JCB Task Force Releases Medical Assistance in Dying Draft Policy Template as a Resource for Ontario Health Institutions

On June 6, 2016, the University of Toronto Joint Centre for Bioethics (JCB) released the Medical Assistance in Dying Draft Policy Template created by the JCB Task Force on Implementing Medical Assistance in Dying (MAID). The MAID Model Policy Template was developed as a resource for Ontario health institutions to aid local planning to address and respond to patient inquiries or requests for medical assistance in dying.

 

Created in January 2015, the JCB Task Force on Implementing Medical Assistance in Dying was formed to anticipate and respond to ethical issues related to the implementation of MAID in Canada. The JCB Task Force is co-chaired by Sally Bean (Director, Ethics Centre and Policy Advisor, Sunnybrook Health Sciences Centre) and Dr. Philip Hébert (Professor, University of Toronto, Department of Family and Community Medicine). The JCB Task Force is an interdisciplinary group of scholars, practitioners, regulators, and community members working in collaboration with local and provincial health system stakeholders, including the Ontario Hospital Association (OHA), Ontario Shores Centre for Mental Health Sciences, and others.

 

Purpose of this document:
The draft policy template is intended for institutions that are participating in MAID and does not address institutional conscientious objection. The draft policy template seeks to operationalize the ethical principles of accountability, collaboration, dignity, equity, respect, transparency, fidelity and compassion.

 

Due to the evolving information surrounding MAID, this draft policy template is a working document. It will be updated iteratively as new legislative or regulatory information, including policy direction and resources from the Ontario Ministry of Health and Long Term Care (MOHLTC), is released. This resource contemplates the passage of Bill C-14 in the coming weeks, and is intended to support policy development in anticipation of Bill C-14 becoming law. This version of the model policy is current as of June 5, 2016 and incorporates the following elements: 1) the Supreme Court of Canada’s Carter v. Canada (Attorney General) ruling, 2) the College of Physicians and Surgeons of Ontario's Interim Guidance on Physician Assisted Dying, and 3) Proposed Federal legislation (Bill C-14) pertaining to MAID.

 

Get the draft policy template. pdf link

 


 

JCB MAID Implementation Task Force Members (listed alphabetically)
(Current as of June 1, 2016)

Michelle Allain, MSc – Bioethicist, Thunder Bay Regional Health Sciences Centre
Peter Allatt, PhD – Clinical Ethicist, Bridgepoint Active Healthcare, Sinai Health System
(Co-chair) Sally Bean, JD, MA – Director of Ethics Centre & Policy Advisor, Sunnybrook Health Sciences Centre, Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto
Kerry Bowman, MSW, PhD – Ethicist, Mount Sinai Hospital, Sinai Health System, and Department of Family and Community Medicine, University of Toronto
Monica Branigan, MD, MHSc (Bioethics) – Physician, Temmy Latner Centre for Palliative Care, Mount Sinai Hospital, Sinai Health System, and Department of Family and Community Medicine, University of Toronto, and Mount Sinai Health System
Jonathan Breslin, PhD – Ethicist, Mackenzie Health and Southlake Regional Health Centre
Kristine Connidis, SJD, Dip.An.Psych. – Law, Psychology and Psychotherapy
Christopher De Bono, PhD – Ethicist, Toronto Central Community Care Access Centre
Justine Dembo, MD – Psychiatrist
James Downar, MD, MHSc (Bioethics) – Physician, Interdepartmental Division of Critical Care, Division of Palliative Care, University of Toronto and University Health Network
Karen Faith, BSW, MEd, MSc – Independent bioethics consultant and educator
Tom Foreman, DHCE, MA, MPIA – Director, Champlain Centre for Healthcare Ethics and Ethicist, The Ottawa Hospital, and Assistant Professor University of Ottawa Faculty of Medicine, Division of Palliative Medicine, The Ottawa Hospital
Andrea Frolic, PhD – Director, Clinical and Organizational Ethics, Hamilton Health Sciences and Assistant Professor, Faculty of Health Sciences, McMaster University Medical Center, and Hamilton Health Sciences
Jennifer Gibson, PhD – Director, Joint Centre for Bioethics, Dalla Lana School of Public Health, Institute of Health Policy, Management, and Evaluation, University of Toronto
Dianne Godkin, PhD – Sr. Ethicist, Trillium Health Partners
Mark Handelman, BA, LLB, MHSc (Bioethics) – Lawyer, Practicing health lawyer (Ontario)
(Co-chair) Philip Hébert, MD, PhD – Department of Family and Community Medicine, University of Toronto
Jin Huh – Community worker, caregiver and family representative
Mary Huska, BScN, MHSc (Bioethics) – Clinical Bioethicist/ Manager Spiritual and Religious Care, Health Sciences North
Rosanna Macri, MRT, MHSc (Bioethics) – Ethicist, Ontario Shores Centre for Mental Health Sciences, and Division of Clinical Public Health, Dalla Lana School of Public Health
Malcolm McFarlane – Community worker, caregiver and family representative
Alice Melcov – Legal & Policy Advisor, Ontario Hospital Association
Angel Petropanagos, PhD – Visiting Scholar, Joint Centre for Bioethics, University of Toronto
Kevin Reel, MSc, OT Reg (Ont) – Ethicist, Department of Occupational Science and Occupational Therapy, University of Toronto, and Centre for Addiction and Mental Health
Barbara Russell, PhD, MBA – Sr. Ethicist, University Health Network, Institute of Health Policy, Management, and Evaluation, University of Toronto
Rob Sibbald, MSc – Ethicist, London Health Sciences Centre, Department of Family Medicine, Schulick School of Medicine and Dentistry, Western University
Maxwell J. Smith, MSc, PhD (C) – Ethicist, Sunnybrook Health Sciences Centre and North York General Hospital
Frank Wagner, MA, MHSc (Bioethics) – Ethicist, Ontario Shores Centre for Mental Health Sciences, Department of Family and Community Medicine, University of Toronto