Commission on the Reform of Ontario's Public Services

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CRA Canada Revenue Agency CRF Community Reinvestment Fund CST Canada Social Transfer DAA Delegated Administrative Authorities DRC debt retirement charge EA environmental assessment EASR Environmental Activity and Sector Registry ECA Environmental Compliance Approval ECE early childhood educator EGMS Enterprise Grants Management System EI Employment Insurance ELCC Early Learning and Child Care EMS Emergency Medical Services EO Employment Ontario EPA Environmental Protection Act EQAO Education Quality and Accountability Office ER emergency room ES Employment Service ETFO Elementary Teachers' Federation of Ontario EU European Union FDK full-day kindergarten FHO Family Health Organization FHT Family Health Team 538
FIT feed-in tariff FSCO Financial Services <strong>Commission</strong> of Ontario FSW Federal Skilled Worker FTE full-time equivalent GBE government business enterprise GEO Global Experience Ontario GDP gross domestic product GTA Greater Toronto Area GTHA Greater Toronto and Hamilton Area HBAM Health-Based Allocation Model HOOPP Healthcare of Ontario Pension Plan HOT high-occupancy/toll lane HQO Health Quality Ontario HST harmonized sales tax I&IT information and information technology ICES Institute for Clinical Evaluative Sciences ICT information and communications technology IESO Independent Electricity System Operator INAC Indian and Northern Affairs Canada IO Infrastructure Ontario IP intellectual property IPRC Identification, Placement and Review Committee IPSP Integrated Power System Plan Appendix: List of Acronyms 539
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2012 COMMISSION O N T H E REFORM O
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For electronic copies of this docum
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Chapter 4: Making Transformation Wo
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Chapter 9: Employment and Training
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Chapter 18: Revenue Integrity Incre
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This context lifts the task ahead w
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Action must begin very soon. The de
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xii Dominic Giroux, Commiss
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Photo Credit: Jovan Matic xiv Carol
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First, we assessed the 2011 Budget
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How did we get to this point? For m
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6 TABLE 1. Three Views of the Outlo
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This permits post-secondary educati
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How does our scenario for the perio
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The “don’ts” are proposals th
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Several measures would strengthen t
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Health care is the Ontario governme
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There are inefficiencies in the hea
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20 Service Delivery � Mostly publ
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Our first recommendation is that th
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Evidence should drive policy. Medic
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One potential way to reduce overall
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Elementary and Secondary Education
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Non-Teaching Staff: Since 2002-03,
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Delivering Services More Efficientl
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Simply maintaining the status quo r
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� Mandate agreements should inclu
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Benefit programs are delivered thro
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Child Welfare: In this case, as wit
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With so many services provided by s
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Over the past decade, the Ontario g
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Urban transportation is a particula
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Environment and Natural Resources R
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� Aging infrastructure is deterio
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Labour Relations and Compensation T
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Leaders in the OPS and BPS should b
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In a number of areas, efficiencies
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Revenue Integrity Across a range of
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Contraband tobacco is another issue
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Risks Posed by the Federal Governme
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� Long-term health costs outstrip
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Immigration settlement and integrat
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Chapter 1: The Need for Strong Fisc
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The Budget Scenario Chapter 1: The
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80 60 40 20 0 Rest of Canada Ontari
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Revenue Implications Chapter 1: The
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TABLE 1.1 Three Views of the Outloo
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Conclusion Chapter 1: The Need for
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Chapter 2: The Fiscal Challenge in
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The Challenge Chapter 2: The Fiscal
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Chapter 3: Our Mandate and Approach
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Chapter 5: Health Chapter 5: Health
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Chapter 5: Health Indeed, quality a
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The Cost: Now and Ahead Chapter 5:
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Is the Health Care System Sustainab
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Chapter 5: Health In Ontario, a few
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Chapter 5: Health Case Study #1: A
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Chapter 5: Health Canada’s health
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Canada falls short on many measures
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There are inefficiencies in the hea
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Chapter 5: Health A broader perspec
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Chapter 5: Health However, this is
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Mental health and addiction issues
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Chapter 5: Health Today, however, t
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Service Delivery Chapter 5: Health
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Chapter 5: Health Medical schools p
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Chapter 5: Health There is much to
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Recommendation 5-2: Evaluate all pr
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Chapter 5: Health Several key princ
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Chapter 5: Health There are more th
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Optimize Human Resources Capacity C
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Chapter 5: Health The LHINs should
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Chapter 5: Health Recommendation 5-
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Chapter 5: Health Despite variation
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Chapter 5: Health The ministry shou
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Chapter 5: Health � An “assess
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Chapter 5: Health The Commi
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Cost Efficiencies Chapter 5: Health
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Chapter 5: Health The stakeholders
