Fraser Institute issues Ontario
TORONTO – The Fraser Institute, a
conservative think-tank, has released a peer-reviewed and risk-adjusted
study that compares the performance of Ontario’s 136 acute care
However, only 17 hospitals agreed to be named in this year’s report, a
significant drop from the first report card for Ontario in 2006, when 43
hospitals agreed to be identified.
“By refusing to be identified, Ontario hospital administrators are
hiding vital information from Ontario taxpayers and patients about the
quality of tax-funded healthcare provided in their community,” said
Nadeem Esmail, director of health system performance studies at the
Fraser Institute and co-author of the report.
“While the hospitals that agreed to be identified in this report should
be applauded for their commitment to patients and the public by being
accountable and transparent regarding their performance, administrators
who refuse to be identified are ducking accountability and hiding behind
a wall of silence,” Esmail said.
The report card compares the performance of hospitals on up to 50
separate indicators of quality and patient safety. It provides 39
indicators of inpatient quality and patient safety calculated for the
latest year for which results are available, as well as a Hospital
Mortality Index that shows overall performance across nine indicators of
“If you have a greater chance of dying from a heart attack in one
hospital compared to another, or if there was a greater chance of having
a foreign object left inside of you following surgery, isn’t that
something you would want to know? Patients have a right to know how
their hospital compares to other hospitals,” Esmail said.
The report card also provides information on the various indicators of
inpatient quality and patient safety for municipalities (based on where
Esmail cautioned that since patients move between municipalities, a
municipality’s ranking does not equate to the ranking of its hospital.
This means the highest or lowest performing municipality is not
necessarily home to the best or worst performing hospital.
The report can be accessed at: