Hospital On-Call Coverage Program

Principles of HOCC Registration


1.  A physician may be registered for HOCC in only one specialty/service at only one hospital/site.

1.1 The Hospital/MAC determines the services for which on-call is required at the hospital.  A physician must choose in which one specialty he/she wishes to register for HOCC funding.

1.2. A physician may actually participate in more than one service rotation/call group, but can only be registered for HOCC funding under one stipend.

2.   A physician will normally be paid from the stipend under which he/she is registered. 

2.1. Although a physician may cover two different services/sites on the same shift, only one payment may be made for that shift, and this payment will normally be made from the one stipend in which the physician is registered for HOCC.

3.   Notwithstanding Principle 2, the distribution of HOCC funding among the physicians who actually provide the call is a local matter to be administered at the hospital level with the agreement of the registered physicians.

   Example:  If a Vascular Surgeon provides coverage for General Surgery on a night when he/she is not on call for Vascular Surgery, and if minimum coverage is maintained in both Vascular Surgery and General Surgery services, and if the physicians registered in General Surgery agree among themselves, the hospital may pay the Vascular Surgeon from the General Surgery stipend on the nights the Vascular Surgeon covers General Surgery.  However, in conformity with Principle 1, the Vascular Surgeon may not register for HOCC in General Surgery, nor count toward the number of registered General Surgeons.

4.  To qualify for full HOCC funding, minimum call coverage must actually be provided for each specialty as follows: 

GPs and Level II Specialists: 
5 or more physicians must provide 100% after-hours call coverage
4 physicians must provide 91% after-hours call coverage
3 physicians must provide 80% after-hours call coverage
2 physicians must provide 80% after-hours call coverage
1 physician must provide 60% after-hours call coverage

Level III Specialists:
5 or more physicians must provide 100% after-hours call coverage
4 physicians must provide 95% after-hours call coverage
3 physicians must provide 91% after-hours call coverage
2 physicians must provide 81% after-hours call coverage
1 physician must provide 54% after-hours call coverage

4.1 Minimum required coverage is calculated over the course of a year to account for reasonable variability in coverage over the course of the year and to accommodate vacations, illness, continuing medical education, etc.

4.2 If the minimum required coverage cannot/will not be provided, the HOCC Program must be notified via the form "Appendix D" and the HOCC funding will be pro-rated accordingly on approval by the HOCC administration.

4.3 The hospital is responsible for managing the minimum coverage requirements and recovering or not distributing funds for those night(s)/weekend(s) when this has not been provided.

5.  In specialties where two concurrent rotations may be funded by HOCC (i.e. only Family Medicine, Internal Medicine, Anesthesia, Obstetrics/Gynecology and Pediatrics/NICU), the department must have at least ten members, and the rotations must operate separately and concurrently with no cross-coverage to provide seamless call.  That is, two physicians (one from each rotation/call group) must be first on-call at all times.

For More Information

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