RMTAO Board of Directors Meeting with the CMTO

Thursday, June 28, 2018 6:03:00 AM

BlogImage

On June 23, 2018, the RMTAO Board of Directors met with Corinne Flitton, Registrar, and Katherine Molnar, Director of Corporate Services, of the College of Massage Therapists of Ontario. The purpose of the meeting was to seek clarification on several key issues in order to better understand the reasoning for the fee increase and determine whether there could be other alternatives that would ease the financial burden on registrants while also fulfilling the CMTO financial requirements.

The CMTO provided clarification in a number of areas to help understand the background behind the registration fee increase. These areas included cost recovery from complaints and discipline, internal practices, financial position and planning, entry-to practice requirements, and by-law changes.

Background

On June 18, 2018, the College of Massage Therapists of Ontario announced changes to the registration and certification examination fees. These changes include an increase of $187.00 for general certificate registration fees, resulting in a registration fee of $785 for 2019, and an increase of $180.00 combined for both the Multiple Choice Examination (MCQ) and Objectively Structured Clinical Evaluation (OSCE) entry to practice examination, resulting in a total examination fee of $1,380.00.

In preparation for the meeting with representatives from the CMTO, the Board of Directors reviewed the publically available documents from the CMTO including, but not limited to, the audited financial statements for 2017, briefing notes provided by members of the CMTO staff and Council committee members, and the CMTO Workplan Report which details specific projects and initiatives that are linked to the College’s strategic and operational objectives. Further research was undertaken including the registration fees and complaints and discipline case numbers for other regulatory colleges, and disciplinary trends.

Financial prudence is of the utmost importance for any organization. In addition to the best practice of having three to six months operating capital in reserve, the CMTO must also maintain a reserve in the case of an extensive disciplinary or legal action, maintain a fund for the accreditation process which will hold educational institutions to account for their processes, and maintain a fund for research that is based in the public interest.

Further, there are administrative requirements that are necessary to demonstrate proactive regulatory oversight. This would include an effective quality assurance program, and many other projects and initiatives that are outlined in the CMTO Workplan.

The RMTAO Board of Directors gained additional information and clarification on cost recovery from complaints and discipline, internal practices, financial position and planning, entry-to practice requirements, and by-law changes.

Cost Recovery from Complaints and Discipline

The expense for complaints and discipline is the second largest expense as outlined in the financial statements at $2,375,028.00. The cost recovery for these expenses is listed at only $36,707.00. The CMTO indicated that there are over 200 outstanding issues, and that the first quarter saw 46 new matters brought forward, a 30% increase over 2017. The human and financial resources required to investigate these matters has also increased with the larger number of complaints, particular with the increased number of sexual abuse cases being reported to the College.  The Board inquired as to why there is not a higher level of cost recovery to off-set the large expense represented by the complaints and discipline process.

The CMTO is required to follow the example of case law that states an organization cannot destitute an individual through the use of fines or levies. The destitution level set by the CMTO is $100,000.00 but in some cases, the amount may be less for some registrants to become destitute.

In general, there is a determination as to whether the cost of the pursuit of the fine or levy justifies the collection of the fine or levy. The RMTAO understands that the decision to pursue recovery costs must be balanced by the cost required to achieve that recovery.

The RMTAO also understands that modernizing and expanding capacity for the development and delivery of the Professional Conduct Department is costly, yet necessary for public protection. The Board inquired as to why the investigations into complaints are seemingly more complicated and requiring more human and financial resources than other healthcare related investigations. The College has had an increase in number of sexual abuse cases which require more complex investigations. In addition, the CMTO is encountering an increased number of criminal charges being laid against RMTs for sexual assault, which further increases the complexity of the investigations due to the requirement to continuously monitor criminal proceedings in addition to undertaking their own investigation. 

Internal Practices

The CMTO Workplan outlines the required day-to-day tasks, as well as all internal projects and initiatives. The Workplan includes the administration of the Regulated Health Professions Act (RHPA), the development of courses, metrics and learning resources for the new quality assurance program, the development of new iterations of the standards of practice, the development of a new practice resource on the analysis of risk, updates to the regulations for professional misconduct, and other internal business requirements.

