Health Equity Impact Assessment (HEIA)


MOHLTC worked collaboratively with service providers and planners across the health system to ensure that the Ontario HEIA Tool is effective, user-friendly and fits easily within our existing planning processes :

“At the Toronto Central LHIN, Excellent Care for All is an integral part of our strategic plan and equity is central to that quality improvement agenda. By embedding HEIA into our planning, program design and decision making, we are working to achieve a health care system that all our residents can count on regardless of their individual circumstances or where they live.”
- Camille Orridge, CEO, Toronto Central Local Health Integration Network (LHIN)

“HEIA is being hardwired at CAMH. The leadership teams have been taught and they are starting to use it day to day. We expect the major decisions at CAMH to have HEIA going forwards. The partnership in training with the Ministry of Health and Long-Term Care was key to this.”
- Dr. Kwame McKenzie, Senior Scientist, Social Equity and Health Research, Centre for Addiction and Mental Health (CAMH).

“HEIA is something that health service providers and LHINs should welcome to strengthen decision-making and further demonstrate a commitment to reducing health inequities. In the Central East LHIN we have built the principle of equity and reducing inequity into many of our planning and funding decisions – this will build on our achievements.”
- James Meloche, Senior Director, Central East LHIN

“HEIA is making its way into the fabric of our decision-making processes. Our senior leaders have started using the HEIA tool to systematically consider and mitigate the potential health equity impacts of our programs and services. This will improve outcomes for many of the marginalized groups we serve.”
- Branka Agic, Manager of Health Equity, CAMH.

Here are some comments from people who have used the Ontario HEIA Tool :

“Not only did it articulate concerns but it helped the staff feel that they could bring up concerns without feeling that they were being negative… Because they came up with the ideas it meant that everyone was working together to address important issues as a team.”

“Since the initiative being developed was new, this served to help create focus in some areas of development and create a dialogue [on] appropriate goals.”

“Initially, I thought the workbook to be very long, however I quickly realized that without the benefit of scenarios and questions, it would have been difficult to complete.”

“I think that really exploring a policy or procedural change, especially for unintended consequences, is extremely important.”

[HEIA] provides a clear pathway to examin[e] the effectiveness of the new plan, program or service.”

“[HEIA] was quick and easy and it forced the participants to be detailed, yet concentrate on the most important points.”

“I liked that the tool left room for expansion on the populations we wanted to use.”

“We appreciated the workbook not being specific to a larger geographic or populated area. The workbook was applicable for rural areas and where services for First Nation communities are provided.”

“Opened my eyes to areas…we didn't consider in our development.”

“The tool made me think outside the box.”

For More Information

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