GOVERNANCE POLICY: CR-3  Monitoring Registrar Performance

 POLICY TYPE: Council-Registrar Relationship
 DATE APPROVED: April 16, 2010

GOVERNANCE POLICY:   CR-2  Registrar Job Description

 POLICY TYPE: Executive Limitations
 DATE APPROVED: April 16, 2010

GOVERNANCE POLICY:   CR-2  Registrar Job Description

 POLICY TYPE: Executive Limitations
 DATE APPROVED: April 16, 2010

Monitoring the performance of the Registrar is synonymous with monitoring organizational performance against Council policies on Ends and on Executive Limitations.  Any evaluation of the Registrar’s performance, formal or informal, may be derived only from these monitoring data.

 1. The purpose of monitoring is to determine the degree to which Council policies are being implemented.  Information which does not do this will not be considered to be monitoring.  Monitoring will be as automatic as possible using a minimum of Council time so that meetings can be used to create the future rather than to review the past.

 2. A given policy may be monitored in one or more of three ways:

 2.1  Internal report:  A written report to the Council from the Registrar providing evidence of compliance with Ends or Executive Limitations.

 2.2  External report:  Discovery of compliance information by an impartial, external agent who is selected by and reports directly to the Council.  Such reports must assess executive performance only against policies of the Council, not those of the external party, unless the Council has previously indicated that party’s opinion to be the standard.

 2.3  Direct Council review:  Discovery of compliance information by a Councilor, a committee or the Council as a whole.  This is a Council inspection of documents, activities or circumstances directed by the Council which allows a “prudent person” test of policy compliance.  Such an inspection is only undertaken at the instruction of the Council, and with the Registrar’s knowledge.

 3. Based upon a decision of the Council, any policy can be monitored by any method at any time.  For regular monitoring, however, each Ends and Executive Limitations policy will be classified by the Council according to frequency and method.

 Method  Frequency
 EL-1  General Executive Constraint  Internal Report             Annually 
 EL-2  Treatment of Staff  Internal Report    Annually
 EL-3  Financial Planning  Internal Report   Annually
 EL-4  Financial Condition  Internal Report
 & External Audit   

 EL-5  Asset Protection  Internal Report 
 External Audit  
 EL-6  Interactions with Members and Public  Internal Report    Annually
 EL-7  Regulatory Functions  Internal Report    Annually
 EL-8  Compensation and Benefits  Internal Report    Annually
 EL-9  Communication and Support to Council  Direct Review  Annually
 EL-10  Emergency Executive Succession  Internal Report    Annually
 EL-11  Public Image  Internal Report    Annually
 EL-12  Partnerships & Interorganizational Relationship  Internal Report    Annually
 EL-13  Information Management  Internal Report    Annually
 EL-14  Development of Policies Governing the Practice of Medicine   Internal Report    Annually
 EL-15  Approval of Externally Generated Policies Governing the Practice of Medicine
 Internal Report  Annually

4.   A formal evaluation of the Registrar by the Council will occur annually, based on the achievement of the Council's Ends Policies and non-violation of its Executive Limitations policies.  This formal evaluation will be conducted as a summation of previous regular monitoring data.  The results will be communicated to the Registrar.