{ "schema_version": "1.0.0", "display_policy": "all_display_eligible_evidence_is_public_and_reviewable_by_annotation", "country": { "iso3": "CAN", "name": "Canada", "aliases": [ "Canada" ], "type": "country", "who_region": "AMR", "who_region_source": "AMR", "wb_region": "North America", "income_group": "high", "first_year": 2000, "last_core_year": 2024 }, "build": { "version": "2026-08-23+6c22928b", "built_at": "2026-08-23T06:47:49Z" }, "summary": { "direct_typed_sources": 0, "direct_typed_claims": 0, "direct_typed_relationships": 0, "direct_typed_decision_rights": 0, "candidate_sources": 3, "candidate_facts": 22, "exact_contexts": 2, "source_linked_analytical_mappings": 10, "source_linked_analytical_object_rows": 50, "all_material_records": 184, "library_document_candidates": 10, "candidate_queue_records": 147, "current_public_projection_records": 27 }, "availability": [ { "domain": "actors", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 15, "exact_context_count": 8, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "government_responsibilities", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 13, "exact_context_count": 7, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "ownership", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 9, "exact_context_count": 6, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "decision_rights", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 15, "exact_context_count": 9, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "autonomy", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 4, "exact_context_count": 2, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "primary_care", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 30, "exact_context_count": 10, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "hospital_organization", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 17, "exact_context_count": 9, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "referral_design", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 19, "exact_context_count": 6, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "observed_referral", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 6, "exact_context_count": 3, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "networks", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 27, "exact_context_count": 10, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "facility_data", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 5, "exact_context_count": 3, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "utilization", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 5, "exact_context_count": 2, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "patient_flows", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 8, "exact_context_count": 5, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "governance", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 42, "exact_context_count": 14, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "market_structure", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 8, "exact_context_count": 5, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "reform_history", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 16, "exact_context_count": 8, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "authoritative_review", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 30, "exact_context_count": 10, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." } ], "direct_typed_objects": { "sources": [], "claims": [], "actors": [], "relationships": [], "decision_rights": [], "provider_organizations": [], "autonomy": [], "accountability": [], "referrals": [], "patient_flows": [], "networks": [], "integration": [], "reforms": [] }, "source_linked_analytical_mappings": [ { "mapping_id": "candidate-mapping:CAN:actors-functions:decentralized-federation-and-coordination-tensions", "country_id": "CAN", "mapping_group": "actors_and_functions", "target_view": "functions", "target_slot": "2020-review-decentralization-and-coordination-tensions", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "reported_in_2020_health-system-review", "source_projection_ids": [ "country-improvement-source:CAN:who-hit-health-system-review-2020" ], "typed_fields": { "federation": "Provinces and territories administer Medicare and plan health services", "federal_role": "Federal government sets national standards and has specific-population responsibilities", "reported_tension": "Review describes fragmented and poorly coordinated care and specialist and elective-care wait challenges", "time_boundary": "Pre-pandemic review published 2020, not current provincial performance measurement." }, "analytical_objects": { "graph_nodes": [ { "node_id": "can:2020-federal-standards", "label": "Federal standards and special-population responsibilities", "family": "national", "display_claim_ids": [ "display-claim:fd834b0e9666c5d0a23c6e39" ], "display_source_ids": [ "display-source:CAN:caff0da6c19a595553a231ea" ], "source_version_ids": [ "display-source-version:38095e95b91d3621b7374953" ], "display_evidence_object_id": "display-claim:fd834b0e9666c5d0a23c6e39" }, { "node_id": "can:2020-pt-medicare", "label": "Provincial and territorial Medicare administration", "family": "subnational", "display_claim_ids": [ "display-claim:6afd5799ca7e992cb860c815" ], "display_source_ids": [ "display-source:CAN:caff0da6c19a595553a231ea" ], "source_version_ids": [ "display-source-version:38095e95b91d3621b7374953" ], "display_evidence_object_id": "display-claim:6afd5799ca7e992cb860c815" }, { "node_id": "can:2020-delivery-system", "label": "Decentralized delivery system", "family": "provider", "display_claim_ids": [ "display-claim:a8bd1be2af1bf264e526dc79" ], "display_source_ids": [ "display-source:CAN:caff0da6c19a595553a231ea" ], "source_version_ids": [ "display-source-version:38095e95b91d3621b7374953" ], "display_evidence_object_id": "display-claim:a8bd1be2af1bf264e526dc79" } ], "graph_edges": [ { "source_node_id": "can:2020-federal-standards", "target_node_id": "can:2020-pt-medicare", "relationship": "reported federal-standard and decentralized-administration relationship", "relationship_family": "governance", "display_claim_ids": [ "display-claim:56db8733c53293c913d00c06" ], "display_source_ids": [ "display-source:CAN:caff0da6c19a595553a231ea" ], "source_version_ids": [ "display-source-version:38095e95b91d3621b7374953" ], "display_evidence_object_id": "display-claim:56db8733c53293c913d00c06" }, { "source_node_id": "can:2020-pt-medicare", "target_node_id": "can:2020-delivery-system", "relationship": "reported health-service planning context", "relationship_family": "operations", "display_claim_ids": [ "display-claim:c0adb82b02efea86159e172d" ], "display_source_ids": [ "display-source:CAN:caff0da6c19a595553a231ea" ], "source_version_ids": [ "display-source-version:38095e95b91d3621b7374953" ], "display_evidence_object_id": "display-claim:c0adb82b02efea86159e172d" } ], "function_assignments": [ { "actor_label": "Provincial and territorial governments", "function_label": "Medicare administration and health-service planning", "role": "Reported in 2020 health-system review", "actor_family": "subnational", "display_claim_ids": [ "display-claim:b0867d0b9ca0c48568984412" ], "display_source_ids": [ "display-source:CAN:caff0da6c19a595553a231ea" ], "source_version_ids": [ "display-source-version:38095e95b91d3621b7374953" ], "display_evidence_object_id": "display-claim:b0867d0b9ca0c48568984412" } ] }, "title": "Decentralized federation and reported coordination tensions", "statement": "The 2020 health-system review portrays a decentralized federation and reports coordination and access tensions. It remains a historical synthesis and cannot establish current implementation or performance in an individual province, territory or provider network.", "citation": "Marchildon GP, Allin S, Merkur S, European Observatory. Canada: Health system review. 2020.", "url": "https://iris.who.int/handle/10665/336311", "locator": "Health system review PDF pages 15 to 21, executive summary and organization and governance sections.", "period": "Review published 2020 and principally describes pre-pandemic arrangements", "territory": "Canada national synthesis with provincial and territorial variation", "evidence_mode_candidate": "reported", "verification_source_layer": "review_literature", "coverage_domains": [ "actors", "government_responsibilities", "decision_rights", "governance", "networks", "observed_referral", "utilization", "patient_flows", "market_structure", "reform_history", "authoritative_review" ], "review_requirements": [ "Do not convert the national review's reported tensions into current provincial performance measures or causal claims." ], "source_references": [ { "title": "Canada: Health system review", "citation": "Marchildon GP, Allin S, Merkur S, European Observatory on Health Systems and Policies. Canada: Health system review. Health Systems in Transition. 2020;22(3). https://iris.who.int/handle/10665/336311", "url": "https://iris.who.int/handle/10665/336311", "locator": { "locator_type": "pdf_page_set_anchor", "physical_pdf_pages": [ 15, 16, 20, 21 ], "sections": [ "Executive summary", "Organization and governance" ], "source_word_anchor": "the provinces and territories administer health coverage systems", "source_word_count": 8 }, "source_version": { "file_sha256": "e92fb5771f046d4480428116ce837ceeed9fe5e0bd80ee9ab7869a42aaf27966", "response_sha256": "e92fb5771f046d4480428116ce837ceeed9fe5e0bd80ee9ab7869a42aaf27966", "page_count": 228, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:who-hit-health-system-review-2020", "display_source_id": "display-source:CAN:caff0da6c19a595553a231ea", "source_version_id": "display-source-version:38095e95b91d3621b7374953" } ], "source_version": { "file_sha256": "e92fb5771f046d4480428116ce837ceeed9fe5e0bd80ee9ab7869a42aaf27966", "response_sha256": "e92fb5771f046d4480428116ce837ceeed9fe5e0bd80ee9ab7869a42aaf27966", "page_count": 228, "detected_media_type": "application/pdf", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:caff0da6c19a595553a231ea" ], "source_version_ids": [ "display-source-version:38095e95b91d3621b7374953" ], "display_claim_ids": [ "display-claim:1719aa7ae324fa4929e931ba", "display-claim:fd834b0e9666c5d0a23c6e39", "display-claim:6afd5799ca7e992cb860c815", "display-claim:a8bd1be2af1bf264e526dc79", "display-claim:56db8733c53293c913d00c06", "display-claim:c0adb82b02efea86159e172d", "display-claim:b0867d0b9ca0c48568984412" ], "display_evidence_object_id": "display-claim:1719aa7ae324fa4929e931ba", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:CAN:actors-functions:federal-and-provincial-territorial-roles", "country_id": "CAN", "mapping_group": "actors_and_functions", "target_view": "functions", "target_slot": "federal-standards-and-provincial-territorial-delivery", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "declared_in_federal_information_and_statute", "source_projection_ids": [ "country-improvement-source:CAN:canada-health-act", "country-improvement-source:CAN:health-canada-system-2025", "country-improvement-source:CAN:constitution-act-1867-section-92" ], "typed_fields": { "federal": "Sets and administers national standards, helps fund care and serves specified groups", "provincial_territorial": "Deliver services, regulate providers and administer their own insurance plans", "constitutional_provinces": "Section 92(7) assigns provincial legislatures hospital establishment, maintenance and management", "boundary": "The sources do not allocate every material decision, determine territorial arrangements or describe a uniform delivery model." }, "analytical_objects": { "graph_nodes": [ { "node_id": "can:federal-government", "label": "Federal Government", "family": "national", "display_claim_ids": [ "display-claim:86e2dbe738c975953536d596" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:b179ce9de07969df3cf72afc" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:e1b412287c273d3a35dc3c7b" ], "display_evidence_object_id": "display-claim:86e2dbe738c975953536d596" }, { "node_id": "can:pt-governments", "label": "Provincial and territorial governments", "family": "subnational", "display_claim_ids": [ "display-claim:824fad6bce4272a65fc3cd97" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:b179ce9de07969df3cf72afc" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:e1b412287c273d3a35dc3c7b" ], "display_evidence_object_id": "display-claim:824fad6bce4272a65fc3cd97" }, { "node_id": "can:pt-insurance-plans", "label": "Provincial and territorial insurance plans", "family": "purchaser", "display_claim_ids": [ "display-claim:06320b47fd6273de803fda1b" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:b179ce9de07969df3cf72afc" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:e1b412287c273d3a35dc3c7b" ], "display_evidence_object_id": "display-claim:06320b47fd6273de803fda1b" } ], "graph_edges": [ { "source_node_id": "can:federal-government", "target_node_id": "can:pt-insurance-plans", "relationship": "sets federal conditions for cash contributions", "relationship_family": "governance", "display_claim_ids": [ "display-claim:1ba730f18da7c7d2fdfd85b5" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:b179ce9de07969df3cf72afc" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:e1b412287c273d3a35dc3c7b" ], "display_evidence_object_id": "display-claim:1ba730f18da7c7d2fdfd85b5" }, { "source_node_id": "can:pt-governments", "target_node_id": "can:pt-insurance-plans", "relationship": "administer and operate jurisdictional plans", "relationship_family": "operations", "display_claim_ids": [ "display-claim:4933efaf490cdf88dda9753f" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:b179ce9de07969df3cf72afc" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:e1b412287c273d3a35dc3c7b" ], "display_evidence_object_id": "display-claim:4933efaf490cdf88dda9753f" } ], "function_assignments": [ { "actor_label": "Federal Government", "function_label": "National standards and federal contribution conditions", "role": "Formal federal role", "actor_family": "national", "display_claim_ids": [ "display-claim:387e086172a220ece5273aa8" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:b179ce9de07969df3cf72afc" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:e1b412287c273d3a35dc3c7b" ], "display_evidence_object_id": "display-claim:387e086172a220ece5273aa8" }, { "actor_label": "Provincial and territorial governments", "function_label": "Service delivery and provider regulation", "role": "Formal public-information description", "actor_family": "subnational", "display_claim_ids": [ "display-claim:0086a63d422e55d410c04a4e" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:b179ce9de07969df3cf72afc" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:e1b412287c273d3a35dc3c7b" ], "display_evidence_object_id": "display-claim:0086a63d422e55d410c04a4e" } ], "decision_cells": [ { "decision_id": "can:constitution-hospital-establishment-management", "decision_label": "Hospital establishment, maintenance and management legislation", "actor_label": "Provincial legislatures", "actor_family": "subnational", "role": "Exclusive constitutional legislative authority in provinces", "constraint": "Section 92(7) is not a current hospital ownership, operator or facility-autonomy matrix, and does not allocate territorial arrangements.", "display_claim_ids": [ "display-claim:c98d30b48c4da20ab6f436ed" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:b179ce9de07969df3cf72afc" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:e1b412287c273d3a35dc3c7b" ], "display_evidence_object_id": "display-claim:c98d30b48c4da20ab6f436ed" } ] }, "title": "Federal and provincial-territorial roles", "statement": "Canada's health-system organization combines federal standards and contributions with provincial and territorial delivery, regulation and insurance-plan responsibilities. Constitution Act section 92(7) specifically assigns provincial hospital legislation, without establishing identical territorial or operational arrangements.", "citation": "Government of Canada, Constitution Act, 1867, section 92; Canada Health Act; Health Canada, About Canada's health care system, 2025.", "url": "https://www.canada.ca/en/health-canada/services/canada-health-care-system.html", "locator": "Constitution Act section 92(7); Canada Health Act sections 3 and 7 to 12; Health Canada system-role sections.", "period": "Constitutional text current 2026-08-20; Health Canada page modified 2025-06-25", "territory": "Canada, with province and territory-specific systems", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "actors", "government_responsibilities", "decision_rights", "governance", "ownership", "authoritative_review" ], "review_requirements": [ "Do not infer a unitary national delivery system, territorial equivalence or uniform operational authority." ], "source_references": [ { "title": "Canada Health Act", "citation": "Government of Canada. Canada Health Act, RSC 1985, c C-6. https://laws-lois.justice.gc.ca/eng/acts/C-6/", "url": "https://laws-lois.justice.gc.ca/eng/acts/C-6/", "locator": { "locator_type": "legal_section_anchor", "sections": [ "3", "7", "8", "9", "10", "11", "12" ], "physical_pdf_pages": [ 8, 9, 10, 11 ], "source_word_anchor": "public administration, comprehensiveness, universality, portability and accessibility", "source_word_count": 6 }, "source_version": { "file_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "response_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "page_count": 18, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:canada-health-act", "display_source_id": "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "source_version_id": "display-source-version:5ed2861c563f9ddbe8bcade4" }, { "title": "About Canada's health care system", "citation": "Health Canada. About Canada's health care system. Modified 2025-06-25. https://www.canada.ca/en/health-canada/services/canada-health-care-system.html", "url": "https://www.canada.ca/en/health-canada/services/canada-health-care-system.html", "locator": { "locator_type": "html_text_anchor", "sections": [ "How the health care system works", "About the services that are provided", "Canada's role in the health care system" ], "source_word_anchor": "services that are not fully covered", "source_word_count": 6 }, "source_version": { "response_sha256": "5eac698da7c6a6ccd514a5f7385eaf10f9d5d61178c884e5a73d3f3fa08598a7", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:CAN:health-canada-system-2025", "display_source_id": "display-source:CAN:1007c692b78987483e4be637", "source_version_id": "display-source-version:ef0fdc4ebd6a2f8d7107cb88" }, { "title": "Constitution Act, 1867, section 92", "citation": "Government of Canada. Constitution Act, 1867, section 92. Current to 2026-08-20. https://laws-lois.justice.gc.ca/eng/const/section-92.html", "url": "https://laws-lois.justice.gc.ca/eng/const/section-92.html", "locator": { "locator_type": "legal_section_anchor", "sections": [ "92", "92(7)" ], "source_word_anchor": "The Establishment, Maintenance, and Management of Hospitals", "source_word_count": 7 }, "source_version": { "response_sha256": "f3ea307fd4b7523888f7fdfc01ea93d815de2c21369275c3240da2c70765983b", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:CAN:constitution-act-1867-section-92", "display_source_id": "display-source:CAN:b179ce9de07969df3cf72afc", "source_version_id": "display-source-version:e1b412287c273d3a35dc3c7b" } ], "source_version": { "file_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "response_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "page_count": 18, "detected_media_type": "application/pdf", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:b179ce9de07969df3cf72afc" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:e1b412287c273d3a35dc3c7b" ], "display_claim_ids": [ "display-claim:7b461daf327add6be921ca48", "display-claim:86e2dbe738c975953536d596", "display-claim:824fad6bce4272a65fc3cd97", "display-claim:06320b47fd6273de803fda1b", "display-claim:1ba730f18da7c7d2fdfd85b5", "display-claim:4933efaf490cdf88dda9753f", "display-claim:387e086172a220ece5273aa8", "display-claim:0086a63d422e55d410c04a4e", "display-claim:c98d30b48c4da20ab6f436ed" ], "display_evidence_object_id": "display-claim:7b461daf327add6be921ca48", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:CAN:decision-autonomy:canada-health-act-insurance-plan-conditions", "country_id": "CAN", "mapping_group": "decision_rights_and_autonomy", "target_view": "decisions", "target_slot": "federal-contribution-conditions-and-public-plan-administration", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "declared_in_canada_health_act", "source_projection_ids": [ "country-improvement-source:CAN:canada-health-act" ], "typed_fields": { "federal_decision": "Federal cash contribution depends on statutory plan criteria and conditions", "plan_administration": "A provincial public authority must administer and operate the plan on a non-profit basis", "boundary": "The Act does not specify provider hiring, capital, procurement, service-mix or individual hospital authority." }, "analytical_objects": { "decision_cells": [ { "decision_id": "can:cha-public-administration", "decision_label": "Insurance-plan administration", "actor_label": "Provincial public authority", "actor_family": "subnational", "role": "Must administer and operate the plan on a non-profit basis for the federal criterion", "constraint": "Federal insurance-plan criterion only; provider-level operating authority is not specified.", "display_claim_ids": [ "display-claim:4316f7dc4589af6ab9af5ae7" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4" ], "display_evidence_object_id": "display-claim:4316f7dc4589af6ab9af5ae7" }, { "decision_id": "can:cha-cash-contribution", "decision_label": "Federal cash contribution conditions", "actor_label": "Federal Government", "actor_family": "national", "role": "Sets statutory criteria and conditions", "constraint": "Does not establish direct federal operation of provincial or territorial delivery systems.", "display_claim_ids": [ "display-claim:6ab8ad17316cc4f168ef59a7" ], "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4" ], "display_evidence_object_id": "display-claim:6ab8ad17316cc4f168ef59a7" } ] }, "title": "Federal contribution conditions and public-plan administration", "statement": "The Canada Health Act defines federal contribution conditions and public administration requirements for provincial and territorial plans. It does not itself determine hospital or primary-care operational decision rights.", "citation": "Government of Canada, Canada Health Act, sections 7 and 8.", "url": "https://laws-lois.justice.gc.ca/eng/acts/C-6/", "locator": "Canada Health Act sections 7 and 8, PDF physical pages 9 to 10.", "period": "Federal statutory framework", "territory": "Provincial and territorial public health insurance plans", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "decision_rights", "autonomy", "governance", "actors", "government_responsibilities" ], "review_requirements": [ "Do not infer facility-level financial, workforce, procurement or capital autonomy from public-plan administration requirements." ], "source_references": [ { "title": "Canada Health Act", "citation": "Government of Canada. Canada Health Act, RSC 1985, c C-6. https://laws-lois.justice.gc.ca/eng/acts/C-6/", "url": "https://laws-lois.justice.gc.ca/eng/acts/C-6/", "locator": { "locator_type": "legal_section_anchor", "sections": [ "3", "7", "8", "9", "10", "11", "12" ], "physical_pdf_pages": [ 8, 9, 10, 11 ], "source_word_anchor": "public administration, comprehensiveness, universality, portability and accessibility", "source_word_count": 6 }, "source_version": { "file_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "response_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "page_count": 18, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:canada-health-act", "display_source_id": "display-source:CAN:eb6f6a5dedc6e51a3b834fc8", "source_version_id": "display-source-version:5ed2861c563f9ddbe8bcade4" } ], "source_version": { "file_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "response_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "page_count": 18, "detected_media_type": "application/pdf", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:eb6f6a5dedc6e51a3b834fc8" ], "source_version_ids": [ "display-source-version:5ed2861c563f9ddbe8bcade4" ], "display_claim_ids": [ "display-claim:613527b1936aa9d9390d7b76", "display-claim:4316f7dc4589af6ab9af5ae7", "display-claim:6ab8ad17316cc4f168ef59a7" ], "display_evidence_object_id": "display-claim:613527b1936aa9d9390d7b76", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:CAN:decision-autonomy:jurisdictional-health-authority-variation-not-facility-autonomy", "country_id": "CAN", "mapping_group": "decision_rights_and_autonomy", "target_view": "autonomy", "target_slot": "health-authority-variation-with-facility-autonomy-unresolved", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "reported_in_2025_observatory_review_with_ontario_hospital_governance_example", "source_projection_ids": [ "country-improvement-source:CAN:who-health-systems-in-action-2024", "country-improvement-source:CAN:ontario-public-hospitals-2023" ], "typed_fields": { "organizational_variation": "Provincial and territorial responsibility may be delegated through regional or province-wide authority models", "ontario_hospital_example": "Ontario public hospitals are independent corporations with boards allocating public funding day to day", "ontario_accountability": "Ontario boards are accountable to Ontario Health and government for quality and efficacy", "facility_boundary": "No source supplies a comparable Canadian matrix for hiring, revenue retention, procurement, capital or service mix", "accountability_boundary": "Ontario’s example is not a national autonomy-accountability classification." }, "analytical_objects": { "autonomy_cells": [ { "dimension": "Operations", "provider_group": "Hospitals", "authority_label": "Ontario example: independent hospital boards make day-to-day public-funding allocation decisions", "counterpart": "Ontario Health and the Ontario government", "display_claim_ids": [ "display-claim:dfb819226aa22c837f5b47cf" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_evidence_object_id": "display-claim:dfb819226aa22c837f5b47cf" }, { "dimension": "Operations", "provider_group": "Primary care", "authority_label": "Comparable provider-level operational authority is not established in this national review", "counterpart": "Province or territory-specific insurance, regulation and delivery arrangements", "display_claim_ids": [ "display-claim:aaabd7599ffeb9a73d86b550" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_evidence_object_id": "display-claim:aaabd7599ffeb9a73d86b550" } ], "graph_nodes": [ { "node_id": "can:ontario-public-hospital-boards", "label": "Ontario public hospital boards", "family": "provider", "display_claim_ids": [ "display-claim:f153bc9b3ba4f3807a158ebc" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_evidence_object_id": "display-claim:f153bc9b3ba4f3807a158ebc" }, { "node_id": "can:ontario-public-hospitals", "label": "Ontario public hospitals", "family": "provider", "display_claim_ids": [ "display-claim:5cddd4ba1361c25a69bd72a6" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_evidence_object_id": "display-claim:5cddd4ba1361c25a69bd72a6" }, { "node_id": "can:ontario-health", "label": "Ontario Health", "family": "subnational", "display_claim_ids": [ "display-claim:729fcd57350ea7bfc378f1f2" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_evidence_object_id": "display-claim:729fcd57350ea7bfc378f1f2" } ], "graph_edges": [ { "source_node_id": "can:ontario-public-hospital-boards", "target_node_id": "can:ontario-public-hospitals", "relationship": "makes day-to-day operational public-funding allocation decisions", "relationship_family": "operations", "display_claim_ids": [ "display-claim:5871fe6f4afac2d1890c48f9" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_evidence_object_id": "display-claim:5871fe6f4afac2d1890c48f9" }, { "source_node_id": "can:ontario-public-hospital-boards", "target_node_id": "can:ontario-health", "relationship": "accountable for care quality and efficacy", "relationship_family": "accountability", "display_claim_ids": [ "display-claim:9be58b49b770cdae2d66ff72" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_evidence_object_id": "display-claim:9be58b49b770cdae2d66ff72" } ], "decision_cells": [ { "decision_id": "can:pt-health-authority-organization", "decision_label": "Health-authority organizational model", "actor_label": "Provincial and territorial governments", "actor_family": "subnational", "role": "Reported to use differing delegation arrangements", "constraint": "The review does not attribute a uniform decision right to facilities or clinicians.", "display_claim_ids": [ "display-claim:d12c65623b1488c8c8039188" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_evidence_object_id": "display-claim:d12c65623b1488c8c8039188" }, { "decision_id": "can:on-public-hospital-board-funding-allocation", "decision_label": "Day-to-day public-funding allocation", "actor_label": "Ontario public hospital boards", "actor_family": "provider", "role": "Ontario-specific board responsibility", "constraint": "Does not establish hospital financial autonomy outside Ontario or over other decision categories.", "display_claim_ids": [ "display-claim:e5ebbc44dbffbe1c76e33f65" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_evidence_object_id": "display-claim:e5ebbc44dbffbe1c76e33f65" } ] }, "title": "Jurisdictional variation with Ontario hospital-board autonomy example", "statement": "The national review reports differing provincial and territorial health-authority arrangements. Ontario separately documents independent public-hospital boards with day-to-day funding-allocation responsibility and accountability to Ontario Health and government; no comparable Canadian autonomy matrix is established.", "citation": "European Observatory, Health Systems in Action 2024: Canada, 2025; Government of Ontario, Ontario’s public hospitals, 2023.", "url": "https://www.ontario.ca/page/ontarios-public-hospitals", "locator": "Observatory review PDF pages 8 to 9; Ontario public hospitals, Overview and Funding and administration.", "period": "Canada review published 2025; Ontario page updated 2023-07-18", "territory": "Canada synthesis; hospital-board decision and accountability example is Ontario only", "evidence_mode_candidate": "reported", "verification_source_layer": "official", "coverage_domains": [ "autonomy", "decision_rights", "governance", "hospital_organization", "primary_care", "actors", "authoritative_review" ], "review_requirements": [ "Do not extend Ontario board authority to other jurisdictions or replace the boundary with national autonomy labels." ], "source_references": [ { "title": "Health Systems in Action 2024: Canada", "citation": "European Observatory on Health Systems and Policies. Health Systems in Action 2024: Canada. 