ROYAL COLLEGE OF DENTAL SURGEONS OF ONTARIO. MINUTES OF THE 411th MEETING OF COUNCIL

Transcription

1 ROYAL COLLEGE OF DENTAL SURGEONS OF ONTARIO MINUTES OF THE 411th MEETING OF COUNCIL Thursday, November 17, 2016 DoubleTree by Hilton Toronto Hotel, 108 Chestnut Street, Toronto The 411th Meeting of the Council of the Royal College of Dental Surgeons of Ontario was held on Thursday, November 17, ATTENDANCE: Mr. Derry Millar, Chair Council Members: Elected Representatives: Dr. Elizabeth MacSween District 1 Dr. Benjamin Lin District 2 Dr. Lisa Kelly District 3 Dr. Randy Lang District 4 Dr. Lawrence Davidge District 5 Dr. Joseph Stasko District 6 Dr. Cam Witmer District 7 Dr. Ronald Yarascavitch, President District 8 Dr. Richard Hunter District 9 Dr. Flavio Turchet District 10 Dr. Robert Carroll District 11 Dr. David Segal District 12 University Representatives: Dr. Harinder Sandhu, Western University, Ontario Dr. David Mock, University of Toronto Lieutenant-Governor-in-Council Representatives: Mr. Ted Callaghan Ms. Susan Davis Ms. Margaret Dunn Mr. Gregory Larsen

2 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 2 Mr. Manohar Kanagamany Ms. Catherine Kerr Ms. Marianne Park Ms. Elizabeth Wilfert Mr. Derek Walter Regrets: Ms. Beth Deazeley Public appointee Legal Counsel: Mr. Alan Bromstein Royal College of Dental Surgeons of Ontario Staff: Ms. Hilary Bauer, Decision Writer, Professional Conduct and Regulatory Affairs Ms. René Brewer, Director, Professional Liability Program Mr. Joe Donahue, Director, Human Resources Ms. Sinead Earley, Investigator, Professional Conduct and Regulatory Affairs Ms. Krystal Evans, Assistant Manager, Committee Support and Enforcement, Professional Conduct and Regulatory Affairs Mr. Irwin Fefergrad, Registrar Dr. Michael Gardner, Director, Quality Assurance Ms. Lara Gertner, Decision Writer, Professional Conduct and Regulatory Affairs Mr. Michael McClurg, Decision Writer, Professional Conduct and Regulatory Affairs Mr. Robert Lees, Manager, Registration Ms. Lori Long, Director, Professional Conduct and Regulatory Affairs Mr. Obaid Mansuri, Audio/Visual IT Support Technician, Information Technology Mr. Kevin Marsh, Director of Communications Mr. Greg Moors, Director, Finance, Property and Administration Ms. Olga Papolis, Executive Assistant Mr. Ram Rajanayagam, Manager, Information Technology Ms. Angie Sherban, Executive Assistant and Council Liaison Ms. Dayna Simon, Senior Counsel, Regulatory Affairs Dr. Chris Swayze, Manager, Reports, Professional Conduct and Regulatory Affairs Ms. Brenda Waddington, General Manager, Operations & Facilities Ms. Wendy Waterhouse, Manager, Complaints, Professional Conduct and Regulatory Affairs Ms. Julie Wilkin, Assistant Manager, Registration

3 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 3 1. CALL TO ORDER The Chair called the meeting to order at 9:00 a.m. 2. ADOPTION OF AGENDA The agenda was adopted, as circulated. MOTION: THAT the agenda for the 411 th Meeting of Council be adopted, as circulated. CARRIED (Unanimously) 3. ROLL CALL Mr. Fefergrad conducted the roll call. 23 Council members were in attendance, 1 was absent and a quorum was declared. 4. REMARKS/CHAIR Mr. Millar welcomed members of Council, staff, guests and observers to the meeting. 5. REMARKS/PRESIDENT Dr. Yarascavitch welcomed Council members, observers and staff to the meeting. Being the last meeting of the term of Council, he reported on the past two years accomplishments. He reminded Council that health care regulation is a priority for the current provincial government and the College will continue to be involved and assist government with its mandate, for example, transparency. He reiterated that the College should take pride in being proactive and seeing the need for more transparency years before it became an issue for government. College staff provided information and advice to the Sexual Abuse Task Force (SATF) regarding to sexual abuse of patients to assist it with preparing its report.

