(1 of 4)
As from March 14, 2023, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Jeffrey Rice Holmes Matheson in accordance with an undertaking and consent given by Dr. Matheson to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)
of
DR. JEFFREY RICE HOLMES MATHESON
(“Dr. Matheson”)
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the “College”)
________________________________________
A. PREAMBLE
(1) In this Undertaking:
“Code” means the Health Professions Procedural Code, which is Schedule 2 to the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as amended;
“Discipline Tribunal” means the Ontario Physicians and Surgeons Discipline Tribunal of the College;
“OHIP” means the Ontario Health Insurance Plan;
“Ontario Physicians and Surgeons Discipline Tribunal” means the Discipline Committee established under the Code;
“Public Register” means the College’s register that is available to the public.
(2) I, Dr. Matheson, certificate of registration number 63625, am a member of the College.
(3) I, Dr. Matheson, acknowledge that the College has referred to the Discipline Tribunal, in the matter of College File Number CAS-375329-P3Z7R0, allegations that I engaged in an act or omission that would reasonably be regarded as disgraceful, dishonourable or unprofessional in that I breached my Undertaking to the College and failed to abide by the Ministry of Health’s COVID-19 protocols and directives and that I contravened a term, condition or limitation on my certificate of registration in that I breached my Undertaking to the College.
B. UNDERTAKING
(4) I, Dr. Matheson, undertake to abide by the provisions of this Undertaking, effective upon the completion of any suspension period ordered by the Discipline Tribunal (“Effective Date”).
(5) Practice Restrictions
(a) I, Dr. Matheson, undertake to comply with all COVID-19 public health directives, protocols and guidelines issued by Ontario Public Health and/or the Ontario government applicable to physicians and healthcare facilities in Ontario, while in effect and as may be amended from time to time.
(6) Workplace Monitoring
(a) I, Dr. Matheson, undertake that, for a minimum period of twelve (12) months, and for each location in which I practice medicine, I will engage an independent Workplace Monitor, who is a regulated health professional approved by the College, and who will sign an undertaking to the College in the form attached hereto as Appendix “A” (“Workplace Monitor” or “Workplace Monitors”). Monitoring will cease only upon approval from the College, and after a minimum of twelve (12) months of Workplace Monitoring have occurred.
(b) I, Dr. Matheson, acknowledge that I have reviewed the Workplace Monitor’s undertaking attached at Appendix “A” hereto, and understand what is required of the Workplace Monitor, including, without limiting the generality of the foregoing:
(i) monitoring all of my in-person professional encounters, (“Professional Encounters”) with all patients, to ensure my compliance with the restriction set out in (5) above. After a minimum period of six (6) months, and receipt of satisfactory reports from my Workplace Monitor, the College may, in its discretion, reduce the frequency of monitoring of my Professional Encounters to a lower level;
(ii) maintaining a log of all Professional Encounters with patients in the form attached to this Undertaking as Appendix “B” (the “Log”) and in the manner described in Appendix “A”, and making the Log available to the College upon request;
(iii) ensuring that my office management practices, including communication between office staff and patients, comply with all COVID-19 public health directives, protocols and guidelines issued by Public Health Ontario and/or the Ontario government applicable to physicians and healthcare facilities in Ontario, while in effect and as may be amended from time to time;
(iv) reviewing any documentation at the practice location that my Workplace Monitor deems relevant to their inquiries, including records, policies, and procedures;
(v) consulting with other staff as may be necessary;
(vi) immediate reporting to the College if my Workplace Monitor believes that I am exposing or am likely to expose my patients to harm or injury, or that I am not in compliance with my Undertaking;
(vii) responding to oral and/or written inquiries from the College; and
(viii) submitting a report to the College on a monthly basis.
(7) Posting a Sign
(a) I, Dr. Matheson, undertake that I shall post a sign in all waiting rooms, examination rooms and consulting rooms, in all of my Practice Locations, in a clearly visible and secure location, at all times whether or not I am physically present at the Practice Location, in the form set out in Appendix “C” that states: “Dr. Matheson must comply with all COVID-19 public health directives, protocols and guidelines issued by Ontario Public Health and/or the Ontario government applicable to physicians and healthcare facilities in Ontario, while in effect and as may be amended from time to time. All patient encounters must be observed by a workplace monitor approved by the College of Physicians and Surgeons of Ontario. Further information may be found on the College website at www.cpso.on.ca”.
