Common use of Shared Care Committee Clause in Contracts

Shared Care Committee. (a) The Shared Care Committee shall continue under this Agreement as a subcommittee of the General Practice Services Committee and the Specialist Services Committee to improve shared care between General Practitioners, Specialist Physicians and other healthcare professionals. (b) The Shared Care Committee will be composed of ten members, five of whom will be appointed by the Government and five of whom will be appointed by the Doctors of BC. The members appointed by the Government will include at least one of the Government appointees to each of the General Practice Services Committee and the Specialist Services Committee. The members appointed by the Doctors of BC will include at least one of the Doctors of BC appointees to each of the General Practice Services Committee, the Specialist Services Committee, and one General Practice Physician (non-FRCP) with a Focused Practice. (c) The Shared Care Committee will be co-chaired by one member appointed by the Government members and one member appointed by the Doctors of BC Board of Directors, and the chair will alternate for successive meetings. (d) The Shared Care Committee will make all recommendations and decisions by consensus decision, whether or not a consensus decision is expressly called for by any other provision of this Agreement. Failing a consensus decision the Shared Care Committee may make more than one set of recommendations on a particular topic or, in the case of a decision that is required of the Shared Care Committee, the Government and/or the Doctors of BC may make recommendations to the MSC and the MSC, or its successor, will determine the matter. (e) In addition to the core mandate outlined in section 8.2, the Shared Care Committee will fulfill the specific mandate to: (i) develop recommendations for the General Practice Services Committee and the Specialist Services Committee including the creation of new fees (that is, fees to be added to the Payment Schedule) to enable shared care and appropriate scopes of practice between General Practitioners, Specialist Physicians and other healthcare professionals and, specifically, will develop recommendations regarding: (A) changes to, or full use of, scopes of practice of General Practitioners to free up Specialist Physician time; (B) refining and supporting the appropriate allocation of services between General Practitioners and Specialist Physicians to meet patients’ medical needs; (C) collaboration between General Practitioners, Specialist Physicians and other healthcare professionals to meet the medical needs of patients; and (D) facilitating access to advice from Specialist Physicians by General Practitioners; and (ii) allocate the funding identified in sections 8.5(f) and 8.5(g) in accordance with sections 8.5(f),(g) and (j). (f) As at March 31, 2019, the annual funding level for the Shared Care Committeeto support and increase collaboration between General Practitioners and Specialist Physicians in providing high quality, integrated medical care to British Columbians is $13.5 million, $4 million of which is to be used to support the participation of General Practice Physicians (Non-FRCP) with Focused Practices in system improvement initiatives. (g) The Government will add the following new annual funding for the Shared Care Committee: (i) Effective April 1, 2019: an additional $0.75 million; (ii) Effective April 1, 2020: an additional $0.5 million; (iii) Effective April 1, 2021: an additional $0.5 million. (h) The Shared Care Committee will establish a process to review, potentially modify and transfer to the Payment Schedule the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I to this Agreement in accordance with the processes described in Appendix I. (i) Upon the transfer to the Payment Schedule of the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I, those amounts determined in accordance with Appendix I will be taken out of the Shared Care Committee ongoing annual budget set out in sections 8.5 (f) and (g) and transferred into the Available Amount. (j) Any funds identified in sections 8.5(f) and (g) that remain unexpended at the end of any Fiscal Year will be available to the Shared Care Committee for use as one time allocations to improve the quality of care. (k) The costs of administrative and clerical support required for the work of the Shared Care Committee will be provided in accordance with the Joint Clinical Committee Administration Agreement and will be paid from the funds referred to in sections 8.5(f) and (g) including the cost of physician participation other than physicians who are employees of the Doctors of BC, the Government and the Health Authorities, unless such Health Authority employed physicians are participating on behalf of Doctors of BC. (l) On an annual basis, the Shared Care Committee will develop a work plan, ensure that evaluations to measure outcomes are an integral part of the plan, and report to the Physician Services Committee in the manner outlined in section 6.3(a). (m) The Shared Care Committee must follow any communication protocol developed by the Physician Services Committee, and in any event must ensure that the co- chairs of the Shared Care Committee pre-approve any communication about the business and/or decisions of the Shared Care Committee.

