Claire Dawson
Ontario, Canada, is home to around 300 hospitals, the largest number of any Canadian province. Ontario's hospitals are classified in several ways, including public and private, and by the type of care they provide. The Ontario Hospital Association (OHA) represents approximately 154 public hospitals in the province. In recent years, Ontario hospitals have been working to standardize health records and improve data sharing, with 20 hospitals transitioning to the MEDITECH Expanse-based ONE health information system.
| Characteristics | Values |
|---|---|
| Number of hospitals | Around 300 |
| Number of private hospitals | 3 |
| Number of hospitals transitioning to MEDITECH Expanse | 20 |
| Number of hospitals creating a single electronic health information system | 23 |
| Number of hospitals with long-term psychiatric beds | 35 |
| Number of hospitals whose primary purpose is to provide mental health care | 4 |
| Number of public hospitals | 154 |
| Number of healthcare facilities with comprehensive, highly secure, and searchable health records | 21 |
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What You'll Learn
Ontario has around 300 hospitals, the most in Canada
Ontario has approximately 300 hospitals, the most in all of Canada. The province's hospitals are classified under the Public Hospitals Act and its regulations. Most hospitals in Ontario are open 24/7, providing inpatient and outpatient services, including surgical, obstetric, and emergency services.
Ontario also has three private, for-profit hospitals, with the most well-known being the Shouldice Hospital, specialising in hernia repairs. In 1971, the Private Hospitals Act was amended to ban any new private hospitals, but those already operating were grandfathered in.
The Ontario Hospital Association (OHA) represents around 154 public hospitals in the province. The OHA was established in 1923 at the request of Dr. Fred W. Routley, the Ontario Director of the Canadian Red Cross.
Ontario's hospitals are also adopting new technologies to improve patient care. For example, 20 hospitals in the province have transitioned to the MEDITECH Expanse-based ONE Health Information System (HIS), which will help standardise care and improve efficiency. Additionally, Ontario hospitals have launched a Health Information Exchange with Oracle, providing comprehensive, secure, and searchable health records to enhance patient care and improve data interoperability.
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20 hospitals are transitioning to MEDITECH Expanse
Ontario is home to around 300 hospitals, the largest number of any Canadian province. These hospitals are primarily public, operating within the framework of the Public Hospitals Act and its regulations. However, there are also a small number of private, for-profit hospitals in the province, including the well-known Shouldice Hospital, which specialises in hernia repairs.
In January 2023, it was announced that 20 hospitals in northeastern Ontario would transition to MEDITECH Expanse as members of the ONE Shared Service Organization. This move is part of an initiative to create a single electronic health information system, improving the delivery of safe, evidence-based, patient-centred care. By standardising order sets, documentation templates, drug administration times, and medical directives, the hospitals aim to transform the way care is delivered, ensuring it is well-informed, safe, and seamless throughout the region.
MEDITECH Expanse is an electronic health record (EHR) solution that enables seamless information sharing across care facilities and teams. It offers search and summarisation capabilities, powered by Google Health, providing a longitudinal view of patient records. Expanse also includes ambient listening for automatic clinical note generation and auto-generation of clinical documentation. Additionally, Expanse's population health solutions, such as Care Compass, enhance big-picture clarity for tracking and intervening with at-risk populations.
The 20 hospitals transitioning to MEDITECH Expanse join three hospitals in northeastern Ontario that implemented the system in 2019: Sault Area Hospital, North Bay Regional Health Centre, and West Parry Sound Health Centre. Together, these hospitals cover a vast geographic area of 400,000 km2 and serve a population of 560,000 people. By collaborating on a shared health information system, these hospitals aim to improve the efficiency and effectiveness of care delivery while enhancing patient safety through up-to-date information sharing.
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There are 35 general hospitals with psychiatric beds
Ontario has around 300 hospitals, the largest number of any Canadian province. Of these, 35 general hospitals have psychiatric beds. These hospitals have an inpatient unit or floor dedicated to mental health treatment as one of their many programs. The other half of the psychiatric beds in Ontario are in hospitals that primarily provide mental health care. One of the most well-known of these is the Centre for Addiction and Mental Health (CAMH) in Toronto.