4 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 4 The report from the SATF found no criticism of the College and included some of the College s input. Dr. Yarascavitch commented on the following initiatives worked on over the past two years: New Practice Advisory on Sexual Abuse and Boundary Violations through the Patient Relations Committee. New Practice Advisory on the Use of Social Media New Twitter account for the College The efficiency of the Inquiries, Complaints and Reports Committee and procedures in place on meeting responsibilities on Ontario s Human Rights Code and the Accessibility for Ontarians with Disabilities Act. Expanding the Practice Enhancement Tool (PET) online for dental specialists. Introduction of on-line elections. Dr. Yarascavitch presented the newly-appointed public member of Council, Ms. Margaret Dunn, with a College lapel pin and welcomed her to the College. He concluded his address by expressing gratitude to Council members for their ongoing support and also to recognize the valuable contributions of staff. 6. REMARKS/REGISTRAR Mr. Fefergrad reported to Council that registrars of the health regulatory colleges have been invited to attend a meeting with the Minister of Health s office on December 7, 2016 to hear the outline of proposed amendments to the Regulated Health Professions Act (RHPA). He added that following the release of the Sexual Abuse Task Force s report, there were many recommendations made for consideration by the Minister. Mr. Fefergrad reviewed some of the recommendations of the SATF that could be incorporated into the revised RHPA. Staff will be prepared to make changes to processes and by-laws, as a result of the proposed revisions. Another issue that Council will need to address will be international trade agreements. Mr. Fefergrad reported on the 2016 Healthcare Professionals Crossing Borders Conference that he attended in London recently. The conference was

5 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 5 limited and focussed on Crossing Boarders/Promoting Patient Safety. Some key directors from the European Commission were invited, as well as regulators from Europe and Asia. The conference was called as a result of Brexit. Mr. Fefergrad reported on the United Kingdom using revalidation for health care professions which is not only an unfair way to measure competency, but also very costly. He expressed concern about trade agreements being negotiated without input or discussed with regulatory bodies. The Comprehensive Economic Trade Agreement (CETA) has now been signed. It will be important for Council to stay apprised of developments with this agreement, as well as the Trans-Pacific Partnership (TPP) Agreement. Mr. Fefergrad ended his address by stating how much he enjoyed working with the Council over the past two years and to have helped them to achieve all that they did. 7. COMMITTEE REPORTS (a) Executive Committee Dr. Yarascavitch, Chair, presented the report on behalf of the Executive Committee and made a recommendation on behalf of the Committee. 1. Commission on Dental Accreditation of Canada (CDAC) Dr. Yarascavitch reported that CDAC is the national body that ensures that Faculties of Dentistry meet their teaching standards. CDAC does periodic accreditation surveys and creates the national teaching standards, and it has requested regulatory bodies to send representatives to the survey of the Western University DDS program from April 3 to 7, The Executive Committee directed the Registrar to canvass dentist members of Council for interest and availability. It was recommended that Dr. Joseph Stasko be appointed as the College s representative for this event. Dr. Stasko abstained from voting on this motion.