Shared Care Committee. ‌ (a) The Shared Care Committee shall continue under this Agreement as a subcommittee of the General Family Practice Services Committee and the Specialist Services Committee to improve shared care between General PractitionersFamily Physicians, Specialist Physicians and other healthcare professionals. (b) The Shared Care Committee will be composed of ten members, five of whom will be appointed by the Government and five of whom will be appointed by the Doctors of BC. The members appointed by the Government will include at least one of the Government appointees to each of the General Family Practice Services Committee and the Specialist Services Committee. The members appointed by the Doctors of BC will include at least one of the Doctors of BC appointees to each of the General Family Practice Services Committee, the Specialist Services Committee, and one General Family Practice Physician (non-FRCP) with a Focused Practice. (c) The Shared Care Committee will be co-chaired by one member appointed by the Government members and one member appointed by the Doctors of BC Board of Directors, and the chair will alternate for successive meetings. (d) The Shared Care Committee will make all recommendations and decisions by consensus decision, whether or not a consensus decision is expressly called for by any other provision of this Agreement. Failing a consensus decision the Shared Care Committee may make more than one set of recommendations on a particular topic or, in the case of a decision that is required of the Shared Care Committee, the Government and/or the Doctors of BC may make recommendations to the MSC and the MSC, or its successor, will determine the matter. (e) In addition to the core mandate outlined in section 8.2, the Shared Care Committee will fulfill the specific mandate to: (i) develop recommendations for the General Family Practice Services Committee and the Specialist Services Committee including the creation of new fees (that is, fees to be added to the Payment Schedule) to enable shared care and appropriate scopes of practice between General PractitionersFamily Physicians, Specialist Physicians and other healthcare professionals and, specifically, will develop recommendations regarding: (A) changes to, or full use of, scopes of practice of General Practitioners Family Physicians to free up Specialist Physician time; (B) refining and supporting the appropriate allocation of services between General Practitioners Family Physicians and Specialist Physicians to meet patients’ medical needs; (C) collaboration between General PractitionersFamily Physicians, Specialist Physicians and other healthcare professionals to meet the medical needs of patients; and (D) facilitating access to advice from Specialist Physicians by General PractitionersFamily Physicians; and (ii) allocate the funding identified in sections section 8.5(f) and 8.5(g) in accordance with sections 8.5(f),(g8.5(f) and (jand(g). (f) As at March 31, 2019, the annual funding level for the Shared Care Committeeto support and increase collaboration between General Practitioners and Specialist Physicians in providing high quality, integrated medical care to British Columbians is $13.5 million, $4 million of which is to be used to support the participation of General Practice Physicians (Non-FRCP) with Focused Practices in system improvement initiatives. (g) The Government will add the following new annual funding for the Shared Care Committee: (i) Effective April 1, 2019: an additional $0.75 million; (ii) Effective April 1, 2020: an additional $0.5 million; (iii) Effective April 1, 2021: an additional $0.5 million. (h) The Shared Care Committee will establish a process to review, potentially modify and transfer to the Payment Schedule the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I to this Agreement in accordance with the processes described in Appendix I. (i) Upon the transfer to the Payment Schedule of the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I, those amounts determined in accordance with Appendix I will be taken out of the Shared Care Committee ongoing annual budget set out in sections 8.5 (f) and (g) and transferred into the Available Amount. (j) Any funds identified in sections 8.5(f) and (g) that remain unexpended at the end of any Fiscal Year will be available to the Shared Care Committee for use as one time allocations to improve the quality of care. (k) The costs of administrative and clerical support required for the work of the Shared Care Committee will be provided in accordance with the Joint Clinical Committee Administration Agreement and will be paid from the funds referred to in sections 8.5(f) and (g) including the cost of physician participation other than physicians who are employees of the Doctors of BC, the Government and the Health Authorities, unless such Health Authority employed physicians are participating on behalf of Doctors of BC. (l) On an annual basis, the Shared Care Committee will develop a work plan, ensure that evaluations to measure outcomes are an integral part of the plan, and report to the Physician Services Committee in the manner outlined in section 6.3(a). (m) The Shared Care Committee must follow any communication protocol developed by the Physician Services Committee, and in any event must ensure that the co- chairs of the Shared Care Committee pre-approve any communication about the business and/or decisions of the Shared Care Committee.

