Collins, Alexandra Katharina Ursula (CPSO#: 60556)

Current Status: Active Member as of 24 Feb 1989

CPSO Registration Class: Restricted as of 25 Apr 2016

Indicates a concern or additional information

Summary

Former Name: No Former Name

Gender: Female

Languages Spoken: English, German

Education:Rhenish Frederick William Univ of Bonn, 1982

Practice Information

Primary Location of Practice
89 Cook Street
Meaford ON  N4L 1N2
Phone: (519) 538-5282
Fax: (519) 538-2602
Electoral District: 03
View Professional Corporation Information

Professional Corporation Information

Corporation Name: Alexandra K. Collins Medicine Professional Corporation

Certificate of Authorization Status: Issued Date:  Sep 27 2007

Shareholders:
Dr. A. Collins ( CPSO# 60556 )

Business Address:
89 Cook Street
Meaford ON  N4L 1N2
Phone Number: (519) 538-5282

Hospital Privileges

Hospital Location
Grey Bruce Health Services,Meaford Site Meaford

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 24 Feb 1989
Transfer of class of certificate to: Restricted certificate Effective: 25 Apr 2016
Terms and conditions imposed on certificate by member Effective: 25 Apr 2016

Practice Restrictions

Imposed By Effective Date Expiry Date Status  
member Effective: 25 Apr 2016 Active View Details [+]
            As from April 25, 2016, the following is imposed as a term, condition and
            limitation on the certificate of registration held by Dr. Katharina Urusula
            Collins, in accordance with an undertaking and consent given by Dr. Collins to
            the College of Physicians and Surgeons of Ontario:

                        UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT 
                                          ("Undertaking")
                  
                                                of
                  
                              DR. ALEXANDRA KATHARINA URSULA COLLINS
                                          ("Dr. Collins")
                  
                                                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; 
                  
                  "ICR Committee" means the Inquiries, Complaints and Reports Committee of
                  the College.
                  
            (2)   I, Dr. Collins, certificate of registration number 60556, am a member of
                  the College.  The College has received information regarding my standard
                  of practice.

            B.    UNDERTAKING

            (3)   I, Dr. Collins, acknowledge and agree that I am bound by this Undertaking
                  from the date on which I sign it. 

            (4)   Reassessments of Office Practice

                  (a)   I, Dr. Collins, undertake that I will submit to a reassessment of
                        my office practice ("the Reassessment") by an assessor or assessors
                        selected by the College (the "Assessor(s)"), which is to take place
                        approximately three (3) months from the date of this Undertaking.
                        I acknowledge and agree that the Reassessment will include a review
                        of 20 of my patient charts, and may include direct observation of
                        my care, interviews with colleagues and co-workers, feedback from
                        patients and any other tools deemed necessary by the College.
                  
                  (b)   I, Dr. Collins, acknowledge that if the Assessor(s) and the College
                        do not have concerns regarding my standard of practice, including
                        my record-keeping and documentation, arising from the Reassessment
                        then I will submit to a second reassessment of my office practice
                        ("the Second Reassessment") by an assessor or assessors selected by
                        the College (the "Assessor(s)"), which is to take place
                        approximately twelve (12) months from the date of this Undertaking.
                        I acknowledge and agree that the Second Reassessment may include a
                        review of 20 of my patient charts, direct observation of my care,
                        interviews with colleagues and co-workers, feedback from patients
                        and any other tools deemed necessary by the College.
                  
                  (c)   I, Dr. Collins, acknowledge that if the Assessor(s) or the College
                        has concerns regarding my standard of practice, including my
                        record-keeping and documentation, arising from the Reassessment,
                        the results of the Reassessment may form the basis of further
                        action by the College.
                  
                  (d)   I, Dr. Collins, undertake to co-operate fully with the Reassessment
                        and the Second Reassessment (collectively, the "Reassessments"),
                        conducted under the terms of this Undertaking, and to abide by the
                        recommendations of the Assessor(s).
                  
                  (e)   I, Dr. Collins, understand and agree that if I am of the view that
                        any of the Assessor(s)'s recommendations are unreasonable, I will
                        have thirty (30) days following my receipt of the recommendations
                        within which to provide the College with my submissions in this
                        regard.  I further understand and agree that thereafter, the ICR
                        Committee will consider my submissions and make a determination
                        regarding whether or not the recommendations, or any of them, are
                        reasonable and if so, whether they, or any of them, constitute
                        limitations or restrictions on my practice, and that decision will
                        be provided to me.
                  
