​​Please note: OHA hospital members will need to log into OHA.com to view or download the files or associated resources listed on this page.

The OHA has been collaborating with the Ministry of Health (Ministry) through the Patient-Based Funding (formerly Health System Funding Reform - HSFR) Governance Structure to improve the predictability of funding allocations and to support hospitals with better forecasting their funding Allocations.

FY 2022/23 Results for GEM Projected Expenses

Similar to the previous year, the Ministry will be turning off the redistribution of funding using Case Mix Index (CMI) for the 2022-23 funding allocation. This decision was based on the Hospital Advisory Committee (HAC) recommendation to use the 2019-2020 GEM results of the Growth and Efficiency Model (GEM) for the 2022-23 fiscal year (FY). Although the Ministry is using the same efficiency results, the volume component will use growth projections to 2022. 

FY 2022-23 Expected Unit Cost Results (Formerly "Health-Based Allocation Model (HBAM)"

Ministry has released the FY 2022-23 Preliminary Results to give hospitals the opportunity to understand the provincial GEM projected unit costs. As noted above, HAC recommended removing the redistributive impact of GEM for 2022-23 and the Ministry will confirm funding allocation methodologies for 2022-23 in the short time ahead.

If you note any issues with the results, please contact the Ministry at HSF@ontario.ca.

Quality-Based Procedures (QBP)

The Ministry will be using 2019-2020 QBP volumes and CMI for funding allocations in FY 2022-23. This decision was based on HAC's recommendation to freeze CMIs for the 2022-23 funding allocations. The links below provides a resource that helps hospitals with their planning process for FY 2022-23. 

2022-23 QBP CMI Update: Draft Impact by Hospital and Quality-Based Procedures (QBP) 

Please note that these data are NOT actual funding numbers but are being shared for hospital planning purposes. 

These data show the hospital- and QBP-level impact of a status quo CMI update for non-bundled QBPs when used as in previous years. Hospitals may want to consider this context in their own budgeting process. Please note that:

• The 2022-23 funding CMI is set using 2018-19 clinical data and 2019 case mix methodology.
• The CMI values can be found in the hospital's 2021-22 funding workbook and the QBP tab.
  
• The Ministry is collaborating with Ontario Health/CorHealth to update non-cardiac vascular QBP and spine QBP. Updated CMIs will be shared when they are made  available. 

If you are having any login issues, please email Emitis Moshirzadeh at emoshirzadeh@oha.com.