Ministry of Health – Supplementary Estimates, 2020-21
Supplementary Estimates of the Ministry of Health for the fiscal year ending March 31, 2021 Volume 1.
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 °ÄÃÅÓÀÀû’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 |
Supplementary estimates |
Estimates |
Estimates |
Actual |
|---|---|---|---|---|---|
|
|
Operating expense |
|
|
|
|
| 4 |
$7,560,000 |
$1,511,333,800 |
$1,299,289,000 |
$1,287,519,210 |
|
| 7 |
$4,344,000,000 |
$1,822,900,000 |
- |
- |
|
|
|
Total operating expense to be voted |
$4,351,560,000 |
$3,334,233,800 |
$1,299,289,000 |
$1,287,519,210 |
|
|
Total operating expense |
$4,351,560,000 |
$3,334,233,800 |
$1,299,289,000 |
$1,287,519,210 |
Standard account by item and sub-items
| Vote- item number |
Standard account by item and sub-items | Amount |
|---|---|---|
|
|
Operating expense |
|
| 1406-4 |
Population and Public Health |
|
|
|
Transfer payments |
|
|
|
Official Local Health Agencies |
$7,560,000 |
|
|
Total operating expense to be voted |
$7,560,000 |
| 1406-7 |
COVID-19 Health Sector Response Fund |
|
|
|
Services |
$4,344,000,000 |
|
|
Total operating expense to be voted |
$4,344,000,000 |
|
|
Total operating expense for Population and Public Health Program |
$4,351,560,000 |
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 °ÄÃÅÓÀÀû's share of funding to the Canadian Blood Services and also supports a blood utilization management strategy for °ÄÃÅÓÀÀû. 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 °ÄÃÅÓÀÀû Health Agency and related programs.
Emergency Health Services (EHS) ensures the existence of a balanced and integrated system of emergency health services throughout °ÄÃÅÓÀÀû. 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 °ÄÃÅÓÀÀû’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 |
Supplementary estimates |
Estimates |
Estimates |
Actual |
|---|---|---|---|---|---|
|
|
Operating expense |
|
|
|
|
| 2 |
$44,255,700 |
$1,109,752,100 |
$1,043,710,600 |
$1,042,417,391 |
|
|
|
Total operating expense to be voted |
$44,255,700 |
$1,109,752,100 |
$1,043,710,600 |
$1,042,417,391 |
|
|
Total operating expense |
$44,255,700 |
$1,109,752,100 |
$1,043,710,600 |
$1,042,417,391 |
Standard account by item and sub-items
| Vote- item number |
Standard account by item and sub-items | Amount |
|---|---|---|
|
|
Operating expense |
|
| 1412-2 |
Emergency Health Services |
|
|
|
Transfer payments |
|
|
|
Payments for Ambulance and related Emergency Services: Municipal Ambulance |
$44,255,700 |
|
|
Total operating expense to be voted |
$44,255,700 |
|
|
Total operating expense for Provincial Programs and Stewardship |
$44,255,700 |
Health Services and Programs - vote 1416
The Ministry of Health (the ministry) collaborates with °ÄÃÅÓÀÀû Health (OH) to implement the health system strategies developed by the ministry. While the ministry provides strategic direction and guidance, °ÄÃÅÓÀÀû 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), °ÄÃÅÓÀÀû 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 |
Supplementary estimates |
Estimates |
Estimates |
Actual |
|---|---|---|---|---|---|
|
|
Operating expense |
|
|
|
|
| 1 |
$502,002,900 |
$26,187,024,000 |
$25,223,901,200 |
$24,491,518,739 |
|
|
|
Total operating expense to be voted |
$502,002,900 |
$26,187,024,000 |
$25,223,901,200 |
$24,491,518,739 |
|
|
Total operating expense |
$502,002,900 |
$26,187,024,000 |
$25,223,901,200 |
$24,491,518,739 |
Standard account by item and sub-items
| Vote- item number |
Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
|
|
Operating expense |
|
|
| 1416-1 |
Health Services |
|
|
|
|
Transfer payments |
|
|
|
|
Home Care |
$18,180,700 |
|
|
|
Community Mental Health |
$25,655,400 |
|
|
|
Operation of Hospitals |
$458,166,800 |
$502,002,900 |
|
|
Total operating expense to be voted |
|
$502,002,900 |
|
|
Total operating expense for Health Services and Programs |
|
$502,002,900 |
|
|
Total operating expense for Ministry of Health |
|
$4,897,818,600 |