04/04/2016

At its January 2016 Board meeting, AMO’s Board approved a set of principles to underpin AMO’s response to the provincial consultations to transform primary, home and community care and to strengthen population and public health.

The response is in reaction to the discussion paper outlining proposals for health transformation called "Patients First: A Proposal to Strengthen Patient-Centred Health Care in Ontario". It can be found on the Ministry of Health and Long-Term Care’s website.  AMO is supportive of a transformation that strengthens patient-centred care in Ontario but under the right conditions to succeed.

The principles are outlined below.

  1. Strengthen patient-centred care – Support a shift in approach to coordinated, integrated care in order to meet the currently unfilled needs of patients and communities.
  2. Improve access to high quality health services – Promote faster access to the right care in the community, closer to home, while maintaining client choice of health and community care professionals and services as much as possible.  This will require more options and resources in communities including supportive housing, enhanced home care services, increased telemedicine/medical technology networks, and fully funded health transportation services to move patients respectfully between specialists, tests, and their homes.
  3. Equity in health outcomes – System improvements for primary and community and home care should benefit all individuals and regions of the province in an equitable manner.
  4. Flexible/One Size Doesn’t Fit All – System changes will acknowledge the diversity of Ontario including areas of the province (north-south, east-west, and rural-urban), and the diverse health need in different regions.
  5. Sustainability – To shift currently expended and new resources to provide adequate funding needed to implement the new vision and sustain services in communities over the long-term.
  6. Good public and fiscal policy – New service delivery approaches must be driven by a clear public policy purpose and backed by evidence that new arrangements will better suit that purpose.
  7. Good governance and funding relationships – The Province must include municipal governments in this transformational exercise as an order of government, not as a stakeholder or service provider (e.g. Long-Term Care, Land Ambulance, Public Health).
  8. Good planning – To deliver the patient care that is needed, population and health planning should drive/inform priorities for primary/community/home care to deliver care where people need it.
  9. Accountable – To establish clear responsibility for coordination at the local level and well understood roles and responsibilities between orders of government, Local Health Integration Networks, and health care service providers.
  10. Transparent – Any new structure or transactional activities should be clear and transparent, with well-articulated goals to build public confidence that new arrangements will better achieve that purpose with sufficient health human resources, infrastructure, and funding.