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CMA PolicyBase

Policies that advocate for the medical profession and Canadians


29 records – page 1 of 2.

Patient-focused funding for hospital services

https://policybase.cma.ca/en/permalink/policy8867
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Health systems, system funding and performance
Resolution
GC07-55
The Canadian Medical Association will work with the provincial/territorial medical associations to co-host a workshop on the financial and patient care implications of patient-focused funding for hospital services and pay-for-performance for physician services.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Health systems, system funding and performance
Resolution
GC07-55
The Canadian Medical Association will work with the provincial/territorial medical associations to co-host a workshop on the financial and patient care implications of patient-focused funding for hospital services and pay-for-performance for physician services.
Text
The Canadian Medical Association will work with the provincial/territorial medical associations to co-host a workshop on the financial and patient care implications of patient-focused funding for hospital services and pay-for-performance for physician services.
Less detail

Completion of government forms

https://policybase.cma.ca/en/permalink/policy8868
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Health systems, system funding and performance
Resolution
GC07-56
The Canadian Medical Association will work with the federal government to: a. acquire physician input into the design and content of forms completed by physicians for the federal government and its agencies; b. review the responsibilities and extent to which the federal government and/or patients bear the costs of all physician assessments and services required for completion of government forms; and c. establish an appropriate fee structure for payment of all physician services required for completion of all federally mandated forms.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Health systems, system funding and performance
Resolution
GC07-56
The Canadian Medical Association will work with the federal government to: a. acquire physician input into the design and content of forms completed by physicians for the federal government and its agencies; b. review the responsibilities and extent to which the federal government and/or patients bear the costs of all physician assessments and services required for completion of government forms; and c. establish an appropriate fee structure for payment of all physician services required for completion of all federally mandated forms.
Text
The Canadian Medical Association will work with the federal government to: a. acquire physician input into the design and content of forms completed by physicians for the federal government and its agencies; b. review the responsibilities and extent to which the federal government and/or patients bear the costs of all physician assessments and services required for completion of government forms; and c. establish an appropriate fee structure for payment of all physician services required for completion of all federally mandated forms.
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Service-based funding for hospital services

https://policybase.cma.ca/en/permalink/policy8871
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Physician practice/ compensation/ forms
Resolution
GC07-59
The Canadian Medical Association will work with the federal government to commission a strategic peer-reviewed research competition to assess the international experience with service-based funding for hospital services through the use of case-mix groups or diagnosis-related groups.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Physician practice/ compensation/ forms
Resolution
GC07-59
The Canadian Medical Association will work with the federal government to commission a strategic peer-reviewed research competition to assess the international experience with service-based funding for hospital services through the use of case-mix groups or diagnosis-related groups.
Text
The Canadian Medical Association will work with the federal government to commission a strategic peer-reviewed research competition to assess the international experience with service-based funding for hospital services through the use of case-mix groups or diagnosis-related groups.
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Standardized national prenatal form

https://policybase.cma.ca/en/permalink/policy8875
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Resolution
GC07-64
The Canadian Medical Association will advocate for the development of a standardized national prenatal form available in electronic format.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Resolution
GC07-64
The Canadian Medical Association will advocate for the development of a standardized national prenatal form available in electronic format.
Text
The Canadian Medical Association will advocate for the development of a standardized national prenatal form available in electronic format.
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Standardized national immunization record

https://policybase.cma.ca/en/permalink/policy8876
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Resolution
GC07-65
The Canadian Medical Association will advocate for the development of a standardized national immunization record in electronic format.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Resolution
GC07-65
The Canadian Medical Association will advocate for the development of a standardized national immunization record in electronic format.
Text
The Canadian Medical Association will advocate for the development of a standardized national immunization record in electronic format.
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National Physician Human Resource Strategy