The Ontario Hospital Association (OHA) represents approximately 154 public hospitals in the province. Ontario also has three private, for-profit hospitals, the most famous of which is the Shouldice Hospital, which specializes in hernia repairs.
In recent years, there has been a push for standardization and integration of health information systems across Ontario's hospitals. For example, 23 hospitals in northeastern Ontario have adopted a single electronic health information system, and 20 hospitals have transitioned to the MEDITECH Expanse-based ONE health information system. Additionally, Ontario hospitals have launched a Health Information Exchange with Oracle, providing comprehensive, secure, and searchable health records to improve patient care.
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Ontario has 3 private, for-profit hospitals
Ontario has approximately 300 hospitals, the largest number of any Canadian province. The majority of these hospitals are public and operate within the framework provided by the Public Hospitals Act and its regulations.
However, it is important to note that Ontario does have some private hospitals. In 1971, Ontario's Private Hospitals Act was amended to ban any new private hospitals, but those already in operation were allowed to continue. As a result, there are only three private, for-profit hospitals left in Ontario today. The most well-known is the Shouldice Hospital, which specializes in hernia repairs.
Private hospitals are independently owned and operated on a for-profit basis. However, they do not necessarily charge patients directly for services. The provincial health insurance plan may pay private hospitals a fee to provide medically necessary services to insured residents. Patients may still be responsible for a co-payment for some services and may be offered extended healthcare services not covered by health care plans, which they would have to pay for themselves.
The status of private hospitals in Ontario may change in the future as the government grapples with rising healthcare costs and surgical patient backlogs. There is a growing trend towards privatization, with Ontario hospitals spending billions on private agency nurses. This has led to concerns about the financial stability of public hospitals and the hollowing out of the public sector workforce.
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154 public hospitals are represented by the Ontario Hospital Association
The Ontario Hospital Association (OHA) is a member association that represents approximately 154 public hospitals in Ontario, Canada. The OHA was established in 1924 to serve as the voice of the province's public hospitals, providing support through advocacy, knowledge translation, member engagement, labour relations, and data and analytics. The goal of the OHA is to help hospitals build a better health system and shape the long-term vision for healthcare in Ontario.
The OHA has played a significant role in advocating for hospitals and influencing healthcare policies in Ontario. For example, in the 1940s, the OHA stepped up for funds and supported the idea of universal hospital insurance. In 1957, the Ontario Hospital Insurance Plan was proposed, and the OHA's expertise was acknowledged by then-Premier Leslie M. Frost. The plan was administered by the Ontario Hospital Service Commission, with guidance from Blue Cross and personnel from the OHA.
Ontario hospitals are known for pioneering advancements in patient care. For instance, Hôtel-Dieu Grace Healthcare is one of four sites helping to improve schizophrenia care across Canada by implementing Ontario Health's Schizophrenia Quality Standards. Ontario hospitals also contribute to research and innovation, such as the Krembil Research Institute's annual event for the International Day of Women and Girls in Science, and the development of new procedures like radiofrequency thermocoagulation for paediatric epilepsy patients.
The OHA's work extends to addressing broader strategic questions and future challenges facing Ontario's healthcare system. With a focus on advocacy and improvement, the OHA aims to ensure that Ontario's hospitals have a say in shaping long-term healthcare policies and strategies. This includes navigating issues like rising healthcare costs and surgical patient backlogs, as well as promoting equitable access to healthcare services for all Ontarians.
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Frequently asked questions
As of 2023, there are around 300 hospitals in Ontario, making it the Canadian province with the largest number of hospitals.
The Ontario Hospital Association (OHA) is a member association that represents approximately 154 public hospitals in Ontario.
There are only three private, for-profit hospitals left in Ontario.
Twenty-three hospitals in northeastern Ontario are creating a single electronic health information system to improve the delivery of safe, evidence-based patient-centred care.
