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Who is eligible to participate in the Fee Code Program?

October 13, 2017

The Fee-For-Service Family Physician who:

  1. Has a valid practitioner number for practice in Newfoundland and Labrador. 
  2. As designated primary care physician have indicated and recorded your commitment to established longitudinal relationships with your patients whereby you commit to the overall responsibility of the coordination of patient care needs. If you do not provide a particular service needed at any given time (e.g. Obstetrics), you will coordinate the referral to a colleague who is able to provide that service in a shared care arrangement with the patient’s family physician.
  3. Has either adopted an Electronic Medical Record (EMR) in practice or has signed an EMR Physician Participation Agreement.
    Note:
    For physicians for which this is true, they must meet at least 4 of the requirements in Question 4.
  4. Currently performs the below service at the stated level OR can demonstrate a clear and consistent pattern, which, if continued, would meet the requirement(s) of the stated service level(s).
    1. Provides after-hours care/extended hours in his/her practice (i.e. before 9:00 am or after 5:00 pm on weekdays, or a weekend clinic) for at least 90 hours annually.
    2. Participates in a structured after-hours (i.e. before 9:00 am or after 5:00 pm on weekdays, or a weekend clinic) rotation with a group of family physicians, whereby each physician sees the patients of any physician within the group, for at least 90 hours annually OR is part of an RHA-sponsored after-hours primary care clinic with a prescribed limit on the number of hours that can be worked.
    3. Provides hospital services (e.g. care to own patients when admitted to an acute care facility, participation in a structured rotation to provide care for admitted patients, Emergency Department coverage, Chemotherapy Management, surgical assists, etc. within RHA facilities).
    4. Regularly performs medical care visits to own patients residing in long-term care facilities or personal care homes.
    5. Regularly conducts medical care visits to own patients in the patient’s personal residence, completing a minimum of 50 visits annually.
    6. Provides access to a minimum of 5 same-day appointments in his/her practice per full office day or equivalent thereof.
    7. Employs and collaborates with an LPN, RN, NP, or other primary health care professional in their practice in a multi-disciplinary or interdisciplinary team environment OR Regularly collaborates with an RHA-employed LPN, RN, NP, or other primary health care professional in a multi-disciplinary or interdisciplinary team environment.
    8. Is a member of a group family practice, defined as two or more family physicians participating in a shared practice, whereby each physician sees the patients of any physician, when their designated physician is unavailable.  
    9. Regularly provides labour and delivery services (i.e. with a clear and consistent pattern, considering birth rates in the practice area).  
    10. Participates in physician leadership initiatives that encourage and facilitate primary care renewal and system change. Examples may be FPRP or RHA leadership roles (e.g. participating in Family Practice Network leadership group or Community Medical Advisory Committee) OR Performs a preceptor role with the MUN Faculty of Medicine’s Undergraduate or Postgraduate programs OR Performs a Clinical Chief role within his/her RHA.
    11. Manages office-based emergencies or performs minor procedures that would otherwise necessitate emergency room visits or specialist referrals.  These may include:
      • abscess draining;
      • biopsies;
      • casting;
      • electrocardiograms;
      • excisions;
      • IUD insertions;
      • removal of corneal foreign bodies;
      • spirometry;
      • suturing of lacerations; and
      • vasectomies.
  5. Has either adopted an Electronic Medical Record (EMR) in his/her practice or has signed an EMR Physician Participation Agreement. If, at the time the EMR process is to be initiated, the physician decides to withdraw, he/she will need to meet two (2) additional criteria from the above list of requirements.