Quality-Based Procedures
Learn more about how Ontario is supporting high-quality care for surgical and medical procedures.
This information is intended for health care providers. Learn more about health programs and services available in Ontario.
Overview
The Quality-Based Procedure (QBP) program provides volume-based funding for health care services where evidence-based best practices have been defined for patients with clinically related diagnoses or treatments.
The program is intended to:
- improve quality of care
- obtain better value for money in the delivery of health care services
QBPs offer opportunities to:
- reduce variation in costs and quality of care
- improve processes and clinical design
- enhance patient experience and improve patient outcomes
- drive system efficiencies
For each QBP, a clinical handbook is developed by a multi-disciplinary clinical expert advisory panel that outlines:
- evidence-based care pathways
- recommended practices
- performance indicators to monitor for ongoing quality improvement
In this patient-based funding model, health care providers receive funding for health care services based on:
- an established price (adjusted for the level of acuity of the patients they serve)
- an initial volume target based on historical activity, population growth and recommendations from clinical advisory bodies (hospitals can also adjust volumes as needed)
QBP clinical handbooks
Elective QBPs
The following handbooks are for elective QBPs that are Ontario Health region-managed (including Bundled QBPs)
- Cataract Day Surgery (May 2021 - version 2)
- Primary Hip and Knee Replacement (November 2013)
- Non-Cardiac Vascular - Aortic Aneurysm (December 2024)
- Non-Cardiac Vascular - Lower Extremity Occlusive Disease (March 2022)
- Paediatric Tonsillectomy and Adenoidectomy (November 2016)
- Knee Arthroscopy (May 2019)
- Integrated Corneal Transplant Care (March 2018)
- Non-Emergent Integrated Spine Care (January 2022)
- Degenerative Disorders of the Shoulder (July 2015 - version 2)
- Hysterectomy (August 2016)
Non-elective QBPs
The following handbooks are for non-elective QBPs that are Ontario Health region-managed
- Stroke - Acute and Postacute (December 2016)
- Heart Failure - Acute and Postacute (February 2015)
- Chronic Obstructive Pulmonary Disease - Acute and Postacute (February 2015)
- Hip Fracture (May 2013)
- Hip Fracture Clinical Handbook Rapid Review Appendices (April 2013)
- Indicator Handbook for Hip Fracture (July 2013)
- Community-Acquired Pneumonia (February 2014)
QBP's that are Ontario Health – Cancer Care Ontario managed
For a copy of the most recent clinical handbook, please reach out to the following email addresses:
- Chronic Kidney Disease: ORNFundingPolicy@ontariohealth.ca
- Cancer Surgery QBP: SOPInfo@ontariohealth.ca
- Systemic Treatment: OH-CCO_ST-QBP@ontariohealth.ca
- GI Endoscopy: cancerscreening@ontariohealth.ca
Non-funded procedure clinical handbooks
The following clinical handbooks have also been developed for procedures that are not funded as QBPs. Health care providers are encouraged to implement the best practices in these clinical handbooks.
- Aortic Valve Disease (March 2016)
- Coronary Artery Disease (March 2016)
- Hyperbilirubinemia (December 2017)
- Integrated Retinal Care (March 2018)
- Low Risk Birth (July 2017)
- Paediatric Asthma (November 2021)
- Sickle Cell Disease (December 2017)