Summary

The Ministry of Health is working to end hallway health care, help people stay healthy, deliver high-quality care when and where they need it, and reinforce the long-term sustainability of our health care system. To accomplish this the ministry is focusing on four pillars: prevention and health promotion; right care, right place; creating space; and better integration and patient flow.

The ministry works to provide faster access to care by enhancing access to primary care providers, reducing unnecessary emergency room visits, bringing down wait times and advancing digital health solutions.

It also strives to deliver better coordinated care in the community and closer to home, educate patients to make the right decisions about their health and build better relationships with, and between, health care partners.

The ministry provides overall direction and leadership, focusing on planning and guiding resources to bring value to the system.

Ministry program summary

Vote Program

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Operating expense

 

 

 

 

1401

Ministry Administration Program

$106,835,900

$112,641,800

($5,805,900)

$103,933,888

1402

Health Policy and Research Program

$792,248,900

$781,664,800

$10,584,100

$750,112,963

1403

Digital Health and Information Management Program

$194,601,200

$184,014,600

$10,586,600

$202,879,521

1405

Ontario Health Insurance Program

$22,176,671,900

$21,677,116,900

$499,555,000

$20,581,548,909

1406

Population and Public Health Program

$3,334,233,800

$1,299,289,000

$2,034,944,800

$1,287,519,210

1412

Provincial Programs and Stewardship

$2,141,605,100

$2,036,767,800

$104,837,300

$2,098,086,726

1413

Information Systems

$145,592,200

$159,425,100

($13,832,900)

$148,652,868

1416

Health Services and Programs

$28,706,441,800

$27,809,683,500

$896,758,300

$27,050,739,935

 

Total operating expense to be voted

$57,598,230,800

$54,060,603,500

$3,537,627,300

$52,223,474,020

 

Statutory appropriations

$89,392

$818,514

($729,122)

$218,561

 

Ministry total operating expense

$57,598,320,192

$54,061,422,014

$3,536,898,178

$52,223,692,581

 

Consolidation adjustment - Hospitals

$3,663,878,200

$3,447,479,500

$216,398,700

$3,596,917,356

 

Consolidation adjustment - Home and Community Care Support Services

$28,419,100

$24,056,200

$4,362,900

$4,604,325

 

Consolidation adjustment - ORNGE

($37,957,700)

($39,406,900)

$1,449,200

($38,260,572)

 

Consolidation adjustment - Funding to Colleges

($3,988,000)

($2,112,300)

($1,875,700)

($2,112,784)

 

Consolidation adjustment - Ontario Agency for Health Protection and Promotion

($14,735,600)

($15,080,000)

$344,400

($21,712,700)

 

Consolidation adjustment - Ontario Health

$52,231,500

$51,115,000

$1,116,500

$2,296,412

 

Consolidation adjustment - General Real Estate Portfolio

($8,770,400)

($31,395,200)

$22,624,800

($32,592,602)

 

Consolidation adjustment - Ontario Infrastructure and Lands Corporation

-

-

-

($102,710)

 

Total including consolidation & other adjustments

$61,277,397,292

$57,496,078,314

$3,781,318,978

$55,732,729,306

 

Operating assets

 

 

 

 

1401

Ministry Administration Program

$2,000

$1,000

$1,000

-

1402

Health Policy and Research Program

$2,500,000

$2,500,000

-

$2,500,000

1405

Ontario Health Insurance Program

$13,000,000

$13,000,000

-

$13,000,000

1406

Population and Public Health Program

$750,000

$750,000

-

$750,000

1412

Provincial Programs and Stewardship

$5,729,400

$5,729,400

-

$5,328,400

1416

Health Services and Programs

$40,107,600

$40,107,600

-

$40,107,600

 

Total operating assets to be voted

$62,089,000

$62,088,000

$1,000

$61,686,000

 

Ministry total operating assets

$62,089,000

$62,088,000

$1,000

$61,686,000

 

Capital expense

 

 

 

 

1413

Information Systems

$1,000

$1,000

-

$6,336,800

1416

Health Services and Programs

$26,716,100

$26,716,100

-

$13,400,000

1407

Health Capital Program

$1,306,070,100

$1,804,240,400

($498,170,300)

$1,515,736,031

 

Total capital expense to be voted

$1,332,787,200

$1,830,957,500

($498,170,300)

$1,535,472,831

 

Statutory appropriations

$17,400,700

$14,538,500

$2,862,200

$14,079,179

 

Ministry total capital expense

$1,350,187,900

$1,845,496,000

($495,308,100)

$1,549,552,010

 

Consolidation adjustment - Hospitals

$643,999,700

$86,956,400

$557,043,300

$298,548,899

 

Consolidation adjustment - Home and Community Care Support Services

$4,157,300

$4,497,100

($339,800)

$4,859,690

 

Consolidation adjustment - ORNGE

$12,734,900

$13,821,300

($1,086,400)

$11,208,502

 

Consolidation adjustment - Ontario Agency for Health Protection and Promotion

($13,359,200)

($22,740,400)

$9,381,200

$2,413,197

 

Consolidation adjustment - Ontario Health

($38,082,000)

($35,097,400)

($2,984,600)

($21,948,000)

 

Consolidation adjustment - General Real Estate Portfolio

($21,694,300)

($18,334,800)

($3,359,500)

($4,052,150)

 

