Summary

The Ministry of Health and Long-Term Care is establishing a patient-focused, outcome-driven and integrated publicly-funded health system. Its plan for sustainable public health care in Ontario is based on helping people stay healthy, delivering good care when people need it, and protecting the health system for future generations.

This work is focused on implementing the Patients First Action Plan by integrating primary and specialist care, home and community care, hospitals, and other health care services.

Ministry program summary

Vote

Program

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       
1401

Ministry Administration Program

$121,101,900

$121,101,900

-

$116,148,104

1402

Health Policy and Research Program

$844,769,000

$817,239,000

$27,530,000

$791,164,918

1403

eHealth and Information Management Program

$482,336,500

$483,459,500

($1,123,000)

$420,042,260

1405

Ontario Health Insurance Program

$20,400,905,500

$19,431,765,500

$969,140,000

$18,557,046,542

1406

Population and Public Health Program

$1,267,809,800

$1,239,788,100

$28,021,700

$1,217,488,887

1411

Local Health Integration Networks and Related Health Service Providers

$28,509,037,400

$27,123,690,800

$1,385,346,600

$26,222,781,313

1412

Provincial Programs and Stewardship

$4,130,529,700

$3,976,011,900

$154,517,800

$3,954,957,907

1413

Information systems

$137,492,600

$139,521,200

($2,028,600)

$142,340,824

1415

Health Benefit Program

$8,600,000

-

$8,600,000

-

 

Total operating expense to be voted

$55,902,582,400

$53,332,577,900

$2,570,004,500

$51,421,970,755

 

Statutory appropriations

$489,360

$509,360

($20,000)

$13,364,780

 

Ministry total operating expense

$55,903,071,760

$53,333,087,260

$2,569,984,500

$51,435,335,535

 

Consolidation adjustment - Cancer Care Ontario

$49,376,100

$41,295,800

$8,080,300

$36,740,853

 

Consolidation adjustment - eHealth Ontario

$29,759,600

$28,738,100

$1,021,500

($110,887)

 

Consolidation adjustment - Hospitals

$3,437,470,300

$2,747,499,000

$689,971,300

$2,813,358,294

 

Consolidation adjustment - Local Health Integration Networks

$26,080,200

($45,000)

$26,125,200

($186,328)

 

Consolidation adjustment - ORNGE

($23,467,900)

($15,018,100)

($8,449,800)

($28,718,384)

 

Consolidation adjustment - Funding to Colleges

($3,260,200)

($1,827,000)

($1,433,200)

($2,742,565)

 

Consolidation adjustment - Ontario Agency for Health Protection and Promotion

$206,300

($319,300)

$525,600

($350,942)

 

Operating expense adjustment – Greenhouse Gas Reduction Account reclassification

$500,000

-

$500,000

-

 

Total including consolidation & other adjustments

$59,419,736,160

$56,133,410,760

$3,286,325,400

$54,253,325,576

 

Operating assets

       
1401

Ministry Administration Program

$1,000

-

$1,000

-

1402

Health Policy and Research Program

$4,500,000

$4,500,000

-

$4,500,000

1405

Ontario Health Insurance Program

$13,000,000

$7,500,000

$5,500,000

$7,500,000

1406

Population and Public Health Program

$750,000

$750,000

-

-

1411

Local Health Integration Networks and Related Health Service Providers

$58,537,600

$58,537,600

-

$56,233,659

1412

Provincial Programs and Stewardship

$5,730,400

$11,229,400

($5,499,000)

$6,125,028

 

Total operating assets to be voted

$82,519,000

$82,517,000

$2,000

$74,358,687

 

Ministry total operating assets

$82,519,000

$82,517,000

$2,000

$74,358,687

 

Capital expense

       
1403

eHealth and Information Management Program

$37,130,100

$36,745,100

$385,000

$39,000,000

1413

Information systems

$1,000

$1,000

-

-

1407

Health Capital Program

$1,697,475,600

$1,638,630,200

$58,845,400

$1,282,879,489

 

Total capital expense to be voted

$1,734,606,700

$1,675,376,300

$59,230,400

$1,321,879,489

 

Statutory appropriations

$14,524,600

$14,563,800

($39,200)

$11,820,642

 

Ministry total capital expense

$1,749,131,300

$1,689,940,100

$59,191,200

$1,333,700,131

 

Consolidation adjustment - Cancer Care Ontario

($30,424,400)

($32,717,100)

$2,292,700

($32,360,561)

 

Consolidation adjustment - eHealth Ontario

($6,063,600)

($10,550,100)

$4,486,500

($15,167,400)

 

Consolidation adjustment - Hospitals

$29,635,500

$156,801,400

($127,165,900)

$384,959,857

 

Consolidation adjustment - Local Health Integration Networks

$4,695,700

$767,800

$3,927,900

$1,901,220

 

Consolidation adjustment - ORNGE

$13,329,200

$12,210,600

$1,118,600

$11,174,719

 

Consolidation adjustment - Ontario Agency for Health Protection and Promotion

($20,651,700)

