Select Page

Quality-Based Procedure for Low Risk Birth

What is a Quality-Based Procedure?

Quality-Based Procedures (QBP) are an integral part of Ontario’s Health System Funding Reform (HSFR) and a key component of the Patient-Based Funding. This reform plays a key role in advancing the government’s quality agenda and its Patients First: Action Plan for Health Care. HSFR has been identified as an important mechanism to strengthen the link between the delivery of high quality care and fiscal sustainability.


The key objectives of the QBP for Low Risk Birth are to:

  • Address the variation in caesarean section rates across the province in the low risk mother;
  • Promote normal birth;
  • Improve patient outcomes by focusing on delivery of standardized, evidence-informed practices.


Hospital funding changes for how low risk births will be remunerated are planned for the 2019/20 fiscal year. The 2018/19 fiscal year will be a year for hospitals to prepare for the clinical adoption and implementation of these recommendations. Below are a series of resources to support the roll-out of the clinical recommendations.


Quality-Based Procedure Clinical Handbook for Low Risk Birth

The full Clinical Handbook for the QBP for Low Risk Birth.

Quality-Based Procedure Low Risk Birth Toolkit

An abridged version of the QBP Clinical Handbook focusing on the clinical recommendations and supports for implementation.

Quality-Based Procedure Low Risk Birth Clinical Education Package

A PowerPoint Slide deck with talking points to assist in the delivery of education sessions about the Low Risk Birth QBP  clinical recommendations. Please enable ‘Notes’ view in PowerPoint to view talking points.

Low Risk Birth Quality Based Procedure: Clinical Recommendations Webinar

Previously offered May 21, 2018.  Click here to view the webinar.

Quality Based Procedure for Low Risk Birth:  Frequently Asked Questions

Community of Practice

PCMCH is hosting an online Community of Practice via HQO’s Quorum website. Join the Community to collaborate with and learn from your colleagues across the province.

To join the Community of Practice follow the link below and create an account:
Click here to Access the PCMCH Maternal and Newborn Community of Practice


Questions regarding the clinical recommendations of the QBP for Low Risk Birth can be addressed to