Independent Health Facilities Changes to IHFP Relocation Policy

1. Independent Health Facilities Changes to IHFP Relocation Policy Presentation to IDCA Presented by: Nora Peterson Diagnostic Services & Planning Branch Date: September 20, 2013

2. Highlights • Addition of Level III relocation – movement of 5 or more kilometres across catchment zones • LHIN to be contacted for input: • Instead of hospitals • Where Level II or III relocation results in change in LHIN • Change in definition of catchment zone from any town of city with a population of 25,000 to 100,000

3. New Relocation Policy – Level I • Movement of less than 5 kilometres • Only change from current policy is LHINs will be contacted instead of hospitals for input when the proposed location is within 1 kilometre of a public hospital • Can cross catchment zones

4. New Relocation Policy – Level II • Movement of 5 kilometres or more within same catchment zone • Changes from current policy: • LHINs will be contacted for input instead of hospitals when the proposed location is within 1 kilometre of a public hospital • LHIN will be contacted if proposed relocation changes LHINs • Same as before, where proposed location is within 1 kilometre of another IHF providing some or all of the licensed services, the IHF(s) will be contacted for input

5. New Relocation Policy – Level III • New addition • Movement of 5 kilometres or more across catchment zones • Will only be considered from a catchment zone that is over-serviced or adequately serviced for licensed modalities to one that is under-serviced for licensed modalities • Where proposed location is within 5 kilometres of a public hospital, LHIN will be contacted for input • Where proposed location is within 5 kilometres of another IHF providing some or all of the same services, the IHF(s) will be contacted for input • Where movement involves change in LHINs, both LHINs will be contacted for input • Multiple modality licences – at least one modality must be under-serviced and no modalities can be over-serviced at proposed location

6. Specialty Practice • IHF may be allowed to relocate outside of relocation policy for only: • Ophthalmic ultrasound • Ultrasound for fertility treatment in support of a specific specialty physician practice • If licensee ceases to provide services in support of specialty practice, licensee will seek Director’s approval to relocate to a location in original catchment zone • No change from current relocation policy

7. Objections to Relocations • Where any objection is received to a proposed relocation, licensee will be advised and given opportunity to respond • Licensee will not be advised of the identity of the objector • If response received from licensee, Director will consider application, objection, response, and any other information as the Director considers appropriate when making a decision • No change from current relocation policy

8. Consecutive Relocations • IHF must be providing licensed services for at least six months before submitting a subsequent relocation application • If not operating at the current location for at least six months, any new application will be evaluated as a proposal from the last location the facility was providing licensed services for at least six months • No change from current relocation policy

9. All Relocations • For all relocations, written Director approval must be obtained prior to any relocation • In making decision, Director may consider information provided by Applicant and such other information as Director considers appropriate • No change from current relocation policy

10. Implementation • Effective date will be January 1, 2014 • Notification of update to policy will be mailed to all licensees in late 2013 • After implementation all relocation proposals must be submitted on a new application form • New amended policy will form part of the application • All old versions of the application received on or after the implementation date will be returned to the licensee for re-submission on the new form

11. To Request the Revised Application • After notification of update to policy sent out by ministry, contact the IHFP: • By email at IHFP@ontario.ca • By phone at 613-548-6637 • By fax at 613-548-6734