The British Columbia experiment with activity-based funding is essentially intended to provide more care. It is about decreasing length of stays and decreasing wait-lists. There are no outcome measures in terms of patient-reported outcome measures or patient outcomes, although we are looking at readmission rates and mortality rates to see if we detect changes.
The program in Ontario, the quality-based procedures initiative, is a very new initiative. It is essentially pulling together clinical panels of expert clinicians in every field, identifying for that condition what the best practices should be and how to line up the funding behind them, and then matching the funding cross-continuum to that. They currently are just compiling their clinical panels. Some of them have met, including those on chronic heart failure, congestive heart failure, hip fractures, knee replacements.
So a number of them have already met, and they are developing these guidelines. They intend to match the funding, but it has not actually been implemented to the degree that they've been able to delineate what the best practices are. They are doing so now.