Expanded Midwifery Care Models (EMCMs)

An expanded midwifery care model (EMCM) refers to a funding mechanism developed by the Ministry of Health, working jointly with the AOM, to fund midwifery practice arrangements outside of the traditional midwifery ‘course of care’ model. EMCM funding was first negotiated between the AOM and MOH in 2017 and allows midwives to leverage skills and knowledge to practice in different models and in different health care settings.

Sometimes, EMCM arrangements involve work that falls into ‘expanded scope' e.g. providing additional care to clients to serve community need that midwives might not otherwise provide within the traditional course of care model. Midwives may also provide episodic care (rather than full courses of care) to marginalized populations.

Midwives considering working under alternate midwifery funding should be sure to be aware of the various implications of such work with regards to funding support, regulatory framework, insurance, etc. Read more about considerations to make when it comes to alternate midwifery funding.

Call for applications and process

The ministry is currently not accepting applications for new EMCM initiatives. The most recent deadline for applications was in 2023.

Midwives interested in applying should contact the ministry to request an application and supporting guidance documents.

Midwives may also wish to consult EMCM templates (Appendix C) materials developed during the last round of negotiations, as part of the current Memorandum of Understanding (MOU) between the AOM and the MOH.

Eligibility and criteria

Proposed initiatives should meet key EMCM criteria:

  • Inability to provide these specific pregnancy and newborn services within the existing midwifery models (i.e. midwifery practice groups and Indigenous midwifery program).
  • Addresses gaps in service provision and supports high quality and client-centered care
  • Supports the effective use of health care resources
  • Maximizes midwifery scope of practice
  • Supports coordination and integration of pregnancy and newborn care with interprofessional primary care
  • Contributes to an efficient and sustainable health care system and will not negatively impact or duplicate existing pregnancy and newborn services.

Currently funded EMCM initiatives

Program/organization
Location
Ancestral Hands Foundation Scarborough

Alongside Midwifery Unit - Oak Valley Health

Markham

  

Black Creek Community Health Centre – maternal-child program

Toronto

  
Centre de santé communautaire du Grand Sudbury Sudbury
Collaborative Care Midwifery Clinic Petawawa
Collingwood Well Baby Clinic Collingwood

Crown Point Family Health Team

Hamilton

  

Delhi Family Health Team

Delhi
Équipe de santé familiale Nord-Aski Family Health Team Hearst
Grand River CHC -   

Healthy Babies Happy Families Clinic

Collingwood

  
Hospitalist Midwifery Services at McMaster University Medical Centre Hamilton

Midwifery and Toronto Community Health (MATCH)

Toronto

  

Montfort Hospital

Ottawa

  

Mt. Sinai Family Health Team

Toronto

  
North York General Hospital Midwifery Care Clinic Toronto

NorWest Community Health Centre

Thunder Bay
Perth and Smith Falls District Hospital Smiths Falls
Postpartum Primary Care Midwifery - Oak Valley Health Markham
South East Grey Community Health Centre Markdale

The Interprofessional Midwifery/Maternal-Fetal Medicine Expanded (T.I.M.E.) Program

 London  

WellFort Community Health Centre

Brampton
Women's Health Care Centre - Post Partum Midwifery Care Clinic Toronto

Resources

Considering submitting an EMCM proposal? Have questions about this funding? The AOM can help and strategize with regards to compensation needs, including exploring mechanisms for payment, benefits and contracts.

For more information, contact the Government, Labour & Public Relations team at policy@aom.on.ca.