The document provides information about various health regulatory colleges in Ontario. It discusses the Regulated Health Professions Act (RHPA) which applies equally to 23 health professions. The RHPA includes a common code that sets rules and procedures for 21 regulatory colleges. It then lists the various health professions and provides 1-2 sentences about each college's role and responsibilities.

1. Dan Belford rrt, M.Ed (c), Interprofessional Practice
Leader

2. 2
The Regulated Health Professions Act, 1991
In 1982 Ontario commissioned a The Health
Professions Legislative Review resulting in the
Regulated Health Professions Act, 1991, and is an
umbrella law which applies equally to 23 health
professions
The RHPA also includes a Code which sets
common rules of procedure for 21 health regulatory
Colleges.

3. 3
RHPA
• Audiologists
• Chiropodists
• Chiropractors
• Dental Hygienists
• Dentists
• Denturists

4. 4
RHAP
• Dietitians
• Massage Therapists
• Medical Laboratory Technologists
• Medical Radiation Technologists

5. 5
RHPA
• Midwives
• RNs/RPNs
• Occupational Therapists
• Opticians
• Optometrists

6. 6
RHAP
• Pharmacists
• Physicians
• Physiotherapists
• Podiatrists

7. 7
RHAP
• Psychologists
• Respiratory Therapists
• Speech-Language Pathologists

8. 8
Federation of Health Regulatory
Colleges of Ontario
• Are the 21 health regulatory colleges that regulates 23
health professionals in Ontario. For example, the College of
Pharmacists regulates all of the pharmacists in Ontario; the
College of Midwives regulates midwives; and the College of
Chiropractors regulates chiropractors. It was established by
a law called the Regulated Health Professions Act to protect
the public’s right to safe, effective, ethical health care.

9. 9
What is Professional Practice?
• Professional Practice is the unique contribution
each clinical discipline brings in caring for a patient.

10. 10
College of Midwives of Ontario
• The CMO was established with the proclamation of
the Regulated Health Professions Act and the
Midwifery Act on December 31, 1993 to govern
midwifery in the interest of public safety

11. 11
The College of Medical Laboratory Technologists of
Ontario
• Seventy percent of a person’s medical file is
comprised of medical laboratory test results.
• Over 70% of the medical decisions made and the
treatment plans developed are based on those test
results.

12. 12
College of Medical Radiation Technologists of Ontario
• Member of MRTO work in one of 4 areas:
– Radiation Therapy;
– Radiography;
– Nuclear Medicine;
– Magnetic Resonance Imaging;

13. 13
The College of Physiotherapists of Ontario
• Is the largest physiotherapy regulatory body in Canada,
the College (previously the Board of Directors of
Physiotherapy) has been helping to ensure that patients
receive safe, effective physiotherapy care since 1955.

14. 14
Ontario College of Pharmacists
• Established in 1871, The Ontario College of Pharmacists regulates and
licenses all Ontario pharmacists and accredits all community
pharmacies.
• Licensed Pharmacists
Active pharmacists in Ontario: 9,301
Pharmacists practising in hospitals and other institutions: 1,425
Pharmacists practising in community pharmacies: 6,466
Other Work Settings (i.e. industry, consulting, etc.): 1,410
• Accredited Community Pharmacies: 2,680 (approx.)
Pharmacy departments in hospitals & other institutions*: 250 (approx.)

15. 15
Ontario College of Social Workers and Social Service Workers
• The province of Ontario fully proclaimed the Social
Work and Social Service Work Act (1998) on
August 15, 2000. College membership is required
for any person in Ontario who wishes to use the
title social worker or social service worker and/or
registered social worker or registered social
service worker.
• As of 2004 there were 11,514 members.

16. 16
College of Respiratory Therapists of Ontario
Four controlled acts are authorized to a Respiratory
Therapist:
1. Performing a prescribed procedure below the dermis (
IVs, arterial lines, chest tubes).
2. Intubation beyond the point in the nasal passages
where they normally narrow or beyond the larynx.
3. Suctioning beyond the point in the nasal passages
where they normally narrow or beyond the larynx.
4. Administering a substance by injection ( below the drip
chamber) or by inhalation (. i.e. ketamine, ventolin).

17. 17
The College of Audiologists and Speech-Language Pathologists of
Ontario
• Speech-language pathologists address prevention, identification,
assessment, treatment and (re)habilitation of communication and/or
swallowing disorders in children and adults. They also provide
education and counseling services for people experiencing
communication and/or swallowing difficulties.
• Audiologists address prevention, identification, assessment,
treatment and (re)habilitation of hearing difficulties in children and
adults. They also provide education and counseling services for
people experiencing hearing difficulties and vestibular problems,
such as dizziness and tinnitus.