Total including consolidation & other adjustments

$1,937,944,300

$1,874,598,200

$63,346,100

$1,840,582,148

 

Capital assets

 

 

 

 

1413

Information Systems

$29,283,900

$18,357,400

$10,926,500

$3,393,559

1416

Health Services and Programs

$1,000

-

$1,000

-

 

Total capital assets to be voted

$29,284,900

$18,357,400

$10,927,500

$3,393,559

 

Ministry total capital assets

$29,284,900

$18,357,400

$10,927,500

$3,393,559

 

Ministry total operating and capital including consolidation and other adjustments (not including assets)

$63,215,341,592

$59,370,676,514

$3,844,665,078

$57,573,311,454

Reconciliation to previously published data

Operating expense

2019-20
Estimates

2018-19
Actual
Total operating expense previously published footnote 1

$58,122,851,787

$56,121,383,434
Government reorganization

 

 

Transfer of functions from other Ministries

$2,723,000

$436,600,818

Transfer of functions to other Ministries

($4,401,252,773)

($4,334,291,671)
Supplementary Estimates

 

 

2019-20 Supplementary Estimates

$337,100,000

-
Restated total operating expense $54,061,422,014 $52,223,692,581
Operating assets

2019-20
Estimates

2018-19
Actual
Total operating assets previously published footnote 2

$82,519,000

$82,116,959
Government reorganization

 

 

Transfer of functions to other Ministries

($20,431,000)

($20,430,959)
Restated total operating assets $62,088,000 $61,686,000
Capital expense

2019-20
Estimates

2018-19
Actual
Total capital expense previously published footnote 3

$1,850,308,000

$1,550,179,828
Government reorganization

 

 

Transfer of functions from other Ministries

-

$241,255

Transfer of functions to other Ministries

($4,812,000)

($869,073)
Restated total capital expense $1,845,496,000 $1,549,552,010

Ministry Administration Program - vote 1401

Ministry Administration provides support to the Minister of Health and the Minister of Long-Term Care to meet the requirements of the ministries' portfolios, ministry management, accountability, controllership and risk management frameworks to ensure the cost-effective/efficient use of resources to achieve business results.

A broad range of strategic and operational services are provided to support the effective delivery of all ministry programs and services, including: business and fiscal planning; health system investment and funding policies and decisions; procurement; facilities; government pharmacy; subrogation; strategic human resources including: organizational change strategies and implementation; talent, performance and succession management; workforce planning and resource management; engagement and inclusion; health, safety and wellness strategies; strategic labour relations and contingency planning; records management, freedom of information, protection of privacy, and personal health information protection; public appointments process; agency liaison and oversight; legal; communications, project management and program redesign to achieve improved quality, efficiency and effectiveness; financial management including: delivering and providing financial services, support and advice to other stakeholders to support the successful attainment of ministry goals and objectives using modern controllership practices through forecasting, reporting and in-year management expense control.

Also, funding is provided for administrative support to the Ontario Review Board, Consent and Capacity Board, Health Services Appeal and Review Board, Health Professions Appeal and Review Board, and the Ontario Hepatitis C Assistance Plan Review Committee

Vote summary

Item number Item

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Operating expense

 

 

 

 

1

Ministry Administration

$99,698,900

$105,266,400

($5,567,500)

$97,006,043

2

Ontario Review Board

$7,137,000

$7,375,400

($238,400)

$6,927,845

 

Total operating expense to be voted

$106,835,900

$112,641,800

($5,805,900)

$103,933,888

S

Minister's Salary, the Executive Council Act

$47,841

$47,841

-

$49,301

S

Minister without Portfolio's Salary, the Executive Council Act

$22,378

-

$22,378

-

S

Parliamentary Assistant's Salary, the Executive Council Act

$16,173

$16,173

-

$29,260

 

Total statutory appropriations

$86,392

$64,014

$22,378

$78,561

 

Total operating expense

$106,922,292

$112,705,814

($5,783,522)

$104,012,449

 

Operating assets

 

 

 

 

6

Ontario Government Pharmaceutical and Medical Supply Service

$1,000

-

$1,000

-

10

Accounts receivable

$1,000

$1,000

-

-

 

Total operating assets to be voted

$2,000

$1,000

$1,000

-

 

Total operating assets

$2,000

$1,000

$1,000

-

Standard account by item and sub-items

Vote-
item
number		 Standard account by item and sub-items

Amount

Amount

 

Operating expense

 

 

1401-1

Ministry Administration

 

 

 

Salaries and wages

 

$48,192,100

 

Employee benefits

 

$12,712,400

 

Transportation and communication

 

$3,359,700

 

Services

 

$34,879,800

 

Supplies and equipment

 

$631,600

 

Subtotal

 

$99,775,600

 

Less: recoveries

 

$76,700

 

Total operating expense to be voted

 

$99,698,900

 

Sub-items:

 

 

 

Main office

 

 

 

Salaries and wages

$5,007,600

 

 

Employee benefits

$622,200

 

 

Transportation and communication

$231,100

 

 

Services

$613,100

 

 

Supplies and equipment

$10,500

$6,484,500

 

Financial and Administrative Services

 

 

 

Salaries and wages

$33,449,500

 

 

Employee benefits

$10,660,800

 

 

Transportation and communication

$2,539,800

 

 

Services

$26,644,200

 

 

Supplies and equipment

$476,400

 

 