The development of the new quality assurance program will be based on the scope of practice, evidence-informed practice, and critical thinking models and will require specialized staff and resources. Additionally, regulatory reform requires a more sophisticated and powerful system development that requires new software for data mining and corresponding procedures. All of the internal processes require the appropriate staffing levels and specialized training or qualifications.

The financial analysis provided for 38 full-time staff members at the CMTO. A 2017 report indicates a staffing compliment of 22, and results in a ratio of staff to registrants at 1:621. This ratio is higher than most other healthcare professions, and the allowance for additional staff members will reduce this ratio and will allow the CMTO to better serve registrants. Staffing expenditures are the largest expense, but this is not unusual for any organization.

The RMTAO Board inquired into cost-saving measures in other areas, including better controlling administration costs including office space rent. The RMTAO understands the need to be in a downtown location with multi-modal transportation that allows for easy accessibility for registrants, applicants and other stakeholders. The downtown location reduces transportation costs for staff members to meet with the Ministry of Health and Long-Term Care, the Ministry of Advanced Skills and training, and other stakeholders also located in downtown Toronto. There are also regular meetings with other Colleges through the Federation of Health Regulatory Colleges of Ontario, and all other Colleges with which the CMTO meets are also located downtown Toronto. Furthermore, with this location there is access to a larger pool of candidates for staffing purposes. The RMTAO does not dispute the reasoning for requiring a downtown office space location.

Financial Position and Planning

The CMTO is currently in a good financial position. However, their financial analysis and forecasting indicates that if this fee increase is not undertaken that they will be in a financial position that does not demonstrate prudent financial management.

The Board of Directors stated that they thought it would be reasonable to think that the CMTO would have seen this situation developing and prepared the profession through a series of gradual increases in order to lessen the impact on the members of the profession. The CMTO indicated that they could see the trend but were not certain that an increase was required. This spring, with the financial forecasts provided by the external auditor, it became clear that an increase was necessary. The financial requirements moving forward will demand significant investments in structural software, staff recruitment and training, and the projects and initiatives approved in the CMTO Workplan.

While the RMTAO understands that the financial forecasting has outlined the reality moving forward, we still believe that financial prudence can be accomplished while also allowing for financial security for registrants.

Entry-to-Practice Requirements

The increase in number of open discipline cases and new discipline matters brought before the CMTO is concerning, not only as it relates to the proposed fee increase, but also as it relates to the professional standing and competence of the massage therapy profession as a whole. The RMTAO inquired whether this issue could be addressed by the CMTO before an individual enters the massage therapy profession, whether through filling gaps in education or identifying individuals unsuitable for the profession early in their education.

An individual that has committed no offence and/or acted contrary to the law or the rules of an institution cannot be refused an education of their choice if they have satisfied the entrance requirements and there is space available. It would be a human rights violation to an individual’s right to education. Although the CMTO can visit educational institutions, and has in the past, they require an invitation from the school and regulations do not currently allow the CMTO to mandate school visits. 

The CMTO is highly supportive of the process of accreditation for massage therapy schools, providing a large portion of the financial support. Accreditation will allow a standardization of massage therapy education across Canada, ensuring that all schools are teaching at the same level, and operating at the same standard. Accreditation is a positive step forward in ensuring that massage therapists newly entering the profession all practice to the same high standard.

By-Law Changes

In order to facilitate the fee increase, a change in the CMTO by-laws is required. The current by-law mandates an automatic increase in fees by the rate of inflation every year. This new revision would allow for the CMTO Council to review the fees and potentially increase the fees up to the rate of inflation after this single larger increase for 2019. There would be no mandatory increase, and any future increase would potentially not need to be as high as the rate of inflation.

The RMTAO is pleased with some of the significant changes to the by-laws, especially the removal of the requirement of the mandatory automatic fee increase every year. However, we also believe that the single significant raise in fees included in the by-law change is too significant of an increase and represents a significant financial burden on registrants. 