https://policybase.cma.ca/en/permalink/policy8879
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health human resources
Physician practice/ compensation/ forms
Resolution
GC07-37
The Canadian Medical Association recommends the creation of a National Physician Human Resource Strategy that takes into account the changing practice styles of all physicians as well as the increased demand for medical care including factors such as an aging population.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health human resources
Physician practice/ compensation/ forms
Resolution
GC07-37
The Canadian Medical Association recommends the creation of a National Physician Human Resource Strategy that takes into account the changing practice styles of all physicians as well as the increased demand for medical care including factors such as an aging population.
Text
The Canadian Medical Association recommends the creation of a National Physician Human Resource Strategy that takes into account the changing practice styles of all physicians as well as the increased demand for medical care including factors such as an aging population.
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Collaborative care model

https://policybase.cma.ca/en/permalink/policy8881
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health human resources
Physician practice/ compensation/ forms
Resolution
GC07-39
The Canadian Medical Association will advocate for the development of a collaborative care model that protects and promotes excellence in medical education.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health human resources
Physician practice/ compensation/ forms
Resolution
GC07-39
The Canadian Medical Association will advocate for the development of a collaborative care model that protects and promotes excellence in medical education.
Text
The Canadian Medical Association will advocate for the development of a collaborative care model that protects and promotes excellence in medical education.
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The environment and tax incentives

https://policybase.cma.ca/en/permalink/policy8888
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Physician practice/ compensation/ forms
Resolution
GC07-71
The Canadian Medical Association calls on the federal government to provide funding and/or tax incentives to assist the health care sector and health care professionals to adopt more environmentally sensitive practices.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Population health/ health equity/ public health
Physician practice/ compensation/ forms
Resolution
GC07-71
The Canadian Medical Association calls on the federal government to provide funding and/or tax incentives to assist the health care sector and health care professionals to adopt more environmentally sensitive practices.
Text
The Canadian Medical Association calls on the federal government to provide funding and/or tax incentives to assist the health care sector and health care professionals to adopt more environmentally sensitive practices.
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Canada Health Infoway

https://policybase.cma.ca/en/permalink/policy8924
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Health human resources
Health information and e-health
Resolution
GC07-110
The Canadian Medical Association and its provincial/territorial medical associations and affiliates call on Canada Health Infoway to support physicians in developing electronic medical records and linkages to electronic health records by making funding directly available to physicians.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health systems, system funding and performance
Health human resources
Health information and e-health
Resolution
GC07-110
The Canadian Medical Association and its provincial/territorial medical associations and affiliates call on Canada Health Infoway to support physicians in developing electronic medical records and linkages to electronic health records by making funding directly available to physicians.
Text
The Canadian Medical Association and its provincial/territorial medical associations and affiliates call on Canada Health Infoway to support physicians in developing electronic medical records and linkages to electronic health records by making funding directly available to physicians.
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Physician retention

https://policybase.cma.ca/en/permalink/policy8926
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Ethics and medical professionalism
Health human resources
Physician practice/ compensation/ forms
Resolution
GC07-112
The Canadian Medical Association will examine ways to increase flexibility in a physician's workplace to create a healthy work-life balance and to communicate the importance that such balance plays in physician retention.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Ethics and medical professionalism
Health human resources
Physician practice/ compensation/ forms
Resolution
GC07-112
The Canadian Medical Association will examine ways to increase flexibility in a physician's workplace to create a healthy work-life balance and to communicate the importance that such balance plays in physician retention.
Text
The Canadian Medical Association will examine ways to increase flexibility in a physician's workplace to create a healthy work-life balance and to communicate the importance that such balance plays in physician retention.
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The role of family physicians

https://policybase.cma.ca/en/permalink/policy8937
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health human resources
Physician practice/ compensation/ forms
Resolution
GC07-86
The Canadian Medical Association urges provincial and territorial governments to develop strategies promoting the role of family physicians in Canada.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Health human resources
Physician practice/ compensation/ forms
Resolution
GC07-86
The Canadian Medical Association urges provincial and territorial governments to develop strategies promoting the role of family physicians in Canada.
Text
The Canadian Medical Association urges provincial and territorial governments to develop strategies promoting the role of family physicians in Canada.
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Patient-focused Funding (PFF)

