On behalf of Ontario hospitals, the Ontario Hospital Association (OHA) has developed a report: Ontario Hospitals, Leaders in Efficiency. Through a brief narrative, together with a considerable body of supporting evidence, including a series of detailed charts, the report offers a wider-lens view of the hospital sector's past and present state.

Ontario hospitals are fiscally-responsible and have always strived to maintain access to high-quality care in the communities they serve. Ontario hospitals lead the country with their longstanding, lean operational performance. However, they are clearly showing signs of strain – largely due to multiple years of funding restraint, the lack of system-wide capacity planning, significant demographic growth and a shortage of capacity in other health sectors.

Given the extraordinary gains in efficiency made by Ontario hospitals, the expectation that more can be harvested simply isn't realistic, and at many organizations, continued access to high-quality hospital services is now at risk.