Over the past decade, Ontario’s healthcare system has undergone a quiet, but profound transformation, one that started with a promising pilot, and has grown into a full-scale shift in how care is coordinated and delivered. For those of us watching the system evolve, it’s been a journey from Health Links to Ontario Health Teams (OHTs), with important lessons, growing pains, and renewed hope for more client-centered care.

Back in 2012, the province launched Health Links, a program designed to tackle one of our most pressing challenges: the care of patients with complex, multiple health conditions. These individuals, often seniors, frequently moved between hospitals, doctors’ offices, and community services, repeating their stories at every turn. Health Links aimed to change that by bringing local healthcare providers together to create a single, coordinated care plan for each patient. As part of this program, I co-chaired a Champlain Local Health Integration Network (LHIN) client committee for the region from Arnprior – Ottawa West & South – North Grenville, and we produced a number of strategic presentations, and patient-focused papers that were used to help transform healthcare delivery.  

The Health Links mandate was clear; improve the quality of care, reduce unnecessary hospital use, and make the system more efficient. It worked, at least in part. Coordinated Care Plans (CCPs) helped reduce emergency room visits and made transitions between care settings smoother. Patients reported feeling more supported, and providers began to see the value of collaboration, but as the program grew, so did its limitations. Implementation varied across regions, digital systems didn’t always connect, and Health Links lacked the scale or structure to truly transform the system.

The lessons from Health Links laid the foundation for something bigger. In 2019, Ontario began rolling out Ontario Health Teams, a bold reimagining of how care is delivered. OHTs bring together hospitals, family doctors, long-term care homes, mental health agencies, and other providers under one umbrella. They share budgets, goals, and responsibility for the health of their local populations, and they aim to do what Health Links started, only broader and more sustainably.

As of April 2025, there are 58 OHTs operating across Ontario, each tailored to the needs of its community. Their vision is simple, but ambitious; to offer fully integrated care, where patients don’t fall through the cracks, don’t have to chase paperwork, and don’t have to navigate a fragmented system alone.

Where does Home and Community Care Support Services (HCCSS) fit into all this? As the LHINs were dismantled, their care coordination functions transitioned to HCCSS, which continues to support patients, especially seniors, at home or after hospital discharge. For many, the face of home care hasn’t changed much, and that’s a good thing, as continuity matters.

For Ontarians, especially older adults or those caring for aging loved ones, these changes hold real promise. If your parent is discharged from hospital with a coordinated plan, supported by a team that talks to each other, that’s the system working. If you no longer have to explain your health history to five different providers, that’s integration in action.

Of course, not every region is there yet. Some OHTs are more advanced, some systems still don’t share data well, and some patients are still lost in the shuffle, but the trajectory is promising, and the intent is clear; a more connected, compassionate healthcare experience for everyone.

Ontario has moved from a patchwork of pilot projects, such as the one I was involved with, to a province-wide commitment to collaboration. As we look ahead, the hope is that we not only build on these reforms,but also hold the system accountable to the values that started it all; access, dignity, and care that truly wraps around the patient.