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Niagara Ontario Health Team - Équipe Santé Ontario Niagara


The Ontario Ministry of Health announced a new vision for health care. A key element of their strategy is setting up Ontario Health Teams. The teams are groups of care providers and organizations that are clinically and financially accountable for delivering a full and coordinated continuum of care to a defined population.

The goal is a health care system where patients, clients, families and caregivers can seamlessly transition between services, such as:

  • Moving in or out of hospital
  • Coordinating home and community care with their family doctor
  • Transitioning to long-term care

Benefits would include having better access to health care records and being active partners in care decisions.


The evolution to Ontario Health Teams is happening in stages.

The ministry asked health care providers and agencies across the province to complete a self-assessment. It outlined how they can work together to form an Ontario Health Team in their geographic area.

  • 157 self-assessments were submitted from across the province
  • 31 teams were invited to submit a full application
  • 43 teams were invited to continue developing their self-assessments to move to a full application in the future

The Niagara Ontario Health Team - Équipe Santé Ontario Niagara was one of the 31 teams invited to submit a full application.

On Oct. 8, 2019, the team submitted the full application to the Ministry of Health. Within the team, there are over 44 organizational partners, 60 primary care physicians and 6 patient / client, family and caregiver advisors.

Next steps

Full application submissions will be evaluated by third-party reviewers and the Ministry of Health. It will be evaluated against standard criteria that reflect the readiness and ability of teams to successfully implement the model and year 1 expectations. After the evaluation, teams will either be:

  • Invited to move to the final stage of evaluation, or
  • Continue to work towards readiness as a team in development

Those teams most ready to move to the final stage of evaluation may be invited to participate in community visits. This will further inform the final selection of the first cohort of Ontario Health Team candidates.

Commitment to ongoing collaboration

The Niagara Ontario Health Team - Équipe Santé Ontario Niagara is committed to ongoing collaboration and recognizes the collective benefits of a continued partnership to form one Ontario Health Team. The team acknowledges that this is the beginning of an iterative journey to deliver on the vision of a full continuum of care that is:

  • Integrated and innovative
  • Improves health outcomes
  • Improves the patient / client and provider experience
  • Ensures value for our broader Niagara community
  • Guiding principles
    • Commitment to our patients / clients, caregivers and families and to the quadruple aim
    • Authentic partnership and co-design
    • Collaborative culture
    • Population health, equity and access
    • Coordination and integration
    • Spread and sustainability
    • Innovation and excellence
    • Commitment to quality improvement
    • Creativity / continuous learning
    • Commitment to a journey
    • Digital transformation
  • Partners
    • Alzheimer Society of Niagara Region
    • ARID Recovery Homes
    • Benevolent Society "Heidehof" for the Care of the Aged
    • Brain Injury Community Re-Entry (Niagara) Inc.
    • Bridges Community Health Centre
    • Brock University - Faculty of Health Sciences
    • Canadian Mental Health Association - Niagara
    • Centre de santé communautaire Hamilton / Niagara
    • Community Addiction Services of Niagara
    • Community Support Services of Niagara
    • Consumer / Survivor Initiative of Niagara
    • Contact Niagara for Children’s and Developmental Services and provincial coordinator of the Independent Clinical Review process for the Ontario Autism Program
    • Entité2 de planification des services de santé
    • Falls Family Health Organization
    • Fort Erie Meals on Wheels
    • Foyer Richelieu Welland
    • Garden City Family Health Network
    • Gateway Residential and Community Support Services
    • Hamilton Niagara Haldimand Brant Local Health Integration Network
    • Hospice Niagara
    • Hotel Dieu Shaver Health and Rehabilitation Centre
    • Mapleview Medical Clinic Family Health Organization
    • March of Dimes Canada - Niagara
    • McMaster University - Niagara Regional Campus, Michael G. DeGroote School of Medicine
    • Meals on Wheels Niagara Falls / Niagara-on-the-Lake
    • Meals on Wheels Port Colborne
    • Niagara College - Faculty of Community and Health Studies
    • Niagara Falls Community Health Centre
    • Niagara Health
    • Niagara Ina Grafton Gage Village
    • Niagara Medical Group Family Health Organization
    • Niagara Medical Group Family Health Team
    • Niagara North Family Health Team
    • Niagara-on-the-Lake Family Health Network
    • Oak Centre Alternative Community Support
    • Pathstone Mental Health
    • Portage Medical Group Family Health Organization
    • Portage Medical Family Health Team
    • Positive Living Niagara
    • Quest Community Health Centre
    • Radiant Care: Mennonite Brethren Senior Citizens Home - Tabor Manor and Pleasant Manor Retirement Village
    • Niagara Region
    • Wayside House of St. Catharines
    • United Mennonite Home for the Aged

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