($17,297,400)

($3,354,300)

$7,589,934

 

Capital expense adjustment – Greenhouse Gas Reduction Account reclassification

$118,330,600

-

$118,330,600

-

 

Total including consolidation & other adjustments

$1,857,982,600

$1,799,155,300

$58,827,300

$1,691,797,900

 

Capital assets

       
1413

Information systems

$25,235,300

$30,583,000

($5,347,700)

$13,125,177

 

Total capital assets to be voted

$25,235,300

$30,583,000

($5,347,700)

$13,125,177

 

Ministry total capital assets

$25,235,300

$30,583,000

($5,347,700)

$13,125,177

 

Ministry total operating and capital including consolidation and other adjustments (not including assets)

$61,277,718,760

$57,932,566,060

$3,345,152,700

$55,945,123,476

Operating expense

2017-18
Estimates

2016-17
Actual

Total operating expense previously published footnote 1

$53,325,045,360

$51,515,492,435

Government reorganization

   

Transfer of functions from other Ministries

$28,274,100

-

Transfer of functions to other Ministries

($20,232,200)

($80,156,900)

Restated total operating expense

$53,333,087,260

$51,435,335,535

Ministry Administration Program - vote 1401

Ministry administration provides support to the Minister of Health and Long-Term Care to meet the requirements of the ministry’s portfolio, ministry management, accountability, controllership and risk management frameworks to ensure the cost-effective/efficient use of resources to achieve business results.

A broad range of strategic and operational services are provided to support the effective delivery of all ministry programs and services, including: business and fiscal planning; health system investment and funding policies and decisions; audit; supply chain and contract management; facilities; government pharmacy; subrogation; strategic human resources including: talent, performance and succession management; workforce planning and resource management; employee engagement and inclusion; employee health, safety and wellness strategies; strategic labour relations and contingency planning; organizational change strategies and engagement; records management, freedom of information, protection of privacy, and personal health information protection; public appointments process; agency liaison and oversight; legal; communications and marketing; business innovation and program redesign to achieve improved quality, efficiency and effectiveness; financial management including: payments, financial analysis, forecasting, settlements and internal reporting of the overall Ministry expenditure and revenue forecast in accordance with controllership standards.

The Office of the Chief Medical Officer of Health (CMOH) provides strategic direction and leadership to the public health sector, informs and influences ministry strategic priorities and policy decisions, and provides advice to three levels of government. The CMOH has specific legislative responsibilities set out in the Health Protection and Promotion Act.

Also, funding is provided for administrative support to the Ontario Review Board, Consent and Capacity Board, Health Services Appeal and Review Board, Health Professions Appeal and Review Board, Physician Payment Review Board, Medical Eligibility Committee, and the Ontario Hepatitis C Assistance Plan Review Committee.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       

1

Ministry administration

$113,726,500

$113,726,500

-

$109,864,516

2

Ontario Review Board

$7,375,400

$7,375,400

-

$6,283,588

 

Total operating expense to be voted

$121,101,900

$121,101,900

-

$116,148,104

S

Minister’s salary, the Executive Council Act

$47,841

$47,841

-

$53,777

S

Parliamentary Assistants' Salaries, the Executive Council Act

$48,519

$48,519

-

$20,000

S

Government Pharmacy, the Financial Administration Act

-

-

-

$6,627,116

 

Total statutory appropriations

$96,360

$96,360

-

$6,700,893

 

Total operating expense

$121,198,260

$121,198,260

-

$122,848,997

 

Operating assets

       

10

Accounts receivable

$1,000

-

$1,000

-

 

Total operating assets to be voted

$1,000

-

$1,000

-

 

Total operating assets

$1,000

-

$1,000

-

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

Amount

 

Operating expense

   
1401-1

Ministry administration

   
 

Salaries and wages

 

$53,167,500

 

Employee benefits

 

$13,441,600

 

Transportation and communication

 

$3,379,100

 

Services

 

$43,173,800

 

Supplies and equipment

 

$641,200

 

Subtotal

 

$113,803,200

 

Less: recoveries

 

$76,700

 

Total operating expense to be voted

 

$113,726,500

 

Sub-items:

   
 

Main office

   
 

Salaries and wages

$7,254,200

 
 

Employee benefits

$948,000

 
 

Transportation and communication

$250,500

 
 

Services

$1,136,800

 
 

Supplies and equipment

$20,100

$9,609,600

 

Financial and administrative services

   
 

Salaries and wages

$35,434,600

 
 

Employee benefits

$10,967,500

 
 

Transportation and communication

$2,539,800

 
 

Services

$30,137,900

 
 

Supplies and equipment

$476,400

 
 

Subtotal

$79,556,200

 
 

Less: recoveries

$76,700

$79,479,500

 

Human resources

   
 

Salaries and wages

$2,815,600

 
 

Employee benefits

$408,300

 
 

Transportation and communication

$57,300

 
 

Services

$787,100

 
 

Supplies and equipment

$10,700

$4,079,000

 

Communications services

   
 