Shared Care Committee. (a) The Shared Care Committee shall continue under this Agreement as a subcommittee of the General Practice Services Committee and the Specialist Services Committee to improve shared care between General Practitioners, Specialist Physicians and other healthcare professionals. (b) The Shared Care Committee will be composed of ten eight members, five four of whom will be appointed by the Government and five four of whom will be appointed by the Doctors of BC. The members appointed by the Government will include at least one of the Government appointees to each of the General Practice Services Committee and the Specialist Services Committee. The members appointed by the Doctors of BC will include at least one of the Doctors of BC appointees to each of the General Practice Services Committee, the Specialist Services Committee, and one General Practice Physician (non-FRCP) with a Focused Practice. (c) The Shared Care Committee will be co-chaired by one member appointed by the Government members and one member appointed by the Doctors of BC Board of Directorsmembers, and the chair will alternate for successive meetings. (d) The Shared Care Committee will make all recommendations and decisions by consensus decision, whether or not a consensus decision is expressly called for by any other provision of this Agreement. Failing a consensus decision the Shared Care Committee may make more than one set of recommendations on a particular topic or, in the case of a decision that is required of the Shared Care Committee, the Government and/or the Doctors of BC may make recommendations to the MSC and the MSC, or its successor, will determine the matter. (e) In addition to the core mandate outlined in section 8.2, the Shared Care Committee will fulfill the specific mandate to: (i) develop recommendations for the General Practice Services Committee and the Specialist Services Committee including the creation of new fees (that is, fees to be added to the Payment Schedule) to enable shared care and appropriate scopes of practice between General Practitioners, Specialist Physicians and other healthcare professionals and, specifically, will develop recommendations regarding: (A) changes to, or full use of, scopes of practice of General Practitioners to free up Specialist Physician time; (B) refining and supporting the appropriate allocation of services between General Practitioners and Specialist Physicians to meet patients’ medical needs; (C) collaboration between General Practitioners, Specialist Physicians and other healthcare professionals to meet the medical needs of patients; and (D) facilitating access to advice from Specialist Physicians by General Practitioners; and (ii) allocate the funding identified in sections 8.5(f) and 8.5(g) in accordance with sections 8.5(f),(g) and (jh). (f) As at March 31, 20192014, the annual funding level for the Shared Care Committeeto Committee was $6.5 million. The funding for the Shared Care Committee will be allocated by the Shared Care Committee to support and increase collaboration between General Practitioners and Specialist Physicians in providing high quality, integrated medical care to British Columbians is $13.5 million, $4 million of which is to be used to support the participation of General Practice Physicians (Non-FRCP) with Focused Practices in system improvement initiativesColumbians. (g) The Government will add the following new annual funding for the Shared Care Committee: (i) Effective April 1, 2019: 2016, an additional $0.75 million1.0 million to be used for new initiatives; (ii) Effective April 1, 2020: 2017: (A) an additional $0.5 million;1.0 million to be used for new initiatives; and (B) an additional $2.0 million to be used to support the participation of General Practice Physicians (Non-FRCP) with Focused Practices in system improvement initiatives. (iii) Effective April 1, 2021: 2018: (A) an additional $0.5 million1.0 million to be used for new initiatives; and (B) an additional $2.0 million to be used to support the participation of General Practice Physicians (Non-FRCP) with Focused Practices in system improvement initiatives. (h) The Shared Care Committee will establish a process to review, potentially modify and transfer to the Payment Schedule the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I to this Agreement in accordance with the processes described in Appendix I. (i) Upon the transfer to the Payment Schedule of the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I, those