Subtotal

$73,770,700

 

 

Less: recoveries

$76,700

$73,694,000

 

Human Resources

 

 

 

Salaries and wages

$2,815,600

 

 

Employee benefits

$408,300

 

 

Transportation and communication

$57,300

 

 

Services

$463,400

 

 

Supplies and equipment

$10,700

$3,755,300

 

Communications Services

 

 

 

Salaries and wages

$6,798,700

 

 

Employee benefits

$1,018,600

 

 

Transportation and communication

$476,000

 

 

Services

$4,455,100

 

 

Supplies and equipment

$89,200

$12,837,600

 

Legal Services

 

 

 

Salaries and wages

$120,700

 

 

Employee benefits

$2,500

 

 

Transportation and communication

$55,500

 

 

Services

$2,704,000

 

 

Supplies and equipment

$44,800

$2,927,500

 

Total operating expense to be voted

 

$99,698,900

 

Statutory appropriations

 

 

Statutory

Minister's Salary, the Executive Council Act

 

$47,841

Statutory

Minister without Portfolio's Salary, the Executive Council Act

 

$22,378

Statutory

Parliamentary Assistant's Salary, the Executive Council Act

 

$16,173

1401-2

Ontario Review Board

 

 

 

Salaries and wages

 

$1,280,100

 

Employee benefits

 

$204,100

 

Transportation and communication

 

$607,800

 

Services

 

$4,988,400

 

Supplies and equipment

 

$56,600

 

Total operating expense to be voted

 

$7,137,000

 

Total operating expense for Ministry Administration Program

 

$106,922,292

 

Operating assets

 

 

1401-6

Ontario Government Pharmaceutical and Medical Supply Service

 

 

 

Deposits and prepaid expenses

 

$1,000

 

Total operating assets to be voted

 

$1,000

1401-10

Accounts receivable

 

 

 

Advances and recoverable amounts

 

 

 

Advances and recoverable - In-year Recoveries

 

$1,000

 

Total operating assets to be voted

 

$1,000

 

Total operating assets for Ministry Administration Program

 

$2,000

Health Policy and Research Program - vote 1402

The Health Policy and Research Program integrates health system research evidence, innovation, strategy, and program policy in support of policy and planning priorities across the ministry including health workforce planning and regulatory oversight in Ontario. System-wide planning allows the ministry to: support legislation and policy development; monitor alignment with the strategic directions; drive health system innovation with new health technologies and processes; select and manage portfolios, strategy and other initiatives within the ministry to further objectives and priorities across the ministry including those in relation to Ontario's health workforce and the regulatory framework that governs Ontario's workforce (regulated health professions and other providers within the system). The work includes targeted investment, administration of funding programs, applied health evidence supports, oversight and synthesis of health services/population health research, health system innovation, strategic policy and planning relating to the supply, mix, distribution, recruitment, retention, scope of practice and education/training of health providers. The work also includes the Indigenous Health Engagement Fund which is dedicated to improving health outcomes for Indigenous people in Ontario, and includes ongoing support for ministry engagement with Indigenous partners, collaboration and participatory research, as well as enhanced life promotion and crisis support services.

Vote summary

Item number Item

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Operating expense

 

 

 

 

1

Health Policy and Research

$792,248,900

$781,664,800

$10,584,100

$750,112,963

 

Total operating expense to be voted

$792,248,900

$781,664,800

$10,584,100

$750,112,963

S

Bad Debt Expense, the Financial Administration Act

-

$131,500

($131,500)

-

 

Total statutory appropriations

-

$131,500

($131,500)

-

 

Total operating expense

$792,248,900

$781,796,300

$10,452,600

$750,112,963

 

Operating assets

 

 

 

 

2

Health Policy and Research

$2,500,000

$2,500,000

-

$2,500,000

 

Total operating assets to be voted

$2,500,000

$2,500,000

-

$2,500,000

 

Total operating assets

$2,500,000

$2,500,000

-

$2,500,000

Standard account by item and sub-items

Vote-
item
number		 Standard account by item and sub-items

Amount

Amount

 

Operating expense

 

 

1402-1

Health Policy and Research

 

 

 

Salaries and wages

 

$16,717,800

 

Employee benefits

 

$2,624,300

 

Transportation and communication

 

$525,400

 

Services

 

$7,905,400

 

Supplies and equipment

 

$127,800

 

Transfer payments

 

 

 

Clinical Education

$739,065,600

 

 

Applied Health Evidence Program

$25,282,600

$764,348,200

 

Total operating expense to be voted

 

$792,248,900

 

Total operating expense for Health Policy and Research Program

 

$792,248,900

 

Operating assets

 

 

1402-2

Health Policy and Research

 

 

 

Advances and recoverable amounts

 

 

 

Clinical Education

 

$2,500,000

 

Total operating assets to be voted

 

$2,500,000

 

Total operating assets for Health Policy and Research Program

 

$2,500,000

Digital Health and Information Management Program - vote 1403

Digital Health and Information Management leverages Ontario's digital health technology to deliver a more modern, integrated and digitally enabled health system experience for patients.

Digital Health will streamline Ontario’s approach to digital health delivery by moving towards standards-based supports for improving system interoperability and reducing fragmentation and redundancy. Digital Health builds on Ontario's digital health foundations and leverages health technology to provide patients with more choice and providers with more tools to deliver the best possible care. Through administrative consolidation, the ministry is ensuring resources are spent responsibly on effective outcomes.

