Interdepartmental Collaboration Session Remuneration Application

 

Please note that even though funding requests may fall within the Facility Engagement funding guidelines, they are not guaranteed for approval. Funding requests must be in alignment with current RH MSA’s priorities and approvals are dependent upon available funds. Approvals are for a limited time and are for sessions that have a clear clinical aim or topic of discussion.  Physician participants must complete and submit a post meeting/event survey by the requested deadline to have their FEMS claim approved.

RH MSA maintains independence from pharmaceutical company support and does not provide FE funding when there is pharmaceutical company involvement in any medical staff activity.  Disclosure of pharmaceutical company involvement is required to support transparency and accountability in the use of FE funds.

Background:

RH MSA (Richmond Hospital Medical Staff Association, formerly Richmond Hospital Physician Society) recognizes the stability and strength that come from having open conversations and a shared understanding that provide immeasurable benefits to those who are willing to participate. 

Interdepartmental Collaboration is put forth to celebrate these engaging conversations and the transparency through them as they contribute to the success of the clinical services that are delivered at Richmond Hospital. 

Priority and approval will be given to requests that are in line with RH MSA’s priorities as defined by the 2019 Memorandum of Understanding and our member(s)’ input. These are to:

  • Improve physician collaboration amongst themselves with the goal of improving collaboration and communication with the Health Authority
  • Provide time and space for physicians to discuss clinically relevant issues across various departments or divisions

Physicians participating in Interdepartmental Collaborative engagement sessions will have sessional remuneration. 

Guidelines:
  • A host physician, on behalf of all participating physicians, will need to complete and submit the Interdepartmental Collaboration Application Form at least 5 business days prior to the proposed session date.
  • A minimum of 2 departments/divisions with at least 1 physician from each department/division needs to be present at each session.
  • Each session needs to have at least one clinical aim/topic of discussion.
  • Each physician can claim up to a maximum of 10 hours per year.
  • The RH MSA physician lead for Interdepartmental Collaboration supported by the RH MSA Executive Board, will determine the eligibility of each application and approve the respective funding accordingly.
  • Each Interdepartmental Collaborative application will be reviewed on a first come first served basis.
  • Participating physicians must sign the provided attendance record and submit a completed survey, in order to be approved for FEMS Claims. Claims will be declined if both these conditions are not met.
  • Physician Lead, please download and complete the blank attendance sheet here. Please scan and submit the completed attendance form to RHPSprojectmanager@outlook.com after the meeting.
  • Activities related to Interdepartmental Collaborative sessions cannot be used for CME credits, claimed under other FEMS activities, used for (MSP) billing purposes, or funded by any other means.
  • Interdepartmental Collaboration sessions cannot be a part of regular departmental/divisional business meetings or journal club.
  • Activities related to Interdepartmental Collaborative sessions must not have any associated support from or relationship with pharmaceutical companies.
  • Claims must be submitted to FEMS within 3 months of the date of each activity. Claims outside of the 3-month window will be automatically.
Please note:
  • The information provided in this Interdepartmental Collaborative Session Remuneration Request form will not be shared without your permission. For more information, please refer to RH MSA’s Privacy Policy.
  • The form cannot be saved mid-progress. Please ensure you are able to complete and submit the form once you have started.
  • Questions can be directed to RHPSprojectmanager@outlook.com.

 

Interdepartmental Collaboration Application Form

Member Info

Session Info

10: List of all participating physicians and their respective dept/divisions and category who can be compensated through the session.

Note: Please download and fill in the blank attendance sheet HERE. Please note that FEMS Claim approvals are based on signed attendance sheets. All physicians MUST sign this attendance record in order to be approved for FEMS Claims. Please scan & submit the completed attendance form to RHPSprojectmanager@outlook.com.

If the number of physicians is more than 30, please use the add/remove button to continue the list.

11. Will any participants be compensated through other sources? *
12. Will any participants be claiming any Royal College MOC Sections 1, 2, or 3 credits? *
14. At which level of engagement (according to the IAP2 Engagement Framework) are you participating in this session? Check all that apply: *
Session start time: *
Session end time: *

Confirm *