https://policybase.cma.ca/en/permalink/policy9000
Last Reviewed
2014-03-01
Date
2007-05-29
Topics
Physician practice/ compensation/ forms
Health human resources
Health systems, system funding and performance
Resolution
BD07-06-217
The Canadian Medical Association will consider the concept of patient-focused funding, in which funding is allocated as closely as possible to the point of care between patients and physicians and covers the whole patient care pathway and follows the patient to point of service.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-05-29
Topics
Physician practice/ compensation/ forms
Health human resources
Health systems, system funding and performance
Resolution
BD07-06-217
The Canadian Medical Association will consider the concept of patient-focused funding, in which funding is allocated as closely as possible to the point of care between patients and physicians and covers the whole patient care pathway and follows the patient to point of service.
Text
The Canadian Medical Association will consider the concept of patient-focused funding, in which funding is allocated as closely as possible to the point of care between patients and physicians and covers the whole patient care pathway and follows the patient to point of service.
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Self-regulation of physicians

https://policybase.cma.ca/en/permalink/policy9054
Last Reviewed
2014-03-01
Date
2007-09-26
Topics
Physician practice/ compensation/ forms
Health systems, system funding and performance
Resolution
BD08-02-24
The Canadian Medical Association Board of Directors expresses its strong support for self-regulation of physicians and opposes any legislation that undermines this principle.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-09-26
Topics
Physician practice/ compensation/ forms
Health systems, system funding and performance
Resolution
BD08-02-24
The Canadian Medical Association Board of Directors expresses its strong support for self-regulation of physicians and opposes any legislation that undermines this principle.
Text
The Canadian Medical Association Board of Directors expresses its strong support for self-regulation of physicians and opposes any legislation that undermines this principle.
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Putting Patients First: Patient-Centred Collaborative Care - A Discussion Paper

https://policybase.cma.ca/en/permalink/policy8863
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Population health/ health equity/ public health
Resolution
GC07-34
The Canadian Medical Association endorses the strategic policy directions outlined in the CMA document Putting Patients First: Patient-Centred Collaborative Care - A Discussion Paper as necessary elements of any collaborative care team.
Policy Type
Policy resolution
Last Reviewed
2014-03-01
Date
2007-08-22
Topics
Physician practice/ compensation/ forms
Population health/ health equity/ public health
Resolution
GC07-34
The Canadian Medical Association endorses the strategic policy directions outlined in the CMA document Putting Patients First: Patient-Centred Collaborative Care - A Discussion Paper as necessary elements of any collaborative care team.
Text
The Canadian Medical Association endorses the strategic policy directions outlined in the CMA document Putting Patients First: Patient-Centred Collaborative Care - A Discussion Paper as necessary elements of any collaborative care team.
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Amendments to PIPEDA, Bill S-4

