Medical Assistance in Dying Update Stakeholder Presentation Ministry

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

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

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 MAIDspecific information, guidance and resources. The detailed FAQs, and the Patient Pathway will be made available for late August. o English: http: //www. health. gov. on. ca/en/programs/maid/default. aspx o French: http: //www. health. gov. on. ca/fr/programs/maid/default. aspx 3

Implementation Questions: What We Heard From You 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 e-mailed to the Department of Justice Canada at webadmin@justice. gc. ca. 4

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

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: ‒ E-mail: maidregistration@ontario. ca ‒ To access the service, phone: 1 -844 -243 -5880 3. For any public inquiries or general questions about MAID in Ontario: ‒ E-mail: endoflifedecisions@ontario. ca ‒ This is the email address that should be shared with your stakeholders/members for general inquiries 6