Ministry of Health and Long-Term Care has amended regulations
under the Public Hospitals
Act to allow hospital boards to decide at the local level the
optimal arrangements for patient care by determining whether an
oral and maxillofacial surgeon should be provided with expanded
These amendments will provide a mechanism for a hospital
board to grant expanded hospital privileges to oral and
maxillofacial surgeons to do the following independently of
admit patients as the sole admitting practitioner;
admission history and physical examination;
make a provisional
diagnosis of the patient’s medical condition;
and maxillofacial surgeons, with a specialty code designation of
50, are the only dental surgeons who have been granted hospital
support these hospital-admitting privileges, amendments have also
been made to regulations under the
Health Insurance Act
ensuring that certain hospital services will be insured when a
patient is admitted solely by an oral and maxillofacial surgeon.
Oral and maxillofacial surgeons will now be allowed to
order specific laboratory and diagnostic tests when performed in a
hospital for a hospital in-patient or out-patient.
accommodate these inclusions, the Schedule of Benefits for Physician
Services has been amended effective
September 1, 2001. Oral and maxillofacial surgeons will be
able to order specific diagnostic tests under Nuclear Medicine,
Radiology, Diagnostic Ultrasound, Pulmonary Function
Studies and Diagnostic and Therapeutic Procedures for their patients
performed in the hospital out-patient department.
Diagnostic services on in-patients are not paid on a fee-for-service
basis but are included in the hospital’s global
budget.Diagnostic services ordered by a dentist or oral
and maxillofacial surgeon performed in an independent health facility,
community laboratory or private physician’s office are
uninsured under all circumstances.
specific diagnostic tests are found on the following page.