oversight! and! project! management! of! PPP! infrastructure! projects (Infrastructure!…

oversight! and! project! management! of! PPP! infrastructure! projects (Infrastructure! Ontario,!2010).!Infrastructure!Ontario!has!created!the!Infrastructure&Planning,&Financing& and& Procurement& Framework& for& Ontario’s& Public& Sector& or! IPFP! Framework.! This! framework! establishes! 5! fundamental! principles! of! public! infrastructure! projects! in! Ontario (Infrastructure!Ontario,!2010): 1. The!public!interest!is!paramount. 2. Value!for!money!must!be!demonstrable. 3. Appropriate!public!control/ownership!must!be!preserved. 4. Accountability!must!be!maintained. 5. All!processes!must!be!fair,!transparent!and!efficient. As!Brampton!Civic!Hospital!was!constructed!prior!to!the!creation!of!IO, we!were! able!to!evaluate!the!outcomes!of!the!Brampton!Civic!Hospital!using!the!NIE!framework! and!subsequently!comparing!the!NIE!model!to!the!present!IO!framework.!Our!goal!is!to! identify! what! gaps!may! continue! to! persist! in!Ontario! despite! the! existence! of! the!IO! framework. Thirdly,!an!inFdepth!valueFforFmoney!audit!of!the!financial!outcomes!of!the! Brampton! Civic! Hospital!project!was! conducted!by!Ontario’s! Auditor! General (Auditor! General!of!Ontario,!2008).!The!provincial!Auditor!General!is!an!independent!audit!office! serving! Ontario’s! Legislative! Assembly! responsible! for! conducting! valueFforFmoney,! attest,!and!compliance!audits!of!governments,!Agencies!of!the!Crown!and!other!broader! public!sector!organizations!(Ontario!Auditor!General,!2010).!In!2008,!the!results!of!the! Auditor’s!valueFforFmoney!audit!of!the!Brampton!Civic!Hospital!PPP!were!published.!The report!captured!findings!and!VFM!audit!results!regarding!the!PPP!project!and!has!been! 64 used!in!our!analysis! to!support! the!quantitative! review!of! the!Brampton!Civic!Hospital! PPP.! Our!analysis!of!the!Brampton!Civic!Hospital!led!to!the!conclusion!that!although! all!elements! of! the!NIE! framework!in! some!way!influenced! the! observed outcomes! of! the Brampton!Civic!Hospital!project,!some!elements!were!more!influential!in! this!case than!others.!In!order!of!magnitude!they!were:! 1. Social!and!Political!Rhetoric 2. Risk 3. Cost!Reductions 4. Equity,!Access!and!Improved!Performance 5. Governance Agency&Theory,&Transaction&costs,!Efficiency!and!Property&Rights were!analyzed! to!a!lesser!extent!due!to!a!lack!of!publically!available!of!information!or!applicability!to! the!Brampton!Civic!Hospital!case.!However,!when!applying!an!NIE!framework!to!analyze! PPPs,!it!is!important!to!for!all!elements!to!be!studied. We!used!our!6!key!NIE!framework!elements!above!to!structure!questions!for!our! interviews.!We!applied!a!stakeholder!framework!where!each!interviewee!was!asked!the! same! questions. Responses! were! compared! for! consensus! as! well! as! identification! of! reoccurring! themes! (Technical!Appendix).!Questions!were!intended! to!explore!general! perceptions! about! PPPs! and! specific! circumstance! and! outcomes! related! to! the! Brampton! Civic!Hospital.! !The! interviews,! data! from! the!Auditor!General’s! Report!and! our!literature!review!informed!the!development!of our!survey!questionnaire.!The!intent

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