                  (f)   I, Dr. Collins, undertake that, following the decision referenced
                        in section (4)(e) above, I will abide by those recommendations of
                        the Assessor(s) that the ICR Committee has determined are
                        reasonable. 
                  
                  (g)   I, Dr. Collins, hereby consent to the following being included on
                        the public register as terms, conditions or limitations on my
                        certificate of registration, for the purposes of section 23 of the
                        Code: any recommendations of the Assessor(s) which are terms,
                        conditions or limitations on my practice and/or which the ICR
                        Committee has identified in its decision referenced in section
                        (4)(e) as terms, conditions or limitations on my practice.
                  
            (5)   Monitoring 

                  (a)   I, Dr. Collins, undertake to inform the College of each and every
                        location that I practise or have privileges, including, but not
                        limited to, hospital(s), clinic(s) and office(s), in any
                        jurisdiction (collectively my "Practice Location(s)"), within
                        fifteen (15) days of executing this Undertaking.  Going forward, I
                        further undertake to inform the College of any and all new Practice
                        Locations within fifteen (15) days of commencing practice at that
                        location.
                  
                  (b)   I, Dr. Collins, undertake and agree that I will submit to, and not
                        interfere with, unannounced inspections of my Practice Location(s)
                        and patient records by a College representative for the purposes of
                        monitoring my compliance with the provisions of this Undertaking.
                  
                  (c)   I, Dr. Collins, give my irrevocable consent to the College to make
                        appropriate enquiries of the Ontario Health Insurance Plan ("OHIP")
                        in order for the College to monitor my compliance with the
                        provisions of this Undertaking. 
                  
                  (d)   I, Dr. Collins, acknowledge that I have executed the OHIP consent
                        form, attached hereto as Appendix "A". 
                  
            (6)   I, Dr. Collins, undertake to comply with this Undertaking and 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 of the
                  College.

            C.    ACKNOWLEDGEMENT

            (7)   I, Dr. Collins, acknowledge that all appendices attached to or referred
                  to in this Undertaking form part of this Undertaking.

            (8)   I, Dr. Collins, acknowledge 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. 

            (9)   I, Dr. Collins, acknowledge and confirm 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.

            (10)  I, Dr. Collins, acknowledge that this entire Undertaking constitutes
                  terms, conditions, and limitations on my certificate of registration for
                  the purposes of section 23 of the Code. I understand that this
                  Undertaking shall be information on the College's Register that is
                  available to the public during the time period that the Undertaking
                  remains in effect.

            (11)  I, Dr. Collins, acknowledge that the following summary will appear on the
                  College's Register that is available to the public during the time period
                  that this Undertaking remains in effect:

                        Dr. Collins was the subject of a College practice assessment.  As a
                        result of the assessment, Dr. Collins' office practice will be
                        reassessed by an assessor selected by the College within,
                        approximately, three (3) months and will be further reassessed
                        within, approximately, twelve (12) months.
                  
                  
            D.    CONSENT

            (12)  I, Dr. Collins, give my irrevocable consent to the College to provide the
                  following information to any person who requires this information for the
                  purposes of facilitating the Reassessments set out in section (4) above
                  and to all Assessors:

                  (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.
                  
            (13)  I, Dr. Collins, give my irrevocable consent to the College to provide
                  this Undertaking to any Chief(s) of Staff, or a colleague with similar
                  responsibilities approved by the College, at any Practice Location
                  ("Chief(s) of Staff"), and to provide said Chief(s) 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.

            (14)  I, Dr. Collins, give my irrevocable consent to any person who facilitates
                  the Reassessments  set out in section (4) above, and to all Chiefs of
                  Staff and Assessors, to disclose to the College, and to one another, any
                  information:

                  (a)   relevant to this Undertaking;
                  
                  (b)   relevant to the Reassessments;
                  
                  (c)   relevant for the purposes of monitoring my compliance with this
                        Undertaking; and/or  
                  
                  (d)   which comes to his or her attention in the course of facilitating
                        the Reassessments set out in section (4) above and which he or she
                        reasonably believes indicates a potential risk of harm to my
                        patients.

Concerns

Source: Member
Active Date: April 25, 2016
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Alexandra Katharina Ursula Collins to the College of Physicians and Surgeons of Ontario effective April 25, 2016:

Dr. Collins was the subject of a College practice assessment. As a result of the assessment, Dr. Collins' office practice will be reassessed by an assessor selected by the College within, approximately, three (3) months and will be further reassessed within, approximately, twelve (12) months.