6 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 6 MOTION: THAT Council appoints Dr. Joseph Stasko to represent the College at the Commission on Dental Accreditation of Canada (CDAC s) accreditation survey of Western University s DDS program which takes place on April 3-7, 2017 in London. CARRIED (Abstention: 1) (Unanimously) FOR INFORMATION Dr. Yarascavitch highlighted one of the items listed for information. Dr. Graeme Cunningham is the College s consultant on members wellness and he advised that so far in 2016 he has averaged three telephone calls a week from members in distress and has been involved in 60 separate interventions with members and/or members family or staff. Dr. Yarascavitch reiterated the benefit of this service for the public in that the College is helping to keep members, members families, staff and the public safe. There were no questions raised on the materials provided for information. (b) Discipline Committee Dr. Hunter, Chair of the Discipline Committee, presented the report on behalf of the Committee and there were no recommendations to make at this time. There were no questions raised. (c) Finance, Property and Administration Committee Dr. Lang, Chair of the Finance, Property and Administration Committee, presented the report and budget and made recommendations on behalf of the Committee Budget Mr. Moors was invited to respond to questions about the budget from Council members. MOTION: THAT Council approved the Operating Budget for 2017, as presented.

7 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 7 CARRIED (Unanimously) (d) Inquiries, Complaints and Reports Committee Dr. Stasko, Chair of the Inquiries, Complaints and Reports Committee, presented the report on behalf of the Committee. There were no recommendations to make at this time. He thanked the Committee members and support staff for their dedication and commitment. Dr. Stasko commended panel members and staff for adapting to working with electronic materials for the Committee and to the introduction of the Risk Assessment Tool for assisting them in their work. (e) Patient Relations Committee Ms. Catherine Kerr, Chair of the Patient Relations Committee, presented the report and made a recommendation on behalf of the Committee. She thanked her fellow Committee members for their knowledge, enthusiasm and commitment. Ms. Kerr reported on the meeting of the Patient Relations Committee that was held on November 3, The College s Community Consultation Group was invited to attend the meeting as observers. She stated that throughout the term, the Patient Relations Committee continued its proactive work to prevent the sexual abuse of patients as set out in the strategic plan approved by Council in May The Committee worked hard to build support for people who report sexual misconduct, increase access to information on the College s website, enhance member education and guidance and provide Council and Committee training on sexual abuse prevention. 1. Policy to enhance support for individuals who are testifying at a discipline hearing and have experienced sexual abuse and/or boundary violations of a sexual nature Ms. Kerr reported that the recommendations from the Sexual Abuse Task Force (SATF) include proposals to empower patients in the health regulatory system through added supports, such as legal counselling. The Patient Relations Committee wishes to enhance support for patients and other individuals who may be testifying at a discipline hearing about sexual abuse

8 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 8 and/or boundary violations of a sexual nature and may require independent legal advice. She added that the College is the first college to embrace legal support for victims of sexual abuse. The Committee recognizes that it is not only patients who bring these issues forward to the College, but also others such as staff members, may report sexual misconduct to the College. A copy of the draft policy was provided to Council for its consideration. MOTION: THAT Council approve the policy attached at Appendix A of the Patient Relations Committee report to Council to enhance support for individuals who may be testifying at a discipline hearing about sexual abuse and/or boundary violations of a sexual nature, by providing independent legal support. CARRIED (Unanimously) Information was provided on: Feedback on the College s support person program. McGill University project. Dispatch article on sexual abuse and boundary violations. Sexual abuse case listing. Recognizing, documenting and reporting violence. (f) Professional Liability Program (PLP) Committee Ms. Wilfert, Chair of the Professional Liability Program Committee, presented the report on behalf of the Committee. There were no recommendations made. She reviewed the report with Council and highlighted the 4 th External Defence Counsel Conference that was held at the College and hosted by PLP on September 22, In addition to defence counsel and staff were some Council and Executive Committee members and the session included a question and answer period with a superior court judge. (g) Quality Assurance Committee Dr. Mock, Chair of the Quality Assurance Committee, presented the report on behalf of the Committee and there were no recommendations made at this time. He

