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Commission on the Reform of Ontario's Public Services

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Appendix: <str<strong>on</strong>g>Commissi<strong>on</strong></str<strong>on</strong>g> Recommendati<strong>on</strong>s<br />

Recommendati<strong>on</strong> 5-98: Put to tender more service delivery, but with <strong>the</strong> criteria for selecti<strong>on</strong><br />

based <strong>on</strong> quality-adjusted metrics ra<strong>the</strong>r than just price.<br />

Recommendati<strong>on</strong> 5-99: Accelerate <strong>the</strong> adopti<strong>on</strong> <strong>of</strong> electr<strong>on</strong>ic records, working in a<br />

bottom-up fashi<strong>on</strong>.<br />

Recommendati<strong>on</strong> 5-100: Adopt <strong>the</strong> Nova Scotia model in which emergency medical<br />

technicians provide home care when not <strong>on</strong> emergency calls; this requires integrating<br />

municipal and provincial funding structures.<br />

Recommendati<strong>on</strong> 5-101: Provide better informati<strong>on</strong> to individuals and families to facilitate<br />

self-care, for people with c<strong>on</strong>diti<strong>on</strong>s such as diabetes.<br />

Recommendati<strong>on</strong> 5-102: Begin a dialogue with Ontarians <strong>on</strong> <strong>the</strong> issue <strong>of</strong> expanding <strong>the</strong><br />

coverage <strong>of</strong> <strong>the</strong> health system to include, for example, pharmaceuticals, l<strong>on</strong>g-term care and<br />

aspects <strong>of</strong> mental health care.<br />

Recommendati<strong>on</strong> 5-103: Involve all stakeholders in a mature c<strong>on</strong>versati<strong>on</strong> <strong>on</strong> <strong>the</strong> future <strong>of</strong><br />

health care and <strong>the</strong> 20-year plan.<br />

Recommendati<strong>on</strong> 5-104: Establish a <str<strong>on</strong>g>Commissi<strong>on</strong></str<strong>on</strong>g> to guide <strong>the</strong> health reforms.<br />

Recommendati<strong>on</strong> 5-105: Do not let c<strong>on</strong>cerns about successor rights stop amalgamati<strong>on</strong>s<br />

that make sense and are critical to successful reform.<br />

505

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