18. 18
College of Occupational Therapists
of Ontario
• October 2005 marks the second annual National Occupational
Therapy Month and the theme is Yes I can!, a time to celebrate
occupational therapy's contributions to helping people live healthier,
more satisfying lives.
• Thank you to the 4,000 occupational therapists in Ontario for the
credible, competent and committed care you provide to the public!
• The month is a joint public awareness initiative of the Canadian
Association of Occupational Therapists (CAOT) and its affiliate
provincial and territorial occupational therapy associations.

19. 19
College of Dietitians of Ontario
• The College of Dietitians of Ontario was founded and
incorporated in 1993 as one of the Federation of Health
Regulatory
Colleges of Ontario;
• Presently, the College of Dietitians of Ontario has
approximately 2580 membership;
• The minimum requirement for becoming a Registered
Dietitian is the completion of a four-year accredited
undergraduate university program in foods and nutrition (or
equivalent) as well as an accredited internship minimum of
35 weeks (or equivalent practical training).

20. 20
College of Chiropodists of Ontario
• The College of Chiropodists of Ontario, made up of
chiropodists and podiatrists. We set standards of
practice and conduct to ensure that you receive
competent and safe care. All chiropodists and
podiatrists who work in Ontario are responsible for
meeting our standards.

21. 21
College of Massage Therapists
• To become a massage therapist a candidate must complete a 2-3 year
training programme in the areas of massage theory, anatomy,
physiology, pathology, kinesiology, hydrotherapy and remedial exercise
related to massage therapy treatment. Training includes a minimum of
150 hours of supervised clinical experience;
• The practice of massage therapy is the assessment of the soft tissue
and joints of the body and the treatment and prevention of physical
dysfunction and pain of the soft tissue and joints by manipulation to
develop, maintain, rehabilitate or augment physical function, or relieve
pain.
(Massage Therapy Act, 1991).

22. 22
Ontario Case Managers Association
• The Ontario Case Managers Association was established in
1988 as a professional association representing case
managers. The mandate - to heighten awareness of
government and associated organizations to the role of the
case manager in the community health care system and to
build the foundation of this unique association.

23. 23
Therapeutic Recreation Ontario
• Therapeutic Recreation Ontario was established to meet the needs
of therapeutic recreation professionals in the province.
• Therapeutic Recreation is a process that utilizes treatment,
education and recreation participation to enable persons with
physical, cognitive, emotional and/or social limitations to acquire
and/or maintain the skills, knowledge and behaviours that will allow
them to enjoy their leisure optimally, function independently with the
least amount of assistance and participate as fully as possible in
society. Therapeutic recreation intervention is provided by trained
professionals in clinical and/or community settings.

24. 24
College of Nurses of Ontario
• The College of Nurses of Ontario (CNO) is the governing
body for the 140,000 registered nurses (RNs) and
registered practical nurses (RPNs) in Ontario, Canada;
• The nursing profession has been self-regulating in
Ontario since 1963. The College works in partnership
with employers, educators and government so that
everyone in Ontario benefits from quality nursing
services.

25. 25
Interprofessional Care (IPC)
• A collaborative, team-based approach that enables
improved patient care.

26. 26
Interprofessional Care(IPC)
• It is supported by learning with, from and about one
another.
• IPC leverages individual and team capacity to
optimize health outcomes.

27. 27
HealthForceOntario: A Blue Print for Action
• IPC is a change management process that leads to
a more effective, integrated healthcare system.

28. 28
IPC System
• Patients and their families are part of the care
giving team.
• Patients are confident in the care giving team.
• Health care professionals
collaborate/communicate.
• Supportive IPC funding models & policies exist .

29. 29
Interprofessional Care
• A collaborative, team-based approach that enables
improved patient care.
• IPC leverages individual and team capacity to
optimize health outcomes.

30. 30
Why IPC?
• Improved communication reduces medical errors.
• In one study lowering emergency department
clinical error rates from 30.9 to 4.4% (Morey, J.C. et al.
Error reduction and performance improvement in the emergency department
through formal team work training: evaluation results of MedTeams project.
Health Serv Res 2002,:37(6): 1553-1581.

31. 31
Why IPC?
• Reduces redundancy in medical testing and lowers
costs.

32. 32
Why IPC?
• A study of closed claims in a hospital showed that
improved teamwork could have prevented or
mitigated the events that lead to malpractice claims
in 43% of the events under study ( Barrett, J., et al.
Enhancing patient safety through team work training. / Healthc Risk Manag
2001;21(4).