Salaries and wages

$7,542,400

 
 

Employee benefits

$1,115,300

 
 

Transportation and communication

$476,000

 
 

Services

$4,872,700

 
 

Supplies and equipment

$89,200

$14,095,600

 

Legal services

   
 

Salaries and wages

$120,700

 
 

Employee benefits

$2,500

 
 

Transportation and communication

$55,500

 
 

Services

$2,973,500

 
 

Supplies and equipment

$44,800

$3,197,000

 

Audit services

   
 

Services

$3,265,800

$3,265,800

 

Total operating expense to be voted

 

$113,726,500

 

Statutory appropriations

   
Statutory

Minister’s salary, the Executive Council Act

 

$47,841

Statutory

Parliamentary Assistants' Salaries, the Executive Council Act

 

$48,519

1401-2

Ontario Review Board

   
 

Salaries and wages

 

$1,280,100

 

Employee benefits

 

$204,100

 

Transportation and communication

 

$607,800

 

Services

 

$5,226,800

 

Supplies and equipment

 

$56,600

 

Total operating expense to be voted

 

$7,375,400

 

Total operating expense for Ministry Administration Program

 

$121,198,260

 

Operating assets

   
1401-10

Accounts receivable

   
 

Advances and recoverable amounts

   
 

Advances and recoverable - in-year recoveries

 

$1,000

 

Total operating assets to be voted

 

$1,000

 

Total operating assets for Ministry Administration Program

 

$1,000

Health Policy and Research Program - vote 1402

The Health Policy and Research Program integrates health system research evidence, innovation, strategy, and program policy to provide strategic directions with respect to health workforce planning and regulatory oversight in Ontario. System-wide planning allows the ministry to: support legislation and policy development; monitor alignment with the strategic directions; drive health system innovation with new health technologies and processes; select and manage portfolios, strategy and other initiatives within the ministry to further health objectives and priorities in relation to Ontario’s health workforce and the regulatory framework that governs Ontario’s workforce (regulated health professions and other providers within the system). The work includes targeted investment, administration of funding programs, oversight and synthesis of health services/population health research, health system innovation, strategic policy and planning relating to the supply, mix, distribution, recruitment, retention, scope of practice and education/training of health providers.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       

1

Health Policy and Research

$844,769,000

$817,239,000

$27,530,000

$791,164,918

 

Total operating expense to be voted

$844,769,000

$817,239,000

$27,530,000

$791,164,918

S

Bad debt expense, the Financial Administration Act

-

-

-

$93,600

 

Total statutory appropriations

-

-

-

$93,600

 

Total operating expense

$844,769,000

$817,239,000

$27,530,000

$791,258,518

 

Operating assets

       

2

Health Policy and Research

$4,500,000

$4,500,000

-

$4,500,000

 

Total operating assets to be voted

$4,500,000

$4,500,000

-

$4,500,000

 

Total operating assets

$4,500,000

$4,500,000

-

$4,500,000

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

Amount

 

Operating expense

   
1402-1

Health Policy and Research

   
 

Salaries and wages

 

$20,268,500

 

Employee benefits

 

$3,139,100

 

Transportation and communication

 

$525,400

 

Services

 

$10,861,400

 

Supplies and equipment

 

$127,800

 

Transfer payments

   
 

Clinical Education

$760,957,300

 
 

Health System Research Fund

$48,889,500

$809,846,800

 

Total operating expense to be voted

 

$844,769,000

 

Total operating expense for Health Policy and Research Program

 

$844,769,000

 

Operating assets

   
1402-2

Health Policy and Research

   
 

Advances and recoverable amounts

   
 

Clinical Education

 

$4,500,000

 

Total operating assets to be voted

 

$4,500,000

 

Total operating assets for Health Policy and Research Program

 

$4,500,000

eHealth and Information Management Program - vote 1403

eHealth and Information Management is a key enabler of the Patients First: Action Plan for Health Care and is transforming Ontario’s health care system into one that is more modern, integrated and truly patient-centred. The Digital Health Strategy builds on the digital health assets that the province already has and opens up access to information and healthcare services in new and innovative ways, while strengthening the quality, effectiveness and accountability of our health care system.

Information Management, Data and Analytics supports policy development, program design, quality improvement, and accountability by governing, capturing, and transforming data into insights, and insights into strategic guidance to keep our healthcare system and 13+ million Ontarians healthy.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       

1

eHealth and Information Management

$482,336,500

$483,459,500

($1,123,000)

$420,042,260

 

Total operating expense to be voted

$482,336,500

$483,459,500

($1,123,000)

$420,042,260

 

Total operating expense

$482,336,500

$483,459,500

($1,123,000)

$420,042,260

 

Capital expense

       

2

eHealth and Information Management

$37,130,100

$36,745,100

$385,000

$39,000,000

 

Total capital expense to be voted

$37,130,100

$36,745,100

$385,000

$39,000,000

S

Amortization, the Financial Administration Act

$413,000

$413,000

-

$358,316

 

Total statutory appropriations

$413,000

$413,000

-

$358,316

 

