CANADIAN SOCIETY OF PALLIATIVE CARE PHYSICIANS
Monday, October 19, 2015 Teleconference
9 AM PST / 10 AM MST / 11 AM CST / 1200 EST / 1300 ATL / 1350 NL
PRESENT: Dave Henderson (Chair), Monica Branigan, Bernard Lapointe, Bruno Gagnon, Stephanie Connidis, Ted St. Godard, Leonie Herx, Kim Taylor, Anne Boyle, Michelle Veer (Recorder).
REGRETS: Stephen Singh, Susan MacDonald.
1.0 Call to order at 0903 h
· Additions to agenda: Question from Vetting Committee regarding surveys.
2.0 Minutes Approval – David
· September 13 – 14 Face-to-Face Minutes
o Motion by Monica Branigan, seconded by Bruno Gagnon to pass minutes from September 13 – 14 Face-to-Face. Carried.
3.0 Education
· Palliative Care Competencies for Surgeons – Kim, for Susan
o Put on the resources section of Members Area
o Members to contact Srini Chary if any comments.
· FYI: Stephanie Connidis to represent CSPCP on the CFPC Palliative Care Committee
o Meeting two weeks ago.
o Requested copy of letter we sent to CFPC regarding configuration of the CAC
o Kim forwarded the letter to the committee.
4.0 Advocacy & Partnerships
· Physician Hastened Death
o Finalize submission to Federal panel – David, Monica
§ Received one week extension before submitting this document.
§ Key Messages are appreciated by Members and others
§ DECISION: Add disclaimer to indicate that it’s intended to represent the majority of our members. Agreed by all.
§ Monica updated that consensus is difficult to come to (e.g., recommendation #7).
§ Concern expressed regarding ability to defend recommendation #11 regarding ability of surrogate decision makers. Physician Hastened Death Working Group felt strongly to keep this in. Board agreed.
§ Monica circulated a potential alternate layout for the document
§ Board discussed specifics regarding submission. Agreed to:
§ Agreed to change the wording of “accept” to “recognize”.
§ Suggested to change wording from “recognize” to “acknowledge”. Agreed.
§ Recommendation #7 reviewed.
§ MOTION to reword as follows:
· If the Parliament of Canada is considering legislation to allow for Physician-Hastened Death, the Canadian Society of Palliative Care Physicians recommends caution by commencing only with physician assisted suicide for eligible persons with a limited prognosis.
· For: Leonie, Bernard, Bruno, Dave, Stephanie, Ted . Against Monica, Anne
· CARRIED.
§ Request to clarify Recommendation #6. It means that the team takes responsibility for meeting patient’s request, not an individual. This allows individuals on the team to have their own rights protected. No change required to text.
§ Question regarding flow: Do people like the new order that Monica circulated this morning (assuming the same text); or the previous order?
§ If going with previous order: suggest pointing out the # of key points and recommendations. Considering letters for the recommendations instead of numbers.
§ ACTION: Vote by Survey Monkey. Monica to issue the poll.
o Letter to Colleges - Deferred
o Idea: Slide Deck - Deferred
· ACP Study - Deferred
· Approve Media contact list – Deferred
5.0 Member Engagement & Communication
· Membership challenge - Michelle
o Latest total: 406 members.
· Representatives on committees - Kim
o Choosing Wisely Canada: Teneille Gofton (London) will co-rep with Mary-Jane O’Leary
§ ACTION: Kim to meet with both Teneille and Mary-Jane.
o Wait Time Alliance: vacant
§ Meets by telecon once or twice a year, any Board members interested?
§ Helps bring attention to our profession
§ Will check with Leonie, Susan & Stephen before putting call out to membership for a representative.
o Bernard is representing CSPCP on CPAC – Nov 4 Meeting and a weekend meeting the following weekend.
o Stephanie (Nov 5 – 6) going to Physician Resource Summit for Royal College of Physicians and Surgeons. This may link well with the wait time alliance. Resources are being linked to wait times.
o Template for reporting on meetings - attached
§ Reviewed new meeting report template that was suggested at F2F
§ Will test out form at the upcoming meetings.
6.0 Infrastructure and operations
· Approve Work Plan - attached
o Board members have sent their comments
o Reviewed remaining questions
o Should Media Strategy be moved from the Advocacy & Partnerships section to Communications? - Yes
o Should we develop national standards for palliative care consultants? – Yes. Put it in the Human Resources section.
§ Suggested that CSPCP should take formal role to encourage physicians to apply to have a consultation fee code requirement.
§ Leonie added that Calgary has looked at standardizing criteria to be a PC consultant.
§ Everyone agreeing that this be looked at by PC physicians in each province.
§ ACTION: Kim add these items to work plan.
§ No HR Committee to tackle national standards for palliative care consultants; should we form a working group?
§ Suggested to Identify champion in each province to drive provincially and then move from there. May require one or two teleconferences to move forward. David Henderson offers to chair.
§ ACTION: Kim to get this coordinated about how to start.
· Approve ED report – attachment - Deferred
ADJOURN: Meeting adjourned at 1030 h. PST
NEXT MEETING: T-CON November 9, 2015