https://policybase.cma.ca/en/permalink/policy11194
Date
2014-06-09
Topics
Health information and e-health
Ethics and medical professionalism
  1 document  
Policy Type
Parliamentary submission
Date
2014-06-09
Topics
Health information and e-health
Ethics and medical professionalism
Text
The Canadian Medical Association (CMA) is pleased to make submissions on Bill S-4. CMA has followed the history of PIPEDA and participated in the studies of various Standing Committees, most notably and recently in 2007 to the House of Commons Standing Committee on Access to Information, Privacy and Ethics. CMA is pleased that amendments to PIPEDA are once again being considered. The Canadian Medical Association represents over 80,000 physicians in Canada. Privacy is an important value to physicians and the patients to whom they serve. This is reflected in our Code of Ethics and policies, in particular, Principles for the Protection of Patients' Personal Health Information and Statement of Principles: The Sale and Use of Data on Individual Physicians' Prescribing. Physicians are also required to abide by privacy and confidentiality standards of practice. Thus, the CMA has a strong interest and valuable insights into the topic of personal information and privacy with respect to health information. We thank the Standing Committee for the opportunity to comment on the proposed amendments to PIPEDA. Our key comments are outlined below: Issue 1: CMA supports the existing legislative framework on the collection, use and disclosure of personal information produced by an individual in the course of their employment, business or profession ("work product") and suggests further amendments focus on strengthening it further. CMA supports the current standing of work products, that work products are considered to be personal information. That is, we support the framework defining personal information as information about an identifiable individual and that there is no carved out definition or exemption for "work product". CMA supports the position of the Office of Privacy Commissioner's following its 2007 investigation on work products, that they should not be exempted for two main reasons: * The exemption is not needed, and it would be inconsistent with the balanced approach in the current definition of personal information. The current definition of personal information and the approach to deciding issues based on that definition have worked well. They have promoted a level of privacy protection that balances the right of privacy in personal information with the needs of organizations for the reasonable and appropriate collection, use and disclosure of personal information. ...Because the concept of "work product" is ambiguous, excluding it from the definition of personal information could have unpredictable consequences that would diminish privacy unnecessarily. * (http://www.priv.gc.ca/parl/2007/sub_070222_03_e.asp) It is the CMA's position that work products should be considered personal information and given the section 7 amendments, work products should only be collected, used or disclosed without consent only if it is consistent with the purposes for which the information was produced. In the case of physicians, a prime example of a physician's work product is prescribing information. Prescribing information is a synthesis of assessing patients - by probing into their health, familial, social and sometimes financial background - infused with medical knowledge, skill and competencies resulting in a diagnosis and treatment plan, which often includes prescribing a medication or test. Not only is the physician's prescribing information a product of physicians' work but would not exist but for a trusting physician-patient relationship wherein the patient's private and personal information are shared under circumstances of vulnerability and trust. The outcome is that this is personal information. Prescribing information is about an individual: it includes the name of the patient, the name of the prescribing physician, and the drug name, dosage, amount and frequency; giving major clues as to what the patient's health issue(s) are. For further clarity, however, CMA recommends that physician information, and physician work products, should be specifically recognized within the legislation as personal information. To this end, we would propose that the following addition be made to the definition section under personal health information: Section 2.(1) "personal health information", with respect to an individual, whether living or deceased, means .....(d) information that is collected or is the outcome of collecting information in the course of providing health services to the individual; CMA supports the amendments to subsections 7(1)-(3) of the Act that any subsequent collection, use and disclosure of work products without consent must be related to the original purpose (of collection, use and disclosure). This relationship reflects the government's understanding and faithfulness to privacy principles. This is particularly critical when dealing with health information, and is even more critical in today's world given the ease of linking information through advancements in technology. In the absence of a causal relationship, personal information should not be used for system performance, commercial enterprise, data brokering, research, assessment or other purposes. CMA recommends that the legislation should go further and allow persons who believe that protection cannot be afforded under the legislation that they have the authority to refuse to communicate the information. This is the conceptual approach taken in Quebec's Act Respecting the Protection of Personal Information in the Private Sector wherein persons have an opportunity to refuse that professional information (as defined therein) be used for commercial purposes. Physicians are constantly writing prescriptions and such information should only be used for other purposes in the interests of patients and the health care system, and not to serve commercial interests or marketing strategies. If physicians do not feel that such protection is afforded patients, then they should be permitted to refuse that such information be collected, used or disclosed. Patient privacy should be primary. And finally, addressing work products in legislation clears up past differences of interpretation by Privacy Commissioners thus, providing certainty and clarity to the public. Recommendation 1: That Section 2. (1) "personal health information", be amended to read as follows: "personal health information", with respect to an individual, whether living or deceased, means .....