Capacity Planning and Analytics supports system planning, policy development, program design, performance, quality improvement, and accountability by governing, capturing, and transforming data into insights, and insights into strategic guidance to keep our healthcare system and 14+ million Ontarians healthy.

Vote summary

Item number Item

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Operating expense

 

 

 

 

1

Digital Health and Information Management

$194,601,200

$184,014,600

$10,586,600

$202,879,521

 

Total operating expense to be voted

$194,601,200

$184,014,600

$10,586,600

$202,879,521

 

Total operating expense

$194,601,200

$184,014,600

$10,586,600

$202,879,521

Standard account by item and sub-items

Vote-
item
number		 Standard account by item and sub-items

Amount

Amount

 

Operating expense

 

 

1403-1

Digital Health and Information Management

 

 

 

Salaries and wages

 

$17,611,500

 

Employee benefits

 

$2,555,300

 

Transportation and communication

 

$246,600

 

Services

 

$12,500,700

 

Supplies and equipment

 

$261,200

 

Transfer payments

 

 

 

Digital Health Strategy and Programs

$149,645,500

 

 

Health System Information Management

$11,780,400

$161,425,900

 

Total operating expense to be voted

 

$194,601,200

 

Total operating expense for Digital Health and Information Management Program

 

$194,601,200

Ontario Health Insurance Program - vote 1405

The Ontario Health Insurance Program includes key elements of Ontario's health care system: client eligibility and health card policies, physicians' payments for services that are insured under the Health Insurance Act, other practitioners' payments, out-of-province/out-of-country services, Family Health Teams, Aboriginal Health Access Centers, Nurse Practitioner Led Clinics, midwifery services, underserviced areas, northern health travel grants, tele triage services, disease prevention, health quality, drugs, community laboratories including genetic testing, psychiatric patient advocacy and rights advice, assistive devices including home oxygen, and protection/risk management of both provider and subscriber fraudulent activity.

The Ontario Drug Benefit program continues to be reviewed with the objectives of creating an easier-to-understand, more consistent and sustainable program.

Publicly funded health services are available from health professionals in various settings from family doctors' offices to academic health science centres, to hospitals, to Telehealth Ontario and Telephone Health Advisory Service where triage advice and health information are provided. Government-funded services are available to Ontarians who have registered, and who are eligible for the Ontario Health Insurance Plan. The Underserviced Area Program helps rural, remote and northern communities recruit and retain health care professionals, as well as ensure access to health care services in these communities. The Northern Health Travel Grant Program helps defray medical related travel costs northern Ontario residents incur to access medical specialist, or health care facility services unavailable in their local communities.

Vote summary

Item number Item

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Operating expense

 

 

 

 

1

Ontario Health Insurance

$16,788,371,300

$16,402,402,900

$385,968,400

$15,292,425,813

2

Drug Programs

$4,879,397,500

$4,745,618,200

$133,779,300

$4,763,424,379

4

Assistive Devices Program

$508,903,100

$529,095,800

($20,192,700)

$525,698,717

 

Total operating expense to be voted

$22,176,671,900

$21,677,116,900

$499,555,000

$20,581,548,909

S

Bad Debt Expense, the Financial Administration Act

$1,000

$501,000

($500,000)

-

S

Bad Debt Expense, the Financial Administration Act

$1,000

$1,000

-

-

 

Total statutory appropriations

$2,000

$502,000

($500,000)

-

 

Total operating expense

$22,176,673,900

$21,677,618,900

$499,055,000

$20,581,548,909

 

Operating assets

 

 

 

 

5

Ontario Health Insurance Program

$13,000,000

$13,000,000

-

$13,000,000

 

Total operating assets to be voted

$13,000,000

$13,000,000

-

$13,000,000

 

Total operating assets

$13,000,000

$13,000,000

-

$13,000,000

Standard account by item and sub-items

Vote-
item
number		 Standard account by item and sub-items

Amount

Amount

 

Operating expense

 

 

1405-1

Ontario Health Insurance

 

 

 

Salaries and wages

 

$50,324,200

 

Employee benefits

 

$8,697,200

 

Transportation and communication

 

$3,402,200

 

Services

 

$19,164,800

 

Supplies and equipment

 

$502,700

 

Transfer payments

 

 

 

Payments made for services and for care provided by physicians and practitioners

$16,315,227,300

 

 

Independent Health Facilities

$52,177,900

 

 

Underserviced Area Plan

$30,864,000

 

 

Northern Travel Program

$48,181,600

 

 

Teletriage Services

$24,822,200

 

 

Quality Management Program - Laboratory Services

$4,748,900

 

 

Midwifery Services

$182,005,100

 

 

Disease Prevention Strategy

$2,524,600

 

 

Quality Health Initiatives

$45,728,600

$16,706,280,200

 

Total operating expense to be voted

 

$16,788,371,300

 

Statutory appropriations

 

 

 

Other transactions

 

 

Statutory

Bad Debt Expense, the Financial Administration Act

 

$1,000

1405-2

Drug Programs

 

 

 

Salaries and wages

 

$9,155,900

 

Employee benefits

 

$1,298,600

 

Transportation and communication

 

$806,800

 

Services

 

$15,990,000

 

Supplies and equipment

 

$105,100

 

Transfer payments

 