2025. https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada", "url": "https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada", "locator": { "locator_type": "pdf_page_set_anchor", "physical_pdf_pages": [ 4, 5, 8, 9 ], "sections": [ "Health system organization", "Governance" ], "source_word_anchor": "Medicare represents 13 public health insurance systems", "source_word_count": 6 }, "source_version": { "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:who-health-systems-in-action-2024", "display_source_id": "display-source:CAN:7350388a08e5af6b64017d6f", "source_version_id": "display-source-version:8223b201725bb8d43242f17a" }, { "title": "Ontario’s public hospitals", "citation": "Government of Ontario. Ontario’s public hospitals. Updated 2023-07-18. https://www.ontario.ca/page/ontarios-public-hospitals", "url": "https://www.ontario.ca/page/ontarios-public-hospitals", "locator": { "locator_type": "html_text_anchor", "sections": [ "Overview", "Funding and administration" ], "source_word_anchor": "Public hospitals are independent corporations run by their own board", "source_word_count": 10 }, "source_version": { "response_sha256": "6af8445577ea91505fbdb168243839f4d78ffd5238699da634a5b8df43a81ca9", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:CAN:ontario-public-hospitals-2023", "display_source_id": "display-source:CAN:5bf2789884040cb959fbb12d", "source_version_id": "display-source-version:fd5c934611a68267a8896a4d" } ], "source_version": { "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "detected_media_type": "application/pdf", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:5bf2789884040cb959fbb12d" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:fd5c934611a68267a8896a4d" ], "display_claim_ids": [ "display-claim:52cc93bf61e98661e509fff8", "display-claim:dfb819226aa22c837f5b47cf", "display-claim:aaabd7599ffeb9a73d86b550", "display-claim:f153bc9b3ba4f3807a158ebc", "display-claim:5cddd4ba1361c25a69bd72a6", "display-claim:729fcd57350ea7bfc378f1f2", "display-claim:5871fe6f4afac2d1890c48f9", "display-claim:9be58b49b770cdae2d66ff72", "display-claim:d12c65623b1488c8c8039188", "display-claim:e5ebbc44dbffbe1c76e33f65" ], "display_evidence_object_id": "display-claim:52cc93bf61e98661e509fff8", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:CAN:delivery-referrals:observed-specialist-access-difficulties-2024", "country_id": "CAN", "mapping_group": "delivery_and_referrals", "target_view": "delivery", "target_slot": "observed-specialist-access-difficulties-among-adults-45-plus", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "observed_in_2024_national_survey_analysis", "source_projection_ids": [ "country-improvement-source:CAN:statcan-specialist-access-2026" ], "typed_fields": { "population": "Canadians aged 45 or older, excluding territories, Indigenous reserves and institutional settings", "observed_access": "27.8% reported difficulty accessing specialist care and 18.0% reported unmet health care needs", "geographic_bound": "The article reports selected provincial associations but explicitly does not identify system-level factors or referral policy differences", "boundary": "Self-reported cross-sectional data cannot establish causality or national care-flow completion." }, "analytical_objects": { "graph_nodes": [ { "node_id": "can:survey-adults-45-plus", "label": "Survey respondents aged 45 or older", "family": "community", "display_claim_ids": [ "display-claim:b54155b6679d741a6247cc27" ], "display_source_ids": [ "display-source:CAN:908785290baf34e8e1193821" ], "source_version_ids": [ "display-source-version:9bdb93096b355d5d9257473d" ], "display_evidence_object_id": "display-claim:b54155b6679d741a6247cc27" }, { "node_id": "can:specialist-care", "label": "Specialist care", "family": "provider", "display_claim_ids": [ "display-claim:19624fe42ec595fc74504f12" ], "display_source_ids": [ "display-source:CAN:908785290baf34e8e1193821" ], "source_version_ids": [ "display-source-version:9bdb93096b355d5d9257473d" ], "display_evidence_object_id": "display-claim:19624fe42ec595fc74504f12" } ], "graph_edges": [ { "source_node_id": "can:survey-adults-45-plus", "target_node_id": "can:specialist-care", "relationship": "reported access difficulty in 2024 survey", "relationship_family": "referral", "display_claim_ids": [ "display-claim:f56596e091d3b7776a3f922b" ], "display_source_ids": [ "display-source:CAN:908785290baf34e8e1193821" ], "source_version_ids": [ "display-source-version:9bdb93096b355d5d9257473d" ], "display_evidence_object_id": "display-claim:f56596e091d3b7776a3f922b" } ] }, "title": "Observed specialist-access difficulties in the 2024 survey", "statement": "Among survey respondents aged 45 or older, 27.8% reported difficulty accessing specialist care. The study's population and analytic limitations mean it is not a territory-inclusive or system-causal referral-performance estimate.", "citation": "Islam MK, Gilmour H, Frank K. Health Reports. 2026;37(7).", "url": "https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002", "locator": "Statistics Canada article PDF pages 9 to 13, Results and Strengths and limitations.", "period": "Survey year 2024; article published July 2026", "territory": "Canada excluding territories, Indigenous reserves and institutional settings", "evidence_mode_candidate": "observed", "verification_source_layer": "research_literature", "coverage_domains": [ "observed_referral", "utilization", "patient_flows", "primary_care", "hospital_organization", "governance", "authoritative_review" ], "review_requirements": [ "Do not generalize these results to excluded populations or treat them as a provincial referral-policy comparison." ], "source_references": [ { "title": "Difficulties accessing specialist care and the association with unmet health care needs among middle-aged and older Canadians", "citation": "Islam MK, Gilmour H, Frank K. Difficulties accessing specialist care and the association with unmet health care needs among middle-aged and older Canadians. Health Reports. 2026;37(7). doi:10.25318/82-003-x202600700002-eng. https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002", "url": "https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002", "locator": { "locator_type": "pdf_page_set_anchor", "physical_pdf_pages": [ 9, 12, 13 ], "sections": [ "Difficulty accessing specialist care", "Strengths and limitations" ], "source_word_anchor": "a referral from a primary care provider is usually required", "source_word_count": 10 }, "source_version": { "file_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8", "response_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8", "page_count": 17, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:statcan-specialist-access-2026", "display_source_id": "display-source:CAN:908785290baf34e8e1193821", "source_version_id": "display-source-version:9bdb93096b355d5d9257473d" } ], "source_version": { "file_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8", "response_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8", "page_count": 17, "detected_media_type": "application/pdf", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:908785290baf34e8e1193821" ], "source_version_ids": [ "display-source-version:9bdb93096b355d5d9257473d" ], "display_claim_ids": [ "display-claim:cc8df2d2e8ce1ddc6ef7081c", "display-claim:b54155b6679d741a6247cc27", "display-claim:19624fe42ec595fc74504f12", "display-claim:f56596e091d3b7776a3f922b" ], "display_evidence_object_id": "display-claim:cc8df2d2e8ce1ddc6ef7081c", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:CAN:delivery-referrals:primary-care-first-contact-and-usual-specialist-referral", "country_id": "CAN", "mapping_group": "delivery_and_referrals", "target_view": "referrals", "target_slot": "primary-care-first-contact-and-usual-specialist-referral-boundary", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "declared_in_official_primary-care_and_ontario_choice_pages_and_observed_in_2024_survey", "source_projection_ids": [ "country-improvement-source:CAN:health-canada-primary-care-2026", "country-improvement-source:CAN:statcan-specialist-access-2026", "country-improvement-source:CAN:ontario-patient-choice-and-transition-2026" ], "typed_fields": { "first_contact": "Primary care is described as often the first contact with the health system", "specialist_access": "A primary care referral is usually required for a medical specialist", "heterogeneity": "Procedures and exceptions vary by province and type of service", "ontario_choice": "Ontario says patients can choose their own provider, including a specialist", "boundary": "Ontario choice is not a national referral-free rule; no source supplies national completion, bypass or counter-referral rates." }, "analytical_objects": { "graph_nodes": [ { "node_id": "can:primary-care", "label": "Primary care providers", "family": "provider", "display_claim_ids": [ "display-claim:1339938ce339e68b68f0618f" ], "display_source_ids": [ "display-source:CAN:ca8c666c6ffdff5f13c4e02e", "display-source:CAN:908785290baf34e8e1193821", "display-source:CAN:f610b45d4a64919ed5ec3a0a" ], "source_version_ids": [ "display-source-version:2c8ad1c75a720e19c84f7ad3", "display-source-version:9bdb93096b355d5d9257473d", "display-source-version:bc0d262c4f1ba1f837eab740" ], "display_evidence_object_id": "display-claim:1339938ce339e68b68f0618f" }, { "node_id": "can:medical-specialists", "label": "Medical specialists", "family": "provider", "display_claim_ids": [ "display-claim:93b0c528d37f41ad4062e69b" ], "display_source_ids": [ "display-source:CAN:ca8c666c6ffdff5f13c4e02e", "display-source:CAN:908785290baf34e8e1193821", "display-source:CAN:f610b45d4a64919ed5ec3a0a" ], "source_version_ids": [ "display-source-version:2c8ad1c75a720e19c84f7ad3", "display-source-version:9bdb93096b355d5d9257473d", "display-source-version:bc0d262c4f1ba1f837eab740" ], "display_evidence_object_id": "display-claim:93b0c528d37f41ad4062e69b" } ], "graph_edges": [ { "source_node_id": "can:primary-care", "target_node_id": "can:medical-specialists", "relationship": "usual referral route with province and service exceptions", "relationship_family": "referral", "display_claim_ids": [ "display-claim:ccabe15d5a3720a1036f099e" ], "display_source_ids": [ "display-source:CAN:ca8c666c6ffdff5f13c4e02e", "display-source:CAN:908785290baf34e8e1193821", "display-source:CAN:f610b45d4a64919ed5ec3a0a" ], "source_version_ids": [ "display-source-version:2c8ad1c75a720e19c84f7ad3", "display-source-version:9bdb93096b355d5d9257473d", "display-source-version:bc0d262c4f1ba1f837eab740" ], "display_evidence_object_id": "display-claim:ccabe15d5a3720a1036f099e" } ] }, "title": "Primary care first contact, usual referral and Ontario choice example", "statement": "Primary care is described as a usual first contact, and a 2024 survey analysis reports that a referral is usually required for specialists, with provincial and service exceptions. Ontario separately states patient provider choice; neither source establishes national referral completion or counter-referral.", "citation": "Health Canada, Primary care, 2026; Islam MK, Gilmour H, Frank K. Health Reports. 2026; Government of Ontario, Improving health care in Ontario, 2026.", "url": "https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002", "locator": "Health Canada Primary care page; Statistics Canada article PDF page 12; Ontario page, What does it mean for you.", "period": "Health Canada page modified 2026-03-18; survey field year 2024; Ontario page updated 2026-05-04", "territory": "Canada; Ontario choice statement is provincial; survey excludes territories, Indigenous reserves and institutional settings", "evidence_mode_candidate": "reported", "verification_source_layer": "research_literature", "coverage_domains": [ "primary_care", "referral_design", "observed_referral", "patient_flows", "networks", "hospital_organization", "authoritative_review" ], "review_requirements": [ "Do not treat usual referral as universal gatekeeping or Ontario choice as a national rule; do not infer flow or counter-referral performance." ], "source_references": [ { "title": "Primary care", "citation": "Health Canada. Primary care. Modified 2026-03-18. https://www.canada.ca/en/health-canada/services/health-care-system/primary-care.html", "url": "https://www.canada.ca/en/health-canada/services/health-care-system/primary-care.html", "locator": { "locator_type": "html_text_anchor", "section": "Primary care", "source_word_anchor": "often your first point of contact with the health care system", "source_word_count": 10 }, "source_version": { "response_sha256": "73e70efb7448ceb1b18191ee1657f7a9fc4d371dd2ce80b17b6e4122b38543d1", "detected_media_type": "text/html", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:health-canada-primary-care-2026", "display_source_id": "display-source:CAN:ca8c666c6ffdff5f13c4e02e", "source_version_id": "display-source-version:2c8ad1c75a720e19c84f7ad3" }, { "title": "Difficulties accessing specialist care and the association with unmet health care needs among middle-aged and older Canadians", "citation": "Islam MK, Gilmour H, Frank K. Difficulties accessing specialist care and the association with unmet health care needs among middle-aged and older Canadians. Health Reports. 2026;37(7). doi:10.25318/82-003-x202600700002-eng. https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002", "url": "https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002", "locator": { "locator_type": "pdf_page_set_anchor", "physical_pdf_pages": [ 9, 12, 13 ], "sections": [ "Difficulty accessing specialist care", "Strengths and limitations" ], "source_word_anchor": "a referral from a primary care provider is usually required", "source_word_count": 10 }, "source_version": { "file_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8", "response_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8", "page_count": 17, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:statcan-specialist-access-2026", "display_source_id": "display-source:CAN:908785290baf34e8e1193821", "source_version_id": "display-source-version:9bdb93096b355d5d9257473d" }, { "title": "Improving health care in Ontario", "citation": "Government of Ontario. Improving health care in Ontario. Updated 2026-05-04. https://www.ontario.ca/page/improving-health-care-ontario", "url": "https://www.ontario.ca/page/improving-health-care-ontario", "locator": { "locator_type": "html_text_anchor", "sections": [ "What does it mean for you", "What they’ll do" ], "source_word_anchor": "choose your own provider", "source_word_count": 4 }, "source_version": { "response_sha256": "4da64565fae02781034f5d4e643c4206e3ba4cab456bf6c4e0175817816028ec", "detected_media_type": "text/html", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:ontario-patient-choice-and-transition-2026", "display_source_id": "display-source:CAN:f610b45d4a64919ed5ec3a0a", "source_version_id": "display-source-version:bc0d262c4f1ba1f837eab740" } ], "source_version": { "response_sha256": "73e70efb7448ceb1b18191ee1657f7a9fc4d371dd2ce80b17b6e4122b38543d1", "detected_media_type": "text/html", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:ca8c666c6ffdff5f13c4e02e", "display-source:CAN:908785290baf34e8e1193821", "display-source:CAN:f610b45d4a64919ed5ec3a0a" ], "source_version_ids": [ "display-source-version:2c8ad1c75a720e19c84f7ad3", "display-source-version:9bdb93096b355d5d9257473d", "display-source-version:bc0d262c4f1ba1f837eab740" ], "display_claim_ids": [ "display-claim:be5b9d3f0f2adac209b8d8ec", "display-claim:1339938ce339e68b68f0618f", "display-claim:93b0c528d37f41ad4062e69b", "display-claim:ccabe15d5a3720a1036f099e" ], "display_evidence_object_id": "display-claim:be5b9d3f0f2adac209b8d8ec", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:CAN:relationships-networks:public-medicare-and-nonmedicare-coverage-boundary", "country_id": "CAN", "mapping_group": "relationships_and_networks", "target_view": "public-private", "target_slot": "publicly-insured-hospital-physician-services-and-nonmedicare-boundary", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "reported_in_2025_observatory_review_and_official_information", "source_projection_ids": [ "country-improvement-source:CAN:who-health-systems-in-action-2024", "country-improvement-source:CAN:health-canada-system-2025", "country-improvement-source:CAN:cihi-health-expenditure-data-in-brief-2024" ], "typed_fields": { "publicly_insured": "Hospital and physician services are described as publicly funded under PT plans", "nonmedicare_boundary": "Coverage for services such as outpatient drugs, dental, vision, home care and ambulance services can differ by jurisdiction and population group", "financing_mix": "CIHI’s preliminary 2024 estimate attributes 71.0% of total spending to public and 29.0% to private sectors", "market_boundary": "Financing shares do not measure provider ownership, commercial market shares or a common private-contracting model." }, "analytical_objects": { "graph_nodes": [ { "node_id": "can:public-medicare", "label": "Provincial and territorial public Medicare plans", "family": "purchaser", "display_claim_ids": [ "display-claim:28ee48fb104f64623d4b6cf3" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:8d3aa945a3cf3990a832b295" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:2bc423c3d8cc04950fa69d76" ], "display_evidence_object_id": "display-claim:28ee48fb104f64623d4b6cf3" }, { "node_id": "can:insured-hospital-physician-services", "label": "Insured hospital and physician services", "family": "provider", "display_claim_ids": [ "display-claim:fa7c22449d723bc5d1a159ad" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:8d3aa945a3cf3990a832b295" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:2bc423c3d8cc04950fa69d76" ], "display_evidence_object_id": "display-claim:fa7c22449d723bc5d1a159ad" }, { "node_id": "can:nonmedicare-services", "label": "Non-Medicare services and supplemental coverage", "family": "provider", "display_claim_ids": [ "display-claim:e5c8e060db37d3b0c0442055" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:8d3aa945a3cf3990a832b295" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:2bc423c3d8cc04950fa69d76" ], "display_evidence_object_id": "display-claim:e5c8e060db37d3b0c0442055" } ], "graph_edges": [ { "source_node_id": "can:public-medicare", "target_node_id": "can:insured-hospital-physician-services", "relationship": "covers basic insured medically necessary hospital and physician services", "relationship_family": "purchasing", "display_claim_ids": [ "display-claim:43b7c77b709e3c0f11b09822" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:8d3aa945a3cf3990a832b295" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:2bc423c3d8cc04950fa69d76" ], "display_evidence_object_id": "display-claim:43b7c77b709e3c0f11b09822" }, { "source_node_id": "can:public-medicare", "target_node_id": "can:nonmedicare-services", "relationship": "additional coverage for selected groups helps pay for services not fully covered publicly", "relationship_family": "governance", "display_claim_ids": [ "display-claim:fa57dc696c2ed9383bc1ba1f" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:8d3aa945a3cf3990a832b295" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:2bc423c3d8cc04950fa69d76" ], "display_evidence_object_id": "display-claim:fa57dc696c2ed9383bc1ba1f" } ] }, "title": "Public Medicare, non-Medicare coverage and financing boundary", "statement": "Public plans cover core insured hospital and physician services, while other coverage varies by jurisdiction and eligible group. CIHI reports a 71.0% public and 29.0% private financing split for preliminary 2024 expenditure, not ownership or delivery-market shares.", "citation": "Health Canada, About Canada's health care system, 2025; European Observatory, Health Systems in Action 2024: Canada, 2025; CIHI, Health Expenditure Data in Brief, 2024.", "url": "https://www.cihi.ca/sites/default/files/document/health-expenditure-data-in-brief-2024-en.pdf", "locator": "Health Canada service-coverage section; Observatory review PDF pages 4 to 6; CIHI PDF page 1, By sector.", "period": "Health Canada page modified 2025-06-25; review published 2025; CIHI preliminary 2024 estimate", "territory": "Canada, with province and territory variation", "evidence_mode_candidate": "reported", "verification_source_layer": "grey_literature", "coverage_domains": [ "ownership", "market_structure", "hospital_organization", "primary_care", "decision_rights", "governance", "authoritative_review" ], "review_requirements": [ "Do not convert financing shares or coverage boundaries into provider ownership, delivery dominance or market-concentration claims." ], "source_references": [ { "title": "Health Systems in Action 2024: Canada", "citation": "European Observatory on Health Systems and Policies. Health Systems in Action 2024: Canada. 2025. https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada", "url": "https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada", "locator": { "locator_type": "pdf_page_set_anchor", "physical_pdf_pages": [ 4, 5, 8, 9 ], "sections": [ "Health system organization", "Governance" ], "source_word_anchor": "Medicare represents 13 public health insurance systems", "source_word_count": 6 }, "source_version": { "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:who-health-systems-in-action-2024", "display_source_id": "display-source:CAN:7350388a08e5af6b64017d6f", "source_version_id": "display-source-version:8223b201725bb8d43242f17a" }, { "title": "About Canada's health care system", "citation": "Health Canada. About Canada's health care system. Modified 2025-06-25. https://www.canada.ca/en/health-canada/services/canada-health-care-system.html", "url": "https://www.canada.ca/en/health-canada/services/canada-health-care-system.html", "locator": { "locator_type": "html_text_anchor", "sections": [ "How the health care system works", "About the services that are provided", "Canada's role in the health care system" ], "source_word_anchor": "services that are not fully covered", "source_word_count": 6 }, "source_version": { "response_sha256": "5eac698da7c6a6ccd514a5f7385eaf10f9d5d61178c884e5a73d3f3fa08598a7", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:CAN:health-canada-system-2025", "display_source_id": "display-source:CAN:1007c692b78987483e4be637", "source_version_id": "display-source-version:ef0fdc4ebd6a2f8d7107cb88" }, { "title": "Health Expenditure Data in Brief", "citation": "Canadian Institute for Health Information. Health Expenditure Data in Brief. October 2024. https://www.cihi.ca/sites/default/files/document/health-expenditure-data-in-brief-2024-en.pdf", "url": "https://www.cihi.ca/sites/default/files/document/health-expenditure-data-in-brief-2024-en.pdf", "locator": { "locator_type": "pdf_page_anchor", "physical_pdf_pages": [ 1 ], "sections": [ "By sector" ], "source_word_anchor": "Public-sector share of total spending", "source_word_count": 5 }, "source_version": { "file_sha256": "245e7af86a40b204c9763b11a47449a9962e3bca81d2aa94795ee6ec4c9d30d2", "response_sha256": "245e7af86a40b204c9763b11a47449a9962e3bca81d2aa94795ee6ec4c9d30d2", "page_count": 2, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:cihi-health-expenditure-data-in-brief-2024", "display_source_id": "display-source:CAN:8d3aa945a3cf3990a832b295", "source_version_id": "display-source-version:2bc423c3d8cc04950fa69d76" } ], "source_version": { "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "detected_media_type": "application/pdf", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:1007c692b78987483e4be637", "display-source:CAN:8d3aa945a3cf3990a832b295" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:ef0fdc4ebd6a2f8d7107cb88", "display-source-version:2bc423c3d8cc04950fa69d76" ], "display_claim_ids": [ "display-claim:c4b5ca9240a8f1f23d380601", "display-claim:28ee48fb104f64623d4b6cf3", "display-claim:fa7c22449d723bc5d1a159ad", "display-claim:e5c8e060db37d3b0c0442055", "display-claim:43b7c77b709e3c0f11b09822", "display-claim:fa57dc696c2ed9383bc1ba1f" ], "display_evidence_object_id": "display-claim:c4b5ca9240a8f1f23d380601", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:CAN:relationships-networks:thirteen-insurance-systems-and-variable-health-authorities", "country_id": "CAN", "mapping_group": "relationships_and_networks", "target_view": "delivery", "target_slot": "pt-insurance-systems-and-variable-health-authority-organization", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "reported_in_2025_observatory_review_with_ontario_agency_and_network_examples", "source_projection_ids": [ "country-improvement-source:CAN:who-health-systems-in-action-2024", "country-improvement-source:CAN:ontario-health-agency-2025", "country-improvement-source:CAN:ontario-health-teams-2026" ], "typed_fields": { "system_structure": "Medicare comprises 13 provincial and territorial public insurance systems", "governance_variation": "Responsibility may be delegated to regional health authorities or organized through province-wide models", "ontario_agency_example": "Ontario Health oversees Ontario delivery and promotes integration as one provincial agency", "ontario_network_example": "Ontario reports 58 Ontario Health Teams coordinating hospitals, doctors and home and community providers", "delivery_boundary": "Ontario examples illustrate one province only; no source supplies a canonical Canadian network registry or comparable integration result." }, "analytical_objects": { "graph_nodes": [ { "node_id": "can:pt-insurance-systems", "label": "Thirteen provincial and territorial insurance systems", "family": "purchaser", "display_claim_ids": [ "display-claim:9ba2d8a07763bf26f32213d6" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:a9e5321c234a127e73d993a5", "display-source:CAN:3dddd16f2312bf62570f6ea4" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:eaf6db9ac4c34c74cb89ee75", "display-source-version:cf69f536c04d74196edc90e9" ], "display_evidence_object_id": "display-claim:9ba2d8a07763bf26f32213d6" }, { "node_id": "can:health-authorities", "label": "Provincial or regional health authorities", "family": "subnational", "display_claim_ids": [ "display-claim:f7b84ef9cea9673266bb771e" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:a9e5321c234a127e73d993a5", "display-source:CAN:3dddd16f2312bf62570f6ea4" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:eaf6db9ac4c34c74cb89ee75", "display-source-version:cf69f536c04d74196edc90e9" ], "display_evidence_object_id": "display-claim:f7b84ef9cea9673266bb771e" }, { "node_id": "can:ontario-health", "label": "Ontario Health", "family": "subnational", "display_claim_ids": [ "display-claim:cecafd59904bfbaa125d8785" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:a9e5321c234a127e73d993a5", "display-source:CAN:3dddd16f2312bf62570f6ea4" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:eaf6db9ac4c34c74cb89ee75", "display-source-version:cf69f536c04d74196edc90e9" ], "display_evidence_object_id": "display-claim:cecafd59904bfbaa125d8785" }, { "node_id": "can:ontario-health-teams", "label": "Ontario Health Teams", "family": "provider", "display_claim_ids": [ "display-claim:c48d7db4516828a93137f56a" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:a9e5321c234a127e73d993a5", "display-source:CAN:3dddd16f2312bf62570f6ea4" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:eaf6db9ac4c34c74cb89ee75", "display-source-version:cf69f536c04d74196edc90e9" ], "display_evidence_object_id": "display-claim:c48d7db4516828a93137f56a" }, { "node_id": "can:ontario-health-team-member-providers", "label": "Ontario Health Team member providers", "family": "provider", "display_claim_ids": [ "display-claim:ebb0e3bde8cea498ce624261" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:a9e5321c234a127e73d993a5", "display-source:CAN:3dddd16f2312bf62570f6ea4" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:eaf6db9ac4c34c74cb89ee75", "display-source-version:cf69f536c04d74196edc90e9" ], "display_evidence_object_id": "display-claim:ebb0e3bde8cea498ce624261" } ], "graph_edges": [ { "source_node_id": "can:pt-insurance-systems", "target_node_id": "can:health-authorities", "relationship": "jurisdiction-specific governance delegation", "relationship_family": "governance", "display_claim_ids": [ "display-claim:5c9f1d656e46d67116a5dbce" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:a9e5321c234a127e73d993a5", "display-source:CAN:3dddd16f2312bf62570f6ea4" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:eaf6db9ac4c34c74cb89ee75", "display-source-version:cf69f536c04d74196edc90e9" ], "display_evidence_object_id": "display-claim:5c9f1d656e46d67116a5dbce" }, { "source_node_id": "can:ontario-health", "target_node_id": "can:ontario-health-teams", "relationship": "Ontario-specific: plans, establishes and supports team implementation", "relationship_family": "governance", "display_claim_ids": [ "display-claim:f8e286fbba5eb3e556246ca7" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:a9e5321c234a127e73d993a5", "display-source:CAN:3dddd16f2312bf62570f6ea4" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:eaf6db9ac4c34c74cb89ee75", "display-source-version:cf69f536c04d74196edc90e9" ], "display_evidence_object_id": "display-claim:f8e286fbba5eb3e556246ca7" }, { "source_node_id": "can:ontario-health-teams", "target_node_id": "can:ontario-health-team-member-providers", "relationship": "Ontario-specific: member hospitals, doctors and home and community providers work as coordinated teams", "relationship_family": "network", "display_claim_ids": [ "display-claim:fb5f47a220097c7cfe4eb184" ], "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:a9e5321c234a127e73d993a5", "display-source:CAN:3dddd16f2312bf62570f6ea4" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:eaf6db9ac4c34c74cb89ee75", "display-source-version:cf69f536c04d74196edc90e9" ], "display_evidence_object_id": "display-claim:fb5f47a220097c7cfe4eb184" } ] }, "title": "Variable health-authority organization with Ontario network example", "statement": "The Observatory review describes 13 provincial and territorial public insurance systems with varied health-authority arrangements. Ontario separately documents provincial agency oversight and 58 coordinated Health Teams; these examples do not establish a Canadian-wide ownership, operation or network model.", "citation": "European Observatory, Health Systems in Action 2024: Canada, 2025; Government of Ontario, Ontario Health agency, 2025; Ontario Health Teams, 2026.", "url": "https://www.ontario.ca/page/ontario-health-teams", "locator": "Observatory review PDF pages 4 to 9; Ontario Health agency sections What is Ontario Health and roles; Ontario Health Teams Overview.", "period": "Canada review published 2025; Ontario pages updated 2025-10-07 and 2026-07-28", "territory": "Canada synthesis; named operational and network examples are Ontario only", "evidence_mode_candidate": "reported", "verification_source_layer": "official", "coverage_domains": [ "actors", "government_responsibilities", "networks", "hospital_organization", "primary_care", "governance", "facility_data", "authoritative_review" ], "review_requirements": [ "Do not treat Ontario’s agency or Health Teams as proof of one health-authority structure or connected network elsewhere." ], "source_references": [ { "title": "Health Systems in Action 2024: Canada", "citation": "European Observatory on Health Systems and Policies. Health Systems in Action 2024: Canada. 