(d) information that is collected or is the outcome of collecting information in the course of providing health services to the individual; Issue 2: CMA is pleased to see a section on breaches of security safeguards and recommends greater specificity. As noted above, physicians have responsibilities as data stewards and custodians of health information. As such, CMA supports breach notification measures that would enhance and protect patient privacy. In principle, we support the proposed amendments of breach disclosures to the Privacy Commissioner, to individuals and to organizations. However, CMA is concerned that meeting the requirements may be confusing. For example, in the health care context, it is easy to surmise that all health information is "sensitive". A far more difficult matter is determining whether the risk reaches the threshold of "significant harm" and the "probability" that the information "will be misused". The result being that incidental disclosures will be reported causing unnecessary concern and confusion in the patient population. Further specificity is recommended and we suggest something akin to Ontario's Personal Health Information Protection Act, 2004 (PHIPA). The PHIPA is an act specifically dealing with personal health information. One of its purposes is "to establish rules for the collection, use and disclosure of personal health information about individuals that protect the confidentiality of that information and the privacy of individuals with respect to that information, while facilitating the effective provision of health care" (section 1a ). The PHIPA notification provision states that the individual shall be notified "...at the first reasonable opportunity if the information is stolen, lost or accessed by unauthorized persons", [section 12(2)]. CMA is unaware of any concerns with this approach. The language of PIPIEDA is one of reasonable belief of real risk of significant harm to an individual. The issue is the test for required notification of patients for incidental inadvertent breaches and decreasing "notification fatigue". To illustrate the issue, if physicians were told today that patient data could be retrieved from the drums of discarded photocopiers and printers, it would be inappropriate for legislation to suggest that the entire patient population during the life of the photocopier or printer be notified. To this end, we recommend that there be acknowledgement that in some circumstances notification may not be required. The probability of misuse under PIPEDA is more ambiguous than the PHIPA test. Under PHIPA, the approach is more objective in that the data must be stolen, lost or accessed by unauthorized persons. To our knowledge, the Ontario model has been in place for almost a decade with no significant issues and thus we submit is one that works. In other jurisdictions (eg., Newfoundland and Labrador, Nova Scotia, New Brunswick) with health privacy legislation, there is acknowledgement of trying to balance notification and those breaches unlikely to result in harm by directly indicating when notification is not required. Recommendation 2: CMA recommends that the statute move towards a more objective test and acknowledge that there are situations when notice is not required. Issue 3: CMA supports disclosure without consent under limited circumstances, but finds the current list of disclosures overly inclusive. Health information is considered highly sensitive information and is initially collected for the purpose of individual patient health care. It should only be disclosed with consent and in only some exceptions without consent. The PIPEDA amendments for disclosure without consent have been broadened. Privacy, confidentiality and trust are the foundations of the patient-physician relationship. Without these fundamental values in play, open and honest communications cannot occur and patients would not receive the care they require. Both the patient and the physician have significant investment in the relationship. CMA respects the requirements to disclose information without consent under certain premises, such as required by court order or statute. However, any kind of activity requiring physicians to disclose patient's information without consent for the purposes of advancing a government or institution's goal could jeopardize the relationship. Both the patient's consent and the physician's consent should be required if there is potential to disturb this relationship. The physician is fiduciary of the relationship and is appropriately situated to assess and determine whether disclosure will disturb the relationship. While CMA acknowledges that certain situations may require that disclosure occur without consent (eg. purposes of investigating fraud, national security, abuse or as legally required), disclosure for less malicious activities (e.g., breaches of an agreement, insurance claims) ought to require a court order or warrant. For example, under the proposed section 7(3)(d.1) if a physician were in default of a contract with a technology company supplying electronic medical record software or app to his/her clinic, the company could disclose health information without consent for the "purposes of investigating a breach of an agreement". While we appreciate that there is a caveat that disclosure without advising the patient can only occur if there is a reasonable expectation that the disclosure would compromise the investigation, we submit that leaving the determination of what is "reasonable" to an interested party to the breach is unfair to all. Another example, if a physician is a witness to a dispute between an employer and union representing an employee for denial of long term disability by an insurance company, and has filed a witness statement which includes a medical report he/she wrote to the employer's insurance company, under the proposed section 7(3)(e.1) disclosure of health information without consent is permitted in order to assess, process or settle an insurance claim. CMA is concerned that the disclosure amendments are overly broad and do not differentiate sufficiently between highly time sensitive or grossly malicious situations, and those where it is merely expedient or an administrative encumbrance to seek consent. In addition, the disclosure requirements are framed in permissive (ie., may) and not mandatory language (ie., shall). This is very problematic when the "organization" is a physicians' clinic unless the physician's own consent is made as a pre-condition. CMA believes this suggestion is a progressive one in keeping with the broadened disclosure amendments. Physicians are in a relationship of trust and take seriously the protection of patient privacy and confidentiality, for which they are trained and are ethically and legally required to protect. To place physicians in a position which might entail breaching this trust may impact the confidence of the physician and the patient in the patient-physician relationship which is required to properly formulate appropriate treatment plans; thus, negatively impacting the health of Canadians. Recommendation 3: That disclosures of health information without consent require a warrant or subpoena or court order. Furthermore, disclosures of health information require the physician's consent that in his/her opinion the disclosure does not harm the patient-physician relationship. And, finally any broadened disclosure situations be restricted to criminal activity or that impacting national security. Conclusion Once again, CMA appreciates the opportunity to provide comment as part of the committee's study of Bill S-4. CMA is prepared to work with Parliament, governments, health professionals and the public in ensuring legislative frameworks for the collection, usage and disclosure of personal information for legitimate and reasonable purposes.
Documents
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Response to the consultation paper Pension Innovation for Canadians: The Target benefit plan

