New Funding Model

Funding Review

Approach and Objectives

•The ministry initiated a process to review provincial funding provided to boards of health in an effort to ensure a fair, transparent, and consistent method of funding.

•The FRWG was struck with a mandate to provide advice to the ministry on a future public health funding model.

Funding Review

Approach and Objectives

•The FRWG was struck with a mandate to provide advice to the ministry on a future public health funding model.

– Membership consisted of representation from boards of health, public health units, alPHa, AMO, and the City of Toronto.

Funding Review

Approach and Objectives

•The overall objectives of the review were to:

– Develop a needs-based approach to public health funding;

– Improve funding responsiveness to service needs through the inclusion of equity and population adjustment factors; and,

– Reduce funding inequities among boards of health over time.

Funding Review

Approach and Objectives

•The review was not intended to make a recommendation on the current provincial/municipal cost-sharing formula, it focused on provincial funding only.

In developing the public health

funding model, the FRWG:

Reviewed and analyzed historical

and current funding levels.

Examined prior public health

funding reviews and reports and

information from other jurisdictions.

Established sub-committees to

conduct research and make

recommendations on key

issues/areas.

Reviewed potential components

and indicators for the model.

Developed the respective scaling

and weighting of various

components.

Sought input from the field on the

proposed model elements.

• The FRWG submitted its report and findings to the ministry for consideration in December 2013.

• The recommendations support the creation of a public health funding model with an “upstream” approach incorporating socio- economic determinants of health.

• An equity-adjusted population model was recommended that takes into account population as well as equity measures.

• The resulting model has two (2) groups of equity factors (and associated indicators).

Aboriginal

Ontario Marginalization Index

Preventable Mortality Rate

Public Health Funding ModelPublic Health Funding Model

Equity-Adjusted Population ModelEquity-Adjusted Population Model

Service Cost

Drivers

Service Cost

Drivers

Drivers of

Need

Drivers of

Need

IndicatorsIndicators

Geography

Language

Public Health Funding Model

Mandatory Programs Funding Model Share Status

QUESTIONS ?