In January 2012, the government introduced Ontario's Action Plan for Health Care with the vision to make Ontario the healthiest place in North America to grow up and grow old. Foundational to this Ontario's health care system is moving away from a global funding system to a model that primarily follows the care that patients need and will be provided to them. A small portion will remain as global to cover facility level operating costs.
Under the new model, Ontario's hospitals, Community Care Access Centres and long-term care homes are compensated based on how many patients they look after, the services they deliver, the evidence-based quality of those services, and the specific needs of the broader population they serve. In 2012-13, health care consumed 42 cents of every tax dollar. Without a change of course, health spending would take up 70 per cent of the provincial budget within 12 years.
Our population structure is changing. We're living longer and as we age, the more we depend on our health care system. We now have access to more and better drugs to prevent and treat disease, and there is a rise in the rate of chronic disease such as diabetes and high blood pressure. The current rate of growth is not sustainable. To ensure the health care system is there for our loved ones and future generations, we must start doing things differently, in line with the Health System Funding Reform and its subsequent Quality Based Procedure Model or QBP. See link: http://www.health.gov.on.ca/en/pro/programs/ecfa/funding/hs_funding_qa.aspx
As part of the Vascular Strategic Aim of the Central East LHIN, Stroke QBPs are being monitored. In order to effectively and efficiently optimize stroke QBP delivery to the community, the Diabetes and Vascular Health Team have been facilitating the phase 1 of stroke QBP recommendations in partnership with all the hospitals in the region. Using a robust, evidence-based Decision Making Framework model, consultation with many stakeholders including patient representation, the cluster-based models for improvement are being evaluated for clinical effectiveness, cost effectiveness and system readiness.