(b) I, Dr. Matheson, undertake to post a certified translation in any language in which I provide services, of the sign described in section (7)(a), in all waiting rooms, examination rooms and consulting rooms, in all of my Practice Locations, in a clearly visible and secure location, in the form set out at Appendix “C.”
(c) I, Dr. Matheson, undertake to provide the certified translation described in section (7)(b), to the College within thirty (30) days of executing this Undertaking.
(d) I, Dr. Matheson, undertake that if I elect, after the execution of this Undertaking, to provide services in any other language, I will notify the College prior to providing any such services.
(e) I, Dr. Matheson, undertake to provide to the College the certified translation described in section (7)(b) prior to beginning to provide services in any language described in section (7)(d).
C. ACKNOWLEDGEMENT
(8) I, Dr. Matheson, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(9) I, Dr. Matheson, acknowledge and undertake that I shall be solely responsible for payment of all fees, costs, charges, expenses, etc. arising from the implementation of any of the provisions of this Undertaking.
(10) I, Dr. Matheson, undertake to inform the College of each and every location at which I practice, delegate, or have privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises and Independent Health Facilities with which I am affiliated, in any jurisdiction (collectively my “Practice Location” or “Practice Locations”), within five (5) days of executing this Undertaking. Going forward, I further undertake to inform the College of any and all new Practice Locations within five (5) days of commencing practice at that location.
(11) I, Dr. Matheson, acknowledge that I have read and understand the provisions of this Undertaking, and that I have obtained independent legal counsel in reviewing and executing this Undertaking, or have waived my right to do so.
(12) I, Dr. Matheson, acknowledge that the College will provide this Undertaking to any Chief of Staff, or a colleague with similar responsibilities, at any Practice Location (“Chief of Staff” or “Chiefs of Staff”).
(13) I, Dr. Matheson, acknowledge that a breach of any provision of this Undertaking may constitute an act of professional misconduct and may result in a referral of specified allegations to the Discipline Tribunal.
(14) I, Dr. Matheson, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.
(15) Public Register
(a) I, Dr. Matheson, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Matheson, acknowledge that, in addition to this Undertaking being posted in accordance with section (15)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
Dr. Matheson will comply with all COVID-19 public health directives, protocols and guidelines issued by Ontario Public Health and/or the Ontario government applicable to physicians and healthcare facilities in Ontario, while in effect and as may be amended from time to time.
D. CONSENT
(16) I, Dr. Matheson, give my irrevocable consent to the College to make appropriate enquiries of OHIP and/or any person who or institution that may have relevant information, in order for the College to monitor my compliance with the provisions of this Undertaking.
(17) I, Dr. Matheson, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix “D”.
(18) I, Dr. Matheson, consent to submit and not interfere with, unannounced inspections by the College of my Practice Locations and to the inspection of patient charts or any other records relevant to my practice of medicine and to the collection of information (in person, orally and/or in writing) from staff or other individuals that the College deems necessary in order to monitor my compliance with the provisions of this Undertaking.
(19) I, Dr. Matheson, give my irrevocable consent to the College to provide the following information to all Workplace Monitors:
(a) any information the College has that led to the circumstances of my entering into this Undertaking;
(b) any information arising from any investigation into, or assessment of, my practice; and
(c) any information arising from the monitoring of my compliance with this Undertaking.
(20) I, Dr. Matheson, give my irrevocable consent to all Workplace Monitors to disclose to the College, and to one another, any of the following:
(a) any information relevant to this Undertaking;
(b) any information relevant to the provisions of the Workplace Monitor’s undertaking set out at Appendix “A”;
(c) any information relevant for the purposes of monitoring my compliance with this Undertaking.
(21) I, Dr. Matheson, give my irrevocable consent to the College to provide all Chiefs of Staff with any information the College has that led to the circumstances of my entering into this Undertaking and/or any information arising from the monitoring of my compliance with this Undertaking.
