Ontario Ramping Up Efforts to Reduce Surgical Wait Times

Published on July 28, 2021

Additional Funding Will Allow Province to Perform Thousands More Surgeries, Procedures and Diagnostic Imaging Hours

The Ontario government is investing up to $324 million in new funding to enable Ontario’s hospitals and community health sector to perform more surgeries, MRI and CT scans and procedures, including on evenings and weekends, as part of a wider, comprehensive surgical recovery plan to provide patients with the care they need. This plan will enable Ontario’s health care system to perform up to 67,000 additional surgeries and procedures as well as up to 135,000 more diagnostic imaging hours to address wait times for surgeries and procedures, improve access to care and support the government’s commitment to end hallway health care.

“Ontario’s hospitals have been unwavering in their commitment to provide exceptional care to Ontarians. While the pandemic has been challenging for hospitals, we have made significant progress in addressing wait times for surgeries and other procedures and are in a much better situation than was expected mere months ago,” said Christine Elliott, Deputy Premier and Minister of Health. “As Ontario continues on the path to reopening and recovery, our government is committed to improving access and reducing wait times for scheduled surgeries and procedures across the province.”

The COVID-19 pandemic placed significant pressures on hospital and health care resources, requiring the government to take extraordinary measures to maximize capacity and ensure that Ontarians can continue to have access to safe, high-quality health care. Thanks to the ongoing efforts and dedication across the health care system as well as targeted government initiatives, 76 per cent of patients who were waitlisted for required surgery between March 1, 2020 and March 1, 2021 have received the care they need. Throughout the pandemic, urgent surgical patients were prioritized and 99.3 per cent of the most urgent patient surgeries were completed. As the province continues to safely and gradually lift public health measures, it is anticipated that referrals for surgeries, procedures and diagnostic imaging will increase similar to what has been seen in other provinces and jurisdictions.

To continue the progress made to date and meet future demand, Ontario has developed a comprehensive surgical recovery plan to enable hospitals and community providers to operate at 110 to 115 per cent capacity, bolstering the health system’s capacity to ensure patients’ surgical and recovery care needs are met at all stages, from primary care referrals, hospital discharge to recovery at home. The plan encompasses the entire continuum of care, including:

  • Hospital care: A new investment of $300 million from the 2021 Budget dedicated to help the hospital sector recover and perform thousands more surgeries and diagnostic imaging hours, and help reduce wait times.
    • $216 million for hospitals to extend operating room hours into evenings and weekends and perform up to 67,000 additional surgeries on top of the typical volume of 650,000 scheduled surgeries that happen in main operating rooms each year. New surgeries funded may include up to 33,000 new cataracts surgeries, up to 4,300 new orthopedics surgeries and up to 9,000 new paediatrics surgeries.
    • $35 million for MRI and CT imaging, enabling over 75,000 additional hours of MRI scanning and over 60,000 additional hours of CT scanning, on top of the 577,000 hours and 550,000 hours that happen each year, respectively. This represents a 12 per cent overall increase in available hours.
    • $18 million investment in centralized surgical waitlist management to increase use of electronic referrals and support work to enable efficient tracking of surgical information, making better use of specialist and hospital resources and reducing patient wait times.
    • $1 million for surgical smoothing coaching from an expert team of experienced surgeons and administrators to support knowledge sharing and best practices to optimize the use of operating rooms at key high-volume hospitals.
    • $30 million for the new Surgical Innovation Fund to help hospitals in each region of the province to address barriers and increase their surgical output. Approval for funding will be released in September 2021 for immediate implementation this year.
  • Increase health system capacity through community alternatives to hospital care: A new investment of up to $24 million to increase volumes of low-risk, publicly funded surgical and diagnostic services in independent health facilities and to support the licensing of new independent health facilities for existing services.

This funding builds on investments currently underway that support integrated care across the continuum, including $1.2 million for cancer prevention and screening initiatives and $143 million to support post-hospital care with ongoing programs such as rehab hospitals, use of virtual care, home care and transitional care.

The government and Ontario Health will work with hospitals to determine which hospitals can increase their surgical activity based on the local situation. Funding allocations for additional surgeries will be communicated to hospitals in early fall as they continue to ramp up to increase their surgical output.

Building on initiatives to increase health human resources capacity in hospitals during the pandemic, Ontario’s surgical recovery plan also includes initiatives that support health human resources capacity for increased surgical volumes in hospitals, including expanding existing initiatives and developing additional programs.

“Ontario patients should feel safe and confident in accessing the health system and getting the care they need,” said Matthew Anderson, President and CEO of Ontario Health. “With funding provided by the government, we will work with partners across the system to deliver expanded care and service to patients needing preventative, primary, surgical and specialist care.”

The government will work with its health system partners to closely monitor both surgical output in hospitals and patient wait times and implement additional measures if needed to ensure patients and their families have access to the safe, high-quality care they need.

 

More details at https://news.ontario.ca/en/release/1000613/ontario-ramping-up-efforts-to-reduce-surgical-wait-times