Medical Assistance in Dying: Update Stakeholder Presentation Ministry of Health and Long-Term Care and Ministry of the Attorney General Week of August 22, 2016

2 Implementation: Status Update ToolPurposeImplementation Date (Approx.) Regulatory college guidance (CPSO, CNO, OCP) Provide specific guidance to clinicians on professional obligations and protocols for MAID These colleges have posted new guidance in line w/ Bill C-14 Launch Clinician Referral ServiceTo help clinicians (physicians and NPs) needing assistance in finding a willing clinician Operational Landing Page – Ontario.caTo provide high-level MAID specific communications for the general public, patients and stakeholders Operational Launch drug funding systemTo ensure drugs are accessible and publicly-fundedOperational Bi-weekly stakeholders webinarsInformation sharing and discussion of implementation challenges Operational MOHLTC Landing PageTo provide the general public, patients and providers with MAID-specific information, guidance and resources Operational Voluntary Clinician Aids  Patient Request  Provider Assessment Aids (Primary and Secondary) To supplement medical record-keeping To aid clinicians in ensuring processes were followed Operational Provider-Facing FAQsTo provide physician and institutional guidance on MAID protocol, process and resources Late August Patient/Public-Facing FAQsTo provide patient information and guidance on MAID protocol, process and resources Late August Patient pathwayPatient tool Late August Centre for Effective Practice (CEP) Tool Clinician guidance on MAID provision and process Late August Canadian Medical Association module and training information for clinicians Clinician education on MAID protocol and process (online version and offline version) Operational Need to be aligned with final version of Bill C-14, which was published June 22, 2016

3 Now Available: MOHLTC Landing Page Please note, the MOHLTC landing pages are now live, and can be visited using the links provided below. This forum is intended to provide the general public, patients and providers with MAID- specific information, guidance and resources. The detailed FAQs, and the Patient Pathway will be made available for late August. o English: o French:

4 1.Federal Policy Development: “What is happening at the federal level about the additional work that the Feds promised to do on mature minors and advance consents? And more importantly WHO is doing that at that level as I know we are interested in giving feedback particularly on the advance consents?” o We have received word that the federal government is developing approach for the independent reviews, which, as set out in legislation, must be initiated no later than 180 days following Royal Assent to the Act. Health Canada is collaborating with Justice Canada to develop a process to carry out the reviews. o There will be further discussion in the fall regarding these plans. o Feedback on the issue can be ed to the Department of Justice Canada at Implementation Questions: What We Heard From You

5 Long-Term Care Homes Update from the Chief Coroner Planned Legislative Amendments (late summer/early fall) “Mock” MAID Case Future Webinar Updates

Key Contacts / Information Sharing Mechanisms 1.MOHLTC will continue to have these webinar sessions on a bi-weekly or as-needed basis. Future meetings will be coordinated by MOHLTC. 2.For clinicians who have any questions about the Clinician Referral Service: ‒ ‒To access the service, phone: For any public inquiries or general questions about MAID in Ontario: ‒ ‒This is the address that should be shared with your stakeholders/members for general inquiries 6