(2 of 4)
As from June 14, 2022 by order of the Ontario Physicians and Surgeons Discipline Tribunal, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Jeffrey Rice Holmes Matheson:
a. Dr. Matheson shall not communicate to his patients advice or recommendations that are contrary to directives and/or guidelines issued by the provincial government or public health authorities regarding public health measures related to COVID-19.
(3 of 4)
As from August 11, 2020, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Jeffrey Rice Holmes Matheson, in accordance with an undertaking and consent Dr. Matheson has given to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. JEFFREY RICE HOLMES MATHESON
("Dr. Matheson")
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the "College")
A. PREAMBLE
(1) In this Undertaking:
"Code" means the Health Professions Procedural Code, which is Schedule 2 to the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as amended;
"Discipline Committee" means the Discipline Committee of the College;
"NMS" means the Drug Program Services Branch, the Narcotics Monitoring System implemented under the Narcotics Safety and Awareness Act, 2010;
"OHIP" means the Ontario Health Insurance Plan;
"Public Register" means the College's register that is available to the public.
(2) I, Dr. Matheson certificate of registration number 63625, am a member of the College.
(3) I, Dr. Matheson acknowledge that the College conducted an investigation bearing File Number 1104153 (the "Investigation") into whether I engaged in professional misconduct and/or am incompetent in my complementary/alternative medicine practice.
(4) I, Dr. Matheson acknowledge that, after the College receives an original copy of this Undertaking as signed by me, no further action will be taken on the Investigation.
B. UNDERTAKING
(5) I, Dr. Matheson undertake to abide by the provisions of this Undertaking, effective immediately.
(6) Practice Restriction
(a) I, Dr. Matheson undertake that I shall not prescribe any complementary/alternative medications or treatments on the basis of an assessment performed by someone else that was conducted outside of the province of Ontario.
(7) Monitoring
(a) I, Dr. Matheson undertake to inform the College of each and every location at which I practise or have privileges, including, but not limited to, any hospitals, clinics, offices, and any Independent Health Facilities with which I am affiliated, in any jurisdiction (collectively my "Practice Location" or "Practice Locations"), within five (5) days of executing this Undertaking. Going forward, I further undertake to inform the College of any and all new Practice Locations within five (5) days of commencing practice at that location.
(b) I, Dr. Matheson undertake that I will submit to, and not interfere with, unannounced inspections of my Practice Locations and patient charts by a College representative for the purposes of monitoring my compliance with the provisions of this Undertaking.
(c) I, Dr. Matheson give my irrevocable consent to the College to make appropriate enquiries of OHIP, NMS and/or any person who or institution that may have relevant information, in order for the College to monitor my compliance with the provisions of this Undertaking.
(d) I, Dr. Matheson acknowledge that I have executed the OHIP and NMS consent forms, attached hereto as Appendix "A" and Appendix "B", respectively.
C. ACKNOWLEDGEMENT
(8) I, Dr. Matheson acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(9) I, Dr. Matheson acknowledge and undertake that I shall be solely responsible for payment of all fees, costs, charges, expenses, etc. arising from the implementation of any of the provisions of this Undertaking.
(10) I, Dr. Matheson acknowledge that I have read and understand the provisions of this Undertaking and that I have obtained independent legal counsel in reviewing and executing this Undertaking,or have waived my right to do so.
(11) I, Dr. Matheson acknowledge that the College will provide this Undertaking to any Chief of Staff, or a colleague with similar responsibilities, at any Practice Location ("Chief of Staff" or "Chiefs of Staff").
(12) I, Dr. Matheson acknowledge that a breach by me of any provision of this Undertaking may constitute an act of professional misconduct and/or incompetence, and may result in a referral of specified allegations to the Discipline Committee.
(13) I, Dr. Matheson acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.
(14) Public Register
(a) I, Dr. Matheson acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Matheson acknowledge that, in addition to this Undertaking being posted in accordance with section (14)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
A College investigation was conducted into whether Dr. Matheson engaged in professional misconduct and/or was incompetent in the practice of complementary/alternative medicine.
As a result of the investigation, Dr. Matheson must not prescribe complementary/alternative medications or treatments to patients on the basis of an assessment conducted by someone else outside the province of Ontario.