Total capital expense

$37,543,100

$37,158,100

$385,000

$39,358,316

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

Amount

 

Operating expense

   
1403-1

eHealth and Information Management

   
 

Salaries and wages

 

$18,647,200

 

Employee benefits

 

$2,705,500

 

Transportation and communication

 

$246,600

 

Services

 

$27,326,100

 

Supplies and equipment

 

$261,200

 

Transfer payments

   
 

eHealth Ontario

$317,144,100

 
 

Information Technology Programs

$102,725,400

 
 

Health System Information Management

$13,280,400

$433,149,900

 

Total operating expense to be voted

 

$482,336,500

 

Total operating expense for eHealth and Information Management Program

 

$482,336,500

 

Capital expense

   
1403-2

eHealth and Information Management

   
 

Transfer payments

   
 

eHealth Ontario Capital

 

$37,129,100

 

Other transactions

 

$1,000

 

Total capital expense to be voted

 

$37,130,100

 

Statutory appropriations

   
 

Other transactions

   
Statutory

Amortization, the Financial Administration Act

 

$413,000

 

Total capital expense for eHealth and Information Management Program

 

$37,543,100

Ontario Health Insurance Program - vote 1405

The Ontario Health Insurance Program includes key elements of Ontario’s health care system: client eligibility and health card policies, physicians' payments for services that are insured under the Health Insurance Act, other practitioners' payments, out-of-province/out-of-country services, Family Health Teams, Aboriginal Health Access Centers, Nurse Practitioner Led Clinics, midwifery services, underserviced areas, northern health travel grants, teletriage services, disease prevention, health quality, drugs, community laboratories, psychiatric patient advocacy and rights advice, assistive devices including home oxygen, and protection/risk management of both provider and subscriber fraudulent activity.

Publicly funded health services are available from health professionals in various settings from family doctors' offices to academic health science centres, to hospitals, to Telehealth Ontario and Telephone Health Advisory Service where triage advice and health information are provided. Government-funded services are available to Ontarians who have registered, and who are eligible for the Ontario Health Insurance Plan. The Underserviced Area Program helps rural, remote and northern communities recruit and retain health care professionals, as well as ensure access to health care services in these communities. The Northern Health Travel Grant Program helps defray medical related travel costs northern Ontario residents incur to access medical specialist, or health care facility services unavailable in their local communities.

The focus for disease prevention is improving the health and health care for Ontarians living with or at high risk of developing diabetes, congestive heart failure, chronic obstructive pulmonary disease and hypertension. Ontario Diabetes Programs improve access to and quality of diabetes services to improve the health and health outcomes of individuals at risk of developing or living with diabetes.

Health Quality Ontario (HQO) is the province’s Crown Agency and key advisor to the ministry on health system quality. HQO works with partners across the health system to support evidence-based, high quality health care to contribute to a sustainable health system.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       

1

Ontario Health Insurance

$15,148,180,400

$14,721,875,100

$426,305,300

$14,234,377,317

2

Drug Programs

$4,768,886,300

$4,230,732,200

$538,154,100

$3,872,161,188

4

Assistive Devices Program

$483,838,800

$479,158,200

$4,680,600

$450,508,037

 

Total operating expense to be voted

$20,400,905,500

$19,431,765,500

$969,140,000

$18,557,046,542

S

Bad debt expense, the Financial Administration Act

$1,000

$1,000

-

-

S

Bad debt expense, the Financial Administration Act

$1,000

$1,000

-

$6,335,030

 

Total statutory appropriations

$2,000

$2,000

-

$6,335,030

 

Total operating expense

$20,400,907,500

$19,431,767,500

$969,140,000

$18,563,381,572

 

Operating assets

       

5

Ontario Health Insurance Program

$13,000,000

$7,500,000

$5,500,000

$7,500,000

 

Total operating assets to be voted

$13,000,000

$7,500,000

$5,500,000

$7,500,000

 

Total operating assets

$13,000,000

$7,500,000

$5,500,000

$7,500,000

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

Amount

 

Operating expense

   
1405-1

Ontario Health Insurance

   
 

Salaries and wages

 

$51,021,100

 

Employee benefits

 

$8,798,200

 

Transportation and communication

 

$3,402,200

 

Services

 

$23,759,500

 

Supplies and equipment

 

$502,700

 

Transfer payments

   
 

Payments made for services and for care provided by physicians and practitioners

$14,608,216,100

 
 

Independent Health Facilities

$59,546,400

 
 

Underserviced Area Plan

$32,702,700

 
 

Northern Travel Program

$54,081,600

 
 

Teletriage services

$24,222,200

 
 

Quality Management Program - Laboratory Services

$4,598,900

 
 

Midwifery services

$166,561,400

 
 

Disease Prevention Strategy

$2,117,800

 
 

Health Quality Ontario

$40,180,200

 
 

Quality Health Initiatives

$68,469,400

$15,060,696,700

 

Total operating expense to be voted

 

$15,148,180,400

 

Statutory appropriations

   
 

