Quality Assurance Program (QAP) Requirements

Quality Assurance Program (QAP) Requirements

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.

Quality Assurance Program (QAP) FAQs

Who needs to report on the QAP?

All midwives registered in General Class (including New Registrants) or Supervised Practice Class.

 When is the QAP report due?

On or before October 1 every year.

 What are the QAP requirements?

  • 3 Continuing Professional Development (CPD) activities
  • 6 Peer Case Reviews
  • 3 Quality of Care Evaluation (QCE) action records
  • Declaration of Self-Assessment Questionnaire (SAQ) every 3 years

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. 

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 the following documents to be reviewed by a QAC panel:

  • The reasons for requesting an exemption
  • The QAP reporting requirements from which they are seeking exemption

For more information on QAP exemptions, click here.


Members who have been registered in the Inactive Class for only a portion of the reporting year may prorate their QAP activities. New Registrants may also prorate their activities based on the number of months they were not registered. Please refer to the following table for more information:

Note: Members practising part-time – but who have remained registered in the General Class or Supervised Class– will not be prorated.

                        proration chart

For more information contact: Amy Fournier, Quality Assurance Coordinator qap@cmo.on.ca 416-640-2252, ext. 204