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Quality Assurance

Quality Assurance

The College’s Quality Assurance Program (QAP) is designed to ensure that the knowledge, skill and judgment of Ontario midwives remains current throughout their careers, and that they continue to provide safe, effective, appropriate and ethical midwifery care to their clients. The QAP is mandated under the Regulated Health Profession’s Act (RHPA), 1991. The components of the QAP can be found under the Quality Assurance Regulation (O. Reg. 335/12) made under the Midwifery Act, 1991.

The Quality Assurance Program is intended to be supportive in nature. It is meant to promote and enhance members’ understanding of the practice of the profession of midwifery through:

  • Continuing Education and Professional Development
  • Peer and Practice Assessment
  • Self-Assessment

The College’s Quality Assurance Program (QAP) is designed to ensure that the knowledge, skill and judgment of Ontario midwives remains current throughout their careers and that they continue to provide safe, effective, appropriate and ethical midwifery care to their clients. The QAP is mandated under the Regulated Health Professions Act (RHPA), 1991. The components of the QAP can be found under the Quality Assurance Regulation (O. Reg. 335/12) made under the Midwifery Act, 1991.

QAP Requirements

Continuing education and professional development activities

A continuing education activity is one that maintains or improves a member’s knowledge, skills or judgment as related to the practice of midwifery.

Click here for more about the Continuing education and professional development activities.
Acceptable activities for continuing education and professional development are indicated in the  Guideline on Continuing Education and Professional Development

Fetal Health Surveillance (FHS) Continuing Education Requirement

Every three years, at a minimum, the midwife must complete an approved CE activity in Fetal Health Surveillance (FHS) as one of their Quality Assurance Program (QAP) continuing education and professional development activities – click here to review the Policy on Continuing Education in Fetal Health Surveillance.

The College currently accepts the following courses:

  • The Fundamentals of Fetal Health Surveillance: A Self-Learning Manual (self-learning manual or in-person course) produced by the Canadian Perinatal Programs Coalition
  • Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) Intermediate and Advanced Fetal Monitoring courses

 At present, these two courses are the only acceptable activities to fulfill the continuing education component of the QAP.  The College will keep members informed should any other courses be approved in the future.   All members must have completed and reported on an FHS course by October 1, 2018.

Peer Case Reviews

Members in the general class (including new registrants) and supervised practice class of registration must participate in at least six sessions of peer case review each reporting year (October 1- September 30).  Peer case reviews should be educational and should be conducted in a confidential and non-punitive environment.

Click here for more information on peer case reviews

In accordance with the Quality Assurance Regulation, the peer case review sessions must include a minimum of four participating midwives from at least two separate midwifery practice groups.

Members may report on up to two interprofessional case review activities (e.g., hospital morbidity and mortality or departmental meetings, MORE OB interprofessional care reviews), provided that the review consists of at least four participants.

For more details on peer case reviews, please review the Guideline on Peer Case Review

 Quality of Care Evaluation action records

The Quality of Care Evaluation (QCE) Form must be provided to each client upon or after discharge from care to encourage client feedback on midwifery services.

Click here for more information on the QCE

The returned QCEs should be reviewed on a regular basis.  Members are required to provide each client with a QCE within six months of discharge from care and retain returned evaluations for five years.

Quality of Care Evaluation Form (English)

Formulaire d’evaluation de la qualité des soins (Français)

Quality of Care Evaluation Action Records

Each practice should develop a method for reviewing the returned Quality of Care Evaluation Forms in order to decide if any action is necessary in response to client feedback.  Periodic reviews of a group of client evaluations may help the practice identify areas requiring change or improvement.

Read more in our Guideline on Quality Care Evaluation.

Declaration of Self-Assessment Questionnaire (SAQ) 

The College has recently submitted proposed changes to the Quality Assurance Regulation.  While this revised regulation is being considered by the Ministry of Health and Long-Term Care (MOHLTC), the College’s Quality Assurance Committee approved the use of an interim Self-Assessment Questionnaire (SAQ).

Click here for SAQ resources

Proration

Members who have been registered in the general or supervised class for only a portion of the reporting year may prorate their QAP activities. Please refer to the following table for more information (click here to view a larger version):

Reporting requirements for QAP activities based on the number of months registered in the general class:

 

Note: Members practising part-time – but who have remained registered in the general or supervised class– will not be prorated.

Reporting QAP Activities

How do I track and report my QAP activities?

The member portal is no longer used to track and report your QAP activities. Instead, members will use a new form called the Quality Assurance Program Annual Record. You can review the form here:

QAP Annual Record Form

QAP FAQs

Who needs to report on the QAP?

All midwives registered in general class (including new registrants) or supervised practice class.

Midwives who are inactive on the reporting deadline do not need to submit a QAP report.

When is the QAP report due?

On or before October 1 every year.

How do I track and report my QAP activities?

The member portal will no longer be used to track and report your QAP activities. Instead, members will use a new form called the Quality Assurance Program Annual Record. This record is available above as a fillable PDF.

What are the possible outcomes of the QAP reports?

A. Compliant

A member is considered compliant when their submitted QAP report has met the requirements specified above. A member with a complete QAP for that reporting period will receive a Notice of Compliance.

B. Non-compliant

A member is considered non-compliant when their submitted QAP report has not met the requirements of the Program. A Notice of Non-compliance will be issued because either a QAP has missing or incorrect information or because a QAP report has not been submitted.  Members marked non-compliant are required to submit an administrative fee and the QAP Barriers to Compliance document.

For more information on QAP non-compliance, click here.

C. Exempt

A member can be granted an exemption from any or all of the requirements of the QAP because of illness or any other circumstance the QAC considers appropriate (O. Reg. 335/12, s. 4.). All members requesting an exemption must provide the College’s Quality Assurance Committee (QAC) with a completed QAP exemption request form to be reviewed by a QAC panel.

For more information on QAP exemptions, click here.

For more information contact the College by email at qap@cmo.on.ca