Bulletin

   
Bulletin Number
        9068
Date
        September 1, 2001
Direct inquiries to

         Ministry of Health
         Processing Office


(address below)
Distribution
       Dental Surgeons
Subject     

EXPANDED HOSPITAL PRIVILEGES FOR ORAL AND MAXILLOFACIAL SURGEONS

The 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 hospital privileges.  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 physicians:

-        admit patients as the sole admitting practitioner;
-        perform the admission history and physical examination;
-        make a provisional diagnosis of the patient’s medical condition;
-        discharge a patient.

Oral and maxillofacial surgeons, with a specialty code designation of 50, are the only dental surgeons who have been granted hospital admitting privileges.

To 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.

To 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, Diagnostic Radiology, Diagnostic Ultrasound, Pulmonary Function Studies and Diagnostic and Therapeutic Procedures for their patients when 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.

The specific diagnostic tests are found on the following page.

.../page2

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