Other transactions

   
Statutory

Bad debt expense, the Financial Administration Act

 

$1,000

1405-2

Drug Programs

   
 

Salaries and wages

 

$9,155,900

 

Employee benefits

 

$1,298,600

 

Transportation and communication

 

$806,800

 

Services

 

$21,773,700

 

Supplies and equipment

 

$105,100

 

Transfer payments

   
 

Ontario Drug Programs

 

$4,735,746,200

 

Total operating expense to be voted

 

$4,768,886,300

 

Statutory appropriations

   
 

Other transactions

   
Statutory

Bad debt expense, the Financial Administration Act

 

$1,000

1405-4

Assistive Devices Program

   
 

Salaries and wages

 

$3,180,500

 

Employee benefits

 

$461,200

 

Transportation and communication

 

$579,000

 

Services

 

$1,328,600

 

Supplies and equipment

 

$29,000

 

Transfer payments

   
 

Assistive Devices and Supplies Program

 

$478,260,500

 

Total operating expense to be voted

 

$483,838,800

 

Total operating expense for Ontario Health Insurance Program

 

$20,400,907,500

 

Operating assets

   
1405-5

Ontario Health Insurance Program

   
 

Advances and recoverable amounts

   
 

Payments made for services and for care provided by physicians and practitioners

$10,000,000

 
 

Midwifery services

$3,000,000

$13,000,000

 

Total operating assets to be voted

 

$13,000,000

 

Total operating assets for Ontario Health Insurance Program

 

$13,000,000

Population and Public Health Program - vote 1406

The mandate of the Population and Public Health program is to provide direction and leadership to support the ministry’s population and public health agenda and commitment to improving population health outcomes and ensuring the delivery of quality health services through better coordination across Ontario’s health system and associated sectors.

The program supports the government’s priority of keeping Ontarians healthy by planning and developing legislation, regulation, standards and performance measures; developing, implementing and evaluating policies and programs that support disease prevention, health protection and healthy living; and leading, engaging and collaborating with our partners at all levels, ensuring effective program delivery, fiscal management, accountability and transparency and fostering a health system that is ready and prepared to respond to incidents and emergencies.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       

4

Population and Public Health

$1,267,809,800

$1,239,788,100

$28,021,700

$1,217,488,887

 

Total operating expense to be voted

$1,267,809,800

$1,239,788,100

$28,021,700

$1,217,488,887

 

Total operating expense

$1,267,809,800

$1,239,788,100

$28,021,700

$1,217,488,887

 

Operating assets

       

6

Population and Public Health

$750,000

$750,000

-

-

 

Total operating assets to be voted

$750,000

$750,000

-

-

 

Total operating assets

$750,000

$750,000

-

-

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

Amount

 

Operating expense

   
1406-4

Population and Public Health

   
 

Salaries and wages

 

$16,038,500

 

Employee benefits

 

$2,325,500

 

Transportation and communication

 

$893,000

 

Services

 

$27,777,400

 

Supplies and equipment

 

$991,700

 

Transfer payments

   
 

Official Local Health Agencies

$743,601,100

 
 

Outbreaks of Diseases

$187,801,000

 
 

Tuberculosis Prevention

$9,113,900

 
 

Sexually Transmitted Diseases Control

$7,925,200

 
 

Public Health Associations

$332,300

 
 

Infection Control

$19,900,400

 
 

Ontario Agency for Health Protection and Promotion

$147,717,900

 
 

Nutrition/Healthy Eating

$27,880,400

 
 

Prevent Disease, Injury and Addiction

$27,372,400

 
 

Healthy Communities Fund

$3,350,000

 
 

Local Capacity and Coordination

$576,800

 
 

Smoke-Free Ontario

$44,212,300

$1,219,783,700

 

Total operating expense to be voted

 

$1,267,809,800

 

Total operating expense for Population and Public Health Program

 

$1,267,809,800

 

Operating assets

   
1406-6

Population and Public Health

   
 

Advances and recoverable amounts

   
 

Official Local Health Agencies

 

$750,000

 

Total operating assets to be voted

 

$750,000

 

Total operating assets for Population and Public Health Program

 

$750,000

Local Health Integration Networks and Related Health Service Providers - vote 1411

As steward for the long-term sustainability of Ontario’s health care system, the ministry collaborates with 14 Local Health Integration Networks (LHINs) to promote a patient-focused, value driven, integrated and co-ordinated health care system. While the ministry provides strategic direction and guidance, the LHINs are responsible for planning, integrating and funding health service providers in their local health systems.

Under the Patients First Act, 2016, in 2017 the LHINs assumed direct responsibility for the delivery and mangement of home care (previously the function of Ontario’s 14 Community Care Access Centres) and primary care planning to ensure that patients receive better coordinated care and that the health system is more integrated and responsive to local needs. LHINs will continue to support LTCHs in sustaining and improving operations while ensuring residents' rights, care and safety remain as the highest priority.

