In the late 2000s Northumberland Hills Hospital experienced repeated budget deficits. The hospital's board needed to cut the hospital's services in order to balance the budget. Ontario's Local Health System Integration Act, 2006, required the hospital to seek public input before changing services. Accordingly, the hospital's board developed a plan, called a collaborative budget strategy -- formally entitled "Shared Challenge, Shared Solution" -- to elicit this public input.
This case study features a citizens' deliberation using the Dialogue Cirlces method to address inequities in the educational system derived from racism and poverty. This deliberation produced action ideas for various community groups, the successfully-enacted Early Childhood Care and Education Act, and efforts to pass amendment to the New Mexico constitution that would increase state funding for early childhood education.
In June, MASS LBP completed its largest project to date, a lengthy engagement process to help the Mississauga Halton Local Health Integration Network (LHIN) determine priorities for $1.8 billion in annual health care spending.