9 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 9 thanked Committee members and support staff for their ongoing commitment to the Committee. Dr. Mock highlighted the following points for information: 94 more core 1 courses were approved over the past three meetings. 50 members are being selected at random to have e-portfolios reviewed. Staff is working with vendors to develop an online calendar of core courses. The Quality Assurance Committee is working towards a Practice Enhancement Tool specifically for dental specialists initially for oral and maxillofacial surgeons and orthodontics, and other dental specialties to follow. A working group will be struck to develop standards of practice respecting sedation and general anaesthesia in dental practice. (h) Registration Committee Dr. Turchet presented the report on behalf of the Registration Committee and there were no recommendations made from the Committee. He thanked his Committee members, staff and general legal counsel for their support. He also thanked Ms. Beth Deazeley for her work on the committee up until her resignation from the Committee in December Dr. Turchet reported on the National Dental Examining Board (NDEB) of Canada s standards setting workshop that he attended in Ottawa recently. He congratulated the Registrar/Executive Director of NDEB on an efficient and professional process. 8. ADOPTION OF MINUTES Minutes of the 410 th Meeting of RCDSO Council, June 16, 2016 There was a minor typographical error identified in the transcript attached to the minutes, and the minutes were approved as amended. MOTION #1: THAT Council adopts the minutes of the 410 th meeting of Council, as amended.

10 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 10 CARRIED (Unanimously) 9. IN-CAMERA BUSINESS The meeting was moved in-camera for discussion of a personal nature. All observers and staff left the meeting and no minutes of the discussion were recorded. MOTION #1: THAT the public be excluded from the meeting pursuant to clause 7(2) (b) of the Health Professions Procedural Code of the Regulated Health Professions Act in that financial or personal or other matters may be disclosed of such a nature that the harm created by the disclosure would outweigh the desirability of adhering to the principle that meetings be open to the public. CARRIED (Unanimously) MOTION #2: THAT the meeting resume to open session. CARRIED (Unanimously) 10. GOOD AND WELFARE Council members offered their comments on the meeting. Dr. Yarascavitch advised Council that Dr. Elizabeth MacSween will be honoured by the University of Toronto for an Award of Distinction in April 2017 and he offered his congratulations to her. 11. ADJOURNMENT Mr. Millar informed Council of the next meeting date: Wednesday, January 11 and Thursday, January 12, 2017 at the DoubleTree by Hilton Toronto Hotel. There being no further business, the meeting was adjourned at 12:10 p.m.

11 MINUTES 411 th Meeting of RCDSO Council November 17, 2016 Page 11 SIGNED: Signature of Presiding Officer Signature of Recording Officer Date AMS:705028

12 ROYAL COLLEGE OF DENTAL SURGEONS OF ONTARIO 2017 Submitted by the Finance, Property and Administration Committee to RCDSO Council Thursday, November 17, RCDSO 2017 Thursday, November 17,

