Hospital On-Call Coverage Program

Hospital On-Call Coverage (HOCC) Program Review

The 2008 Physician Services Agreement (2008 PSA) calls for the Physician LHIN Tripartite Committee (PLTC) to conduct a detailed review of HOCC program. This review is currently underway and is scheduled to be completed by October 1, 2010.

As part of the consultation process for the HOCC Program Review, physicians, hospital leaders and targeted health care stakeholders may be contacted and asked to participate in a survey, interview or focus group. We are requesting your assistance with this review; your input will help evaluate the current HOCC program and may contribute to the identification of future directions.

The original intent of the HOCC program was to provide the stability necessary to ensure hospital on-call access through funding to compensate physicians for the additional burden of such services. The review will determine how that intent is being satisfied, what improvements might be made and how such changes might be implemented.

Questions and Answers

Why is the HOCC Review being conducted?

The 2008 Physician Services Agreement (2008 PSA) calls for a detailed review of the Hospital On-Call Coverage (HOCC) Program.

What are the objectives of the HOCC Review?

The Review will assess the effectiveness of the HOCC program, look at specific issues as identified in the 2008 PSA and develop recommendations to address them.

What specific aspects of the HOCC program will be examined?

The Review will :

  1. Identify and examine the effectiveness of key elements of the program already in place at Ontario hospitals. These elements include eligibility criteria, compensation structures, process metrics, resource requirements, and others.
  2. Develop recommendations for improving the organization and delivery of on-call services based on evidence and best practices identified through the data and information collection process.
  3. Explore specific issues outlined in the 2008 PSA: Participation of doctors in CritiCall Ontario, use of Regional Call networks, and coverage for long-term care, sexual assault centres, chronic care facilities and palliative care programs.

Who is conducting the Review?

The Physician LHIN Tripartite Committee (PLTC) has established a HOCC Program Review Working Group, with representatives from the Local Health Integration Networks, the Ministry of Health and Long-Term Care and the Ontario Medical Association to conduct the Review., The Secor Group, a strategic management consulting firm, is executing the Review under the direction of the Working Group.

When will the Review be completed?

The review is expected to be completed by October 1, 2010.

Who will be consulted?

Principally physicians, hospital leaders (such as CEOs, chiefs of staff and HOCC program coordinators) and targeted health care stakeholders will be asked to participate in a survey, interview or focus group.

Will my feedback during the consultation process remain anonymous?

All feedback received will remain anonymous. Any reporting of survey information will be completed in aggregate with no individual physician identification. Information generated from the survey, as well individual survey responses, will be kept confidential so that data cannot be attributable to the individual.

What will be done with the findings of the HOCC review?

A report on the findings of the HOCC Program Review will be presented to the PLTC. The parties will review the findings, recommendations and determine next steps.

Where can I get more information?

This website will be periodically updated as new information becomes available. If you have any questions or would like additional information, please contact Arda Ilgazli (Ministry of Health and Long-Term Care) at or Simone Noble (Ontario Medical Association) at

For More Information

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