Independent Health Facilities


What's New

July 9, 2020 – Checklist for Infection Prevention And Control (IPAC) During the Pandemic

On July 9, 2020, the ministry sent an email blast to all IHF Licensees, Quality Advisors and Staff regarding the work done by Public Health Ontario (PHO), in conjunction with the College of Physicians and Surgeons of Ontario (CPSO), to create a Checklist for IPAC in IHFs and OHPs during the pandemic. Please see attached a link to the CPSO webpage for the checklist: www.cpso.on.ca/CPSO/media/Documents/physician/your-practice/quality-in-practice/clinic-inspections-special-programs/ohp-ipac/ipac-checklist-covid-19-assessment.pdf

Prior to restarting or continuing to provide services, IHFs should complete an organizational risk assessment (ORA) that assesses the efficacy of control measures that are in place to mitigate the transmission of infections. The checklist should be used by those working in IHFs for self-assessment and to guide policies, procedures, preparedness and response planning. This assessment checklist is to be used in addition to—and does not replace—the advice, guidelines, recommendations, directives, or other direction of provincial Ministries and local public health authorities.

Until further notice, this checklist will be utilized by the CPSO as a part of the assessment process.

April 23, 2020 – COVID-19 Advance Payment Program

The Ministry of Health (ministry) recognizes that Independent Health Facilities (IHFs) are a critical partner in the fight against COVID-19. The ministry is committed to working with IHFs who have been affected by the outbreak, including those who are unable to deliver their regular types of services during this time.

The ministry is establishing an advance payment program to provide payments to eligible IHFs to address any cash flow issues that may arise during the COVID-19 outbreak. This will ensure IHFs have funding available to sustain their operations during this difficult time and enable them to return to regular operation as soon as the outbreak begins to subside.

Ministry Bulletin 2145 provides more detailed information on the advanced payment program.

March 31, 2020 – Kaplan Board of Arbitration Award; Year 2 (2018–2019) Physician Compensation Increases

The Ministry of Health and the Ontario Medical Association have been working together to implement the compensation adjustments on eligible physician payments outlined in Section 21(a) of the Binding Arbitration Framework (BAF) in accordance with the 2019 Kaplan Board of Arbitration Award.

Ministry Bulletin 4751 provides more detailed information on the compensation adjustments which also covers facility fee payments for the period of April 1, 2018, to March 31, 2019.

January 24, 2020 – Email sent to all IHF Licensees regarding Novel Coronavirus

On January 24, 2020, the Independent Health Facilities Program sent an email to all IHF Licensees, including attachments, regarding the novel coronavirus. The novel coronavirus is now reportable to public health and a case definition has been created for reference. The reporting requirements are applicable to all IHFs. If you did not receive the email please contact the IHF Program area at: IHFP@ontario.ca.

As identified, health sector partners can contact the Ministry of Health’s, Health System Emergency Management Branch at 1-866-212-2272 (24/7) or during business hours at eocoperations.moh@ontario.ca  if they have any questions or concerns.

Additional questions can also be sent to ihfp@ontario.ca for response or redirection.

December 4, 2019 - Kaplan Board of Arbitration Award; Year 1 (2017-2018) Physician Compensation Increases

The Ministry of Health and the Ontario Medical Association have been working together to implement the compensation adjustments on eligible physician payments outlined in Section 21(a) of the Binding Arbitration Framework (BAF) in accordance with the 2019 Kaplan Board of Arbitration Award.

Ministry Bulletin 4732 provides more detailed information on the compensation adjustments which also covers facility fee payments for the period of April 1, 2017, to March 31, 2018.

September 6, 2019 – Kaplan Board of Arbitration Award - Appropriateness Working Group (AWG): Changes to the Schedule of Facility Fees effective October 1, 2019.

The Ministry of Health and the Ontario Medical Association (OMA) have achieved a new Physician Services Agreement under the Binding Arbitration Framework. As directed by the February 2019 Kaplan Board of Arbitration Award, the ministry and the OMA formed the AWG with a mandate to use evidence, best practices and expert opinion to identify and update the delivery of certain services to help ensure the most effective care for Ontario patients.

In order to implement these changes, amendments have been made to the Schedule of Facility Fees. Ministry bulletin 2141 outlines the changes and provides references to more detailed information. The changes involve revised fee codes/descriptions and a removed fee code.

July 17, 2019 – Public Health Ontario IPAC

Public Health Ontario (PHO) has updated the Infection Prevention and Control (IPAC) checklists. As per the ministry's July 9, 2019, letter to all licensees and quality advisors please review and ensure that the current standards are being implemented. As of March 2018 the College of Physicians and Surgeons of Ontario (CPSO) is utilizing the PHO checklists during an assessment of an IHF to confirm compliance with IPAC requirements. The CPSO will be implementing the revised checklists in the near future as a part of the upcoming assessments. For more information visit Public Health Ontario.

July 9, 2019 – Infection Prevention and Control (IPAC) within IHFs

On July 9, 2019, the ministry sent all IHF licensees and quality advisors a letter regarding IPAC. The purpose of the letter is to remind licensees of the importance of adhering to IPAC standards to protect patients, staff and members of the public from infectious diseases. The mail out requires licensees to return a signed Confirmation and Acknowledgement form to the ministry indicating that the licensee and quality advisor have reviewed the requirements and believe that the IHF is in compliance. A separate form must be submitted for each IHF. Email the ministry at IHFP@ontario.ca to receive a copy.

June 27, 2019 – ALARA Policies and Procedures

On June 27, 2019, the ministry sent IHFs licensed for diagnostic radiology, MRI, CT and PET/CT services a letter regarding ALARA (As Low As Reasonably Achievable). The purpose of the letter is to ensure that the ALARA principle is being followed at your facility as per the Clinical Practice Parameters and Facility Standards for the appropriate modality. Visit the College of Physicians and Surgeons of Ontario (CPSO) for the current CPPs for each modality.

April 1, 2019 – IHF Licensee Requirements Related to DMS Staff

On April 1, 2019, the ministry emailed a letter to all IHFs licensed to provide general ultrasound services. The letter is a reminder to these licensees that they have mandatory reporting obligations regarding DMS staff. If you did not receive an email with the letter please email the IHFP generic account or see the attached link directly to the CMRTO webpage.

March 28, 2019 – Kaplan Board of Arbitration Award Phase One Award Elimination of Payment Discounts Effective April 1, 2019

The Ministry of Health and Long-Term Care has been working with the Ontario Medical Association (OMA) toward achieving a new Physician Services Agreement under a Binding Arbitration Framework. Phase One of the February 2019 Award from the Kaplan Board of Arbitration includes the elimination of the some physician payment discounts through amendments to physician compensation under contracts and under Reg. 552 of the Health Insurance Act effective April 1, 2019. Details are available in the ministry bulletin 2140.


The Independent Health Facilities Program licenses, funds and coordinates quality assurance assessments of community-based non-hospital facilities in Ontario that provide insured diagnostic services (ultrasound, x-ray, pulmonary function, nuclear medicine and sleep studies) and/or insured surgical/treatment services (e.g., cataract surgery, dialysis, plastic surgery).

For More Information

If you have any questions or concerns regarding the information provided on this webpage please contact the Independent Health Facilities Program at 613-548-6637.