OHA's 2025 Year in Review

​​​​​​​Photo caption: (left to right) Imtiaz Daniel, Chief Innovation and Transformation Officer, Ontario Hospital Association and Vivian Tan, Vice President, Strategic Information Management and Global Relationships​, Kaiser Permanente.


The past year brought significant challenges and change for Ontario’s hospitals. Against a backdrop of fiscal pressures, evolving policy priorities, and growing population needs, the Ontario Hospital Association (OHA) worked to strengthen the collective voice of its members. Through focused advocacy and evidence-based analysis, the OHA supported hospitals through uncertainty while advancing priorities from health system stabilization to digital innovation and research.  

This Year in Review reflects the sector’s resilience, collaboration, and commitment to delivering high-quality, equitable care.


Ensuring Financial and Operational Stability for Ontario Hospitals

In 2025, the OHA advocated for sustained, targeted multi-year hospital funding, securing Bill 124 reimbursements and working closely with the Ministry of Health and Ontario Health (OH) to underscore the sector’s financial needs. The OHA emphasized that short-term funding cannot address rising capacity pressures driven by a growing and aging population.  

To support this work, the OHA developed population-based financial models and working capital analyses that clarified the key pressures hospitals face. These data-driven insights shaped pre-budget recommendations and informed government decision-making on operational and financial priorities. 

  • Bill 124 funding secured and ongoing advocacy with the Ministry of Health and Ontario Health ensured hospitals had the resources needed to address capacity pressures

  • Population growth-based modelling helped spotlight key pressures and opportunities, giving policy makers clear, data-driven insights into hospital performance.

  • Successful labour negotiations with the Ontario Nurses’ Association, and ongoing talks with OPSEU, CUPE, and SEIU, helped maintain a stable hospital workforce during a challenging year.

Provincial Advocacy 

In the shifting 2025 political landscape marked by federal and provincial elections and new economic pressures such as the US trade war, the OHA supported members with pre-election advocacy guidance and engaged ministries throughout the 2025-26 budget process. While the budget delivered important investments, it fell short of hospitals’ revenue needs. The OHA continues to press for a long-term, multi-year funding approach that supports effective planning. 

Labour Relations 

In 2025, the OHA supported hospitals through several major collective bargaining cycles, reaching a renewed agreement with the Ontario Nurses’ Association and initiating renewal negotiations with OPSEU, CUPE, and SEIU. These proactive efforts helped sustain workforce stability amid political and economic uncertainty.  ​

The OHA’s work in 2025 underscores its commitment to both immediate financial stability and long-term planning for hospitals. Through advocacy, evidence-based analysis, and labour negotiations, the OHA strengthened hospitals’ ability to respond to capacity challenges and continue delivering high-quality care to Ontarians. 

Legislative Support for Hospitals 


The OHA advanced key regulatory and policy priorities in 2025. It provided formal input to Ontario’s Information and Privacy Commissioner on responsible use of artificial intelligence (AI) scribes and submitted hospital-sector feedback to the Ministry of Health on proposed licensing of community-based endoscopy services under the Integrated Community Health Services Centres Act (ICHSCA). The OHA also developed tailored resources to help members meet their fiduciary obligations following the Ministry’s Health Sector Stabilization Plan.

In a major sector-wide development, the OHA was granted intervenor status in Hospital for Sick Children v. Ontario (IPC), a case shaping privacy breach notification requirements under the Personal Health Information Protection Act, 2004. Although the decision was upheld, the OHA ensured members’ concerns about notification thresholds and costs were clearly represented. Across these initiatives, the OHA equipped hospitals with the tools, insights, and advocacy needed to navigate an increasingly complex regulatory environment. 


Addressing Health System Capacity and Challenges

Public and Media Engagement

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The OHA continued proactive public and media engagement to underscore the sector’s $1 billion funding needs and the importance of strong, independent local governance. The OHA emphasized the vital role of voluntary, community-based boards in ensuring effective oversight and responsive, community-driven care (see Hospitals as Community Anchors section).

For more than two decades, the OHA has worked with the Ministry of Health to strengthen hospital governance, helping boards navigate evolving system challenges. Through public statements and media outreach, the OHA highlighted the financial and operational pressures facing hospitals — from demographic shifts to rising chronic disease — and reinforced the sector’s record of efficiency and responsible stewardship.

Photo caption: Anthony Dale, President and CEO, Ontario Hospital Association
  • $1 billion funding needs addressed through statements and broad media coverage

  • Ontario Hospitals — Leaders in Efficiency (Third Edition)​, was released to outline hospitals’ record of efficiency while emphasizing need for innovation and system-level planning​

  • Pre-budget advocacy 2026–27 with an advisory group shaping recommendations to address short- and long-term pressures.

