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OPA Submission on 4 CPO Proposed Standards

August 13, 2024 

OPA submitted comments to the College of Physiotherapists of Ontario on the open consultation on four Standards: 

  • Collaborative Care Standard 
  • Conflict of Interest Standard 
  • Dual Practice Standard (NEW) 
  • Infection Prevention and Control Standard 

This is the third set of consultations in the CPO’s process of adapting the revised Core Standards of Practice for Canadian Physiotherapists, developed in 2023 by the Canadian Alliance of Physiotherapy Regulators. 

OPA Provides Feedback to Pelvic Floor Muscle Training Submission

June 4, 2024 

OPA provided feedback to the Ontario Health’s draft recommendation on Pelvic Floor Muscle Training for Stress Urinary Incontinence, Fecal Incontinence, and Pelvic Organ Prolapse

OPA supports the recommendation for publicly funding pelvic floor muscle training for stress urinary incontinence and pelvic organ prolapse. We commend Ontario Health for recognizing the evidence for this intervention, and how public access will help ensure that Ontarians have the rehabilitative care needed to improve their function, health, and quality of life. 

In this submission, OPA highlights the following areas with further comments: 

  1. The role of physiotherapists 
  1. Equitable patient care: reducing stigma and increasing access 
  1. Additional considerations to support cost-effectiveness 
  1. Feasibility: how physiotherapists are currently prepared and equipped to act on 
    this recommendation 
  1. Need for consultation 

OPA is committed to supporting any outcomes from this recommendation through consultation with experts in pelvic health, research and system planning. 

OPA Submission on CPO Standards: Evidence-Informed Practice & Titles, Credentials & Specialty Designations  

May 28, 2024 

OPA submitted comments to the College of Physiotherapists of Ontario on the open consultation on two standards: 

  • New standard, Evidence-Informed Practice 
  • Revision to, Titles, Credentials, and Specialty Designations 

This is the second set of consultations in the CPO’s process of adapting the revised Core Standards of Practice for Canadian Physiotherapists, developed in 2023 by the Canadian Alliance of Physiotherapy Regulators. 

OPA Meets with MPs & Sends Letter to the Minister of Health

May 28, 2024 

During National Physiotherapy Month in May, OPA joined CPA and physiotherapists to meet with federal MPs from Ontario ridings. These meetings have highlighted the benefits of full implementation of physiotherapy scope of practice, and how enabling physiotherapists to order diagnostic imaging and lab tests will improve care for the people of Ontario while reducing costs. 

Some of the meetings to date: 

  • Pam Damoff, MP Oakville-North Burlington 
  • Peter Fragiskatos, MP London North Centre 
  • Lindsay Mathyssen, MP London-Fanshawe 
  • Anthony Rota, MP Nipissing-Timiskaming 
  • Valerie Bradford, MP Kitchener South-Hespeler 

OPA President, Courtney Bean, and OPA CEO, Sarah Hutchison, have followed up with Ontario’s Minister of Health, Sylvia Jones, and requested a meeting with her and the Deputy Minister, to discuss the outstanding regulations needed. 

OPA Sends Letter to the Minister of Health & Meets with MPP France Gélinas, PT

April 30, 2024 

On Tuesday, April 23, 2024, OPA had the privilege of meeting virtually with MPP France Gélinas, PT, to discuss a letter OPA sent a few days prior to the Minister of Health, Sylvia Jones. Many thanks to Ms. Gélinas, who delivered the letter to Minister Jones that day, for her support for physiotherapists and her work to improve healthcare for Ontarians. 

The letter calls for action by the provincial government to fully implement the scope of practice of physiotherapists already passed in legislation in Bill 179. The regulation changes needed for physiotherapists to order diagnostic imaging and lab tests have been outstanding for too long. With scope of practice as the focus for National Physiotherapy Month, it is a timely reminder of how full scope implementation will improve access to health care, cost-effectiveness, and health outcomes for the people of Ontario. 