https://policybase.cma.ca/en/permalink/policy11213
Date
2014-06-23
Topics
Physician practice/ compensation/ forms
  1 document  
Policy Type
Response to consultation
Date
2014-06-23
Topics
Physician practice/ compensation/ forms
Text
The Canadian Medical Association (CMA) is pleased to provide the comments below in response to Finance Canada's consultation document Pension Innovation for Canadians: The Target Benefit Plan. The CMA is the professional voluntary association representing over 80,000 physicians across Canada. Its mission is to serve and unite the physicians of Canada and to be the national advocate, in partnership with the people of Canada, for the highest standards of health and health care. The CMA has participated in, and made recommendations to, Finance Canada over the course of the government's multi-year consultation process on Canada's pension framework. Indeed, in light of the importance of the pension framework to our membership, the CMA has been an active participant in previous consultations regarding the pension framework. The CMA's participation in the current, multi-year initiative included responding to the 2010 consultative paper Ensuring the Ongoing Strength of Canada's Retirement Income System as well as participating in the legislative and regulatory consultation on the Pooled Registered Pension Plan (PRPP) framework. While the CMA recognizes that this consultation is focused narrowly on the federally regulated pension plans governed by the Pension Benefits Standards Act 1985, the CMA supports additional consultation on Canada's pension framework. The CMA recommends that Finance Canada expand its consultation to explore options to address weaknesses in Canada's pension framework, including a focus on the third pillar: tax-incentivized savings vehicles. As part of a consultation on the third pillar, the CMA recommends that Finance Canada explore three issues, as elaborated further below: * Increasing the combined contribution limit for registered retirement savings plans (RRSPs); * Enabling well-governed professional organizations that represent a particular membership as pension plan sponsors; and, * Possible impacts of registered retirement income funds (RRIF) mandatory drawdown rates. Like the Canadian population at large, physicians represent an aging demographic - 42% of Canada's physicians are 55 or older - for whom retirement planning is an important concern. In addition, the vast majority of CMA members are self-employed physicians and, as such, they are unable to participate in workplace registered pension plans (RPPs). This makes physicians more reliant on Registered Retirement Savings Plans (RRSPs) relative to other retirement savings vehicles. The Summary Report on Retirement Income Adequacy Research presented to the F/P/T Ministers of Finance in 2009, suggests that higher-earning Canadians may not be saving enough for retirement. This report highlighted that income replacement rates in retirement fall below 60 per cent of after-tax income for about 35 per cent of Canadians in the upper income quintile. This is related to the effect of maximum contribution limits on tax-incentivized retirement savings vehicles. Tax-incentivized private saving vehicles are a critical element of Canada's pension framework. As highlighted in the 2010 interim report of the Senate Banking Trade and Commerce Canadians Savings for Their Future: A Secure Retirement, the introduction of the RRSP framework in 1957 sought to address a tax inequity due to the ineligibility of private savings for tax-incentive in comparison with registered pension plans. From 1972 to 1991 the RRSP contribution limit was set at 20 percent of earned income and in 1991, the government reduced the contribution limit to 18 percent of earned income; further, over this time period the real value of the absolute dollar limit reduced significantly. Recent increases to the absolute dollar limits have been strongly welcomed. To ensure that contribution limits do not pose a barrier to saving for future retirement income needs, the CMA recommends that Finance Canada initiate a consultation on future increases to the RRSP contribution limit, both absolute and percent of earned income. As part of the 2010 Finance Canada consultation and as reiterated during the legislative and regulatory consultation period on the PRPP framework, the CMA highlighted its support for exploring measures to enable organizations to sponsor plans on behalf of the self-employed. During the PRPP consultation, the CMA recommended amending the legislation such that well-governed professional organizations representing a particular membership are able to sponsor and administer PRPPs for their own members, including self-employed members. Once again, the CMA supports an extension of this recommendation to the broader pension framework. Finally, the CMA has taken note of the concerns regarding the registered retirement income funds (RRIF) mandatory drawdown rates expressed in the C.D. Howe Institute's recent pension policy e-brief Outliving our savings: Registered retirement income funds rules need a big update. The CMA recommends that Finance Canada include RRIF mandatory drawdown rates as part of a consultation. The CMA appreciates the opportunity to provide comment as part of Finance Canada's consultation on enabling target benefit plans within the federally regulated pension framework. The CMA supports further consultation on Canada's pension plan with an aim to ensure optimization of the third pillar, tax-incentivized savings vehicles, to ensure it enables adequate savings levels by self-employed individuals for their future retirement income needs.
Documents
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Palliative care services and expertise

