Healthcare Quarterly

Healthcare Quarterly 26(2) July 2023 : 37-42.doi:10.12927/hcq.2023.27146
New Approaches to Funding Models

A Clinical Consensus Approach to Developing a New Funding Model for Radiation Services in Ontario

Suzanna Apostolovski, Farzana McCallum, Carina Simniceanu, Julie Kraus, Eric Gutierrez, Brian Liszewski, Emma Esselink, Jean-Pierre Bissonnette, Margaret Hart, Michael Brundage, Padraig Warde and Jason Pantarotto

Abstract

In 2021, Ontario Health (Cancer Care Ontario) introduced a quality-based procedure model for the funding of radiation treatment (RT) in Ontario. This model ties reimbursement to patient care activities, ensuring equity and transparency in funding. Over 200 RT interprofessionals (oncologists, therapists and physicists) participated on 22 expert panels to establish or identify 288 evidence-based RT protocols and 672 quality expectations (QEs) to optimally deliver RT, which eventually led to the micro-costing of all protocols. Iterative review is required to ensure updated techniques and identify evolving standards of care, thereby providing the highest quality of RT care to Ontarians.

 

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