amounts determined in accordance with Appendix I will be taken out of the Shared Care Committee ongoing annual budget set out in sections 8.5 (f) and (g) and transferred into the Available Amount. (j) Any funds identified in sections 8.5(f) and (g) that remain unexpended at the end of any Fiscal Year will be available to the Shared Care Committee for use as one time allocations to improve the quality of care. (ki) The costs of administrative and clerical support required for the work of the Shared Care Committee will be provided in accordance with the Joint Clinical Committee Administration Agreement and will be paid from the funds referred to in sections 8.5(f) and (g) including the cost of physician participation other than physicians who are employees of the Doctors of BC, the Government and the Health Authorities, unless such Health Authority employed physicians are participating on behalf of Doctors of BC. (lj) On an annual basis, the Shared Care Committee will develop a work plan, ensure that evaluations to measure outcomes are an integral part of the plan, and report to the Physician Services Committee in the manner outlined in section 6.3(a). (mk) The Shared Care Committee must follow any communication protocol developed by the Physician Services Committee, and in any event must ensure that the co- chairs of the Shared Care Committee pre-approve any communication about the business and/or decisions of the Shared Care Committee.

Shared Care Committee. (a) The Government and the BCMA shall create a committee (the “Shared Care Committee shall continue under this Agreement Committee”) as a temporary subcommittee of the General Practice Services Committee and the Specialist Services Committee Committee, to improve make recommendations to those committees on shared care between General Practitioners, Specialist Physicians and other healthcare professionals. (b) The Shared Care Committee will be composed of ten eight members, five two of whom will be appointed by the Government and five from its appointees to the Specialist Services Committee, two of whom will be appointed by the Doctors of BC. The members appointed by the Government will include at least one of the Government from its appointees to each of the General Practice Services Committee and the Specialist Services Committee. The members appointed by the Doctors of BC will include at least one of the Doctors of BC appointees to each of the General Practice Services Committee, two of whom will be appointed by the BCMA from its appointees to the Specialist Services Committee, and one two of whom will be appointed by the BCMA from its appointees to the General Practice Physician (non-FRCP) with a Focused PracticeServices Committee. (c) The Shared Care Committee will be co-chaired by one member appointed by the Government members and one member appointed by the Doctors of BC Board of DirectorsBCMA members, and the chair will alternate for successive meetings. (d) The Shared Care Committee will make all recommendations and decisions by consensus decision, whether or not a consensus decision is expressly called for by any other provision of this Agreement. Failing a consensus decision the Shared Care Committee may make more than one set of recommendations recommendation on a particular topic or, in the case of a decision that is required of the Shared Care Committee, the Government and/or the Doctors of BC may make recommendations to the MSC and the MSC, or its successor, will determine the mattertopic. (e) In addition to the core mandate outlined in section 8.2, the The Shared Care Committee will fulfill the specific mandate to: (i) develop recommendations for the General Practice Services Committee and the Specialist Services Committee Committee, including the creation of new fees (that is, fees to be added to the Payment Schedule) to enable shared care and appropriate scopes of practice between General Practitioners, Specialist Physicians and other healthcare professionals and, specifically, will develop recommendations regarding: (Ai) changes to, or full use of, scopes of practice of General Practitioners to free up Specialist Physician time; (Bii) refining and supporting the appropriate allocation of services between General Practitioners and Specialist Physicians to meet patients’ medical needs; (Ciii) collaboration between General Practitioners, Specialist Physicians and other healthcare professionals to meet the medical needs of patients; and (Div) facilitating access to advice