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Hospitals Pay Hundreds of Thousands of Dollars to Consultants, Public Auditor Finds

November 24, 2010

Recent reports of our public hospitals paying consultants hundreds of thousands of dollars in fees is not simply disturbing from the point of view of the appropriate use of the public health care dollars. It is particularly disturbing in view of the fact that many hospitals ask our medical leaders to undertake onerous, stressful, 24/7 positions as Chiefs of various departments (including emergency departments) in return for compensation that can only be described as insulting. The ongoing justification for the low remuneration offered by many hospitals is the purported lack of funds.

In some busy community hospitals the belief seems to be that Chiefs of Emergency Departments should occupy the position for salary stipends prorated to two days per week. This completely overlooks the fiduciary duty that goes with such a job. For example, Chiefs of Emergency Departments are expected to cover for staff, by taking calls for those who cannot do so as a result of sickness or unexpected absence. The fact that the Chief may have already worked 60 or 70 hours that week is immaterial. Similarly, if the Department is overcrowded or is not processing patients appropriately in the middle of the night, the Chief is expected to go in. The administrators and the consultants are all entitled to go home.

It’s time the Chiefs of our hospitals worked together as a team; this should involve mandatory disclosure by each hospital of what is spent on consultants and what those consulting fees cover. This disclosure should be a prerequisite for Chiefs accepting remuneration for their leadership, supervision and the onerous responsibility of delivering timely accessible patient care.

Testimonials

Ms. Tremayne-Lloyd was the keynote speaker at the Medical Staff Association 2011 meeting on June 20, 2011. Her presentation was titled: “Hospital Governance: An Indispensable Joint Venture of Medicine and Management and Rights and Responsibilities of the Medical Staff”. The presentation was well received by the Medical Staff and the topic was certainly relevant. We would recommend her and have her back for any further topics.

Hien Ta, M.D., FRCPC Past Medical Staff President, York Central Hospital

Tracey Tremayne-Lloyd Health Law