1. New Midwifery Practice Orientation Presentation to the Association of Ontario Midwives
June 20, 2014

2. Outline Ontario Midwifery Program (OMP)
New Practice Proposal Requirements
Assessment Criteria
Questions/Discussion

3. OMP: Who We Are
Ministry of Health and Long-Term Care (MOHLTC) – Ontario Midwifery Program (OMP), with 4 staff members
18 Transfer Payment Agencies (TPA)
85 Approved Midwifery Practice Groups (MPGs) in Ontario
Over 700 midwives registered in Ontario
Approved funding for up to 24,500 courses of care in (~12% of births)

4. OMP: What we do Approval of Process Funding Requests
Midwifery Services Budgets, including New Practice Proposals
AOM Initiatives
Contract Management
Operational Policy

5. How do you get started?
Engage your local Transfer Payment Agency (TPA)
The TPA can provide you with the relevant application materials including the list of requirements and a checklist
Begin the proposal development early to ensure the application is comprehensive and thorough

6. OMP: Budget Request/Budget Approval Process
OMP sends funding packages to Minister
OMP prepares the funding packages, including new practice proposals
May
June
July
August
September
April
October
November
December
January
March
February
OMP receives the Minister’s approval
OMP sends approvals to TPAs
TPAs send Budget Requests to OMP
TPAs provide written approvals to MPGs
MPGs send Budget Request to TPAs
New practice proposals submitted to TPAs
TPAs provide Budget Request packages to MPGs
TPAs submit new practice proposals to OMP
OMP provides Budget Request packages to TPAs

7. New Practice Proposal Requirements
An introduction of your proposed practice
Provide an introduction of your new practice and the names of midwives who will be part of your practice and a brief description of their background and experience
A Letter of Professional Conduct (LOPC) from the College of Midwives of Ontario (CMO) is required for each midwife submitting a new practice proposal

8. New Practice Proposal Requirements (cont’d)
Define the catchment area you propose to serve
Provide a detailed description and map of the boundaries of the proposed area by city, town and all outlying and bordering communities
Also indicate where midwifery services are already available in relation to your proposed service area
Rationale for Establishing New Midwifery Practice
Outline the need for a new practice in the proposed community, including demographic statistics and unaccommodated client information

9. New Practice Proposal Requirements (cont’d)
Support of Community Stakeholders
Include support letters from Local Health Integration Network, local hospitals, local primary care providers and organizations, adjacent midwifery practice groups, and other relevant community stakeholders
Human Resources Plan
Provide a rationale for the number of base courses of care requested
Provide a 3-year human resource recruitment strategy/plan to support the proposed practice group’s plans of expansion, if applicable

10. New Practice Proposal Requirements (cont’d)
Proposed start-up date
Rationale for start-up date
Indicate staggered start dates of midwifery staff and the proposed practise group promotional strategy (for the first 3 years) if applicable
Conclusion
Prepare a brief summary of the proposal outlining the main points supporting the request for a new midwifery practice group

11. Assessment Criteria Thoroughness
Well-organized, detailed and complete package
Client Demand
Demonstrate client demand for midwifery services by providing supporting evidence of client demand within the proposed catchment area
Demographic information, environmental scans and unaccommodated client data
Community Support
Demonstrate that the proposal has community support
Include letters of support from various agencies and local health care providers

12. Assessment Criteria (cont’d)
Years in Practice
Establishing a new practice requires can be onerous and requires midwives to be able to focus on the demands of a new practice while practicing at the same time
Number of Midwives
Demonstrate how midwives can provide secondary care coverage
If a solo practice, an Alternate Practice Arrangement with the CMO will be required

13. Contact Information
Ontario Midwifery Program
Primary Health Care Branch
Ministry of Health and Long-Term Care
1075 Bay Street, 9th Floor
Toronto, Ontario M5S 2B1
Main line: (416)
Fax: (416)  

14. Questions/Discussion