2025. https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada", "url": "https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada", "locator": { "locator_type": "pdf_page_set_anchor", "physical_pdf_pages": [ 4, 5, 8, 9 ], "sections": [ "Health system organization", "Governance" ], "source_word_anchor": "Medicare represents 13 public health insurance systems", "source_word_count": 6 }, "source_version": { "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:who-health-systems-in-action-2024", "display_source_id": "display-source:CAN:7350388a08e5af6b64017d6f", "source_version_id": "display-source-version:8223b201725bb8d43242f17a" }, { "title": "Ontario Health agency", "citation": "Government of Ontario. Ontario Health agency. Updated 2025-10-07. https://www.ontario.ca/page/ontario-health-agency", "url": "https://www.ontario.ca/page/ontario-health-agency", "locator": { "locator_type": "html_text_anchor", "sections": [ "What is Ontario Health", "Ontario Health roles and responsibilities", "System oversight" ], "source_word_anchor": "holding accountability for Ontario Health Teams", "source_word_count": 6 }, "source_version": { "response_sha256": "4065dbcc7b218b437ead98f6a4f75bccdf019d7010333c8040e5b9e9fd33ec73", "detected_media_type": "text/html", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:ontario-health-agency-2025", "display_source_id": "display-source:CAN:a9e5321c234a127e73d993a5", "source_version_id": "display-source-version:eaf6db9ac4c34c74cb89ee75" }, { "title": "Ontario Health Teams", "citation": "Government of Ontario. Ontario Health Teams. Updated 2026-07-28. https://www.ontario.ca/page/ontario-health-teams", "url": "https://www.ontario.ca/page/ontario-health-teams", "locator": { "locator_type": "html_text_anchor", "section": "Overview", "source_word_anchor": "providers work as one coordinated team", "source_word_count": 6 }, "source_version": { "response_sha256": "bddbe526ed490b589890b4c0df37032a444786cdf3a1abf5dd4afdd640015ffd", "detected_media_type": "text/html", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:ontario-health-teams-2026", "display_source_id": "display-source:CAN:3dddd16f2312bf62570f6ea4", "source_version_id": "display-source-version:cf69f536c04d74196edc90e9" } ], "source_version": { "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "detected_media_type": "application/pdf", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:7350388a08e5af6b64017d6f", "display-source:CAN:a9e5321c234a127e73d993a5", "display-source:CAN:3dddd16f2312bf62570f6ea4" ], "source_version_ids": [ "display-source-version:8223b201725bb8d43242f17a", "display-source-version:eaf6db9ac4c34c74cb89ee75", "display-source-version:cf69f536c04d74196edc90e9" ], "display_claim_ids": [ "display-claim:8fa283c788e3ade2d8b3976b", "display-claim:9ba2d8a07763bf26f32213d6", "display-claim:f7b84ef9cea9673266bb771e", "display-claim:cecafd59904bfbaa125d8785", "display-claim:c48d7db4516828a93137f56a", "display-claim:ebb0e3bde8cea498ce624261", "display-claim:5c9f1d656e46d67116a5dbce", "display-claim:f8e286fbba5eb3e556246ca7", "display-claim:fb5f47a220097c7cfe4eb184" ], "display_evidence_object_id": "display-claim:8fa283c788e3ade2d8b3976b", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:CAN:time-reform:annual-report-jurisdiction-specific-plan-descriptions", "country_id": "CAN", "mapping_group": "time_and_reform", "target_view": "reforms", "target_slot": "2024-25-jurisdiction-specific-insurance-plan-reporting", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "reported_in_2024-25_canada_health_act_annual_report", "source_projection_ids": [ "country-improvement-source:CAN:canada-health-act-annual-report-2024-25" ], "typed_fields": { "reporting_scope": "Thirteen provincial and territorial insurance-plan descriptions for fiscal 2024-2025", "federal_role": "Annual reporting concerns Act criteria and conditions for payment", "comparability_boundary": "Jurisdiction-specific submissions are not a harmonized registry of facilities, provider ownership, autonomy, referral flows or patient experience." }, "analytical_objects": { "reform_events": [ { "event_id": "can:cha-annual-report-2024-25", "label": "Canada Health Act Annual Report 2024-2025 published", "year": 2026, "status": "Official reporting record for fiscal year 2024-2025", "display_claim_ids": [ "display-claim:1e8c87020387e5be081a04d2" ], "display_source_ids": [ "display-source:CAN:ea78465c0f4c5fb9adc712a6" ], "source_version_ids": [ "display-source-version:d695b7a376f982cb26584864" ], "display_evidence_object_id": "display-claim:1e8c87020387e5be081a04d2" } ], "function_assignments": [ { "actor_label": "Provincial and territorial health insurance plans", "function_label": "Jurisdiction-specific plan reporting", "role": "Annual report submissions", "actor_family": "purchaser", "display_claim_ids": [ "display-claim:1539288c0aa5f8d80d61a35c" ], "display_source_ids": [ "display-source:CAN:ea78465c0f4c5fb9adc712a6" ], "source_version_ids": [ "display-source-version:d695b7a376f982cb26584864" ], "display_evidence_object_id": "display-claim:1539288c0aa5f8d80d61a35c" } ] }, "title": "Jurisdiction-specific insurance-plan reporting in 2024-2025", "statement": "The annual report offers jurisdiction-specific plan descriptions under the Canada Health Act, making cross-jurisdiction variation visible. It does not provide a common measure of provider organization, ownership, autonomy or referral performance.", "citation": "Health Canada, Canada Health Act Annual Report 2024-2025, 2026.", "url": "https://www.canada.ca/en/health-canada/services/publications/health-system-services/canada-health-act-annual-report-2024-2025.html", "locator": "Annual report Chapter 3, Provincial and territorial health care insurance plans in 2024-2025.", "period": "Fiscal year 2024-2025; report published 2026-02-13", "territory": "All 10 provinces and 3 territories", "evidence_mode_candidate": "reported", "verification_source_layer": "official", "coverage_domains": [ "actors", "government_responsibilities", "ownership", "facility_data", "hospital_organization", "governance", "market_structure", "reform_history", "authoritative_review" ], "review_requirements": [ "Retain jurisdiction-specific context and do not use the annual report as a normalized national provider or patient-flow dataset." ], "source_references": [ { "title": "Canada Health Act Annual Report 2024-2025", "citation": "Health Canada. Canada Health Act Annual Report 2024-2025. 2026. https://www.canada.ca/en/health-canada/services/publications/health-system-services/canada-health-act-annual-report-2024-2025.html", "url": "https://www.canada.ca/en/health-canada/services/publications/health-system-services/canada-health-act-annual-report-2024-2025.html", "locator": { "locator_type": "pdf_section_anchor", "physical_pdf_pages": [ 23, 24, 25 ], "sections": [ "Administration and compliance", "Provincial and territorial health care insurance plans in 2024-2025" ], "source_word_anchor": "Provincial and territorial health care insurance plans in 2024-2025", "source_word_count": 9 }, "source_version": { "file_sha256": "371ff67ad8c463895ee490450b2635c67af27a64c0b9a534e3345492864db662", "response_sha256": "371ff67ad8c463895ee490450b2635c67af27a64c0b9a534e3345492864db662", "page_count": 407, "detected_media_type": "application/pdf", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:canada-health-act-annual-report-2024-25", "display_source_id": "display-source:CAN:ea78465c0f4c5fb9adc712a6", "source_version_id": "display-source-version:d695b7a376f982cb26584864" } ], "source_version": { "file_sha256": "371ff67ad8c463895ee490450b2635c67af27a64c0b9a534e3345492864db662", "response_sha256": "371ff67ad8c463895ee490450b2635c67af27a64c0b9a534e3345492864db662", "page_count": 407, "detected_media_type": "application/pdf", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:ea78465c0f4c5fb9adc712a6" ], "source_version_ids": [ "display-source-version:d695b7a376f982cb26584864" ], "display_claim_ids": [ "display-claim:975b21ad47d84bf5cc2794ae", "display-claim:1e8c87020387e5be081a04d2", "display-claim:1539288c0aa5f8d80d61a35c" ], "display_evidence_object_id": "display-claim:975b21ad47d84bf5cc2794ae", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:CAN:time-reform:working-together-bilateral-agreement-renewal", "country_id": "CAN", "mapping_group": "time_and_reform", "target_view": "reforms", "target_slot": "working-together-bilateral-agreement-renewal-2026-2033", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "declared_in_health_canada_bilateral_agreement_page", "source_projection_ids": [ "country-improvement-source:CAN:working-together-bilateral-agreements-2026" ], "typed_fields": { "historic_period": "First three-year funding period expired 31 March 2026", "renewal": "Seven-year renewed agreements are described for 2026-27 to 2032-33", "design": "Flexible bilateral commitments include workforce, data and interoperability priorities", "boundary": "The page does not demonstrate that agreement commitments altered local networks, referrals or outcomes." }, "analytical_objects": { "reform_events": [ { "event_id": "can:working-together-first-period-end-2026", "label": "First Working Together bilateral funding period ended", "year": 2026, "status": "Official page record", "display_claim_ids": [ "display-claim:5ec7b28c940dae44b2e3d63e" ], "display_source_ids": [ "display-source:CAN:bd8196dfc3a6046e3997b400" ], "source_version_ids": [ "display-source-version:8cf8ffd87764d6dce3a6f233" ], "display_evidence_object_id": "display-claim:5ec7b28c940dae44b2e3d63e" }, { "event_id": "can:working-together-renewal-2026", "label": "Renewed Working Together bilateral agreements described for 2026-27 to 2032-33", "year": 2026, "status": "Agreement and funding design, not implementation result", "display_claim_ids": [ "display-claim:ccc80a427e12993d77221dcf" ], "display_source_ids": [ "display-source:CAN:bd8196dfc3a6046e3997b400" ], "source_version_ids": [ "display-source-version:8cf8ffd87764d6dce3a6f233" ], "display_evidence_object_id": "display-claim:ccc80a427e12993d77221dcf" } ], "graph_nodes": [ { "node_id": "can:bilateral-agreements", "label": "Federal-provincial-territorial bilateral agreements", "family": "national", "display_claim_ids": [ "display-claim:4b637fa0f5aae77ce5e616e3" ], "display_source_ids": [ "display-source:CAN:bd8196dfc3a6046e3997b400" ], "source_version_ids": [ "display-source-version:8cf8ffd87764d6dce3a6f233" ], "display_evidence_object_id": "display-claim:4b637fa0f5aae77ce5e616e3" } ], "graph_edges": [ { "source_node_id": "can:bilateral-agreements", "target_node_id": "can:pt-governments", "relationship": "flexible jurisdiction-specific agreement framework", "relationship_family": "network", "display_claim_ids": [ "display-claim:1e9763b225085196d8d9b294" ], "display_source_ids": [ "display-source:CAN:bd8196dfc3a6046e3997b400" ], "source_version_ids": [ "display-source-version:8cf8ffd87764d6dce3a6f233" ], "display_evidence_object_id": "display-claim:1e9763b225085196d8d9b294" } ] }, "title": "Working Together bilateral-agreement renewal", "statement": "Health Canada records the end of the first funding period and describes renewed bilateral agreements through 2032-33. The agreements are tailored funding and commitment instruments, not evidence of uniform implementation or delivery integration.", "citation": "Health Canada, Working Together bilateral agreements, modified 2026.", "url": "https://www.canada.ca/en/health-canada/corporate/transparency/health-agreements/shared-health-priorities/working-together-bilateral-agreements.html", "locator": "Health Canada page, agreement overview, commitments and funding-period sections.", "period": "First period ended 2026-03-31; renewed period 2026-27 to 2032-33", "territory": "Canada, through federal bilateral arrangements with provinces and territories", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "actors", "government_responsibilities", "networks", "governance", "reform_history", "decision_rights", "authoritative_review" ], "review_requirements": [ "Do not claim that an agreement has produced a common national referral network, workforce distribution or interoperability outcome." ], "source_references": [ { "title": "Working together to improve health care in Canada: Working Together bilateral agreements", "citation": "Health Canada. Working together to improve health care in Canada: Working Together bilateral agreements. Modified 2026-07-30. https://www.canada.ca/en/health-canada/corporate/transparency/health-agreements/shared-health-priorities/working-together-bilateral-agreements.html", "url": "https://www.canada.ca/en/health-canada/corporate/transparency/health-agreements/shared-health-priorities/working-together-bilateral-agreements.html", "locator": { "locator_type": "html_text_anchor", "sections": [ "Working Together bilateral agreements", "Provincial and territorial commitments" ], "source_word_anchor": "flexible and tailored", "source_word_count": 3 }, "source_version": { "response_sha256": "f1fd41a10371de52e5d84c887b5979ea8572543ee70948f2a7e02ed1099d05a0", "detected_media_type": "text/html", "hash_verified": true }, "source_projection_id": "country-improvement-source:CAN:working-together-bilateral-agreements-2026", "display_source_id": "display-source:CAN:bd8196dfc3a6046e3997b400", "source_version_id": "display-source-version:8cf8ffd87764d6dce3a6f233" } ], "source_version": { "response_sha256": "f1fd41a10371de52e5d84c887b5979ea8572543ee70948f2a7e02ed1099d05a0", "detected_media_type": "text/html", "hash_verified": true }, "display_source_ids": [ "display-source:CAN:bd8196dfc3a6046e3997b400" ], "source_version_ids": [ "display-source-version:8cf8ffd87764d6dce3a6f233" ], "display_claim_ids": [ "display-claim:a674c4cf0d88822b3bd5e26c", "display-claim:5ec7b28c940dae44b2e3d63e", "display-claim:ccc80a427e12993d77221dcf", "display-claim:4b637fa0f5aae77ce5e616e3", "display-claim:1e9763b225085196d8d9b294" ], "display_evidence_object_id": "display-claim:a674c4cf0d88822b3bd5e26c", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" } ], "displayed_evidence": { "candidate_sources": [ { "candidate_source_id": "candidate-source:CAN:f9c937480c633e606c4f", "evidence_layer": "candidate_corpus_page_locator", "evidence_layers": [ "candidate_corpus_page_locator" ], "source_layers": [ "candidate_corpus_page_locator" ], "source_type": "candidate corpus source", "display_eligible": true, "title": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries", "citation": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries. 1997. https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf", "citation_string": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries. 1997. https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf", "citation_status": "machine_formatted_from_title_year_url", "citation_provenance": "machine formatted from source title, publication year, and URL", "url": "https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf", "publication_year": 1997, "source_families": [ "global_corpus" ], "channels": [ "corpus_excerpt_queue" ], "verification_source_layer": "grey_literature", "coverage_domains": [], "url_verification_status": null, "source_version": { "file_sha256": "101513f04a64e156597c875a9e9323862c096ec4a3dac11bae5e323ade67a79f", "text_sha256": "33dc1ae64dc1ab26da2d66f204d43d17cccc549e7d4b59a0c038aa3a6b231a05", "response_sha256": null, "page_count": null }, "locator": { "physical_pdf_page": 12, "source_word_anchor": "per capita transfers for health and education with federal conditions on accessibility" }, "display_status": "shown_in_full", "review_channel": "text_anchored_annotation", "verification_requirements": [] }, { "candidate_source_id": "candidate-source:CAN:727ee748cc9df027f308", "evidence_layer": "candidate_source_metadata", "evidence_layers": [ "candidate_source_metadata" ], "source_layers": [ "candidate_source_metadata" ], "source_type": "candidate source metadata", "display_eligible": true, "title": "Family physicians collaborating for health system integration: a scoping review", "citation": "Grady C, Han H, Kim DH, Coderre-Ball AM, Alam N. Family physicians collaborating for health system integration: a scoping review. BMC health services research. 2023. doi:10.1186/s12913-023-09063-w.", "citation_string": "Grady C, Han H, Kim DH, Coderre-Ball AM, Alam N. Family physicians collaborating for health system integration: a scoping review. BMC health services research. 2023. doi:10.1186/s12913-023-09063-w.", "citation_status": "supplied", "citation_provenance": "source metadata", "url": "https://pubmed.ncbi.nlm.nih.gov/36690992/", "publication_year": 2023, "source_families": [ "pubmed_country_review_seed" ], "channels": [ "curated_review" ], "verification_source_layer": "review_literature", "coverage_domains": [ "authoritative_review", "governance", "networks", "primary_care" ], "url_verification_status": null, "source_version": { "file_sha256": null, "text_sha256": null, "response_sha256": null, "page_count": null }, "locator": null, "display_status": "shown_in_full", "review_channel": "text_anchored_annotation", "verification_requirements": [] }, { "candidate_source_id": "candidate-source:CAN:67aabf7cfecc8bf5fbb4", "evidence_layer": "candidate_source_metadata", "evidence_layers": [ "candidate_source_metadata" ], "source_layers": [ "candidate_source_metadata" ], "source_type": "candidate source metadata", "display_eligible": true, "title": "The impact of primary care reform on health system performance in Canada: a systematic review", "citation": "Carter R, Riverin B, Levesque JF, Gariepy G, Quesnel-Vallée A. The impact of primary care reform on health system performance in Canada: a systematic review. BMC health services research. 2016. doi:10.1186/s12913-016-1571-7.", "citation_string": "Carter R, Riverin B, Levesque JF, Gariepy G, Quesnel-Vallée A. The impact of primary care reform on health system performance in Canada: a systematic review. BMC health services research. 2016. doi:10.1186/s12913-016-1571-7.", "citation_status": "supplied", "citation_provenance": "source metadata", "url": "https://pubmed.ncbi.nlm.nih.gov/27475057/", "publication_year": 2016, "source_families": [ "pubmed_country_review_seed" ], "channels": [ "curated_review" ], "verification_source_layer": "review_literature", "coverage_domains": [ "authoritative_review", "networks", "primary_care", "reform_history" ], "url_verification_status": null, "source_version": { "file_sha256": null, "text_sha256": null, "response_sha256": null, "page_count": null }, "locator": null, "display_status": "shown_in_full", "review_channel": "text_anchored_annotation", "verification_requirements": [] } ], "candidate_facts": [ { "display_evidence_id": "display-evidence:CAN:10af0d9c7f27dedff484", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 22. https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, s. 22", "locator_text": "`ON-LAW-CONNECTING-CARE`, s. 22" } ], "proposed_statement": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Acquire current agreements and amendments for named providers." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:137d1545bd07e2ac1b06", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "source_references": [ { "source_reference_id": "display-source:d31e9e3a339555df924e", "title": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 4, PDF p. 9. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "locator": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 4, PDF p. 9", "locator_text": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 4, PDF p. 9" } ], "proposed_statement": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "Consolidation current to 2026-06-17", "verification_requirements": [ "Link to current fiscal-arrangements law and the selected fiscal year." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:1444d20f750054a35c45", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, ss. 3 to 4. https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, ss. 3 to 4", "locator_text": "`ON-LAW-CONNECTING-CARE`, ss. 3 to 4" } ], "proposed_statement": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Check the e-Laws currency date and record the applicable period." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:1454599332728314c65d", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, ss. 33 to 34. https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, ss. 33 to 34", "locator_text": "`ON-LAW-CONNECTING-CARE`, ss. 33 to 34" } ], "proposed_statement": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Record the exact ordered action and restrictions for each event." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:2a296d615526b5d886f2", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "source_references": [ { "source_reference_id": "display-source:d31e9e3a339555df924e", "title": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, ss. 14 to 15, PDF pp. 13 to 14. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "locator": "`CAN-LAW-CANADA-HEALTH-ACT`, ss. 14 to 15, PDF pp. 13 to 14", "locator_text": "`CAN-LAW-CANADA-HEALTH-ACT`, ss. 14 to 15, PDF pp. 13 to 14" } ], "proposed_statement": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "Consolidation current to 2026-06-17", "verification_requirements": [ "Preserve consultation, referral, decision, and fiscal consequence as separate edges." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:2f21b49ed7b065229b7a", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability" ], "source_references": [ { "source_reference_id": "display-source:d158c708d630d70760ec", "title": "Ontario public hospital governance", "url": "https://www.ontario.ca/page/ontarios-public-hospitals", "citation": "Ontario public hospital governance. `ON-PUBLIC-HOSPITALS`, `Overview`. https://www.ontario.ca/page/ontarios-public-hospitals", "locator": "`ON-PUBLIC-HOSPITALS`, `Overview`", "locator_text": "`ON-PUBLIC-HOSPITALS`, `Overview`" } ], "proposed_statement": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "reported", "territory_scope": "Ontario", "period_basis": "Page updated 2023-07-18", "verification_requirements": [ "Acquire the current Public Hospitals Act and entity governance instruments." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:639bfd27a31b86063614", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, ss. 18 to 19. https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, ss. 18 to 19", "locator_text": "`ON-LAW-CONNECTING-CARE`, ss. 18 to 19" } ], "proposed_statement": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Acquire the current agreement and fiscal instruments." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:6550bb8c3910a6dbab2c", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "source_references": [ { "source_reference_id": "display-source:d31e9e3a339555df924e", "title": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 8(1), PDF p. 10. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "locator": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(1), PDF p. 10", "locator_text": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(1), PDF p. 10" } ], "proposed_statement": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "Consolidation current to 2026-06-17", "verification_requirements": [ "Identify Ontario's applicable insurance-plan authority through provincial law." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:6601405612eef0722065", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 21. https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, s. 21", "locator_text": "`ON-LAW-CONNECTING-CARE`, s. 21" } ], "proposed_statement": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Funding does not establish ownership or site operation." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:7db3b0952ee8e690c9b0", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 8(1), (2), and (6). https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, s. 8(1), (2), and (6)", "locator_text": "`ON-LAW-CONNECTING-CARE`, s. 8(1), (2), and (6)" } ], "proposed_statement": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Verify current appointments against official orders." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:925e968e67c9dc075a00", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability" ], "source_references": [ { "source_reference_id": "display-source:d158c708d630d70760ec", "title": "Ontario public hospital governance", "url": "https://www.ontario.ca/page/ontarios-public-hospitals", "citation": "Ontario public hospital governance. `ON-PUBLIC-HOSPITALS`, `Total number of public hospitals`. https://www.ontario.ca/page/ontarios-public-hospitals", "locator": "`ON-PUBLIC-HOSPITALS`, `Total number of public hospitals`", "locator_text": "`ON-PUBLIC-HOSPITALS`, `Total number of public hospitals`" } ], "proposed_statement": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "reported", "territory_scope": "Ontario", "period_basis": "As at 2023-02-01", "verification_requirements": [ "Stale for 2026. Acquire current corporation and site registries before any count is displayed." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:9296ff945cb0c342dd84", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "source_references": [ { "source_reference_id": "display-source:d31e9e3a339555df924e", "title": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 8(2), PDF p. 10. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "locator": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(2), PDF p. 10", "locator_text": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(2), PDF p. 10" } ], "proposed_statement": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "Consolidation current to 2026-06-17", "verification_requirements": [ "Do not call an administrative payment agent the plan administrator." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:94f224df91409ef75dea", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "source_references": [ { "source_reference_id": "display-source:d31e9e3a339555df924e", "title": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 7, PDF pp. 9 to 10. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "locator": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 7, PDF pp. 9 to 10", "locator_text": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 7, PDF pp. 9 to 10" } ], "proposed_statement": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "Consolidation current to 2026-06-17", "verification_requirements": [ "Store each criterion separately and do not equate compliance with delivery ownership." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:aa388f0c21adb749cec2", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 35. https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, s. 35", "locator_text": "`ON-LAW-CONNECTING-CARE`, s. 35" } ], "proposed_statement": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Distinguish proposal, notice, waiting period, non-objection, and prohibition." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:ace5e8ea5879a70c7fdc", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "hospital_organization" ], "source_references": [ { "source_reference_id": "display-source:29fad7eac01fd28f617c", "title": "Constitution Act, 1867, section 92", "url": "https://laws-lois.justice.gc.ca/eng/Const/section-92.html", "citation": "Constitution Act, 1867, section 92. `CAN-CONSTITUTION-SECTION-92`, Constitution Act, 1867, s. 92(7). https://laws-lois.justice.gc.ca/eng/Const/section-92.html", "locator": "`CAN-CONSTITUTION-SECTION-92`, Constitution Act, 1867, s. 92(7)", "locator_text": "`CAN-CONSTITUTION-SECTION-92`, Constitution Act, 1867, s. 92(7)" } ], "proposed_statement": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "Current snapshot retrieved 2026-08-10", "verification_requirements": [ "Complete the multi-head constitutional and jurisprudential review." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:c4c2e7356c9d09f0926b", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "source_references": [ { "source_reference_id": "display-source:d31e9e3a339555df924e", "title": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 12(1), PDF pp. 12 to 13. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "locator": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 12(1), PDF pp. 12 to 13", "locator_text": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 12(1), PDF pp. 12 to 13" } ], "proposed_statement": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "Consolidation current to 2026-06-17", "verification_requirements": [ "Keep payment design in the Payment knob and provider organization in this knob." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:d5b685c385b676216e9a", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:0d4874aeae20a180c289", "title": "Ontario Health Teams", "url": "https://www.ontario.ca/page/ontario-health-teams", "citation": "Ontario Health Teams. `ON-HEALTH-TEAMS`, `Overview`. https://www.ontario.ca/page/ontario-health-teams", "locator": "`ON-HEALTH-TEAMS`, `Overview`", "locator_text": "`ON-HEALTH-TEAMS`, `Overview`" } ], "proposed_statement": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "reported", "territory_scope": "Ontario", "period_basis": "Page updated 2026-07-28", "verification_requirements": [ "Verify against designation instruments, current team list, territory, and attribution method." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:e255764285a67028cb89", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 20. https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, s. 20", "locator_text": "`ON-LAW-CONNECTING-CARE`, s. 20" } ], "proposed_statement": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Acquire the directive register and resolve entity applicability." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:ee92785fde72aad87f13", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 29(3). https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, s. 29(3)", "locator_text": "`ON-LAW-CONNECTING-CARE`, s. 29(3)" } ], "proposed_statement": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Preserve constituent legal identities and the extent qualification." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:f2df91d3a4585ff9eaaa", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, ss. 30 to 32. https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, ss. 30 to 32", "locator_text": "`ON-LAW-CONNECTING-CARE`, ss. 30 to 32" } ], "proposed_statement": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Separate duty to identify, facilitation, agreement, and funding action." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:f4d13ecf856f26a18cf6", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 6. https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, s. 6", "locator_text": "`ON-LAW-CONNECTING-CARE`, s. 6" } ], "proposed_statement": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "CCA consolidation from 2026-04-24", "verification_requirements": [ "Split each function and distinguish object from exercised authority." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:fa042a859d3c9c9aea42", "country_id": "CAN", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:7fe95724e70444927ea3", "title": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05", "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 29(1) to (2.2). https://www.ontario.ca/laws/statute/19c05", "locator": "`ON-LAW-CONNECTING-CARE`, s. 29(1) to (2.2)", "locator_text": "`ON-LAW-CONNECTING-CARE`, s. 29(1) to (2.2)" } ], "proposed_statement": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "Ontario", "period_basis": "From 2023-12-04 amendment basis in the consolidation", "verification_requirements": [ "Acquire every current designation and its conditions." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" } ], "exact_contexts": [ { "display_evidence_id": "display-evidence:CAN:753886aa4278a9a2a5fc", "country_id": "CAN", "record_type": "evidence_context", "display_eligible": true, "evidence_source_layer": "review_literature", "coverage_domains": [ "authoritative_review", "networks", "primary_care", "reform_history" ], "source_references": [ { "source_reference_id": "display-source:21e80e32d365c3bdf546", "title": "The impact of primary care reform on health system performance in Canada: a systematic review", "url": "https://pubmed.ncbi.nlm.nih.gov/27475057/", "citation": "Carter R, Riverin B, Levesque JF, Gariepy G, Quesnel-Vallée A. The impact of primary care reform on health system performance in Canada: a systematic review. BMC health services research. 2016. doi:10.1186/s12913-016-1571-7.", "locator": { "anchor_text": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "locator_type": "full_text", "pdf_page": 1, "section": "Background" }, "locator_text": "PDF page: 1; Section: Background; Anchor: The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "candidate_source_id": "candidate-source:CAN:67aabf7cfecc8bf5fbb4" } ], "proposed_statement": null, "evidence_excerpt": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "excerpt_status": "exact_source_text", "direct_text_checkable": true, "verification_route": "compare_context_with_source_section", "evidence_mode_candidate": "reported", "territory_scope": "national_or_review_scope", "period_basis": "2016", "source_version": { "file_sha256": "2c22c4d88f0155443ee808ed9a0dd151156e840d607961cdef2ae809afb06350" }, "verification_requirements": [ "This exact source excerpt is displayed as context and is not automatically treated as a complete country statement.", "This excerpt does not establish the review's full methods, included-study scope, or country applicability." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:CAN:822f0d7a185a44eb9c55", "country_id": "CAN", "record_type": "evidence_context", "display_eligible": true, "evidence_source_layer": "grey_literature", "coverage_domains": [], "source_references": [ { "source_reference_id": "display-source:42a6b26b131c0faaeae6", "title": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries", "url": "https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf", "citation": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries. 1997. https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf", "locator": { "physical_pdf_page": 12, "source_word_anchor": "per capita transfers for health and education with federal conditions on accessibility", "source_word_count": 12, "paragraph_index_on_page": 1 }, "locator_text": "PDF page: 12; Anchor: per capita transfers for health and education with federal conditions on accessibility", "candidate_source_id": "candidate-source:CAN:f9c937480c633e606c4f" } ], "proposed_statement": null, "evidence_excerpt": "per capita transfers for health and education with federal conditions on accessibility", "excerpt_status": "exact_source_text", "direct_text_checkable": true, "verification_route": "compare_context_with_source_page", "evidence_mode_candidate": "unclassified", "territory_scope": "country_applicability_pending", "period_basis": "1997", "source_version": { "file_sha256": "101513f04a64e156597c875a9e9323862c096ec4a3dac11bae5e323ade67a79f", "text_sha256": "33dc1ae64dc1ab26da2d66f204d43d17cccc549e7d4b59a0c038aa3a6b231a05", "page_count": 86, "detected_media_type": "application/pdf" }, "verification_requirements": [ "Treat this short excerpt as source context, not as a complete country fact.", "Confirm country applicability, surrounding qualifications, and period before drafting a fact." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" } ] }, "evidence_scorecard": { "country_id": "CAN", "audit_passed": true, "preparation_stage": "direct_typed_mapping", "preparation_stage_label": "Explicit analytical mappings", "scores": { "analytical_mapping_groups": { "denominator": 5, "numerator": 5, "score": 100, "unit": "explicit analytical object groups" }, "controlled_domain_leads": { "denominator": 17, "numerator": 17, "score": 100, "unit": "controlled domains with displayed candidate leads" }, "material_locator_coverage": { "denominator": 184, "numerator": 155, "score": 84, "unit": "material records with an exact locator" }, "material_url_coverage": { "denominator": 184, "numerator": 158, "score": 86, "unit": "material records with at least one public URL" }, "material_version_coverage": { "denominator": 184, "numerator": 160, "score": 87, "unit": "material records with an immutable source version" }, "source_layer_presence": { "denominator": 3, "numerator": 3, "score": 100, "unit": "displayed candidate-source layers" } }, "represented_domain_ids": [ "actors", "government_responsibilities", "ownership", "decision_rights", "autonomy", "primary_care", "hospital_organization", "referral_design", "observed_referral", "networks", "facility_data", "utilization", "patient_flows", "governance", "market_structure", "reform_history", "authoritative_review" ], "missing_domain_ids": [], "direct_typed_domain_ids": [ "actors", "government_responsibilities", "ownership", "decision_rights", "autonomy", "primary_care", "hospital_organization", "referral_design", "observed_referral", "networks", "facility_data", "utilization", "patient_flows", "governance", "market_structure", "reform_history", "authoritative_review" ], "priority_actions": [ { "action_id": "capture-source-versions", "detail": "24 of 184 displayed materials do not yet carry a source-version field.", "label": "Capture immutable source versions" } ], "review_ready_material_ids": [ "material:f75e676187a75f40af7479c4", "material:ebcad4a36208fbe4df5f46d9", "material:d6bef1c42c74967645383118", "material:9fa5e7ac24f898f119b06ace", "material:86046dd11d1fcf8441c952d1" ], "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json" }, "materials": [ { "annotation_status": "open", "authors": [], "availability": { "download_status": "Availability or relevance uncertain", "downloaded": false, "extracted": false, "text_pages": null, "text_words": null }, "citation": "Macroeconomic management and fiscal decentralization. 1995. https://documents.worldbank.org/curated/en/314481468772750435", "country_ids": [ "AUS", "CAN" ], "coverage_domains": [ "leadership_governance" ], "display_status": "shown_in_full", "document_type": "unknown", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": null, "material_id": "material:8bbd4e23c419a01e3069ae70", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "global-health-systems-library", "period": null, "publication_date": "1995-12-31", "publication_year": 1995, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.85, "previous_visibility": "previously_not_projected_unless_selected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "page_count": 270, "response_sha256": "8ba29e4eeb9f7a5b1cb2c83c3e13627f4dc3eb6014ace328431c6c688ff8970e" }, "statement": null, "tags": [ "control_knob:organization", "who_building_block:leadership_governance" ], "territory": "national", "title": "Macroeconomic management and fiscal decentralization", "urls": [ { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/314481468772750435" }, { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/314481468772750435/pdf/multi0page.pdf" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/314481468772750435/text/multi0page.txt" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Downloaded successfully", "downloaded": true, "extracted": true, "source_bytes_verified": true, "text_pages": 86, "text_words": 32579 }, "citation": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries. 1997. https://documents.worldbank.org/curated/en/406481468771272831", "country_ids": [ "AUS", "CAN", "DEU", "GBR", "JPN", "KOR" ], "coverage_domains": [ "service_delivery" ], "display_status": "shown_in_full", "document_type": "national health policy", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": { "paragraph_index_on_page": 1, "physical_pdf_page": 12, "source_word_anchor": "per capita transfers for health and education with federal conditions on accessibility", "source_word_count": 12 }, "material_id": "material:90ba0a5ee796997ca6226b7c", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable corpus file and extracted-text hashes are linked to this document.", "A machine-validated physical-page locator is linked to this document for annotation." ], "origin": "global-health-systems-library", "period": null, "publication_date": "1997-09-30", "publication_year": 1997, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "corpus_retrieval_verified": true, "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.85, "page_anchor_linked": true, "previous_visibility": "previously_not_projected_unless_selected" }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "file_sha256": "101513f04a64e156597c875a9e9323862c096ec4a3dac11bae5e323ade67a79f", "page_count": 86, "text_sha256": "33dc1ae64dc1ab26da2d66f204d43d17cccc549e7d4b59a0c038aa3a6b231a05" }, "statement": null, "tags": [ "control_knob:financing", "control_knob:organization", "population_group:children", "who_building_block:service_delivery" ], "territory": "national", "title": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries", "urls": [ { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/406481468771272831" }, { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/406481468771272831/text/multi-page.txt" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Downloaded successfully", "downloaded": true, "extracted": true, "source_bytes_verified": true, "text_pages": 50, "text_words": 19570 }, "citation": "New-economy sector study : Electronic government and governance - lessons from Argentina. 2002. https://search.worldbank.org/api/v3/wds", "country_ids": [ "AUS", "CAN", "GBR" ], "coverage_domains": [ "leadership_governance", "service_delivery" ], "display_status": "shown_in_full", "document_type": "working paper", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": { "physical_pdf_page": 9, "source_word_anchor": "Online Toll Fare Database Health Human Services Online Compensation Online Welfare and", "source_word_count": 12 }, "material_id": "material:d406104379001f0c03c4a313", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable corpus file and extracted-text hashes are linked to this document.", "A machine-validated physical-page locator is linked to this document for annotation." ], "origin": "global-health-systems-library", "period": null, "publication_date": "2002-07-01", "publication_year": 2002, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "corpus_retrieval_verified": true, "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.7, "page_anchor_linked": true, "previous_visibility": "previously_not_projected_unless_selected" }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "file_sha256": "b94565ee00c697b0454eb0bcb7cf8f438e77098c0588bd003bd7e12ee9518184", "page_count": 50, "text_sha256": "09c8c186ef4669dbf95f8c646f344400136ee7200e67074bc2e609b43e26c7fd" }, "statement": null, "tags": [ "control_knob:organization", "control_knob:regulation", "who_building_block:leadership_governance", "who_building_block:service_delivery" ], "territory": "national", "title": "New-economy sector study : Electronic government and governance - lessons from Argentina", "urls": [ { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents1.worldbank.org/curated/en/527061468769894044/pdf/266390WP0E1Gov1gentina1Final1Report.pdf" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/527061468769894044/pdf/266390WP0E1Gov1gentina1Final1Report.pdf" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/527061468769894044/text/266390WP0E1Gov1gentina1Final1Report.txt" }, { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/527061468769894044" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Availability or relevance uncertain", "downloaded": false, "extracted": false, "text_pages": null, "text_words": null }, "citation": "Институциональные преобразования в управлении лесами в странах с переходной экономикой: проблемы и решения – материалы семинара. 2003. https://documents.worldbank.org/curated/en/301901468206074494", "country_ids": [ "AUT", "CAN", "FIN", "SWE" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": "working paper", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": null, "material_id": "material:37bedcdcee7eaa88fc20942d", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "global-health-systems-library", "period": null, "publication_date": "2003-02-25", "publication_year": 2003, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.85, "previous_visibility": "previously_not_projected_unless_selected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "page_count": 179, "response_sha256": "08529423f8c777a181fed2467853178a6821571c4de391b6f60cba349a93231b" }, "statement": null, "tags": [ "control_knob:organization" ], "territory": "national", "title": "Институциональные преобразования в управлении лесами в странах с переходной экономикой: проблемы и решения – материалы семинара", "urls": [ { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/301901468206074494" }, { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/301901468206074494/text/328620RUSSIAN0InstitutionalChanges.txt" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/301901468206074494/pdf/328620RUSSIAN0InstitutionalChanges.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Downloaded successfully", "downloaded": true, "extracted": true, "source_bytes_verified": true, "text_pages": 32, "text_words": 8619 }, "citation": "Education vouchers in practice and principle : a world survey. 1996. https://documents.worldbank.org/curated/en/511631468744321476", "country_ids": [ "BLZ", "CAN", "GBR", "NLD", "NZL", "SWE" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": "working paper", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": { "paragraph_index_on_page": 1, "physical_pdf_page": 11, "source_word_anchor": "example Social Security welfare health programs student loans Educational vouchers extend this", "source_word_count": 12 }, "material_id": "material:80992ccf652ae5d20ab83fa0", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable corpus file and extracted-text hashes are linked to this document.", "A machine-validated physical-page locator is linked to this document for annotation." ], "origin": "global-health-systems-library", "period": null, "publication_date": "1996-02-29", "publication_year": 1996, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "corpus_retrieval_verified": true, "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.7, "page_anchor_linked": true, "previous_visibility": "previously_not_projected_unless_selected" }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "file_sha256": "27000e281fdbb5a8de664b0125580dd4666095cdb61f234386ed49eae10b54da", "page_count": 32, "text_sha256": "d1db84d614ffa6da2aea5bb2022f4c79dcb0a00529b4148fc9f27483d400146e" }, "statement": null, "tags": [ "control_knob:organization" ], "territory": "national", "title": "Education vouchers in practice and principle : a world survey", "urls": [ { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/511631468744321476" }, { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/511631468744321476/pdf/multi0page.pdf" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/511631468744321476/text/multi0page.txt" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents1.worldbank.org/curated/en/511631468744321476/pdf/multi0page.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Availability or relevance uncertain", "downloaded": false, "extracted": false, "text_pages": null, "text_words": null }, "citation": "Education vouchers in practice and principle : a world survey. 1996. https://search.worldbank.org/api/v3/wds", "country_ids": [ "BLZ", "CAN", "JPN", "NLD", "NZL", "POL", "SWE", "USA" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": "working paper", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": null, "material_id": "material:a77a3acf576eaa90354273b2", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "global-health-systems-library", "period": null, "publication_date": "1996-02-29", "publication_year": 1996, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.85, "previous_visibility": "previously_not_projected_unless_selected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "page_count": 46, "response_sha256": "eae06cc27dda89b3d5a967e864b90a0183d4393a52357638ce820aba6dc08a00" }, "statement": null, "tags": [ "control_knob:organization" ], "territory": "national", "title": "Education vouchers in practice and principle : a world survey", "urls": [ { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/349501492543149814/pdf/multi-page.pdf" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/349501492543149814/text/multi-page.txt" }, { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/349501492543149814" } ] }, { "analytical_mapping": { "mapping_basis": "reported_in_2020_health-system-review", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:CAN:actors-functions:decentralized-federation-and-coordination-tensions", "source_projection_ids": [ "country-improvement-source:CAN:who-hit-health-system-review-2020" ], "support_state": "candidate_supported", "target_slot": "2020-review-decentralization-and-coordination-tensions", "target_view": "functions", "typed_fields": { "federal_role": "Federal government sets national standards and has specific-population responsibilities", "federation": "Provinces and territories administer Medicare and plan health services", "reported_tension": "Review describes fragmented and poorly coordinated care and specialist and elective-care wait challenges", "time_boundary": "Pre-pandemic review published 2020, not current provincial performance measurement." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Marchildon GP, Allin S, Merkur S, European Observatory. Canada: Health system review. 2020.", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "market_structure", "networks", "observed_referral", "patient_flows", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Health system review PDF pages 15 to 21, executive summary and organization and governance sections." }, "material_id": "material:cfbc58d11f3b116e6ecde27d", "notes": [ "Do not convert the national review's reported tensions into current provincial performance measures or causal claims." ], "origin": "candidate-analytical-mappings", "period": "Review published 2020 and principally describes pre-pandemic arrangements", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "e92fb5771f046d4480428116ce837ceeed9fe5e0bd80ee9ab7869a42aaf27966", "page_count": 228, "response_sha256": "e92fb5771f046d4480428116ce837ceeed9fe5e0bd80ee9ab7869a42aaf27966" }, "statement": "The 2020 health-system review portrays a decentralized federation and reports coordination and access tensions. It remains a historical synthesis and cannot establish current implementation or performance in an individual province, territory or provider network.", "tags": [], "territory": "Canada national synthesis with provincial and territorial variation", "title": "Decentralized federation and reported coordination tensions", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/handle/10665/336311" } ] }, { "analytical_mapping": { "mapping_basis": "declared_in_federal_information_and_statute", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:CAN:actors-functions:federal-and-provincial-territorial-roles", "source_projection_ids": [ "country-improvement-source:CAN:canada-health-act", "country-improvement-source:CAN:health-canada-system-2025", "country-improvement-source:CAN:constitution-act-1867-section-92" ], "support_state": "candidate_supported", "target_slot": "federal-standards-and-provincial-territorial-delivery", "target_view": "functions", "typed_fields": { "boundary": "The sources do not allocate every material decision, determine territorial arrangements or describe a uniform delivery model.", "constitutional_provinces": "Section 92(7) assigns provincial legislatures hospital establishment, maintenance and management", "federal": "Sets and administers national standards, helps fund care and serves specified groups", "provincial_territorial": "Deliver services, regulate providers and administer their own insurance plans" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Canada, Constitution Act, 1867, section 92; Canada Health Act; Health Canada, About Canada's health care system, 2025.", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "ownership" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Constitution Act section 92(7); Canada Health Act sections 3 and 7 to 12; Health Canada system-role sections." }, "material_id": "material:33217c03245c87f08251f5e3", "notes": [ "Do not infer a unitary national delivery system, territorial equivalence or uniform operational authority." ], "origin": "candidate-analytical-mappings", "period": "Constitutional text current 2026-08-20; Health Canada page modified 2025-06-25", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "page_count": 18, "response_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3" }, "statement": "Canada's health-system organization combines federal standards and contributions with provincial and territorial delivery, regulation and insurance-plan responsibilities. Constitution Act section 92(7) specifically assigns provincial hospital legislation, without establishing identical territorial or operational arrangements.", "tags": [], "territory": "Canada, with province and territory-specific systems", "title": "Federal and provincial-territorial roles", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.canada.ca/en/health-canada/services/canada-health-care-system.html" }, { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/C-6/" }, { "kind": "source_reference", "source": "Constitution Act, 1867, section 92", "url": "https://laws-lois.justice.gc.ca/eng/const/section-92.html" } ] }, { "analytical_mapping": { "mapping_basis": "declared_in_canada_health_act", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:CAN:decision-autonomy:canada-health-act-insurance-plan-conditions", "source_projection_ids": [ "country-improvement-source:CAN:canada-health-act" ], "support_state": "candidate_supported", "target_slot": "federal-contribution-conditions-and-public-plan-administration", "target_view": "decisions", "typed_fields": { "boundary": "The Act does not specify provider hiring, capital, procurement, service-mix or individual hospital authority.", "federal_decision": "Federal cash contribution depends on statutory plan criteria and conditions", "plan_administration": "A provincial public authority must administer and operate the plan on a non-profit basis" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Canada, Canada Health Act, sections 7 and 8.", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Canada Health Act sections 7 and 8, PDF physical pages 9 to 10." }, "material_id": "material:2811c228177618805be854eb", "notes": [ "Do not infer facility-level financial, workforce, procurement or capital autonomy from public-plan administration requirements." ], "origin": "candidate-analytical-mappings", "period": "Federal statutory framework", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "page_count": 18, "response_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3" }, "statement": "The Canada Health Act defines federal contribution conditions and public administration requirements for provincial and territorial plans. It does not itself determine hospital or primary-care operational decision rights.", "tags": [], "territory": "Provincial and territorial public health insurance plans", "title": "Federal contribution conditions and public-plan administration", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://laws-lois.justice.gc.ca/eng/acts/C-6/" } ] }, { "analytical_mapping": { "mapping_basis": "reported_in_2024-25_canada_health_act_annual_report", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:CAN:time-reform:annual-report-jurisdiction-specific-plan-descriptions", "source_projection_ids": [ "country-improvement-source:CAN:canada-health-act-annual-report-2024-25" ], "support_state": "candidate_supported", "target_slot": "2024-25-jurisdiction-specific-insurance-plan-reporting", "target_view": "reforms", "typed_fields": { "comparability_boundary": "Jurisdiction-specific submissions are not a harmonized registry of facilities, provider ownership, autonomy, referral flows or patient experience.", "federal_role": "Annual reporting concerns Act criteria and conditions for payment", "reporting_scope": "Thirteen provincial and territorial insurance-plan descriptions for fiscal 2024-2025" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health Canada, Canada Health Act Annual Report 2024-2025, 2026.", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "ownership", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Annual report Chapter 3, Provincial and territorial health care insurance plans in 2024-2025." }, "material_id": "material:3d1e56f0c0445c5552517b0d", "notes": [ "Retain jurisdiction-specific context and do not use the annual report as a normalized national provider or patient-flow dataset." ], "origin": "candidate-analytical-mappings", "period": "Fiscal year 2024-2025; report published 2026-02-13", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "371ff67ad8c463895ee490450b2635c67af27a64c0b9a534e3345492864db662", "page_count": 407, "response_sha256": "371ff67ad8c463895ee490450b2635c67af27a64c0b9a534e3345492864db662" }, "statement": "The annual report offers jurisdiction-specific plan descriptions under the Canada Health Act, making cross-jurisdiction variation visible. It does not provide a common measure of provider organization, ownership, autonomy or referral performance.", "tags": [], "territory": "All 10 provinces and 3 territories", "title": "Jurisdiction-specific insurance-plan reporting in 2024-2025", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.canada.ca/en/health-canada/services/publications/health-system-services/canada-health-act-annual-report-2024-2025.html" } ] }, { "analytical_mapping": { "mapping_basis": "reported_in_2025_observatory_review_with_ontario_hospital_governance_example", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:CAN:decision-autonomy:jurisdictional-health-authority-variation-not-facility-autonomy", "source_projection_ids": [ "country-improvement-source:CAN:who-health-systems-in-action-2024", "country-improvement-source:CAN:ontario-public-hospitals-2023" ], "support_state": "candidate_supported", "target_slot": "health-authority-variation-with-facility-autonomy-unresolved", "target_view": "autonomy", "typed_fields": { "accountability_boundary": "Ontario’s example is not a national autonomy-accountability classification.", "facility_boundary": "No source supplies a comparable Canadian matrix for hiring, revenue retention, procurement, capital or service mix", "ontario_accountability": "Ontario boards are accountable to Ontario Health and government for quality and efficacy", "ontario_hospital_example": "Ontario public hospitals are independent corporations with boards allocating public funding day to day", "organizational_variation": "Provincial and territorial responsibility may be delegated through regional or province-wide authority models" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "European Observatory, Health Systems in Action 2024: Canada, 2025; Government of Ontario, Ontario’s public hospitals, 2023.", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Observatory review PDF pages 8 to 9; Ontario public hospitals, Overview and Funding and administration." }, "material_id": "material:bcebe291f2b0c96c0e883133", "notes": [ "Do not extend Ontario board authority to other jurisdictions or replace the boundary with national autonomy labels." ], "origin": "candidate-analytical-mappings", "period": "Canada review published 2025; Ontario page updated 2023-07-18", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63" }, "statement": "The national review reports differing provincial and territorial health-authority arrangements. Ontario separately documents independent public-hospital boards with day-to-day funding-allocation responsibility and accountability to Ontario Health and government; no comparable Canadian autonomy matrix is established.", "tags": [], "territory": "Canada synthesis; hospital-board decision and accountability example is Ontario only", "title": "Jurisdictional variation with Ontario hospital-board autonomy example", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" }, { "kind": "source_reference", "source": "Health Systems in Action 2024: Canada", "url": "https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada" } ] }, { "analytical_mapping": { "mapping_basis": "observed_in_2024_national_survey_analysis", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:CAN:delivery-referrals:observed-specialist-access-difficulties-2024", "source_projection_ids": [ "country-improvement-source:CAN:statcan-specialist-access-2026" ], "support_state": "candidate_supported", "target_slot": "observed-specialist-access-difficulties-among-adults-45-plus", "target_view": "delivery", "typed_fields": { "boundary": "Self-reported cross-sectional data cannot establish causality or national care-flow completion.", "geographic_bound": "The article reports selected provincial associations but explicitly does not identify system-level factors or referral policy differences", "observed_access": "27.8% reported difficulty accessing specialist care and 18.0% reported unmet health care needs", "population": "Canadians aged 45 or older, excluding territories, Indigenous reserves and institutional settings" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Islam MK, Gilmour H, Frank K. Health Reports. 2026;37(7).", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "hospital_organization", "observed_referral", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "Statistics Canada article PDF pages 9 to 13, Results and Strengths and limitations." }, "material_id": "material:b2ee6582f0cf995395052f08", "notes": [ "Do not generalize these results to excluded populations or treat them as a provincial referral-policy comparison." ], "origin": "candidate-analytical-mappings", "period": "Survey year 2024; article published July 2026", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8", "page_count": 17, "response_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8" }, "statement": "Among survey respondents aged 45 or older, 27.8% reported difficulty accessing specialist care. The study's population and analytic limitations mean it is not a territory-inclusive or system-causal referral-performance estimate.", "tags": [], "territory": "Canada excluding territories, Indigenous reserves and institutional settings", "title": "Observed specialist-access difficulties in the 2024 survey", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www150.statcan.gc.ca/n1/pub/82-003-x/2026007/article/00002-eng.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "declared_in_official_primary-care_and_ontario_choice_pages_and_observed_in_2024_survey", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:CAN:delivery-referrals:primary-care-first-contact-and-usual-specialist-referral", "source_projection_ids": [ "country-improvement-source:CAN:health-canada-primary-care-2026", "country-improvement-source:CAN:statcan-specialist-access-2026", "country-improvement-source:CAN:ontario-patient-choice-and-transition-2026" ], "support_state": "candidate_supported", "target_slot": "primary-care-first-contact-and-usual-specialist-referral-boundary", "target_view": "referrals", "typed_fields": { "boundary": "Ontario choice is not a national referral-free rule; no source supplies national completion, bypass or counter-referral rates.", "first_contact": "Primary care is described as often the first contact with the health system", "heterogeneity": "Procedures and exceptions vary by province and type of service", "ontario_choice": "Ontario says patients can choose their own provider, including a specialist", "specialist_access": "A primary care referral is usually required for a medical specialist" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health Canada, Primary care, 2026; Islam MK, Gilmour H, Frank K. Health Reports. 2026; Government of Ontario, Improving health care in Ontario, 2026.