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HLTC22H3 Lecture Notes - Ibm Aix, Blic, Ontario Health Insurance Plan

Health Studies
Course Code
Anna Walsh

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HLTB01H3F: Health, Aging and the Life Cycle
Department of Health Studies
University of Toronto at Scarborough
Winter 2010
Instructor: Anna Walsh.
Term: Winter 2010 Mondays 3 p.m.-5 p.m.
Lecture Room: Room AA 112.
Required Text:
Aldwin, Carolyn M. & Diane F. Gilmer. 2004. Health, Illness, and Optimal Aging:
Biological and Psychosocial Perspectives. Thousand Oaks, California: Sage Publications,
January 11/2010.
Ontario’s Health Care Program
Working Towards Better Health Care for US ALL
Table of Contents
Ontario’s Health Care System: General Overview/Introduction
Ministry Programs
Ontario Health Insurance Plan
Health Care Providers
Public Health
Commitment to Care: Plan for Long-term Care in Ontario- Seniors
Telehealth Ontario – e-technology
Budgets- Current Challenges
Government’s Priorities- Future Challenges
1. Ontario’s Healthcare System- General Overview/ Introduction
Ontario has a model health care system
Ontarians receive most health care services at no cost to the individual but Ontario health
premium based on incomes that provides no premium for taxable incomes under
$20,000 and $900 incomes greater than $200,000. The Ontario Health Insurance Plan
(OHIP) covers the full cost of all necessary:
diagnostic and treatment medical services for all citizens and most permanent
residents in Ontario - coverage includes doctor examinations, most medical testing,
emergency care, hospital care and emergency dental care.
There are 211 hospitals sites across the province, ranging from community emergency
facilities to specialty and research hospitals.

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The Ontario Ministry of Health and Long-Term Care is responsible for regulating and
administering healthcare to all Ontarians.
In 2000, Ontario introduced TeleHealth Ontario, aimed at improving patient access and
the reduction of overall costs ~ 24-hour telephone access to registered nurses for
consultation is provided to OHIP patients.
Ontario’s Health System
Ontario Health System Overview
The Ministry of Health and Long-Term Care

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The ministry is responsible for administering the health care system and providing
services to the Ontario public through such programs as health insurance, drug
benefits, assistive devices, care for the mentally ill, long-term care, home care,
community and public health, and health promotion and disease prevention.
Also regulates hospitals and nursing homes - operates psychiatric hospitals and medical
laboratories – and co-ordinates emergency health services.
Created by Public Health Act of 1882 - first permanent health care administrative body in
the province- Ministry of Health originally known as the Provincial Board of Health of
Ontario - became Department of Health in 1925.
1930 - Department of Hospitals established under direction of first Minister of Health -
became a division of the Department of Health in 1934.
Insured hospital services and insured physicians' services - introduced in 1959 and 1966
respectively - were combined under the Ontario Health Insurance Plan (OHIP) in
The Department of Health became the Ministry of Health in 1971- then the Ministry of
Health and Long-Term Care in June in 1999.
Key Figure
The Honourable George Smitherman, Minister
Emergency Health Services
Land and Air Ambulance
Until beginning of 1998 - operations of all land ambulance services in Ontario fully
funded and directed by the Ministry of Health and Long-Term Care.
In January 1, 1998 - province commenced process of transferring responsibility for land
ambulance operations to upper tier municipalities and designated delivery agents.
In most areas of the province - ministry is still funding and directing the provision of
service - bills municipalities for ½ the cost of land ambulance services.
By January 1, 2001- upper-tier municipalities and delivery agents assumed responsibility
for contracting or directly delivering land ambulance services.
The ministry will continue to fund ½ of the approved cost of land ambulance service
provided by a municipality or delivery agent.
Emergency Management Unit (EMU)
Dec. 2003 - Emergency Management Unit (EMU) created to ensure state of readiness
for any emergency faced by ministry and/or the health care system.
Infection control and surveillance standards - protect against infections - provide early-
warning system for an infectious disease outbreak- minimize likelihood of an
Emergency management plan- stockpiling critical equipment like N95 masks and
respirators and conducting event simulations - prepares ministry for eventuality of an
emergency that has health implications (e.g. power outage, biological accident, or
contaminated water supply).
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