13 The Budget Process Preparation of the annual budget is a multi-layered process that starts in July of each calendar year. The goal is to have the final budget mirror and support the underlying business plan of the College. Input is sought from every manager and every committee chair to ensure that the budget reflects a realistic appraisal of the financial needs and activities throughout the College for the year. This collaborative process offers greater accountability and a better execution of our corporate strategy. It also means there are ample opportunities to consider the interrelationships of activities in various departments and committees; for example, an increase in staff will need to be supported by a corresponding increase in computer equipment and support. This is a chance to discuss and review new initiatives, problem areas and opportunities for efficiency improvements. The finance department analyzes actual expenses, as of June of the current year, against the approved budget for the year. In addition, the current expenditures to date are compared to the actual numbers for the previous year to bring additional context to the review of budget items that are time-sensitive. At this stage, any variances are discussed with the manager involved to seek clarification and fine-tune the budget currently in the planning stages. Then the final stage of preparation by staff is a thorough review of the proposed budget by the Registrar and the Director of Finance and Administration together. All this provides a sound basis for the next key steps. The draft budget is then presented to the Finance, Property and Administration Committee. The committee undertakes a rigorous review. The committee comprehensively scrutinizes the budget line-by-line, looking for any additional efficiencies and seeking explanations of the rationale behind any significant changes in the budget over the previous years. Any necessary final adjustments are then made. Only once the committee has completed its review process is the draft budget considered ready for presentation to Council. At Council meeting in the fall of the year, the governing Council of the College formally considers the draft budget as presented by the chair of the Finance, Property and Administration Committee. At this meeting, the budget is reviewed again, this time by the entire Council. The committee chair and the Director of Finance and Administration are present to answer any questions. Council then votes on acceptance of the budget as presented by the committee. This is an open public meeting. An effective budget process does not stop once the budget is approved by Council. Quarterly statements are produced by the finance department and analyzed by the management team to ensure the organization is on track and to address any emerging changes in circumstances. In addition, the quarterly statements are provided to the Finance, Property and Administration Committee, along with a report on the reasons for any significant variances from budget and an explanation of the mitigating activities that management are engaged in. GENERAL NOTES FOR 2017 The year-over-year Consumer Price Index for the Toronto area was 1.7% in June The budget contains a Cost of Living Adjustment (COLA) to staff salaries and the per diems for Council and committee members of 1.5%. The rate of return for the long-term funds was set at 1.5% and the rate of return for the short-term funds was set at 0.5%. Overall the revenues budgeted for 2017 increase by 4% over 2016 and the budgeted expenditures increase by 4%. There are 10 new staff budgeted in The breakdown is as follows: Professional Conduct and Regulatory Affairs 8; Finance and Administration 1; Operations 1. All new hires are required to meet the increasing workload and increasing complexity of work in the respective departments. RCDSO 2017 Thursday, November 17,

14 RCDSO 2017 REVENUE ALL SOURCES DESCRIPTION SUMMARY 2015 ACTUAL 2016 YTD (June 30, 2016) INCR/DECR OVER 2016 INCR/DECR OVER 2016 Annual Membership Fees $ 19,904,815 $ 10,422,238 $ 20,520,000 $ 20,952,000 $ 432,000 2% 9,700 $2,160 Semi Annual Membership Fees 280, , , ,000 81,000 33% 300 $1,080 Quarterly Membership Fees 35,750-19,500 32,500 13,000 67% 50 $650 HPC Fees New 580, , , ,000-0% Based on 700 joins HPC Fees Renewals 988,267 1,031,367 1,022,000 1,218, ,750 19% Based on 6,500 corporations Application Fees 127,550 88, , ,000 25,000 25% 500 new applicants Registration Fees 50,800 34,700 40,000 50,000 10,000 25% 500 new applicants S&A Facility Permit Fees 492, , , ,500 60,000 13% 1,400 $ $750 S&A Individual Authorization 126, , , ,000 39,000 20% 1,200 $ $ $ $600 Dental CT Permit Fees 70,850 53,400 86,500 85,000 (1,500) -2% 170 $ $850 Discounts Forfeited 133,100 (500) 90,000 90,000-0% $100 Course/Webinar Fees 42,250 23,250 35,000 40,000 5,000 14% Educational Media Publications 39,000 1,250 50,000 10,000 (40,000) -80% Discipline Cost Recoveries 39,650 32,000 65,000 60,000 (5,000) -8% Monitoring Recoveries 21,600 15,000 15,000 25,000 10,000 67% Investment Income 1,591, ,552 1,200,000 1,400, ,000 17% PLP Deductibles 183, , , ,000 (85,000) -26% Sundry Revenue 25,933 8,025 30,000 15,000 (15,000) -50% Letters of standing, certificates, other TOTALS $ 24,734,943 $ 13,755,682 $ 25,033,500 $ 25,958,750 $ 925,250 4% NOTES RCDSO 2017 Thursday, November 17,

15 RCDSO 2017 CONSOLIDATED EXPENSE (ALL DEPARTMENTS) DESCRIPTION SUMMARY 2015 ACTUAL 2016 YTD (June 30, 2016) 2016 % USED 2017 INCR/DECR OVER 2016 Council/Committee Fees $ 820,003 $ 421,850 $ 937,600 45% $ 905,600-3% Meeting & Other Costs 463, , ,500 32% 546,800-10% Training & Memberships 141,253 81, ,000 39% 211,000 2% Professional Services 2,169, ,964 1,972,000 45% 2,317,000 17% Materials & Services 2,600,989 1,517,589 2,873,500 53% 3,311,000 15% Taxes 128,736 85, ,000 61% 160,000 14% Utilities 131,649 61, ,000 44% 133,000-4% Maintenance 182,550 79, ,500 45% 182,500 3% PLP Program Costs 4,250,000 2,000,000 4,000,000 50% 3,200,000-20% Grants 227, , , % 475,000 21% Human Resources 158,908 85, ,000 40% 212,000 0% Depreciation 913, ,144 1,560,000 33% 1,367,000-15% Staff Resources 10,847,546 5,886,633 12,081,010 49% 13,377,378 11% Summary Totals $ 23,034,999 $ 12,234,429 $ 25,292,110 48% $ 26,398,278 4% COUNCIL/COMMITTEE FEES Audit $ 1,185 $ 8,168 $ 8, % $ 15,000 88% Council 117,695 55, ,000 42% 120,000-8% Community Consultation 3, ,600 17% 3,600 0% Discipline Committee 87,265 44, ,000 30% 100,000-33% Executive Committee 18,425 7,440 25,000 30% 20,000-20% Inquiries, Complaints and Reports Committee 430, , ,000 50% 450,000 13% Finance Property and Administration Committee 7,223 3,935 8,000 49% 8,000 0% Fitness to Practise Committee 4,690-5,000 0% 5,000 0% Legal and Legislative Committee ,000 0% 10,000-33% Patient Relations Committee 5,330 2,690 15,000 18% 10,000-33% Professional Liability Program Committee 29,610 9,110 28,000 33% 25,000-11% RCDSO 2017 Thursday, November 17,

16 RCDSO 2017 CONSOLIDATED EXPENSE (ALL DEPARTMENTS) (continued) DESCRIPTION SUMMARY 2015 ACTUAL 2016 YTD (June 30, 2016) 2016 % USED 2017 INCR/DECR OVER 2016 President 48,300 36,720 50,000 73% 50,000 0% Quality Assurance Committee 38,445 17,675 60,000 29% 50,000-17% Registration Committee 5,720 6,850 10,000 69% 12,000 20% Society and ODA Meetings 2,035-15,000 0% 15,000 0% Working Committees 20,580 29,575 15, % 12,000-20% Total Council/Committee Fees $ 820,003 $ 421,850 $ 937,600 45% $ 905,600-3% MEETING & OTHER COSTS Catering $ 102,296 $ 32,945 $ 136,500 24% $ 114,000-16% Meals & Accommodations 125,903 53, ,500 32% 150,300-11% Travel 228, , ,000 37% 275,000-5% Travel Insurance 6,804-7,500 0% 7,500 0% Total Meeting & Other Costs $ 463,083 $ 195,587 $ 604,500 32% $ 546,800-10% TRAINING & MEMBERSHIPS Conferences & Seminars $ 59,833 $ 20,247 $ 114,000 18% $ 113,000-1% Memberships & Professional Fees 81,420 60,803 92,000 66% 98,000 7% Total Training & Memberships $ 141,253 $ 81,050 $ 206,000 39% $ 211,000 2% PROFESSIONAL SERVICES Adjusters $ (3,000) $ - $ - 0% $ - 0% Advertising ,500 3% % Audit 46, ,000 0% 48,000 7% Brokers 108,000-75,000 0% 100,000 33% Consultants 1,099, ,326 1,033,000 43% 1,212,000 17% Court Reporter 20,555 6,649 13,000 51% 20,000 54% Expert 13,950-30,000-15,000-50% Legal 857, , ,000 53% 865,000 20% Legal Special - 35,000 25, % 25,000 0% RCDSO 2017 Thursday, November 17,