RMTAO Response

The RMTAO Board of Directors has sent a letter to Lisa Tucker, RMT, President of CMTO Council, requesting that the CMTO adjust the fee increases to be implemented over a two (2) year period. The proposed adjustment would be an increase of $100.00 for the registration fees in 2019, and a further increase of $87.00 in 2020. This would provide the CMTO with the necessary funds to ensure financial prudence, while providing registrants with a more attainable fee requirement.;

In addition to the request to stagger the increase in registration fees over a two year period, we requested no further increases in registration fees for the following three (3) years. From that point forward, the request is to stay with the proposed by-law change stating that each year the CMTO Council would examine the audited financials and may raise the fees up to the rate of inflation but they are not mandated to do so.

While we understand the requirement for financial prudence, we do not agree with an increase in the registration fee that is unduly onerous for our members. The RMTAO will continue to fight for our members and for all Ontario RMTs to ensure they will be able to build and maintain a successful practice without undue burden and without prohibitive fee requirements. We will continue to hold the CMTO Council accountable to the day-to-day realities of Ontario RMTs when making decisions, ensuring that RMTs can have a say in CMTO decision making processes rather than simply complying with a top down directive.

A copy of the letter sent to the CMTO can be downloaded below.

Download a copy of the letter

86 Comments

  • houston junk car buyer said

    Someone essentially lend a hand to make severely articles I
    would state. This is the first time I frequented your website page and so
    far? I amazed with the analysis you made to make this
    actual publish extraordinary. Fantastic task!

  • mortgage lenders in california said

    I loved as much as you will receive carried out right here.

    The sketch is attractive, your authored subject matter stylish.
    nonetheless, you command get bought an edginess over that
    you wish be delivering the following. unwell unquestionably come more formerly again since exactly the same nearly
    a lot often inside case you shield this increase.

    https://holdahl.no/Connecticut_Mortgage_Broker_License_Guide
    http://www.aia.community/wiki/en/index.php?title=3_Habits_Of_Extremely_Efficient_Mortgage_Broker_License_Requirements_California
    http://wiki-intel.org/index.php?title=Brokering_Industrial_Loans_In_California
    http://rhlug.pileus.org/wiki/Ten_Ideas_For_Mortgage_Broker
    http://www.atari-wiki.com/index.php/The_Business_Of_Mortgage_Broker
    http://hackfabmake.space/index.php/Six_Effective_Methods_To_Get_More_Out_Of_Mortgage_Broker_Folsom_Ca

  • mortgage broker merced ca said

    Magnificent beat ! I would like to apprentice while you
    amend your website, how can i subscribe for a blog website?

    The account helped me a acceptable deal. I had been a little bit
    acquainted of this your broadcast offered bright clear concept

    https://wiki.geeklog.jp/index.php?title=Mortgage_Lenders_In_Riverside_Ca_Companies_-_Easy_Methods_To_Do_It_Right
    https://wiki.bitsg.hosting.acm.org/index.php/Mortgage_Calculator_Canada_App_On_The_App_Retailer
    http://plgrn.nl/index.php/In_The_Event_You_Read_Nothing_Else_Immediately_Learn_This_Report_On_Mortgage_Broker_Lodi_Ca
    https://sustainabilipedia.org/index.php?title=User:KiaraTonkin
    https://portpavement.com/index.php/Unbiased_Mortgage_Broker_Mortgage_Company_Mortgage_Specialist
    http://www.atari-wiki.com/index.php/Mortgage_Broker_Secrets_And_Techniques_That_Nobody_Else_Knows_About

  • save refuges said

    Thank you a lot for sharing this with all of
    us you actually recognize what you are talking
    about! Bookmarked. Kindly also discuss with my site =).
    We will have a link trade contract among us save refuges

  • Фильм Бэтмен (2022) said

    Большой выбор фильмов и сериалов.
    Бесплатно и без рекламы.. Здесь Фильм Бэтмен (2022).
    Фильмы Новинки смотреть онлайн.

