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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, 1991 (RHPA). 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

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.

More about the Continuing education and professional development activities

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.

More information on peer case reviews

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.

More information on the QCE

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 (MOH), the College’s Quality Assurance Committee approved the use of an interim Self-Assessment Questionnaire (SAQ).


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 Quality Assurance Program (QAP) reporting portal is online. Members may track and report their annual QAP activities through this portal.


Who needs to report on the QAP?

When is the QAP report due?

How do I track and report my QAP activities?

What are the possible outcomes of the QAP reports?

For more information contact the College by email at