https://policybase.cma.ca/en/permalink/policy11216
Date
2014-08-20
Topics
Ethics and medical professionalism
Physician practice/ compensation/ forms
Resolution
GC14-20
The Canadian Medical Association believes that all health care providers should have access to referral for palliative care services and expertise.
Policy Type
Policy resolution
Date
2014-08-20
Topics
Ethics and medical professionalism
Physician practice/ compensation/ forms
Resolution
GC14-20
The Canadian Medical Association believes that all health care providers should have access to referral for palliative care services and expertise.
Text
The Canadian Medical Association believes that all health care providers should have access to referral for palliative care services and expertise.
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Secure modes of electronic communication between patients and health care providers

https://policybase.cma.ca/en/permalink/policy11230
Date
2014-08-20
Topics
Health information and e-health
Ethics and medical professionalism
Resolution
GC14-41
The Canadian Medical Association supports the creation and use of secure modes of electronic communication between patients and health care providers.
Policy Type
Policy resolution
Date
2014-08-20
Topics
Health information and e-health
Ethics and medical professionalism
Resolution
GC14-41
The Canadian Medical Association supports the creation and use of secure modes of electronic communication between patients and health care providers.
Text
The Canadian Medical Association supports the creation and use of secure modes of electronic communication between patients and health care providers.
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Big data and its negative impact on professionalism and the confidentiality of medical data

https://policybase.cma.ca/en/permalink/policy11263
Date
2014-08-20
Topics
Ethics and medical professionalism
Health information and e-health
Resolution
GC14-67
The Canadian Medical Association will propose guidelines to ensure optimal use of big data while limiting its negative impact on professionalism and the confidentiality of medical data.
Policy Type
Policy resolution
Date
2014-08-20
Topics
Ethics and medical professionalism
Health information and e-health
Resolution
GC14-67
The Canadian Medical Association will propose guidelines to ensure optimal use of big data while limiting its negative impact on professionalism and the confidentiality of medical data.
Text
The Canadian Medical Association will propose guidelines to ensure optimal use of big data while limiting its negative impact on professionalism and the confidentiality of medical data.
Less detail

Processes to credential for and to grant and renew privileges to practice medicine

https://policybase.cma.ca/en/permalink/policy11272
Date
2014-08-20
Topics
Ethics and medical professionalism
Physician practice/ compensation/ forms
Resolution
GC14-76
The Canadian Medical Association will produce policy recommendations to allow for the involvement of practising physicians and provincial/territorial medical associations in the development of processes to credential for and to grant and renew privileges to practice medicine.
Policy Type
Policy resolution
Date
2014-08-20
Topics
Ethics and medical professionalism
Physician practice/ compensation/ forms
Resolution
GC14-76
The Canadian Medical Association will produce policy recommendations to allow for the involvement of practising physicians and provincial/territorial medical associations in the development of processes to credential for and to grant and renew privileges to practice medicine.
Text
The Canadian Medical Association will produce policy recommendations to allow for the involvement of practising physicians and provincial/territorial medical associations in the development of processes to credential for and to grant and renew privileges to practice medicine.
Less detail

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