The Government of Prince Edward Island

1 MASTER AGREEMENT. Between The Medical Society of Prince Edward Island And The Government of Prince Edward Island And Health PEI. April 1, 2015 - March 31, 2019. MASTER AGREEMENT. TABLE OF CONTENTS. SECTION A - GENERAL. Article A1. Purpose of Article A2. Application, Duration and Amendments ..1. Article A3. Interpretation and Definitions ..1. Article A4. Recognition ..3. Article A5. Administrative Authority ..4. Article A6. Information ..4. Article A7. Article A8. Negotiations ..5. Article A9. General Grievance Procedure ..6. Article A10. Mediation ..7. Article A11. Interest Arbitration ..8. Article A12. Rights Arbitration ..9. Article A13. Responsibility for the Continuance of Operations ..9. Article A14.

2 Committee Structures and Purposes ..10. Article A15. Savings Clause ..12. Article A16. Article A17. Election of Payment Modality ..12. Article A18. Shadow Article A19. Protection for Military Physicians ..13. Article A20. Practice Transition and Succession Planning ..13. Article A21. Physician SECTION B - SALARIED PHYSICIANS. Article B1. Application of Sections A, C & D to Salaried Physicians ..15. Article B2. Job Descriptions ..15. Article B3. Grievance Procedure - Salaried Physicians ..16. Article B4. Hours of Work ..17. Article B5. Workers' Compensation ..18. Article B6. Sick Article B7. Special Leave ..19. Article B8. Article B9. Statutory Holidays ..22. Article B10. Maternity/Paternity/Parental Leave.

3 22. Article B11. Travel ..24. Article B12. Loss of Personal Article B13. Retirement ..24. Article B14. Liability ..25. Article B15. Continuing Medical Education (CME) ..26. Article B16. Salaries ..28. i Article B17. Pension and Benefit Coverage ..31. Article B18. Compensation for Uninsured Services/Third Party Billings ..31. Article B19. On-Call Duty (Salaried Specialists Only) ..32. Article B20. Discipline ..32. SECTION C - OTHER PHYSICIAN SERVICES. Article C1. Tariff of Article C2. Emergency Department Services ..33. Article C3. On-Call Services ..36. Article C4. Contract for Article C5. Blended Payment ..42. Article C6. Long Term Care ..44. Article C7. Visiting Article C8. Chief and Deputy Chief Health Officers.

4 47. Article C9. Honoraria ..48. Article C10. Fee-for-Service Outside Alternate Payment Hours ..48. Article C11. Partial Payment for Physicians Outside the Complement ..49. Article C12. International Classification of Diseases Coding (ICD) ..50. Article C13. Collaborative Family Practice Incentive Program ..50. Article C14. Hospitalist SECTION D - NON-CLINICAL PROGRAM FUNDING. Article D1. Physician Retention Program ..55. Article D2. CMPA Assistance ..56. Article D3. CME (Non-salaried Physicians) ..58. Article D4. Physician Health and Wellness ..58. Article D5. Maternity/Parental Benefits Program ..59. ATTACHMENTS. Memorandum of Agreement - Chief Coroner ..62. Memorandum of Understanding - Fee Code Advisory Committee.

5 63. Memorandum of Understanding - Physician Engagement ..65. Letter of Understanding - Physician Leadership Development Fund ..67. Memorandum of Understanding - Pilot Project: Walk-In Clinic Fee Code ..68. Letter of Understanding - Employer-Employee Relations ..70. Appendix A Contract of Employment: (Salaried Physician) ..71. Appendix B Contract for Services: (General) ..75. Appendix C Contract for Services: (Long Term Care) ..80. Appendix D1 Emergency Service Coverage Agreement (PCH & QEH) ..86. Appendix D2 Emergency Service Coverage Agreement (KCMH & WH) ..89. Appendix E Hospitalist Service Coverage Agreement ..92. Appendix F Blended Payment Threshold Algorithm ..95. ii The following Appendices are For Information Only purposes Appendix G Maternity/Parental Benefits Program.

6 97. Appendix H Emergency Department On-Site Coverage - Funded Appendix I Long Term Care Facilities and Bed Count ..102. Appendix J Locum Tenens Policy and Support Program ..103. Appendix K Physician Honoraria Appendix L New Fee Codes ..113. Schedule A Tariff of Fees (Preamble, Visits, Procedures, Fee Code Index) ..115. iii SECTION A - GENERAL. ARTICLE A1 - PURPOSE OF AGREEMENT. The parties to this Agreement share a desire to maintain and improve the high quality of service provided, so that the people of Prince Edward Island shall be well and effectively served. Accordingly, they are determined to maintain and foster an effective working relationship. The purpose of this Agreement is to establish a Tariff of Fees and other systems of payment for health services.

7 ARTICLE A2 - APPLICATION, DURATION AND AMENDMENTS. This Agreement applies to and is binding upon the Government of Prince Edward Island , Health PEI, the Medical Society of Prince Edward Island and its constituent members. This Agreement shall be in force and effect for the period from April 1, 2015 to March 31, 2019, and shall remain in force and effect during the period of negotiation, mediation or interest arbitration carried out to achieve a new agreement. This Agreement constitutes the entire agreement between the parties, and no prior representations, undertakings or promises whatsoever, whether express or implied, shall form part of this Agreement. This Agreement may only be amended by mutual agreement, in writing, and no verbal agreements shall be required, permitted or recognized.

8 Unless otherwise previously stipulated, alternate payment agreements shall coincide with the duration of this Agreement. ARTICLE A3 - INTERPRETATION AND DEFINITIONS. Alternate Payment means compensation provided for physician services on a basis other than fee for service. Alternate payments may include, but are not limited to, salary, contract for service, sessional payments (hourly, daily, weekly or monthly rates), and on-call remuneration. Basic Health Services means all services rendered by physicians that in the opinion of the Minister are medically required but do not include those listed in section (1) (c). (i) of the Health Services Payment Act Regulations. -1- Blended Payment means a method of additional compensation based upon the total value of an eligible physician's submitted and approved shadow billing claims.

9 Board means the Board of Directors of Health PEI. Complement means the complement of participating physicians for a region and/or the province approved by the Minister. Consultation means a request by one physician for an opinion from another physician competent to furnish advice where the patient's condition demands a further opinion. Department means the Department of Health and Wellness, which is authorized to act on behalf of the Minister. Executive Director of Medical Affairs means the position in Health PEI responsible for the administration and delivery of medical programs in the Province. Employing Authority or Employer means Health PEI established pursuant to the Health Services Act. Full Time Salaried Physician means a physician who works a regular schedule of hours as outlined in Article (a).

10 Family Physician means a legally qualified medical practitioner who is not a specialist. The terms Family Physician and General Practitioner are interchangeable. Government means the Government of the Province of Prince Edward Island . Health Services Payment Advisory Committee means the provincial committee established under the provisions of the Health Services Payment Act Regulations. Medical Director means the individual assigned the administrative responsibilities for the medical affairs of the respective hospitals or programs within the province. Medical Society means the Medical Society of Prince Edward Island , Canadian Medical Association, Prince Edward Island Division. Minister means the Minister of Health and Wellness.