B3-b - Ontario Health Teams: What Every FHT Should Watch For

3. Integrated care and community response

  • Date: Thursday, October 8, 2020
  • Concurrent Session B
  • Time: 1:45 pm - 2:30 pm
  • Style: Live Workshop
  • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
  • Target Audience: Leadership, Clinical providers, Administrative staff
    , Representatives of stakeholder/partner organizations

Learning Objectives

Participants will leave this Workshop with:

  • Understanding of Ministry collaborative decision making requirements  
  • Knowledge of different decision-making models among existing Ontario Health Teams  
  • Ability to identify challenges  and take proactive steps for meaningful FHT engagement in Ontario Health Team development.

The ultimate goal is for every FHT to leave this Workshop empowered to exercise an active voice in Ontario Health Team governance and system design and advance the long-term interests of the FHT and its Board.


On June 6, 2019, the Connecting Care Act, 2019 came into force, substantially transforming Ontario’s health system. Ontario Health Teams (OHTs) have been created, which are groups of health care providers and organizations that will be jointly clinically and fiscally accountable for delivering a full and coordinated continuum of care. In December, the Government announced the first 24 Approved OHTs.    

On July 23, 2020, the Government announced the restart of the OHT implementation process which had been paused in order for the sector to respond to the COVID-19 pandemic. Five new OHTs have been announced and 17 other groups “In Development” have been invited to submit Full Applications.    

The Ministry has prescribed requirements for collaborative decision-making, emphasizing the importance of primary care as key OHT members. OHT governance and decision-making structures are by self-design and each OHT has the flexibility to develop its own model and supporting documentation. Shared leadership models must balance the systems perspective with every member’s individual interests. At maturity, OHTs are intended to be jointly clinically and fiscally accountable and it is therefore essential that FHTs exercise an active voice in OHT governance design in order to secure the future role of the FHT in OHT collaborative decision-making.    

The goal of this presentation is to educate FHTs on the minimum Ministry requirements, empower FHTs with understanding of the OHT models available, and provide proactive action items to support FHTs in participating in OHT governance and system design.


  • Karima Kanani, Partner, Miller Thomson LLP