutive years.

25
Registration and Licensing
  • Requirements under the Fair Registration
    Practices Act
  • Distinction between registration and licensing
  • Categories of licences
  • Practicing Licence, endorsed in a particular
    discipline
  • A practicing licence with conditions or
    restrictions, endorsed in a particular discipline
  • Temporary licence, with or without conditions or
    restrictions, endorsed in a particular discipline
  • Temporary licence (graduate), endorsed in a
    particular discipline

26
Registration and Licensing, contd
  • Licences endorsed in a particular discipline
    where member meets the following criteria
  • completed an approved education program in
    relevant discipline
  • completed the registration examination in
    relevant discipline
  • Member otherwise meets all criteria for the
    issuing of a practising licence.

27
Credentials Committee
  • Credentials Committee reviews applications for
    registration and licence and determines whether
    applicant meets criteria
  • Criteria spelled out in detail in Regulations

28
Registration Appeals
  • Where registration or a particular licence has
    been denied, or where terms or conditions have
    been imposed, an applicant has a right of appeal
  • Appeal will consist of fresh review of entire
    matter, with new decision to be rendered by
    independent body, Registration Appeal Committee

29
Complaints
  • Complaints may relate to potential
  • Professional misconduct
  • Conduct unbecoming the profession
  • Incompetence
  • Incapacity

30
Complaints and Discipline Process
  • Separation of complaints/investigative process
    from discipline/hearing process
  • Introduction of alternate dispute resolution
    methods to avoid necessity of matter proceeding
    to a hearing
  • Requirement for disclosure and fair processes
  • Requirement for open hearing if matter is
    referred to full hearing

31
The Investigation of Complaints
  • Broad authority given to investigator
  • Following investigation, matter referred to
    Investigative Committee and various options
    available to dispose on nondisciplinary basis
  • If matters reach the Investigative Committee,
    various options are available to dispose on
    non-disciplinary basis
  • Counsel
  • Caution
  • Informal resolution
  • Mediation

32
Settlement Proposals
  • When a matter is referred to a hearing, either
    party can approach the other regarding a
    settlement
  • Settlement requires admission of certain facts
    admission of disciplinary matters and agreed
    upon disposition
  • Both Investigative Committee and Professional
    Conduct Committee must review and approve content
    of settlement

33
Hearing Process
  • Professional Conduct Committee includes public
    representatives
  • Full disclosure by either party to the other
  • Open hearing process
  • Ability to impose publication bans
  • Publication of decisions
  • Right of appeal
  • Reinstatement applications

34
Professional Incorporation
  • Act allows for members to practice under the
    structure of a professional corporation
  • At present, no Regulations proposed to set out
    requirement for majority ownership by
    technologists or therapists
  • This can be adapted over time with additional
    changes to the Regulations

35
What Happens from Here?
  • June 24, 2010 Members vote on Act and Regulations
  • Obtain approval to proceed
  • Approved Act and Regulations to be circulated to
    Government and to external stakeholders for
    feedback
  • Consultation with 3 political parties between
    August and October 2010
  • Changes made based on government feedback
  • If government agrees, Act introduced in fall
    sitting of Legislature 2010

36
What happens from here?(contd)
  • Act introduced for First and Second Reading, then
    public Law Amendments process
  • Can be a very political process- may need to
    lobby support
  • Third Reading
  • If Act passes in fall sitting of Legislature
    2010, Regulations are then forwarded to Registry
    of Regulations
  • Anticipated proclamation date - early to mid 2011
    ???

37
Questions?
  • ?????

38
Motion
  • Be it resolved that at a duly called Special
    Meeting of the members of the NSAMRT held on June
    24, 2010, the proposed June 10 version of the
    Medical Imaging and Radiation Therapy
    Professionals Act and accompanying Regulations
    are approved, subject to necessary housekeeping
    amendments, for forwarding to government and
    external stakeholders, with the objective of
    introduction in the fall sitting of the
    Legislature

39
Motion
  • Be it resolved that at a duly called Special
    Meeting of the members of the NSSDMS held on June
    24, 2010, the proposed June 10 version of the
    Medical Imaging and Radiation Therapy
    Professionals Act and accompanying Regulations
    are approved, subject to necessary housekeeping
    amendments, for forwarding to government and
    external stakeholders, with the objective of
    introduction in the fall sitting of the
    Legislature

40
(No Transcript)
About PowerShow.com