Page 30 - CEO Orientation

To facilitate its review, working groups were established to provide an analysis of the impact, benefits,
and risks integration may have on:

 Patient Care
 Medical Staff Model
 Information Systems and Technology
 Human Resources
 Finance
 Research and Education
 Governance

During this process, the JBSC also began a community and health system partner engagement exercise
to seek advice on how a new health network would benefit patients and the system. A summary of our
shared engagement is included in section 5 of this proposal.

Scope of Work
Underlying the analysis is the assumption all three organizations’ sites would remain in place and will
continue to service each local community. Clinical program and medical department integration was not
reviewed. Rather, the analysis examined whether the organizations could operate more efficiently
under a common management structure thereby enabling further investment in frontline patient
services.

4.1 MEDICAL STAFF
Physicians play an integral role in the operations of a hospital – providing not just front-line patient care
but driving quality improvement, management of resources, and mentoring new staff and students –as
part of a collaborative care team. The majority of medical staff are independent professionals who are
not employed by the hospitals, but are granted privileges by the board of directors to provide patient
care within their licensed scope of practice. They also have varying payment arrangements and in the
case of some physicians, teaching and/or research requirements through appointments with an
associated school of medicine.

St. Michael’s is a fully affiliated teaching hospital of the University of Toronto. Full-time St. Michael’s
physicians are required to have an academic appointment. St. Joseph’s and Providence Healthcare are
community affiliated teaching hospitals whose medical staff members may have academic
appointments.

KEY PRINCIPLES
In order to facilitate an effective and optimal medical staff integration process, a set of principles were
developed to guide planning efforts and ensure differences in medical staff arrangements at Providence,
St. Joseph’s, and St. Michael’s are respected and honoured. These included:

Our Shared Purpose: Advancing the Health of Our Patients and Our Urban Communities Page | 22