In Ontario, when a health policy fails, it appears you expand it.
For four years Ontario has been attempting to use payment-for-results (P4R) funding to improve ER wait times. As we reported recently, only about a fifth of the P4R money allocated to hospitals in the Central East region was distributed this quarter, the rest – more than $4 million – was returned to the Ministry of Health. The hospitals couldn’t reach the targets set for them.
Sending more than $4 million back to the Ministry of Health will not help them reach those targets any faster.
Queen’s Park is fixated with the idea that only competition for cash can lead to improved wait times. On the other hand, they expect the system to integrate with more cooperation between providers.
These are not compatible ideas.