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "hospital_organization", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Health Canada Primary care page; Statistics Canada article PDF page 12; Ontario page, What does it mean for you." }, "material_id": "material:7e9b0da7f79ec7545b4a6b9b", "notes": [ "Do not treat usual referral as universal gatekeeping or Ontario choice as a national rule; do not infer flow or counter-referral performance." ], "origin": "candidate-analytical-mappings", "period": "Health Canada page modified 2026-03-18; survey field year 2024; Ontario page updated 2026-05-04", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "73e70efb7448ceb1b18191ee1657f7a9fc4d371dd2ce80b17b6e4122b38543d1" }, "statement": "Primary care is described as a usual first contact, and a 2024 survey analysis reports that a referral is usually required for specialists, with provincial and service exceptions. Ontario separately states patient provider choice; neither source establishes national referral completion or counter-referral.", "tags": [], "territory": "Canada; Ontario choice statement is provincial; survey excludes territories, Indigenous reserves and institutional settings", "title": "Primary care first contact, usual referral and Ontario choice example", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002" }, { "kind": "source_reference", "source": "Primary care", "url": "https://www.canada.ca/en/health-canada/services/health-care-system/primary-care.html" }, { "kind": "source_reference", "source": "Improving health care in Ontario", "url": "https://www.ontario.ca/page/improving-health-care-ontario" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www150.statcan.gc.ca/n1/pub/82-003-x/2026007/article/00002-eng.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "reported_in_2025_observatory_review_and_official_information", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:CAN:relationships-networks:public-medicare-and-nonmedicare-coverage-boundary", "source_projection_ids": [ "country-improvement-source:CAN:who-health-systems-in-action-2024", "country-improvement-source:CAN:health-canada-system-2025", "country-improvement-source:CAN:cihi-health-expenditure-data-in-brief-2024" ], "support_state": "candidate_supported", "target_slot": "publicly-insured-hospital-physician-services-and-nonmedicare-boundary", "target_view": "public-private", "typed_fields": { "financing_mix": "CIHI’s preliminary 2024 estimate attributes 71.0% of total spending to public and 29.0% to private sectors", "market_boundary": "Financing shares do not measure provider ownership, commercial market shares or a common private-contracting model.", "nonmedicare_boundary": "Coverage for services such as outpatient drugs, dental, vision, home care and ambulance services can differ by jurisdiction and population group", "publicly_insured": "Hospital and physician services are described as publicly funded under PT plans" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health Canada, About Canada's health care system, 2025; European Observatory, Health Systems in Action 2024: Canada, 2025; CIHI, Health Expenditure Data in Brief, 2024.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "decision_rights", "governance", "hospital_organization", "market_structure", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Health Canada service-coverage section; Observatory review PDF pages 4 to 6; CIHI PDF page 1, By sector." }, "material_id": "material:89363fbb19ee4155dd58260f", "notes": [ "Do not convert financing shares or coverage boundaries into provider ownership, delivery dominance or market-concentration claims." ], "origin": "candidate-analytical-mappings", "period": "Health Canada page modified 2025-06-25; review published 2025; CIHI preliminary 2024 estimate", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63" }, "statement": "Public plans cover core insured hospital and physician services, while other coverage varies by jurisdiction and eligible group. CIHI reports a 71.0% public and 29.0% private financing split for preliminary 2024 expenditure, not ownership or delivery-market shares.", "tags": [], "territory": "Canada, with province and territory variation", "title": "Public Medicare, non-Medicare coverage and financing boundary", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.cihi.ca/sites/default/files/document/health-expenditure-data-in-brief-2024-en.pdf" }, { "kind": "source_reference", "source": "Health Systems in Action 2024: Canada", "url": "https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada" }, { "kind": "source_reference", "source": "About Canada's health care system", "url": "https://www.canada.ca/en/health-canada/services/canada-health-care-system.html" } ] }, { "analytical_mapping": { "mapping_basis": "reported_in_2025_observatory_review_with_ontario_agency_and_network_examples", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:CAN:relationships-networks:thirteen-insurance-systems-and-variable-health-authorities", "source_projection_ids": [ "country-improvement-source:CAN:who-health-systems-in-action-2024", "country-improvement-source:CAN:ontario-health-agency-2025", "country-improvement-source:CAN:ontario-health-teams-2026" ], "support_state": "candidate_supported", "target_slot": "pt-insurance-systems-and-variable-health-authority-organization", "target_view": "delivery", "typed_fields": { "delivery_boundary": "Ontario examples illustrate one province only; no source supplies a canonical Canadian network registry or comparable integration result.", "governance_variation": "Responsibility may be delegated to regional health authorities or organized through province-wide models", "ontario_agency_example": "Ontario Health oversees Ontario delivery and promotes integration as one provincial agency", "ontario_network_example": "Ontario reports 58 Ontario Health Teams coordinating hospitals, doctors and home and community providers", "system_structure": "Medicare comprises 13 provincial and territorial public insurance systems" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "European Observatory, Health Systems in Action 2024: Canada, 2025; Government of Ontario, Ontario Health agency, 2025; Ontario Health Teams, 2026.", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Observatory review PDF pages 4 to 9; Ontario Health agency sections What is Ontario Health and roles; Ontario Health Teams Overview." }, "material_id": "material:487d0bb2353df5be35546ad1", "notes": [ "Do not treat Ontario’s agency or Health Teams as proof of one health-authority structure or connected network elsewhere." ], "origin": "candidate-analytical-mappings", "period": "Canada review published 2025; Ontario pages updated 2025-10-07 and 2026-07-28", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63" }, "statement": "The Observatory review describes 13 provincial and territorial public insurance systems with varied health-authority arrangements. Ontario separately documents provincial agency oversight and 58 coordinated Health Teams; these examples do not establish a Canadian-wide ownership, operation or network model.", "tags": [], "territory": "Canada synthesis; named operational and network examples are Ontario only", "title": "Variable health-authority organization with Ontario network example", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ontario.ca/page/ontario-health-teams" }, { "kind": "source_reference", "source": "Health Systems in Action 2024: Canada", "url": "https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada" }, { "kind": "source_reference", "source": "Ontario Health agency", "url": "https://www.ontario.ca/page/ontario-health-agency" } ] }, { "analytical_mapping": { "mapping_basis": "declared_in_health_canada_bilateral_agreement_page", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:CAN:time-reform:working-together-bilateral-agreement-renewal", "source_projection_ids": [ "country-improvement-source:CAN:working-together-bilateral-agreements-2026" ], "support_state": "candidate_supported", "target_slot": "working-together-bilateral-agreement-renewal-2026-2033", "target_view": "reforms", "typed_fields": { "boundary": "The page does not demonstrate that agreement commitments altered local networks, referrals or outcomes.", "design": "Flexible bilateral commitments include workforce, data and interoperability priorities", "historic_period": "First three-year funding period expired 31 March 2026", "renewal": "Seven-year renewed agreements are described for 2026-27 to 2032-33" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health Canada, Working Together bilateral agreements, modified 2026.", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Health Canada page, agreement overview, commitments and funding-period sections." }, "material_id": "material:27b44e890ad9607d736b3379", "notes": [ "Do not claim that an agreement has produced a common national referral network, workforce distribution or interoperability outcome." ], "origin": "candidate-analytical-mappings", "period": "First period ended 2026-03-31; renewed period 2026-27 to 2032-33", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f1fd41a10371de52e5d84c887b5979ea8572543ee70948f2a7e02ed1099d05a0" }, "statement": "Health Canada records the end of the first funding period and describes renewed bilateral agreements through 2032-33. The agreements are tailored funding and commitment instruments, not evidence of uniform implementation or delivery integration.", "tags": [], "territory": "Canada, through federal bilateral arrangements with provinces and territories", "title": "Working Together bilateral-agreement renewal", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.canada.ca/en/health-canada/corporate/transparency/health-agreements/shared-health-priorities/working-together-bilateral-agreements.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 35" }, "material_id": "material:2a7749faec82a76b0939ed03", "notes": [ "Distinguish proposal, notice, waiting period, non-objection, and prohibition.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "tags": [], "territory": "Ontario", "title": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 7, PDF pp. 9 to 10" }, "material_id": "material:0c89ae9dcc8c609aa40162b2", "notes": [ "Store each criterion separately and do not equate compliance with delivery ownership.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "tags": [], "territory": "Ontario", "title": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, ss. 14 to 15, PDF pp. 13 to 14" }, "material_id": "material:fb5db536d2d5586c844ee2c9", "notes": [ "Preserve consultation, referral, decision, and fiscal consequence as separate edges.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "tags": [], "territory": "Ontario", "title": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 22" }, "material_id": "material:deac72ffddef907866d4e745", "notes": [ "Acquire current agreements and amendments for named providers.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "tags": [], "territory": "Ontario", "title": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 30 to 32" }, "material_id": "material:f25c190605e0d2ebb3ceb327", "notes": [ "Separate duty to identify, facilitation, agreement, and funding action.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "tags": [], "territory": "Ontario", "title": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 3 to 4" }, "material_id": "material:3fce955e0b8ff9be5a341cec", "notes": [ "Check the e-Laws currency date before direct analytical mapping.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "tags": [], "territory": "Ontario", "title": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 21" }, "material_id": "material:2c0983f8f4b53f4071339fdf", "notes": [ "Funding does not establish ownership or site operation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "tags": [], "territory": "Ontario", "title": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 6" }, "material_id": "material:9e71f9e3fce19285e7965970", "notes": [ "Split each function and distinguish object from exercised authority.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "tags": [], "territory": "Ontario", "title": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ON-PUBLIC-HOSPITALS`, `Overview" }, "material_id": "material:59fdbd210b9e34c7c375fd4a", "notes": [ "Acquire the current Public Hospitals Act and entity governance instruments.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Page updated 2023-07-18", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "tags": [], "territory": "Ontario", "title": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-CONSTITUTION-SECTION-92`, Constitution Act, 1867, s. 92(7)" }, "material_id": "material:51a0f9445ba310d2ffcdd5ee", "notes": [ "Complete the multi-head constitutional and jurisprudential review.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Current snapshot retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "aca4cb77f9a3eb8ee330599d2a8cbc7f759bd774ed17b086dc33e778246c41e1" }, "statement": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "tags": [], "territory": "Ontario", "title": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/Const/section-92.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(3)" }, "material_id": "material:42235a2a705093220f0677a8", "notes": [ "Preserve constituent legal identities and the extent qualification.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "tags": [], "territory": "Ontario", "title": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 4, PDF p. 9" }, "material_id": "material:4a97c9adec150b9c78d2076c", "notes": [ "Link to current fiscal-arrangements law and the selected fiscal year.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "tags": [], "territory": "Ontario", "title": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 8(1), (2), and (6)" }, "material_id": "material:0553bcd3b905864ba10765b4", "notes": [ "Verify current appointments against official orders.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "tags": [], "territory": "Ontario", "title": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(1) to (2.2)" }, "material_id": "material:0678c03100700c0a6d7ae28a", "notes": [ "Acquire every current designation and its conditions.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "From 2023-12-04 amendment basis in the consolidation", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "tags": [], "territory": "Ontario", "title": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 18 to 19" }, "material_id": "material:173aedaca4d3c8e94997962c", "notes": [ "Acquire the current agreement and fiscal instruments.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "tags": [], "territory": "Ontario", "title": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 20" }, "material_id": "material:c2b927eb70541ad9a3b68a30", "notes": [ "Acquire the directive register and resolve entity applicability.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "tags": [], "territory": "Ontario", "title": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 33 to 34" }, "material_id": "material:4255f3ea1cbcc60fe690ff45", "notes": [ "Record the exact ordered action and restrictions for each event.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "tags": [], "territory": "Ontario", "title": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 12(1), PDF pp. 12 to 13" }, "material_id": "material:f270edbd6a06fc10a379fa14", "notes": [ "Keep payment design in the Payment knob and provider organization in this knob.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "tags": [], "territory": "Ontario", "title": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ON-HEALTH-TEAMS`, `Overview" }, "material_id": "material:728e32e4ee7d2d3ad72e775b", "notes": [ "Verify against designation instruments, current team list, territory, and attribution method.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Page updated 2026-07-28", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "a1d63bb90a5f91df255c0db5e9875c05897ff278bfba41d98f9266b2af30dffb" }, "statement": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "tags": [], "territory": "Ontario", "title": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.ontario.ca/page/ontario-health-teams" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ON-PUBLIC-HOSPITALS`, `Total number of public hospitals" }, "material_id": "material:4b373a7a78c1f598bc937be6", "notes": [ "Stale for 2026. Acquire current corporation and site registries before any count is displayed.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "As at 2023-02-01", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "tags": [], "territory": "Ontario", "title": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(2), PDF p. 10" }, "material_id": "material:3a5d0e2e86d2dd60df42c5b3", "notes": [ "Do not call an administrative payment agent the plan administrator.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "tags": [], "territory": "Ontario", "title": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(1), PDF p. 10" }, "material_id": "material:c2bb9aa8ce1d5e6e40db2af0", "notes": [ "Identify Ontario's applicable insurance-plan authority through provincial law.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "tags": [], "territory": "Ontario", "title": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 35" }, "material_id": "material:863e1e976a0e032e05c485cf", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "tags": [], "territory": "Ontario", "title": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 7, PDF pp. 9 to 10" }, "material_id": "material:543ada4fb18cb9072399e07d", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "tags": [], "territory": "Ontario", "title": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, ss. 14 to 15, PDF pp. 13 to 14" }, "material_id": "material:039ef925ef63991d5f505598", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "tags": [], "territory": "Ontario", "title": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 22" }, "material_id": "material:063550967a192adf1de1e9a3", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "tags": [], "territory": "Ontario", "title": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 30 to 32" }, "material_id": "material:f94112727d234422b39652bf", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "tags": [], "territory": "Ontario", "title": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 3 to 4" }, "material_id": "material:b1799266e6ccafd2bf00bc21", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "tags": [], "territory": "Ontario", "title": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 21" }, "material_id": "material:cb5ee5d6242446f1847f74ca", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "tags": [], "territory": "Ontario", "title": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 6" }, "material_id": "material:6a7a013d3045c8d4065b5904", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "tags": [], "territory": "Ontario", "title": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "ON-PUBLIC-HOSPITALS`, `Overview" }, "material_id": "material:f0d09fb12d769bcd680c539c", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Page updated 2023-07-18", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "tags": [], "territory": "Ontario", "title": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`CAN-CONSTITUTION-SECTION-92`, Constitution Act, 1867, s. 92(7)" }, "material_id": "material:96fa41975ec693b7145acfe5", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Current snapshot retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "aca4cb77f9a3eb8ee330599d2a8cbc7f759bd774ed17b086dc33e778246c41e1" }, "statement": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "tags": [], "territory": "Ontario", "title": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/Const/section-92.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(3)" }, "material_id": "material:ad57f575b8f54d6da53fdc81", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "tags": [], "territory": "Ontario", "title": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 4, PDF p. 9" }, "material_id": "material:16a2e94e640ab3cd8d346fb3", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "tags": [], "territory": "Ontario", "title": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 8(1), (2), and (6)" }, "material_id": "material:49f8d3a84f4dcbdf642d6e3b", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "tags": [], "territory": "Ontario", "title": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(1) to (2.2)" }, "material_id": "material:4b36733c82dc726b382f1df0", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "From 2023-12-04 amendment basis in the consolidation", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "tags": [], "territory": "Ontario", "title": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 18 to 19" }, "material_id": "material:c01d5a26297dc3cf7e86018a", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "tags": [], "territory": "Ontario", "title": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 20" }, "material_id": "material:1c32b1eacf60bad2baaa5bb9", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "tags": [], "territory": "Ontario", "title": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 33 to 34" }, "material_id": "material:7b02068078b1fb34550a1266", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "tags": [], "territory": "Ontario", "title": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 12(1), PDF pp. 12 to 13" }, "material_id": "material:cda682251817f8145f389b9a", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "tags": [], "territory": "Ontario", "title": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "ON-HEALTH-TEAMS`, `Overview" }, "material_id": "material:45f7133d7b197049a3188cbd", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Page updated 2026-07-28", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "a1d63bb90a5f91df255c0db5e9875c05897ff278bfba41d98f9266b2af30dffb" }, "statement": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "tags": [], "territory": "Ontario", "title": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.ontario.ca/page/ontario-health-teams" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "ON-PUBLIC-HOSPITALS`, `Total number of public hospitals" }, "material_id": "material:1def840ffcbed80c17ef44ac", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "As at 2023-02-01", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "tags": [], "territory": "Ontario", "title": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(2), PDF p. 10" }, "material_id": "material:0ae3c15641a4472af24c1374", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "tags": [], "territory": "Ontario", "title": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(1), PDF p. 10" }, "material_id": "material:498c666ae2b2e43e697b3c26", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "tags": [], "territory": "Ontario", "title": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 35" }, "material_id": "material:38aa56c202766db7ea406ce7", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Distinguish proposal, notice, waiting period, non-objection, and prohibition.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "while_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "tags": [], "territory": "Ontario", "title": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 7, PDF pp. 9 to 10" }, "material_id": "material:5202d633a5690b6e2c971d73", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Store each criterion separately and do not equate compliance with delivery ownership.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "tags": [], "territory": "Ontario", "title": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, ss. 14 to 15, PDF pp. 13 to 14" }, "material_id": "material:7609e14b1fcb34d9308efe1d", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Preserve consultation, referral, decision, and fiscal consequence as separate edges.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "tags": [], "territory": "Ontario", "title": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 22" }, "material_id": "material:9bf24de31a34f131dcda8d9f", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire current agreements and amendments for named providers.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "tags": [], "territory": "Ontario", "title": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 30 to 32" }, "material_id": "material:54a5ba12c063edae02e2d50a", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Separate duty to identify, facilitation, agreement, and funding action.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "tags": [], "territory": "Ontario", "title": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 3 to 4" }, "material_id": "material:0dd61b76770a7b94a455e690", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Check the e-Laws currency date before direct analytical mapping.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "tags": [], "territory": "Ontario", "title": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 21" }, "material_id": "material:49f5693363e0853ebb6c7abd", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Funding does not establish ownership or site operation.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "tags": [], "territory": "Ontario", "title": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 6" }, "material_id": "material:934b33800f06dd3c4d0c61c5", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Split each function and distinguish object from exercised authority.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "tags": [], "territory": "Ontario", "title": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ON-PUBLIC-HOSPITALS`, `Overview" }, "material_id": "material:ad194ced4521532833580e80", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire the current Public Hospitals Act and entity governance instruments.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Page updated 2023-07-18", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "tags": [], "territory": "Ontario", "title": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-CONSTITUTION-SECTION-92`, Constitution Act, 1867, s. 92(7)" }, "material_id": "material:9cf31e97a099dc864b139027", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Complete the multi-head constitutional and jurisprudential review.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current snapshot retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "aca4cb77f9a3eb8ee330599d2a8cbc7f759bd774ed17b086dc33e778246c41e1" }, "statement": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "tags": [], "territory": "Ontario", "title": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/Const/section-92.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(3)" }, "material_id": "material:8583b6c1c8c8627c656d91d1", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Preserve constituent legal identities and the extent qualification.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "tags": [], "territory": "Ontario", "title": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 4, PDF p. 9" }, "material_id": "material:dac70ba2744a846cd3e31cfd", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Link to current fiscal-arrangements law and the selected fiscal year.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "tags": [], "territory": "Ontario", "title": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 8(1), (2), and (6)" }, "material_id": "material:fdfda23b0dbdb37c9adc004b", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify current appointments against official orders.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "tags": [], "territory": "Ontario", "title": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(1) to (2.2)" }, "material_id": "material:91ce2d55560f4d10be2d8ec3", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire every current designation and its conditions.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "long_claim_28_words_or_more", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "From 2023-12-04 amendment basis in the consolidation", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "tags": [], "territory": "Ontario", "title": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 18 to 19" }, "material_id": "material:8d9154e6510516da44ea5b31", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire the current agreement and fiscal instruments.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "multiple_predicate_markers", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "tags": [], "territory": "Ontario", "title": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 20" }, "material_id": "material:f499324b765aa579fd68afd5", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire the directive register and resolve entity applicability.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "while_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "tags": [], "territory": "Ontario", "title": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 33 to 34" }, "material_id": "material:d830474e498a79ac5071f367", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Record the exact ordered action and restrictions for each event.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "tags": [], "territory": "Ontario", "title": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 12(1), PDF pp. 12 to 13" }, "material_id": "material:2cf375a268013877d7d068b7", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Keep payment design in the Payment knob and provider organization in this knob.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "long_claim_28_words_or_more", "multiple_predicate_markers", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "tags": [], "territory": "Ontario", "title": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ON-HEALTH-TEAMS`, `Overview" }, "material_id": "material:0fbddd9068ce11ce5e24b626", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify against designation instruments, current team list, territory, and attribution method.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Page updated 2026-07-28", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "a1d63bb90a5f91df255c0db5e9875c05897ff278bfba41d98f9266b2af30dffb" }, "statement": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "tags": [], "territory": "Ontario", "title": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.ontario.ca/page/ontario-health-teams" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ON-PUBLIC-HOSPITALS`, `Total number of public hospitals" }, "material_id": "material:a46eb0c1bfc957132477a915", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Stale for 2026. Acquire current corporation and site registries before any count is displayed.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "As at 2023-02-01", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "tags": [], "territory": "Ontario", "title": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(2), PDF p. 10" }, "material_id": "material:3bac02ec232d7bcaa8834bef", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Do not call an administrative payment agent the plan administrator.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "tags": [], "territory": "Ontario", "title": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(1), PDF p. 10" }, "material_id": "material:08bbc80fd748e9033e9ae6ad", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Identify Ontario's applicable insurance-plan authority through provincial law.