Health System Funding Reform (HSFR)

In January 2012, the government introduced Ontario's Action Plan for Health Care. Our vision is to make Ontario the healthiest place in North America to grow up and grow old.

Ontario's health care system is moving away from a global funding system to a model that primarily follows the care that patients need and will be provided to them. A small portion will remain as global to cover facility level operating costs.

Under the new model, Ontario's hospitals, Community Care Access Centres and long-term care homes are compensated based on how many patients they look after, the services they deliver, the evidence-based quality of those services, and the specific needs of the broader population they serve.

Where can I get more information?

  • Email us at
  • Call our hotline at 416-327-8379
  • Stakeholders in the health care sector may access a password protected site for additional background material.  Instructions to access this site can be found at

Why is the government doing this now?

In 2012-13, health care consumed 42 cents of every tax dollar. Without a change of course, health spending would eat up 70 per cent of the provincial budget within 12 years.

Our population structure is changing. We're living longer and as we age, the more we depend on our health care system. We now have access to more and better drugs to prevent and treat disease, and there is a rise in the rate of chronic disease such as diabetes and high blood pressure.

The current rate of growth is not sustainable. To ensure the health care system is there for our loved ones and future generations, we must start doing things differently.

What are the benefits of Health System Funding Reform?

The main benefits of Health System Funding Reform (HSFR) include :

As of 2015/2016, HSFR will comprise 70 per cent of the funding envelope provided to hospitals with the remaining 30 per cent based on global funding.

There are two key components to HSFR :

For More Information

Call ServiceOntario, Infoline at 1-866-532-3161
In Toronto, 416-314-5518
TTY 1-800-387-5559
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm