HIROC named one of Greater Toronto’s Top Employers for 2018.

Healthcare Change Makers, a HIROC podcast, is launched in March 2018. The podcast is devoted to talking to leaders about driving change in our complex healthcare organizations.
Top Healthcare Risks 2018 is released in May 2018. The report brings together data on top risks by 116 Canadian healthcare organizations currently using HIROC’s Risk Register application.
HIROC joins over 18 Canadian healthcare organizations in signing the Declaration of Commitment to Cybersafe Healthcare, launched by HealthCareCAN in June 2018.
HIROC and the Canadian Medical Protective Association (CMPA) leverage their respective unique medico-legal databases and release their second collaborative report on safety in obstetrics, Delivery in Focus: Strengthening obstetrical care in Canada.


Catherine Gaulton appointed Chief Executive Officer of HIROC on February 1, 2017.

HIROC named one of Greater Toronto's Top Employers for 2017
The Canadian College of Health Leaders, HealthCareCAN, HIROC and a number of national and provincial partners collaborate on the creation of a patient safety and quality culture bundle for CEOs and senior leaders.
HIROC updates documentation guide – Strategies for Improving Documentation: Lessons from Medical-Legal Claims – to include recommendations for migration to electronic health records.
HIROC releases Responding to Complaints & ConcernsA Letter Writing Guide for Healthcare Providers and Administrators.
More than sixty acute-care organizations complete the first three-year cycle of HIROC’s Risk Assessment Checklists Program.
HIROC releases Cyber Risk Management – A Guide for Healthcare Administrators and Risk Managers.


HIROC releases a summary of key findings in the first Canadian Top Healthcare Risks 2016: Report on a Shared System for Integrated Risk Management.
HIROC publishes updated Risk Reference Sheets for non-acute care with information on claims themes and mitigation strategies.
The Canadian Medical Protective Association (CMPA) and HIROC (with the support of CPSI) release a report entitled, Surgical Safety in Canada: A 10-year review of CMPA and HIROC medico-legal data. The report attracts national media attention and is the first of several joint projects by the partners.
Together with education partner OHA, HIROC initiates a networking and knowledge-sharing event for leaders and board members called View from the Top.


The HIROC Risk Register application is officially launched. It facilitates the identification, assessment, management and reporting of key organizational risks. After the first year, 84 healthcare organizations signed on and 1,400 risks were entered into the system.
The Let’s Talk with HIROC blog is launched. The space is dedicated to sharing stories and collaboration amongst leaders in healthcare.  
HIROC releases a risk resource guide for healthcare providers on critical, multi-patient events.


A collaborative of HIROC staff and subscribers develops an Integrated Risk Management (IRM) process which results in a concise taxonomy of the common risks occurring across organizations and a powerful new online tool, the Risk Register.
HIROC launches Risk Watch, a collection of peer-reviewed articles, best practices and related literature, provided monthly.
Subscribers and partners gather in Winnipeg to celebrate 25 years since Ste. Rose General Hospital joined HIROC, becoming the first Manitoba subscriber and transforming the young reciprocal into a national organization.
HIROC is recognized with an Innovatio Award from Canadian Lawyer InHouse for its groundbreaking approach to its relationship with its legal counsel, Borden Ladner Gervais (BLG).


Eighty-three hospitals sign on to HIROC’s Risk Assessment Checklists (RAC) – a tool where subscribers are given a checklist of their top 30 risks and how to mitigate them. In 2013, HIROC starts adding non-acute subscribers to the program.

HIROC transitions the Claims Defence Initiative from a pilot to a full-fledged program, giving eligible subscribers an opportunity for significant savings on their legal and defence costs.

HIROC launches HIROC NOW, a news portal focused on delivering the latest news in Canadian healthcare innovation and patient safety developments.

HIROC and Borden Ladner Gervais (BLG) are named 2013 Association of Corporate Counsel (ACC) Value Champions.


It’s 25 years since HIROC got its start in the boardroom of the Ontario Hospital Association. The reciprocal now has 546 subscribers and through the subscriber surplus distribution program has put over $76 million into the Canadian healthcare system.

