Dialogue Volume 15, Issue 2 2019 - Page 29

OHP PROCEDURES Approval of premises needed before services provided to patients P hysicians are reminded that they can only perform procedures using certain types of anesthesia, including nerve blocks, in a non- hospital site if the premises has first been approved by the College. In 2010, the College was given regulatory oversight of Out of Hospital Premises (OHP) in order to im- prove patient safety. The regulation provides for man- datory inspections of OHPs to ensure that premises follow the appropriate standards for procedures, infec- tion control and quality assurance and that physicians are managing medical and surgical conditions within the scope of their specialty training, certification and experience. Any member planning to operate a new OHP must notify the College and the premises must be inspected, assessed and approved prior to providing services to pa- tients. If there are any changes as set out in the Program Standards, such as a move to a new space, the College must also be informed. The Medical Director of an OHP is responsible for notifying the College of plans to open a new OHP or any other changes to an existing facility. The College has made the process of report- ing relatively easy by enlisting an online process as the reporting tool. Failure to comply with the regulation is an issue that the College takes seriously. Over the last year, several doc- tors have been sanctioned by the Discipline Committee for performing nerve blocks or other OHP procedures in a clinic not authorized by the College’s program. “The OHP program is based on trust and relies on self-reporting from Medical Directors and physicians,” stated a recent Discipline Committee decision involv- ing a physician who performed nerve blocks in an unauthorized clinic. “As mandated in the [program’s] Standards, a Medical Director is required to notify the program before opening an OHP so that the premises can be inspected. In order to ensure patient safety and quality of care, strict adherence is required to the de- tailed requirements set out in the Standards.” ISSUE 2, 2019 DIALOGUE 29