D. CONSENT
(15) I, Dr. Matheson give my irrevocable consent to the College to provide all Chiefs of Staff with any information the College has that led to the circumstances of my entering into this Undertaking and/or any information arising from the monitoring of my compliance with this Undertaking.
(4 of 4)
As from 12:01 a.m., May 1, 2017, by order of the Ontario Physicians and Surgeons Discipline Tribunal, the following term, condition and limitation is imposed on the certificate of registration held by Dr Jeffrey Rice Holmes Matheson:
Prescribing Privileges
(1) Dr. Matheson shall not issue new prescriptions or renew existing prescriptions for any of the following substances:
(a) Narcotic Drugs (from the Narcotic Control Regulations made under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(b) Narcotic Preparations (from the Narcotic Control Regulations made under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(c) Controlled Drugs (from Part G of the Food and Drug Regulations under the Food and Drugs Act, S.C., 1985, c. F-27);
(d) Benzodiazepines and Other Targeted Substances (from the Benzodiazepines and Other Targeted Substances Regulations made under the Controlled Drugs and Substances Act., S.C., 1996, c. 19);
or (A summary of the above-named drugs [from Appendix I to the Compendium of Pharmaceuticals and Specialties] is attached hereto as Schedule "A"; and the current regulatory lists are attached hereto as Schedule "B"); and
(e) All other Monitored Drugs (as defined under the Narcotics Safety and Awareness Act, 2010, S.O. 2010, c. 22 as noted in Schedule "C"); and as amended from time to time.
Posting a Sign
(2) Dr. Matheson shall post a sign in the waiting room(s) of his office, in a clearly visible and secure location, in the form set out at Schedule "D".
For further clarity, this sign shall state as follows: "Dr. Matheson shall not prescribe Narcotic Drugs, Narcotic Preparations, Controlled Drugs, Benzodiazepines and Other Targeted Substances, or any other Monitored Drugs. Further information may be found on the College of Physicians and Surgeons of Ontario website at www.cpso.on.ca".
(3) Dr. Matheson shall post a certified translation in any language in which he provides services, of the sign described in paragraph 5.(2) above, in the waiting room(s) of his office.
(4) Dr. Matheson shall provide the certified translation(s) described in paragraph 5.(3), to the College within thirty (30) days of this Order.
(5) Should Dr. Matheson elect to provide services in any other language(s), he must notify the College prior to providing any such services.
(6) Dr. Matheson shall provide to the College the certified translation(s) described in paragraph 5.(4) prior to beginning to provide services in the language(s) described in paragraph 5.(5).
Coursework
(7) At his own expense, Dr. Matheson shall participate in and successfully complete, within 6 months of the date of this Order, the following programs:
a) Medical Record Keeping;
b) Opioid Prescribing; and
c) Individualized instruction in medical ethics satisfactory to the College, with an instructor selected by the College.
Compliance
(8) Dr. Matheson must inform the College of each and every location that he practises or has privileges, including, but not limited to, hospital(s), clinic(s) and office(s), in any jurisdiction (collectively the "Practice Location(s)"), within five (5) days of commencing practice at that location.
(9) Dr. Matheson shall be solely responsible for payment of all fees, costs, charges, expenses, etc. arising from the implementation of any of the terms of this Order.
(10) Dr. Matheson shall co-operate with unannounced inspections of his Practice Location(s) and patient charts by the College and to any other activity the College deems necessary in order to monitor his compliance with the terms of this Order.
(11) Dr. Matheson shall provide his irrevocable consent to the College to make appropriate enquiries of the Ontario Health Insurance Plan ("OHIP"), the Drug Program Services Branch, the Narcotics Monitoring System ("NMS")
implemented under the Narcotics Safety and Awareness Act, 2010 and any person or institution that may have relevant information, in order for the College to monitor his compliance with the terms of this Order.
(12) Dr. Matheson acknowledges that the College may provide this Order to any Chief(s) of Staff, or a colleague with similar responsibilities, at any Practice Location where he practices or has privileges ("Chief(s) of
Staff"), or other person or individual as necessary for the implementation of this Order and shall consent to the College providing to said Chief(s) of Staff, person or organization with any information the College has that led to this Order and/or any information arising from the monitoring of his compliance with this Order.
Terms and conditions imposed on certificate by: Member
