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The elimination of regional leadership in Ontario’s health system

Wednesday, November 27th, 2019

The health team design principles suggest that regional leadership of the system is not important if local care is better integrated. This may be true but having experience in working with the LHINs to implement change in Ontario, I worry about the loss of a regional leadership structure, which demonstrably improved quality in Ontario health care.

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Are Ontario Health Teams designed for failure?

Wednesday, September 4th, 2019

The ministry has left it to the teams to describe how OHT’s will plan and decide on regional service delivery. There is no requirement for community or patient/family engagement in service planning… Rather than community integration led by public demand for services in mental health or community care, OHT’s seem at risk for becoming hospital-driven organizations, where the strength of the hospital board governs decisions in the region.

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Ontario health quality will suffer under the Peoples Health Act

Wednesday, July 3rd, 2019

The board of Ontario Health seems to think that only front-line workers are needed to provide health care and the back-office staff responsible for measuring and comparing quality as well as holding clinical programs accountable for high quality results can be disposed of. It is naïve to think that busy clinicians can both provide care and do the data collection and analysis that quality improvement requires without back office support.

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Is it too late to reconsider Ontario’s new health care super agency?

Thursday, February 28th, 2019

… the government will create a super agency called Ontario Health, which will become the single point of accountability for all health services in the province… It seems our ministry is forecasting several years of turgid inertia while Ontario Health and Ontario Health Teams organize their new structures… Massive new bureaucracy, maintenance of old bureaucracy and a low rules environment where we will design the future of Ontario health systems “on the fly.”

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