 

 

Ontario Drug Programs

 

$4,852,041,100

 

Total operating expense to be voted

 

$4,879,397,500

 

Statutory appropriations

 

 

 

Other transactions

 

 

Statutory

Bad Debt Expense, the Financial Administration Act

 

$1,000

1405-4

Assistive Devices Program

 

 

 

Salaries and wages

 

$3,180,500

 

Employee benefits

 

$461,200

 

Transportation and communication

 

$579,000

 

Services

 

$1,017,000

 

Supplies and equipment

 

$29,000

 

Transfer payments

 

 

 

Assistive Devices and Supplies Program

 

$503,636,400

 

Total operating expense to be voted

 

$508,903,100

 

Total operating expense for Ontario Health Insurance Program

 

$22,176,673,900

 

Operating assets

 

 

1405-5

Ontario Health Insurance Program

 

 

 

Advances and recoverable amounts

 

 

 

Payments made for services and for care provided by physicians and practitioners

$10,000,000

 

 

Midwifery Services

$3,000,000

$13,000,000

 

Total operating assets to be voted

 

$13,000,000

 

Total operating assets for Ontario Health Insurance Program

 

$13,000,000

Population and Public Health Program - vote 1406

The Chief Medical Officer of Health (CMOH) has a unique and distinct role in protecting the health of Ontarians. The CMOH plays a critical role in leading the public health system as a whole through a statutory role and powers under the Health Protection and Promotion Act, providing public health advice within and beyond government and raising public health issues that have significant impacts on the health of Ontarians.

The mandate of Population and Public Health is to provide direction and leadership to support the ministry’s public health agenda including Public Health Modernization and commitment to improving population health outcomes and ensuring the delivery of quality services through efficient and effective coordination across Ontario’s public health and associated sectors.

The programs and services are aimed at improving health outcomes at all life stages by planning and developing legislation, regulation, standards and performance measures; developing, implementing and evaluating policies and programs that support disease prevention, health protection and healthy living; and leading, engaging and collaborating with our partners at all levels, ensuring effective program delivery, fiscal management, accountability, transparency and fostering a health system that is ready and prepared to respond to incidents and emergencies.

Vote summary

Item number Item

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Operating expense

 

 

 

 

4

Population and Public Health

$1,511,333,800

$1,299,289,000

$212,044,800

$1,287,519,210

7

COVID-19 Health Sector Response Fund

$1,822,900,000

-

$1,822,900,000

-

 

Total operating expense to be voted

$3,334,233,800

$1,299,289,000

$2,034,944,800

$1,287,519,210

 

Total operating expense

$3,334,233,800

$1,299,289,000

$2,034,944,800

$1,287,519,210

 

Operating assets

 

 

 

 

6

Population and Public Health

$750,000

$750,000

-

$750,000

 

Total operating assets to be voted

$750,000

$750,000

-

$750,000

 

Total operating assets

$750,000

$750,000

-

$750,000

Standard account by item and sub-items

Vote-
item
number		 Standard account by item and sub-items

Amount

Amount

 

Operating expense

 

 

1406-4

Population and Public Health

 

 

 

Salaries and wages

 

$16,221,500

 

Employee benefits

 

$2,312,900

 

Transportation and communication

 

$912,400

 

Services

 

$26,530,300

 

Supplies and equipment

 

$1,001,300

 

Transfer payments

 

 

 

Official Local Health Agencies

$817,301,100

 

 

Outbreaks of Diseases

$346,821,000

 

 

Tuberculosis Prevention

$9,113,900

 

 

Sexually Transmitted Diseases Control

$43,985,200

 

 

Infection Control

$19,900,400

 

 

Ontario Agency for Health Protection and Promotion

$142,717,900

 

 

Nutrition/Healthy Eating

$16,980,400

 

 

Prevent Disease, Injury and Addiction

$23,923,200

 

 

Smoke-Free Ontario

$43,612,300

$1,464,355,400

 

Total operating expense to be voted

 

$1,511,333,800

1406-7

COVID-19 Health Sector Response Fund

 

 

 

Services

 

$1,822,900,000

 

Total operating expense to be voted

 

$1,822,900,000

 

Total operating expense for Population and Public Health Program

 

$3,334,233,800

 

Operating assets

 

 

1406-6

Population and Public Health

 

 

 

Advances and recoverable amounts

 

 

 

Official Local Health Agencies

 

$750,000

 

Total operating assets to be voted

 

$750,000

 

Total operating assets for Population and Public Health Program

 

$750,000

Provincial Programs and Stewardship - vote 1412

This vote includes Provincial Programs, Emergency Health Services and Stewardship. This program is responsible for transfer payment accountability, and operational policy development, including the planning and funding of a wide span of specialized programs. Examples of these transfer payment programs include: Community and Priority Services, Operation of Related Facilities, HIV/AIDS and Hepatitis C Programs, and community Mental Health and Addictions programs. The program provides Ontario's share of funding to the Canadian Blood Services and also supports a blood utilization management strategy for Ontario. This vote also includes ministry-managed Mental Health and Addictions programs which provide implementation support, knowledge exchange and training, quality improvement, and information management in support of direct service mental health and addictions providers.

In addition to transfer payment activities, Provincial Programs and Stewardship also includes Direct Operating Expenditures for health capital planning, the management and delivery of the Transfer Payments within the Vote, and for the oversight administration (stewardship) of the Ontario Health Agency and related programs.