17 RCDSO 2017 CONSOLIDATED EXPENSE (ALL DEPARTMENTS) (continued) DESCRIPTION SUMMARY 2015 ACTUAL 2016 YTD (June 30, 2016) 2016 % USED 2017 INCR/DECR OVER 2016 Photography 7,121-1, % Translators 17,531 13,622 27,500 50% 30,500 11% Witness Fees - - 1,000 0% 1,000 0% Total Professional Services $ 2,169,296 $ 879,964 $ 1,972,000 45% $ 2,317,000 17% MATERIALS & SERVICES AV Rentals $ 39,362 $ 9,774 $ 40,000 24% $ 40,000 0% Bank Service Charges 11,129 5,085 15,000 34% 15,000 0% Books & Subscriptions 54,222 32,595 59,500 55% 73,500 24% Computer Maintenance 37,841 17,751 40,000 44% 55,000 38% Computer Service Agreements 143, , ,000 96% 300,000 71% Courier Charges 62,442 32,327 80,000 40% 75,000-6% Court Search % % Credit Card Discounts 442,439 84, ,000 19% 480,000 7% Equipment Rentals 39,862 31,427 95,500 33% 70,500-26% Equipment Repairs 1, % 500 0% Equipment Service Agreements 9,797 12,421 16,000 78% 21,000 31% Insurance 478, , , % 584,000 15% Internet Services 290, , ,000 53% 535,000 78% Kitchen Supplies 22,790 11,558 25,000 46% 25,000 0% Media Clipping Service 16,134 6,667 25,000 27% 15,000-40% Non-Capital Equipment Purchases 9,940 3,732 18,000 21% 10,000-44% Non-Capital Furniture Purchases 9,681 6,782 10,000 68% 15,000 50% Office Cleaning 99,337 57, ,000 58% 120,000 20% Payroll Service Charges 12,588 8,281 15,000 55% 18,000 20% Plants & Plant Maintenance 4,613 2,369 4,500 53% 5,000 11% Photocopier Lease & Supplies 150,488 40, ,000 33% 160,000 28% Postage 138,969 70, ,000 47% 160,000 6% Printing 181,758 76, ,500 36% 200,500-7% RCDSO 2017 Thursday, November 17,

18 RCDSO 2017 CONSOLIDATED EXPENSE (ALL DEPARTMENTS) (continued) DESCRIPTION SUMMARY 2015 ACTUAL 2016 YTD (June 30, 2016) 2016 % USED 2017 INCR/DECR OVER 2016 Project Pilot Testing % 25,000 0% Public Relations 2,446-2,500 0% 2,500 0% Radiograph Duplication 2,327 1,186 3,500 34% 2,000-43% Room Rentals 8,759 2,157 45,500 5% 18,500-59% Stationery & Office Supplies 132,934 57, ,000 43% 125,000-7% Telephone 153,897 57, ,000 35% 123,000-24% Telephone - Long Distance 14,121 5,091 18,000 28% 12,000-33% Sundry 29,363 11,673 40,000 29% 25,000-38% Total Materials & Services $ 2,600,989 $ 1,517,589 $ 2,873,500 53% $ 3,311,000 15% Taxes $ 128,736 $ 85,150 $ 140,000 61% $ 160,000 14% UTILITIES Gas $ 18,293 $ 10,784 $ 35,000 31% $ 25,000-29% Hydro 110,426 49, ,000 50% 105,000 5% Water 2,930 1,236 4,000 31% 3,000-25% Total Utilities $ 131,649 $ 61,854 $ 139,000 44% $ 133,000-4% MAINTENANCE Grounds Keeping & Snow Removal $ 3,027 $ 3,160 $ 5,000 63% $ 7,000 40% Electrical 9,709 4,356 12,000 36% 10,000-17% Elevator 7,912 8,898 8, % 15,000 88% Garbage Removal & Recycling 20,917 10,630 18,000 59% 22,000 22% HVAC & Plumbing 29,674 12,216 24,000 51% 25,000 4% Repairs Elevator 1,808-5,000 0% 5,000 0% Repairs HVAC 25,947 7,993 20,000 40% 20,000 0% Repairs Security 7,550 3,079 7,500 41% 7,500 0% Repairs Structural 1, ,500 37% 2,500 0% RCDSO 2017 Thursday, November 17,