  • Лука said

    Лука Лука мультфильм смотреть онлайн в
    хорошем качестве Лука

  • 6 said

    6 6 смотреть мультфильм 2022 в хорошем качестве 6

  • 4 said

    4 4 смотреть онлайн в хорошем качестве 4

  • สล็อต ทดลองเล่นฟรี ถอนได้ said

    <a href="https://pg-slot.game/%e0%b8%a3%e0%b8%a7%e0%b8%a1%e0%b8%9a%e0%b8%97%e0%b8%84%e0%b8%a7%e0%b8%b2%e0%b8%a1/%e0%b8%aa%e0%b8%a5%e0%b9%87%e0%b8%ad%e0%b8%95-%e0%b8%97%e0%b8%94%e0%b8%a5%e0%b8%ad%e0%b8%87%e0%b9%80%e0%b8%a5%e0%b9%88%e0%b8%99%e0%b8%9f%e0%b8%a3%e0%b8%b5-%e0%b8%96%e0%b8%ad%e0%b8%99%e0%b9%84%e0%b8%94%e0%b9%89/">สล็อต ทดลองเล่นฟรี ถอนได้ </a> สล็อตออนไลน์ เล่นได้เงินจริง เกมบนเว็บไซต์ สล็อตออนไลน์สล็อตแบ่งง่ายได้เงินจริง เล่นบนโทรศัพท์ มือถือแล้วก็คอมพิวเตอร์เล่นบน HTLM5 จากทั้งสิ้น พีจีสล็อต

  • junk car said

    Hi! I know this is kinda off topic however I'd figured I'd ask.
    Would you be interested in exchanging links or maybe guest writing a blog post or vice-versa?
    My site addresses a lot of the same topics as yours and I believe we could greatly benefit from
    each other. If you are interested feel free to shoot me an e-mail.

    I look forward to hearing from you! Excellent blog by the way!


    https://prosite.ws/market/can-you-cross-the-hard-money-lenders-rates-check.html
    http://xn--v52bn3jb3o6jf.mo2da.kr/bbs/board.php?bo_table=data&wr_id=49716
    https://class.xmap.africa/market/hard-money-loan-calculator-do-you-really-need-it-this-will-provide-help-to-decide.html
    http://zhcash.network/wiki/ru/doku.php?id=tips_on_how_to_make_mo_e_ha_d_money_loan_calculato_by_doing_much_less
    http://lopezclean.com/yclas/audio/tips-on-how-to-win-buddies-and-influence-individuals-with-hard-money-loan-requirements.html
    https://ad.gedamarket.com/full-time/the-basics-of-hard-money-loan-example-which-you-could-benefit-from-starting-today.html

  • junk car said

    My coder is trying to convince me to move to .net from PHP.
    I have always disliked the idea because of the expenses.
    But he's tryiong none the less. I've been using Movable-type on numerous
    websites for about a year and am anxious about switching to
    another platform. I have heard fantastic things about blogengine.net.
    Is there a way I can transfer all my wordpress content into it?
    Any help would be greatly appreciated!

    https://kraftzone.tk/w/index.php?title=User:Rosaria27I
    https://sensualvip.com.ar/services/now-you-ll-be-able-to-have-your-best-hard-money-lenders-completed-safely.html
    https://lagaoo.dribrahimmasoodi.com/other-market/how-do-hard-money-loans-work-4.html
    https://www.optimalscience.org/index.php?title=Ultisky_Actual_Property_Holdings_Match_Real_Property_Investments_To_Best_Hard_Money_Lenders
    https://call.ebimarketing.com/apartment/prime-10-best-hard-money-lenders-florida-1.html
    https://sensualvip.com.ar/jobs/hard-money-loan-rates-find-out-how-to-be-more-productive.html

  • Google Sites said

    Are you writing the articles in your website yourself or you outsource them?
    I am a blogger and having difficulty with content.
    Other bloggers told me I should use an AI content writer, they
    are actually pretty good. Here is a sample article some bloggers shared with me.
    Please let me know what your opinion on it
    and should I go ahead and use AI - https://sites.google.com/view/best-ai-content-writing-tools/home

  • sarinnara17 said

    สล็อตเว็บตรงที่ดีที่สุด แตกหนัก จ่ายจริงไม่มีโกง เราเป็นผู้นำด้านเกมเดิมพันออนไลน์ที่มีผู้เล่นมากที่สุด มีระบบหลังบ้านบริการตลอด 24 ชั่วโมง อีกทั้งยังจ่ายเงินให้กับผู้เล่นมาแล้วกว่า 100000 ยูส มาสนุกกับเราและลุ้นเงินรางวัลจากการเดิมพันไปพร้อมๆ กันกับ <a href="https://xopgth.com/">pg</a>