from Specialist Physicians by General Practitioners; and (ii) allocate the funding identified in sections 8.5(f) and 8.5(g) in accordance with sections 8.5(f),(g) and (j). (f) As at The Shared Care Committee will commence its work no earlier than April 1, 2007 and will issue its report to the General Practice Services Committee and the Specialist Services Committee by no later than March 31, 20192009, the annual funding level for the Shared Care Committeeto support and increase collaboration between General Practitioners and Specialist Physicians in providing high quality, integrated medical care to British Columbians is $13.5 million, $4 million of which is to immediately thereafter it will be used to support the participation of General Practice Physicians (Non-FRCP) with Focused Practices in system improvement initiativesdissolved. (g) The Government will add provide $100,000 to support the following new annual funding for work of the Shared Care Committee: (i) Effective April 1, 2019: an additional $0.75 million; (ii) Effective April 1, 2020: an additional $0.5 million; (iii) Effective April 1, 2021: an additional $0.5 million. (h) The Shared Care Committee will establish a process to review, potentially modify and transfer to the Payment Schedule the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I to this Agreement in accordance with the processes described in Appendix I. (i) Upon the transfer to the Payment Schedule of the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I, those amounts determined in accordance with Appendix I will be taken out of the Shared Care Committee ongoing annual budget set out in sections 8.5 (f) and (g) and transferred into the Available Amount. (j) Any funds identified in sections 8.5(f) and (g) that remain unexpended at the end of any Fiscal Year will be available to the Shared Care Committee for use as one time allocations to improve the quality of care. (k) The costs of administrative Administrative and clerical support required for the work of the Shared Care Committee will be provided in accordance with the Joint Clinical Committee Administration Agreement and will be paid from the funds referred to in sections 8.5(f) and physician (g) including the cost of physician participation other than physicians who are employees of the Doctors of BCBCMA, the Government and the Health Authorities, unless such Health Authority employed physicians are participating on behalf of Doctors of BC. (l) On an annual basis, participation in the Shared Care Committee will develop a work plan, ensure that evaluations to measure outcomes are an integral part of the plan, and report to the Physician Services Committee in the manner outlined in be paid from funds provided under section 6.3(a9.3(g). (m) The Shared Care Committee must follow any communication protocol developed by the Physician Services Committee, and in any event must ensure that the co- chairs of the Shared Care Committee pre-approve any communication about the business and/or decisions of the Shared Care Committee.

Shared Care Committee. (a) The Shared Care Committee shall continue under this Agreement as a subcommittee of the General Practice Services Committee Committee, the Specialist Services Committee, and the Specialist Clinical Support Services Committee to improve shared care between General Practitioners, Specialist Physicians and other healthcare professionals. (b) The Shared Care Committee will be composed of ten eight members, five four of whom will be appointed by the Government and five four of whom will be appointed by the Doctors of BCBCMA. The members appointed by the Government will include at least one of the Government appointees to each of the General Practice Services Committee Committee, the Specialist Services Committee, and the Specialist Clinical Support Services Committee. The members appointed by the Doctors of BC BCMA will include at least one of the Doctors of BC BCMA appointees to each of the General Practice Services Committee, the Specialist Services Committee, and one General Practice Physician (non-FRCP) with a Focused Practicethe Clinical Support Services Committee. (c) The Shared Care Committee will be co-chaired by one member appointed by the Government members and one member appointed by the Doctors of BC Board of DirectorsBCMA members, and the chair will alternate for successive meetings. (d) The Shared Care Committee will make all recommendations and decisions by consensus decision, whether or not a consensus decision is