Annual General Meeting June 2014
President`s report • New graduates • Drop in membership numbers • Bill 28 (Hospital Privileges) • Survey on education program • Inclusion in Faculty of Health Sciences • Program directed and taught by midwives with higher education • Closer association with Family Medicine and Nursing • Ability to conduct research • Maintain aboriginal focus • Education program • Curriculum in review • Next intake fall 2015 • Workforce/jobs • Model of payment • Health Networks • Fee for service
CAM report Key Issues • Federal recognition and job classification • Inclusion of midwives in the Student Loan Forgiveness Program • Access to midwifery services for all Canadians • National Day of the Midwife Other activities • Global Summit on Maternal Newborn Health • Building relationships • CAM Statement on Home Birth • Conferences • International Projects
ESW report Changes to the program • Online exam • Half day workshop • New evidence presentation • Schedule of review, acting and debriefing each emergency issue Course offerings • February, May and September offerings Budget New facilitator training • September 25, 2014 Training paramedics in normal birth and OOH emergency skills MAM membership
MAM Strategic Goals 2013-2014 • Unite into one organization all Midwives practicing in Manitoba. • Promote the profession of midwifery within Manitoba. • Advocate for public funding of midwifery services across the province. • Protect the interests of Midwives and Midwifery students. • Provide continuing education opportunities for Midwives. • Lobby for Midwifery Education Programs. • Actively participate in the national and international midwifery community. • Protect the autonomy of midwives.
MAM Strategic Goals 2013-2014 1. Unite into one organization all Midwives practicing in Manitoba • Provide a united voice representing Manitoba midwives. Negotiate on behalf of midwives as one strong voice, (as it did in 2006). Be the voice of Manitoba midwives, with a clear distinction between the College of Midwives Of Manitoba and MAM. • Inform all midwives of the benefits of a strong association and its importance in growing and strengthening midwifery. Promote member benefits such as: continuing education sessions, emergency skills workshops, HIROC supplemental insurance, Canadian Association of Midwives (CAM) membership, access to International Confederation of Midwives (ICM) membership. • Gather information as to why midwives are not members. • Increase membership. Review option of mandatory membership. • Celebrate midwives and the profession of midwifery through social gatherings • Provide continuing education sessions • Provide a MAM newsletter to connect, inform and strengthen the membership • Ask members to contribute their opinions on current issues
MAM Strategic Goals 2013-2014 2. Promote the profession of midwifery in Manitoba • Continue to advocate that MAM represents midwives/midwifery on any committee that has to do with our profession. • Continue to build strong relationships with our allies. • Promote well-woman care and excellent maternity care for women and babies. • Provide an interactive and informative MAM website. • Link to consumer groups and community resources. • Provide the ‘expert’ opinion on midwifery matters, (normal birth, breastfeeding, model of care) to media and stakeholders. • Recruit a National Aboriginal Council of Midwives (NACM) representative on MAM board.
MAM Strategic Goals 2013-2014 3. Advocate for public funding of midwifery services across the province • Advocate for more midwifery services to be provided in every RHA. Currently only 4 out of 5 Regional Health Authorities (RHA) are providing midwifery services. • Advocate for more midwifery access for women living in rural, remote and Northern communities. • Advocate for more access for underserved populations (First Nations, Newcomers, socially isolated, etc). • Advocate for recruitment and retention strategies and ensure midwives are active participants in the creation of the plan (incentives, student loan forgiveness, etc). Request a comprehensive 5 year plan.
MAM Strategic Goals 2013-2014 4. Protect the interests of midwives and midwifery students • Advocate for: normal birth, birthing close to home, choice of birth place, informed choice, and continuity of care. CAM is creating a Canadian Model of Care statement. • Protect the interests of midwifery • Continue to educate the public on what a midwife is and what a midwife does. • Advocate for diversity. • Advocate for expanded opportunities for midwives
MAM Strategic Goals 2013-2014 5. Provide continuing education opportunities for Midwives • Provide Emergency Skills Workshops. • Provide other continuing education 6. Lobby for Midwifery Education Program • Lobby for the Midwifery Baccalaureate • Lobby for long-term funding/commitment for Bridging Programs and Assessment programs for Internationally Educated Midwives.
MAM Strategic Goals 2013-2014 7. Actively participate in the national and international community • MAM has CAM board representative to attend meetings/conferences. • MAM to share information on international midwifery projects. CAM projects including the Tanzania twinning project and the Safe Motherhood project, supporting Midwives in Haiti. • MAM membership allows for national (CAM) membership and international (International Confederation of Midwives) membership. 8. Protect the autonomy of midwives • Advocate to have a seat on any committee which may challenge the autonomy of midwives and/or the model of care of midwifery. • MAM to address issues and concerns that may threaten the autonomy of midwives.
Private or Independent Practice Cost: $18,000 per year for 15 million dollar award limit $20,000 per year for 20 million dollar award limit Same cost for full-time and part-time midwives Among lowest cost in Canada (Ontario – approx. $26,000 per year) Includes: Award, legal fees (currently provided for by employer) Defense coverage for allegations of criminal nature, representation at legal proceedings (provided to MAM members No award aggregate limits (no annual limit) No restrictions Includes retroactive insurance
Private or Independent Practice When? Clients may pursue litigation at any time. There is no statute of limitations. The most common times when a suit is filed include when the child enters school or when they are young adults (especially due to a lack of social support). Why? 1 Mismanagement of induction/augmentation medications 2 Failure to identify and/or monitor hyperbilirubinemia 3 Mismanagement of informed choice for post dates clients 4 Failure/delay in consulting and/or transferring care during labour/delivery 5 Shoulder dystocia 6 Insufficient documentation of informed choice and decline discussions 7 Inadequate response to client emergencies in the out-of-hospital birth setting 8 Failure/delay in diagnosis 9 Failure to interpret/respond to abnormal fetal status 10 Practice group disputes/breach of contract How much? Based on legal precedents. Obstetrical cases have high awards. Many awards are between 8 and 10 million. Latest case awarded 14 million.
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