33. 33
Why IPC
• A non- controlled study of the impact of a medical
emergency team in a 300 bed hospital found that
the incidence of unexpected cardiac arrest declined
by 50%>( Buist,M.D., et al. Effects of a medical emergency team on the
reduction of incidence of mortality from unexpected cardiac arrests in hospital:
preliminary study. BMJ 2002;324(7334):387-390.

34. 34
Why IPC?: For the Patient
• A “multidisciplinary” model can no longer support
the complex needs of many patients (Orchard, Curran &
Kabene, 2005).

35. 35
WHY IPC?
• Effective teamwork can improve the quality of
patient care, enhance patient safety, and reduce
workload issues that cause burnout among health
care professionals (CHSRF,2005).

36. 36
What is your role?
• All participants in the health care sector and
education sectors must do their part to ensure a
successful implementation.

37. 37
Leadership
• We need your leadership, your knowledge, and
your support.

38. 38
If you do not believe the messenger:
You will not believe the
message!

39. Patient/ClientPatient/Client
Empowerment &Empowerment &
AutonomyAutonomy
IPC CoreIPC Core
CompetenciesCompetencies
Critical ThinkingCritical Thinking
Decision MakingDecision Making
Problem SolvingProblem Solving
MentorshipMentorship
StandardsStandards &&
Scopes ofScopes of
PracticePractice
InterprofessionalInterprofessional
Collaborative Practice &Collaborative Practice &
TeamworkTeamwork
Monitoring &Monitoring &
EvaluatingEvaluating
NHS Conceptual Framework for Interprofessional Practice
Definition
Interprofessional Care is required anytime one or
more health care providers are working
collaboratively to deliver quality care while
“consciously adapting the patients perspective
about what matters”
Patient/Client AdvocacyPatient/Client Advocacy
Evidence BasedEvidence Based
PracticePractice
Continuous QualityContinuous Quality
ImprovementsImprovements
EthicsEthics
Innovation & ResearchInnovation & Research
Healthcare
Providers
Interprofessional
Collaboration
LEGEND
September 8th
, 2008
SPG/MM
InterprofessionalRelationships
InterprofessionalRelationships
InterprofessionalRelationships
InterprofessionalRelationships
InterprofessionalRelationships
InterprofessionalRelationships
InterprofessionalRelationships
InterprofessionalRelationships
Interprofessional RelationshipsInterprofessional Relationships
Care Delivery ProcessCare Delivery Process
Patient/Client
& Family
OrganizationalOrganizational
SupportsSupports
Response to ExternalResponse to External
DemandsDemands
ContinuousContinuous
ProfessionalProfessional
DevelopmentDevelopment
InformationInformation
System &System &
TechnologyTechnology
LeadershipLeadership
InterpersonalInterpersonal
CommunicationCommunication
SystemSystem
CulturalCultural
DiversityDiversity
DRAFT

40. 40
All Health Professionals Share Similar Standards of Practice
• Client Centered Care.
• Interdisciplinary Collaboration.
• Accountability.
• Practice knowledge - assess, plan, implement, and
evaluate.
• Applied Knowledge.
• Code of Ethics.
• Communication.
• Continuing Competence.
40Belford & Matthews

41. 41
Expert versus Novice
• The difference between a novice health provider
and an expert health provider is the ability to “care
for”.
• Caring requires sentiment and skills of connection
and involvement as well as clinical knowledge and
clinical skills.
41Belford & Matthews

42. 42
Patient Client Centered Care (PCCC)
• “consciously adopting the patients perspective
about what matters”.
• An “Ethic of Care” must underlie interprofessional
practice.
• We require “caring about” and “caring for”.
• “Caring about” is instrumental in establishing the
conditions under which “caring-for” can flourish.
42Belford & Matthews

43. 43
PCCC: “An Ethic of Care”
• Within the Niagara Health System PCCC- aligns
with our Core Values.
• Compassion.
• Professionalism.
• Respect.
43Belford & Matthews

44. 44
Delegation
• Delegation refers to the delegation of controlled
acts in accordance with the provisions in the
Regulated Health Professions Act (RHPA).
• Procedure is a broad term that refers to
procedures, treatments, interventions and
professional services provided by regulated health
professionals.

45. 45
References
• College of Nurses of Ontario:
www.cno.org
• College of Respiratory Therapists of
Ontario:
• www.crto.on.ca
• Federation of Regulatory Colleges:
• www.regulatedhealthprofessions.on.ca