New premium for doctors aims to encourage more surgeries on evenings, weekends
CBC
The Progressive Conservative government is taking another step to extend operating room hours in Nova Scotia, but it's not clear if it will cut into a stubborn backlog of surgical cases.
A contract the government recently signed with doctors extends a premium already paid for emergency surgeries to scheduled surgeries outside normal hours and on weekends and holidays. The premium would be available for surgeons, anesthesiologists and surgical assistants.
"I'm hopeful that this is going to result in more output and more surgeries for Nova Scotians who have been waiting but, you know, ultimately at the end of the day we're asking a lot out of a lot of people," Grayson Fulmer, the senior director of medical affairs for Nova Scotia Health, said in an interview.
"I think over time we're going to see much, much more success, and in the short term we're going to try everything within our power to coordinate and get as much access to Nova Scotians who need and deserve it."
Fulmer said a continuing challenge in reducing the backlog is an overall lack of staff. Along with needing enough doctors, additional surgeries require nurses, technicians to sterilize surgical instruments and people to clean and prepare operating rooms.
As recruitment efforts continue, Fulmer said the new premium will come into play when hospitals have enough staff to take on the extra work, while recognizing that most doctors who could participate are already putting in full-time hours.
He compared the premium to overtime that unionized employees receive for putting in extra hours.
"It's about acknowledging their time, it's about acknowledging that we're already dealing with a busy cohort of people and we're asking for a little bit more out of them in certain cases."
According to guidelines obtained by CBC, cases that start between 5 p.m. and 11:59 p.m. on weekdays or from 8 a.m. to 4:59 p.m. on Saturdays would be eligible for a 35 per cent premium. Cases starting between 12 a.m. and 7:59 a.m. on weekdays, from 5 p.m. to 7:59 a.m. on Saturdays, or cases started anytime on Sundays or holidays would get a 50 per cent premium.
Surgeries scheduled for regular hours cannot be bumped to gain a premium and the cases occurring outside regular hours must result in demonstrable additional surgical activity to be eligible for the premium.
Fulmer said there will eventually be a change to the fee code system for doctors doing additional work, but at first the premiums will be authorized internally.
The premiums became available on Aug. 1, so it's too soon to know how many doctors are willing to take on additional cases, said Alexandra McNab, a spokesperson for Doctors Nova Scotia.
"What we do know, however, is that physicians are always willing to be a part of the solution," McNab said in an email.
"But it is of course difficult to ensure they are keeping that work-life balance and providing safe and sustainable care for patients."
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