Creating A High Performing Healthcare System for Ontario: Evidence Supporting Strategic Changes in Ontario

Produced by the Institute of Health Policy, Management and Evaluation at the Dalla Lana School of Public Health, University of Toronto.How can Ontario achieve a high performing healthcare system that improves health outcomes and patient experiences while limiting the increases in expenditures? Significant evidence exists about the ideas, models, and structures of high performance in a range of healthcare systems. What are these ideas? How can these be applied in the Ontario context? This paper reviews the evidence on high performing healthcare systems, their characteristics, key drivers, and what Ontario can learn from them. While Ontario has demonstrated innovative initiatives that have the potential to transform our healthcare landscape, we face several barriers in scaling-up and spreading these initiatives. To scale-up, we must take a system-wide perspective on innovation and its spread, foster the local skills needed to redesign care systems, and support leaders at all levels in this transformation.Supported by the Ontario Hospital Association