expressly called for by any other provision of this Agreement. Failing a consensus decision the Shared Care Committee may make more than one set of recommendations on a particular topic or, in the case of a decision that is required of the Shared Care Committee, the Government and/or the Doctors of BC BCMA may make recommendations to the MSC and the MSC, or its successor, will determine the matter. (e) In addition to the core mandate outlined in section 8.2, the Shared Care Committee will fulfill the specific mandate to: (i) develop recommendations for the General Practice Services Committee Committee, the Specialist Services Committee, and the Specialist Clinical Support Services Committee including the creation of new fees (that is, fees to be added to the Payment Schedule) to enable shared care and appropriate scopes of practice between General Practitioners, Specialist Physicians and other healthcare professionals and, specifically, will develop recommendations regarding: (A) changes to, or full use of, scopes of practice of General Practitioners to free up Specialist Physician time; (B) refining and supporting the appropriate allocation of services between General Practitioners and Specialist Physicians to meet patients’ medical needs; (C) collaboration between General Practitioners, Specialist Physicians and other healthcare professionals to meet the medical needs of patients; and (D) facilitating access to advice from Specialist Physicians by General Practitioners; and (ii) allocate the funding identified in sections 8.5(f) and 8.5(g8.6(f) in accordance with sections 8.5(f),(g8.6(f) and (jg). (f) As at March 31, 20192012, the annual funding level for the Shared Care Committeeto Committee was $6 million. Effective April 1, 2013, the Government will add new annual funding of $500,000 for the Shared Care Committee. The funding for the Shared Care Committee will be allocated by the Shared Care Committee to support and increase collaboration between General Practitioners and Specialist Physicians in providing high quality, integrated medical care to British Columbians is $13.5 million, $4 million of which is to be used to support the participation of General Practice Physicians (Non-FRCP) with Focused Practices in system improvement initiativesColumbians. (g) The Government will add the following new annual funding for the Shared Care Committee: (i) Effective April 1, 2019: an additional $0.75 million; (ii) Effective April 1, 2020: an additional $0.5 million; (iii) Effective April 1, 2021: an additional $0.5 million. (h) The Shared Care Committee will establish a process to review, potentially modify and transfer to the Payment Schedule the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I to this Agreement in accordance with the processes described in Appendix I. (i) Upon the transfer to the Payment Schedule of the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I, those amounts determined in accordance with Appendix I will be taken out of the Shared Care Committee ongoing annual budget set out in sections 8.5 (f) and (g) and transferred into the Available Amount. (j) Any funds identified in sections 8.5(f) and (gsection 8.6(f) that remain unexpended at the end of any Fiscal Year will be available to the Shared Care Committee for use as one time allocations to improve the quality of care. (kh) The costs of administrative Administrative and clerical support required for the work of the Shared Care Committee will be provided in accordance with the Joint Clinical Committee Administration Agreement and will be paid from the funds referred to in sections 8.5(f) and physician (g) including the cost of physician participation other than physicians who are employees of the Doctors of BCBCMA, the Government and the Health Authorities, unless such Health Authority employed physicians are participating on behalf of Doctors of BC) participation in the Shared Care Committee will be paid from funds referred to in section 8.6(f). (li) On an annual basis, the Shared Care Committee will develop a work plan, ensure that evaluations to measure outcomes are an integral part of the plan, and report to the Physician Services Committee in the manner outlined in section 6.3(a). (mj) The Shared Care Committee must follow any communication protocol developed by the Physician Services Committee, and in any event must ensure that the co- chairs of the Shared Care Committee pre-approve any communication about the business and/or decisions of the Shared Care Committee.