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "long_claim_28_words_or_more", "multiple_predicate_markers", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "tags": [], "territory": "Ontario", "title": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries. 1997. https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "per capita transfers for health and education with federal conditions on accessibility", "institution": null, "locator": { "physical_pdf_page": 12, "source_word_anchor": "per capita transfers for health and education with federal conditions on accessibility", "source_word_count": 12 }, "material_id": "material:0c6cff03e095fd3b8a7c353d", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 1997, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "101513f04a64e156597c875a9e9323862c096ec4a3dac11bae5e323ade67a79f", "page_count": 86, "text_sha256": "33dc1ae64dc1ab26da2d66f204d43d17cccc549e7d4b59a0c038aa3a6b231a05" }, "statement": null, "tags": [ "control_knob:organization", "language:en", "source:World Bank Documents and Reports", "source_layer:global_literature" ], "territory": null, "title": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries", "urls": [ { "kind": "stable_source_url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health Canada. About Canada's health care system. Modified 2025-06-25. https://www.canada.ca/en/health-canada/services/canada-health-care-system.html", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "services that are not fully covered", "institution": "Health Canada", "locator": { "locator_type": "html_text_anchor", "source_word_anchor": "services that are not fully covered", "source_word_count": 6 }, "material_id": "material:86046dd11d1fcf8441c952d1", "notes": [ "Preserve the division of responsibilities and do not generalize an individual province or territory's coverage, provider regulation or delivery model nationally." ], "origin": "country-evidence-improvement-sources", "period": "Page modified 25 June 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "5eac698da7c6a6ccd514a5f7385eaf10f9d5d61178c884e5a73d3f3fa08598a7" }, "statement": "Health Canada states that provinces and territories deliver health services and regulate providers, while the federal government sets national standards, helps fund care and delivers services to specified groups. It states that plans cover basic insured medically necessary hospital, physician and some surgical-dental services, while provinces and territories determine additional coverage for selected groups and services not fully covered publicly.", "tags": [], "territory": "Canada, with province and territory-specific insurance and delivery arrangements", "title": "About Canada's health care system", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.canada.ca/en/health-canada/services/canada-health-care-system.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Canada. Canada Health Act, RSC 1985, c C-6. https://laws-lois.justice.gc.ca/eng/acts/C-6/", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "ownership", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "public administration, comprehensiveness, universality, portability and accessibility", "institution": "Government of Canada, Justice Laws Website", "locator": { "locator_type": "legal_section_anchor", "source_word_anchor": "public administration, comprehensiveness, universality, portability and accessibility", "source_word_count": 6 }, "material_id": "material:8430a3ccaa1b399d314eef99", "notes": [ "Treat this as a federal legal framework. Do not infer uniform provincial or territorial service organization from federal criteria." ], "origin": "country-evidence-improvement-sources", "period": "Consolidated Act downloaded for this evidence wave; current consolidation date must be checked against the official law site", "publication_date": null, "publication_year": 1985, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3", "page_count": 18, "response_sha256": "71f7fa95177b9916bcf7f78c76fcb15e83e2b3197a6ea9346bd9a178f20fdaf3" }, "statement": "The Act establishes federal cash-contribution conditions for provincial and territorial health care insurance plans, including public administration, comprehensiveness, universality, portability and accessibility. It does not create a single national delivery organization or determine every provincial and territorial operational decision.", "tags": [], "territory": "Federal statutory framework for provincial and territorial insurance plans", "title": "Canada Health Act", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://laws-lois.justice.gc.ca/eng/acts/C-6/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health Canada. Canada Health Act Annual Report 2024-2025. 2026. https://www.canada.ca/en/health-canada/services/publications/health-system-services/canada-health-act-annual-report-2024-2025.html", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "ownership" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Provincial and territorial health care insurance plans in 2024-2025", "institution": "Health Canada", "locator": { "locator_type": "pdf_section_anchor", "source_word_anchor": "Provincial and territorial health care insurance plans in 2024-2025", "source_word_count": 9 }, "material_id": "material:4518ae7e1af168a51633dc90", "notes": [ "Keep each plan description jurisdiction-specific and do not use the annual report as a comparable national provider-market or referral-performance census." ], "origin": "country-evidence-improvement-sources", "period": "Fiscal year 2024-2025; report published 13 February 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "371ff67ad8c463895ee490450b2635c67af27a64c0b9a534e3345492864db662", "page_count": 407, "response_sha256": "371ff67ad8c463895ee490450b2635c67af27a64c0b9a534e3345492864db662" }, "statement": "The annual report records province and territory submissions on the administration of their insurance plans and the federal Canada Health Act framework. It provides jurisdiction-specific descriptions but is not a harmonized facility, provider-autonomy, referral-flow or patient-experience dataset.", "tags": [], "territory": "Thirteen provincial and territorial public health insurance plans", "title": "Canada Health Act Annual Report 2024-2025", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.canada.ca/en/health-canada/services/publications/health-system-services/canada-health-act-annual-report-2024-2025.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Marchildon GP, Allin S, Merkur S, European Observatory on Health Systems and Policies. Canada: Health system review. Health Systems in Transition. 2020;22(3). https://iris.who.int/handle/10665/336311", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "observed_referral", "ownership", "patient_flows", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "the provinces and territories administer health coverage systems", "institution": "European Observatory on Health Systems and Policies", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "the provinces and territories administer health coverage systems", "source_word_count": 8 }, "material_id": "material:6fc8bdb86d4d76648596698c", "notes": [ "Retain the 2020 review date and do not turn national synthesis statements into current province, territory, hospital or patient-level facts." ], "origin": "country-evidence-improvement-sources", "period": "Review published 2020 and principally describes pre-pandemic arrangements", "publication_date": null, "publication_year": 2020, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "e92fb5771f046d4480428116ce837ceeed9fe5e0bd80ee9ab7869a42aaf27966", "page_count": 228, "response_sha256": "e92fb5771f046d4480428116ce837ceeed9fe5e0bd80ee9ab7869a42aaf27966" }, "statement": "The review describes a decentralized federation in which provinces and territories administer Medicare and plan health services, while federal standards and special-population responsibilities remain. It reports persistent access, coordination and specialist-wait challenges, but its descriptions should not be treated as current province-specific operational measures.", "tags": [], "territory": "Canada national synthesis with province and territory variation", "title": "Canada: Health system review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/handle/10665/336311" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Canada. Constitution Act, 1867, section 92. Current to 2026-08-20. https://laws-lois.justice.gc.ca/eng/const/section-92.html", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "The Establishment, Maintenance, and Management of Hospitals", "institution": "Government of Canada, Justice Laws Website", "locator": { "locator_type": "legal_section_anchor", "source_word_anchor": "The Establishment, Maintenance, and Management of Hospitals", "source_word_count": 7 }, "material_id": "material:5bcdf0df7d0bdaebb7ddaee3", "notes": [ "Do not extend provincial constitutional authority to identical territorial or facility-level operating arrangements." ], "origin": "country-evidence-improvement-sources", "period": "Current consolidation displayed 20 August 2026", "publication_date": null, "publication_year": 1867, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f3ea307fd4b7523888f7fdfc01ea93d815de2c21369275c3240da2c70765983b" }, "statement": "Section 92(7) assigns provinces exclusive legislative authority over the establishment, maintenance and management of hospitals, subject to the stated marine-hospital exception. The provision is a constitutional allocation, not a complete current operational map for each province or territory.", "tags": [], "territory": "Provinces; constitutional allocation does not itself specify territorial delivery arrangements", "title": "Constitution Act, 1867, section 92", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://laws-lois.justice.gc.ca/eng/const/section-92.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Islam MK, Gilmour H, Frank K. Difficulties accessing specialist care and the association with unmet health care needs among middle-aged and older Canadians. Health Reports. 2026;37(7). doi:10.25318/82-003-x202600700002-eng. https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "hospital_organization", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "a referral from a primary care provider is usually required", "institution": "Statistics Canada, Health Reports", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "a referral from a primary care provider is usually required", "source_word_count": 10 }, "material_id": "material:f75e676187a75f40af7479c4", "notes": [ "Keep the age, survey and exclusion boundaries. Do not infer territory results, referral completion, causal effects or a common provincial referral policy." ], "origin": "country-evidence-improvement-sources", "period": "Survey on Health Care Access and Experiences, 2024; article published July 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8", "page_count": 17, "response_sha256": "d02817ee33f9e45a1f02e09452011b5a27e29c7f598789cd8990a07c613638f8" }, "statement": "The survey analysis reports that a primary care referral is usually required to see a medical specialist, with province and service exceptions. Among Canadians aged 45 or older, 27.8% reported specialist-access difficulty; the study excludes territories and other populations and cannot identify system-level causes or province-specific referral rules.", "tags": [], "territory": "Canadian residents aged 45 or older, excluding territories, Indigenous reserves and institutional settings", "title": "Difficulties accessing specialist care and the association with unmet health care needs among middle-aged and older Canadians", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www150.statcan.gc.ca/n1/en/catalogue/82-003-X202600700002" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www150.statcan.gc.ca/n1/pub/82-003-x/2026007/article/00002-eng.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Canadian Institute for Health Information. Health Expenditure Data in Brief. October 2024. https://www.cihi.ca/sites/default/files/document/health-expenditure-data-in-brief-2024-en.pdf", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "market_structure" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Public-sector share of total spending", "institution": "Canadian Institute for Health Information", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "Public-sector share of total spending", "source_word_count": 5 }, "material_id": "material:9fa5e7ac24f898f119b06ace", "notes": [ "Use these as aggregate financing shares only; do not infer a provider ownership or delivery-market split." ], "origin": "country-evidence-improvement-sources", "period": "2024 preliminary estimate; 2022 actual comparator in the brief", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "245e7af86a40b204c9763b11a47449a9962e3bca81d2aa94795ee6ec4c9d30d2", "page_count": 2, "response_sha256": "245e7af86a40b204c9763b11a47449a9962e3bca81d2aa94795ee6ec4c9d30d2" }, "statement": "CIHI reports preliminary 2024 spending shares of 71.0% public sector and 29.0% private sector. These financing shares do not identify provider ownership, delivery operation, insurance benefit design or patient use in individual jurisdictions.", "tags": [], "territory": "Canada aggregate; provincial and territorial disaggregation is outside this brief", "title": "Health Expenditure Data in Brief", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.cihi.ca/sites/default/files/document/health-expenditure-data-in-brief-2024-en.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "European Observatory on Health Systems and Policies. Health Systems in Action 2024: Canada. 2025. https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Medicare represents 13 public health insurance systems", "institution": "European Observatory on Health Systems and Policies", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "Medicare represents 13 public health insurance systems", "source_word_count": 6 }, "material_id": "material:d6bef1c42c74967645383118", "notes": [ "Treat the review as a national synthesis with jurisdictional variation, not evidence of one organizational model, uniform health-authority design or facility-level autonomy." ], "origin": "country-evidence-improvement-sources", "period": "2024 edition; published 11 July 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63", "page_count": 28, "response_sha256": "b218bf897d00b97352744929458b0b4c679ca37dfbf4f029881cc80c9f771e63" }, "statement": "The review describes Medicare as 13 public insurance systems administered by provinces and territories, with federal standards and co-financing. It reports that provinces and territories vary in how responsibilities are delegated to regional or province-wide health authorities and that hospitals are primarily funded through global budgets.", "tags": [], "territory": "Canada, with explicit provincial and territorial variation", "title": "Health Systems in Action 2024: Canada", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-2024-canada" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Ontario. Improving health care in Ontario. Updated 2026-05-04. https://www.ontario.ca/page/improving-health-care-ontario", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "choose your own provider", "institution": "Government of Ontario, Ministry of Health", "locator": { "locator_type": "html_text_anchor", "source_word_anchor": "choose your own provider", "source_word_count": 4 }, "material_id": "material:7acba9146fbff0b1c0811a7c", "notes": [ "Do not equate stated Ontario choice or navigation with referral-free access or completed counter-referral." ], "origin": "country-evidence-improvement-sources", "period": "Page updated 4 May 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "4da64565fae02781034f5d4e643c4206e3ba4cab456bf6c4e0175817816028ec" }, "statement": "Ontario says patients can choose their own provider, including a specialist, and describes Ontario Health Teams as supporting navigation, referrals and transitions. This is a provincial public-information description, not a national patient-choice rule or measured counter-referral result.", "tags": [], "territory": "Ontario only", "title": "Improving health care in Ontario", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ontario.ca/page/improving-health-care-ontario" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Ontario. Ontario Health Teams. Updated 2026-07-28. https://www.ontario.ca/page/ontario-health-teams", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "hospital_organization", "networks", "patient_flows", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "providers work as one coordinated team", "institution": "Government of Ontario, Ministry of Health", "locator": { "locator_type": "html_text_anchor", "section": "Overview", "source_word_anchor": "providers work as one coordinated team", "source_word_count": 6 }, "material_id": "material:5ed011eb1608febf22a22ad3", "notes": [ "Treat this as Ontario’s organizational model, not evidence of a Canada-wide integrated provider network." ], "origin": "country-evidence-improvement-sources", "period": "Page updated 28 July 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "bddbe526ed490b589890b4c0df37032a444786cdf3a1abf5dd4afdd640015ffd" }, "statement": "Ontario describes 58 Ontario Health Teams as a province-wide integrated-care organization in which hospitals, doctors and home and community providers work as coordinated local teams. The page describes the model and its stated coverage, not measured referral completion or comparable Canadian network performance.", "tags": [], "territory": "Ontario only", "title": "Ontario Health Teams", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ontario.ca/page/ontario-health-teams" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Ontario. Ontario Health agency. Updated 2025-10-07. https://www.ontario.ca/page/ontario-health-agency", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "decision_rights", "governance", "hospital_organization", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "holding accountability for Ontario Health Teams", "institution": "Government of Ontario, Ministry of Health", "locator": { "locator_type": "html_text_anchor", "source_word_anchor": "holding accountability for Ontario Health Teams", "source_word_count": 6 }, "material_id": "material:ebcad4a36208fbe4df5f46d9", "notes": [ "Keep Ontario-specific agency functions separate from the national cross-jurisdiction synthesis." ], "origin": "country-evidence-improvement-sources", "period": "Page updated 7 October 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "4065dbcc7b218b437ead98f6a4f75bccdf019d7010333c8040e5b9e9fd33ec73" }, "statement": "Ontario states that Ontario Health oversees provincial health-care delivery, promotes integration, plans for, establishes and supports Ontario Health Teams, and holds accountability for those teams. This provincial agency example does not describe health-authority ownership or operations elsewhere in Canada.", "tags": [], "territory": "Ontario only", "title": "Ontario Health agency", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ontario.ca/page/ontario-health-agency" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Ontario. Ontario’s public hospitals. Updated 2023-07-18. https://www.ontario.ca/page/ontarios-public-hospitals", "country_ids": [ "CAN" ], "coverage_domains": [ "autonomy", "decision_rights", "facility_data", "governance", "hospital_organization", "ownership" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Public hospitals are independent corporations run by their own board", "institution": "Government of Ontario, Ministry of Health", "locator": { "locator_type": "html_text_anchor", "source_word_anchor": "Public hospitals are independent corporations run by their own board", "source_word_count": 10 }, "material_id": "material:3c8766a18529eec6e59ec7e2", "notes": [ "This is Ontario-specific hospital governance; do not assign these decision rights to hospitals nationally." ], "origin": "country-evidence-improvement-sources", "period": "Page updated 18 July 2023", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6af8445577ea91505fbdb168243839f4d78ffd5238699da634a5b8df43a81ca9" }, "statement": "Ontario describes public hospitals as independent corporations governed by their own boards. It assigns boards day-to-day funding-allocation decisions and identifies accountability to Ontario Health and government for care quality and efficacy.", "tags": [], "territory": "Ontario public hospitals only", "title": "Ontario’s public hospitals", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health Canada. Primary care. Modified 2026-03-18. https://www.canada.ca/en/health-canada/services/health-care-system/primary-care.html", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "patient_flows", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "often your first point of contact with the health care system", "institution": "Health Canada", "locator": { "locator_type": "html_text_anchor", "section": "Primary care", "source_word_anchor": "often your first point of contact with the health care system", "source_word_count": 10 }, "material_id": "material:7b14070c5922d9f111ffbc5f", "notes": [ "Do not treat this public-information description as a uniform gatekeeping rule or a measured referral-completion result." ], "origin": "country-evidence-improvement-sources", "period": "Page issued and modified 18 March 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "73e70efb7448ceb1b18191ee1657f7a9fc4d371dd2ce80b17b6e4122b38543d1" }, "statement": "Health Canada describes primary care as often the first contact with the health system and lists assessment, referral, diagnosis, treatment and rehabilitation functions. The page is a national public-information description and does not specify referral rules, attachment mechanisms or team models for every province and territory.", "tags": [], "territory": "Federal public-information description; actual organization varies by province and territory", "title": "Primary care", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.canada.ca/en/health-canada/services/health-care-system/primary-care.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health Canada. Working together to improve health care in Canada: Working Together bilateral agreements. Modified 2026-07-30. https://www.canada.ca/en/health-canada/corporate/transparency/health-agreements/shared-health-priorities/working-together-bilateral-agreements.html", "country_ids": [ "CAN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "flexible and tailored", "institution": "Health Canada", "locator": { "locator_type": "html_text_anchor", "source_word_anchor": "flexible and tailored", "source_word_count": 3 }, "material_id": "material:111e349d455db14af996ed25", "notes": [ "Treat agreement content as commitments and funding architecture, not proof of a shared operational network or completed reform in every province and territory." ], "origin": "country-evidence-improvement-sources", "period": "Page modified 30 July 2026; first funding period expired 31 March 2026 and renewed agreements described for 2026-27 to 2032-33", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f1fd41a10371de52e5d84c887b5979ea8572543ee70948f2a7e02ed1099d05a0" }, "statement": "Health Canada describes bilateral agreements intended to be flexible and tailored to provincial and territorial population and geographic needs. The page lists commitments on workforce mobility, shared information and common interoperability standards, but does not establish a common delivery model or demonstrate implementation results in each jurisdiction.", "tags": [], "territory": "Federal bilateral agreements with provinces and territories", "title": "Working together to improve health care in Canada: Working Together bilateral agreements", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.canada.ca/en/health-canada/corporate/transparency/health-agreements/shared-health-priorities/working-together-bilateral-agreements.html" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": true }, "citation": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers. https://pubmed.ncbi.nlm.nih.gov/27475057/", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": "evidence_context", "evidence_mode": "reported", "excerpt": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "institution": null, "locator": { "anchor_text": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "locator_type": "full_text", "pdf_page": 1, "section": "Background" }, "material_id": "display-evidence:CAN:753886aa4278a9a2a5fc", "notes": [ "This is an exact source excerpt retained as unreviewed candidate context, not an direct typed country claim.", "This excerpt does not establish the review's full methods, included-study scope, or country applicability." ], "origin": "current-public-fact-projection", "period": "2016", "publication_date": null, "publication_year": null, "record_kind": "displayed_exact_context", "record_kind_label": "Displayed exact context", "screening": { "previous_visibility": "previously_projected" }, "source_layers": [ "review_literature" ], "source_system": "review_literature", "source_version": { "file_sha256": "2c22c4d88f0155443ee808ed9a0dd151156e840d607961cdef2ae809afb06350" }, "statement": null, "tags": [], "territory": "national_or_review_scope", "title": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "urls": [ { "kind": "source_reference", "source": "The impact of primary care reform on health system performance in Canada: a systematic review", "url": "https://pubmed.ncbi.nlm.nih.gov/27475057/" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": true }, "citation": "per capita transfers for health and education with federal conditions on accessibility. https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": "evidence_context", "evidence_mode": "unclassified", "excerpt": "per capita transfers for health and education with federal conditions on accessibility", "institution": null, "locator": { "paragraph_index_on_page": 1, "physical_pdf_page": 12, "source_word_anchor": "per capita transfers for health and education with federal conditions on accessibility", "source_word_count": 12 }, "material_id": "display-evidence:CAN:822f0d7a185a44eb9c55", "notes": [ "Treat this short excerpt as source context, not as a complete country fact.", "Confirm country applicability, surrounding qualifications, and period before drafting a fact." ], "origin": "current-public-fact-projection", "period": "1997", "publication_date": null, "publication_year": null, "record_kind": "displayed_exact_context", "record_kind_label": "Displayed exact context", "screening": { "previous_visibility": "previously_projected" }, "source_layers": [ "grey_literature" ], "source_system": "grey_literature", "source_version": { "detected_media_type": "application/pdf", "file_sha256": "101513f04a64e156597c875a9e9323862c096ec4a3dac11bae5e323ade67a79f", "page_count": 86, "text_sha256": "33dc1ae64dc1ab26da2d66f204d43d17cccc549e7d4b59a0c038aa3a6b231a05" }, "statement": null, "tags": [], "territory": "country_applicability_pending", "title": "per capita transfers for health and education with federal conditions on accessibility", "urls": [ { "kind": "source_reference", "source": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries", "url": "https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 35" }, "material_id": "display-evidence:CAN:aa388f0c21adb749cec2", "notes": [ "Distinguish proposal, notice, waiting period, non-objection, and prohibition.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "tags": [], "territory": "Ontario", "title": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 7, PDF pp. 9 to 10" }, "material_id": "display-evidence:CAN:94f224df91409ef75dea", "notes": [ "Store each criterion separately and do not equate compliance with delivery ownership.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "tags": [], "territory": "Ontario", "title": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, ss. 14 to 15, PDF pp. 13 to 14" }, "material_id": "display-evidence:CAN:2a296d615526b5d886f2", "notes": [ "Preserve consultation, referral, decision, and fiscal consequence as separate edges.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "tags": [], "territory": "Ontario", "title": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 22" }, "material_id": "display-evidence:CAN:10af0d9c7f27dedff484", "notes": [ "Acquire current agreements and amendments for named providers.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "tags": [], "territory": "Ontario", "title": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 30 to 32" }, "material_id": "display-evidence:CAN:f2df91d3a4585ff9eaaa", "notes": [ "Separate duty to identify, facilitation, agreement, and funding action.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "tags": [], "territory": "Ontario", "title": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 3 to 4" }, "material_id": "display-evidence:CAN:1444d20f750054a35c45", "notes": [ "Check the e-Laws currency date before direct analytical mapping.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "tags": [], "territory": "Ontario", "title": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 21" }, "material_id": "display-evidence:CAN:6601405612eef0722065", "notes": [ "Funding does not establish ownership or site operation.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "tags": [], "territory": "Ontario", "title": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 6" }, "material_id": "display-evidence:CAN:f4d13ecf856f26a18cf6", "notes": [ "Split each function and distinguish object from exercised authority.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "tags": [], "territory": "Ontario", "title": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.. https://www.ontario.ca/page/ontarios-public-hospitals", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`ON-PUBLIC-HOSPITALS`, `Overview`" }, "material_id": "display-evidence:CAN:2f21b49ed7b065229b7a", "notes": [ "Acquire the current Public Hospitals Act and entity governance instruments.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Page updated 2023-07-18", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "tags": [], "territory": "Ontario", "title": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "urls": [ { "kind": "source_reference", "source": "Ontario public hospital governance", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.. https://laws-lois.justice.gc.ca/eng/Const/section-92.html", "country_ids": [ "CAN" ], "coverage_domains": [ "hospital_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-CONSTITUTION-SECTION-92`, Constitution Act, 1867, s. 92(7)" }, "material_id": "display-evidence:CAN:ace5e8ea5879a70c7fdc", "notes": [ "Complete the multi-head constitutional and jurisprudential review.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Current snapshot retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "aca4cb77f9a3eb8ee330599d2a8cbc7f759bd774ed17b086dc33e778246c41e1" }, "statement": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "tags": [], "territory": "Ontario", "title": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "urls": [ { "kind": "source_reference", "source": "Constitution Act, 1867, section 92", "url": "https://laws-lois.justice.gc.ca/eng/Const/section-92.html" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(3)" }, "material_id": "display-evidence:CAN:ee92785fde72aad87f13", "notes": [ "Preserve constituent legal identities and the extent qualification.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "tags": [], "territory": "Ontario", "title": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 4, PDF p. 9" }, "material_id": "display-evidence:CAN:137d1545bd07e2ac1b06", "notes": [ "Link to current fiscal-arrangements law and the selected fiscal year.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "tags": [], "territory": "Ontario", "title": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 8(1), (2), and (6)" }, "material_id": "display-evidence:CAN:7db3b0952ee8e690c9b0", "notes": [ "Verify current appointments against official orders.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "tags": [], "territory": "Ontario", "title": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(1) to (2.2)" }, "material_id": "display-evidence:CAN:fa042a859d3c9c9aea42", "notes": [ "Acquire every current designation and its conditions.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "From 2023-12-04 amendment basis in the consolidation", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "tags": [], "territory": "Ontario", "title": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 18 to 19" }, "material_id": "display-evidence:CAN:639bfd27a31b86063614", "notes": [ "Acquire the current agreement and fiscal instruments.