Provincial Clinical Projects, Standards, and Guidelines
Materials available on this webpage have been created in partnership with clinical leaders from across Manitoba as part of improving access to quality care and patient outcomes. Provincial Clinical Planning includes the development of new provincial clinical standards, guidelines, and practice tools. Visit Shared Health’s Health Services Integration and Quality team webpage to learn more about ongoing quality improvement initiatives in Manitoba.
Advanced Glucose Monitors
Manitoba Pharmacare has extended coverage for advanced glucose monitors (AGMs) to all adults with Type 1 or Type 2 Diabetes and who meet the established clinical criteria.
The Exception Drug Status Request Pre-Approval Form is no longer required when prescribing AGMs to eligible patients.
Who is eligible for the AGM program?
Individuals with Type 1 or Type 2 diabetes requiring the use of insulin and who meet the eligibility criteria are eligible for an AGM through the Pharmacare Program.
What types of AGM are included?
Continuous Glucose Monitors (CGM) and Flash Glucose Monitors (FGM) are covered for all eligible Manitobans.
What is the process for a patient obtaining an AGM device?
With the removal of the previously required pre-approval, patients who meet the eligibility criteria may be provided a prescription for an AGM. Once a patient has a prescription, they can obtain an AGM device from an approved vendor or through a pharmacy of their choosing. Patients who choose to purchase through a device vendor directly can submit their receipt for reimbursement and/or have it applied toward their Pharmacare deductible.
Resources for Providers
Manitoba Adult Insulin Pump Program (MAIPP)
Manitoba Health has expanded coverage for eligible Manitobans with Type 1 Diabetes who are 18 years of age and older to access Insulin Pumps.
Patients will require pre-approval from an endocrinologist or Diabetes Specialist before ordering/accessing an insulin pump. Insulin pump therapy may not be appropriate for all patients.
For more information about MAIPP, please email email@example.com.
Please see our Frequently Asked Questions for full information about this program.
What pumps are eligible for the program?
The insulin pumps eligible for reimbursement through this program are listed here.
More information on these pumps can be found on the suppliers’ website:
How do I become a Diabetes Specialist?
Diabetes specialists are defined in the Shared Health Prescribing Standards for Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy for Adult Patients with Type 1 Diabetes
Additional information on becoming a diabetes specialist will be shared soon.
How do I receive Pump Training Competency as a Certified Diabetes Educator?
Information on receiving Pump Training Competency as a Certified Diabetes Educator is coming soon.
How do I refer a patient to the Manitoba Adult Insulin Pump Program?
Requests can be submitted using the Manitoba Adult Insulin Pump Program Patient Referral Form, which can be found in the Manitoba Forms Repository of your Manitoba Certified EMR.
Resources for providers
- Clinical Memo
- Prescribing Standards for Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy for Adult Patients with Type 1 Diabetes
- Manitoba Adult Insulin Pump Program Patient Referral Form
- Manitoba Adult Insulin Pump Coverage Program Application Form
- MAIPP Provider FAQs
- MAIPP Website
- Insulin Pumps – Patient Information
- Patient brochure – When an Insulin Pump may be Beneficial
Moderate Conscious Sedation
- Provincial Clinical Communication
- Provincial Clinical Guideline
- Templates Available for Local Adoption
- The Provincial Procedural Sedation and Analgesia Learning Package can be found on the Learning Management System (LMS)
Provincial Endoscopy Services
Gastrointestinal (GI) Endoscopic Biopsy
- Provincial Clinical Guideline: Gastrointestinal (GI) Endoscopic Biopsy Guideline
Provincial Endoscopy Forms
- Clinical Practice Change: Endoscopy Intake Referral Form & Fecal Occult Blood Test Requisition
- Memo: May 10, 2022: Revised Provincial Endoscopy Intake Referral Form
- Endoscopy Intake Referral Forms with Completion Instructions
- Educational Videos for Endoscopy Intake Referral Form & Fecal Occult Blood Test Requisition
Fecal Occult Blood – Test requisition forms can be found on the CancerCare Manitoba ColonCheck webpage or linked below.
Visit CancerCare Manitoba ColonCheck for resources. For more detailed information on the fecal Immunochemical test (FIT), please call ColonCheck at 204-788-8635.
Provincial Spine Assessment Clinic
Tobacco Quit Card and Counselling (TQCC) Program
- Tobacco Quit Card and Counselling (TQCC) Program Operating Guideline
- Public TQCC Program webpage | French
Tools for Tobacco Educators
- Mock-up of Quit Card Download Website and Quit Card
- Uploading Quit Card PDF to an Accuro Chart
- Data Collection Tool (also found in regional Electronic Medical Records [EMRs]):
- Data Collection Tool Instructions for Clinics on non-regional EMRs
- Nicotine Replacement Therapy (NRT) Information Guide (for program participants) | French
- Smoking Reduction/Cessation – Medication Dosing Fact Sheet (for health professionals)
- Resources to Stop Smoking | French
- Smokers’ Helpline and Talk Tobacco Referral Form
- TQCC Primary Care Providers Letters – meds request
- TQCC Primary Care Providers Letter – end of program