61. In addition to the requirements set out in section 242 of the Act, the resolution of the board of directors of an integrated health and social services centre must specify the facilities of the institution or grouped institution with regard to which privileges are granted to a physician or dentist. The resolution by which the board appoints a pharmacist under section 247 of the Act must also specify the facilities with regard to which the appointment applies.
In addition, the resolution must provide that, in the event that urgent or semi-urgent problems arise with regard to access to services at another facility of the integrated centre or of a grouped institution, a physician, dentist or pharmacist must, at the request of the director of professional services, the chair of the council of physicians, dentists and pharmacists, the head of a clinical department or, if these persons are absent or unable to act, the president and executive director of the integrated centre, provide temporary support at the facility indicated to him or her, collectively with the other members of his or her service or department.
In such cases, the professional qualifications of the physician, dentist or pharmacist concerned are taken into account, as are the staffing requirements of their facilities and the necessity of avoiding significant access problems with regard to the services in those facilities. The provision of temporary support may not have the effect of calling into question the person’s primary practice in the facility where he or she works, does not apply with regard to a facility located 70 or more kilometres from that facility, and may not exceed a period of three months, which may be renewed after the situation has been re-evaluated.