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "tags": [], "territory": "Ontario", "title": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 20" }, "material_id": "display-evidence:CAN:e255764285a67028cb89", "notes": [ "Acquire the directive register and resolve entity applicability.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "tags": [], "territory": "Ontario", "title": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 33 to 34" }, "material_id": "display-evidence:CAN:1454599332728314c65d", "notes": [ "Record the exact ordered action and restrictions for each event.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "tags": [], "territory": "Ontario", "title": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 12(1), PDF pp. 12 to 13" }, "material_id": "display-evidence:CAN:c4c2e7356c9d09f0926b", "notes": [ "Keep payment design in the Payment knob and provider organization in this knob.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "tags": [], "territory": "Ontario", "title": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.. https://www.ontario.ca/page/ontario-health-teams", "country_ids": [ "CAN" ], "coverage_domains": [ "provider_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`ON-HEALTH-TEAMS`, `Overview`" }, "material_id": "display-evidence:CAN:d5b685c385b676216e9a", "notes": [ "Verify against designation instruments, current team list, territory, and attribution method.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Page updated 2026-07-28", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "a1d63bb90a5f91df255c0db5e9875c05897ff278bfba41d98f9266b2af30dffb" }, "statement": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "tags": [], "territory": "Ontario", "title": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "urls": [ { "kind": "source_reference", "source": "Ontario Health Teams", "url": "https://www.ontario.ca/page/ontario-health-teams" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.. https://www.ontario.ca/page/ontarios-public-hospitals", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`ON-PUBLIC-HOSPITALS`, `Total number of public hospitals`" }, "material_id": "display-evidence:CAN:925e968e67c9dc075a00", "notes": [ "Stale for 2026. Acquire current corporation and site registries before any count is displayed.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "As at 2023-02-01", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "tags": [], "territory": "Ontario", "title": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "urls": [ { "kind": "source_reference", "source": "Ontario public hospital governance", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(2), PDF p. 10" }, "material_id": "display-evidence:CAN:9296ff945cb0c342dd84", "notes": [ "Do not call an administrative payment agent the plan administrator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "tags": [], "territory": "Ontario", "title": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(1), PDF p. 10" }, "material_id": "display-evidence:CAN:6550bb8c3910a6dbab2c", "notes": [ "Identify Ontario's applicable insurance-plan authority through provincial law.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "tags": [], "territory": "Ontario", "title": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "Grady C, Han H, Kim DH, Coderre-Ball AM, Alam N. Family physicians collaborating for health system integration: a scoping review. BMC health services research. 2023. doi:10.1186/s12913-023-09063-w.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "heading": "Funding", "html_text_block": 180, "locator_type": "html_text_anchor", "source_word_anchor": "was funded by Ontario Ministry of Health and Long-Term Care MOHLTC MOHLTC-INSPIRE-PHC", "source_word_count": 12 }, "material_id": "candidate-source:CAN:727ee748cc9df027f308", "notes": [ "Public source projection retained as a distinct stage record.", "Immutable source-version metadata is linked from another displayed stage record with the exact same source URL.", "The page locator is linked from another displayed stage record with the exact same source URL." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2023, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_by_exact_url": true, "previous_visibility": "previously_projected", "source_version_linked_by_exact_url": true }, "source_layers": [ "candidate_source_metadata", "review_literature" ], "source_system": "pubmed_country_review_seed", "source_version": { "detected_media_type": "text/html", "response_sha256": "4c5136e9a8d4871ece4996a80d7a2f11a40372dff283bf1bffb6c2a94c707cfd" }, "statement": null, "tags": [ "curated_review" ], "territory": null, "title": "Family physicians collaborating for health system integration: a scoping review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/36690992/" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries. 1997. https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf", "country_ids": [ "CAN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": "candidate corpus source", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "physical_pdf_page": 12, "source_word_anchor": "per capita transfers for health and education with federal conditions on accessibility" }, "material_id": "candidate-source:CAN:f9c937480c633e606c4f", "notes": [ "Public source projection retained as a distinct stage record." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 1997, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "previous_visibility": "previously_projected" }, "source_layers": [ "candidate_corpus_page_locator", "grey_literature" ], "source_system": "global_corpus", "source_version": { "file_sha256": "101513f04a64e156597c875a9e9323862c096ec4a3dac11bae5e323ade67a79f", "text_sha256": "33dc1ae64dc1ab26da2d66f204d43d17cccc549e7d4b59a0c038aa3a6b231a05" }, "statement": null, "tags": [ "corpus_excerpt_queue" ], "territory": null, "title": "Intergovernmental fiscal transfer in nine countries : lessons for developing countries", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/406481468771272831/pdf/multi-page.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "Carter R, Riverin B, Levesque JF, Gariepy G, Quesnel-Vallée A. The impact of primary care reform on health system performance in Canada: a systematic review. BMC health services research. 2016. doi:10.1186/s12913-016-1571-7.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "anchor_text": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "locator_type": "full_text", "pdf_page": 1, "section": "Background" }, "material_id": "candidate-source:CAN:67aabf7cfecc8bf5fbb4", "notes": [ "Public source projection retained as a distinct stage record.", "The page locator is linked from another displayed stage record with the exact same source URL." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2016, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_by_exact_url": true, "previous_visibility": "previously_projected" }, "source_layers": [ "candidate_source_metadata", "review_literature" ], "source_system": "pubmed_country_review_seed", "source_version": {}, "statement": null, "tags": [ "curated_review" ], "territory": null, "title": "The impact of primary care reform on health system performance in Canada: a systematic review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/27475057/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Acquire current agreements and amendments for named providers.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:51486946455e8ecab6bed539", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Acquire current agreements and amendments for named providers.", "tags": [], "territory": "Ontario", "title": "Acquire current agreements and amendments for named providers.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Acquire every current designation and its conditions.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:fc3a09f96bab5ad65f1b5920", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Acquire every current designation and its conditions.", "tags": [], "territory": "Ontario", "title": "Acquire every current designation and its conditions.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Acquire the current Public Hospitals Act and entity governance instruments.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:2b19b72d97ed81cb2a2dd3a5", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Acquire the current Public Hospitals Act and entity governance instruments.", "tags": [], "territory": "Ontario", "title": "Acquire the current Public Hospitals Act and entity governance instruments.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Acquire the current agreement and fiscal instruments.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:07e5a4b3e12130adb51c015d", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Acquire the current agreement and fiscal instruments.", "tags": [], "territory": "Ontario", "title": "Acquire the current agreement and fiscal instruments.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Acquire the directive register and resolve entity applicability.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:8dad5a86555ae9d5bcc23e6c", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Acquire the directive register and resolve entity applicability.", "tags": [], "territory": "Ontario", "title": "Acquire the directive register and resolve entity applicability.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Check the e-Laws currency date before direct analytical mapping.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:99e911b9c0ae9077af76d1b4", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Check the e-Laws currency date before direct analytical mapping.", "tags": [], "territory": "Ontario", "title": "Check the e-Laws currency date before direct analytical mapping.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Complete the multi-head constitutional and jurisprudential review.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:930b739a4e3f4c09df1fbcb7", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Complete the multi-head constitutional and jurisprudential review.", "tags": [], "territory": "Ontario", "title": "Complete the multi-head constitutional and jurisprudential review.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Distinguish proposal, notice, waiting period, non-objection, and prohibition.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:2ce63b93d65f2ac8d9c1d6ce", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Distinguish proposal, notice, waiting period, non-objection, and prohibition.", "tags": [], "territory": "Ontario", "title": "Distinguish proposal, notice, waiting period, non-objection, and prohibition.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Do not call an administrative payment agent the plan administrator.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:e8402ccb03794a5851b16c8f", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Do not call an administrative payment agent the plan administrator.", "tags": [], "territory": "Ontario", "title": "Do not call an administrative payment agent the plan administrator.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Funding does not establish ownership or site operation.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:9f0b8541f696cad1009cad2d", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Funding does not establish ownership or site operation.", "tags": [], "territory": "Ontario", "title": "Funding does not establish ownership or site operation.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Identify Ontario's applicable insurance-plan authority through provincial law.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:34bb5fe4f2f63f613b50bb82", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Identify Ontario's applicable insurance-plan authority through provincial law.", "tags": [], "territory": "Ontario", "title": "Identify Ontario's applicable insurance-plan authority through provincial law.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Keep payment design in the Payment knob and provider organization in this knob.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:c1cc6fa7f7f486df0f6f9346", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Keep payment design in the Payment knob and provider organization in this knob.", "tags": [], "territory": "Ontario", "title": "Keep payment design in the Payment knob and provider organization in this knob.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Link to current fiscal-arrangements law and the selected fiscal year.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:01dc0dc5fcd886c53fe4b669", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Link to current fiscal-arrangements law and the selected fiscal year.", "tags": [], "territory": "Ontario", "title": "Link to current fiscal-arrangements law and the selected fiscal year.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Preserve constituent legal identities and the extent qualification.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:a69805f6856f90c63385d017", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Preserve constituent legal identities and the extent qualification.", "tags": [], "territory": "Ontario", "title": "Preserve constituent legal identities and the extent qualification.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Preserve consultation, referral, decision, and fiscal consequence as separate edges.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:a0439b85419afd4dd41367ad", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Preserve consultation, referral, decision, and fiscal consequence as separate edges.", "tags": [], "territory": "Ontario", "title": "Preserve consultation, referral, decision, and fiscal consequence as separate edges.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Record the exact ordered action and restrictions for each event.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:c4f4b9c39c8f940e09443289", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Record the exact ordered action and restrictions for each event.", "tags": [], "territory": "Ontario", "title": "Record the exact ordered action and restrictions for each event.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Separate duty to identify, facilitation, agreement, and funding action.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:c8ca5f174d070de11a8c3853", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Separate duty to identify, facilitation, agreement, and funding action.", "tags": [], "territory": "Ontario", "title": "Separate duty to identify, facilitation, agreement, and funding action.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Split each function and distinguish object from exercised authority.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:1fcfe66a230a6b562f76dbbd", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Split each function and distinguish object from exercised authority.", "tags": [], "territory": "Ontario", "title": "Split each function and distinguish object from exercised authority.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Stale for 2026. Acquire current corporation and site registries before any count is displayed.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:69baecffb15fed5645c2ce3d", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Stale for 2026. Acquire current corporation and site registries before any count is displayed.", "tags": [], "territory": "Ontario", "title": "Stale for 2026. Acquire current corporation and site registries before any count is displayed.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Store each criterion separately and do not equate compliance with delivery ownership.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:32fefb9748cb28644c76adf2", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Store each criterion separately and do not equate compliance with delivery ownership.", "tags": [], "territory": "Ontario", "title": "Store each criterion separately and do not equate compliance with delivery ownership.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Verify against designation instruments, current team list, territory, and attribution method.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:7442654e50fa92ff7f256b14", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Verify against designation instruments, current team list, territory, and attribution method.", "tags": [], "territory": "Ontario", "title": "Verify against designation instruments, current team list, territory, and attribution method.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Verify current appointments against official orders.", "country_ids": [ "CAN" ], "coverage_domains": [ "claim_review" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:fa9f0b7d645c6109e098bca2", "notes": [], "origin": "discovery-tasks", "period": null, "publication_date": null, "publication_year": null, "record_kind": "evidence_gap_record", "record_kind_label": "Evidence Gap Record", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected", "status": "queued" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "Verify current appointments against official orders.", "tags": [], "territory": "Ontario", "title": "Verify current appointments against official orders.", "urls": [] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Availability or relevance uncertain", "downloaded": false, "extracted": false, "text_pages": null, "text_words": null }, "citation": "The Canadian monitoring and evaluation (M&E) system : lessons learned from 30 years of development. 2010. https://search.worldbank.org/api/v3/wds", "country_ids": [ "CAN" ], "coverage_domains": [ "leadership_governance" ], "display_status": "shown_in_full", "document_type": "working paper", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": null, "material_id": "material:d2cf98c4051cc4c31b0b5897", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "global-health-systems-library", "period": null, "publication_date": "2010-11-01", "publication_year": 2010, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.85, "previous_visibility": "previously_not_projected_unless_selected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "page_count": 47, "response_sha256": "2db86b69f2089796e796b1b8c20087fd7b93e23b8a956c1c301f77cd8271e2d0" }, "statement": null, "tags": [ "control_knob:organization", "who_building_block:leadership_governance" ], "territory": "national", "title": "The Canadian monitoring and evaluation (M&E) system : lessons learned from 30 years of development", "urls": [ { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/865531468226748462/text/654070NWP0230c0C0disclosed011040110.txt" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/865531468226748462/pdf/The-Canadian-monitoring-and-evaluation-M-E-system-lessons-learned-from-30-years-of-development.pdf" }, { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/865531468226748462" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Family physicians collaborating for health system integration: a scoping review", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:a4c60f78e42f46f7df027319", "notes": [ "This record retains a hashed source version and is open for annotation of its scope, extraction, and relevance." ], "origin": "review-appraisal-queue", "period": null, "publication_date": null, "publication_year": null, "record_kind": "review_appraisal_record", "record_kind_label": "Review Appraisal Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "source_version_sha256": "f3c12f4947d2fba070958e89592f39ee7d0dbfddd1e72ee9aa01762aad440e8b" }, "statement": null, "tags": [], "territory": null, "title": "Family physicians collaborating for health system integration: a scoping review", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The impact of primary care reform on health system performance in Canada: a systematic review", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": null, "material_id": "material:30762e2cdab3fda640e379ed", "notes": [ "This record retains a hashed source version and is open for annotation of its scope, extraction, and relevance." ], "origin": "review-appraisal-queue", "period": null, "publication_date": null, "publication_year": null, "record_kind": "review_appraisal_record", "record_kind_label": "Review Appraisal Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "source_version_sha256": "2c22c4d88f0155443ee808ed9a0dd151156e840d607961cdef2ae809afb06350" }, "statement": null, "tags": [], "territory": null, "title": "The impact of primary care reform on health system performance in Canada: a systematic review", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Canada-focused scoping review identifies shared vision and values, family-physician leadership, and defined decision procedures as structural components of inter-organizational collaboration, alongside communication, motivation, and trust processes.", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "anchor_text": "Three structural components were identified", "pdf_page": 1, "section": "Abstract, Results" }, "material_id": "material:07ff426e8bd337693e223da3", "notes": [ "This is a paraphrased extraction candidate, not an direct typed claim.", "The review concerns collaboration involving family physicians and cannot establish the current organization of every Canadian jurisdiction." ], "origin": "review-evidence-excerpts", "period": null, "publication_date": null, "publication_year": null, "record_kind": "review_evidence_statement", "record_kind_label": "Review Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "source_version_sha256": "f3c12f4947d2fba070958e89592f39ee7d0dbfddd1e72ee9aa01762aad440e8b" }, "statement": "The Canada-focused scoping review identifies shared vision and values, family-physician leadership, and defined decision procedures as structural components of inter-organizational collaboration, alongside communication, motivation, and trust processes.", "tags": [], "territory": null, "title": "The Canada-focused scoping review identifies shared vision and values, family-physician leadership, and defined decision procedures as structural components of inter-organizational collaboration, alongside communication, motivation, and trust processes.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The review reports differing evidence across utilization and process outcomes after team-based and payment-model primary-care reforms, and limits its system-wide organizational scope to Alberta, Ontario, and Quebec.", "country_ids": [ "CAN" ], "coverage_domains": [ "networks", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "anchor_text": "evidence was mixed for hospital admissions", "pdf_page": 1, "section": "Abstract, Results" }, "material_id": "material:4208e479e4b5dd4ab51f3ad1", "notes": [ "This is a paraphrased extraction candidate, not an direct typed claim.", "The review does not provide a current national institutional description and its provincial scope must be preserved." ], "origin": "review-evidence-excerpts", "period": null, "publication_date": null, "publication_year": null, "record_kind": "review_evidence_statement", "record_kind_label": "Review Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "source_version_sha256": "2c22c4d88f0155443ee808ed9a0dd151156e840d607961cdef2ae809afb06350" }, "statement": "The review reports differing evidence across utilization and process outcomes after team-based and payment-model primary-care reforms, and limits its system-wide organizational scope to Alberta, Ontario, and Quebec.", "tags": [], "territory": null, "title": "The review reports differing evidence across utilization and process outcomes after team-based and payment-model primary-care reforms, and limits its system-wide organizational scope to Alberta, Ontario, and Quebec.", "urls": [] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Carter R, Riverin B, Levesque JF, Gariepy G, Quesnel-Vallée A. The impact of primary care reform on health system performance in Canada: a systematic review. BMC health services research. 2016. doi:10.1186/s12913-016-1571-7.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "institution": null, "locator": { "anchor_text": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "locator_type": "full_text", "pdf_page": 1, "section": "Background" }, "material_id": "material:ac571a06063e26b7d6932ffb", "notes": [ "This is an exact source excerpt retained as unreviewed candidate context, not an direct typed country claim.", "This excerpt does not establish the review's full methods, included-study scope, or country applicability." ], "origin": "global-review-evidence-context", "period": null, "publication_date": null, "publication_year": 2016, "record_kind": "review_literature_context", "record_kind_label": "Review Literature Context", "screening": { "context_status": "full_text_exact_excerpt", "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review" }, "source_layers": [], "source_system": "pubmed_country_review_seed", "source_version": { "source_version_sha256": "2c22c4d88f0155443ee808ed9a0dd151156e840d607961cdef2ae809afb06350" }, "statement": null, "tags": [], "territory": null, "title": "Review Literature Context", "urls": [ { "kind": "doi", "source": "not supplied", "url": "https://doi.org/10.1186/s12913-016-1571-7" }, { "kind": "pubmed", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/27475057/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Grady C, Han H, Kim DH, Coderre-Ball AM, Alam N. Family physicians collaborating for health system integration: a scoping review. BMC health services research. 2023. doi:10.1186/s12913-023-09063-w.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "heading": "Funding", "html_text_block": 180, "locator_type": "html_text_anchor", "source_word_anchor": "was funded by Ontario Ministry of Health and Long-Term Care MOHLTC MOHLTC-INSPIRE-PHC", "source_word_count": 12 }, "material_id": "material:ae1cea37e3bacc4b9e781318", "notes": [ "Citation metadata identifies a country-scoped review lead, but no locally acquired full text was selected for an exact excerpt.", "No country statement is created from title or bibliographic metadata alone.", "Immutable source-version metadata is linked from another displayed stage record with the exact same source URL.", "The page locator is linked from another displayed stage record with the exact same source URL." ], "origin": "global-review-evidence-context", "period": null, "publication_date": null, "publication_year": 2023, "record_kind": "review_literature_context", "record_kind_label": "Review Literature Context", "screening": { "context_status": "metadata_only", "page_locator_linked_by_exact_url": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_version_linked_by_exact_url": true }, "source_layers": [], "source_system": "pubmed_country_review_seed", "source_version": { "detected_media_type": "text/html", "response_sha256": "4c5136e9a8d4871ece4996a80d7a2f11a40372dff283bf1bffb6c2a94c707cfd" }, "statement": null, "tags": [], "territory": null, "title": "Review Literature Context", "urls": [ { "kind": "doi", "source": "not supplied", "url": "https://doi.org/10.1186/s12913-023-09063-w" }, { "kind": "pubmed", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/36690992/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [ "Grady C", "Han H", "Kim DH", "Coderre-Ball AM", "Alam N" ], "availability": { "metadata_only": true, "source_bytes_verified": false }, "citation": "Grady C, Han H, Kim DH, Coderre-Ball AM, Alam N. Family physicians collaborating for health system integration: a scoping review. BMC health services research. 2023. doi:10.1186/s12913-023-09063-w.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": "scoping_review", "evidence_mode": null, "excerpt": null, "institution": "BMC health services research", "locator": { "heading": "Funding", "html_text_block": 180, "locator_type": "html_text_anchor", "source_word_anchor": "was funded by Ontario Ministry of Health and Long-Term Care MOHLTC MOHLTC-INSPIRE-PHC", "source_word_count": 12 }, "material_id": "material:941a38381bbd62499b6d2f4f", "notes": [ "Discovery metadata only. Full-text retrieval, appraisal, and claim-level review remain required.", "Review literature is not formal authority for jurisdictional rules.", "Exact citation metadata is available in the curated PubMed snapshot.", "Ontario-focused review of family-physician collaboration in integrated networks.", "Immutable source-version metadata is linked from another displayed stage record with the exact same source URL.", "The page locator is linked from another displayed stage record with the exact same source URL." ], "origin": "global-review-source-leads", "period": null, "publication_date": null, "publication_year": 2023, "record_kind": "review_literature_source_lead", "record_kind_label": "Review Literature Source Lead", "screening": { "page_locator_linked_by_exact_url": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_version_linked_by_exact_url": true, "triage_status": "new" }, "source_layers": [], "source_system": "PubMed", "source_version": { "detected_media_type": "text/html", "response_sha256": "4c5136e9a8d4871ece4996a80d7a2f11a40372dff283bf1bffb6c2a94c707cfd" }, "statement": null, "tags": [ "Exact citation metadata is available in the curated PubMed snapshot." ], "territory": null, "title": "Family physicians collaborating for health system integration: a scoping review", "urls": [ { "kind": "pubmed", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/36690992/" }, { "kind": "doi", "source": "not supplied", "url": "https://doi.org/10.1186/s12913-023-09063-w" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [ "Carter R", "Riverin B", "Levesque JF", "Gariepy G", "Quesnel-Vallée A" ], "availability": { "metadata_only": true, "source_bytes_verified": false }, "citation": "Carter R, Riverin B, Levesque JF, Gariepy G, Quesnel-Vallée A. The impact of primary care reform on health system performance in Canada: a systematic review. BMC health services research. 2016. doi:10.1186/s12913-016-1571-7.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": "systematic_review", "evidence_mode": null, "excerpt": null, "institution": "BMC health services research", "locator": { "anchor_text": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "locator_type": "full_text", "pdf_page": 1, "section": "Background" }, "material_id": "material:8041ad57f08a0b5ff385aeb5", "notes": [ "Discovery metadata only. Full-text retrieval, appraisal, and claim-level review remain required.", "Review literature is not formal authority for jurisdictional rules.", "Exact citation metadata is available in the curated PubMed snapshot.", "Systematic review of Canadian primary-care reform and system performance.", "Immutable source-version metadata is linked from another displayed stage record with the exact same source URL.", "The page locator is linked from another displayed stage record with the exact same source URL." ], "origin": "global-review-source-leads", "period": null, "publication_date": null, "publication_year": 2016, "record_kind": "review_literature_source_lead", "record_kind_label": "Review Literature Source Lead", "screening": { "page_locator_linked_by_exact_url": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_version_linked_by_exact_url": true, "triage_status": "new" }, "source_layers": [], "source_system": "PubMed", "source_version": { "source_version_sha256": "2c22c4d88f0155443ee808ed9a0dd151156e840d607961cdef2ae809afb06350" }, "statement": null, "tags": [ "Exact citation metadata is available in the curated PubMed snapshot." ], "territory": null, "title": "The impact of primary care reform on health system performance in Canada: a systematic review", "urls": [ { "kind": "pubmed", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/27475057/" }, { "kind": "doi", "source": "not supplied", "url": "https://doi.org/10.1186/s12913-016-1571-7" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [ "Grady C", "Han H", "Kim DH", "Coderre-Ball AM", "Alam N" ], "availability": {}, "citation": "Family physicians collaborating for health system integration: a scoping review. 