The LHINs exercise their authority under the Local Health System Integration Act, 2006. Additional administrative responsibilities are set out in the Memorandum of Understanding, while operational funding and performance expectations are set out in the Accountability Agreement between each LHIN and the Ministry of Health and Long-Term Care. The LHINs have the flexibility to address unique local health needs and priorities through the management of services in public, private and specialty psychiatric hospitals, home care/LHIN delivered services (formerly Community Care Access Centres), long-term care homes, community health centres, community support services, community services for persons with acquired brain injury, assisted living services in supportive housing, mental health and addiction agencies.

The ministry, in partnership with LHINs, ensures the delivery of accessible, community-responsive and high-quality health care for all Ontarians.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       

1

Local Health Integration Networks and Related Health Service Providers

$28,509,037,400

$27,123,690,800

$1,385,346,600

$26,222,781,313

 

Total operating expense to be voted

$28,509,037,400

$27,123,690,800

$1,385,346,600

$26,222,781,313

S

Bad debt expense, the Financial Administration Act

$250,000

$250,000

-

$155,257

 

Total statutory appropriations

$250,000

$250,000

-

$155,257

 

Total operating expense

$28,509,287,400

$27,123,940,800

$1,385,346,600

$26,222,936,570

 

Operating assets

       

2

Local Health Integration Networks and Related Health Service Providers

$58,537,600

$58,537,600

-

$56,233,659

 

Total operating assets to be voted

$58,537,600

$58,537,600

-

$56,233,659

 

Total operating assets

$58,537,600

$58,537,600

-

$56,233,659

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

Amount

Amount

 

Operating expense

     
1411-1

Local Health Integration Networks and Related Health Service Providers

     
 

Transfer payments

     
 

Erie St. Clair

 

$1,169,433,300

 
 

South West

 

$2,331,696,700

 
 

Waterloo Wellington

 

$1,086,753,800

 
 

Hamilton Niagara Haldimand Brant

 

$3,012,567,200

 
 

Central West

 

$952,225,600

 
 

Mississauga Halton

 

$1,556,350,100

 
 

Toronto Central

 

$4,954,526,000

 
 

Central

 

$2,151,738,800

 
 

Central East

 

$2,324,503,200

 
 

South East

 

$1,151,549,200

 
 

Champlain

 

$2,655,958,900

 
 

North Simcoe Muskoka

 

$902,053,100

 
 

North East

 

$1,507,043,400

 
 

North West

 

$670,574,800

 
 

Health Shared Services Ontario

 

$48,530,200

 
 

Local Health Integration Networks - Supplementary Investments

 

$2,033,533,100

$28,509,037,400

 

Total operating expense to be voted

   

$28,509,037,400

 

Sub-items:

     
 

Local Health Integration Networks

     
 

Transfer payments

     
 

Erie St. Clair

$1,169,433,300

   
 

South West

$2,331,696,700

   
 

Waterloo Wellington

$1,086,753,800

   
 

Hamilton Niagara Haldimand Brant

$3,012,567,200

   
 

Central West

$952,225,600

   
 

Mississauga Halton

$1,556,350,100

   
 

Toronto Central

$4,954,526,000

   
 

Central

$2,151,738,800

   
 

Central East

$2,324,503,200

   
 

South East

$1,151,549,200

   
 

Champlain

$2,655,958,900

   
 

North Simcoe Muskoka

$902,053,100

   
 

North East

$1,507,043,400

   
 

North West

$670,574,800

   
 

Health Shared Services Ontario

$48,530,200

$26,475,504,300

$26,475,504,300

 

Local Health Integration Networks - Supplementary Investments

     
 

Transfer payments

     
 

Local Health Integration Networks - Supplementary Investments

 

$2,033,533,100

$2,033,533,100

 

Total operating expense to be voted

   

$28,509,037,400

 

Statutory appropriations

     
 

Other transactions

     
Statutory

Bad debt expense, the Financial Administration Act

   

$250,000

 

Total operating expense for Local Health Integration Networks and Related Health Service Providers

   

$28,509,287,400

 

Operating assets

     
1411-2

Local Health Integration Networks and Related Health Service Providers

     
 

Advances and recoverable amounts

     
 

Erie St. Clair

 

$2,422,200

 
 

South West

 

$5,061,500

 
 

Waterloo Wellington

 

$2,658,600

 
 

Hamilton Niagara Haldimand Brant

 

$6,067,400

 
 

Central West

 

$2,609,200

 
 

Mississauga Halton

 

$2,273,500

 
 

Toronto Central

 

$12,517,600

 
 

Central

 

$3,721,200

 
 

Central East

 

$5,685,200

 
 

South East

 

$3,016,500

 
 

Champlain

 

$5,683,300

 
 

North Simcoe Muskoka

 

$1,525,700

 
 

North East

 

$3,987,100

 
 

North West

 

$1,308,600

$58,537,600

 

Total operating assets to be voted

   

$58,537,600

 

Total operating assets for Local Health Integration Networks and Related Health Service Providers

   

$58,537,600

Provincial Programs and Stewardship - vote 1412

This vote includes Provincial Programs, Emergency Health Services and Stewardship. This program is responsible for transfer payment accountability, and operational policy development, including the planning and funding of a wide span of specialized programs. Examples of these transfer payment programs include: Cancer Care Ontario, Cancer Screening Programs, Community and Priority Services, Operation of Related Facilities, HIV/AIDS and Hepatitis C Programs. The program provides Ontario’s share of funding to the Canadian Blood Services and also supports a blood utilization management strategy for Ontario.