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Chapter 6: Elementary and Secondary
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Affordability of the Full-Day Kinde
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Class Sizes Chapter 6: Elementary a
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Reform of Provincial Schools Chapte
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Chapter 7: Post-Secondary Education
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Need for Clear Objectives Chapter 7
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9,000 8,000 7,000 6,000 5,000 Unive
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Chapter 8: Social Programs Chapter
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The Challenge Chapter 8: Social Pro
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Chapter 8: Social Programs Recommen
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Chapter 8: Social Programs In the a
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Initial Assessment Chapter 8: Socia
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Chapter 8: Social Programs To quali
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Chapter 8: Social Programs While th
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Youth Justice Chapter 8: Social Pro
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General Approach � Transaction fo
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Employment and Training Services Pr
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Chapter 10: Immigration The Economi
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TABLE 10.1 Permanent Residents Admi
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Chapter 10: Immigration Recommendat
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Other Integration Issues Chapter 10
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TABLE 10.4 Integration Program Fund
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Chapter 10: Immigration A new COIA
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Chapter 11: Business Support Chapte
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� Investment in post-secondary ed
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TABLE 11.1 Total Business Tax Relie
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Types of Business Support Chapter 1
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Chapter 11: Business Support The pr
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Chapter 11: Business Support An Ill
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Chapter 11: Business Support The pr
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Chapter 11: Business Support To fun
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Chapter 11: Business Support Tax ex
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Chapter 11: Business Support For ex
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Appendix 11.1 List of Business Supp
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Chapter 12: Infrastructure, Real Es
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Transportation Chapter 12: Infrastr
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Chapter 13: Environment and Natural
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Reform the approvals process Chapte
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Ring of Fire Chapter 13: Environmen
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Chapter 14: Justice Sector 2010-11
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Recent Expenditures Chapter 14: Jus
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Chapter 14: Justice Sector Public E
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Chapter 14: Justice Sector Continuo
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Chapter 14: Justice Sector Building
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Efficiencies Clustering OPS Adjudic
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Chapter 14: Justice Sector Analysis
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Chapter 14: Justice Sector Recommen
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Chapter 15: Labour Relations and Co
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A Balanced, Effective and Transpare
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Chapter 16: Operating and Back-Offi
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ServiceOntario Transformation Chapt
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I&IT Transformation Chapter 16: Ope
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Back-Office Consolidation Chapter 1
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Chapter 17: Government Business Ent
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Chapter 18: Revenue Integrity Chapt
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Chapter 18: Revenue Integrity Stati
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Uncollected Fines Chapter 18: Reven
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Chapter 18: Revenue Integrity The M
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Tax Revenue Chapter 18: Revenue Int
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CHART 18.2 Assessment and Tax Growt
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Chapter 18: Revenue Integrity The c
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Chapter 18: Revenue Integrity The t
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Chapter 18: Revenue Integrity Appen
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Chapter 19: Liability Management In
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Chapter 19: Liability Management To
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Chapter 19: Liability Management Th
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Chapter 19: Liability Management Bo
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TABLE 19.2 Historical and Projected
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Chapter 19: Liability Management Re
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Chapter 19: Liability Management Re
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Social Housing Chapter 19: Liabilit
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Chapter 19: Liability Management Fo
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Chapter 19: Liability Management Fo
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Chapter 20: Intergovernmental Relat
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CHART 20.1 Ontario’s Share of Fed
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CHART 20.3 Ontario’s Fiscal Gap 1
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Potential Federal Impacts on Ontari
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Long-Term Health Costs Likely Outpa
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TABLE 20.2 Selected Examples of Tra
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CHART 20.7 2011-12 Equalization Ent
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Canada Social Transfer Chapter 20:
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Chart 20.10 Employment Outcomes for
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Green Energy Chapter 20: Intergover
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Environmental Protection and Regula
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CHART 20.11 2009 Municipal Revenues
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Infrastructure, Real Estate and Ele
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Page 505 and 506: Appendix 1: Commission</str
Page 507 and 508: Chapter 1: The Need for Strong Fisc
Page 509 and 510: Appendix: Commission</stron
Page 529 and 530: Chapter 7: Post-Secondary Education
Page 533 and 534: Recommendation 8-9: Advocate for fe
Page 535 and 536: Chapter 9: Employment and Training
Page 537 and 538: Chapter 11: Business Support Append
Page 539 and 540: Chapter 12: Infrastructure, Real Es
Page 541 and 542: Chapter 13: Environment and Natural
Page 543 and 544: Chapter 15: Labour Relations and Co
Page 545 and 546: Chapter 16: Operating and Back-Offi
Page 547 and 548: Chapter 17: Government Business Ent
Page 549 and 550: Chapter 18: Revenue Integrity Appen
Page 555: Appendix 2: List of Acronyms ABCs a
Page 559 and 560: MTCU Ministry of Training, Colleges
Page 561 and 562: REA Renewable Energy Approval RFP r
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Commission on the Reform of Ontario's Public Services

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