In recognition of 25 years, HIROC establishes the HIROCOMMUNITY Program with employees dedicating time and energy to subscriber projects. The Subscriber Recipient Program, started in 1999, surpasses $25,000. The program is entirely funded by HIROC employees and benefits subscriber charitable foundations.


HIROC surpasses 500 subscribers.


HIROC sponsors a groundbreaking patient safety initiative, The Canadian Pharmaceutical Bar-Coding Project. The project, led by CPSI (Canadian Patient Safety Institute) and ISMP Canada, is a nationwide effort to introduce standardized bar-coding on medications intended to minimize the potential for human error and reduce the risk of adverse drug-related events.


HIROC marks its 20th year of providing subscribers with valuable tools and resources including RMSAMTM and RMCAR (Risk Management Claims Analysis Reports).

In 2007, HIROC partners with the Society of Obstetricians and Gynaecologists (SOGC) to create the Salus Global Corporation. The organization is dedicated to improving healthcare performance and safety through such patient safety programs as MOREOB.


In the spring of 2005, HIROC launches a new organizational vision – Partnering to Create the Safest Healthcare System.


HIROC announces the arrival of the Risk Management Self-Appraisal Modules (RMSAMTM); these modules replace the earlier Risk Management Assessments. The objective of RMSAMTM is to provide a toolkit for subscribers that enables them to review relevant risks and then develop appropriate mitigation strategies.


HIROC provides liability coverage to the Alberta Midwives Association, marking the beginning of HIROC’s partnership with midwives. Since then, HIROC has continued to build ties with midwives based in Manitoba, Saskatchewan, Nova Scotia and Ontario.


As part of HIROC’s ongoing strategic effort to reduce losses, HIROC co-sponsors the Society of Obstetricians and Gynaecologists of Canada MOREOB program, an exciting educational endeavour that will see hospitals’ entire obstetrical teams learning together.

In 2001, HIROC partners with the Institute for Safe Medication Practices Canada (ISMP) to be the lead sponsor of the new ISMP Canada Bulletin.


Peter Flattery is appointed Chief Executive Officer of HIROC. Peter’s HIROC journey started in 1988 as Manager, Underwriting and Client Services.

HIROC Management Limited and HIROC Insurance Services Limited, along with HIROC, come under the common banner of “The HIROC Group.” A new logo is launched at the beginning of 1997.

The Canadian Medical Equipment Protection Plan (CMEPP), a not-for-profit hospital-owned funding arrangement, is co-founded on April 1, 1996 by the Clinical Engineering Group of the Toronto Academic Science Council in association with HIROC Management Limited. The program is cost-effective and 44 participants benefit from the expertise of Biomedical Engineering Departments at Canadian teaching hospitals that provide technical support and advice on medical equipment maintenance.


HIROC celebrates five years of service with a total of 148 subscribers from four provinces: Ontario, Manitoba, Newfoundland & Labrador and Saskatchewan. During that time HIROC distributed $11.5 million in surplus to subscriber organizations.

The Risk Management Assessment Program is introduced in 1992. The genesis of this program comes about through research from other risk management programs in place throughout North America. The modules introduced to HIROC subscribers recognize the need for attention to high risk areas and provide a valuable tool for managing risk.


In September 1989, HIRO (Hospital Insurance Reciprocal of Ontario) becomes HIROC (Healthcare Insurance Reciprocal of Canada) after welcoming its first subscriber outside of Ontario, Ste Rose General Hospital from Ste Rose Du Lac, Manitoba.


In the mid-1980s, Ontario hospitals faced a crisis when their liability insurance premiums rose dramatically and one major commercial insurance company refused to insure them. Two independent consultants’ reports were commissioned, one by the Ontario Hospital Association (OHA) and the other by Ontario Council of Administrators of Teaching Hospitals (OCATH). Both recommended the formation of an insurance reciprocal exchange. On behalf of its members, the OHA agreed to provide the initial funding for the formation of an exchange to be known as Hospital Insurance Reciprocal of Ontario (HIRO).

The first HIRO CEO was Michael McNeill, a dynamic visionary with an unwavering belief in the viability of the new reciprocal. His leadership and hard work by two young staffers saw rapid success – by year’s end HIRO had 52 subscribers and 19,078 beds.