In addition to transfer payment activities, Provincial Programs and Stewardship also includes Direct Operating Expenditures for health capital planning and the management and delivery of the Transfer Payments within the Vote, and for the oversight administration (stewardship) of the Local Health Integration Networks.

Emergency Health Services (EHS) ensures the existence of a balanced and integrated system of emergency health services throughout Ontario. The system consists of a series of inter-related programs and services including municipally operated/contracted land ambulance services, the not-for-profit air ambulance organization called Ornge, eight base hospitals that provide medical oversight, and ambulance communications services. Through EHS, the ministry oversees, certifies, and regulates Ontario’s paramedics, and land and air-ambulance services through the Ambulance Act. EHS manages province-wide operations in 11 directly-operated Ambulance Communications Centres (ACCs), provides oversight and transfer payment functions for 11 transfer payment ACCs; and ensures strong operational alignment between all land and air ambulance services providers, healthcare services providers, municipal partners, and First Nations communities.

Note: recoveries under Operating Expense for Stewardship include recoveries of $500,000 from the Greenhouse Gas Reduction Account, which are based on forecasts of anticipated revenues and contingent upon a sufficient balance standing to the credit of the Greenhouse Gas Reduction Account.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       

1

Provincial Programs

$3,005,004,000

$2,910,461,000

$94,543,000

$2,952,432,919

2

Emergency Health Services

$1,045,264,600

$984,344,600

$60,920,000

$944,089,618

4

Stewardship

$80,261,100

$81,206,300

($945,200)

$58,435,370

 

Total operating expense to be voted

$4,130,529,700

$3,976,011,900

$154,517,800

$3,954,957,907

S

Bad debt expense, the Financial Administration Act

$141,000

$161,000

($20,000)

$80,000

 

Total statutory appropriations

$141,000

$161,000

($20,000)

$80,000

 

Total operating expense

$4,130,670,700

$3,976,172,900

$154,497,800

$3,955,037,907

 

Operating assets

       

5

Provincial Programs and Stewardship

$5,730,400

$11,229,400

($5,499,000)

$6,125,028

 

Total operating assets to be voted

$5,730,400

$11,229,400

($5,499,000)

$6,125,028

 

Total operating assets

$5,730,400

$11,229,400

($5,499,000)

$6,125,028

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

Amount

 

Operating expense

   
1412-1

Provincial Programs

   
 

Transfer payments

   
 

Cancer Screening Programs

$116,859,400

 
 

Operation of Related Facilities

$72,650,600

 
 

Cancer Care Ontario

$1,669,834,900

 
 

Canadian Blood Services

$579,478,700

 
 

HIV/AIDS and Hepatitis C Programs

$66,144,200

 
 

Community and priority services

$500,036,200

$3,005,004,000

 

Total operating expense to be voted

 

$3,005,004,000

 

Statutory appropriations

   
 

Other transactions

   
Statutory

Bad debt expense, the Financial Administration Act

 

$141,000

1412-2

Emergency Health Services

   
 

Salaries and wages

 

$45,406,800

 

Employee benefits

 

$8,269,000

 

Transportation and communication

 

$2,746,800

 

Services

 

$12,262,100

 

Supplies and equipment

 

$578,800

 

Transfer payments

   
 

Payments for Ambulance and related Emergency Services: Municipal Ambulance

$718,211,400

 
 

Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services

$72,185,800

 
 

Air Ambulance

$185,603,900

$976,001,100

 

Total operating expense to be voted

 

$1,045,264,600

1412-4

Stewardship

   
 

Salaries and wages

 

$46,833,100

 

Employee benefits

 

$6,433,900

 

Transportation and communication

 

$5,239,200

 

Services

 

$21,983,300

 

Supplies and equipment

 

$271,600

 

Subtotal

 

$80,761,100

 

Less: recoveries

 

$500,000

 

Total operating expense to be voted

 

$80,261,100

 

Total operating expense for Provincial Programs and Stewardship

 

$4,130,670,700

 

Operating assets

   
1412-5

Provincial Programs and Stewardship

   
 

Advances and recoverable amounts

   
 

Payments for Ambulance and Related Emergency Services: Municipal Ambulance

$500,000

 
 

HIV/AIDS and Hepatitis C Programs

$375,000

 
 

Community and priority services

$4,393,400

 
 

Cancer Care Ontario

$1,000

 
 

Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services

$461,000

$5,730,400

 

Total operating assets to be voted

 

$5,730,400

 

Total operating assets for Provincial Programs and Stewardship

 

$5,730,400

Information Systems - vote 1413

Information Systems provide support to the Ministry of Health and Long-Term Care to ensure the cost-effective and efficient use of Information and Information Technology resources to achieve business results.