Emergency Health Services (EHS) ensures the existence of a balanced and integrated system of emergency health services throughout Ontario. The ministry is modernizing EHS by building a more updated, integrated and efficient dispatch and communication system that will more effectively meet the needs of communities. The system consists of a series of inter-related programs and services including municipally operated/contracted land ambulance services, the not-for-profit air ambulance organization called Ornge, eight base hospitals that provide medical oversight, and ambulance communications services. Through EHS, the ministry oversees, certifies, and regulates Ontario’s paramedics, and land and air-ambulance services through the Ambulance Act. EHS manages province-wide operations in 11 directly-operated Ambulance Communications Centres (ACCs), provides oversight and transfer payment functions for 11 transfer payment ACCs; and ensures strong operational alignment between all land and air ambulance services providers, healthcare services providers, municipal partners, and First Nations communities.

Vote summary

Item number Item

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Operating expense

 

 

 

 

1

Provincial Programs

$991,031,900

$944,824,500

$46,207,400

$1,021,035,069

2

Emergency Health Services

$1,109,752,100

$1,043,710,600

$66,041,500

$1,042,417,391

4

Stewardship

$40,821,100

$48,232,700

($7,411,600)

$34,634,266

 

Total operating expense to be voted

$2,141,605,100

$2,036,767,800

$104,837,300

$2,098,086,726

S

Bad Debt Expense, the Financial Administration Act

$1,000

$121,000

($120,000)

$140,000

 

Total statutory appropriations

$1,000

$121,000

($120,000)

$140,000

 

Total operating expense

$2,141,606,100

$2,036,888,800

$104,717,300

$2,098,226,726

 

Operating assets

 

 

 

 

5

Provincial Programs and Stewardship

$5,729,400

$5,729,400

-

$5,328,400

 

Total operating assets to be voted

$5,729,400

$5,729,400

-

$5,328,400

 

Total operating assets

$5,729,400

$5,729,400

-

$5,328,400

Standard account by item and sub-items

Vote-
item
number		 Standard account by item and sub-items

Amount

Amount

 

Operating expense

 

 

1412-1

Provincial Programs

 

 

 

Transfer payments

 

 

 

Operation of Related Facilities

$27,475,000

 

 

Canadian Blood Services

$615,383,300

 

 

HIV/AIDS and Hepatitis C Programs

$102,874,200

 

 

Community and Priority Services

$245,299,400

$991,031,900

 

Total operating expense to be voted

 

$991,031,900

 

Statutory appropriations

 

 

 

Other transactions

 

 

Statutory

Bad Debt Expense, the Financial Administration Act

 

$1,000

1412-2

Emergency Health Services

 

 

 

Salaries and wages

 

$45,406,800

 

Employee benefits

 

$8,269,000

 

Transportation and communication

 

$2,746,800

 

Services

 

$11,647,100

 

Supplies and equipment

 

$578,800

 

Transfer payments

 

 

 

Payments for Ambulance and related Emergency Services: Municipal Ambulance

$766,304,400

 

 

Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services

$74,445,800

 

 

Air Ambulance

$200,353,400

$1,041,103,600

 

Total operating expense to be voted

 

$1,109,752,100

1412-4

Stewardship

 

 

 

Salaries and wages

 

$25,622,400

 

Employee benefits

 

$3,291,100

 

Transportation and communication

 

$2,582,100

 

Services

 

$9,191,700

 

Supplies and equipment

 

$133,800

 

Total operating expense to be voted

 

$40,821,100

 

Total operating expense for Provincial Programs and Stewardship

 

$2,141,606,100

 

Operating assets

 

 

1412-5

Provincial Programs and Stewardship

 

 

 

Advances and recoverable amounts

 

 

 

Payments for Ambulance and Related Emergency Services: Municipal Ambulance

$500,000

 

 

HIV/AIDS and Hepatitis C Programs

$375,000

 

 

Community and Priority Services

$4,393,400

 

 

Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services

$461,000

$5,729,400

 

Total operating assets to be voted

 

$5,729,400

 

Total operating assets for Provincial Programs and Stewardship

 

$5,729,400

Information Systems - vote 1413

Information Systems enables the business outcomes of the Ministry of Health and Ministry of Long-Term Care by providing cost-effective and efficient I&IT and digital solutions and services.

The program offers a broad range of strategic and operational services essential to the delivery of ministry programs.

Vote summary

Item number Item

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Operating expense

 

 

 

 

1

Information Technology Services – Health Cluster

$145,592,200

$159,425,100

($13,832,900)

$148,652,868

 

Total operating expense to be voted

$145,592,200

$159,425,100

($13,832,900)

$148,652,868

 

Total operating expense

$145,592,200

$159,425,100

($13,832,900)

$148,652,868

 

Capital expense

 

 

 

 

3

Information Systems

$1,000

$1,000

-

$6,336,800

 

Total capital expense to be voted

$1,000

$1,000

-

$6,336,800

S

Amortization, the Financial Administration Act

$16,987,700

$14,125,500

$2,862,200

$13,720,864

 

Total statutory appropriations

$16,987,700

$14,125,500

$2,862,200

$13,720,864

 

Total capital expense

$16,988,700

$14,126,500

$2,862,200

$20,057,664

 

Capital assets

 

 

 

 