2023. https://pubmed.ncbi.nlm.nih.gov/36690992/", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": "scoping_review", "evidence_mode": null, "excerpt": null, "institution": "BMC health services research", "locator": { "heading": "Funding", "html_text_block": 180, "locator_type": "html_text_anchor", "source_word_anchor": "was funded by Ontario Ministry of Health and Long-Term Care MOHLTC MOHLTC-INSPIRE-PHC", "source_word_count": 12 }, "material_id": "material:6f1b5e815e63216855c6415d", "notes": [ "This was a targeted supplementary search, not a systematic review of the literature.", "Full text, review methods, included-study scope, and applicability require human appraisal.", "Review literature can support contextual or reported synthesis about observed practice but cannot establish current formal authority.", "No exact locator or atomic claim has been reviewed from this record.", "Selected through the targeted supplementary review-literature search.", "Structured scoping synthesis.", "Directly relevant to a proof-of-concept jurisdiction.", "Published in 2023 or later.", "Ontario-focused review of family-physician collaboration in integrated networks.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.", "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "source-leads", "period": null, "publication_date": null, "publication_year": 2023, "record_kind": "source_lead", "record_kind_label": "Source Lead", "screening": { "page_locator_linked_from_country_score_acquisition": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": "PubMed", "source_version": { "detected_media_type": "text/html", "response_sha256": "4c5136e9a8d4871ece4996a80d7a2f11a40372dff283bf1bffb6c2a94c707cfd" }, "statement": null, "tags": [ "Directly relevant to a proof-of-concept jurisdiction.", "Published in 2023 or later.", "Selected through the targeted supplementary review-literature search.", "Structured scoping synthesis." ], "territory": null, "title": "Family physicians collaborating for health system integration: a scoping review", "urls": [ { "kind": "index", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/36690992/" }, { "kind": "doi", "source": "not supplied", "url": "https://doi.org/10.1186/s12913-023-09063-w" }, { "kind": "full_text", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9869511/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [ "Carter R", "Riverin B", "Levesque JF", "Gariepy G", "Quesnel-Vallée A" ], "availability": {}, "citation": "The impact of primary care reform on health system performance in Canada: a systematic review. 2016. https://pubmed.ncbi.nlm.nih.gov/27475057/", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": "systematic_review", "evidence_mode": null, "excerpt": null, "institution": "BMC health services research", "locator": { "anchor_text": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "locator_type": "full_text", "pdf_page": 1, "section": "Background" }, "material_id": "material:9bc89bf9df5a8efac115aa8e", "notes": [ "This was a targeted supplementary search, not a systematic review of the literature.", "Full text, review methods, included-study scope, and applicability require human appraisal.", "Review literature can support contextual or reported synthesis about observed practice but cannot establish current formal authority.", "No exact locator or atomic claim has been reviewed from this record.", "Selected through the targeted supplementary review-literature search.", "Structured evidence synthesis.", "Directly relevant to a proof-of-concept jurisdiction.", "Systematic review of Canadian primary-care reform and system performance.", "Immutable source-version metadata is linked from another displayed stage record with the exact same source URL.", "The page locator is linked from another displayed stage record with the exact same source URL." ], "origin": "source-leads", "period": null, "publication_date": null, "publication_year": 2016, "record_kind": "source_lead", "record_kind_label": "Source Lead", "screening": { "page_locator_linked_by_exact_url": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_version_linked_by_exact_url": true, "triage_status": "new" }, "source_layers": [], "source_system": "PubMed", "source_version": { "source_version_sha256": "2c22c4d88f0155443ee808ed9a0dd151156e840d607961cdef2ae809afb06350" }, "statement": null, "tags": [ "Directly relevant to a proof-of-concept jurisdiction.", "Selected through the targeted supplementary review-literature search.", "Structured evidence synthesis." ], "territory": null, "title": "The impact of primary care reform on health system performance in Canada: a systematic review", "urls": [ { "kind": "index", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/27475057/" }, { "kind": "doi", "source": "not supplied", "url": "https://doi.org/10.1186/s12913-016-1571-7" }, { "kind": "full_text", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4967507/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 35. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 35" }, "material_id": "material:1febd79a99db32505a9ab6d5", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "tags": [], "territory": "Ontario", "title": "A provider or OHT may propose service integration, while Agency-funded integration is subject to notice and possible ministerial review or prohibition.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 7, PDF pp. 9 to 10. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 7, PDF pp. 9 to 10" }, "material_id": "material:6d74708a45379aac2129d261", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "tags": [], "territory": "Ontario", "title": "A provincial health-insurance plan must satisfy public administration, comprehensiveness, universality, portability, and accessibility criteria throughout the fiscal year to qualify for the full contribution.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, ss. 14 to 15, PDF pp. 13 to 14. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, ss. 14 to 15, PDF pp. 13 to 14" }, "material_id": "material:43a8385ddfc3825fbbabbefe", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "tags": [], "territory": "Ontario", "title": "For a non-remedied provincial default, the federal Minister follows a consultation and referral process before the Governor in Council may reduce or withhold a cash contribution.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 22. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 22" }, "material_id": "material:930859eaf2b6b18c90a3a1ed", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "tags": [], "territory": "Ontario", "title": "Ontario Health and a delivery organization it proposes to fund must enter a service accountability agreement through the section 22 process.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, ss. 30 to 32. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 30 to 32" }, "material_id": "material:7f7b3547655380d7f5e0a371", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "tags": [], "territory": "Ontario", "title": "Ontario Health and providers or teams must identify integration opportunities, and Ontario Health may integrate through funding changes or facilitation and negotiation.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, ss. 3 to 4. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 3 to 4" }, "material_id": "material:5c8b65cdfd7ab95b03d04e6c", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "tags": [], "territory": "Ontario", "title": "Ontario Health is a corporation without share capital and an agent of the Ontario Crown.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 21. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 21" }, "material_id": "material:c6ac9aded266c5bfb8fe553c", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "tags": [], "territory": "Ontario", "title": "Ontario Health may fund health service providers and OHTs on terms and conditions consistent with its own funding, accountability agreement, and prescribed requirements.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 6. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 6" }, "material_id": "material:bfc85e8d77199d0dfcfbb466", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "tags": [], "territory": "Ontario", "title": "Ontario Health's statutory objects include implementing Ministry strategies and managing provincial health-service needs through operational coordination, performance management, quality, standards, data, and related functions.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario public hospital governance. `ON-PUBLIC-HOSPITALS`, `Overview`. https://www.ontario.ca/page/ontarios-public-hospitals", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`ON-PUBLIC-HOSPITALS`, `Overview`" }, "material_id": "material:bda2951e2764ede0b8d086a3", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "Page updated 2023-07-18", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "tags": [], "territory": "Ontario", "title": "Ontario's official public-hospital page describes public hospitals as independent corporations run by their own boards and accountable to Ontario Health and government.", "urls": [ { "kind": "source_reference", "source": "Ontario public hospital governance", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Constitution Act, 1867, section 92. `CAN-CONSTITUTION-SECTION-92`, Constitution Act, 1867, s. 92(7). https://laws-lois.justice.gc.ca/eng/Const/section-92.html", "country_ids": [ "CAN" ], "coverage_domains": [ "hospital_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-CONSTITUTION-SECTION-92`, Constitution Act, 1867, s. 92(7)" }, "material_id": "material:6e376796a84f20b69007c410", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "Current snapshot retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "aca4cb77f9a3eb8ee330599d2a8cbc7f759bd774ed17b086dc33e778246c41e1" }, "statement": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "tags": [], "territory": "Ontario", "title": "Provincial legislatures have exclusive legislative authority over the establishment, maintenance, and management of hospitals, asylums, charities, and eleemosynary institutions in the province other than marine hospitals.", "urls": [ { "kind": "source_reference", "source": "Constitution Act, 1867, section 92", "url": "https://laws-lois.justice.gc.ca/eng/Const/section-92.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 29(3). https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(3)" }, "material_id": "material:dd356d57d65ee895bd5d3a6e", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "tags": [], "territory": "Ontario", "title": "Statutory obligations, powers, and decisions applying to an OHT bind its constituent actors to the extent needed to make them effective.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 4, PDF p. 9. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 4, PDF p. 9" }, "material_id": "material:3e52460fd39fa0d2f82da00f", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "tags": [], "territory": "Ontario", "title": "The Canada Health Act establishes criteria and conditions for a full federal cash contribution in relation to insured and extended health services provided under provincial law.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 8(1), (2), and (6). https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 8(1), (2), and (6)" }, "material_id": "material:bef3835ccd6ab90a8a5f1279", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "tags": [], "territory": "Ontario", "title": "The Lieutenant Governor in Council appoints Ontario Health's board members and designates its chair and vice-chair.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 29(1) to (2.2). https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 29(1) to (2.2)" }, "material_id": "material:b718e3832faa447ea96951ef", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "From 2023-12-04 amendment basis in the consolidation", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "tags": [], "territory": "Ontario", "title": "The Minister may designate as an OHT one person or entity or a group able to deliver at least three listed service types in an integrated and coordinated manner, subject to conditions and amendment or revocation.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, ss. 18 to 19. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 18 to 19" }, "material_id": "material:60dd937d78e7a144c64b6562", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "tags": [], "territory": "Ontario", "title": "The Minister may fund Ontario Health on conditions and must enter a multi-year accountability agreement containing performance, reporting, spending, and performance-management terms.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, s. 20. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, s. 20" }, "material_id": "material:67962e8aa1fba34c77e7a510", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "tags": [], "territory": "Ontario", "title": "The Minister may issue published, binding directives to Ontario Health and entities funded by it, while applicable law prevails over a conflicting directive.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Connecting Care Act, 2019. `ON-LAW-CONNECTING-CARE`, ss. 33 to 34. https://www.ontario.ca/laws/statute/19c05", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability", "integration", "legal_authority", "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ON-LAW-CONNECTING-CARE`, ss. 33 to 34" }, "material_id": "material:6eae7a6c082925353d60e47c", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "CCA consolidation from 2026-04-24", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "336932720ffc05e8f2c9070805733fd6a8896f04e0866ef23cfe9fa5de6c7345" }, "statement": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "tags": [], "territory": "Ontario", "title": "The Minister may order funded providers or OHTs to undertake listed integration actions, subject to actor, property, charitable, ownership-form, notice, and process restrictions.", "urls": [ { "kind": "source_reference", "source": "Ontario Connecting Care Act, 2019", "url": "https://www.ontario.ca/laws/statute/19c05" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 12(1), PDF pp. 12 to 13. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 12(1), PDF pp. 12 to 13" }, "material_id": "material:5c601092f514f7e842c5ddb4", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "tags": [], "territory": "Ontario", "title": "The federal accessibility criterion requires a provincial plan to provide payment for insured services under a provincially authorized tariff or payment system and to provide amounts to hospitals for insured-service costs.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario Health Teams. `ON-HEALTH-TEAMS`, `Overview`. https://www.ontario.ca/page/ontario-health-teams", "country_ids": [ "CAN" ], "coverage_domains": [ "provider_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`ON-HEALTH-TEAMS`, `Overview`" }, "material_id": "material:92e653c00c945a9b79e64175", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "Page updated 2026-07-28", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "a1d63bb90a5f91df255c0db5e9875c05897ff278bfba41d98f9266b2af30dffb" }, "statement": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "tags": [], "territory": "Ontario", "title": "The official Ontario page reports 58 OHTs providing full provincial coverage as of its 2026-07-28 update.", "urls": [ { "kind": "source_reference", "source": "Ontario Health Teams", "url": "https://www.ontario.ca/page/ontario-health-teams" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ontario public hospital governance. `ON-PUBLIC-HOSPITALS`, `Total number of public hospitals`. https://www.ontario.ca/page/ontarios-public-hospitals", "country_ids": [ "CAN" ], "coverage_domains": [ "accountability" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`ON-PUBLIC-HOSPITALS`, `Total number of public hospitals`" }, "material_id": "material:612d2bfded149bf47b5303d3", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "As at 2023-02-01", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "400cece007c1e1d245332ea9145caa8d2cf9cd8b82ecf63189fcc304fe7e80e3" }, "statement": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "tags": [], "territory": "Ontario", "title": "The official page reported 140 public-hospital corporations as at 2023-02-01 and explicitly noted that many corporations operate several sites.", "urls": [ { "kind": "source_reference", "source": "Ontario public hospital governance", "url": "https://www.ontario.ca/page/ontarios-public-hospitals" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 8(2), PDF p. 10. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(2), PDF p. 10" }, "material_id": "material:6d004fb7537832ac57e21582", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "tags": [], "territory": "Ontario", "title": "The public authority may designate an agent for receipt or account-payment functions only under conditions that preserve the authority's assessment, approval, and payment-determination roles.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Canada Health Act. `CAN-LAW-CANADA-HEALTH-ACT`, s. 8(1), PDF p. 10. https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true", "country_ids": [ "CAN" ], "coverage_domains": [ "governance", "payment_relationship", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`CAN-LAW-CANADA-HEALTH-ACT`, s. 8(1), PDF p. 10" }, "material_id": "material:ae74fe6025a3bd1124908a7b", "notes": [ "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-fact-projections", "period": "Consolidation current to 2026-06-17", "publication_date": null, "publication_year": null, "record_kind": "source_linked_statement_projection", "record_kind_label": "Source Linked Statement Projection", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_projected", "review_status": "needs_review", "source_version_linked_from_country_score_acquisition": true, "status": "candidate_pending_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "be7e3d2753d1c10aad4aa7a673dea9dff03ea3dd5942503adac6fba70bc9ab95" }, "statement": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "tags": [], "territory": "Ontario", "title": "The public-administration criterion requires a provincially appointed or designated public authority to administer and operate the plan on a non-profit basis, remain responsible to the provincial government, and undergo public audit.", "urls": [ { "kind": "source_reference", "source": "Canada Health Act", "url": "https://laws-lois.justice.gc.ca/eng/acts/c-6/?wbdisable=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Grady C, Han H, Kim DH, Coderre-Ball AM, Alam N. Family physicians collaborating for health system integration: a scoping review. BMC health services research. 2023. doi:10.1186/s12913-023-09063-w.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "heading": "Funding", "html_text_block": 180, "locator_type": "html_text_anchor", "source_word_anchor": "was funded by Ontario Ministry of Health and Long-Term Care MOHLTC MOHLTC-INSPIRE-PHC", "source_word_count": 12 }, "material_id": "material:feb92c48fc4598a3770125dd", "notes": [ "Verify the exact bibliographic citation against the original source.", "Confirm that the document applies to the named country and intended territorial scope.", "Confirm document type, issuing institution, authority, and claim-specific suitability.", "Retrieve and hash the exact source version when it is not already verified.", "Check publication date, effective period, currency, and supersession risk.", "Confirm only domains directly supported by the reviewed source.", "Add substantive feedback directly through the text-anchored annotation layer.", "Immutable source-version metadata is linked from another displayed stage record with the exact same source URL.", "The page locator is linked from another displayed stage record with the exact same source URL." ], "origin": "global-source-triage-queue", "period": null, "publication_date": null, "publication_year": 2023, "record_kind": "source_triage_record", "record_kind_label": "Source Triage Record", "screening": { "page_locator_linked_by_exact_url": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_version_linked_by_exact_url": true }, "source_layers": [ "pubmed_country_review_seed" ], "source_system": "pubmed_country_review_seed", "source_version": { "detected_media_type": "text/html", "response_sha256": "4c5136e9a8d4871ece4996a80d7a2f11a40372dff283bf1bffb6c2a94c707cfd" }, "statement": null, "tags": [], "territory": null, "title": "Family physicians collaborating for health system integration: a scoping review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/36690992/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Carter R, Riverin B, Levesque JF, Gariepy G, Quesnel-Vallée A. The impact of primary care reform on health system performance in Canada: a systematic review. BMC health services research. 2016. doi:10.1186/s12913-016-1571-7.", "country_ids": [ "CAN" ], "coverage_domains": [ "authoritative_review", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "anchor_text": "The reform initiatives implemented across Canadian jurisdictions have largely emphasized quality improvement and incentive-base levers", "locator_type": "full_text", "pdf_page": 1, "section": "Background" }, "material_id": "material:156a5d58eb6ed037010ae0b8", "notes": [ "Verify the exact bibliographic citation against the original source.", "Confirm that the document applies to the named country and intended territorial scope.", "Confirm document type, issuing institution, authority, and claim-specific suitability.", "Retrieve and hash the exact source version when it is not already verified.", "Check publication date, effective period, currency, and supersession risk.", "Confirm only domains directly supported by the reviewed source.", "Add substantive feedback directly through the text-anchored annotation layer.", "The page locator is linked from another displayed stage record with the exact same source URL." ], "origin": "global-source-triage-queue", "period": null, "publication_date": null, "publication_year": 2016, "record_kind": "source_triage_record", "record_kind_label": "Source Triage Record", "screening": { "page_locator_linked_by_exact_url": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review" }, "source_layers": [ "pubmed_country_review_seed" ], "source_system": "pubmed_country_review_seed", "source_version": {}, "statement": null, "tags": [], "territory": null, "title": "The impact of primary care reform on health system performance in Canada: a systematic review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/27475057/" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Downloaded successfully", "downloaded": true, "extracted": true, "source_bytes_verified": true, "text_pages": 201, "text_words": 108016 }, "citation": "Reforming health social security : proceedings of an international seminar sponsored by the Global Security Institute, Keio University, and the World Bank, June 27-29, 2005, Tokyo, Japan : Reforming health social security : proceedings of an international seminar. 2005. https://search.worldbank.org/api/v3/wds", "country_ids": [ "CAN", "DEU", "GBR", "JPN", "NZL", "USA" ], "coverage_domains": [ "accreditation_quality", "financial_protection", "health_financing", "health_information_systems", "leadership_governance", "pooling_insurance", "primary_care", "provider_payment", "public_private_mix", "service_delivery" ], "display_status": "shown_in_full", "document_type": "working paper", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": { "paragraph_index_on_page": 4, "physical_pdf_page": 7, "source_word_anchor": "the form of specific contract provisions for providers In contrast in Canada", "source_word_count": 12 }, "material_id": "material:883d70f92fe1a29bd505d8bd", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable corpus file and extracted-text hashes are linked to this document.", "A machine-validated physical-page locator is linked to this document for annotation." ], "origin": "global-health-systems-library", "period": null, "publication_date": "2005-06-01", "publication_year": 2005, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "corpus_retrieval_verified": true, "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.7, "page_anchor_linked": true, "previous_visibility": "previously_not_projected_unless_selected" }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "file_sha256": "76b9063b46ff55b0f06104d324f3e83b532ac12eb5a32a3853815d9ff659866e", "page_count": 201, "text_sha256": "e0a37c34520ff10e918d1487647e0db69bc746f5f2f514135f8957ddacd4633d" }, "statement": null, "tags": [ "control_knob:financing", "control_knob:organization", "control_knob:payment", "control_knob:regulation", "health_system_topic:accreditation_quality", "health_system_topic:financial_protection", "health_system_topic:pooling_insurance", "health_system_topic:primary_care", "health_system_topic:provider_payment", "health_system_topic:public_private_mix", "population_group:older_people", "sdg:3.8.2", "service_area:cross_cutting", "service_area:emergency", "service_area:hospital_care", "service_area:immunization", "service_area:infectious_disease", "service_area:primary_care", "who_building_block:health_financing", "who_building_block:health_information_systems", "who_building_block:leadership_governance", "who_building_block:service_delivery" ], "territory": "national", "title": "Reforming health social security : proceedings of an international seminar sponsored by the Global Security Institute, Keio University, and the World Bank, June 27-29, 2005, Tokyo, Japan : Reforming health social security : proceedings of an international seminar", "urls": [ { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/253691468215691871/pdf/363940REV0Keio0Paper0for0WB0Web.pdf" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/253691468215691871/text/363940REV0Keio0Paper0for0WB0Web.txt" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents1.worldbank.org/curated/en/253691468215691871/pdf/363940REV0Keio0Paper0for0WB0Web.pdf" }, { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/253691468215691871" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Downloaded successfully", "downloaded": true, "extracted": true, "source_bytes_verified": true, "text_pages": 212, "text_words": 102861 }, "citation": "An international assessment of health care financing : lessons for developing countries. 1995. https://documents.worldbank.org/curated/en/487821468758149918", "country_ids": [ "CAN", "DZA", "GBR", "JPN", "KOR", "USA" ], "coverage_domains": [ "accreditation_quality", "health_financing", "hospital_referral", "leadership_governance", "pooling_insurance", "primary_care", "provider_payment", "public_private_mix", "service_delivery" ], "display_status": "shown_in_full", "document_type": "health financing strategy", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": { "paragraph_index_on_page": 1, "physical_pdf_page": 9, "source_word_anchor": "Medical Authority Kyushu Region Ministry of Health and Welfare Hakataku Fukuoka City", "source_word_count": 12 }, "material_id": "material:5ae1d40352e0e0409d47b510", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable corpus file and extracted-text hashes are linked to this document.", "A machine-validated physical-page locator is linked to this document for annotation." ], "origin": "global-health-systems-library", "period": null, "publication_date": "1995-11-30", "publication_year": 1995, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "corpus_retrieval_verified": true, "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.7, "page_anchor_linked": true, "previous_visibility": "previously_not_projected_unless_selected" }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "file_sha256": "7a89827fed8434532844174f1a70fb9e9bfb7b5ba500ddb53b0efc2eab884eb8", "page_count": 212, "text_sha256": "4b66876927192cc8a04840583fc690c4348894c0fdad2d326c296014f8d98c26" }, "statement": null, "tags": [ "control_knob:financing", "control_knob:organization", "control_knob:payment", "control_knob:persuasion_behaviour", "control_knob:regulation", "document_type:health_financing_strategy", "health_system_topic:accreditation_quality", "health_system_topic:hospital_referral", "health_system_topic:pooling_insurance", "health_system_topic:primary_care", "health_system_topic:provider_payment", "health_system_topic:public_private_mix", "population_group:children", "population_group:older_people", "population_group:rural_remote", "service_area:cross_cutting", "service_area:hospital_care", "service_area:immunization", "service_area:infectious_disease", "service_area:maternal_reproductive", "service_area:primary_care", "who_building_block:health_financing", "who_building_block:leadership_governance", "who_building_block:service_delivery" ], "territory": "national", "title": "An international assessment of health care financing : lessons for developing countries", "urls": [ { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/487821468758149918" }, { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/487821468758149918/pdf/multi0page.pdf" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/487821468758149918/text/multi0page.txt" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents1.worldbank.org/curated/en/487821468758149918/pdf/multi0page.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Availability or relevance uncertain", "downloaded": false, "extracted": false, "text_pages": null, "text_words": null }, "citation": "Salary supplements and bonueses in revenue departments : final report : Salary supplements and bonuses in revenue departments : final report. 2001. https://search.worldbank.org/api/v3/wds", "country_ids": [ "CAN", "EST" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": "working paper", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": null, "material_id": "material:c977dc3e0d8dee84212f650c", "notes": [ "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "global-health-systems-library", "period": null, "publication_date": "2001-08-01", "publication_year": 2001, "record_kind": "library_document_candidate", "record_kind_label": "Library document candidate", "screening": { "evidence_work_review_state": "auto", "machine_screening_reason": null, "machine_screening_state": "organization_tag_candidate", "organization_tag_confidence": 0.85, "previous_visibility": "previously_not_projected_unless_selected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "page_count": 100, "response_sha256": "171f54f546ac4b417bc0b836a31a06924cce8a2b32822b6f4577bee43a111b3f" }, "statement": null, "tags": [ "control_knob:organization" ], "territory": "national", "title": "Salary supplements and bonueses in revenue departments : final report : Salary supplements and bonuses in revenue departments : final report", "urls": [ { "kind": "catalogue", "source": "World Bank Documents and Reports", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/197101468308347398/text/333280PLS0standard0rapport2.txt" }, { "kind": "source", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/" }, { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/197101468308347398" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/197101468308347398/pdf/333280PLS0standard0rapport2.pdf" } ] } ] }