An hours based contract for individual family physicians who do not have a patient panel and wish to join an existing group practice to build a panel of attached patients. The contract template is available here.
The contract is for individual physicians who do not have an established practice with their own patient panel. It is available to physicians who meet the following criteria:
The contract duration is for a maximum of 2 years and provides either party the option to terminate without cause with 6 months’ notice.
Subject to the agreement of the other physicians in the clinic, a physician may also terminate the contract on 60 days’ notice where the physician’s earnings will increase by changing payment modalities as follows:
The new-to-practice physician and the physicians in the clinic must agree to provide community longitudinal primary care services aligned with the principles of a Patient Medical Home and either participate in an existing Primary Care Network (PCN), or commit to actively support the development of a PCN in the community where one is planned.
The physicians in the clinic must also agree to include the new physician in the practice. The NTP contract requires that clinic physicians and the new physician sign a Practice Agreement that outlines how they will co-ordinate their work to provide services to patients and they must provide that agreement to the Health Authority to confirm that the Practice Agreement supports or enables the NTP physician in meeting their contractual obligations.
The new physician must agree to act as the regular and most responsible primary care provider for a balanced patient panel of at least 800 new patients by the end of the first year of the contract and 1,250 by the end of the second year.
Payment under the contract is based on hours worked and made directly to the physician for longitudinal family practice services provided in the clinic. The contract requires a full-time physician to provide a minimum of 1680 hours of service to a maximum of 2100 hours of service per year. The minimum contribution of a physician working under a part time adjusted contract is half time (a minimum of 840 hours per year).
The annual compensation for a full time physician varies from year to year as follows:
The physician is entitled to bill FFS separately for services outside the scope of the contract, including:
Time spent for services that are outside the scope of the contract and billed under FFS cannot contribute to the contract’s hours requirement.
A physician under the contract is required to contribute to the overhead costs of the clinic at the rate set out in the Practice Agreement.
The contract is administered by the regional health authority.
You are an individual general practitioner who is interested in income security while establishing a full-service family practice and building your own patient panel within a community group clinic.
For newly practicing physicians interested in providing community longitudinal care this provides an opportunity for a stable income while building a practice panel.
Mr Paul Straszak, Doctors of BC Chief Negotiator, and Mr Mark Armitage, Assistant Deputy Minister, Ministry of Health walked members through the group contract for practicing full service family physicians and the individual contract for new-to-practice family physicians followed by a Q & A session in this webinar.
For more information on the Individual Contract for New-to-Practice Family Physicians, email.