Leaders in Efficiency 

The third edition of Ontario Hospitals — Leaders in Efficiency showcased the sector’s longstanding efficiency and need for greater system-level planning. The report highlighted how hospitals are refining operations through virtual care, AI, and service integration. While hospitals have delivered exceptional value for decades, population growth, aging, and rising chronic illnesses outlined in the Projected Patterns of Illness in Ontario are creating unprecedented pressures. The OHA called for coordinated planning, infrastructure investment, and support for productivity-​enhancing innovations.​
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Ontario Hospitals — Leaders in Efficiency​ (Third Edition) gain​ed broad media coverage, including interviews with Anthony Dale, President and CEO, on CP24 Live and with the Ottawa Citizen, as well as appearances by Melissa Prokopy, Vice-President on The Mike Farwell Show on CityNews Radio Kitchener.

The report’s release received additional media coverage online, on broadcast television and radio across Ontario such as CTV Your Morning and Global News Morning Toronto.​

Hospital Sector Stabilization Plan


Ontario hospitals faced a demanding year as the Ministry of Health and Ontario Health introduced the Hospital Sector Stabilization Plan (HSSP), requiring hospitals to submit three-year scenario plans based on reduced revenue assumptions. The OHA supported members with tools, analysis, and guidance to help boards and leadership manage these complex requirements.

Amid broader economic uncertainty and a growing deficit projected by the Financial Accountability Office (FAO), hospitals continued to demonstrate strong stewardship and innovation while maintaining high-quality care. 

The OHA also launched its 2026-27 pre-budget advocacy, establishing an advisory group to shape recommendations that address immediate pressures and long-term system needs. Throughout, the OHA stressed the importance of realistic financial assumptions and operational clarity to support effective hospital planning. 


Innovation and Clinical Advancement 

Health Research and Federal Partnerships 

At the federal level, the OHA worked with members to define clear election priorities and strengthen relationships with the Government of Canada. After the election, the OHA submitted recommendations to the Parliamentary Standing Committee on Finance and the Department of Finance, urging accelerated health research commercialization and stronger efforts to attract global talent. 

The OHA also addressed the impact of U.S. trade tariffs on hospitals, submitting a detailed brief that helped secure a six-month relief period on essential U.S.-imported medical goods — reinforcing the OHA’s commitment to protecting hospital operations and advancing Canada’s health innovation leadership. 

Ethical Artificial Intelligence and Innovation​

As AI rapidly reshapes health care, the OHA launched the Ontario Hospital Executive Program in Artificial Intelligence: Building a Blueprint to Harness AI in Health Care with the University of Waterloo to help hospital leaders understand how to strategically leverage AI to improve outcomes, efficiency, and system performance. 

The OHA is harnessing expertise across the sector, prioritizing high-impact initiatives, and accelerating the spread of proven innovations. Its goal is to build a collaborative ecosystem that lifts all hospitals across Ontario.  


Long-Term Health Policy 

The OHA launched its Health Policy and Applied Research Lab (Lab) to connect evidence-based research with long-term health policy. Through expert engagement, the Lab will produce practical tools for members and create new opportunities for collaboration and knowledge exchange, supporting a more resilient, high-performing health system. 

The OHA published its first scoping review on High Performing Health Systems and will continue developing foundational resources to support members.  

Hospital-Based Research 

The OHA established a Mental Health and Addictions (MHA) Committee to guide advocacy for hospitals delivering MHA services. The OHA also contributed to health professional education policy and worked with government and system partners to address physician-hospital issues. 

Through its Research and Innovation Committee, the OHA advanced equitable research capacity by launching a pilot Hospital-Based Community of Practice with 17 academic and community hospitals. Ongoing evaluation will inform a scalable, province-wide platform. The OHA also submitted federal pre-budget recommendations to strengthen Canada’s health research leadership and support national innovation competitiveness.  

Rehab-CCCEssential Partners 

The OHA strengthened advocacy for Rehabilitation and Complex Continuing Care (Rehab-CCC) hospitals by establishing clear key messages that position the sector as a critical partner across the continuum of care. The OHA highlighted Rehab-CCC’s specialized role in restoring independence, reducing re-admissions, and improving system flow to underscore the sector’s untapped potential and support both immediate acute-care pressures and long-term system readiness. ​

Data and Analytics Tools to Support Informed Decision-Making 

The OHA made significant advancements to enhance its data and analytics tools, supporting hospitals in their decision-making, planning, and equity efforts. 

Ontario Healthcare Reporting Standards (OHRS) training will be offered to members in the new year providing more accessible and flexible learning options that build confidence in using funding and performance data.  ​


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Patient Experience and Quality Improvement 

This year marked significant progress in improving patient experience across the province. The OHA launched a beta version of its patient experience peer-benchmarking dashboard, giving hospitals meaningful comparisons to guide local improvement.  

In partnership with the Critical Care Services Ontario (CCSO), the OHA modernized care experience measurements with shorter surveys and standardized processes. Responding to sector needs in mental health and addictions, the OHA worked with the Centre for Addiction and Mental Health (CAMH) to refresh quality improvement tools and introduced the Ontario Adult Outpatient Care Short-Form (OAOC-SF) survey — enabling the first province-wide benchmarking of outpatient virtual care. 

