Accountability |
Programme Goals |
Is the MAP appropriate for the question at hand? |
□ Yes |
□ No |
Will the patients receive earlier access to the drug? |
□ Yes |
□ No |
Will the programme collect the evidence needed to find the right drug for the right patient? |
□ Yes |
□ No |
Will all of the processes within the programme (eg decision making) be transparent to ensure greater buy‐in? |
□ Yes |
□ No |
Governance |
Programme‐Specific Committee |
Will there be a programme‐specific committee established to guide the MAP? |
□ Yes |
□ No |
Will there be 3 patient members on the committee? |
□ Yes |
□ No |
Will the patient members meet the follow criteria: |
Meet a minimum level of experience with the health‐care system |
□ Yes |
□ No |
Have a meaningful role on the committee? |
□ Yes |
□ No |
Are accountable back to the disease community that they represent? |
□ Yes |
□ No |
Will patient organizations select the patient members? |
□ Yes |
□ No |
Will there be a physician committee member? |
□ Yes |
□ No |
Will they be an expert in the rare disease? |
□ Yes |
□ No |
Will patient organizations select the physician member? |
□ Yes |
□ No |
Will the committee meetings be open to all patients and caregivers who wish to attend? |
□ Yes |
□ No |
Individual Patient Input |
Will individual input from a broad range of patients be collected to develop the MAP? |
□ Yes |
□ No |
Will the process be quick and efficient? |
□ Yes |
□ No |
Will there be a variety of ways for patients to provide input? |
□ Yes |
□ No |
Will the input processes be transparent and patients well informed of the opportunity? |
□ Yes |
□ No |
International Collaboration |
Will there be collaboration with other countries to learn from their experiences with MAPs? |
□ Yes |
□ No |
Will there be collaboration with other countries to conduct trials (if necessary)? |
□ Yes |
□ No |
Will there be collaboration with experts in other countries to educate Canadian physicians on the rare disease? |
□ Yes |
□ No |
Evidence Collection |
On‐going Monitoring and Registries |
Will there be on‐going monitoring with an engaged physician and good documentation (eg through EMRs)? |
□ Yes |
□ No |
Will the following information be collected: |
□ Yes |
□ No |
Natural history data? |
□ Yes |
□ No |
Qualitative data? |
□ Yes |
□ No |
Clinical outcomes? |
□ Yes |
□ No |
Outcome Measures and Continuation Criteria |
Will the outcome measures used be meaningful to patients and adequately capture their experiences? |
□ Yes |
□ No |
Will patients provide input on meaningful outcome measures? |
□ Yes |
□ No |
Will decisions to continue/discontinue therapy be made between physicians and patients without the use of set continuation criteria? |
□ Yes |
□ No |
Will there be follow‐through on the results of the MAP? |
□ Yes |
□ No |