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The Generation of Integration: The Mechanisms and Challenges of Implementing Healthcare Integration Across Ontario, Canada

Faced with rising healthcare costs and inefficiencies in the healthcare system, the Ministry of Health and Long-Term Care invited proposals for integrated funding models (IFMs) across the province of Ontario, Canada. Six pilot programs were selected, each of which included hospital and community partners. While they were diverse in scale (from two to fourteen partners) and chosen clinical condition (from COPD to cardiac surgery), all were based on the bundling of care and the integration of funding. A single team provided patients seamless care from hospital to home, while program partners transferred funds that correlated with expected use of a service to each other or a commonly held bundle, in the hope that shorter hospital stays would lead to better patient outcomes and cost savings.