For decades, Ontario’s health-care system has been focused on hospital care. As far back as 2012, with the release of ECCO 1.0, RNAO called for Ontario to refocus its attention from hospital care to much-needed and strengthened community care. RNAO continues to sound the alarm on the need to put more resources into primary care, home and community care to decrease the number of patients in hospital.
RNAO’s response to this consultation is informed by RNAO's LTC Best Practices Program and its Clinical Pathways Program and the research that supports those programs. In our analysis of the proposals, we focus on suggestions that would strengthen the Fixing the Long-Term Care Act, including enhancing dementia care and supports for residents, families and caregivers, and enabling NPs to fulfil clinical director roles. We also address health human resource gaps with proposals to target anti-Black racism, ensure competitive compensation and advance a Nursing Home Basic Care Guarantee.
The proposed and amended regulations address OHT governance, including the definition of OHT coordinating corporations. RNAO offers several recommendations in response and calls on the Minister to immediately release the "OHT maturity framework" as an evergreen document and contextual centerpiece for ongoing engagement with system stakeholders, arguing that this would bring coherence to the transformation process and focus stakeholder engagement.
RNAO released ECCO 3.0 in May 2020 in the midst of a global pandemic and ongoing health system transformation. Since ECCO 1.0 was released in 2012, RNAO has consistently fought for an accessible, equitable, person-centred and publicly-funded health system
Other policy documents related to health system transformation:
© 2025 RNAO. All rights reserved.