4

Information Systems

$29,283,900

$18,357,400

$10,926,500

$3,393,559

 

Total capital assets to be voted

$29,283,900

$18,357,400

$10,926,500

$3,393,559

 

Total capital assets

$29,283,900

$18,357,400

$10,926,500

$3,393,559

Standard account by item and sub-items

Vote-
item
number		 Standard account by item and sub-items

Amount

 

Operating expense

 

1413-1

Information Technology Services – Health Cluster

 

 

Salaries and wages

$48,058,200

 

Employee benefits

$7,308,900

 

Transportation and communication

$2,455,700

 

Services

$84,774,600

 

Supplies and equipment

$2,994,800

 

Total operating expense to be voted

$145,592,200

 

Total operating expense for Information Systems

$145,592,200

 

Capital expense

 

1413-3

Information Systems

 

 

Other transactions

$1,000

 

Total capital expense to be voted

$1,000

 

Statutory appropriations

 

 

Other transactions

 

Statutory

Amortization, the Financial Administration Act

$16,987,700

 

Total capital expense for Information Systems

$16,988,700

 

Capital assets

 

1413-4

Information Systems

 

 

Information technology hardware

$2,987,800

 

Business application software - asset costs

$26,296,100

 

Total capital assets to be voted

$29,283,900

 

Total capital assets for Information Systems

$29,283,900

Health Services and Programs - vote 1416

The Ministry of Health (the ministry) collaborates with Ontario Health (OH) to implement the health system strategies developed by the ministry. While the ministry provides strategic direction and guidance, Ontario Health is responsible for planning, integrating and funding Health Service Providers.

OH exercises its authority under the Connecting Care Act, 2019. Additional administrative responsibilities are set out in the Memorandum of Understanding, while operational funding and performance expectations are set out in the Minister's Mandate Letter to OH and the Accountability Agreement between OH and the ministry.

OH manages services in public, private and specialty psychiatric hospitals, long-term care homes, community health centres, community support services, community services for persons with acquired brain injury, assisted living services in supportive housing, mental health and addiction agencies.

In addition, through its programs (Cancer and Cancer Screening, Renal, Digital Health, Health Quality, Organ and Tissue Donation and Transplantation Services, Health Workforce Programs, and Regional Coordination Operations Support), Ontario Health is responsible for:

  • Providing back office support to the agencies that manage and deliver home care, including IT, finance, human resources, procurement, and the home care database.
  • Overseeing highly specialized care (for example, cancer, renal, organ donation)
  • Managing provincial population health programs (for example, cancer screening)
  • Clinical and quality standards development for patient care and safety,
  • Patient engagement and patient relations,
  • Championing and supporting the implementation of the ministry’s Digital First for Health strategy to deliver a more modern, integrated and digitally-enabled health system experience for patients,
  • Supporting health care practitioner recruitment and retention;
  • Planning, coordinating, undertaking and supporting activities related to organ and tissue donation and transplantation
  • Supporting the office of the patient ombudsman in carrying out its functions in accordance with the Excellent Care for All Act, 2010;
  • Supporting or providing supply chain management services to health service providers and related organizations; and
  • Promoting health service integration to enable appropriate, coordinated and effective health service delivery.

Vote summary

Item number Item

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Operating expense

 

 

 

 

1

Health Services

$26,187,024,000

$25,223,901,200

$963,122,800

$24,491,518,739

2

Programs and Administration

$2,519,417,800

$2,585,782,300

($66,364,500)

$2,559,221,196

 

Total operating expense to be voted

$28,706,441,800

$27,809,683,500

$896,758,300

$27,050,739,935

 

Total operating expense

$28,706,441,800

$27,809,683,500

$896,758,300

$27,050,739,935

 

Operating assets

 

 

 

 

10

Advances and recoverable

$40,107,600

$40,107,600

-

$40,107,600

 

Total operating assets to be voted

$40,107,600

$40,107,600

-

$40,107,600

 

Total operating assets

$40,107,600

$40,107,600

-

$40,107,600

 

Capital expense

 

 

 

 

3

Digital Health Capital

$26,716,100

$26,716,100

-

$13,400,000

 

Total capital expense to be voted

$26,716,100

$26,716,100

-

$13,400,000

S

Amortization, the Financial Administration Act

$413,000

$413,000

-

$358,315

 

Total statutory appropriations

$413,000

$413,000

-

$358,315

 

Total capital expense

$27,129,100

$27,129,100

-

$13,758,315

 

Capital assets

 

 

 

 

4

Digital Health

$1,000

-

$1,000

-

 

Total capital assets to be voted

$1,000

-

$1,000

-

 

Total capital assets

$1,000

-

$1,000

-

Standard account by item and sub-items

Vote-
item
number		 Standard account by item and sub-items

Amount

Amount

Amount

 

Operating expense

 

 

 

1416-1

Health Services

 

 

 

 

Transfer payments

 

 

 

 

Operation of Hospitals

 

$18,922,029,500

 

 

Grants to Compensate for Municipal Taxation - Hospitals

 

$3,783,000

 

 

Specialty Psychiatric Hospitals

 

$698,174,900

 

 

Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals

 

$174,100

 

 

Home Care

 

$3,184,324,400

 

 

Community Support Services

 

$645,205,800

 

 

Assisted Living Services in Supportive Housing

 

$340,564,100

 

 

Community Health Centres

 

$479,230,100

 

 

Acquired Brain Injury

 

$64,251,800

 

 

Community Mental Health

 

$1,162,127,800

 

 

Addiction Program

 

$251,829,300

 

 

Child and Youth Mental Health

 

$435,329,200

$26,187,024,000

 

Total operating expense to be voted

 

 

$26,187,024,000

 

Sub-items:

 

 

 

 

Hospitals

 

 

 

 

Transfer payments

 

 

 

 

Operation of Hospitals

$18,922,029,500

 

 

 

Grants to Compensate for Municipal Taxation - Hospitals

$3,783,000

 

 

 

Specialty Psychiatric Hospitals

$698,174,900

 

 

 

Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals

$174,100

$19,624,161,500

$19,624,161,500

 

Community

 

 

 

 

Transfer payments

 

 

 

 

Home Care

$3,184,324,400

 

 

 

Community Support Services

$645,205,800

 

 

 

Assisted Living Services in Supportive Housing

$340,564,100

 

 

 

Community Health Centres

$479,230,100

 

 

 

Acquired Brain Injury

$64,251,800

$4,713,576,200

$4,713,576,200

 

Mental Health and Addictions

 

 

 

 

Transfer payments

 

 

 

 

Community Mental Health

$1,162,127,800

 

 

 

Addiction Program

$251,829,300

 

 

 

Child and Youth Mental Health

$435,329,200

$1,849,286,300

$1,849,286,300

 

Total operating expense to be voted

 

 

$26,187,024,000

1416-2

Programs and Administration

 

 

 

 

Transfer payments

 

 

 

 

Digital Health

 

$195,956,100

 

 

Health Quality Programs

 

$31,909,500

 

 

Regional Coordination Operations Support

 

$229,114,900

 

 

Cancer Treatment Services

 

$1,900,849,300

 

 

Organ and Tissue Donation and Transplantation Services

 

$58,741,100

 

 

Cancer Screening Programs

 

$93,448,000

 

 

Health Workforce Programs

 

$9,398,900

$2,519,417,800

 

Total operating expense to be voted

 

 

$2,519,417,800

 

Total operating expense for Health Services and Programs

 

 

$28,706,441,800

 

Operating assets

 

 

 

1416-10

Advances and recoverable

 

 

 

 

Advances and recoverable amounts

 

 

 

 

Operation of Hospitals

 

$24,000,000

 

 

Home Care

 

$700,000

 

 

Community Support Services

 

$2,966,800

 

 

Assisted Living Services in Supportive Housing

 

$793,500

 

 

Community Health Centres

 

$3,000,000

 

 

Acquired Brain Injury

 

$246,300

 

 

Community Mental Health

 

$5,500,000

 

 

Addiction Program

 

$900,000

 

 

Cancer Treatment Services

 

$1,000

 

 

Health Workforce Programs

 

$2,000,000

$40,107,600

 

Total operating assets to be voted

 

 

$40,107,600

 

Total operating assets for Health Services and Programs

 

 

$40,107,600

 

Capital expense

 

 

 

1416-3

Digital Health Capital

 

 

 

 

Transfer payments

 

 

 

 

Digital Health Capital

 

 

$26,715,100

 

Other transactions

 

 

$1,000

 

Total capital expense to be voted

 

 

$26,716,100

 

Statutory appropriations

 

 

 

Statutory

Amortization, the Financial Administration Act

 

 

 

 

Other transactions

 

 

$413,000

 

Total capital expense for Health Services and Programs

 

 

$27,129,100

 

Capital assets

 

 

 

1416-4

Digital Health

 

 

 

 

Business application software - asset costs

 

 

$1,000

 

Total capital assets to be voted

 

 

$1,000

 

Total capital assets for Health Services and Programs

 

 

$1,000

Health Capital Program - vote 1407

Health Capital is responsible for the provision of capital funding to health care facilities including public hospitals, integrated health facilities and community sector health service providers.

Vote summary

Item number Item

Estimates
2020-21

Estimates
2019-20

Difference
between
2020-21
and
2019-20

Actual
2018-19

 

Capital expense

 

 

 

 

1

Health Capital

$1,306,070,100

$1,804,240,400

($498,170,300)

$1,515,736,031

 

Total capital expense to be voted

$1,306,070,100

$1,804,240,400

($498,170,300)

$1,515,736,031

 

Total capital expense

$1,306,070,100

$1,804,240,400

($498,170,300)

$1,515,736,031

Standard account by item and sub-items

Vote-
item
number		 Standard account by item and sub-items

Amount

Amount

 

Capital expense

 

 

1407-1

Health Capital

 

 

 

Transfer payments

 

 

 

Major Hospital Projects

$974,814,600

 

 

Health Infrastructure Renewal Fund

$175,000,000

 

 

Small Hospital Projects

$40,000,000

 

 

Medical and Diagnostic Equipment Fund

$34,500,000

 

 

Community Health Programs

$36,932,500

 

 

Public Health Laboratories

$18,537,200

 

 

Integrated Health Facility Programs

$22,457,700

$1,302,242,000

 

Other transactions

 

 

 

Provincial Psychiatric Hospitals Divestment

$3,157,100

 

 

Health Infrastructure Information Systems

$671,000

$3,828,100

 

Total capital expense to be voted

 

$1,306,070,100

 

Total capital expense for Health Capital Program

 

$1,306,070,100