  • дом дракона said

    Дом дракона сериал http://2seriya.domdrakona.su/vhd2/AAAS-Dom-drakona-1-sezon-smotret-onlain-2-seriia-vtoraia-seriia.html

  • ДОМ ДРАКОНА СМОТРЕТЬ В ХОРОШЕМ said

    Дом дракона 11 серия смотреть бесплатно https://colab.research.google.com/drive/17hZtt2fdeNFW6LPEazgAyPVXQSvdQKiI?usp=sharing дом дракона
    сериал 720




    дом дракона первая серия смотреть лорд
    по какой книге сняли дом дракона

    смотреть дом дракона 1 сезон lostfilm
    дом дракона смотреть четвертая серия lostfilm

  • online casino said

    This is a great post. I like this topic. This site has lots of advantage. I found many interesting things from this site. It helps me in many ways. Thanks for posting this again.

  • www.okbetcasino.live said

    Very impressive, To start my feedback i would like to congratulate your team for giving us this source of knowledge and we are freely to connect with you too. Please have a sweet day by reading this, <a href="https://www.okbetcasino.live/">https://www.okbetcasino.live</a>

  • prakman777 said

    ทดลองเล่นเกมสล็อตก่อนใครที่ สล็อตเว็บตรงที่ดีที่สุด <a href="https://xosuperslot.com/game-demo/">ทดลองเล่นสล็อต</a>

  • prakman said

    สล็อตเว็บตรงที่ดีที่สุด แตกหนัก <a href="https://slotxo79.bet">slotxo</a>

  • prakman777 said

    เกมเดิมพันออนไลน์ที่มีผู้เล่นมากที่สุด มีระบบหลังบ้านบริการตลอด 24 ชั่วโมง <a href="https://megagame79.com">megagame</a>

  • prakman777 said

    มาสนุกกับเราและลุ้นเงินรางวัลจากการเดิมพันไปพร้อมๆ กันกับ <a href="https://megagame-live.com">megagame</a>

  • สล็อตเว็บตรง clubred666 said

    ลูกค้าหลายๆท่านทั้งลูกค้าเก่าและลูกค้าใหม่นิยมกันเล่น <a href="https://clubred666.co/" rel="nofollow ugc">สล็อตเว็บตรง </a> กันเป็นส่วนมากเพราะเป็นตัวเกมส์ PG slot ที่สนุกสนานภาพที่คมชัดและเสียงที่ชัดเจน โดยบางแบรนด์จะมีเกมส์ PG slot ไว้ในแบรนด์กันเป็นส่วนใหญ่เพราะตัวเกมส์ที่สนุกสนานเลยและตัวเกมส์ที่หลากมีทั้ง เกมส์ สล็อต เกมส์โต๊ะ เกมส์ยิงปลา และเกมส์อื่นๆอีกมากมายเลยเป็นที่นิยมของผู้เล่นหลายๆท่านแบรนด์ Clubred666 ก็ได้นำตัวเกมส์PG รวมสล็อต PG และรวม เว็บสล็อต PG มาไว้ในแบรนด์เพื่อให้ผู้เล่นสะดวกสบายและได้สนุกกับการเล่นเกมส์มีทั้งเกมส์ใหม่และเกมส์เก่าและคอยอัปเดตระบบอยู่ตลอดไม่ให้ตัวเกมส์ล้าหลังหรือให้ตัวเกมส์เก่าเกินไป อัปเดตทั้งระบบเกมส์ ระบบเสียง ระบบภาพให้เหมือนจริงยิ่งขึ้นอยู่ตลอดจึงทำให้ผู้เล่นหลายๆคนนิยมเล่นแบรนด์ Clubred666 และทาง Clubred666 ยังได้จัดตั้งหรือแต่งตั้งแอดมินเพื่อให้มาแก้ไขปัญหาให้สำหรับลูกค้าที่ไม่เข้าใจหรือพบปัญหาส่วนไหนของตัวเกมส์ เช่นเข้าตัวเกมส์ไม่ได้ ยอดเงินเครดิตไม่เข้า หรือพบปัญหาต่างนอกเหนือนี้ก็สามารถสอบถามหรือแจ้งแอดมินได้ตลอด24ชั่วโมงและทาง Clubred666 ไม่ได้มีตัวเกมส์ PG slotที่สนุกสนานเพราะยังมีตัวเกมส์อีกหลายค่ายเช่น 918Kiss PUSSY หรือค่ายเกมส์ต่างๆนอกเหนือจากนี้ก็มีเช่นกันเพราะทาง Clubred666 ได้นำทุกค่ายเกมส์มาไว้มาแบรนด์เดียวเลยนั่นเองเพื่อให้ลูกค้าได้สะดวกสบายได้เล่นเกมส์ที่สนุกสนานแบบครบจบในแบรนด์เดียวเลยอีกด้วย