The program offers a broad range of strategic and operational services essential to the effective delivery and support of ministry programs and services.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       

1

Information Technology Services – Health Cluster

$137,492,600

$139,521,200

($2,028,600)

$142,340,824

 

Total operating expense to be voted

$137,492,600

$139,521,200

($2,028,600)

$142,340,824

 

Total operating expense

$137,492,600

$139,521,200

($2,028,600)

$142,340,824

 

Capital expense

       

3

Information systems

$1,000

$1,000

-

-

 

Total capital expense to be voted

$1,000

$1,000

-

-

S

Amortization, the Financial Administration Act

$14,111,600

$14,150,800

($39,200)

$11,462,326

 

Total statutory appropriations

$14,111,600

$14,150,800

($39,200)

$11,462,326

 

Total capital expense

$14,112,600

$14,151,800

($39,200)

$11,462,326

 

Capital assets

       

4

Information systems

$25,235,300

$30,583,000

($5,347,700)

$13,125,177

 

Total capital assets to be voted

$25,235,300

$30,583,000

($5,347,700)

$13,125,177

 

Total capital assets

$25,235,300

$30,583,000

($5,347,700)

$13,125,177

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

 

Operating expense

 
1413-1

Information Technology Services – Health Cluster

 
 

Salaries and wages

$47,250,200

 

Employee benefits

$7,308,900

 

Transportation and communication

$2,455,700

 

Services

$77,483,000

 

Supplies and equipment

$2,994,800

 

Total operating expense to be voted

$137,492,600

 

Total operating expense for Information Systems

$137,492,600

 

Capital expense

 
1413-3

Information systems

 
 

Other transactions

$1,000

 

Total capital expense to be voted

$1,000

 

Statutory appropriations

 
 

Other transactions

 
Statutory

Amortization, the Financial Administration Act

$14,111,600

 

Total capital expense for Information Systems

$14,112,600

 

Capital assets

 
1413-4

Information systems

 
 

Information technology hardware

$4,641,000

 

Business application software - asset costs

$20,594,300

 

Total capital assets to be voted

$25,235,300

 

Total capital assets for Information Systems

$25,235,300

Health Benefit Program - vote 1415

The Health Benefit Program provides reimbursement for eligible prescription drug and dental care to individuals and families who do not have coverage from an extended health plan.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Operating expense

       

1

Health Benefit Program

$8,600,000

-

$8,600,000

-

 

Total operating expense to be voted

$8,600,000

-

$8,600,000

-

 

Total operating expense

$8,600,000

-

$8,600,000

-

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

 

Operating expense

 
1415-1

Health Benefit Program

 
 

Services

$8,600,000

 

Total operating expense to be voted

$8,600,000

 

Total operating expense for Health Benefit Program

$8,600,000

Health Capital Program - vote 1407

Health Capital is responsible for the provision of capital funding to health care facilities including public hospitals, integrated health facilities and community sector health service providers.

Note: recoveries under Capital Expense for Health Capital include recoveries of $118,330,600 from the Greenhouse Gas Reduction Account, which are based on forecasts of anticipated revenues and contingent upon a sufficient balance standing to the credit of the Greenhouse Gas Reduction Account.

Vote summary

Item number

Item

Estimates
2018-19

Estimates
2017-18

Difference
between
2018-19
and
2017-18

Actual
2016-17

 

Capital expense

       

1

Health Capital

$1,697,475,600

$1,638,630,200

$58,845,400

$1,282,879,489

 

Total capital expense to be voted

$1,697,475,600

$1,638,630,200

$58,845,400

$1,282,879,489

 

Total capital expense

$1,697,475,600

$1,638,630,200

$58,845,400

$1,282,879,489

Standard account by item and sub-items

Vote-item
number

Standard account by item and sub-items

Amount

Amount

 

Capital expense

   
1407-1

Health Capital

   
 

Transfer payments

   
 

Major Hospital Projects

$1,319,259,000

 
 

Health Infrastructure Renewal Fund

$175,000,000

 
 

Small Hospital Projects

$60,000,000

 
 

Medical and Diagnostic Equipment Fund

$34,500,000

 
 

Long-Term Care Programs

$4,812,000

 
 

Community Health Programs

$66,659,100

 
 

Public Health Laboratories

$26,510,300

 
 

Integrated Health Facility Programs

$3,373,100

 
 

Hospital Energy Efficiency Program

$115,500,000

 
 

Social Housing Apartment Improvement Program

$2,830,600

$1,808,444,100

 

Other transactions

   
 

Provincial Psychiatric Hospitals Divestment

$5,000,000

 
 

Health Infrastructure Information Systems

$2,362,100

$7,362,100

 

Subtotal

 

$1,815,806,200

 

Less: recoveries

 

$118,330,600

 

Total capital expense to be voted

 

$1,697,475,600

 

Total capital expense for Health Capital Program

 

$1,697,475,600