I believe that activity-based funding is an innovation in Canada. It does not mean that it's an international innovation, as many countries have transitioned to activity-based funding. The United States was first off the mark in the late 1970s, followed by some states in Australia, which since have been followed essentially by all the Nordic countries, France, and England, Ireland, Germany, and Japan.
While it's definitely not an innovation, there's much we can learn from those systems. I don't think you can take a cookie-cutter approach to these very complex systems and apply them in an entirely different country's context, such as ours, where we have fee-for-service physicians who are very powerful, plus a global budget-based hospital system. Contextualizing that will be very tricky in Canada. That's why I think it's a very innovative approach for both Ontario and British Columbia to proceed in this way.