On this page, important updates to the website and documents can be found. Please check this page often for important updates that may affect your Advisory Committee on Diagnostic Facitlies application or Assignment of Payment.
- Advisory Committee on Diagnostic Facilities
- Pulmonary Function (Applications for Certificate of Approval for Privately-Owned Facilities)
- Distance-Reading (Diagnostic Ultrasound Telemetry) Policy
- Distance-Reading (Diagnostic Ultrasound Telemetry) Applications
- Relocation Policy
- Polysomnography Policy
- Electromyography Policy
- Temporary Moratorium on Applications for Diagnostic Outpatient Ultrasound Facilities
- Assignment of Payment (AOP)
Pulmonary Function (Applications for Certificate of Approval for Privately-Owned Facilities) (Updated August 23, 2017)
For privately-owned facilities, at this time, the Advisory Committee on Diagnostic Facilities will only accept Pulmonary Function applications from individual practitioners performing services on their own patients. Therefore, for privately-owned facilities a Certificate of Approval will only be considered for those applications with a one-to-one relationship of practitioner and facility.
On December 7, 2016, the Medical Services Commission approved the following revision to Policy 2.4.3 Assessment Criteria: Service Specific Criteria (Distance-Reading Telemetry).
Medical Services Commission (MSC) Payment Schedule Definition: The electronic transmission of diagnostic ultrasound images from one site to another for interpretation.
- Both public and privately-owned facilities may apply for Distance-Reading (Diagnostic Ultrasound Telemetry) for ultrasound services they are approved to perform.
- Both sending (transmitting) and receiving sites must hold an ultrasound Certificate of Approval from the Committee or the Commission.
- Applications will be assessed based on patient access needs and the general and specific criteria in the Policies and Guidelines of the Medical Services Commission’s Advisory Committee on Diagnostic Facilities.
- An application must be submitted and approval received prior to any change in a facility’s Distance Reading approval, including the type of ultrasound services transmitted or any change in receiving sites. Applications must include the addresses of all current and proposed sites.
- When assessing patient access needs, the Committee may consider various factors, including but not limited to: facility location; community size; population density; and distance and driving time to the nearest approved ultrasound facility that offers on-site radiologists for ultrasound interpretation.
- When assessing applications, the Committee may consider the number of appropriately credentialed radiologists in the community and the distance between transmitting and receiving sites.
- Facilities seeking to apply for both an ultrasound service and Distance Reading for that service must complete separate applications for the service and Distance Reading approval. Both applications may be assessed at the same Committee meeting.
On December 7, 2016, the Medical Services Commission approved Policy 2.4.3 Assessment Criteria: Service Specific Criteria (Distance-Reading Telemetry).
To add distance-reading to an existing ultrasound facility Certificate of Approval, or to add a service or receiving site to an existing ultrasound Certificate of Approval, applicants must now complete application Form D – Add or Change of Distance-Reading (Diagnostic Ultrasound Telemetry) Certificate of Approval.
To download, and submit an application, see http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/laboratory-services-diagnostic-services/diagnostic-services/advisory-committee-on-diagnostic-facilities-acdf-application-forms/acdf-application-forms
On April 5, 2017, the Medical Services Commission approved the following addition to Policy 2.1 Activity Requiring Approval.
Policy 2.1 Activity Requiring Approval
The Committee will review applications made to the Commission for approval of:
b. the relocation of an existing diagnostic facility when such relocation is within the same geographic catchment area,
On April 5, 2017, the Medical Services Commission approved the addition of Policy 3.6 Relocation.
The purpose of this policy is “to articulate the required criteria for how the Committee and Commission assess applications for relocation of diagnostic facilities to ensure that beneficiaries are able to maintain reasonable access to diagnostic services in a given geographic catchment area.”
For full details on this new policy See pages 43-44 of the Policies and Guidelines of the Medical Services Commission’s Advisory Committee on Diagnostic Facilities [PDF, 598KB]
On April 5, 2017, the Medical Services Commission approved the following addition to Policy 2.4.2 Assessment Criteria: Accessibility (Polysomnography).
“The Committee will determine the catchment area that applies for applications for polysomnography using the area within the geographic boundaries of the Health Service Delivery Areas, as defined by the Ministry of Health and BC Stats, of the health authority where the diagnostic facility that is the subject of the application is located.”
Health Service Delivery Areas are found at: http://www2.gov.bc.ca/gov/content/data/geographic-data-services/land-use/administrative-boundaries/health-boundaries
Polysomnography Policy (Updated June 13, 2017)
On April 5, 2017, the Medical Services Commission approved the following addition to Policy 2.4.3 Assessment Criteria: Service Specific Criteria (Polysomnography).
“Facilities applying for a Polysomnography Certificate of Approval must provide for a minimum capacity of three (3) beds appropriate for the purpose of overnight sleep testing. “
On May 17, 2017, the Medical Services Commission approved the following addition to Policy 2.4.3 Assessment Criteria: Service Specific Criteria (Electromyography).
- If an individual is seeking a privately-owned Certificate of Approval to be operated within a publicly-owned diagnostic facility, the application must include an appropriate letter of support from the representative, or authorized delegate, of the owner of the publicly-owned diagnostic facility, and
- the service is to be provided to a beneficiary on an outpatient basis.
To apply for electromyography, complete the Advisory Committee on Diagnostic Facilities diagnostic outpatient electromyography application letter of support template.
Temporary Moratorium on Applications for Diagnostic Outpatient Ultrasound Facilities (Updated May 31, 2017)
On May 17, 2017 the Medical Services Commission of British Columbia extended its temporary moratorium on applications for new, relocation or expansion of diagnostic outpatient ultrasound facilities, with the exception of those fee items currently restricted to public hospitals, i.e. Echocardiography and Doppler Studies.
Applications for addition of services to an existing ultrasound Certificate of Approval will continue to be accepted.
Follow the link below for the full text of the Commission’s announcement concerning its moratorium on applications for diagnostic outpatient ultrasound facilities.
Exceptions to the moratorium may be made for demonstrated urgent health or safety needs. However, the Commission will only accept a moratorium request for exception from facilities holding a current ultrasound Certificate of Approval from the Medical Services Commission, or the Advisory Committee on Diagnostic Facilities.
Exceptions Process - Moratorium on Applications for Diagnostic Outpatient Ultrasound Facilities
Qualifying facilities who seek an exception to the moratorium based on demonstrated urgent health or safety needs must complete and submit a request for moratorium exception consideration (PDF, 350KB).
After extensive internal and external process reviews and stakeholder consultation, the AOP form has been revised in four key areas:
1: AOP Part D - Medical Director Authorization for AOP renewals
- Medical director authorization is no longer required when an AOP is being renewed (same practitioner, facility, and services assigned).
2: AOP Part D - Medical Director Delegation/Regional Medical Director
- Medical director delegation has been simplified.
- The Regional Medical Director section has been removed; however, a Regional Medical Director (or anyone else authorized by the Medical Director) may sign as a delegate on behalf of the Medical Director.
Delegate name, title and signature are required.
The Medical Director must still be identified.
3: AOP Part F – Confirmation of Approval
- In all cases, once the Ministry has vetted and approved the information provided and completed initial processing of the AOP form, an e-mail notification will be provided to the individual who submitted the form.
- Key terms and definitions have been added to page two of the AOP form.
Please refer to the revised AOP Completion Instructions for Assistance in completing Assignment of Payment Forms,