19 RCDSO 2017 CONSOLIDATED EXPENSE (ALL DEPARTMENTS) (continued) DESCRIPTION SUMMARY 2015 ACTUAL 2016 YTD (June 30, 2016) 2016 % USED 2017 INCR/DECR OVER 2016 Security 64,121 25,707 60,000 43% 60,000 0% Structural 4, ,500 19% 2,500 0% Sundry RCDSO 5,967 1,805 12,000 15% 6,000-50% Total Maintenance $ 182,550 $ 79,257 $ 176,500 45% $ 182,500 3% PLP PROGRAM COSTS Stop Loss Provision $ 4,250,000 $ 2,000,000 $ 4,000,000 50% $ 3,200,000-20% Total Program Costs $ 4,250,000 $ 2,000,000 $ 4,000,000 50% $ 3,200,000-20% GRANTS CDRAF $ 45,865 $ 170,838 $ 171, % $ 175,000 2% Commission on Accreditation 121, , , % 170,000 21% University of Toronto 38,739 66,840 40, % 65,000 63% Western University 21,600 32,400 40,000 81% 65,000 63% Other % - 0% Total Grants $ 227,406 $ 433,299 $ 391, % $ 475,000 21% HUMAN RESOURCES Recruiting Fees $ 124,594 $ 75,567 $ 175,000 43% $ 175,000 0% Social Events 34,314 9,485 36,000 26% 37,000 3% Total Human Resources $ 158,908 $ 85,052 $ 211,000 40% $ 212,000 0% Depreciation $ 913,581 $ 507,144 $ 1,560,000 33% $ 1,325,667-15% RCDSO 2017 Thursday, November 17, /16_4389

20 .. ~ ROYAL COLLEGE OF DENTAL SURGEONS OF ONTARIO College Policy: Legal support for individuals who are testifying at a discipline hearing and have experienced sexual abuse and/or boundary violations of a sexual nature The purpose of the policy is to enhance support for complainants and individuals who may be witnesses once a referral of specified allegations of professional misconduct has been made to the Discipline Committee about alleged sexual abuse and/or boundary violations of a sexual nature. The College recognizes that appearing before a Discipline Committee and being questioned and cross examined about the details of alleged sexual misconduct is difficult and may result in the need for independent legal advice. Commencing in January 2017, on an asneeded basis, the College will provide funding for a lawyer registered with the Law Society of Upper Canada who has expertise in dealing with individuals testifying about sexual abuse and boundary violations of a sexual nature, to provide legal support for those complainants/individuals who are required to testify before a Discipline Committee about these issues and who require independent legal advice. The lawyer will be chosen from a roster of lawyers approved by the Registrar of the College. The maximum amount of funding available for this advice is $ per complainant/individual. The funding will be provided on a reimbursement basis and the College will have no direct relationship with the lawyer. The legal support may continue until the individual's testimony before the hearing panel is concluded. The legal support is intended to facilitate an individual's ability to testify during the hearing but does not provide the individual or lawyer with party status at the hearing or the right to lead evidence, cross examine or make submissions save and except for victim impact statements. The advice given by the lawyer to the complainant/individual is not provided to the College. Witnesses who use this service may, if they wish, provide anonymous feedback to the College as to the usefulness of this service. Passed by Council: RCDSO Governing Policies 1