Hospital On-Call Coverage Program

HOCC Funding

Funding Amounts, Programs and Calculation Guidelines

Specialty Groups and Funding Amounts
Table 1 (below) shows the distribution of specialties of practice into four distinct groups, for which different funding amounts are available. The total number of physicians providing on-call service in each rota determines the amount of funding.

Base HOCC Program
Available funding is shown in Table 1 (below) (HOCC Funding Stipends by GP/Specialty Group and Number of Participating Physicians)

Interim Enhanced HOCC Program
The 2004 Physician Services Agreement provided for increases to Base HOCC funding over the term of the Agreement, provided eligibility criteria are met. To be eligible for Enhanced HOCC funding amounts, physicians must sign a Written Declaration confirming they will accept no direct or indirect top-up payments/compensation for on-call service. Participation in this “Interim Enhanced HOCC Program” is voluntary; however physicians must agree to participate as a group, not as individuals.

Funding Table - Updated April 2013 - See Note

HOCC Funding Stipends by GP/Specialty Group and Number of Participating Physicians

(Table 1)

Table 1
Updated April 2013

Level I

Level II Specialists

Level III Specialists

Level IV Specialists

Eligible Physician Groups


General and
Family Practitioners

Anesthesia
General Surgery
Orthopedic Surgery
Psychiatry
General Internal Medicine
Obstetrics & Gynecology
Pediatrics
Neurosurgery
Vascular Surgery
Urology
Plastic SurgeryCardiac/Thoracic Surgery
Critical Care Medicine
Transplant Services

Cardiology
Emergency Medicine
Gastroenterology
Hematology/Oncology
Neurology
Ophthalmology
Otolaryngology
Respiratory Medicine
Diagnostic Radiology
Endocrinology Nephrology    Geriatric Medicine Hyperbaric Medicine
Cardiac Surgical Assistant

Immunology
Dermatology
Physical Medicine and Rehabilitation
Rheumatology
Nuclear Medicine
Interventional Radiology
Radiation Oncology
Infectious Disease             Gynaecologic Oncology

BASE HOCC Funding – Current Annual (Less 0.5% Discount) – See Note

5 or more Physicians

$75,000 (less $375) or $40,000 (less $200)* per/yr

$75,000 (less $375) per year

$15,000 (less $75) per year

Where one of the above specialists, in an eligible hospital, performs a special visit in the evening, night, on weekends or holidays, the Physician shall receive a call-in fee of $100.00 (less $0.50) in addition to any other fee-for-service amounts which may be billed.


The Physician will be limited to 2 call-in fees per calendar day.

4 Physicians

$68,000 (less $340) or $36,000 (less $180)* per/yr

$68,000 (less $340) per year

$14,000 (less $70) per year

3 Physicians

$60,000 (less $300) or $33,000 (less $165)* per year

$60,000 (less $300) per year

$13,500 (less $68) per year

2 Physicians

$60,000 (less $300) or $30,000 (less $150)* per year

$60,000 (less $300) per year

$12,000 (less $60) per year

1 Physician

$45,000 (less $225) or $25,000 (less $125)* per year

$45,000 (less $225) per year

$8,000 (less $40) per year

 

* for Physicians providing on-call in Level A, B, 1, 2 or 3 Hospitals (as set out in the Alternative Funding Agreement for Emergency Services)

Enhanced HOCC Funding – Current Annual (Less 0.5% Discount) – See Note

5 or more Physicians

$172,000 (less $860) or $91,730 (less $459)* per year

$172,000 (less $860) per year

$34,400 (less $172) per year

 

4 Physicians

$155,945 (less $780) or $82,560 (less $413)* per year

$155,945 (less $780) per year

$32,105 (less $161) per year

3 Physicians

$137,600 (less $688) or $75,680 (less $378)* per year

$137,600 (less $688) per year

$30,960 (less $155) per year

2 Physicians

$137,600 (less $688) or $68,800 (less $344)* per year

$137,600 (less $688) per year

$27,520 (less $138) per year

1 Physician

$103,200 (less $516) or $57,330 (less $287) * per year

$103,200 (less $516) per year

$18,345 (less $92) per year

* for Physicians providing on-call in Level A, B, 1, 2 or 3 Hospitals (as set out in the Alternative Funding Agreement for Emergency Services)

Note: In accordance with the negotiated terms of the 2012 Physician Services Agreement (2012 PSA) between the Ontario Medical Association and the Ministry of Health and Long-Term Care, a 0.5% discount has been applied to physician payments effective April 1, 2013. As per the 2012 PSA, this discount may be reduced if additional savings are identified in the physician services budget.

For More Information

Toll Free : 1-866-684-8620
E-Mail : OnCall@ontario.ca