OPA Submission on CPO Proposed Standards: Code of Ethical Conduct & Standards Review

March 27, 2024 

The College of Physiotherapists of Ontario (CPO) recently closed their 60-day consultation period for their proposed Code of Ethical Conduct and Standards Review. OPA submitted a response for each consultation, and the recommendations are summarized as follows: 

In reviewing the Code of Ethical Conduct as proposed, OPA made three high level recommendations: 

1) Build on the concept of informed consent
2) Recognize the role of substitute decision makers in patient care
3) Build on our ethical responsibility and role to address instances of discrimination, racism, and prejudice in healthcare. 

OPA recommended that the College establish a Standard of Ethical Conduct to demonstrate a strong commitment to anti-racism and cultural safety, and create a strong structure that the public, physiotherapists, and policy makers can depend on to provide safe, equitable and high-quality health care services. 

In reviewing the Standards consultation, OPA has recommended minor changes, without any significant needs for amendment to the proposed standards: Assessment, Diagnosis, Treatment, Communication, and Risk Management and Safety

OPA provided substantial recommendations for amendment to the Duty of Care Standard, which includes clarification of definitions and language that is in alignment with provincial regulations, specifically the Ontario Code of Misconduct (O. Reg 388/08) as it pertains to the discontinuation of care in both the presence and absence of continuing need. 

Pre-Budget Submission 2024

January 30, 2024 

OPA recently filed our recommendations to Ontario’s Standing Committee on Finance and Economic Affairs. Pre-budget submissions are an opportunity to inform the Government of Ontario’s priorities, as addressed in the budget. Our submission focuses OPA’s continued advocacy on three main objectives, to: 

  1. Fully implement the legislated scope of practice for the physiotherapy profession; 
  1. Ensure a viable and sustainable publicly-funded community physiotherapy clinic program for vulnerable Ontarians, including seniors; and, 
  1. Reduce red tape in the automobile insurance sector that creates barriers to timely access to care for Ontarians and imposes costly and undue burden on health care businesses and address stagnant caps and fees. 

OPA continues to advocate on each of these issues through 2024. 

OPA Comments on CPO Consultation on the Collection of Demographic Information

November 23, 2023 

OPA submitted comments as part of CPO’s consultation process on bylaw changes related to collecting demographic information. It is essential to include a robust explanation about the purpose of collection, policies related to storage, use and dissemination, procedures for members to request corrections, and who has ownership of the data. It is not sufficient to make the information sharing optional, especially as the examples noted pertain to sensitive questions about identity. There should be consultation on the appropriateness of each question included for collection. 

Submission to CPO’s Emergency Class Registration Consultation

April 6, 2023 

The Ontario Physiotherapy Association submitted feedback to the Ministry of Health and the College of Physiotherapists of Ontario’s consultation to their proposed amendment of the general regulation to establish an Emergency Class of registration. 

Bill 106, the Pandemic and Emergency Preparedness Act, which came into effect in April 2022, made amendments to the Regulatory Health Professions Act (RHPA) Procedural Code that, requires all Health Profession Regulatory Colleges to establish an Emergency Class of Certificate of Registration. The aim is to reinforce the province’s health workforce planning and create an alternative pathway to register individuals in an expedited manner during emergency situations, such as a pandemic. 

Our key feedback focused on ensuring that the Province and regulatory College have tools in place to address health workforce issues in an effective and expedited manner during the time of emergency, while also ensuring that any proposed regulatory amendments not add complexity that negatively impacts the safety of the public, creates confusion for employers and health system managers, or has unintended negative impacts on health human resources during an emergency situation. 

Submission to Standing Committee for Finance and Economic Affairs Pre-Budget Consultations

February 14, 2023 

The OPA pre-Budget submission highlighted four areas that would bring substantial returns through increasing capacity in Ontario’s health care system and achieving the government’s objectives. 

  • Remove the barriers to physiotherapists working up to full scope; 
  • Facilitate successful entry to independent practice for internationally educated PTs by reinstating funding for the Ontario Internationally Educated Physical Therapy Bridging Program; 
  • Address program issues for community rehabilitation, including Community Physiotherapy Clinics and bundled care programs and resource appropriately to meet rehabilitation needs and help address surgical backlogs; and, 
  • Reduce red tape that is a barrier to care and imposes undue burden on health care businesses by removing requirement to exhaust extended health care benefits before accessing auto insurance benefits.