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This page provides documents and resources to support health care providers and administrators with the implementation of MAID. Saskatchewan-specfic materials were produced by a provincial working group on medical assistance in dying, which included representatives of the:
- Saskatchewan Ministry of Health;
- Saskatchewan Health Authority;
- College of Physicians and Surgeons of Saskatchewan;
- Saskatchewan Medical Association;
- Saskatchewan Registered Nurses Association; and
- Saskatchewan College of Pharmacy Professionals.
These resources are provided to supplement, not circumvent, existing information and requirements related to MAID such as federal or provincial legislation, regulatory body guidelines or policies, and regional or institutional policies.
Federal Reporting Requirements
On November 1, 2018, the federal government's Regulations for the Monitoring of Medical Assistance in Dying came into force. The objective of the monitoring system is to gather data in order to gain insight into the implementation of MAID legislation in Canada, while protecting the privacy of individuals. Requirements under the federal regulations for practitioners in Saskatchewan are set out below.
Who needs to report?
- Physicians and nurse practitioners who (1) have received a request for medical assistance in dying in writing, and (2) encounter one of the six scenarios set out below have an obligation to report certain information.
- A patient's written request may take any form including a text message or an email. It must, however, be more than an inquiry or a request for information about MAID.
- Pharmacists who have dispensed a substance in connection with the provision of MAID have an obligation to report.
What type of scenarios trigger the requirement to report (for physicians and nurse practitioners)?
After a written request for MAID has been received, the regulations require reporting by physicians and nurse practitioners in six different scenarios that are explained in the Federal Reporting Requirements Guidance Document. In brief, the six scenarios are:MAID was not provided:
1. You referred a patient to another practitioner or to a care coordination service, or transferred the care of a patient, as a result of a written request for MAID.
2. You became aware that the patient withdrew their written request for MAID (this includes before a referral or transfer of care).
3. You became aware of the death of the patient from a cause other than MAID (this includes before a referral or transfer of care).
4. You found a patient to be ineligible for MAID.
MAID was provided:
5. You provided MAID by administering a substance to a patient.
6. You provided MAID by prescribing a substance for self-administration by the patient (in Saskatchewan, a practitioner can prescribe a substance to a patient to orally administer but the practitioner must be present when the patient administers the substance).
How do physicians, nurse practitioners, and pharmacists report?
- The Saskatchewan forms have been updated to include the new federal requirements. The Federal Reporting Requirements Guidance Document outlines which Saskatchewan forms need to be completed for each scenario and sets out the related reporting timelines.
- The Saskatchewan Health Authority is named in the federal regulations as a provincial designate. This means that physicians, nurse practitioners, and pharmacists must submit information to the Saskatchewan Health Authority, who will provide the data to Health Canada.
- Physicians, nurse practitioners, and pharmacists must submit the required forms to the following Saskatchewan Health Authority fax number within federally-required timelines: 1-833-837-9006.
Failure to provide the required information
- Physicians, nurse practitioners, and pharmacists are required under s.241.31 of the Criminal Code to file the information required in the regulations within specific timeframes. Those who knowingly fail to comply with this requirement could face a maximum term of imprisonment of two years.
Who should I contact if I have questions about reporting requirements?
- If you have any questions about the federal regulations or the process within Saskatchewan, please phone the Saskatchewan Health Authority at 1-833-473-6243.
These documents may change over time as Saskatchewan gains experience with the implementation of MAID and as new information becomes available. There may also be changes to the federal reporting requirements. Health care providers should check back regularly for updates.