Excellent Care for All Act (ECFA) 

In 2010, the Ministry of Health and Long-Term Care introduced the Excellent Care for All Act, 2010. The Act puts patients first by improving the quality and value of the patient experience through evidence-based health care. Hospitals implemented these legislative changes first, and results from hospitals informed requirements are they extended across the health system. 

  • The legislation includes a number of requirements, including: 
  • quality committees, which report on quality-related issues and annual quality improvement plans, which health care organizations develop and make public; 
  • executive compensation, linked to achieving improvement targets set out in the annual quality improvement plan; 
  • patient/client/caregiver surveys, which assess satisfaction with services; 
  • staff surveys, which assess satisfaction with employment experience and capture views about the quality of care provided by the organization; 
  • declarations of values, that reflect input from public consultation; 
  • and patient relations processes, to address patient experience issues and reflect its declaration of values. 

 The WWLHIN is committed to supporting its health service providers in meeting the requirements of the Excellent Care for All Act.