Shared Care Committee. (a) The Shared Care Committee shall continue under this Agreement as a subcommittee of the General Practice Services Committee and the Specialist Services Committee to improve shared care between General Practitioners, Specialist Physicians and other healthcare professionals. (b) The Shared Care Committee will be composed of ten members, five of whom will be appointed by the Government and five of whom will be appointed by the Doctors of BC. The members appointed by the Government will include at least one of the Government appointees to each of the General Practice Services Committee and the Specialist Services Committee. The members appointed by the Doctors of BC will include at least one of the Doctors of BC appointees to each of the General Practice Services Committee, the Specialist Services Committee, and one General Practice Physician (non-FRCP) with a Focused Practice.Practice.‌ (c) The Shared Care Committee will be co-chaired by one member appointed by the Government members and one member appointed by the Doctors of BC Board of Directors, and the chair will alternate for successive meetings. (d) The Shared Care Committee will make all recommendations and decisions by consensus decision, whether or not a consensus decision is expressly called for by any other provision of this Agreement. Failing a consensus decision the Shared Care Committee may make more than one set of recommendations on a particular topic or, in the case of a decision that is required of the Shared Care Committee, the Government and/or the Doctors of BC may make recommendations to the MSC and the MSC, or its successor, will determine the matter. (e) In addition to the core mandate outlined in section 8.2, the Shared Care Committee will fulfill the specific mandate to: (i) develop recommendations for the General Practice Services Committee and the Specialist Services Committee including the creation of new fees (that is, fees to be added to the Payment Schedule) to enable shared care and appropriate scopes of practice between General Practitioners, Specialist Physicians and other healthcare professionals and, specifically, will develop recommendations regarding: (A) changes to, or full use of, scopes of practice of General Practitioners to free up Specialist Physician time; (B) refining and supporting the appropriate allocation of services between General Practitioners and Specialist Physicians to meet patients’ medical needs; (C) collaboration between General Practitioners, Specialist Physicians and other healthcare professionals to meet the medical needs of patients; andand‌ (D) facilitating access to advice from Specialist Physicians by General Practitioners; and (ii) allocate the funding identified in sections 8.5(f) and 8.5(g) in accordance with sections 8.5(f),(g) and (j). (f) As at March 31, 2019, the annual funding level for the Shared Care Committeeto support and increase collaboration between General Practitioners and Specialist Physicians in providing high quality, integrated medical care to British Columbians is $13.5 million, $4 million of which is to be used to support the participation of General Practice Physicians (Non-FRCP) with Focused Practices in system improvement initiatives.initiatives.‌ (g) The Government will add the following new annual funding for the Shared Care Committee: (i) Effective April 1, 2019: an additional $0.75 million; (ii) Effective April 1, 2020: an additional $0.5 million; (iii) Effective April 1, 2021: an additional $0.5 million. (h) The Shared Care Committee will establish a process to review, potentially modify and transfer to the Payment Schedule the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I to this Agreement in accordance with the processes described in Appendix I. (i) Upon the transfer to the Payment Schedule of the Shared Care Committee fee items identified in section 1(a)(iii) of Appendix I, those amounts determined in accordance with Appendix I will be taken out of the Shared Care Committee ongoing annual budget set out in sections 8.5 (f) and (g) and transferred into the Available Amount. (j) Any funds identified in sections 8.5(f) and (g) that remain unexpended at the end of any Fiscal Year will be available to the Shared Care Committee for use as one time allocations to improve the quality of care.care.‌ (k) The costs of administrative and clerical support required for the work of the Shared Care Committee will be provided in accordance with the Joint Clinical Committee Administration Agreement and will be paid from the funds referred to in sections 8.5(f) and (g) including the cost of physician participation other than physicians who are employees of the Doctors of BC, the Government and the Health Authorities, unless such Health Authority employed physicians are participating on behalf of Doctors of BC. (l) On an annual basis, the Shared Care Committee will develop a work plan, ensure that evaluations to measure outcomes are an integral part of the plan, and report to the Physician Services Committee in the manner outlined in section 6.3(a).6.3(a).‌ (m) The Shared Care Committee must follow any communication protocol developed by the Physician Services Committee, and in any event must ensure that the co- chairs of the Shared Care Committee pre-approve any communication about the business and/or decisions of the Shared Care Committee.