Vision Care Strategy

In alignment with the Ontario’s Action Plan for Health Care to improve patient care by gaining better value from Ontario’s health care system, the Ministry of Health and Long-Term Care (MOHLTC) established a Provincial Vision Strategy Task Force with respect to ophthalmology services. The Provincial Task Force developed a provincial planning framework along with 34 strategic recommendations for ophthalmology in Ontario in its May 2013 report, A Vision for Ontario: Strategic Recommendations for Ophthalmology in Ontario.

Since the work of the Provincial Vision Strategy Task Force, the Central East LHIN had established a Central East LHIN Vision Plan Working Group (VPWG) to guide the development of a strategy and implementation plan that will foster a system of accountability and value for money, contributing to Ontarians’ access to high quality ophthalmology services when they need them most. This strategy was developed under the umbrella of the Central East LHIN’s Clinical Services Plan (CSP) project, which envisions “One Acute Care Network” that will assume a collective leadership responsibility and accountability of LHIN hospitals in adopting a health system-wide approach to meet the hospital needs of Central East communities.

A "Directional Plan - Vision Care Strategy" for the Central East LHIN was endorsed by the Central East Executive Committee and then the Central East LHIN Board of Directors at its December 17, 2014 Open Board meeting.  

To access the document and the accompanying presentation, please click on the links below:

Scope of this Document

The Directional Plan - Vision Care Strategy is limited to inpatient and outpatient ophthalmic surgeries currently delivered by Central East LHIN hospitals and/or ophthalmic surgeries that are required by the Central East LHIN catchment area.  

Current State Assessment

Discussions with VPWG members indicated that the current service delivery is efficient and of high quality. The main concern the VPWG identified was access to subspecialty care. The focus of the Directional Plan – Vision Care Strategy was to address this concern and improve access to subspecialties.

Directional Plan – Vision Care Strategy

Given the above, the VPWG has developed a directional plan that:

  • reflects the “ideal state” of vision care for Central East LHIN within the next 3 years; and
  • includes an Implementation Plan that outlines how the Central East LHIN will make decisions about logistics (e.g. funding sources, specific accountabilities, and location of services or centers) going forward.

What the Directional Plan – Vision Care Strategy Means for Central East LHIN

  • Cataracts continue to be performed at existing sites for the foreseeable future
  • Central East LHIN would add 4 subspecialists – vitreoretinal, glaucoma, corneal transplant, and pediatric
  • Core capacity (i.e., cataract plus select subspecialties) will be concentrated at Lakeridge Health (Durham Cluster) and The Scarborough Hospital (Scarborough Cluster)
  • Pediatric ophthalmology services would be situated at one of the two LHIN Cluster Centres
  • All hospitals that provide ophthalmology services in the Central East LHIN will need to participate in one of the existing on-call coverage network in the region. This also includes a means of ensuring that the Central East LHIN captures as much as possible of the required services from its local catchment area and also ensuring that it is robust for the community.

Next Steps

With the December 17, 2014 endorsement of the Vision Care Directional Plan by the Central East LHIN Board of Directors, the Central East LHIN will now establish an ongoing advisory board (similar to the VPWG) to oversee the implementation of the recommendations identified in the plan and make any additional decisions going forward. This advisory board, once established, will support the LHIN in delivering on quality and sustainability commitments.