Participation in the OHA’s measurement program reached a new high, with over 75% of hospitals engaged, including Mental Health and Addictions specialty hospitals for the first time. 

Integrated Health Data to Connect the System 

The Integrated Decision Support (IDS) program advanced its platform modernization to better support Ontario’s health system. Hospital participation grew to more than 80% of provincial cases, and data integration expanded to include primary care teams, community health centres, pandemic services, and long-term care homes. IDS also partnered with EMHWare to pilot data sharing with community support services and Canadian Mental Health Association organizations. 

To align with evolving reporting requirements, IDS began planning for future support of CIHI’s transition to real-time Integrated interRAI Reporting System submissions across complex care and long-term care. Throughout the year, IDS continued its agile delivery of new features, dashboards, and reports to meet subscriber needs and priorities from the Ministry of Health, OH, and CAMH. ​


Hospitals as Community Anchors 

Good Governance 

GGG Social Graphic 2.jpgHealth care remains one of the fundamental underpinnings of Canadian society, and Ontario’s independent governance model is a great strength to the province. The OHA continues to shape advocacy strategies to ensure governance remains central to hospital leadership. 

Recognizing the importance of compliance and governance, the OHA released the Guide to Good Governance (Fourth Edition), first launched in 2005 as the definitive resource for hospital boards. A new Guide to Hospital Statutory Compliance also offers practical tools and checklists to help hospitals manage risk and meet regulatory obligations.  

Leading Change in Communities 

Across Ontario, hospitals are increasingly embracing their roles as anchor institutions — large, local organizations uniquely positioned to influence social determinants of health. From food banks and culturally safe healing spaces to health literacy programs and career support for underserved populations, hospitals are demonstrating the power of intentional, community-driven partnerships. 

  • Guide to Good Governance, Fourth Edition and Guide to Hospital Statutory Compliance, was released to provide practical tools and checklists for hospitals to manage risk and meet regulatory obligations.
  • Continued dialogue and formal feedback with the Ministry of Health and the Privacy Commissioner on critical issues from AI use in health care to community-based endoscopy services,

  • Tailored resources, including board materials and legal insights, to help hospital leaders fulfill fiduciary duties amid evolving system reforms.

  • Hospitals as anchor institutions, promoted through evidence-based strategies to help organizations strengthen their role in addressing social determinants of health through local partnerships.


Screenshot 2025-12-02 122534.pngThe OHA’s Health Policy and Applied Research Lab published Hospitals as Community Anchors: Adopting an “Anchor Mission’, highlighting how hospitals can use their influence to improve health and reduce system strain. The OHA supports hospitals in addressing upstream social determinants through collaboration and engagement. 

At this year’s Health Care Leadership Summit, leaders emphasized the role of anchor institutions and the need for evidence-based innovation to advance high-quality, equitable care. The OHA continues to provide actionable insights, recommendations, and practical resources to help hospitals adopt and scale proven innovations.  

Indigenous Health and Cultural Safety 

The OHA advanced its role as a trusted ally in Indigenous health. Guided by Indigenous leaders, the OHA engaged hospitals and established a leadership committee to shape strategic priorities, building on work from the Health Care Leadership Summit. At the Summit, executive leaders explored responses to the Truth and Reconciliation Commission’s Calls to Action and, alongside Dr. Allison Crawford and Dr. Rennie Linklater, discussed culturally affirming hospital experiences for Indigenous patients, families, and providers.

Strategic advocacy and partnership furthered this work. The OHA formalized a collaboration with the Indigenous Health Action Network (IHAN), of the Toronto Academic Health Sciences Network (TAHSN) to support rights-based approaches and patient experience measurement. It also mobilized sector support with Indigenous leaders to urge the federal government to honour funding for the new Weeneebayko Area Health Authority (WAHA) hospital.  ​

The OHA released a statement on the WAHA Redevelopment Project and there has been additional media coverage (such as The Globe and Mail) highlighting the OHA’s involvement to ensure funding commitments are upheld.

Finally, OHA staff strengthened their understanding of systemic inequities and cultural safety through San’yas Indigenous Cultural Safety and Allyship training and a program of experiential learning.  


Looking Ahead  

The OHA remains steadfast in its commitment to action and progress. Building on the strong foundation laid this year across governance, innovation, health policy, and community partnership, our focus will be on advancing long-term system planning, strengthening hospital capacity, and accelerating the spread of proven innovations that improve care quality and patient experience.  

We will continue to deepen partnerships and expand efforts to advance equity and Indigenous health and enhance our data and analytics capabilities to empower evidence-based decision-making. Guided by collaboration and a shared vision for an adaptable health system, the OHA will continue to support hospitals in navigating today’s challenges to shape a better and stronger health care system for all Ontarians.