  • สล็อตเว็บตรง clubred666 said

    ลูกค้าหลายๆท่านทั้งลูกค้าเก่าและลูกค้าใหม่นิยมกันเล่น [url=http://www.clubred666.co]สล็อตเว็บตรง[/url] กันเป็นส่วนมากเพราะเป็นตัวเกมส์ PG slot ที่สนุกสนานภาพที่คมชัดและเสียงที่ชัดเจน โดยบางแบรนด์จะมีเกมส์ PG slot ไว้ในแบรนด์กันเป็นส่วนใหญ่เพราะตัวเกมส์ที่สนุกสนานเลยและตัวเกมส์ที่หลากมีทั้ง เกมส์ สล็อต เกมส์โต๊ะ เกมส์ยิงปลา และเกมส์อื่นๆอีกมากมายเลยเป็นที่นิยมของผู้เล่นหลายๆท่านแบรนด์ Clubred666 ก็ได้นำตัวเกมส์PG รวมสล็อต PG และรวม เว็บสล็อต PG มาไว้ในแบรนด์เพื่อให้ผู้เล่นสะดวกสบายและได้สนุกกับการเล่นเกมส์มีทั้งเกมส์ใหม่และเกมส์เก่าและคอยอัปเดตระบบอยู่ตลอดไม่ให้ตัวเกมส์ล้าหลังหรือให้ตัวเกมส์เก่าเกินไป อัปเดตทั้งระบบเกมส์ ระบบเสียง ระบบภาพให้เหมือนจริงยิ่งขึ้นอยู่ตลอดจึงทำให้ผู้เล่นหลายๆคนนิยมเล่นแบรนด์ Clubred666 และทาง Clubred666 ยังได้จัดตั้งหรือแต่งตั้งแอดมินเพื่อให้มาแก้ไขปัญหาให้สำหรับลูกค้าที่ไม่เข้าใจหรือพบปัญหาส่วนไหนของตัวเกมส์ เช่นเข้าตัวเกมส์ไม่ได้ ยอดเงินเครดิตไม่เข้า หรือพบปัญหาต่างนอกเหนือนี้ก็สามารถสอบถามหรือแจ้งแอดมินได้ตลอด24ชั่วโมงและทาง Clubred666 ไม่ได้มีตัวเกมส์ PG slotที่สนุกสนานเพราะยังมีตัวเกมส์อีกหลายค่ายเช่น 918Kiss PUSSY หรือค่ายเกมส์ต่างๆนอกเหนือจากนี้ก็มีเช่นกันเพราะทาง Clubred666 ได้นำทุกค่ายเกมส์มาไว้มาแบรนด์เดียวเลยนั่นเองเพื่อให้ลูกค้าได้สะดวกสบายได้เล่นเกมส์ที่สนุกสนานแบบครบจบในแบรนด์เดียวเลยอีกด้วย

  • wordpress plugins said

    When I initially commented I seem to have clicked on the
    -Notify me when new comments are added- checkbox and
    now whenever a comment is added I receive four emails with the exact same comment.
    Is there a means you can remove me from that service?

    Thank you!

    wordpress plugins
    wordpress plugins

Add a Comment

Tags: cmto, board of directors, advocacy, fee increase