Continuity of Care
The CPSO has approved and published four new policies that set out expectations related to continuity of care. The OMA has developed resources to help you understand and implement the new policies.
Continuity of Care
The CPSO has approved and published four new policies that set out expectations related to continuity of care. The OMA has developed resources to help you understand and implement the new policies.

New Continuity of Care Policies: Overview

On September 20, 2019, the CPSO approved a suite of four policies and one Advice to the Profession companion document. The policies outline the mandatory regulations (the “musts”) and the companion document suggests optional best practices and advice.

The CPSO has implemented a 30-day transition period to allow physicians to align with any new expectations that were not previously set out in policy or where there has been substantial change in expectations.

Availability and Coverage Policy

Sets out expectations for availability, after hours coverage, and coverage during temporary absences from practice.
Read the full policy

Managing Tests Policy

Sets out expectations for ordering and managing tests of all kinds.

NOTE: The Managing Tests policy replaces the 2011 Test Results Management policy.
Read the full policy

Transitions in Care Policy

Sets out expectations for the transfer of patient care (or an element of patient care) between physicians or between physicians and other health-care providers.
Read the full policy

Walk-in Clinics Policy

Sets out expectations for physicians practicing in walk-in clinics, specifically related to continuity of care.
Read the full policy

Advice to the Profession: Continuity of Care (Companion Document)

Provides additional advice and general information to support the understanding and implementation of the expectations outlined in the four Continuity of Care policies.
Read the full policy

OMA Health Policy Resources:
OMA Submission to CPSO: Input on Draft Continuity of Care Policies
OMA Comparative Table: Proposed vs. Accepted Revisions to Draft Continuity of Care Policies


Implementation Support for Members

The OMA has developed a series of checklists to help you understand and implement the new Continuity of Care policies in your practice.

The checklists organize expectations from across all four policies into common themes so that you can easily apply them to your everyday tasks and practice contexts.

Each checklist lists key action items followed by the exact wording from the CPSO’s policies. They also include optional guidance from the CPSO’s Continuity of Care: Advice to the Profession document.

Referrals Checklist
Includes:
  • Making referrals
  • Receiving referrals
  • Special considerations:
    • When preparing for temporary absences from practice
    • For physicians practicing in walk-in clinics

Print PDF
Tests Checklist
Includes:
  • Ordering tests
  • Tracking tests and results
  • Receiving test results
  • Communicating test results
  • Following-up on test results
  • Special considerations:
    • When preparing for temporary absences from practice
    • For physicians practicing in walk-in clinics and Emergency Departments

Print PDF
Consults Checklist
Includes:
  • Doing consults
  • Preparing and distributing consultation reports
  • Receiving and reviewing consultation reports: special considerations:
    • When preparing for temporary absences from practice
    • For physicians practicing in walk-in clinics

Print PDF
Handover and Discharge Checklist
Includes:
  • Handing over responsibility for patient care
  • Having discharge discussions with patients
  • Completing discharge summaries
  • Distributing discharge summaries

Print PDF
Availability and Coverage Checklist
Includes:
  • During office hours
  • Outside of office hours
  • When preparing for temporary absences from practice

Print PDF
Walk-in Clinics Checklist
Includes:
  • Supporting the relationship between episodic care and primary care
  • Maintaining standards of practice

Print PDF
Checklist Package
Print PDF

The information provided in these resources is for informational purposes only and is not to be construed as legal advice. Physicians are ultimately governed by the CPSO policies which can be found at:
https://www.cpso.on.ca/Physicians/Policies-Guidance/Policies. These resources are not intended as a substitute for reading the CPSO Continuity of Care policies in full.


Questions or Feedback?


For questions about the expectations set out in the Continuity of Care policies

Contact the CPSO Physician Advisory Service:

Phone: 416-967-2606 / Toll Free: 1-800-268-7096 x 606


For information about the OMA’s work related to continuity of care

Contact the OMA Economics, Policy, and Research continuity of care inbox:

Email: COC@oma.org


To provide feedback on the implementation checklists

Contact the OMA Knowledge Translation & Implementation program:

Email: KT@oma.org


Updated: September 20, 2019