Strategic Directions and Key Priorities


The CRTO has traditionally created a strategic plan that is reviewed and revised every four (4) to five (5) years. In 2016, the focus of this document shifted from a strategic “plan” to the CRTO’s strategic “direction” in recognition of the numerous evolving factors that influence the decision and actions of our organization. At that same time, the following five (5) strategic domains were established:

  1. Member Engagement
  2. Governance & Accountability
  3. Enhancing Professionalism
  4. Healthcare Community
  5. Core Business Practices

Foundation of the Strategic Direction & Key Priorities 

Building on the most recent 2016 – 2020 CRTO Strategic Direction & Key Priorities document, this updated version is heavily influenced by the Ministry of Health’s (MOH) 2021 College Performance Measurement Framework (CPMF) reporting requirements (. Within that framework are many overriding expectations, which include:

  • Council & Committee members
    • Competency-based selection criteria
    • Decision-making free of any actual, potential, or perceived conflict of interest
    • Clear code of conduct
  • College processes
    • Adherence to the principles of diversity, equity, and inclusion
    • Transparent & easily accessible information available for both Members & the public
    • Ongoing tracking & review of Key Performance Indicators (KPI)
    • Careful management of internal & external organizational risks

Alignment of CPMF with CRTO Strategic Direction

There are several areas in which the CRTO committed to improving upon after our 2020 CPMF report was submitted. Also, in the 2021 CPMF reporting template, the MOH has identified many more areas where it would like to see clear evidence of compliance. Therefore, in the coming months and years, the CRTO must focus much of its strategic direction on the expectations outlined in the CPMF.


Key Priorities

The key priorities become how the CRTO will operationalize each element within our Strategic Direction.

Member Engagement

Alignment of policies & processes with the principles of Right-Touch regulation.

  • Evidence-informed approach to QA selection, assessments & remediation.
  • Framework for the prioritization of investigations, complaints, & reports.

Transparent, objective, impartial, & fair practices.

  • Clear direction regarding the registration requirements for all applicants.
  • A complaints process supported by publicly accessible policies & procedures.

Accessible & timely communication.

  • Increase the amount of information available on our website in written and online module format.
  • Optimize the use of various communication platforms.

Governance & Accountability

A highly competent & effective Council.

  • Publicly accessible Council & Committee competency self-evaluation & an online, pre-application learning module.
  • Framework to regularly evaluate the effectiveness of Council meetings & Council with a third-party assessment of Council (min. every three years).
  • Ongoing training provided to Council & Committee members informed by the outcome of relevant evaluation(s) and the needs identified by Council and Committee members.

Independent, evidence-informed & transparent decision-making processes.

  • Publicly accessible Code of Conduct & Conflict of Interest policy for Council & Committee members.

An ongoing commitment to performance improvement.

  • Tracking & review of Key Performance Indicators (KPIs) linked to the CRTO strategic objectives.
  • Ongoing monitoring on KPI dashboard.

Enhancing Professionalism

Policies, standards of practice, & practice guidelines based on the best available evidence.

  • Policy framework & review/revision of all policies and practice guidelines.
  • Standards of Practice & Ethical Practice documents promotes Diversity, Equity, and Inclusion (DEI).

Supporting the application of new or amended practice standards.

  • Online modules to support difficult-to-understand and novel practice standards.

The application of Risk-Based regulation.

  • Formal risk assessments in all RC, QAC & ICRC decisions.

Healthcare Community

Actively seeking collaborative opportunities with other health regulatory colleges & system partners.

  • Creation of common standards (where possible) both provincially and nationally.

Engaging with stakeholders to enhance quality patient care.

  • Demonstrate how stakeholder feedback is incorporated into the development/revision of policies, standards, and practice guidelines.

Core Business Practices

Clear financial alignment with strategic priorities.

  • Revised financial statement & investment portfolio presentation
  • A policy that clearly outlines the management of financial reserves
  • Finance & Audit Committee

Embedding the principles of diversity, equity, and inclusion in College processes.

  • DEI training for Council, Committee & staff members
  • Equity Impact Assessment

A comprehensive Risk Management Framework

  • The formal process to identify & monitor internal & external organizational risk (e.g., financial & human resources, cyber security, etc.)
  • Succession plan for senior leadership